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Draft Administrative Order Revised Rules and Regulations Governing - - PowerPoint PPT Presentation

Republic of the Philippines Department of Health Food and Drug Administration Draft Administrative Order Revised Rules and Regulations Governing the Generic Labelling Requirements of Pharmaceutical Products for Human Use Food and Drug


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Republic of the Philippines Department of Health Food and Drug Administration

Draft Administrative Order

Revised Rules and Regulations Governing the Generic Labelling Requirements of Pharmaceutical Products for Human Use

Food and Drug Administration Pharmaceutical Associations

22 May 2014 Conference Room, 2nd Flr FDA Main Building

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Discussion Flow

I. Background II. Objective

  • III. Scope

IV. General Requirements V. Specific Requirements

Center for Drug Regulation and Research 2

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Discussion Flow

VI. Mandatory Information for Labelling Materials

  • VII. Special Labelling

Instructions

  • VIII. Exemptions

IX. Transitory Provisions X. Discussion

Center for Drug Regulation and Research 3

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 4

BACKGROUND

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Full adoption of ACTD/ACTR

Center for Drug Regulation and Research 5

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Center for Drug Regulation and Research 6

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Other triggers

Gaps in the current regulations raised Harmonization of labeling requirements to some extent

Center for Drug Regulation and Research 7

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Existing Regulations

Administrative Order No. 61 s. 1968

Center for Drug Regulation and Research 8

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Existing Regulations

Administrative Order No. 109 s. 1969

Center for Drug Regulation and Research 9

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Existing Regulations

Administrative Order No. 126 s. 1970

Center for Drug Regulation and Research 10

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Existing Regulations

Administrative Order No. 55 s. 1988

Center for Drug Regulation and Research 11

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Existing Regulations

Administrative Order No. 64 s. 1989

Center for Drug Regulation and Research 12

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Existing Regulations

Administrative Order No. 85 s. 1990

Center for Drug Regulation and Research 13

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Existing Regulations

Administrative Order No. 99 s. 1990

Center for Drug Regulation and Research 14

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Existing Regulations

Memorandum Circular No. 6 s. 1991

Center for Drug Regulation and Research 15

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Existing Regulations

Memorandum Circular No. 11 s. 1991

Center for Drug Regulation and Research 16

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 17

OBJECTIVE

Draft Administrative Order

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Objective

rationalize the existing rules and regulations on generic labeling requirements of pharmaceutical products, consistent with the harmonized requirements of the ASEAN Member States; thus, providing a more updated and comprehensive guideline as a response to the needs of the pharmaceutical industry and the public

Center for Drug Regulation and Research 18

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 19

SCOPE

Draft Administrative Order

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Scope

all manufacturers, traders and distributors (i.e. exporters, importers and wholesalers)

  • f pharmaceutical products for human use,

including herbal and traditional med

Center for Drug Regulation and Research 20

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 21

GENERAL REQUIREMENTS

Draft Administrative Order

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General Requirements

1) Product Name 2) Dosage Form and Strength 3) Pharmacologic Category 4) Formulation/Composition 5) Indication(s) 6) Dosage and Mode of Administration 7) Contraindication(s), Precaution(s), Warning(s) (if applicable) 8) Interactions 9) Overdose and Treatment

Center for Drug Regulation and Research 22

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General Requirements

10)Storage Condition(s) 11)Net Content or Pack Size 12)Name and Address of MAH 13)Name and Address of Manufacturer 14)Rx Symbol and Caution Statement 15)ADR Reporting Statement 16)Registration Number 17)Batch Number and Lot Number (if any) 18)Expiration Date and Date of Manufacture

Center for Drug Regulation and Research 23

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General Requirements

1) English and/or Filipino 2) Readable with normal vision without straining 3) Color contrast, position, and spacing must be considered

Center for Drug Regulation and Research 24

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General Requirements

1) NCEs, biotech products, and Rx generic products –PI; NCEs and biotech – PI must be based from SPC 2) HR, OTCs, Herbal, TM – PIL 3) In lieu of PI or PIL - printed directly on the reverse side or inner panel of the outer packaging material or inner carton; provided, that the product is intended to be sold or dispensed together with such packaging material or inner carton

Center for Drug Regulation and Research 25

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 26

SPECIFIC REQUIREMENTS

Draft Administrative Order

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Product Name

1) Generic and brand name (if any) 2) Generic name shall be as the active moiety based in INN, consistent with the dosage strength indicated 3) Generic name shall appear prominently, enclosed in outline box 4) Herbal and TM: Botanical origin or as recognized by FDA 5) Generic name shall appear above brand name

Center for Drug Regulation and Research 27

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Product Name

6) Multiple APIs - all APIs shall be indicated, in

  • rder of decreasing pharmacological activity,
  • f decreasing potency; provided that if single

approved name for FDC, single approved name shall be used; provided further if there is no single approved name but a generic class name exist, generic class name shall be used. The individual components shall be indicated under formulation

Center for Drug Regulation and Research 28

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Product Name

6) Multiple APIs:

Center for Drug Regulation and Research 29

A B

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Dosage Form and Strength

1) Label shall specify: a) Dosage form (tablet vs capsule) b) Special delivery system (sustained- release vs. extended-release) c) Specific mode of administration (vaginal

  • vs. rectal) if any and appropriate are

required d) No qualifier for tablets – oral, uncoated, IR tablet

Center for Drug Regulation and Research 30

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Dosage Form and Strength

2) dosage strength - expressed in metric units reduced to lowest terms and in the number of the largest unit specified (e.g. 500mcg, not 0.5mg) 3) strength of certain dosage forms to be expressed as percentage

Center for Drug Regulation and Research 31

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Dosage Form and Strength

4) dosage strength of each API shall be stated in accordance with the arrangement of the APIs, separated by a slash sign (/); provided, that if a single approved INN of the combination drug is used, the dosage strength shall be indicated as the whole

Center for Drug Regulation and Research 32

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Dosage Form and Strength

Center for Drug Regulation and Research 33

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Pharmacologic Category

As determined by FDA

Center for Drug Regulation and Research 34

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Formulation/Composition

1) Name and strength of all APIs present per unit dose of product in generic names, arranged in decreasing potency 2) Name of API shall be stated in full (including its salt or hydrate form, if any), in accordance with INN or FDA approved name 3) reference monograph finished product shall be indicated, unless non-official; for multiple API, it shall be indicated after the first API

Center for Drug Regulation and Research 35

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Formulation/Composition

Center for Drug Regulation and Research 36

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Formulation/Composition

4) Alcohol must be expressed as percentage; alcohol without qualification - ethanol 5) Excipients that may cause hypersensitivity shall be indicated, and/or other adverse reactions shall also be indicated, with the amount expressed in the same manner as the API 6) Preservative/antimicrobial agents shall be indicated, with the amount expressed in the same manner as the API

Center for Drug Regulation and Research 37

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Indication

1) Only FDA approved clinical use

Center for Drug Regulation and Research 38

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Dosage and Mode of Administration

1) Recommended dosage, where applicable: a) Initial/loading dose b) Optimal use or usual dose c) Frequency interval d) Duration of treatment e) Dosage adjustment

Center for Drug Regulation and Research 39

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Dosage and Mode of Administration

2) Dilution/reconstitution/preparation instructions in all labeling materials; description of the reconstituted preparation; description of reconstituted solution is also required 3) Dosage for special populations, adults and children; if not for children, “adult dose” or any statement to that effect

Center for Drug Regulation and Research 40

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Contraindication(s), Precaution(s), Warning(s)

1) Full information on contraindication, as well as the precautions to be observed 2) Special warnings should be included as required and specified by FDA 3) For products are to be used on one

  • ccasion only, “single use only”, “single

dose”

Center for Drug Regulation and Research 41

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Interactions

1) Drug-Drug 2) Drug-Food 3) Drug-Laboratory test 4) Other relevant

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Overdose and Treatment

1) Signs and Symptoms of Overdose 2) Treatment for overdose

Center for Drug Regulation and Research 43

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Storage Condition

1) Appropriate storage conditions and special instructions for handling (e.g. cold chain) 2) Special labelling instructions:

Center for Drug Regulation and Research 44

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Net Content/Pack Size

1) Unit carton – pack size expressed in terms

  • f the number of units and the volume of

each unit; for reconstitution products, the reconstituted volume

Center for Drug Regulation and Research 45

10 Blister Packs x 10 Tablets 12 Sachets x 5g 60mL 12 vials x 5mL 100 Tablets

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Net Content/Pack Size

2) Primary label (except blisters and foil strips) – net content stating the total amount/quantity of dosage form in a given container

Center for Drug Regulation and Research 46

100 Tablets 5g 60mL 5mL

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MAH

Name and address of MAH

Center for Drug Regulation and Research 47

Market Authorization Holder: Pavenus Ltd Mother Ignacia cor. Sgt. Esguerra St., Diliman Quezon City

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Manufacturer

Name and address of manufacturer below the MAH

Center for Drug Regulation and Research 48

Market Authorization Holder: Pavenus Ltd Mother Ignacia cor. Sgt. Esguerra St., Diliman Quezon City Manufacturer: Will Del Una Intl

  • Rm. 128, 1st Flr Main Building, Alabang, Muntinlupa
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Rx Symbol and Caution Statement

1) Required for prescription products a) Printed in contrasting color to the background b) Allowed to be over-printed or superimposed 2) Caution Statement – unit carton, primary label except blister pack, foil strip, and small containers, and package insert: Foods, Drugs, Devices, and Cosmetics Act prohibits dispensing without prescription.

Center for Drug Regulation and Research 49

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Rx Symbol and Caution Statement

2) For Dangerous drugs, additional caution statement as specified by PDEA

Center for Drug Regulation and Research 50

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ADR Reporting Statement

1) For the unit carton and primary label (except blister pack, foil strip, and small containers), the statement “For suspected adverse drug reaction, report at the FDA website: www.fda.gov.ph”

Center for Drug Regulation and Research 51

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Registration Number

1) Registration number assigned by FDA

Center for Drug Regulation and Research 52

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Batch and Lot Number

1) Batch number if marketed by one drug establishment 2) If divided into lots marketed by different establishments, lot and batch number

Center for Drug Regulation and Research 53

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Expiration/Manufacturing Date

1) Month and year is required, understood to be the last day of the month if no day specified; year is stated completely 2) For reconstituted products or can be administered multiple times, the label shall include the period of guaranteed safety and efficacy after first opening at a given storage condition

Center for Drug Regulation and Research 54

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 55

MANDATORY INFORMATION FOR LABELLING MATERIALS

Draft Administrative Order

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Unit Carton

1) Product Name 2) Dosage Form and Strength 3) Pharmacologic Category 4) Formulation/Composition 5) Indication(s) 6) Warning(s) (if applicable) 7) Storage condition(s) 8) Pack Size

Center for Drug Regulation and Research 56

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Unit Carton

9) Name and Address of MAH 10)Name and Address of Manufacturer 11)Rx Symbol and Caution Statement 12)ADR Reporting Statement 13)Registration Number 14)Batch Number and Lot Number (if any) 15)Expiration Date and Date of Manufacture

Center for Drug Regulation and Research 57

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Primary Label excluding blister pack, foil strip and small containers

1) Product Name 2) Dosage Form and Strength 3) Pharmacologic Category 4) Formulation/Composition 5) Indication(s) 6) Warning(s) (if applicable) 7) Storage condition(s) 8) Net Content

Center for Drug Regulation and Research 58

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Primary Label excluding blister pack, foil strip and small containers

9) Name and Address of MAH 10)Name and Address of Manufacturer 11)Rx Symbol and Caution Statement 12)ADR Reporting Statement 13)Registration Number 14)Batch Number and Lot Number (if any) 15)Expiration Date and Date of Manufacture

Center for Drug Regulation and Research 59

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Blister Packs/Foil Strips

1) Product name on each unit or every two (2) units for multiple APIs; 2) Dosage form and strength of API(s) on each unit or every (2) units for multiple APIs; provided, that if the pharmaceutical product is visible from its packaging, the dosage form may no longer be indicated; 3) Name and/or logo of the MAH on each unit or every two (2) units for multiple APIs (for unbranded products only)

Center for Drug Regulation and Research 60

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Blister Packs/Foil Strips

4) Rx symbol on each unit or every two (2) units for multiple APIs 5) Batch number and expiration date on every standard blister pack/foil strip

Center for Drug Regulation and Research 61

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Primary Label of Small Containers

1) Product name 2) Dosage Form and Strength 3) Warning(s) 4) Net Content 5) Name and/or Logo of MAH 6) Rx Symbol 7) Registration Number 8) Batch and/or Lot Number 9) Expiration date and Date of Manufacture

Center for Drug Regulation and Research 62

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Package Insert

1) Product Name 2) Dosage Form and Strength 3) Pharmacologic Category 4) Product Description 5) Formulation/Composition 6) Pharmacodynamics/Pharmacokinetics 7) Indication(s)

Center for Drug Regulation and Research 63

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Package Insert

8) Dosage and Mode/Route of Administration 9) Contraindication(s), Precaution(s), Warning(s) (if applicable) 10)Pregnancy and Lactation (if applicable) 11)Interactions 12)Undesirable Effects 13)Overdose and Treatment 14)Storage Condition(s)

Center for Drug Regulation and Research 64

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Package Insert

15)Dosage Forms and Packaging Available (pack size) 16)Instructions and Special Precautions for Handling and Disposal (if applicable) 17)Name and Address of Marketing Authorization Holder and Manufacturer 18)Caution Statement 19)ADR Reporting Statement 20)Registration Number 21)Date of First Authorization/Renewal of Authorization 22)Date of Revision of Package Insert

Center for Drug Regulation and Research 65

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Patient Information Leaflet

1) Product Name 2) Strength of the Medicine (Dosage Strength) 3) Description of the Product (Product Description) 4) What is in the Medicine? (Formulation/Composition) 5) What is this Medicine used for? (Indication(s)) 6) How much and how often should you use this Medicine? (Dosage and Mode/Route of Administration)

Center for Drug Regulation and Research 66

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Patient Information Leaflet

7) When should you not take this Medicine? (Contraindication(s), Warning(s), Pregnancy and Lactation) 8) Care that should be taken when taking this Medicine? (Precaution) 9) Undesirable Effects 10)What other medicine or food should be avoided whilst taking this Medicine? (Interactions with

  • ther Medicaments, and Food)

11)What should you do if you miss a dose?

Center for Drug Regulation and Research 67

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Patient Information Leaflet

12)Signs and Symptoms of Overdosage 13)What to do when you have taken more than the recommended dosage? 14)How should you keep this Medicine? (Storage condition(s)) 15)When should you consult your doctor? 16)Name and address of MAH 17)Registration Number 18)Date of Revision of PIL

Center for Drug Regulation and Research 68

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 69

SPECIAL LABELLING INSTRUCTIONS

Draft Administrative Order

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Parenterals

1) All labeling materials: excipients and amounts shall appear in the formulation 2) Unit carton and primary label: a) recommended mode of administration such as “intravenous”, “intramuscular” or “subcutaneous” b) For concentrated solution – direction not to administer the solution undiluted and direction to dilute in the primary label

Center for Drug Regulation and Research 70

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Parenterals

c) Without antimicrobial agent/intended for single use only, the statement, “Use only

  • nce” or “Discard any remaining portion”
  • r “Single use only” or “Single dose” or any

statement to that effect

Center for Drug Regulation and Research 71

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Fluid Replacement and Dialysis Solution Products

1) fluid replacement and dialysis solution products which follow standard formulations contained in

  • fficial compendium, the nomenclature used in the
  • fficial compendium shall be adopted as the

generic class name; 2) Non-official solutions – FDA shall determine generic class name 3) directly below the generic class name but still inside the generic outline box – individual components with corresponding mEq/L or mmol/L enumerated in the order of decreasing pharmacologic activity

Center for Drug Regulation and Research 72

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Fluid Replacement and Dialysis Solution Products

4) amino acids and/or proteins - total amount

  • f nitrogen in the nominal volume of fluid

in the container 5) Nominal osmolality and nominal pH range

Center for Drug Regulation and Research 73

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For External Use

Rendered in all capital letters and red background or red font Ex.

Center for Drug Regulation and Research 74

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Multivitamin/Mineral/Herbal Products with Standard Formulations and Non- vitamin/mineral/herbal Components

1) Multivitamins and Minerals for multi-vitamin and multi-mineral-containing products 2) For these products with additional herbal ingredients (at least 3) – generic class name shall be herbs 3) For multi-vitamin products with individual non- vitamin components (i.e. mineral or herbal ingredient), or multi-mineral products with individual non-mineral components (vitamin or herbal ingredient), the term “Multivitamins” or “Minerals” shall first be stated, followed by additional individual components

Center for Drug Regulation and Research 75

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Multivitamin/Mineral/Herbal Products with Standard Formulations and Non- vitamin/mineral/herbal Components

Center for Drug Regulation and Research 76

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Multivitamin/Mineral/Herbal Products with Standard Formulations and Non- vitamin/mineral/herbal Components

4) content of each vitamin present shall no longer be required to be indicated in the generic box, but shall appear in the Formulation

Center for Drug Regulation and Research 77

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MDRP

Drugs listed under Section 1 of E.O. No. 821:

Center for Drug Regulation and Research 78

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 79

EXEMPTIONS

Draft Administrative Order

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Exemptions

1) Drug products manufactured for export; 2) Veterinary drug products; 3) The container or primary pack containing the product is enclosed in a transparent covering and the particulars which are required to be set on the label on the container or primary pack are clearly visible through transparent covering, the transparent covering is exempted; 4) Products that are compounded by a pharmacist in accordance with the individual prescription of a medical practitioner or dentist for immediate use;

Center for Drug Regulation and Research 80

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Exemptions

5) Investigational drugs, i.e. new chemical or structural modification of a tried and tested or established drug proposed to be used for a specific therapeutic indication(s); 6) Foreign donated pharmaceutical products; 7) Products that require special handling (pre-filled syringes, cold chain); and 8) Low volume of importation

Center for Drug Regulation and Research 81

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Exemptions

1) GLE application – submitted with registration application 2) Approval – GLE Certificate w/ validity and number 3) GLE Certificate Number and Registration Number

Center for Drug Regulation and Research 82

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Exemptions

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 84

TRANSITORY PROVISIONS

Draft Administrative Order

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Transitory Provisions

All registered pharmaceutical product shall be required to submit the revised labeling materials compliant with this Administrative Order upon renewal of their MA

Center for Drug Regulation and Research 85

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Republic of the Philippines Department of Health Food and Drug Administration

Center for Drug Regulation and Research 86

DISCUSSION