BEING PREPARED FOR TRACK AND TRACE: DSCSA 101 - SUSANNE SOMERVILLE, FOUNDER THE LINKLAB ERIC GARVIN, FOUNDER, THE LINKLAB BRIAN DALEIDEN, VP ...

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BEING PREPARED FOR TRACK AND TRACE: DSCSA 101 - SUSANNE SOMERVILLE, FOUNDER THE LINKLAB ERIC GARVIN, FOUNDER, THE LINKLAB BRIAN DALEIDEN, VP ...
Being Prepared for Track and
     Trace: DSCSA 101
             Susanne Somerville, Founder The LinkLab
                 Eric Garvin, Founder, The LinkLab
 Brian Daleiden, VP Industry Marketing and Co-Founder, TraceLink
BEING PREPARED FOR TRACK AND TRACE: DSCSA 101 - SUSANNE SOMERVILLE, FOUNDER THE LINKLAB ERIC GARVIN, FOUNDER, THE LINKLAB BRIAN DALEIDEN, VP ...
Objective of Today’s Webinar
• Overview of DSCSA: What is required for Manufacturers, Distributors, and
  Dispensers
• How does the EU law differ from what we have to do in the US?
• Checklist / Questions for your Packager
• Checklist / Questions for your 3PL Partner
• Checklist / Questions for your Serialization System Partner
• Key factors to make your project successful
• Q&A
DSCSA Overview
JANUARY 1, 2015
•   Trade with authorized trading partners
•   Provide transaction information to trading                                 NOVEMBER 27, 2020 – DISPENSER
    partners                                                                                                   NOVEMBER 27, 2023
•   Quarantine and investigate suspect products                                                                •   Participate in electronic
•   Identify and remove illegitimate products, and                                                                 package-level
    notify FDA and trading partners          NOVEMBER 27, 2018          – REPACKAGER                               traceability system

                                                                     NOVEMBER 27, 2019 – WHOLESALE DISTRIBUTOR
        NOVEMBER 27, 2017 – MANUFACTURER
        •   Serialize with unique product identifier
        •   Provide transaction information to trading partners in electronic format
        •   Respond to verification requests from trading partners
        •   Verify unique product identifier of suspected products at package level
        •   Verify the unique product identifier of returned products intended for resale
DSCSA Key Definitions
Manufacturer, Wholesale Distributor
    Manufacturer                                              Wholesale Distributor
    • Holds an application approved under section 505         • A person that engages in wholesale distribution (distribution of a
      of the Public Service Health Act (NDA, ANDA)              drug to a person other than a consumer or patient, or receipt of a
                                                                drug by a person other than a consumer or patient)
    • Holds a license issued under section 531 of the
      Public Service Health Act (BLA)
                                                              • Excludes: (following not considered a wholesale distribution transaction)
    • If product not subject to an approved application             •   Distribution of a drug by the manufacturer of a drug
      or license, the person who manufactured the                   •   Intra-company distribution of a drug between members of an affiliate or within a
                                                                        manufacturer
      product                                                       •   Distribution of a drug among hospitals / health care entities under common control
    • A co-licensed partner of the application holder,              •   Distribution by a licensed retail pharmacy to a licensed practitioner
      license holder or product manufacturer                        •   Dispensing of a drug
                                                                    •   Authorized 3PL where 3PL does not take ownership
    • An affiliate of the application/license holder or co-         •   Distribution of a drug to an authorized repackager that takes ownership and repacks
      licensed partner                                              •   Facilitating distribution of a drug by providing administrative services (orders,
                                                                        payments)
                                                                    •   Transportation of a drug by a common carrier that does not take ownership
                                                                    •   Distribution for emergency medical reasons (NOT INCLUDING DRUG SHORTAGES)
DSCSA Key Definitions
Repackager, 3PL, Exclusive Distributor, Dispenser
     Repackager                                                                  Dispenser
     • A person who owns or operates an establishment                            • Retail or hospital pharmacy
       that repacks and re-labels a product or package for:                      • Group of chain pharmacies under common
           • Further sale
           • Distribution without a further transaction                            ownership that DO NOT act as a wholesale
                                                                                   distributor
     3PL                                                                         • Other persons authorized to dispense or
     • A company that provides/coordinates warehousing                             administer prescription drugs (long-term
       of product but:                                                             healthcare facilities with pharmacy operations,
           • Does not take ownership [of the product]                              etc.)
           • Does not have responsibility to direct the sale or disposition of
             a product                                                           • Affiliated warehouses or DCs of such pharmacies
                                                                                   under common ownership that DO NOT act as a
     Exclusive Distributor                                                         wholesale distributor
     • A wholesale distributor that purchases the product
       from the manufacturer and is the sole distributor of
       that product for the US market
DSCSA Key Definitions
Product, Package and Case

     Product                                                          Package
     • Prescription drug in finished dosage form for                  • Smallest individual saleable unit of product for
       administration to a patient without substantial further          distribution by a manufacturer or repackager intended for
       manufacturing                                                    individual sale to the dispenser of such product
          • E.g. capsules, tablets, lyophilized products before       Homogeneous Case
            reconstitution [but NOT API or Intermediates]
                                                                      • Sealed case containing only product with a Single NDC
     • Excludes:                                                        and a Single Lot
          • Blood products or components intended for transfusion
          • Radioactive drugs and biological products (regulated by
            the NRC or a State)
          • Imaging drugs
          • Intravenous products (fluid replenishment, calorie
            replacement, dialysis solutions, sterile water, etc.)
          • Medical gasses
          • Homeopathic drugs
          • Drugs compounded (in compliance with sec 503A or sec
            503B)
DSCSA Serialization Requirements
Establishing Unique Identity at the Saleable Unit
   Manufacturer                                                        Repackager                                              Wholesale Distributor                                           Dispenser
                  (2017)                                                            (2018)                                                      (2019)                                                      (2020)

                           Manufacturer                                   Repackager                                                      Wholesale Distributor                  Dispenser
                           (Nov. 2017)                                    (Nov. 2018)                                                     (Nov. 2019)                            (Nov. 2020)
 Serialization (Unit)      Apply 2D DataMatrix                            Apply 2D DataMatrix
                           • NDC, Serial Number                           • NDC, Serial Number
                           • Lot, Expiry Date                             • Lot, Expiry Date

 Serialization (Case)      Apply 2D DataMatrix or Linear                  Apply 2D DataMatrix or Linear
 (sealed homogeneous)

 Aggregation               Not DSCSA legal requirement                    Not DSCSA legal requirement                                     Not DSCSA legal requirement
                           Potential trade requirement                    Potential trade requirement                                     Potential trade requirement

 Saleable Returns          Verify product identifier for sealed           Verify product identifier for sealed homogeneous case or        Verify product identifier for sealed
                           homogeneous case or saleable units             saleable units before resale                                    homogeneous case or saleable units
                           before resale                                                                                                  before resale

 Buy/Sell                                                                 May only buy serialized product                                 May only buy serialized product        May only buy serialized product
                                                                          May only sell serialized product                                May only sell serialized product       May only sell serialized product

 Archival                  Store serialization data for 6 years past      Store serialization data for 6 years past transaction date
                           transaction date                               Store repackaged product – source product assoc. for 6 years
DSCSA Verification Requirements
Verifying Transaction and Product Information

 Regulation      Date                    Requirements
 Request for    Jan 2015 (M, R, W)       If receive request for information from government official in the event of a recall or suspect product investigation:
 Information    July 2015 (Dispenser)    • Provide TH, TI, TS for requested products in one (1) business day (not to exceed 48 hrs.) [dispensers have 2 business days]
 Verification   2015 (all)               If receive verification request from gov’t official in suspect product investigation or if company determines it has suspect product:
                                         • Conduct investigation in coordination with trading partners; quarantine such product
                                         • Validate TH, TI of identified products
 Verification   2017-2020 (M, R, W, D)   If receive verification request from gov’t official in suspect product investigation or if company determines it has suspect product:
 (enhanced)                              • Verify product identifier/SNI of identified products
                                         • Dispensers: verify lot number, verify SNI of 3 packages or 10%, whichever is greater
 Request for    2017 (M)                 If receive request for verification of drug product from supply chain participant (direct OR indirect trading partners):
 Verification   2018 (R)                 • Verify product identifier/SNI of the products queried against product identifier/SNI affixed by manufacturer/repackager
                                         • Notify trading partner of results within 24 hours
 Notification   2015 (all)               Notify gov’t officials of cleared product subject to investigation
                                         Notify FDA and all immediate trading partners if determine a product in their possession or control is illegitimate (w/in 24 hours)
                                         Manufacturers: Notify FDA and Immediate trading partners if reason to believe at high risk of possession of illegitimate product
                                         Notify trading partners of investigation termination
 Archive        2015 (all)               Archive suspect product investigation and illegitimate product documentation for 6 years past investigation closure

                                             M: Manufacturer R: Repackager W: Wholesale Distributor D: Dispenser
EU Falsified Medicines Directive
Serialization, Reporting and Verification Model

             Pharma Manufacturer (MAH)         Wholesaler          Wholesaler            Pharmacy              Patient

                                    Product Flow

                                                                                          Verification at
                                                             Risk Based                   Point of Dispense   DEADLINE: February 9, 2019
                   Report Product                            Verification
                   Master Data and                                                                             Serialization (saleable unit)
                   Serialized Pack Data
                                                                                                               Government reporting
                                                                                                               Verification

                             Upload Data                                    Verify Unique Identity

                                              European Hub    National System
Checklist / Questions for your Packager
• Have you managed EPCIS events before? What lessons did you learn
  on your path to accomplish this?
• How will you manage aggregation?
• What has been your error rates with serialization, and how are you
  handling correcting errors?
• What serialization systems have you integrated with?
• What are your lessons learned from setting up data transfers with
  Manufacturers and 3PLs?
Checklist / Questions for your 3PL / Warehouse
Operations
• Do you have serialization management processes in place? What
  systems do you use?
• What serialization systems have you integrated with?
• Have you managed EPCIS events before? What lessons did you learn
  on your path to accomplish this?
• How will you manage aggregation and disaggregation?
• Who will be responsible for verification responses – 3PL or
  Manufacturer?
Checklist / Questions for your Serialization (EPCIS)
System Vendor
 • Describe your implemented network
 • What choices do I have for private tenancy vs a multi-tenant solution?
    • How can I manage system updates and the associated validation?
 • How will I use the system to respond to verification checks?
 • What is your roadmap for providing services for serialization in other
   regions of the world (EU, Turkey, China, Brazil, etc.)?
Key Factors for a Successful Project
 • Clear Team structure, along with understood roles and responsibilities
    • Clear and understood decision makers
    • Know who needs to be informed
 • Clear requirements documented:
    • User Requirements Specification for serialization system, agreed to by the broader team (so
      new requirements don’t sneak in later)
    • Standards Document (compilation of all numbering structures, artwork specifications, system
      standards to ensure all parties understand what is being implemented)
 • Understanding of the change management needs, even if your company is small
    • Training, SOPs, etc.
 • Don’t invent things if you don’t need to
    • Follow lead of vendors you have chosen
Q&A
Additional DSCSA Educational Resources
   •   50 Must-Know Terms to Decipher Serialization (link)
   •   Serialization: Where to Begin (link)
   •   2016 Global Drug Supply, Safety and Traceability Report (link)
   •   Infographic: Serialization Plans and Concerns (link)
DSCSA Tracing Requirements
 Tracing Changes of Drug Ownership
Manufacturer                                                                    Wholesale Distributor                                                                       Dispenser
                                                  TI
                                                                                                                                                    TI
                                                  TS
                                                                                                                                                    TI

                                                                                                                                                   TS
    •   Receive for each drug product: Transaction History + Transaction Information + Transaction Statement
    •   TH, TI, TS data elements and structure vary depending on product source and transaction history
    •   DSCSA does not define the data exchange method for this compliance documentation
    •   Compliance documentation must be archived for 6 years past date of transaction
                 Transaction History (TH)                          Transaction Information (TI)                         Transaction Statement (TS)
                 Single document starting with manufacturer        •   NDC                                              Statements attesting that party selling product
                                                                   •   Product Name                                     • Is authorized and registered
                 Each change of ownership (TI) going back to the   •   Strength, Dosage Form                            • Received product from authorized
                 manufacturer
                                                                   •   Container Size, Number of Containers             • Received TI, TS from the prior owner
                                                                   •   Lot Number (optional in certain scenarios)       • Did not knowingly ship suspect or illegitimate
                 Electronic or paper (initially)                                                                           product
                                                                   •   Transaction Date (optional in scenarios)
                 • Electronic required from manufacturer in 2017
                                                                   •   Shipment Date (optional in scenarios)            • Had systems and processes in place to comply
                                                                                                                           with verification requirements
                                                                   •   Transfer From Party
                                                                                                                        • Did not knowingly provide false trans. info
                                                                   •   Transfer To Party
                                                                                                                        • Did not knowingly alter the transaction history
                                                                   •   Wholesaler Contact Information (for Drop Ship)
The DSCSA Compliance Data Varies by the Path the
          Product Takes Through the Supply Chain
                                                     Manufacturer                                                 TH                                         Wholesale Dist.                                      TH                                         Dispenser
           Direct Purchase                                                                                        TI                                                                                           TI (-Lot)
          Distribution from                                                                                       TS                                                                                           TS (DPS)
             Manufacturer

                                                     Manufacturer                               TH                          Wholesale Dist,                               TH                     Wholesale Dist.                      TH (WD)                        Dispenser
      Secondary Wholesale
                                                                                                TI                                                                      TI (-Lot)                                                        TI
              Distribution
                                                                                                TS                                                                      TS (DPS)                                                      TS(rDPS)

                                                                                                                   TH
                                                                                                               TI(+Drop)                                     Wholesale Dist.                                                                                       Dispenser
                                                     Manufacturer
               Drop Shipment                                                                                       TS

Transaction History                                                                                    Transaction Information                                                      Transaction Statement

              TH            Transaction History (full back to Manufacturer)                                        TI            Transaction Information (full)                                TS           Transaction Statement (normal)

           TH (WD)          Transaction History                                                                 TI (-Lot)        Transaction Information                                     TS (DPS)       Transaction Statement (+ Direct Purchase Statement*)
                            (starts w/ initial Wholesaler)                                                                       (w/o Lot, Trans Date)

                                                                                                               TI(+Drop)         Transaction Information                                    TS(rDPS)        Transaction Statement (+ received DPS)
                                                                                                                                 (w/ WD contact info)
   *Note: Transaction Statement including statement of direct purchase from the manufacturer, repackager or excl. dist.
US DSCSA vs. EU FMD Compliance
      Requirement                                  US                                          EU
      Products
      Product Scope                              Rx (all)                                     Rx (all)
                                                                                          OTC (high risk)
      Special Requirements                     Exemptions                                  Exemptions,
                                                                                          Per-country Rx
      Participation
      Supply Chain Stakeholders   Mfg, Wholesaler, Repackager, Dispenser   Mfg, Wholesaler, Parallel Importers, Dispenser
      Serialization
      Serial Number Format                         GS1                                          GS1
      Product Code                                NDC                              GTIN, National Product Code
                                               (GTIN wraps)
      Packaging Levels                     Secondary, Tertiary                              Secondary
      Data Elements                               NDC                               GTIN/NTIN/National Code
      (in secondary barcode)                       Lot                                          Lot
                                               Expiry Date                                  Expiry Date
                                                 Serial #                                     Serial #
                                                                                    Natl. Reimbursement (opt)
      Randomization                                                                        ✓(1:10,000)

      Aggregation                      Business/trade requirement?                 Business/trade requirement?
      Special Requirements              GTIN used to convey NDC                             Multi-pack
      Traceability
      Supply Chain Traceability                     ✓

      Data Exchange with Who?             Supply Chain Partners
US DSCSA vs. EU FMD Compliance

     Requirement                                         US                            EU
     Compliance Reporting
     Type                                     Suspect/Illegitimate Product   Master Data, Sales Pack

     Format                                               TBD                          XML
     Data Exchange and Access                           Manual                     Integrated,
                                                                                      Portal
     Product Master Data                                                                ✓
     Product Pack Data (serialization info)                                             ✓
     Serial Number Decommissioned                                                       ✓
     Special Reports                            Request for Information               Recall
     Verification
     Type                                     Suspect/Illegitimate Product         Dispensation
                                                                             Risk-based (supply chain)
     Info Verified                                      TH / TI                  Product Identifier
                                                   Product Identifier
Four Key Challenges to Master for DSCSA
                      Network                                  Scale
            Connect all internal sites, external       Manage a potential 1,000x
             CMOs / 3PLs, trade partners for         increase in data storage and a
                serialization and serialized        10,000x increase in transaction
             product events and serialization         events compared to lot-level
                          inquiries                       product distribution

                   Compliance                           Ensure Supply
               Rapidly comply to evolving          Ensure all products supplied from
            regulatory, standards and partner       all sites can be supplied to meet
             requirements while maintaining        diverse channel and trade partner
                  validation of systems                requirements in your target
                                                                  markets
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