pharmaceutical wholesaler

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Pharmaceutical Pharmaceutical wholesaler wholesaler Gergely ZAJZON MD Gergely ZAJZON MD Semmelweis University, EKK Semmelweis University, EKK Egészségügyi Informatikai, Egészségügyi Informatikai, Fejlesztő és Továbbképző Intézet Fejlesztő és Továbbképző Intézet

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Pharmaceutical wholesaler. Gergely ZAJZON MD. Semmelweis University, EKK Egészségügyi Informatikai, Fejlesztő és Továbbképző Intézet. Distribution chain. Manufacture Pharmaceutical wholesaler Public Pharmacy Institutional Pharmacy (Hospital,etc.) Other shops selling OTC products. - PowerPoint PPT Presentation

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Page 1: Pharmaceutical wholesaler

Pharmaceutical Pharmaceutical wholesalerwholesaler

Gergely ZAJZON MDGergely ZAJZON MD

Semmelweis University, EKKSemmelweis University, EKKEgészségügyi Informatikai, Fejlesztő és Egészségügyi Informatikai, Fejlesztő és

Továbbképző IntézetTovábbképző Intézet

Page 2: Pharmaceutical wholesaler

Distribution chain

• Manufacture

• Pharmaceutical wholesaler

• Public Pharmacy• Institutional Pharmacy (Hospital,etc.)• Other shops selling OTC products

Transport

Transport

Page 3: Pharmaceutical wholesaler

GDP

• Good Distribution Practice (GDP) is that part of quality assurance which ensures that products are consistently stored, transported and handled under suitable condition as required by the marketing authorization (MA) or product specification

- MHRA, UK -

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 4: Pharmaceutical wholesaler

Distribution chain

• Manufacture

• Pharmaceutical wholesaler

• Public Pharmacy• Institutional Pharmacy (Hospital, etc.)• Other shops selling OTC products

Transport

Transport

GDP

GMP

Page 5: Pharmaceutical wholesaler

GMP

• Good Manufacturing Practice is that part of Quality Assurance which

ensures that products are consistently produced and controlled to the quality standards appropriate to their intended use and as required by the marketing authorization or product specification

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 6: Pharmaceutical wholesaler

GMP vs. DistributionThe nature of the risks involved may generally, however, be

the same as those in the manufacturing environment e.g mix-ups, contamination and cross contamination

There are thus aspects in distribution to which the principles of GMP should be applied

These include, but are not limited to, storage,distribution, transportation, packaging, labeling,documentation and record-keeping practices.

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 7: Pharmaceutical wholesaler

GMP vs. DistributionChapter 1• requires satisfactory arrangements for storage and

distribution to maintain qualityChapter 4• requires batch distribution records to be keptChapter 5• deals with storage after release and the handling of

product returned from the marketChapter 8• deals with product complaints and recalls

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 8: Pharmaceutical wholesaler

DR. DR. ZZAJZON AJZON GGERGELYERGELY

INTERNATIONAL DISTRIBUTION CHAIN

Page 9: Pharmaceutical wholesaler

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 10: Pharmaceutical wholesaler

Products distributed

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 11: Pharmaceutical wholesaler

Products distributed

• Medicine• Food supplement• Medical device

Page 12: Pharmaceutical wholesaler

Wholesaler activities• Storage of medicines

– Temperature control– Clean, safe environment (no pesticides, dry

place, etc.)– Shelf life control

• Transportation of medicines• Quality assurance• Counterfeit medicines

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 13: Pharmaceutical wholesaler

Quality Management System

SOP• Standard Operation Procedure• Rules governing the different activities of

the pharmaceutical wholesaler• Exact definition of

– The activity (procedure to be followed)– The responsibilites

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 14: Pharmaceutical wholesaler

Quality AssuranceChecking the products arriving:• Correct transportation• Certificate of Conformance / Analysis from Seller

/Manufacturer• Identifier: Product Name, Batch number on box vs.

Documentation• Expiry Date (min. 6 months shelf life at buying, min 1-3

months at selling)• Correct information (box and PIL – leaflet) vs. Marjeting

Authorisation (MA)• No counterfeit medicine

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 15: Pharmaceutical wholesaler

IT System for Wholesaler

Stock management• Quantity, Batch, Expiry date• FEFO = First Expiry First Out• Exact definition of storage spaces

– Only one batch of one product can be stored at one space

Quality Assurance Management

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 16: Pharmaceutical wholesaler

IT System for Wholesaler

Warehouse system• Order / Shipment from Seller• Order from Buyer

– Electronic interface with pharmacy systems• Invoice Management• Picking list – choosing the right batches

and quantity

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 17: Pharmaceutical wholesaler

IT System for Wholesaler

Built-In Alerts• Expiry date• Storage conditions• Temperature deviations• Quantity Management

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 18: Pharmaceutical wholesaler

Product identification

• Product name• Marketing Authorisation Number• Batch number• Expiry Date• Barcode

– EAN– 2D (Matrix barcode)

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 19: Pharmaceutical wholesaler

DR. DR. ZZAJZON AJZON GGERGELYERGELY

EANEuropaische Artikel Numerierung

Barcode on the outer medicine packge

EAN 13 structure:EAN 13 structure:

5 997086 1029175 997086 102917

HUN COMPANY PRODUCT

CONTROL DIGIT

Identifies only the packsize of Identifies only the packsize of a medicine, not the exact box!a medicine, not the exact box!

Page 20: Pharmaceutical wholesaler

DR. DR. ZZAJZON AJZON GGERGELYERGELY

2D barcode – Data Matrix

Advantage:• More information can be stroed than in

linear barcodeDisadvantage:• Linear barcode reader is not usable, extra

cost in pharmacies

Page 21: Pharmaceutical wholesaler

DR. DR. ZZAJZON AJZON GGERGELYERGELY

+ Strength

+Packsize

+ Batch

+ Dosage form

Tradename (Brand)

IDENTIFICATION LEVEL

Exact box of medicine ?

2D barcode – Data MatrixUnique identifier for

each pacage of medincal product

Track & Trace systems

Page 22: Pharmaceutical wholesaler

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Track & TraceTrack & Trace• Unique identifier

– Printed at packagin line at the manufactuing site from given from the database of the manufacturer and reported to a central database

• More information then in EAN:– Batch Nr.– Expiry date

• Exact following method from manufacturer to patient during the whole supply chain

Page 23: Pharmaceutical wholesaler

Special thanks for the slides of

• Muhammad Lukmani Ibrahim(NPCB, Ministry of Health, Malaysia)

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Page 24: Pharmaceutical wholesaler

DR. DR. ZZAJZON AJZON GGERGELYERGELY

Thank you!

GERGELY ZAJZON MDAssistant lecturerMobile: +36-20-9604294E-mail: [email protected]: http://www.gyogyszerugy.hu