2. Republic of the Philippines
Department of Health
Food and Drug Administration
What is
PRODUCT
RECALL?
3. A recall is when a product
is removed from the
market… because it is
either defective or
potentially harmful.
– US FDA
Permanent removal of therapeutic
goods from supply or use for
reasons relating to deficiencies in
the quality, safety or efficacy of
goods. – Therapeutic Goods
Administration, Australia
4. 4
There should be a system
to recall from the
market, promptly and
effectively, products
known or suspected to be
defective. – WHO
In order to protect public health… necessary to
implement urgent measures such as the recall of
one or more defective batch(es) of a medicinal
product from the market.
– European Medicines Agency (EMA)
5. Republic of the Philippines
Department of Health
Food and Drug Administration
BUREAU CIRCULAR
NO. 8, S. 2001
Guidelines to be Observed
on the Implementation of
Product Recall System
6. B.C. No. 8,
s. 2001
Actions taken to remove a product
from the market
Initiated by FDA or voluntarily done
by company
7. B.C. No. 8, s. 2001
Encompasses also labeling and/or
promotional literature
Misbranded products still in violation of the
law are included
Health risks evaluated by a Product
Recall Committee
8. HEALTH HAZARD EVALUATION
Factors to be considered:
• Assessment of the likelihood of
occurrence of the hazard
• Assessment of the consequences of
occurrence of hazard
9. HEALTH HAZARD EVALUATION
Factors to be considered:
• Assessment of the degree of seriousness
of the health hazard
• Whether any disease or injury has
already occurred
10. HEALTH HAZARD EVALUATION
Factors to be considered:
• Whether any existing condition(s) could
contribute to a clinical situation that could
expose human or animal health hazard
• Presents risk of gross deception to the
public
11. RECALL CLASSIFICATION
Class 1 Recall
Situation in which there is a
reasonable probability that the use or
exposure to the product will cause
serious adverse health consequences
or death
12. RECALL CLASSIFICATION
Class 2 Recall
Situation in which use or exposure to
the product may cause temporary or
medically reversible adverse health
consequences or where the probability
of serious adverse health consequences
is remote
13. RECALL CLASSIFICATION
Class 3 Recall
Situation in which use or exposure to
the product is not likely to cause
adverse health consequences
15. A. FIRM INITIATED RECALL
Informs FDA of the voluntary recall
The Marketing Authorization Holder
(MAH) is required to communicate with
its consignees and inform them of the
intended product/s for recall
16. A. FIRM INITIATED RECALL
You must know the ff.:
1. Identity of the product
Generic Name, Brand Name
Dosage Form and Strength
Registration No.
Batch or Lot No.
Date of Manufacture and Expiration
2. Reason for the removal
17. B. FDA ORDERED RECALL
The Director General of the FDA may
order a firm to initiate a recall upon the
recommendation of Product Recall
Committee when the following
determinations has been made:
Distributed product presents a safety
risk of illness or injury or gross consumer
deception
18. B. FDA ORDERED RECALL
A firm has not initiated a recall of the
product
An agency action is necessary or
advisable to protect the public health
and welfare
19. FDA ORDERED RECALL
Firm shall be notified to order a recall,
and of the need to begin immediately a
recall of the product
Notification will specify the ff.:
Violation
Health Hazard classification (Class I, II, or
III)
Recall strategy
Any other instructions appropriate
20. GENERAL PROCEDURE FOR
PRODUCT RECALL
20
MAH
• Notify FDA of a product recall
• State the full detail of the reason for conducting the recall (e.g. reason, batch/es
impacted, circumstances, etc.)
PRC
• Receipt of case report/communication from Marketing Authorization Holder
(MAH)
• Assess the health hazard
• Submit a written recommendation to the Director General for the issuance of recall
order
• Public Health Alert will be issued within 24 hours for cases that have been
determined as Class I or Class II Recall
21. GENERAL PROCEDURE FOR
PRODUCT RECALL
21
RFO
• In-depth inspection of responsible
establishment/production facilities where the
violation occurred
• Refer action done back to Product Recall Committee
(PRC)
RFO or
Legal or PRC
• In case the firm refuses to conduct the recall,
regulatory action will be pursued
• Upon determination that the recall process has been
completed, a written notification of acknowledged
completion will be given to the recalling firm
22. RECALL STRATEGY
The following elements shall be included in a
recall strategy:
1. Depth of Recall (distributor level, retailer
level)
2. Effectiveness Checks
In developing a recall strategy, the duration to
complete the recall operation should be
considered.
23. RECALL STRATEGY
Duration of recall operation:
Class I Recall – Seven (7) days
Class II Recall – Fifteen (15) days
Class III Recall – Thirty (30) days
24. RECALL STRATEGY
Duration of recall operation:
PROPOSAL
Class I Fourteen (14) days
Class II Twenty (20) days
Class III Thirty (30) days
25. PUBLIC HEALTH ALERT
Issued within twenty-four (24) hours
after the duly signed PRO is received
by the representative of the MAH
Purpose of alerting concerned
populations to serious health hazards
27. UPDATED LIST OF ADVISORIES
FOR DRUG PRODUCTS AS OF 24
JUNE 2015
28. UPDATED LIST OF ADVISORIES
FOR DRUG PRODUCTS AS OF 24
JUNE 2015
29. • Product Information
– Generic name and/or Brand name
– Dosage form
– Dosage strength
– Registration No.
• Batch No. or Lot No. specified
• Importer or Distributor
• Manufacturer
SALIENT POINTS TO LOOK FOR
IN ADVISORIES
34. Product Information?
Generic name
Brand name
Dosage form
Dosage strength
Registration No.
Batch No. or Lot No.?
Importer or Distributor?
Manufacturer?
Principal Product ?
e.g. DRP-282
Identical Product?
e.g. DRP-282-02
For more information:
Refer to
Administrative
Order No. 2005-0031
FDA Circular No.
2015-001
36. Seizure, multiple seizures or other
court action shall be undertaken by
FDA
REFUSAL OR
FAILURE OF FIRM
TO CONDUCT
PRODUCT RECALL
37. DISPOSITION OF RECALLED
PRODUCTS
MAH will coordinate with FDA
If the products are to be destroyed, the
destruction should be witnessed by a
FDA representative
38. • Proactive cooperation with the distributor
or MAH… Follow-up at all times
• Routine checking of advisories from the
FDA website
• Upon seeing the advisory, the stocks of the
drug product meant for recall must be
removed from the selling area within 24
hours and stored in a secured area
WHAT IS REQUIRED FROM
YOUR END?
39. • Must observe the recall duration:
► Return immediately the stocks of recalled
product/s to the distributor
► Proper documents must show the actual
quantity returned
• Product recalls must be treated ALWAYS AS
URGENT!
WHAT IS REQUIRED FROM
YOUR END?
Since our bureau circular is still from 2001, we assure you that we are currently revising the said circular to be in line with our current practices.
A recall decision does not depend solely on the health risk of the product. Misbranded products where no health hazard exists are still in violation of the law and should be recalled.
'Misbranding' means, in addition to definitions in existing laws, misinformation or misleading information on the label or other information materials authorized by the FDA. It shall not refer to copyright, trademark, or other intellectual property-like instruments.
If an article is alleged to be misbranded because the labeling is misleading, then in determining whether the labeling is misleading there shall be taken into account (among other things) not only representations made or suggested by statement, word, design, device, or any combination thereof, but also the extent to which the labeling fails to reveal facts material in the light of such representations or material with respect to consequences which may result from the use of the article to which the labeling relates under the conditions of use prescribed in the labeling thereof or under such conditions of use as are customary or usual
MISBRANDED FOOD
Section 15. A food shall be deemed to be misbranded:
(a) If its labeling is false or misleading in any particular;
(b) If it is offered for sale under the name of another food;
(c) If it is an imitation of another food, unless its label bears in types of uniform size and prominence, the word "imitation" and, immediately thereafter, the name of the food imitated;
(d) If its container is so made, formed, or filled as to be misleading;
(e) If in package form unless it bears a label containing (1) the name and place of business of the manufacturer, packer, distributor; and (2) an accurate statement of the quantity of the contents in terms of weight, measure, numerial count: Provided, That under clause (2) of this paragraph reasonable variations shall be permitted, and exemptions as to small packages shall be established, by regulations prescribed by the Secretary.
(f) If any word, statement, or other information required by or under authority of this Act to appear on the label or labeling is not prominently placed thereon with such conspicuousness (as compared with other words, statements, designs, or devices, in the labeling), and in such terms as to render it likely to be read and understood by the ordinary individual under customary conditions of purchase and use.
(g) If it purports to be or is represented as a food for which a definition and standard of identity has been prescribed unless (1) it conforms to such definition and standard, and (2) its label bears the name of the food specified in the definition and standard, and, insofar as may be required by such regulations, the common names of optional ingredients (other than spices, flavoring, and coloring) present in such food.
(h) If it purports to be or is represented as
(1) A food for which a standard of quality has been prescribed by regulations as provided by Section thirteen, and its quality falls below such standard, unless its label bears, in such manner and form as such regulations specify, a statement that it falls below such standard; or
(2) a food for which a standard or standards of fill of container have been prescribed by regulations as provided by Section thirteen and it falls below the standard of fill of container applicable thereto, unless its label bears, in such manner and form as such regulations specify, statement that if falls below such standard.
(i) If it is not subject to the provisions of paragraph (g) of this section unless its label bears (1) the common or usual name of the food, if there be any, and (2) in case it is fabricated from two or more ingredients, the common or usual name of each such ingredient; except that spices, flavorings, and colorings, other than those sold as such, may be designated as spices, flavorings and colorings without naming each: Provided, That to the extent that compliance with the requirements of clause (2) of this paragraph is impracticable or results in deception or unfair competition, exemptions shall be established by regulations promulgated by the Secretary.
(j) If it purports to be or is represented for special dietary uses, unless its label bears such information concerning its vitamin, mineral and other dietary properties as the Secretary determined to be, and by regulations prescribes as necessary in order fully to inform purchasers as to its value for such uses.
(k) If it bears or contains any artificial flavoring, artificial coloring, or chemical preservative, unless it bears labeling stating that fact: Provided, That to the extent that compliance with the requirements of this paragraph is impracticable, exemptions shall be established by regulations promulgated by the Secretary. The provisions of this paragraph or paragraphs (g) and (i) with respect to artificial coloring shall not apply in the case of butter, cheese or ice cream.
As I have stated earlier, there are two options on initiating the recall.
EXPLAIN: what is MAH?... On the CPR presented to you… check for…
Reasons that merit a product for recall examples are when a batch of an antibiotic is sent for testing at our FDA Central Laboratory and failed for example assay tests, since we are checking advisories of our drug regulatory authorities then we may recall a product if it is applicable to the philippines with the given batch nos., and many more.
Public Health Alert or commonly known as an advisory.
Public Health Alert or commonly known as an advisory.
EFFECTIVENESS OF THE RECALL: This is where drugstores enter, a recall is not effective if all recipients of the recalled product do not cooperate with the MAH. If you receive the information to recall a product, reply immediately to the MAH that you have understood the information and you must remove from the selling areas the stocks of the product meant for recall.
It is the recalling firm’s responsibility to assure that the recall is effective. Therefore, we recommend that you consider effectiveness checks for every recall. The purpose of an effectiveness check is to verify your recall notification letter was received by the customer, that the customer read and understood the letter and followed the recall instructions. The effectiveness check should also verify your recall reached the appropriate level in the distribution chain.
The effectiveness check is your means of evaluating the effectiveness of your recall. If your effectiveness checks indicate that the recall notification was not received, read and/or instructions followed, then you should take necessary steps to make the recall effective. These steps may involve sending out a follow up notification that better identifies the product, better explains the problem and/or provides better instructions to customers
Since, the duration is seemingly impossible given that we are an archipelago.
We are currently proposing this duration for the product recall. However, please bear in mind always that the product must be removed from the selling area within twenty-four hours.
This AO states that if the Principal Product or Mother CPR has a violation and needs to be recalled then the Identical Product or Baby CPR is affected.
Since, the platform of FDA to inform the public is our website then we NEED you to check it routinely for you to be updated on matters products.