System & processes in Swedish Pharmacies Ludvig Mller - - PowerPoint PPT Presentation

System & processes in Swedish Pharmacies

LloydsApotek Ludvig Möller

Implementation of e-verification should not affect availability of medicines

McKesson Proprietary and Confidential

Goods in process Prescription handling Pack control Pharmacist approval Hand out of dispensed item to patient RR/RRD VARA & PRIS FORS & ARKO LF HKDB FOLK Stock management system NMVS FOTA

Verification Decommissioning

Pack control Hand out of dispensed item to patient NMVS

Verification Decommissioning

Verification and decommissioning

• 3. Decommissioning

is done once payment transaction is processed

• 2. Unique identifier in the 2D code is saved together with the

prescription order

• 1. Instant verification
• nce 2D code is

scanned.

Only valid responses concerning a possible counterfeit or product defect should be shown to the pharmacy staff

McKesson Proprietary and Confidential 15/11/2017 5

Goods in process NMVS

Verification and decommissioning

Risk based verification during goods in process Disposal of medicines

Verification Decommissioning

Functionality depends

• n pharmacy system

Medicines are decommissioned once disposed at the pharmacy. Integrated functionality is preferred.

McKesson Europe Proprietary and Confidential 12.09.2017 7

EAN-code functionality

Ensure implementation in the pharmacies

EAN-codes will continue to be used for non-serialized products released prior to 9th February 2019. EAN-codes are today used for pack- control EAN-codes will continue to be used for products not covered by FMD

Pharmacy systems still need to support EAN-codes

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2D-code functionality

Ensure implementation in the pharmacies

Pack control and verification will be merged into the same process step 2D-codes can today be used for pack-control 2D-codes and EAN-codes might both exist on the same pack.

If a 2D-code is on the pack the pack is covered by FMD and the 2D-code should be scanned

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Potential challenges

Mistakes and errors during upload in EU-hub found in the pharmacies Verification early in the process promotes availability Medicines centrally approved by EMA but not on the Swedish market Products not in VARA cannot be handled in the normal process and requires manual decommissioning Both EAN- and 2D-codes on the same pack

EAN-code might be scanned instead.

Quarantine and worried costumers

Pack is not decommissioned

2D-codes not uploaded in the HUB

Pack not found Pack cannot be dispensed

Mistakes and problems with serialization of the pack & suspected counterfeits should be found as early in the process as possible

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McKesson Proprietary and Confidential 15/11/2017 12

Sweden is well prepared for e-verification

Swedish pharmacies have well functioning systems for implementation of the new regulation Current scanning during pack-control and database connections during check out – no need for extra process steps. IT-systems are integrated with the national database