IFPMA-TFDA Workshop on Couterfeit Medicines
‘Integrated Approach Against Fake Medicines’
Session 2: Supply Chain Integrity
On 6th February 2015
At Taipei International Convention Center
Taipei, Taiwan
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Session 2: Mike Rose, Johnson & Johnson / Serialization and Traceability GS1 Standards: A Manufacturer’s Perspective
1. Serialization and Traceability
GS1 Standards: A Manufacturer’s Perspective
Mike Rose
Johnson & Johnson Health Care Systems Inc.
Vice President, Supply Chain Visibility
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Topics
• Protecting patients and consumers
• What is serialization and track & trace?
• Importance of GS1 standards
• Public-Private Partnerships
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Helping Patients and Consumers Receive
Genuine Products
People
Policy
Process
Information
Technology
Enforcement
Requires a
multi-layered approach
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Detecting Counterfeit Products
The Role of Serialization and Bar Codes
Provides an additional identification
feature to more accurately identify a
package
Must use the GS1® Standards
Enables authentication of the package
However, does not ensure the contents
are genuine
Must use with additional processes,
security features and measures
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Serialization and Track & Trace
Manufacturer Implications
• Developing public-private partnerships, e.g.,
APEC, ESM, PDSA
• Responding to different regulatory
requirements
• Building new, agile, cost effective capabilities
for serialization and traceability
• Standardizing identifiers for all products (i.e.,
GS1 standards)
• Modifying existing processes, procedures and
IT systems while conforming to GMPs and
GDPs
• Maintaining operational efficiency in
manufacturing as well as distribution
• Integrating with external manufacturers,
customers and regulatory systems
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Pharmaceutical Item Level Product Serialization
Changes the way we handle our products
A unique serial identification number is assigned to each item identifying it with a product number
and associated serial number.
It’s applied at every package level (bottle, case, and pallet).
These unique numbers are uploaded into a database and can provide timely product intelligence
from manufacturing to the patient.
PREZISTA® 600mg serialized label with 2D data matrix
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12 serialized &
aggregated
Prezista
bottles in a case
261 cases to a
pallet. Each case
has the parent serial
number
Pallet is shipped
(truck, boat, or
airplane) to DC
DC where
individual cases
get pulled from
the pallet ,
scanned and
shipped to
Customer
Wholesaler
Customer
receive products,
scans every case
and ships to
pharmacies,
hospitals, etc.
Wholesaler
ships product
to pharmacies,
hospitals, etc.
They scan bar code
with serial number
Rx
Pharmaceutical Supply Chain
Future with Serialization and Traceability
Regulatory mandates are
demanding visibility of products
from point of packaging to
point of dispense.
• These mandates demand improved
supply chain visibility
• Products are identified, serialized,
authenticated, tracked & traced
• What product? Where has it been?
Where is it going? How long has it
been there?
• Using data captured as product
moves through the supply chain,
answers questions as to the
disposition of inventory
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Using GS1 compliant barcodes (UCC-EAN13)
Each product SKU has one relative barcode
(UCC-EAN13)
Download E-code from website client.
Every E-code is unique
However, every carton has their different, unique
E-code though they have the same UCC- EAN13
China Electronic Tracking Code (E-Code)
• E-code code (serial number) according to code 128C standard
• The electronic tracking code doesn’t follow the GS1 standard – that is, E-code is not
GTIN, SSCC, GLN etc.
• The E-code is given by E-code website client managed by 21th century,
Acquired by Alibaba which was on IPO in US
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Public-Private Partnerships Needed for Success
APEC Business Advisory Council – Regulations,
Standards and Track & Trace
European Stakeholder Model (ESM) – European
Medicine Verification System for EU Falsified Medicines
Directive
Pharmaceutical Distribution Security Alliance (PDSA) –
US Drug Supply Chain Security Act Consortium
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Industry
Consumer
Government
Public-Private-Consumer Partnerships
Enabling Environment
Enforcement & Prosecution
Zero Tolerance
Awareness Campaigns
International Cooperation
Global Standards
Awareness
Verification
Reporting
Monitoring & Reporting
Awareness Programs for
Consumers & Professionals
Implementation
Global Standards
21 countries
13. APEC Business Advisory Council
Global Data Standards: Supply Chain Integrity for
Pharmaceutical Products
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APEC Business Advisory Council (ABAC)
Global Standards: Serialization and Track & Trace Pilot
Several pharmaceutical manufacturer participants
Facilitated by University of Tennessee Health Science
Center and Memphis University with involvement from
GS1 Global
Phase I - Assessed status of need for global healthcare
standards (report drafted…finalize in next 1-2 months)
Phase II – Developing serialization and track & trace
pilot
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ABAC – Phase II Project Planning
The goal of Phase II is to develop a pilot for the
utilization of an appropriate standard
o GS1 Healthcare Standards
The project objective is to demonstrate visibility across
the pharmaceutical supply chain from manufacturer to
patient
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ABAC – Phase II Project Planning
Phase II Project Roadmap
o Identification of products with GS1 Standards
o Include automatic identification and data capture (AIDC)
technologies and business-to-business electronic messaging
(eCom)
o Identification of pharmaceutical companies (multinational/local) as
voluntary participants in the large-scale pilot project
o Identification of specific products
o Identification of at least two APEC countries and destination cities
within those countries for participation in the project
o Identification of wholesalers/distributors and their respective
drugstores and/or healthcare provider institutions for participation
o Determination of period of execution of the project
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ABAC – Phase II Project Planning
Identification of success indicators including:
o Effectiveness of receipt process and forwarding of information to a
traceability web platform for
– Manufacturers
– Wholesalers/Distributors
– Pharmacies
– Healthcare providers
o Capabilities to trace medications by supply channel, commercial
and institutional
o Query capabilities for inspection, oversight, and Control process
o Product recall simulation results
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EU Falsified Medicines Directive
Requires serialization by manufacturers, and verification
at the point of dispense by pharmacists
Tamper evident features must be applied by
manufacturers
Mandates manufacturers to fund the medicines
verification system
Information can be used by competent authorities for
other purposes – e.g., reimbursement,
pharmacoepidemiology studies
In response, EFPIA formed the European Stakeholder Model (ESM)
bringing together all the relevant stakeholders to be proactive in securing the legal
supply chain and to protect patients
20. ESM STAKEHOLDERS HAVE A COMMON
VISION OF MEDICINES VERIFICATION
Protect patients
Secure the legal supply chain
Be proactive as market
partners
Set up a stakeholder-
governed model that is
Functioning
Harmonised
Cost-effective
Inter-operable
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21. FUNDAMENTAL PRINCIPLES FOR
MEDICINES VERIFICATION IN THE EU
•Unique identifier with randomised serial number + tamper evident packaging
•Check of pack’s authenticity at point of dispense
SAFETY
FEATURES
•Transactional data belongs to stakeholder that generated it, e.g. pharmacists for
dispensing data
•No access to data of other stakeholders except for verification purposes
DATA
•Systems governed by independent non-profit organisations, established and
managed by relevant stakeholders
•Systems supervised by EU and/or national authorities
•Data accessible for competent authorities for reimbursement,
pharmacovigilance & pharmaco-epidemiology purposes
GOVERNANCE
•Coding system harmonised across Europe based on ISO-standards allowing
integration of existing national codes
•Flexible to implement national solutions within an EU technical framework
•Interoperable between different national systems through European Hub
SYSTEM
DESIGN
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22. COMMON BASIC CONCEPT: UNIQUE IDENTIFIER
Data-Matrix code, developed to ISO-standards
Supports GS1 standards
Key data elements:
Product code (GTIN/NTIN)
Randomised unique serial number
Expiry date
Batch number
National health number (where necessary)
Product #: 09876543210982
Batch: A1C2E3G4I5
Expiry: 140531
S/N: 12345AZRQF1234567890 Expected to be required by
Delegated Act
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24. European Medicines Verification System
Design for Interoperability and Efficiency
Germany
National
System
Pharmacy
Wholesaler
Pharmaceutical
Manufacturer
Parallel
Distributor
National
System
European
Hub
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National Blueprint
System
National Blueprint
System
National Blueprint
System
National Blueprint
System
Blueprint template to reduce cost of national
systems and to ensure interoperability
25. GOVERNANCE STRUCTURE ALLOWS FOR
EFFECTIVE MANAGEMENT OF VERIFICATION
SYSTEM
GENERAL PRINCIPLE
System management and governance by not-for-profit
organisation under supervision of relevant competent authority
EU level and national level organisations cooperate on the basis of
service level agreements
NATIONAL LEVEL
National Medicines Verification
Organisations (NMVO), e.g.
in Germany: securPharm e.V.
EU LEVEL
European Medicines
Verification Organisation
(EMVO, to be founded)
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Summary
• Growing awareness and
support from regulators for
GS1 standards
• Benefits include:
• Improves patient safety
• Helps fight against counterfeit
products
• Improves supply chain integrity
• Accurately identifies product for
evidence-based medicine,
adverse event reporting
• Helps ensure the 5 R’s, e.g.,
right product, right dosage,
right patient, right route, right
time
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7 Billion Reasons to Care
Serialization and Traceability Will Benefit
Patients and Consumers Around the Globe
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