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Global Traceability and
Serialisation in Pharma
Industry Report
Pharmaceutical
PackagingandLabelling
Summit 2014
www.pharmapackaginglabelling.com
Contents
•	Introduction
•	Global Pharmaceutical Serialisation & Traceability 2014 Survey 		
	 Results and Insight
	 1	About the Survey
	 1	Investment Levels
	 1	Challenges
•	Regulatory Spotlight
	 1	EU Falsified Medicines Directive	
	 1	Drug Supply Chain Security Act (DSCSA) Implementation Plan
•	Nothing is Impossible
•	Dealing with Unknown Unknowns
•	Without Compliance There is No Business
•	1, 2,3 Implementing ePedigree in a Global Company
•	Going Global
•	Conclusion & Acknowledgements
•	About Pharmaceutical Packaging & Labelling
	 1	Serialisation Training Course
•	About Pharma IQ
•	Resources
pg 3
pg 4
pg 5
pg 7
pg 9
pg 10
pg 12
pg 13
pg 14
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pg 16
pg 17
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pg 20
pg 21
pg 21
Counterfeit pharmaceuticals pose a significant threat to the viability of the pharmaceutical
industry and patient safety. As supply chains become more complex and multi-
dimensional the challenge of tracking a products through the supply chain increases.
Pharmaceuticals consistently rank within the top ten categories for counterfeit goods
and the risk to products can vary from country to country. In response pharmaceutical
manufacturers are investing more in product security initiatives, such as serialisation
which involves coding products uniquely at the item level.
With so many solutions being presented, selecting the right technology or strategy
can be its own challenge. There is great demand for standardised approaches to
counterfeiting and solutions that can be rolled out globally, but this requires unity from
pharmaceutical companies, vendors and trade associations.
“What is in common for everybody is once you lose direct control of your product it
is very hard to, know where it goes to, how it is handled, how it is controlled,” said
Johannes Schoen, Senior Manager for Anti-Counterfeiting at Boehringer Ingelheim.
Remaining compliant with the latest pharmaceutical track and trace regulations remains
a complex task, with varying regulations across the globe. It is expected that these will
cover over 70% of global medicines by 2017. However, as there are no global standards,
managing and implementing serialisation requires not only financial investment but
also an understanding of local markets and regulations. Whilst there are a couple of
well established markets, in terms of regulations such as Turkey and China many other
markets are still in the process.
In this report we present the results of the latest Pharmaceutical Serialisation &
Traceability 2014 Survey and provide expert insight and analysis from key opinion leaders
in the field.
			Andrea Charles
			Editor
			Pharma IQ
			Cold Chain IQ	
			www.pharma-iq.com
			www.coldchainiq.com
S E C U R I N G T H E S U P P LY C H A I N I S T H E T O P P R I O R I T Y F O R T H E G L O B A L P H A R M A C E U T I C A L I N D U S T R Y.
Introduction
3
Pharmaceutical Serialisation
and Traceability 2014 Survey
Results and Insight
About the Survey
Pharma IQ conducted an online survey in March 2014 to assess current industry trends in serialisation implementation
and challenges in securing, tracking and managing pharmaceutical products.
There are many stakeholders involved in serialisation and the survey gathered the responses of the international
pharmaceutical community. This survey focuses primarily on the end-user perspective, with the majority of respondents
sitting in the supply chain and packaging functions at pharmaceutical and biotech companies
In addition we also draw comparisons with our previous Pharmaceutical Serialisation Deadlines survey, the results of
which are reported in the 2012 infographic, entitled “Time is Running Out: Are You Ready For Serialisation?” find out the
full results here.
About the respondents:
Company
40%
10%
4%
9%
5%
9%
7%
16%
Supply Chain
Packaging
Manufacturing
Quality Compliance
Regulatory Affairs
IT
Procurement
Other
Which function do you
sit in?
Large pharma/bio manufacturer
Small-to-mid-sized pharma/bio
manufacturer
Medical device manufacturer
Government
Other
18%
31%
5%
7%
39%
4
In 2012 the majority of respondents 48% were currently looking for a solution provider to partner with, in comparison
with just 8% in 2014.
The majority of respondents said that their organisation had initiated their serialisation project(s), only 27% of survey
respondents had not started thinking about their serialisation yet.
In 2012 my organisation…
7%
13%
48%
13%
19%
In 2014 my organisation…
Has not started thinking about
serialisation yet
Is in early planning phases
Is currently looking for solution
providers to partner with
Has started rollout in one site
(pilot)
Has started rollout across
multiple sites globally
Has not started thinking about
serialisation yet
Is in early planning phases
Is currently looking for solution
providers to partner with
Has chosen partners, awaiting
implementation
Has started rollout in one site
(pilot)
Has started rollout across
multiple sites globally
27%
18%
8%
6%
15%
26%
Implementation Phase
5
6
How many packaging lines
will you need to upgrade in
response to serialisation?
My organisation has a
clear and robust roadmap
for serialisation / track and
trace globally?
Lessthan10
10–19
20–49
50–99
Morethan100
Don’tknow
Stronglyagree
Agree
Disagree
Stronglydisagree
The majority of respondents had less than 50
packaging lines that required an upgrade in response
to serialisation.
In preparation for the serialisation deadlines, my company is
at the following stage for the below technologies:
0% 100%
Not started Initial research Vendor selection initiated Vendor selection complete Implementation complete
Serialisation has risen up the agenda in recent years and the
majority of respondents 65% said that their companies had a
clear roadmap for serialisation and track and trace globally.
Implementation under way
Printers and other line level
equipment
Data management
/software
Cartoners or additional
handling equipment
Manufacturing Execution
System (MES)
ERP system (e.g. SAP,
Oracle, etc.)
Barcode readers
/scanners
Consultancy
services
7
Approximately what sort of
budget size will need to be
invested in the solutions above?
How long do you
anticipate it will be until
you are fully serialised?
Investment Levels
€100,000- €500,000
€500,000- €1,000,000
€1,000,000- €10,000,000
€10,000,000- €100,000,000
€1,000,000,000+
6 - 12 months Already fully serialised
12 - 18 months Other
18 - 24 months <6 months
> 24 months
Levels of investment in the solutions listed above appear mixed. The
majority of respondents are looking to spend between €100,000 and
€1,000,000 on these solutions.
Only 3% of respondents were fully serialised. The
majority of respondents 62% think that they will be fully
serialised with 12 months.
2012 2014
Pasi Kemppainen Executive Consultant , Serialization and Traceability noted that due to the technical complexity and
investment required some companies are still playing a waiting game with regards to implementing their serialisation strategy.
It requires a lot of time to implement the processes and then have the technical
implementation in place which need to fulfil the regulatory requirements and
that’s really time-consuming and also heavy on investment so that’s why
companies are playing really a waiting game here, which is a disadvantage at the
same time.
What is the main operation challenge you face/ will face in
implementation?
Pharmaceutical and biotech companies face many challenges during the implementation phase. 36% of survey respondents
saw optimum utilisation of existing technologies / machineries as the main operational challenge they faced , whilst 20% said
integration with enterprise systems and 18% said generating high-speed printing and verification of the codes. The remaining
respondents said the main operational challenge they faced was creation of unique serialisation codes for individual products
during the production process (15%) and cross-site coordination for serial generation for similar product lines (11%).
Creation of unique serialisation
codes for individual products
during the production process
Integration with enterprise
systems
Optimum utilisation of existing
technologies / machineries
Generating high-speed
printing and verification
of the codes
Cross-site coordination for
serial generation for similar
product lines
15% 18% 20% 36%11%
8
In your opinion what is the greatest concern facing
manufacturers in implementing serialisation?
Integration with pharmacies and
maintaining central online database
The major challenges/concerns are the cost
implication and vendors to train the staff
Limited knowledge about
serialisation
Cost and
cycle-time
Different legislation in different countries as
well as different standards
CAPEX
Having a common
standard and reading devices
Building serialisation
strategy
Keep the speed of
manufacturing packaging linesHigh speed packaging line and unique
serialisation code
Handling rejects
Inconsistent country
requirements
No standardisation in
coding and reporting
Legacy system baggage
and data handling
Changing processes
Cost
9
EU Falsified Medicines Directive
The New Measures Include:
According to the European Commission Directorate-General for Taxation and Customs Union over 30 million counterfeit
medicines have been seized by customs at EU borders over the last five years. The EU Falsified Medicines Directive contains
measures to increase security of the medicinal supply chain in Europe.
The new legislation introduces tougher rules to improve the protection of public health with new harmonised, pan-European
measures to ensure that medicines are safe and that the trade in medicines is rigorously controlled.
1 July 2011: 	 Following adoption by the Council and the European Parliament, the new legislation on falsified medicines 		
			 was published in the Official Journal of the European Union.
2 Jan 2013: 	 The new legislation entered into force transposition of Directive into national law
2014:		 Target for publication of “Delegated Acts” for safety features
2017: 	 	 { D+ 3 years} Safety features for – Member States without pre-existing measures
2023: 		 { D+ 9 years} Safety features for Member states with pre-existing measures
•	 An obligatory authenticity feature on the outer packaging of the medicines : this feature will be decided at a later 		
	 stage via a delegated act;
•	 A common, EU-wide logo to identify legal online pharmacies. This would make it easier to distinguish between 		
	 legal and illegal online pharmacies throughout the European Union;
•	 Tougher rules on the controls and inspections of producers of active pharmaceutical ingredients;
•	 Strengthened record-keeping requirements for wholesale distributors
Falsified medicines are a serious public health risk in the EU. They have not been subject
to an authorisation procedure where aspects of quality, safety, and efficacy of the
medicine are verified. The Falsified Medicines Directive introduces harmonised, Pan-
European safety measures that provide the highest possible level of assurance that only
high-quality medicines are sold within the legal supply chain in the EU.
European Commissioner for Health and Consumer Policy, John Dalli
Directive Timeline
To download an Implementation measures by the Commission in the context of
Directive 2011/62/EU – overview and state of play CLICK HERE
10
Drug Supply Chain Security Act (DSCSA)
Implementation Plan
About the Drug Supply Chain Security Act (DSCSA)
The Drug Quality and Security Act (DQSA), was signed into law by President Obama on November 27, 2013. Title II of DQSA,
the Drug Supply Chain Security Act1, outlines critical steps to build an electronic, interoperable system to identify and trace
certain prescription drugs as they are distributed in the United States.
Ten years after enactment, the system will facilitate the exchange of information at the individual package level about where a
drug has been in the supply chain. The new system will:
•	 enable verification of the legitimacy of the drug product identifier down to the package level;
•	 enhance detection and notification of illegitimate products in the drug supply chain; and
•	 facilitate more efficient recalls of drug products.
A summary of planned implementation timeframes for the Drug Supply Chain Security Act over a 10-year period. Timeframes are
estimates and are based on the requirements set forth in the law.
2014
2015
Mouse over the numbers above to reveal information
Planned timeframes for FDA activity Implementation period for stakeholders
2016
2017
2018
2019
2020
2021
2022
2023
2024
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1.		 Issue notice of public docket to collect stakeholder comments on standards for interoperable 	
		 exchange of transaction information, history and statement in paper or electronic format. 		
		 Planned FDA implementation period: Beginning of 2014 through early 2014.
2.		 Publish guidance on identification of suspect product and termination of notifications of 		
		 illegitimate product for finished human prescription drugs. Planned FDA implementation period: 	
		 Beginning of 2014 through mid-2014.
3.		 Publish draft guidance establishing standards for interoperable exchange of transaction 		
		 information, history, statement in paper or electronic format. Planned FDA implementation 	
		 period: Beginning of 2014 through late 2014.
4.		 Establish a system for third-party logistic provider reporting to FDA. Planned FDA 			
		 implementation period: Beginning of 2014 through late 2014.
5.		 Establish a system for wholesale drug distributor reporting to FDA and public database with 	
		 licensing information. Planned FDA implementation period: Beginning of 2014 through the end 	
		 of 2014.
6.		 Develop regulations establishing standards for licensing of wholesale drug distributors. 		
		 Planned FDA implementation period: Beginning of 2014 through late 2015. Planned 		
		 stakeholder implementation period: Late 2015 through late 2017.
7.		 Develop regulations establishing standards for licensing of third-party logistics providers. 		
		 Planned FDA implementation period: Beginning of 2014 through late 2015. Planned 		
		 stakeholder implementation period: Late 2015 through late 2016.
8.		 Publish guidance on processes for waivers, exceptions, exemptions. Planned FDA 		
		 implementation period: Beginning of 2014 through late 2015. Planned stakeholder 			
		 implementation period: late 2015 through mid-2017.
9.		 Publish final guidance on grandfathering product. Planned FDA implementation period: 		
		 Beginning of 2014 through late 2015.
10.	 Conduct at least five public meetings. Planned FDA implementation period: Beginning of 2015 	
		 through mid-2021.
11.	 Establish one or more pilot projects in coordination with stakeholders to explore and evaluate 	
		 methods to enhance the safety and security of supply chain. Planned FDA implementation 	
		 period: Beginning of 2015 through end of 2020.
12.	 Conduct and complete a technology and software assessment on feasibility of small dispensers 	
		 to conduct drug tracing at the package level. Planned FDA implementation period: Beginning of 	
		 2017 through end of 2020.
13.	 Publish final guidance on system attributes necessary to enable secure tracing at the package 	
		 level. Planned FDA implementation period: Beginning of 2018 through late-2022. Planned 	
		 stakeholder implementation period: Late 2022 through late 2023.
14.	 Publish final guidance on the standards for interoperable data exchange to enhance secure 	
		 tracing of product at package level. Planned FDA implementation period: Beginning of 2018 	
		 through late-2022. Planned stakeholder implementation period: Late 2022 through late 2023.
15.	 Develop regulations establishing enhanced drug distribution security system for interoperable 	
		 electronic tracing of product at the package level. Planned FDA implementation period: 		
		 Beginning of 2017 through late-2021. Planned stakeholder implementation period: Late 2021 	
		 through late 2023
11
Nothing is Impossible
Pharma IQ: Why invest in serialization?
Importance of serialization can be analyzed in three major areas. First of all, serialization of the products ensures the security
of public health, since it prevents counterfeit drugs. Serialization prevented counterfeit drugs in Turkish supply chain and both
consumers and stakeholders are able to validate whether a product is counterfeit or not. Moreover, manufacturers which
serialize the products can prevent economic damage caused by not only counterfeit drug production and sale, but also
fraud sales in the supply chain. Our observations on the supply chain showed that, some of the manufacturers suffered from
fraud sale reports by their own representatives. helped them to detect such kind of deceitfulness. Finally, serialization
with tracking and tracing the serial numbers in each transaction of the products comes with valuable data. These data
gives accurate information about the market, which manufacturers invest a considerable amount for the data. Instead of
investing for such data, manufacturers can produce more accurate results about the market demand, stock and production
predictions. In conclusion, serialization may be seem like a costly operation at the initial stage; however, it promises to cover
this cost within a few years.
Turkey lead the way in serialization, but how have the country’s requirements evolved in recent years?
The key to the success of the is the collaboration with stakeholders, including manufacturers, wholesalers, pharmacists,
hospital administrators and reimbursement companies. In the development process of the system, we have held many
meetings and workshops to identify the requirements, expectations and problems of stakeholders. Then, we quickly
analyzed these problems and responded them as soon as possible. Furthermore, we have monitored the system to decide
how we could evolve it further as well as how stakeholders reacted to the regulative and operational changes. It was
observed that, stakeholders had different business logic and requirements, therefore, we evaluated each of them separately.
Dividing the implementation into phases caused stakeholders to adapt to the system faster. At the end, manufacturers were
demanding and expecting new features and modules, instead of rejecting them. The main agenda of the meetings were
changed from the problems of stakeholders to their demands.
In your opinion, what is the main operational challenge manufacturers face in implementation?
I think the most important challenge which manufacturers faced was to adapt their production lines as well as their
business logic to the requirements of the system. The system put an extra layer to the operation of production and product
transportation between manufacturers and wholesalers. At first in Phase 1, which excludes wholesalers, this extra layer
was omitted by some manufacturers to simplify this operation. However, with Phase 2 of , in which wholesalers were
also involved in the system, it was not possible for manufacturers to omit sending sales notifications. Therefore, these
manufacturers faced an important re-aggregation problem. After such a problem emerged, we provided professional help
and include new features to the system to ease their operation.
What still surprises you about enabling pharmaceutical traceability?
Probably the most interesting fact is to see manufacturers, who strictly stood against the system at first due to its cost in
both production line and product transaction, in a behavior of cooperation with . This can be explained by the fact that,
İTS was designed for public health as well as manufacturers’ own benefit. Preventing the counterfeit and collecting data
which may be used for decision support purposes for manufacturers, took attention of them. Once they realized these
opportunities, they were the most ardent supporters of the system.
What are you views on utilizing Big Data in the pharmaceutical supply chain? Is it a distraction?
Our observation on Turkish supply chain showed that, data collected from the transactions of the products can be used to
evaluate the supply chain. Data itself is very promising in Big Data applications for administrative and commercial purposes.
The benefits of these data for public health and profit for the manufacturer is still a major research field. Our analysis on the
data pointed a major concern on the privacy. Not only manufacturers, each stakeholder including pharmacists has a valuable
data set for its current stock as well as its sales and receipts. Keeping these data private and utilizing it primarily for own
benefit of the stakeholder has been very important. Moreover, we used the data for predicting drug shortage and detecting
black market all over the country at the administrative stage. At the end of the day, although the major purpose of the system
is only to prevent counterfeit drugs and secure the supply chain, it produced a data set which is not possible to collect
without serialization.
12
Taha Yayci, CEO
TechN'arts
ITS
ITS
ITS
ITS
Dealing with Unknown Unknowns
Pharma IQ: Why is serialisation not as straightforward as it seems?
On the face of it this seems simple: print a data matrix on each pack so it is readable, verify it, collect the data and then hold
it in a database to be able to export as required to regulators or other agencies. In reality, every step involved in achieving this
goal requires complex systems to be added to an environment that is already complex in terms of systems and processes;
it requires critical decisions to be taken - often on the basis of incomplete information - whose long-term impact may not be
fully understood; because every organisation and its requirements are different, a one-size-fits-all solution is not available and
the practicalities of implementation are fraught with difficulties: If you hand over the responsibility to implementation to a third
party you will never have the required ownership and buy in of your organisation but if you run it in-house, you are unlikely to
have the required experience and skills to bring such a complex project, involving many parts of the organisation, to success
and will be tripped up by the “unknown unknowns”.
What impact is serialisation having on manufacturing effectiveness?
This is an area of much discussion and there is a general view that the impact is significant at first and recovery
time to get to near where you started can be long and painful. 3C Integrity are taking a keen interest in this
question based on our practical experience, and are working with specialist parties to understand better what is
going on and to ensure that system specifications address this issue. We are not convinced that the news is as
gloomy as it is widely held to be and in fact we think that there are opportunities here for moving to a better level
of overall performance. This is one of the areas that we are going to look at in more detail during our forthcoming
Serialisation Training session.
Who are the critical stakeholders that must be involved in order to make a serialisation program successful?
It’s clear that the buy in of the company’s senior stakeholders is essential, after all they need to sanction the
significant resources for a complex, lengthy and inevitably expensive project. What is more important to focus on
is how you engage with these stakeholders, how you take the case to them in order to get their support:
Focusing on the short-term ‘achieving compliance’ outcomes is the typical approach currently taken, but this
creates a defensive perspective with the ‘least and latest’ invested setting the framework of the project. I suspect
that key things senior stakeholders need to understand is that these projects are not quick and easy – leaving it
late is putting 80% of their products at risk. I also think that they need to understand that apparent uncertainty in
requirements is not an excuse for not starting.
We believe that being much clearer about additional benefits - including the potential for streamlining you
production and supply flows and adding greater visibility - is important but these messages are not presented
effectively at the moment and the even more promising longer-term benefits in terms of patient safety and
engagement, commercial brand support etc. are simply ignored.
There seems little appetite for this, with the focus currently very much on licence to operate, to the detriment
of wider and more significant benefits that could be gained for everyone who has a stake in this sector:
Manufacturers, patients, healthcare professionals as well as payers and wider society as a whole..
Christoph Krähenbühl,
Managing Director of 3C Integrity
13
Without compliance there’s no business
Pharma IQ: What has driven the need for product serialisation?
The need for the serialization and traceability is basically ensuring the patient safety and decreasing illegal medicine business.
This has led the governments globally enforcing the respective regulations for serialization and traceability.
Why do you think some organisations struggle to have a clear and robust roadmap for serialisation
/ track and trace globally?
As this is a regulatory compliance investment, there’s really no return of investment for the organizations. So this is seen
as a huge sunk cost just to gain the compliance which is easy to postpone until it becomes a business issue. But then it
is too late and still the activities tend to be reactive rather than proactive. Another reason is plain unawareness and lack of
competence, especially in SME market.
In your opinion what is the top value driver for real time traceability?
Compliance, simply. Basically, this is a business continuation and competitiveness issue. Without compliance there’s
no business and with the timely and cost-effective implementation there’s possibility to gain implicit price and business
advantage in the market compared to the competition. Later on, when the infrastructure is there, it is obvious that the
investments done will be leveraged to logistics, warehousing and maybe consumer value add services.
What is the greatest concern facing manufacturers in implementing serialisation?
Basically manufacturers want to implement the compliance with the minimum impact to the product profitability. This leads
to the concerns with the size of the investments, availability of the competent resources, implementation timetables (time to
market) and possible increase in the product costs. In addition, there could be collateral costs such as decrease in OEE and
stock-outs due to the belated serialization implementation.
Do you think there still need for greater education and awareness around the current regulatory guidelines?
Absolutely, especially with the senior managements. With the implementing organizations the serialization the awareness is
good but then again there might be little implementation knowledge.
Any closing thoughts on China’s approach to serialisation?
China has done pioneering work in putting in place a very comprehensive solution for the serialization and traceability.
Although there’s still much to improve in terms of the technical implementation and global standards support, the solution
has been proven to be working. What I especially appreciate in the China approach is providing with consumers and patients
an easy medicine authentication over mobile and web.
Pasi Kemppainen ,
Executive Consultant,
Serialization & Traceability
14
1, 2,3 Implementing ePedigree in a Global Company
Pharma IQ: Can give us an overview about implementing ePedigree in a global company. What have the main
challenges been for you?
The main challenges to running an ePedigree project can be divided into three parts:
1.	technology
2.	 the organisation
3.	vendors
Regarding technology, we’re talking about complicated technologies that combine both engineering and IT and it starts from
the specification and then the testing and the validation and the implementation, which combines technology, which is very
complicated.
The second part is the organisation. In many cases, it’s difficult to implement it and there are other priorities within the
organisation, it requires a significant CAPEX, so there are many challenges that relate to the organisation itself.
And thirdly the vendor where we’re talking about the unique and the new technology. There’s not a lot of experience in the
world and there’s a limited number of vendors and their resources are quite limited, so we’re facing a lot of challenges with
the vendors, so these are the main challenges that we are facing to a global ePedigree project.
What are your own lessons learned from your current implementation in Teva?
I think the challenges that I described in the beginning are the issues that I’ve faced and experienced in my projects
running in Teva. I think we are running that project in many sites and in different environments and the complications of the
technology are also different because there’s a difference in running this project in a manual line rather than running it in a
fully automatic line.
Of course, it depends also on how much the team is devoted and focused on the project, but in general, this project takes
a lot of time. It takes time for the local sites to understand it and to understand where the challenges are, for example, at the
beginning of the project, my understanding was that the main part of the project was engineering and later on, I realised that
the main part of this project is IT, but at the end of the day, it’s combined, so everything should be a combined effort.
A big learning point is that projects like this take time. We thought it would take 8 months, but in most cases it will take a
year.
What is your approach to overcoming challenges of global supply? Do you have a specific approach at Teva?
From the global supply chain, this is something that we’re only at the beginning of because as we know, the manufacture is
only the start. The rest of the project will run from the wholesalers and distributors to the pharmacy.
From my experience, they are the very beginning, so we’ve started our discussions with our customers of the supply chain,
but it’s really at the beginning. The main thing here is how to convert SPUs from non-serialised to serialised and how to run
the inventory, and, in some cases, how to run both in parallel, serialised and non-serialised; this is a very complicated project
that involves the planners and the guys in the distribution centre and in the warehouse.
So I think, in the coming year, we are going to face a lot of challenges in running the project in the supply chain.
Ezri Deshen,
Global Packaging Engineering,
Senior Director at Teva
15
Going Global
Christian Hay,
Delegate Healthcare,
GS1 Switzerland
Pharma IQ: What current trends have you witnessed in traceability in Healthcare?
Traceability has grown in importance over the last years. May be the food problems we experienced (animal diseases,
inspiring the EU regulation “from the farm to the fork”, as well as other food segments concerned by large scale recalls),
more recently the PIP breast prosthesis scandal, all that concurred to raise attention to traceability. In the healthcare industry,
traceability is known for long, but was not given the technical attention that we see currently. Beside UDI (for medical
devices), the fight against falsification of medicinal products has become a driver for enhanced traceability processes:
How is global standards-based approach the answer to anti-counterfeiting?
My believe is that in an open market -free movement of goods and patients- only global standards can provide a response
which combines efficiency and sustainability. What we can learn from the retail and other sectors such as electronics,
apparels, etc, is that a single global standard allows trading partners doing their business efficiently, regardless the
geographical origin of products or their characteristics. It is actually a paradoxical question: nobody challenges what works in
food, apparel, electronics. Why would healthcare be different?
What is the vision for product identification in the context of the EU Directive on Falsified Medicines?
My vision is that trading partners will recognise that converging efforts to make a single global identification and traceability
standard meeting accurate market needs, will pay back. Maintaining local solutions in place has a cost, but not only: it is a
kind of technical barrier to an open trade such as the free movement of goods.
How is GTIN being used today, what are your predictions for future usage?
In the healthcare industry, use of GTIN is continuously growing. Surveys have been made in the early 2000, which are going
to be made again: they will confirm the massive adoption of GTINs in the healthcare industry -for pharmaceuticals and
for medical devices. This will certainly be supported by the recently published ISO specification (ISO TS 16791) and other
initiatives.
16
Pharmaceutical companies need to take a holistic approach to their serialisation strategy. Implementing serialisation is
not just a project it is a change of business processes on both an internal and external level. In order to be successful
companies will need to invest a lot of time and money, and get management buy-in.
“It is a huge change initiative”, said Kemppainen. “It takes time, it takes people, it takes money, but if there’s a
committed top management involved and business owner or, change process owner on a top management level
that will then help the tough decision making when they really need to have alignment between very diverse operating
local entities at the moment,” he said.
In a challenging global pharmaceutical supply chain, implementing serialisation goes beyond legislative compliance
and adhering the to the latest regulations. As companies search for better ways to manage packaging and also
the traceability of supply chain, there are many benefits to implementing serialisation. It can also be used a very
effective tool in improving supply chain and inventory management, increasing brand protection and improving health
outcomes.
Pharma IQ would like to thank all the speakers and
delegates at our events, and the members of the Pharma
IQ community. This report would not have been possible
without the input and views from a significant number of
serialisation and traceability participants and stakeholders.
There are too many to mention them all – but everyone
who has taken the time to contribute to our websites or
to our events has shared their expertise and experiences
in the storage and distribution of temperature sensitive
pharmaceuticals.
That being said a special thank you to those whom we
have directly cited:
An especially big thank you is due to
the pharmaceutical professionals who
took part in our Global Pharmaceutical
Serialisation & Traceability 2014
Survey
Acknowledgements
Conclusion
17
Phone: +44(0)207 036 1305 Email: enquire@iqpc.co.uk Fax: +44 (0) 207 369 9377
Maximise patient compliance, protect your supply
chain and streamline your artwork capabilities all
while ensuring regulatory compliance
Industry experts, global regulatory influencers and powerful bodies such as ESM,
GS1 and EDQM meet annually to discuss the latest advances in the packaging and
labelling field.
Europe’s leading Packaging and Labelling Summit focuses on overcoming the key
challenges facing the industry today and allows you to find the latest developments
and solutions to…
Pharmaceutical Packaging and Labelling - Basel is THE place to imbed flexibility into
your packaging line for 2014!
Benchmark with your peers and network with the latest
solution providers keeping you at the cutting edge of the
packaging and labelling market
•	Overcome the challenges of global product 	
	 delivery across emerging markets and the 	
	USA
•	Streamline your artwork capabilities and 	
	 reduce packaging and labelling recalls
•	Maximise the safety of your supply 		
	 chain through track and trace and 		
	 integrated features such as tamper 		
	evidence
•	Optimise your packaging line with lean 	
	 implementation and process improvement
•	Comply to global regulation and implement 	
	 mass serialisation including the Falsified 	
	 Medicines Directive
•	Cost effectively maximise patient safety 	
	 through innovative pack design
•	Overcoming the challenges of global 	
	 product delivery across emerging markets 	
	 and the USA
“Perfect organisation, great setting and
high level of speaker panel. All in all an
excellent conference!”
– HCPC
“A very Complete and Diverse Panel”
– Roche
10th - 12th June, 2014
Venue: Basel, Switzerland
Don’t missour Post-ConferenceSerialisationDay on 12thJune
Pharmaceutical
PackagingandLabelling
Summit 2014
www.pharmapackaginglabelling.com
Maximise patient compliance, protect your supply
chain and streamline your artwork capabilities all
while ensuring regulatory compliance
2013’S AUDIENCE FEATURED:
10th - 12th June, 2014
Venue: Basel, Switzerland
Are you lookingfor practicalhands-ontraining forserialisationimplementation?
heads and directors of packaging and labelling and are
responsible globally
pharma manufacturers representation
onsite end user to vendor ratio
42%
74%
3:1
Who will Attend?
Directors and heads of:		
		
-	Packaging
-	Labelling
-	Regulatory affairs
-	Anti‐counterfeiting
-	Supply Chain
-	Quality Assurance
Actavis
Actelion
Active & Intelligent
Packaging
Antares Vision
Astellas Pharma Inc
August Faller KG
B4ward
Baumer hhs GmbH
Boehringer Ingelheim
Pharma
Bolloré Thin Papers
Carl Edelmann GmbH
Child Safe Packaging Group
Merck Serono S.A.
NAD PHARMA
CONSULTING
Novo Nordisk A/S
F. Hoffmann-La Roche AG
GE Healthcare AS
gradient.System integration
GS1
Hanmi Pharmaceutical Co.
Nordvalls
Healthcare NHS Trust -
Intertek Schweiz AG
Krka,
Orion Corporation
PGEU
Reckitt Benckiser
Roche Ltd.
Rondo AG
Sandoz
SICPA Product Security S.A.
Novartis Pharma AG
Sproxil, Inc
Systech International
TechNarts
Teva
EAASM
Viropharma SPRL
MEDA Pharma
EDQM
EFPIA Represenative
Matthews Brand Solutions
UK
Turkish Ministry of Health
Vifor SA
Lilly SA
TSP Germany GmbH
Laetus GmbH
Denny Bros
Attendee’s included:
Pharmaceutical
PackagingandLabelling
Summit 2014
www.pharmapackaginglabelling.com
Are you looking for practical hands-on training
for serialisation implementation?
Fed up of huge case studies with no
relevance to you?
Want to see the difficulties and challenges as
well as the easy rides?
10th - 12th June, 2014
Venue: Basel, Switzerland
Limited places available. Book now to avoid
disappointment, please contact us at enquire@iqpc.co.uk
The Post-Conference Serialisation Training day on the 12th June is an intensive
learning course with practical hands on learning to take home and implement in your
company.
Walk away at the end of the day armed with a tool kit to implement serialisation in the
EU and across the globe, when you get back to your company.
Key topics include:
	 •	 Understanding the regulatory landscape for compliance and deadlines
	 •	 Strategic planning
	 •	 Early adopter case studies and examples
	 •	 Building your tool kit for implantation
Mr. Cathcart is responsible for Excellis Health Solution’s strategic direction and growth, as well as
cultivating emerging markets. In addition, Mr. Cathcart works directly with clients to understand their
business needs and identify approaches to realize the value to be gained by transparent, synchronized
solutions. Greg is a recognized industry leader through his work with HDMA, NACDS, GTT and other
key professional organizations, and he has been featured in industry journals: Life Science Leader, Drug
Store News and Pharmaceutical Commerce. In 2009, AMR Research recognized Mr. Cathcart as one of
the top ten influencers in the pharmaceutical supply chain industry. Greg holds a BA degree from Temple
University as well as a Master of Business Administration degree from The Fuqua School of Business at
Duke University.
Gordon Glass is an experienced subject matter expert from the pharmaceutical industry, recently
moving to consulting services. He has specialized in GS1 standards, AIDC (Automatic Identification Data
Capture), electronic product coding, pharmaceutical serialization/track & trace, and the implementation
of pharmaceutical supply chain process/technology. In recent years, he coordinated intelligence
gathering of global market requirements for electronic product coding, product serialization, and
product track & trace (including e-Pedigree for California). Mr. Glass led global design efforts for a global
pharmaceutical company devising compliance solutions for serialization and traceability/authentication.
Mr. Glass has a Bachelor’s Degree in Chemistry from Susquehanna University (Selinsgrove, PA)
Your Expert Instructors
Pharmaceutical
PackagingandLabelling
Summit 2014
About Pharma IQ
Pharma IQ, a division of IQPC, is an international online community focusing on providing pharmaceutical
professionals with knowledge, information and articles. We are dedicated to creating a learning environment
for sharing ideas, best practices and solutions within the pharmaceutical community Through Pharma IQ, you
will be able to access pharmaceutical information resources such as presentations and podcasts, as well as
events such as webinars, seminars and conferences. By signing up to the Pharma IQ membership, you will
gain access to our growing database of multimedia presentations from leading pharma practitioners, weekly
newsletters to keep you updated on latest pharmaceutical content and Pharma IQ members-exclusive
discounts on pharma events that offer solutions to your everyday business problems. Pharma IQ and IQPC
provide useful training courses, conference and expositions for pharmaceutical executives to network and
learn the latest pharma business development and trends occurring in organizations today. Pharma IQ
focuses on establishing an interactive experience featuring practical, objective and up-to-date insight from
pharma industry leaders.
Join today for free! www.pharma-iq.com
Interested in Finding out More?
New Look, New Format, New Ideas - Sign up Today at www.pharma-iq.com
The ideas presented in this report will be discussed in
further detail at our Global Series of pharmaceutical and
biotech events. Hear from leading experts as to how
they are successfully finding strategies for success in
pharmaceuticals.
To find our more or to sign up for an event, visit
www.pharma-iq.com or contact our customer services team
on customerservice@pharma-iq.com
Resources
The Pharmaceutical Packaging and Labelling Evolution: Can You Stay Ahead of the Pack?
Pasi Kemppainen on Managing & Implementing Pharmaceutical Serialisation
Boehringer Ingelheim’s Johannes Schoen on Top Tips for Improving Supply Chain Visibility
Drug Supply Chain Security Act (DSCSA)
European Commission
21

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Global Pharma report 2014

  • 1. Global Traceability and Serialisation in Pharma Industry Report Pharmaceutical PackagingandLabelling Summit 2014 www.pharmapackaginglabelling.com
  • 2. Contents • Introduction • Global Pharmaceutical Serialisation & Traceability 2014 Survey Results and Insight 1 About the Survey 1 Investment Levels 1 Challenges • Regulatory Spotlight 1 EU Falsified Medicines Directive 1 Drug Supply Chain Security Act (DSCSA) Implementation Plan • Nothing is Impossible • Dealing with Unknown Unknowns • Without Compliance There is No Business • 1, 2,3 Implementing ePedigree in a Global Company • Going Global • Conclusion & Acknowledgements • About Pharmaceutical Packaging & Labelling 1 Serialisation Training Course • About Pharma IQ • Resources pg 3 pg 4 pg 5 pg 7 pg 9 pg 10 pg 12 pg 13 pg 14 pg 15 pg 16 pg 17 pg 18 pg 20 pg 21 pg 21
  • 3. Counterfeit pharmaceuticals pose a significant threat to the viability of the pharmaceutical industry and patient safety. As supply chains become more complex and multi- dimensional the challenge of tracking a products through the supply chain increases. Pharmaceuticals consistently rank within the top ten categories for counterfeit goods and the risk to products can vary from country to country. In response pharmaceutical manufacturers are investing more in product security initiatives, such as serialisation which involves coding products uniquely at the item level. With so many solutions being presented, selecting the right technology or strategy can be its own challenge. There is great demand for standardised approaches to counterfeiting and solutions that can be rolled out globally, but this requires unity from pharmaceutical companies, vendors and trade associations. “What is in common for everybody is once you lose direct control of your product it is very hard to, know where it goes to, how it is handled, how it is controlled,” said Johannes Schoen, Senior Manager for Anti-Counterfeiting at Boehringer Ingelheim. Remaining compliant with the latest pharmaceutical track and trace regulations remains a complex task, with varying regulations across the globe. It is expected that these will cover over 70% of global medicines by 2017. However, as there are no global standards, managing and implementing serialisation requires not only financial investment but also an understanding of local markets and regulations. Whilst there are a couple of well established markets, in terms of regulations such as Turkey and China many other markets are still in the process. In this report we present the results of the latest Pharmaceutical Serialisation & Traceability 2014 Survey and provide expert insight and analysis from key opinion leaders in the field. Andrea Charles Editor Pharma IQ Cold Chain IQ www.pharma-iq.com www.coldchainiq.com S E C U R I N G T H E S U P P LY C H A I N I S T H E T O P P R I O R I T Y F O R T H E G L O B A L P H A R M A C E U T I C A L I N D U S T R Y. Introduction 3
  • 4. Pharmaceutical Serialisation and Traceability 2014 Survey Results and Insight About the Survey Pharma IQ conducted an online survey in March 2014 to assess current industry trends in serialisation implementation and challenges in securing, tracking and managing pharmaceutical products. There are many stakeholders involved in serialisation and the survey gathered the responses of the international pharmaceutical community. This survey focuses primarily on the end-user perspective, with the majority of respondents sitting in the supply chain and packaging functions at pharmaceutical and biotech companies In addition we also draw comparisons with our previous Pharmaceutical Serialisation Deadlines survey, the results of which are reported in the 2012 infographic, entitled “Time is Running Out: Are You Ready For Serialisation?” find out the full results here. About the respondents: Company 40% 10% 4% 9% 5% 9% 7% 16% Supply Chain Packaging Manufacturing Quality Compliance Regulatory Affairs IT Procurement Other Which function do you sit in? Large pharma/bio manufacturer Small-to-mid-sized pharma/bio manufacturer Medical device manufacturer Government Other 18% 31% 5% 7% 39% 4
  • 5. In 2012 the majority of respondents 48% were currently looking for a solution provider to partner with, in comparison with just 8% in 2014. The majority of respondents said that their organisation had initiated their serialisation project(s), only 27% of survey respondents had not started thinking about their serialisation yet. In 2012 my organisation… 7% 13% 48% 13% 19% In 2014 my organisation… Has not started thinking about serialisation yet Is in early planning phases Is currently looking for solution providers to partner with Has started rollout in one site (pilot) Has started rollout across multiple sites globally Has not started thinking about serialisation yet Is in early planning phases Is currently looking for solution providers to partner with Has chosen partners, awaiting implementation Has started rollout in one site (pilot) Has started rollout across multiple sites globally 27% 18% 8% 6% 15% 26% Implementation Phase 5
  • 6. 6 How many packaging lines will you need to upgrade in response to serialisation? My organisation has a clear and robust roadmap for serialisation / track and trace globally? Lessthan10 10–19 20–49 50–99 Morethan100 Don’tknow Stronglyagree Agree Disagree Stronglydisagree The majority of respondents had less than 50 packaging lines that required an upgrade in response to serialisation. In preparation for the serialisation deadlines, my company is at the following stage for the below technologies: 0% 100% Not started Initial research Vendor selection initiated Vendor selection complete Implementation complete Serialisation has risen up the agenda in recent years and the majority of respondents 65% said that their companies had a clear roadmap for serialisation and track and trace globally. Implementation under way Printers and other line level equipment Data management /software Cartoners or additional handling equipment Manufacturing Execution System (MES) ERP system (e.g. SAP, Oracle, etc.) Barcode readers /scanners Consultancy services
  • 7. 7 Approximately what sort of budget size will need to be invested in the solutions above? How long do you anticipate it will be until you are fully serialised? Investment Levels €100,000- €500,000 €500,000- €1,000,000 €1,000,000- €10,000,000 €10,000,000- €100,000,000 €1,000,000,000+ 6 - 12 months Already fully serialised 12 - 18 months Other 18 - 24 months <6 months > 24 months Levels of investment in the solutions listed above appear mixed. The majority of respondents are looking to spend between €100,000 and €1,000,000 on these solutions. Only 3% of respondents were fully serialised. The majority of respondents 62% think that they will be fully serialised with 12 months. 2012 2014 Pasi Kemppainen Executive Consultant , Serialization and Traceability noted that due to the technical complexity and investment required some companies are still playing a waiting game with regards to implementing their serialisation strategy. It requires a lot of time to implement the processes and then have the technical implementation in place which need to fulfil the regulatory requirements and that’s really time-consuming and also heavy on investment so that’s why companies are playing really a waiting game here, which is a disadvantage at the same time. What is the main operation challenge you face/ will face in implementation? Pharmaceutical and biotech companies face many challenges during the implementation phase. 36% of survey respondents saw optimum utilisation of existing technologies / machineries as the main operational challenge they faced , whilst 20% said integration with enterprise systems and 18% said generating high-speed printing and verification of the codes. The remaining respondents said the main operational challenge they faced was creation of unique serialisation codes for individual products during the production process (15%) and cross-site coordination for serial generation for similar product lines (11%). Creation of unique serialisation codes for individual products during the production process Integration with enterprise systems Optimum utilisation of existing technologies / machineries Generating high-speed printing and verification of the codes Cross-site coordination for serial generation for similar product lines 15% 18% 20% 36%11%
  • 8. 8 In your opinion what is the greatest concern facing manufacturers in implementing serialisation? Integration with pharmacies and maintaining central online database The major challenges/concerns are the cost implication and vendors to train the staff Limited knowledge about serialisation Cost and cycle-time Different legislation in different countries as well as different standards CAPEX Having a common standard and reading devices Building serialisation strategy Keep the speed of manufacturing packaging linesHigh speed packaging line and unique serialisation code Handling rejects Inconsistent country requirements No standardisation in coding and reporting Legacy system baggage and data handling Changing processes Cost
  • 9. 9 EU Falsified Medicines Directive The New Measures Include: According to the European Commission Directorate-General for Taxation and Customs Union over 30 million counterfeit medicines have been seized by customs at EU borders over the last five years. The EU Falsified Medicines Directive contains measures to increase security of the medicinal supply chain in Europe. The new legislation introduces tougher rules to improve the protection of public health with new harmonised, pan-European measures to ensure that medicines are safe and that the trade in medicines is rigorously controlled. 1 July 2011: Following adoption by the Council and the European Parliament, the new legislation on falsified medicines was published in the Official Journal of the European Union. 2 Jan 2013: The new legislation entered into force transposition of Directive into national law 2014: Target for publication of “Delegated Acts” for safety features 2017: { D+ 3 years} Safety features for – Member States without pre-existing measures 2023: { D+ 9 years} Safety features for Member states with pre-existing measures • An obligatory authenticity feature on the outer packaging of the medicines : this feature will be decided at a later stage via a delegated act; • A common, EU-wide logo to identify legal online pharmacies. This would make it easier to distinguish between legal and illegal online pharmacies throughout the European Union; • Tougher rules on the controls and inspections of producers of active pharmaceutical ingredients; • Strengthened record-keeping requirements for wholesale distributors Falsified medicines are a serious public health risk in the EU. They have not been subject to an authorisation procedure where aspects of quality, safety, and efficacy of the medicine are verified. The Falsified Medicines Directive introduces harmonised, Pan- European safety measures that provide the highest possible level of assurance that only high-quality medicines are sold within the legal supply chain in the EU. European Commissioner for Health and Consumer Policy, John Dalli Directive Timeline To download an Implementation measures by the Commission in the context of Directive 2011/62/EU – overview and state of play CLICK HERE
  • 10. 10 Drug Supply Chain Security Act (DSCSA) Implementation Plan About the Drug Supply Chain Security Act (DSCSA) The Drug Quality and Security Act (DQSA), was signed into law by President Obama on November 27, 2013. Title II of DQSA, the Drug Supply Chain Security Act1, outlines critical steps to build an electronic, interoperable system to identify and trace certain prescription drugs as they are distributed in the United States. Ten years after enactment, the system will facilitate the exchange of information at the individual package level about where a drug has been in the supply chain. The new system will: • enable verification of the legitimacy of the drug product identifier down to the package level; • enhance detection and notification of illegitimate products in the drug supply chain; and • facilitate more efficient recalls of drug products. A summary of planned implementation timeframes for the Drug Supply Chain Security Act over a 10-year period. Timeframes are estimates and are based on the requirements set forth in the law. 2014 2015 Mouse over the numbers above to reveal information Planned timeframes for FDA activity Implementation period for stakeholders 2016 2017 2018 2019 2020 2021 2022 2023 2024 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
  • 11. 1. Issue notice of public docket to collect stakeholder comments on standards for interoperable exchange of transaction information, history and statement in paper or electronic format. Planned FDA implementation period: Beginning of 2014 through early 2014. 2. Publish guidance on identification of suspect product and termination of notifications of illegitimate product for finished human prescription drugs. Planned FDA implementation period: Beginning of 2014 through mid-2014. 3. Publish draft guidance establishing standards for interoperable exchange of transaction information, history, statement in paper or electronic format. Planned FDA implementation period: Beginning of 2014 through late 2014. 4. Establish a system for third-party logistic provider reporting to FDA. Planned FDA implementation period: Beginning of 2014 through late 2014. 5. Establish a system for wholesale drug distributor reporting to FDA and public database with licensing information. Planned FDA implementation period: Beginning of 2014 through the end of 2014. 6. Develop regulations establishing standards for licensing of wholesale drug distributors. Planned FDA implementation period: Beginning of 2014 through late 2015. Planned stakeholder implementation period: Late 2015 through late 2017. 7. Develop regulations establishing standards for licensing of third-party logistics providers. Planned FDA implementation period: Beginning of 2014 through late 2015. Planned stakeholder implementation period: Late 2015 through late 2016. 8. Publish guidance on processes for waivers, exceptions, exemptions. Planned FDA implementation period: Beginning of 2014 through late 2015. Planned stakeholder implementation period: late 2015 through mid-2017. 9. Publish final guidance on grandfathering product. Planned FDA implementation period: Beginning of 2014 through late 2015. 10. Conduct at least five public meetings. Planned FDA implementation period: Beginning of 2015 through mid-2021. 11. Establish one or more pilot projects in coordination with stakeholders to explore and evaluate methods to enhance the safety and security of supply chain. Planned FDA implementation period: Beginning of 2015 through end of 2020. 12. Conduct and complete a technology and software assessment on feasibility of small dispensers to conduct drug tracing at the package level. Planned FDA implementation period: Beginning of 2017 through end of 2020. 13. Publish final guidance on system attributes necessary to enable secure tracing at the package level. Planned FDA implementation period: Beginning of 2018 through late-2022. Planned stakeholder implementation period: Late 2022 through late 2023. 14. Publish final guidance on the standards for interoperable data exchange to enhance secure tracing of product at package level. Planned FDA implementation period: Beginning of 2018 through late-2022. Planned stakeholder implementation period: Late 2022 through late 2023. 15. Develop regulations establishing enhanced drug distribution security system for interoperable electronic tracing of product at the package level. Planned FDA implementation period: Beginning of 2017 through late-2021. Planned stakeholder implementation period: Late 2021 through late 2023 11
  • 12. Nothing is Impossible Pharma IQ: Why invest in serialization? Importance of serialization can be analyzed in three major areas. First of all, serialization of the products ensures the security of public health, since it prevents counterfeit drugs. Serialization prevented counterfeit drugs in Turkish supply chain and both consumers and stakeholders are able to validate whether a product is counterfeit or not. Moreover, manufacturers which serialize the products can prevent economic damage caused by not only counterfeit drug production and sale, but also fraud sales in the supply chain. Our observations on the supply chain showed that, some of the manufacturers suffered from fraud sale reports by their own representatives. helped them to detect such kind of deceitfulness. Finally, serialization with tracking and tracing the serial numbers in each transaction of the products comes with valuable data. These data gives accurate information about the market, which manufacturers invest a considerable amount for the data. Instead of investing for such data, manufacturers can produce more accurate results about the market demand, stock and production predictions. In conclusion, serialization may be seem like a costly operation at the initial stage; however, it promises to cover this cost within a few years. Turkey lead the way in serialization, but how have the country’s requirements evolved in recent years? The key to the success of the is the collaboration with stakeholders, including manufacturers, wholesalers, pharmacists, hospital administrators and reimbursement companies. In the development process of the system, we have held many meetings and workshops to identify the requirements, expectations and problems of stakeholders. Then, we quickly analyzed these problems and responded them as soon as possible. Furthermore, we have monitored the system to decide how we could evolve it further as well as how stakeholders reacted to the regulative and operational changes. It was observed that, stakeholders had different business logic and requirements, therefore, we evaluated each of them separately. Dividing the implementation into phases caused stakeholders to adapt to the system faster. At the end, manufacturers were demanding and expecting new features and modules, instead of rejecting them. The main agenda of the meetings were changed from the problems of stakeholders to their demands. In your opinion, what is the main operational challenge manufacturers face in implementation? I think the most important challenge which manufacturers faced was to adapt their production lines as well as their business logic to the requirements of the system. The system put an extra layer to the operation of production and product transportation between manufacturers and wholesalers. At first in Phase 1, which excludes wholesalers, this extra layer was omitted by some manufacturers to simplify this operation. However, with Phase 2 of , in which wholesalers were also involved in the system, it was not possible for manufacturers to omit sending sales notifications. Therefore, these manufacturers faced an important re-aggregation problem. After such a problem emerged, we provided professional help and include new features to the system to ease their operation. What still surprises you about enabling pharmaceutical traceability? Probably the most interesting fact is to see manufacturers, who strictly stood against the system at first due to its cost in both production line and product transaction, in a behavior of cooperation with . This can be explained by the fact that, İTS was designed for public health as well as manufacturers’ own benefit. Preventing the counterfeit and collecting data which may be used for decision support purposes for manufacturers, took attention of them. Once they realized these opportunities, they were the most ardent supporters of the system. What are you views on utilizing Big Data in the pharmaceutical supply chain? Is it a distraction? Our observation on Turkish supply chain showed that, data collected from the transactions of the products can be used to evaluate the supply chain. Data itself is very promising in Big Data applications for administrative and commercial purposes. The benefits of these data for public health and profit for the manufacturer is still a major research field. Our analysis on the data pointed a major concern on the privacy. Not only manufacturers, each stakeholder including pharmacists has a valuable data set for its current stock as well as its sales and receipts. Keeping these data private and utilizing it primarily for own benefit of the stakeholder has been very important. Moreover, we used the data for predicting drug shortage and detecting black market all over the country at the administrative stage. At the end of the day, although the major purpose of the system is only to prevent counterfeit drugs and secure the supply chain, it produced a data set which is not possible to collect without serialization. 12 Taha Yayci, CEO TechN'arts ITS ITS ITS ITS
  • 13. Dealing with Unknown Unknowns Pharma IQ: Why is serialisation not as straightforward as it seems? On the face of it this seems simple: print a data matrix on each pack so it is readable, verify it, collect the data and then hold it in a database to be able to export as required to regulators or other agencies. In reality, every step involved in achieving this goal requires complex systems to be added to an environment that is already complex in terms of systems and processes; it requires critical decisions to be taken - often on the basis of incomplete information - whose long-term impact may not be fully understood; because every organisation and its requirements are different, a one-size-fits-all solution is not available and the practicalities of implementation are fraught with difficulties: If you hand over the responsibility to implementation to a third party you will never have the required ownership and buy in of your organisation but if you run it in-house, you are unlikely to have the required experience and skills to bring such a complex project, involving many parts of the organisation, to success and will be tripped up by the “unknown unknowns”. What impact is serialisation having on manufacturing effectiveness? This is an area of much discussion and there is a general view that the impact is significant at first and recovery time to get to near where you started can be long and painful. 3C Integrity are taking a keen interest in this question based on our practical experience, and are working with specialist parties to understand better what is going on and to ensure that system specifications address this issue. We are not convinced that the news is as gloomy as it is widely held to be and in fact we think that there are opportunities here for moving to a better level of overall performance. This is one of the areas that we are going to look at in more detail during our forthcoming Serialisation Training session. Who are the critical stakeholders that must be involved in order to make a serialisation program successful? It’s clear that the buy in of the company’s senior stakeholders is essential, after all they need to sanction the significant resources for a complex, lengthy and inevitably expensive project. What is more important to focus on is how you engage with these stakeholders, how you take the case to them in order to get their support: Focusing on the short-term ‘achieving compliance’ outcomes is the typical approach currently taken, but this creates a defensive perspective with the ‘least and latest’ invested setting the framework of the project. I suspect that key things senior stakeholders need to understand is that these projects are not quick and easy – leaving it late is putting 80% of their products at risk. I also think that they need to understand that apparent uncertainty in requirements is not an excuse for not starting. We believe that being much clearer about additional benefits - including the potential for streamlining you production and supply flows and adding greater visibility - is important but these messages are not presented effectively at the moment and the even more promising longer-term benefits in terms of patient safety and engagement, commercial brand support etc. are simply ignored. There seems little appetite for this, with the focus currently very much on licence to operate, to the detriment of wider and more significant benefits that could be gained for everyone who has a stake in this sector: Manufacturers, patients, healthcare professionals as well as payers and wider society as a whole.. Christoph Krähenbühl, Managing Director of 3C Integrity 13
  • 14. Without compliance there’s no business Pharma IQ: What has driven the need for product serialisation? The need for the serialization and traceability is basically ensuring the patient safety and decreasing illegal medicine business. This has led the governments globally enforcing the respective regulations for serialization and traceability. Why do you think some organisations struggle to have a clear and robust roadmap for serialisation / track and trace globally? As this is a regulatory compliance investment, there’s really no return of investment for the organizations. So this is seen as a huge sunk cost just to gain the compliance which is easy to postpone until it becomes a business issue. But then it is too late and still the activities tend to be reactive rather than proactive. Another reason is plain unawareness and lack of competence, especially in SME market. In your opinion what is the top value driver for real time traceability? Compliance, simply. Basically, this is a business continuation and competitiveness issue. Without compliance there’s no business and with the timely and cost-effective implementation there’s possibility to gain implicit price and business advantage in the market compared to the competition. Later on, when the infrastructure is there, it is obvious that the investments done will be leveraged to logistics, warehousing and maybe consumer value add services. What is the greatest concern facing manufacturers in implementing serialisation? Basically manufacturers want to implement the compliance with the minimum impact to the product profitability. This leads to the concerns with the size of the investments, availability of the competent resources, implementation timetables (time to market) and possible increase in the product costs. In addition, there could be collateral costs such as decrease in OEE and stock-outs due to the belated serialization implementation. Do you think there still need for greater education and awareness around the current regulatory guidelines? Absolutely, especially with the senior managements. With the implementing organizations the serialization the awareness is good but then again there might be little implementation knowledge. Any closing thoughts on China’s approach to serialisation? China has done pioneering work in putting in place a very comprehensive solution for the serialization and traceability. Although there’s still much to improve in terms of the technical implementation and global standards support, the solution has been proven to be working. What I especially appreciate in the China approach is providing with consumers and patients an easy medicine authentication over mobile and web. Pasi Kemppainen , Executive Consultant, Serialization & Traceability 14
  • 15. 1, 2,3 Implementing ePedigree in a Global Company Pharma IQ: Can give us an overview about implementing ePedigree in a global company. What have the main challenges been for you? The main challenges to running an ePedigree project can be divided into three parts: 1. technology 2. the organisation 3. vendors Regarding technology, we’re talking about complicated technologies that combine both engineering and IT and it starts from the specification and then the testing and the validation and the implementation, which combines technology, which is very complicated. The second part is the organisation. In many cases, it’s difficult to implement it and there are other priorities within the organisation, it requires a significant CAPEX, so there are many challenges that relate to the organisation itself. And thirdly the vendor where we’re talking about the unique and the new technology. There’s not a lot of experience in the world and there’s a limited number of vendors and their resources are quite limited, so we’re facing a lot of challenges with the vendors, so these are the main challenges that we are facing to a global ePedigree project. What are your own lessons learned from your current implementation in Teva? I think the challenges that I described in the beginning are the issues that I’ve faced and experienced in my projects running in Teva. I think we are running that project in many sites and in different environments and the complications of the technology are also different because there’s a difference in running this project in a manual line rather than running it in a fully automatic line. Of course, it depends also on how much the team is devoted and focused on the project, but in general, this project takes a lot of time. It takes time for the local sites to understand it and to understand where the challenges are, for example, at the beginning of the project, my understanding was that the main part of the project was engineering and later on, I realised that the main part of this project is IT, but at the end of the day, it’s combined, so everything should be a combined effort. A big learning point is that projects like this take time. We thought it would take 8 months, but in most cases it will take a year. What is your approach to overcoming challenges of global supply? Do you have a specific approach at Teva? From the global supply chain, this is something that we’re only at the beginning of because as we know, the manufacture is only the start. The rest of the project will run from the wholesalers and distributors to the pharmacy. From my experience, they are the very beginning, so we’ve started our discussions with our customers of the supply chain, but it’s really at the beginning. The main thing here is how to convert SPUs from non-serialised to serialised and how to run the inventory, and, in some cases, how to run both in parallel, serialised and non-serialised; this is a very complicated project that involves the planners and the guys in the distribution centre and in the warehouse. So I think, in the coming year, we are going to face a lot of challenges in running the project in the supply chain. Ezri Deshen, Global Packaging Engineering, Senior Director at Teva 15
  • 16. Going Global Christian Hay, Delegate Healthcare, GS1 Switzerland Pharma IQ: What current trends have you witnessed in traceability in Healthcare? Traceability has grown in importance over the last years. May be the food problems we experienced (animal diseases, inspiring the EU regulation “from the farm to the fork”, as well as other food segments concerned by large scale recalls), more recently the PIP breast prosthesis scandal, all that concurred to raise attention to traceability. In the healthcare industry, traceability is known for long, but was not given the technical attention that we see currently. Beside UDI (for medical devices), the fight against falsification of medicinal products has become a driver for enhanced traceability processes: How is global standards-based approach the answer to anti-counterfeiting? My believe is that in an open market -free movement of goods and patients- only global standards can provide a response which combines efficiency and sustainability. What we can learn from the retail and other sectors such as electronics, apparels, etc, is that a single global standard allows trading partners doing their business efficiently, regardless the geographical origin of products or their characteristics. It is actually a paradoxical question: nobody challenges what works in food, apparel, electronics. Why would healthcare be different? What is the vision for product identification in the context of the EU Directive on Falsified Medicines? My vision is that trading partners will recognise that converging efforts to make a single global identification and traceability standard meeting accurate market needs, will pay back. Maintaining local solutions in place has a cost, but not only: it is a kind of technical barrier to an open trade such as the free movement of goods. How is GTIN being used today, what are your predictions for future usage? In the healthcare industry, use of GTIN is continuously growing. Surveys have been made in the early 2000, which are going to be made again: they will confirm the massive adoption of GTINs in the healthcare industry -for pharmaceuticals and for medical devices. This will certainly be supported by the recently published ISO specification (ISO TS 16791) and other initiatives. 16
  • 17. Pharmaceutical companies need to take a holistic approach to their serialisation strategy. Implementing serialisation is not just a project it is a change of business processes on both an internal and external level. In order to be successful companies will need to invest a lot of time and money, and get management buy-in. “It is a huge change initiative”, said Kemppainen. “It takes time, it takes people, it takes money, but if there’s a committed top management involved and business owner or, change process owner on a top management level that will then help the tough decision making when they really need to have alignment between very diverse operating local entities at the moment,” he said. In a challenging global pharmaceutical supply chain, implementing serialisation goes beyond legislative compliance and adhering the to the latest regulations. As companies search for better ways to manage packaging and also the traceability of supply chain, there are many benefits to implementing serialisation. It can also be used a very effective tool in improving supply chain and inventory management, increasing brand protection and improving health outcomes. Pharma IQ would like to thank all the speakers and delegates at our events, and the members of the Pharma IQ community. This report would not have been possible without the input and views from a significant number of serialisation and traceability participants and stakeholders. There are too many to mention them all – but everyone who has taken the time to contribute to our websites or to our events has shared their expertise and experiences in the storage and distribution of temperature sensitive pharmaceuticals. That being said a special thank you to those whom we have directly cited: An especially big thank you is due to the pharmaceutical professionals who took part in our Global Pharmaceutical Serialisation & Traceability 2014 Survey Acknowledgements Conclusion 17
  • 18. Phone: +44(0)207 036 1305 Email: enquire@iqpc.co.uk Fax: +44 (0) 207 369 9377 Maximise patient compliance, protect your supply chain and streamline your artwork capabilities all while ensuring regulatory compliance Industry experts, global regulatory influencers and powerful bodies such as ESM, GS1 and EDQM meet annually to discuss the latest advances in the packaging and labelling field. Europe’s leading Packaging and Labelling Summit focuses on overcoming the key challenges facing the industry today and allows you to find the latest developments and solutions to… Pharmaceutical Packaging and Labelling - Basel is THE place to imbed flexibility into your packaging line for 2014! Benchmark with your peers and network with the latest solution providers keeping you at the cutting edge of the packaging and labelling market • Overcome the challenges of global product delivery across emerging markets and the USA • Streamline your artwork capabilities and reduce packaging and labelling recalls • Maximise the safety of your supply chain through track and trace and integrated features such as tamper evidence • Optimise your packaging line with lean implementation and process improvement • Comply to global regulation and implement mass serialisation including the Falsified Medicines Directive • Cost effectively maximise patient safety through innovative pack design • Overcoming the challenges of global product delivery across emerging markets and the USA “Perfect organisation, great setting and high level of speaker panel. All in all an excellent conference!” – HCPC “A very Complete and Diverse Panel” – Roche 10th - 12th June, 2014 Venue: Basel, Switzerland Don’t missour Post-ConferenceSerialisationDay on 12thJune Pharmaceutical PackagingandLabelling Summit 2014
  • 19. www.pharmapackaginglabelling.com Maximise patient compliance, protect your supply chain and streamline your artwork capabilities all while ensuring regulatory compliance 2013’S AUDIENCE FEATURED: 10th - 12th June, 2014 Venue: Basel, Switzerland Are you lookingfor practicalhands-ontraining forserialisationimplementation? heads and directors of packaging and labelling and are responsible globally pharma manufacturers representation onsite end user to vendor ratio 42% 74% 3:1 Who will Attend? Directors and heads of: - Packaging - Labelling - Regulatory affairs - Anti‐counterfeiting - Supply Chain - Quality Assurance Actavis Actelion Active & Intelligent Packaging Antares Vision Astellas Pharma Inc August Faller KG B4ward Baumer hhs GmbH Boehringer Ingelheim Pharma Bolloré Thin Papers Carl Edelmann GmbH Child Safe Packaging Group Merck Serono S.A. NAD PHARMA CONSULTING Novo Nordisk A/S F. Hoffmann-La Roche AG GE Healthcare AS gradient.System integration GS1 Hanmi Pharmaceutical Co. Nordvalls Healthcare NHS Trust - Intertek Schweiz AG Krka, Orion Corporation PGEU Reckitt Benckiser Roche Ltd. Rondo AG Sandoz SICPA Product Security S.A. Novartis Pharma AG Sproxil, Inc Systech International TechNarts Teva EAASM Viropharma SPRL MEDA Pharma EDQM EFPIA Represenative Matthews Brand Solutions UK Turkish Ministry of Health Vifor SA Lilly SA TSP Germany GmbH Laetus GmbH Denny Bros Attendee’s included: Pharmaceutical PackagingandLabelling Summit 2014
  • 20. www.pharmapackaginglabelling.com Are you looking for practical hands-on training for serialisation implementation? Fed up of huge case studies with no relevance to you? Want to see the difficulties and challenges as well as the easy rides? 10th - 12th June, 2014 Venue: Basel, Switzerland Limited places available. Book now to avoid disappointment, please contact us at enquire@iqpc.co.uk The Post-Conference Serialisation Training day on the 12th June is an intensive learning course with practical hands on learning to take home and implement in your company. Walk away at the end of the day armed with a tool kit to implement serialisation in the EU and across the globe, when you get back to your company. Key topics include: • Understanding the regulatory landscape for compliance and deadlines • Strategic planning • Early adopter case studies and examples • Building your tool kit for implantation Mr. Cathcart is responsible for Excellis Health Solution’s strategic direction and growth, as well as cultivating emerging markets. In addition, Mr. Cathcart works directly with clients to understand their business needs and identify approaches to realize the value to be gained by transparent, synchronized solutions. Greg is a recognized industry leader through his work with HDMA, NACDS, GTT and other key professional organizations, and he has been featured in industry journals: Life Science Leader, Drug Store News and Pharmaceutical Commerce. In 2009, AMR Research recognized Mr. Cathcart as one of the top ten influencers in the pharmaceutical supply chain industry. Greg holds a BA degree from Temple University as well as a Master of Business Administration degree from The Fuqua School of Business at Duke University. Gordon Glass is an experienced subject matter expert from the pharmaceutical industry, recently moving to consulting services. He has specialized in GS1 standards, AIDC (Automatic Identification Data Capture), electronic product coding, pharmaceutical serialization/track & trace, and the implementation of pharmaceutical supply chain process/technology. In recent years, he coordinated intelligence gathering of global market requirements for electronic product coding, product serialization, and product track & trace (including e-Pedigree for California). Mr. Glass led global design efforts for a global pharmaceutical company devising compliance solutions for serialization and traceability/authentication. Mr. Glass has a Bachelor’s Degree in Chemistry from Susquehanna University (Selinsgrove, PA) Your Expert Instructors Pharmaceutical PackagingandLabelling Summit 2014
  • 21. About Pharma IQ Pharma IQ, a division of IQPC, is an international online community focusing on providing pharmaceutical professionals with knowledge, information and articles. We are dedicated to creating a learning environment for sharing ideas, best practices and solutions within the pharmaceutical community Through Pharma IQ, you will be able to access pharmaceutical information resources such as presentations and podcasts, as well as events such as webinars, seminars and conferences. By signing up to the Pharma IQ membership, you will gain access to our growing database of multimedia presentations from leading pharma practitioners, weekly newsletters to keep you updated on latest pharmaceutical content and Pharma IQ members-exclusive discounts on pharma events that offer solutions to your everyday business problems. Pharma IQ and IQPC provide useful training courses, conference and expositions for pharmaceutical executives to network and learn the latest pharma business development and trends occurring in organizations today. Pharma IQ focuses on establishing an interactive experience featuring practical, objective and up-to-date insight from pharma industry leaders. Join today for free! www.pharma-iq.com Interested in Finding out More? New Look, New Format, New Ideas - Sign up Today at www.pharma-iq.com The ideas presented in this report will be discussed in further detail at our Global Series of pharmaceutical and biotech events. Hear from leading experts as to how they are successfully finding strategies for success in pharmaceuticals. To find our more or to sign up for an event, visit www.pharma-iq.com or contact our customer services team on customerservice@pharma-iq.com Resources The Pharmaceutical Packaging and Labelling Evolution: Can You Stay Ahead of the Pack? Pasi Kemppainen on Managing & Implementing Pharmaceutical Serialisation Boehringer Ingelheim’s Johannes Schoen on Top Tips for Improving Supply Chain Visibility Drug Supply Chain Security Act (DSCSA) European Commission 21