Medicines Licence And The FMD Flashcards

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1
Q

What are the types of licensing (3)

A

Marketing authorisation
Manufactures authorisation
Wholesale dealers license

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2
Q

When do you need a marketing authorisation

A

When any sale and promotion occurs

This applies to all medical products except those made extemporaneously e.g. ointment made in pharmacy

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3
Q

Who gives out marketing authorisation

A

MRHA (medicines and healthcare products regulatory agency)
They do this by a decentralised and mutual recognition system ( this means that a product can get an MA across Europe and have it given by one agency)

In Europe it is the European Medicines Agency (EMA) via a centralised system

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4
Q

What occurs when licensing a medicine

A

Specially trained panel of medicines assessors review the available evidence about medicines
This evidence comes from pre-clinical trials, additional info from manufactures

MRHA also inspects factory where the medicine is made to ensure uniform and consistent high standards

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5
Q

Why is licensing important

A

SAFTEY- the medicine is safe for its intended use

EFFICACY- that the medicine world as it is supposed to

QUALITY- medicine meets appropriate standard

So non of these factors are influenced by cost effectiveness or value of the medicine

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6
Q

What do MA cover

A

All main activities associated with marketing and use of product

Indication 
Dosages 
Recipients 
Cautions 
Route of administration
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7
Q

What does off-license mean

A

This is usage outside the terms of the marketing authorisation

I.e. selling or prescribing the product other than in accordance with the terms of the MA

This is permitted but there are legal risks if it goes wrong

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8
Q

What is a manufactures authorisation

A

This allows companies to manufacture or assemble human meds and import them from a non-EEA country
Companies must comply with EU good manufacture practise

Premise inspected by MRHA, these are regular inspections

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9
Q

When do you need a wholesale dealers license

A

1) sell or offer to sell any medicine by way of wholesale dealing
2) distribute, or sell any medicinal product, ready made VMP or industrial produced medicine is which has been imported but was not co-signed from a member state of the EU

Only licensed medicinal products can be sold via wholesale dealing

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10
Q

What are the Wholesale dealing exemptions

A

1) by a MA holder to sell there own products
2) by a person who only transports the medicinal product
3) those who solely transport the products outside of the EEA

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11
Q

What is the FMD

A

FALSIFIED MEDICINES DIRECTIVE Came into Europe 2013
Introduces measures to prevent the entry of falsified medicines into the legal supply chain

The directive now covers businesses that weren’t covered by medical law
Brokers now need a license

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12
Q

What is a falsified medicinal product

A

It’s identity including its packaging and labelling, its name or compositions (or any other unintentional defects) are falsely represented

It’s source including manufacture, country of origin and MA holder is false

It’s history including the records and document relating to the distributions channels used

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13
Q

What is the common EU logo

A

A common EU logo has been designed which must appear on the website if all legitimate retailers of medicines across the EU

All such sites must have the logo in place form 07/15
Clicking on the logo links the purchaser to the National competent authority (MRHA in UK)

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14
Q

What are some of the FMD safety features

A

Seal on outer pack to indicate weather there has been any tampering

Unique identifier which will enable individual packs to be identified, this can be checked via a independent database

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15
Q

What will the unique identifier consit of

A

PRODUCT CODE- the name , strength, form, pack size and pack type
SERIAL NUMBER- randomised numeric or alphanumeric sequence of upto 20 characters
NATIONAL REIMBURSEMENT NUMBER-not in uk
BATCH NUMBER
EXPIRY DATE

The EU thinks this can be done by 02/19

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16
Q

What is the 10 day reversal

A

Once a product has been scanned and decommissioned this can be reversed for a period of upto 10 days

Reversal has to happen in the same pharmacy ad the initial decommissioning and the product must not have been supplied to a patient, expired or been recalled during the same time

17
Q

What are the special cases

A
Antibiotics for reconstitution- have to break seal to reconstitute 
CDs- have to break to check 
Split packs 
Specials 
Monitored dosage systems