OPTEL details the law on the security of the drug supply chain

Drug counterfeiting is a long-standing global problem. According to the PSI (Pharmaceutical Technology Institute), cases of drug counterfeiting, theft, and illegal diversion rose to an all-time high of 4,405 worldwide in 2019, twice the number reported in 2014. North America saw the largest number of seizures (1,750) due to counterfeit drugs in the year, followed by Asia.

To combat this growing problem and to reinforce the security of the drug distribution chain, the FDA introduced the Drug Supply Chain Security Act (DSCSA). Signed by then President Obama, the law follows a 10-year, phased implementation plan with yearly compliance deadlines. Some costly and challenging deadlines are already behind us. However, the law comes into effect in November 2023 and violations being sanctioned as of November 2024.

If you’re part in the pharmaceutical industry, an understanding of this critical law and its implications is essential to gauge your organization’s DSCSA readiness. Below we present a complete guide to the DSCSA, crucial timelines, and the mandated requirements.

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WHAT IS THE DRUG SUPPLY CHAIN SECURITY ACT (DSCSA)?

In 2004, the State of California took the first steps towards making prescription drugs safe for patients, with serialization being at the center of these efforts. All pharmaceutical manufacturers and suppliers in the state were required to serialize individual packages and provide electronic proof of origin for every product that traveled through the supply chain. The idea behind this initiative was to make it easy to detect forgeries and initiate recalls if need be.

Witnessing the success of the method in California, the FDA filed for a nationwide solution against drug counterfeiting in the form of the Drug Supply Chain Security Act (DSCSA). Essentially, the law outlines vital requirements towards building a complete electronic system for tracking and identifying prescription drugs on sale in the US. The law envisions:

  • Interoperable, electronic exchange of Transactional Statements and Transactional Information between members of a pharmaceutical supply chain
  • Interoperable tracing of Transactional Statements and Transactional Information back to the manufacturer for each unit sold
  • Interoperable verification of the Product Identifier, including the serial number, lot number, GTIN/NDC, and expiration date (NOTE: For the human-readable portion of the identifier, the FDA recommends against using the GTIN in place of a separate NDC.)

The focus here is interoperability. DSCSA strives to provide a smooth, secure, and confidential data flow amongst trading partners.

THE DSCSA’S FINAL IMPLEMENTATION PHASE

Over its 10-year implementation period, the DSCSA promises to accomplish three goals.

  • Create an end-to-end verification system to validate the legitimacy of a drug, all the way down to the package level.
  • This, in turn, achieves the second proposed objective – easy detection of illegitimate products in the pharmaceutical supply chain.
  • Finally, towards the end of the implementation phase, it pledges to accomplish an interoperable, self-sufficient system with chain-wide traceability, allowing for easy identification and recall.

As we approach the DSCSA’s final implementation deadline, pharmaceutical companies are expected to include unit level serial numbers into the transaction information of prescription drugs and be able to exchange the data electronically. For this to happen, aggregation is being adopted by the industry. Learn more about the DSCSA 2023 requirements by downloading our guideline:

DSCSA 2023 Guideline

WHAT IS 3T DOCUMENTATION?

In the pharmaceutical supply chain, all trading partners are licensed either by the FDA or a State Board of Pharmacy. Members of the supply chain can buy or sell products only to those parties with active licenses. This effectively means that each partner in the supply chain is regularly evaluating the licenses of its customers and suppliers.

Along with the licenses, the seller must provide standardized transaction documents to their customers for each shipment. These documents include:

TRANSACTIONAL INFORMATION (TI)

This document describes the specifics of the current transaction. It includes:

  • The name of the product
  • Dosage and strength of the product
  • NDC (National Drug Code)
  • Lot number
  • Date of transaction
  • Date of shipment
  • Container information
  • Number of containers

If more than 24 hours have passed since the transaction date, the Date of shipment is to be included.

TRANSACTIONAL HISTORY (TH)

The TH outlines all the transactions a product has gone through, starting from the manufacture. This is essentially a bunch of TIs attached together for reviewing a product’s entire supply chain journey.

TRANSACTIONAL STATEMENT (TS)

The TS is a declaration confirming that the seller:

  • Is authorized and registered
  • Has received the product from a registered and authorized party
  • Did not purposefully change the transaction history
  • Did not purposefully ship any ineligible, counterfeit, or suspicious product
  • Has acknowledged the transaction statement and information from the previous seller in the supply chain

Beginning November 27, 2023, only TI and TS will be required. However, TI requirements will be extended to include product identifier data for all packaging levels. Since the National Drug Code (NDC) and lot number are already in the TI data, this means only the serial numbers and expiration dates will need to be added.

WHAT ARE THE SERIALIZATION REQUIREMENTS UNDER DSCSA?

By November 27, 2020, all key players in the pharma supply chain, including repackagers, manufacturers, distributors, and dispensers, must generate, authenticate, and verify serial numbers for all packages traveling through the chain.

This means all packaging levels must have complete serialized product identifiers. As for the serial numbers themselves, the Standardized Numeric Identifiers (SNI) must be generated as per the 2009 FDA directive. SNIs consist of the 20-character NDC (National Drug Code), batch/lot number, Global Trade Item Number (GTIN), and expiration date. Also, the smallest saleable unit needs to be packaged with a 2D Barcode Matrix with human-readable text. Shipping cases also require an SNI with a Serial Shipping Container Code (SSCC).

WHAT ARE THE AGGREGATION REQUIREMENTS UNDER DRUG SUPPLY CHAIN SECURITY ACT (DSCSA)?

To help comply with verification requirements and to easily share data with trading partners, the FDA encourages the adoption of aggregation. What is aggregation? With both drugs and transport units (bundle, pallets, and containers) serialized, a system of hierarchical serialization is achieved. In a bundle of cases carrying bottles, for instance, each bottle features a unique serial number, as does the case. This forms an aggregate relationship between the case and the bottle.

REASON FOR AGGREGATION

The hierarchical serialization makes it possible to identify items accurately in the supply chain and to detect suspicious activities. However, that’s not it. Aggregation also confers time and cost-saving benefits on pharmaceutical manufacturers and packagers. For instance, repackagers don’t need to spend time scanning every smallest saleable unit, and can only scan the parent. This, naturally, results in substantial time savings.

REQUIREMENT AND TIMELINE

Pharmaceutical manufacturers and supply chain members must achieve complete, interoperable track-and-trace aggregation by November 27, 2023. If you have not chosen an aggregation system yet, contact OPTEL for a full line evaluation and system recommendation.

HOW TO MANAGE DATA EXCHANGE WITH TRADE PARTNERS

Once the DSCSA is in full effect, serialization compliance will affect your business far beyond the production line. In reality, you will have to exchange data with different organizations, each with its own system and data formats.

To build such an interoperable system, you’ll need:

  • Processes and systems to inspect the product down to the item-level
  • Systems to reliably process transaction history
  • To handle various file formats such as CSV, XML, EPCIS
  • An interoperable tracing system
  • Data exchange protocols such as EDI, SFTP, or APIs
  • A system to exchange 3T documentation

Investing in intelligent supply chain software can help you achieve robust serialization, traceability, and aggregation capabilities and prepare you for the final DSCSA deadline.

EXEMPTIONS UNDER DSCSA

Not all medical products fall into the DSCSA jurisdiction. Here are some medical products exempt from the requirements of the Act:

  • Intracompany distributions
  • Distribution of product samples
  • Distribution of over-the-counter drugs
  • Medical convenience kits
  • Anesthetics, Anti-coagulants, Vasopressor, IV solutions, Sympathomimetics
  • Approved animal drugs
  • Medical gas distribution
  • Blood and blood components for transfusion

If you want to understand more and how to put the systems in place to meet these compliance requirements, our expert will be more than happy to assist you.

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