MINISTRY OF HEALTH
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SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
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No. 29/2020/TT-BYT
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Hanoi, December 31, 2020
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CIRCULAR
AMENDMENTS TO AND ABROGATION OF SOME LEGISLATIVE DOCUMENTS
PROMULGATED OR JOINTLY PROMULGATED BY THE MINISTER OF HEALTH
Pursuant to the Law on
Promulgation of Legislative Documents dated June 22, 2015 and the Law dated
June 18, 2020 on Amendments to the Law on Promulgation of Legislative
Documents;
Pursuant to the Law on
Pharmacy dated April 06, 2016;
Pursuant to the Law on
Tobacco Harm Prevention and Control dated June 18, 2012;
Pursuant to the
Government's Decree No. 54/2017/ND-CP dated May 08, 2017 on elaboration of the
Law on Pharmacy;
Pursuant to the
Government's Decree No. 69/2018/ND-CP dated May 15, 2018 on elaboration of the
Law on Foreign Trade Management;
Pursuant to the
Government's Decree No. 96/2012/ND-CP dated November 15, 2012 on opioid
substitution therapy;
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Pursuant to the
Government's Decree No. 34/2016/ND-CP dated May 14, 2016 on elaboration of the
Law on Promulgation of Legislative Documents;
Pursuant to the
Government’s Decree No. 75/2017/ND-CP dated June 20, 2017 on functions, tasks,
powers and organizational structure of the Ministry of Health;
At the request of the
Director of the Legal Department,
The Minister of Health
promulgates a Circular on amendments to and abrogation of some legislative
documents promulgated or jointly promulgated by the Minister of Health.
Article
1. Amendments to some legislative documents on cosmetics, pharmacy, prevention
and control of HIV/AIDS, and food safety
1. Amendments to some
Articles of Circular No. 06/2011/TT-BYT dated January 25, 2011 of the Minister
of Health on cosmetics management (hereinafter referred to as “Circular No.
06/2011/TT-BYT")
a) Clause 4 Article 4 is
amended as follows:
“4. Certificate of Free
Sale (CFS) of imported cosmetic products:
a) Cases of CFS
exemption:
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- The cosmetics products
are marketed in and exported from a CPTPP member country: The enterprise
responsible for marketing of the products shall submit documents proving that
the products have been marketing in the CPTPP member country that are issued by
competent authorities of the same country (marketing authorization or
registered cosmetic product notification or other documents certifying the
marketing of the products in the country) and consularly legalized as
prescribed by law, unless:
+ These documents are
exempt from consular legalization under an international treaty to which the
Socialist Republic of Vietnam (hereinafter referred to as “Vietnam”) is a
signatory or under principle of reciprocity between Vietnam and the issuing
country;
+ A diplomatic authority,
cosmetics management authority or issuing authority of the CPTPP country sends
a physical document or email to Drug administration of Vietnam to certify these
documents;
+ The enterprise
responsible for marketing of the products obtains these documents from the
website (in English) of the issuing authority of the CPTPP member country which
bear the seal of the enterprise and sends it together with the link to that
website to Drug Administration of Vietnam. The enterprise shall be legally
responsible for the legitimacy and accuracy of these documents and information;
- The cosmetics products
have been granted a product notification number in an ASEAN country, in which
case the enterprise responsible for marketing of the products shall submit the
cosmetic product notification which is consularly legalized, unless:
+ The cosmetic product
notification is exempt from consular legalization under an international treaty
to which Vietnam is a signatory or under principle of reciprocity between
Vietnam and the issuing country;
+ A diplomatic authority,
cosmetics management authority or issuing authority of the ASEAN country sends
a physical document or email to Drug administration of Vietnam to certify the
cosmetic product notification;
+ The enterprise
responsible for marketing of the products obtains the cosmetic product
notification from the website (in English) of the issuing authority of the
CPTPP member country which bears the seal of the enterprise and sends it
together with the link to that website to Drug Administration of Vietnam. The
enterprise shall be legally responsible for the legitimacy and accuracy of
these documents and information;
b) Except for the cases
of CFS exemption specified in Point a of this Clause, the application for
notification of imported cosmetic products shall have a CFS that satisfies the
following requirements:
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- The CFS is consularly
legalized as prescribed by law, unless:
+ Consular legalization
is exempt under an international treaty to which Vietnam is a signatory or
under principle of reciprocity between Vietnam and the issuing country;
+ The issuing authority
or a diplomatic authority sends a physical document or email to Drug
Administration of Vietnam to certify the CFS;
- The CFS contains at
least the information specified in Article 36 of the Law on Foreign Trade Management
and Clause 3 Article 10 of the Government's Decree No. 69/2018/ND-CP dated May
15, 2018 on elaboration of the Law on Foreign Trade Management (hereinafter
referred to as “Decree No. 69/2018/ND-CP).”;
b) Appendix No. 01-MP
enclosed with Circular No. 06/2011/TT-BYT is amended by Appendix 1 hereof;
c) Article 33 is amended
as follows:
“Article 33.
Procedures and application for CFS for export of domestically manufactured
cosmetic products
1. The application for
CFS for export of domestically manufactured cosmetic products shall be prepared
in accordance with Article 11 of Decree No. 69/2018/ND-CP. The document about
applied standards may be replaced with the registered cosmetic product
notification (01 copy bearing the trader’s seal).
2. The procedures for
issuance of the CFS for export of cosmetic products are specified in Article 11
of Decree No. 69/2018/ND-CP.
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4. Provincial Departments
of Health shall issue and manage CFS for export of cosmetic products
manufactured in their provinces.”.
2. Appendix VII of
Circular No. 20/2017/TT-BYT is amended as follows:
The following text is added
to the end of Appendix VII (List of drugs and active ingredients banned from
certain fields): “This List includes all salts (if any) of the substances
specified in herein.”.
3. Point dd Clause 2
Article 17 of Circular No. 02/2018/TT-BYT is amended as follows:
“dd) Upload quarterly
reports on the list of pharmacies in the province which have been granted
Certificates of eligibility for pharmacy business, and their degrees of
fulfillment of GPP requirements as prescribed in Clause 4 Article 8 herein to the
website of Drug Administration of Vietnam.”.
4. Point dd Clause 3
Article 18 of Circular No. 03/2018/TT-BYT on good distribution practice is
amended as follows:
“dd) Monthly upload the
list of local distributors that have been issued with the certificate of
eligibility for pharmacy business and status of GDP compliance according to
Clause 4 Article 8 of this Circular to website of the Drug Administration of
Vietnam.”.
5. Amendments to Circular
No. 32/2018/TT-BYT dated November 12, 2018 on registration of drugs and
medicinal ingredients (hereinafter referred to as “Circular No.
32/2018/TT-BYT"):
a) Point c Clause 3
Article 23 is amended as follows:
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- Consularly legalized
documents (original copies or authenticated copies);
- The applicant shall
send the legal documents that are downloaded from the English website of the
issuing authority and bear the confirmation seal of the applicant together with
a document specifying the download links to Drug Administration of Vietnam. The
applicant shall be legally responsible for the legitimacy and accuracy of these
documents and information.”;
b) Point c Clause 4 of
Article 23 is abrogated;
c) Point e and Point g
Clause 4 of Article 23 are amended as follows:
“e) An application for
marketing authorization of new modern drugs, imported biologics other than
probiotics shall have a CPP issued by a competent authority of the
manufacturing country with a confirmation that the drug is licensed and
marketed in that country in reality. In case the CPP is not issued by EMA,
legal documents issued by one of the regulatory authorities specified in Clause
9 or Clause 10 Article 2 of this Circular. The legal documents shall contain at
least the following information: drug name, active ingredients and their
concentration or content, dosage form, name and address of the manufacturing facility,
confirmation that the drug is licensed and marketed in that country in reality;
g) An application for
marketing authorization of an imported vaccine shall have a CPP issued by a
competent authority of the manufacturing country with a confirmation that the
drug is licensed and marketed in that country in reality. In case the CPP is
not issued by EMA, legal documents issued by one of the regulatory authorities
specified in Clause 9 or Clause 10 Article 2 of this Circular. The legal
documents shall contain at least the following information: drug name, active
ingredients and their concentration or content, dosage form, name and address
of the manufacturing facility, confirmation that the drug is licensed and
marketed in that country in reality;
d) Point dd below is
added to Clause 12 of Article 23:
“dd) For excipients in
the application for registration of finished drugs/semi-finished medicinal
ingredients:
If the documents
specified in Point a, b, d of this Clause cannot be provided, the manufacturer
of the finished drugs/semi-finished medicinal ingredients shall carry out
self-assessment of its good manufacturing practice in accordance with Point dd
Clause 1 Article 3, Point b Clause 3 Article 3 and Point dd Clause 5 Article 20
of Circular No. 35/2018/TT-BYT and make a self-declaration of GMP and take
legal responsibility for such declaration according to Form 13/TT enclosed
herewith”;
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“3. Minor variations that
only require notification:
a) For minor variations
that only require notification (MiV-N1, MiV-N2, MiV-N3, MiV-N4, MiV-N6, MiV-N7)
specified in Appendix II hereof: The authorization holder shall take
responsibility for these variations from the date written on the receipt note.
Within 15 working days from the date written on the receipt note, Drug
Administration of Vietnam shall update these minor variations to its website;
b) For minor variations
that only require notification other than those mentioned in Point a of this
Clause: Within 15 working days from the date written on the receipt note, Drug
Administration of Vietnam shall approve these variations and update the
marketing authorization if the application is satisfactory, or make a written
response and provide explanation if the application is not satisfactory; update
these minor variations to the website of Drug Administration of Vietnam and
inform the applicant.”;
e) The title of Clause 2
Article 47 is changed as follows: “2. Effective periods of marketing
authorizations that expire during the period from January 01, 2018 to December
31, 2021, including those that have their effect maintained, will be extended
for 12 more months if all of the following requirements are satisfied:”
g) Clause 5 below is
added to Article 47:
“5. Effect of GMP certificates:
a) For GMP certificates
issued by pharmacy authorities of countries in European Economic Area (EEA):
- GMP certificates that
are extended under EMA’s Notice dated April 10, 2020 regarding policies on
drugs for human use during Covid-19-19 pandemic will be effective until
December 31, 2021. In case EMA issues a new notice, the newer one shall
prevail;
- In case a new GMP
certificate has been issued, the effective period of the new certificate shall
apply;
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h) Clause 3 of Article 48
is amended as follows:
“3. Regarding
applications for renewal or revision of the marketing authorization submitted
before December 31, 2021: specifications of the drug product, active ingredients,
herbal ingredients, name and address of manufacturers thereof are not
requirements in the CPP.”;
i) Clause 5 and Clause 6
below are added to Article 48 as follows:
“5. For domestically
manufactured drugs/medicinal ingredients whose marketing authorizations have
been granted before December 31, 2020, if the authorization holder wishes to
import medicinal ingredients that are excipients or capsule shells into
Vietnam: Before the first import, the authorization holder shall update the
information about medicinal ingredients that are excipients or capsule shells
in the approved application to the online public service system of Drug
Administration of Vietnam. Within 05 working days from the day on which the
update is completed, Drug Administration of Vietnam shall complete the
announcement process. The applicant shall be held responsible for the accuracy
of the updates and is not required to update information upon the next import.
6. Regulations on
authentication of legal documents in applications for issuance, renewal,
revision of the marketing authorization submitted before December 31, 2021: It
is not mandatory to have the result of authentication of legal documents
prescribed in Clause 1 Article 12 of this Circular before the date of issuance,
renewal or revision unless the legal documents are electronic files that do not
satisfy the requirements specified in Clause 1, Point a and Point b Clause 3
Article 23 of this Circular, in which case the result of authentication of
these legal documents is required before the date of issuance, renewal or
revision.
In case a diplomatic
authority or a competent authority of Vietnam or the foreign country issues a
document to disprove the authenticity of the legal documents in the
application, Drug Administration of Vietnam shall consider handling the case in
accordance with Clause 5 Article 42 and Point h Clause 1 Article 50 of this
Circular.”;
k) Point o below is added
to Clause 1 of Article 50:
“o) Publish the list of
website of issuing authorities of the legal documents specified in Point c
Clause 3 Article 23 of this Circular.”;
l) Form No. 13/TT
“Declaration of application of GMP principles for excipients applied by other
international organizations or foreign regulatory authorities” in Appendix 2
hereof is added to Circular No. 32/2018/TT-BYT.
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a) Clause 1 Article 3 is
amended as follows:
“1. The following GMP
principles shall be applied:
a) WHO GMP principles
provided in the Appendix I hereof and updated documents specified in Clause 4
of this Article;
b) Principles of WHO - GMP
for biological medicinal products derived from Human Blood or Plasma provided
in the Appendix II hereof and updated documents specified in Clause 4 of this
Article;
c) GMP principles of
Pharmaceutical Inspection Co-operation Scheme provided in the Appendix I hereof
and updated documents specified in Clause 4 of this Article;
d) EU - GMP principles
provided in the Appendix IV hereof and updated documents specified in Clause 4
of this Article.
dd) WHO GMP principles
for medicinal ingredients that are excipients listed in Appendix IIa hereof and
the updated documents specified in Clause 4 of this Article.”;
b) Clause 3 of Article 3
is amended as follows:
“3. Application of other
GMP principles:
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In addition to the GMP
principles specified Clauses 1 and 2 of this Article, other GMP principles
proved equivalent to EU - GMP principles promulgated by pharmacy authorities of
SRA countries may be applied. Manufacturers of drugs and medicinal ingredients
that apply these GMP principles shall produce and certify translations in
accordance with regulations of law on notary and authentication; send these
transactions to Drug Administration of Vietnam for uploading onto its website
and the website of the Ministry of Health;
b) For manufacturers of
excipients:
In addition to the GMP
principles mentioned in Point dd Clause 1 of this Article, manufacturers of may
apply other GMP principles of International Pharmaceutical Excipients Council
(IPEC), the Certification Scheme for Pharmaceutical Excipients (EXCiPACT),
American National Standards Institute (ANSI), United States Pharmacopeia (USP)
or other principles for manufacture of excipients applied by other
excipient-related international organizations or foreign regulatory
authorities.";
c) Clause 16 below is
added to Article 4:
“16. Manufacturers of
excipients shall apply GMP principles and regulations of Appendix IIa hereof or
other GMP principles mentioned in Clause 3 Article 3 of this Circular and
updated documents mentioned in Clause 4 Article 3 of this Circular. In case
WHO, IPEC, EXCiPACT, ANSI, USP or other international organizations relevant to
excipients used for manufacture of drugs, cosmetics, foods publish updates to
their GMP principles (hereinafter referred to as “updated documents”) on their
websites, manufacturers of excipients shall apply the updated documents within:
a) 12 months in case of
any change of premises or manufacturing equipment, from the date on which
updated documents are published;
b) 06 months in case of
updates other than those specified in Point a of this Clause, from the date on
which updated documents are published.”;
d) Point h below is added
to Clause 2 of Article 12:
“h) The manufacturer
produces medicinal ingredients that are excipients.”;
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“dd) Manufacturers of
drug products and semi-finished products shall, on the basis for the purposes
and uses of the excipients at the manufacturing facility, carry out
self-assessment of compliance to GMP principles specified in Point dd Clause 1
Article 3 and Point b Clause 3 Article 3 of this Circular regarding the
recipients used at the facility.”;
e) Appendix 3 hereof
(Good Manufacturing Practices: Pharmaceutical excipients) is added as Appendix
IIa after Appendix II of Circular No. 35/2018/TT-BYT.
7. Clause 6 Article 9 of
Circular No. 36/2018/TT-BYT dated November 22, 2018 on good storage practices
(GSP) for pharmaceutical products and pharmaceutical starting materials is
amended as follows:
“6. After submitting the
operation and GSP compliance report within the prescribed time limit, the
storage facility is entitled to carry on the business operations specified in
the certificate for eligibility for pharmacy business until the result of
periodic inspection of GSP compliance is available and shall maintain the GSP
compliance throughout its operation.".
8. Amendments to Circular
No. 15/2019/TT-BYT dated July 11, 2019 of the Minister of Health on drug
biddings at public health facilities:
a) Clause 3 Article 7 is
amended as follows:
“3. Category 3 includes
drugs that are granted marketing authorization or license for import for
marketing in Vietnam and have bioequivalence reports published by Drug
Administration of Vietnam.”;
b) Clause 5 of Article 7
is amended as follows:
“5. Category 5 includes
drugs that are granted marketing authorization or licenses for import for
marketing in Vietnam.”;
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“a) Legal documents
issued by pharmacy authorities of SRA countries. These documents must bear full
names and signatures of the signers and seals of the competent authorities of
the countries and be consularly legalized legalization (original copies or
certified true copies).
In case of electronic
legal documents, including those without signers’ full names and signatures and
seals of the competent authorities, the applicant shall send the documents
obtained from English website of the issuing authority to Drug Administration
of Vietnam. These documents shall bear the applicant’s seal and be enclosed
with a document containing the download links. The applicant shall be legally
responsible for the legitimacy and accuracy of these documents.
The legal documents shall
have the following contents: drug name, active ingredients, their concentration
or content, dosage form, name and address of the manufacturing facility,
certification that the drug is approved for market authorization in that
country.”;
d) Appendix No. 3 of
Circular No. 15/2019/TT-BYT is amended by Appendix 4 hereof;
dd) Clause 1 of Section 1
and Clause 13 of Section II Part 4 of Appendix 7 and Appendix 8 of Circular No.
15/2019/TT-BYT are amended by Appendix 5 hereof.
9. Point a Clause 2
Article 14 of Circular No. 14/2015/TT-BYT dated June 25, 2015 on methadone
management is amended as follows:
“a) The methadone dose
must be taken in the presence of a health worker, unless methadone is provided
by the health facility for home use as instructed by the Ministry of Health;”.
10. Amendments to
Circular No. 18/2019/TT-BYT dated July 17, 2019 of the Minister of Health on
good manufacturing practice (GMP) for health supplements:
a) Clause 3 Article 3 is
amended as follows:
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b) The title of Clause 1
of Article 4 is amended as follows:
“1. Imported health
supplements shall be manufactured by a manufacturer that has been granted one
of the following certificates or confirmations by a competent authority of the
manufacturing country (including food safety regulator or organization
designated or acknowledged by the food safety regulator or another country’s
organization acknowledged by the regulatory authority of the manufacturing
country):”;
c) Point a Clause 1 of
Article 4 is amended as follows:
“a) Certificate of GMP
compliance if it is a manufacturer of health supplements or Certificate of Free
Sale (CFS) stating that the product is manufactured by a GMP-compliant
facility;”;
d) Point c Clause 1 of
Article 4 is amended as follows:
“c) Regarding the
countries or territories that do not issue the certificates specified in Points
a and b of this Clause, the manufacturer of health supplements need to obtain a
written confirmation that the GMP certificate is not issued in such countries
from a competent authority or on the official website of a competent
authority;”;
dd) Clause 2 of Article 4
is amended as follows:
“2. A certificate or
confirmation mentioned in Points a and b Clause 1 of this Article (except CFS
with the contents specified in Point a Clause 1 of this Article) shall contain:
a) Name of the issuing
authority;
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c) Expiration date (if
the expiration date is not written on the certificate or confirmation, an
assessment report or periodic inspection record are required to prove that the
manufacturer still maintains its fulfillment of food safety conditions, or the
assessment/inspection time must be provided for by legislative documents of the
country of origin);
d) Full name and
signature of the person issuing the certificate;
dd) Name and address of
the certificate holder;
e) Scope covered by the
certificate.”;
e) Clause 2 Article 5 and
the paragraph “The provisions of this Clause shall come into force on the
effective dates of the legislative documents mentioned in Clause 2 Article 5 of
this Circular” in Point b Clause 1 Article 4 are abrogated.
g) Paragraph 3.7 of Section
III of the Appendix of Circular No. 18/2019/TT-BYT is amended as follows:
“3.7. In case the health
supplements, herbal medicines and traditional medicines are manufactured by the
same line, appropriate measures must be taken to prevent confusion and
cross-contamination (refer to section 6.19).”.
11. The paragraph
“Regulations on maximum permissible contents of tar and nicotine specified in
QCVN 16-1:2015/BYT are effective until December 31, 2020” in Article 2 of
Circular No. 23/2015/TT-BYT dated August 20, 2015 promulgating the National
technical regulation for cigarette is amended as follows:
“Regulations on maximum
permissible contents of tar and nicotine specified in QCVN 16-1:2015/BYT will
be reviewed every 02 years and adjusted where necessary”.
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28 legislative documents
promulgated or jointly promulgated by the Minister of Health specified in
Appendix 6 hereof are abrogated.
Article
3. Effect
1. This Circular comes
into force from February 15, 2021.
2. Regulations of Clauses
5, 6, 7, 8 and 11 Article 1 of this Circular come into force from January 1,
2021.
3. Regulations on online
submission and access of documents shall apply during Covid-19 pandemic until
revised by the Ministry of Health.
Article
4. Transition clauses
1. The documents that are
submitted before the effective date of this and are still processed will apply
relevant regulations of this Circular or the regulations that are effective
before the effective date of this Circular, whichever is more convenient for
enterprises, organizations and individuals.
2. Regulations of this
Circular on online publishing, update, declaration and reporting of information
shall be applied as instructed by competent authorities.
Article
5. Responsibility for implementation
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MINISTER
Nguyen Thanh Long
APPENDIX 2
(Promulgated together with Circular No. 29/2020/TT-BYT
dated 31/12/2020 of the Minister of Health)
Form
No. 13/TT
DECLARATION OF
COMPLIANCE TO GMP REGULATIONS OR OTHER REGULATIONS/STANDARDS FOR MANUFACTURE OF
EXCIPIENTS APPLIED BY OTHER INTERNATIONAL ORGANIZATIONS OR FOREIGN REGULATORY
AUTHORITIES
Is the
manufacturer of the drug or semi-finished medicinal ingredient below:
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Active
ingredients, content/concentration:
Dosage
form:
Which has
been granted marketing authorization by the Ministry of Health (Drug
Administration of Vietnam) of Vietnam.
On the
basis of the purposes and uses of excipients in the formula in the manufacture
of the finished drug product or medicinal ingredient;
On the
basis of our assessment of risks and impacts of the excipients to safety of
users, dosage form, manufacturing process and evaluation of ingredient
suppliers,
We hereby
declares that the following excipients manufactured in our facility comply to
GMP regulations or other regulations/standards for manufacture of excipients
applied by other international organizations or foreign regulatory authorities
prescribed in Point dd Clause 12 Article 23 of Circular No. 32/2018/TT-BYT and
are suitable for the purposes of manufacture of the drug product or medicinal
ingredient:
No.
Name of excipient
Excipient manufacturer
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Applied standards
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We are legally individual this declaration./.
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APPENDIX 3
(Promulgated together with Circular No. 29/2020/TT-BYT
dated 31/12/2020 of the Minister of Health)
APPENDIX IIA
GOOD MANUFACTURING PRACTICES: PHARMACEUTICAL EXCIPIENTS
(The Ministry of Planning and Investment Circular No. 35/2018/TT-BYT dated November
22, 2018 of the Minister of Health)
TABLE OF CONTENTS
1.
General
considerations
2.
Glossary
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4.
Equipment
4.1.
Use of equipment
4.2.
Cleaning programme
4.2.1.
Detailed cleaning procedure
4.2.2.
Sampling plan
4.2.3.
Analytical methods/cleaning limits
5.
Materials
5.1.
General
5.2.
Starting materials
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5.4.
Returned excipients
5.5.
Storage practices
6.
Documentation
6.1.
General
6.2.
Specifications
6.3.
Batch production records
6.4.
Other documents
7.
Good
practices in production and quality control
7.1.
Change control and process validation
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7.2.1.
Prevention of cross-contamination
7.2.2.
In-process blending/mixing
7.2.3.
Control of microbial contamination
7.2.4.
Water systems/water quality
7.2.5.
Packaging operations
7.2.6.
Delivery
7.3.
Good practices in quality control
7.3.1.
General
7.3.2.
Control of starting
materials
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7.3.4.
Quality records and retention samples
7.3.5.
Stability studies
7.3.6.
Expiry/re-evaluation dating
7.3.7.
Calibration of measuring and test equipment
1.
General
considerations
These guidelines, which focus on aspects of good
manufacturing practices (GMP) specific for pharmaceutical excipients,
supplement the general GMP guidelines for pharmaceutical products published by
WHO. They also incorporate some of the concepts for quality management systems
determined by the International Organization for Standardization (ISO).
Excipients significantly affect the finished
product quality, in some cases making up almost the entire formulation. Many
pharmaceutical excipients are used in much greater quantities in other
industries such as the food, cosmetic or industrial chemical industry.
Consistency and rigour of product specifications may not be as critical in
these industries as they are for pharmaceuticals, and many of the excipients
used are highly variable . Therefore, a programme must be in place which will
monitor these excipients and provide the necessary assurance that they meet the
quality parameters for pharmaceutical manufacturing processes. The purpose of
this document is to lay out some criteria which may be used to achieve this
level of assurance.
The formulator of the finished dosage form is
highly dependent on the excipient manufacturer to provide bulk substances that
are uniform in chemical and physical characteristics. This is particularly
important in the product approval process, where bioequivalence comparisons are
made between clinical bioequivalence (“biobatch”) production and commercial
scale-up batches. To provide adequate assurance of drug product performance in
vivo, the excipient used to manufacture commercial batches should not differ significant
from what used in biobatches. Where significant differences may be expected,
additional testing by the finished dosage manufacturer may be required to
establish the bioequivalence of the finished product. It remains equally
important to ensure that the bioequivalence of the subsequent, post-approval
commercial batches of drug products is not adversely affected over time.
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In the manufacture of excipients, the
environmental conditions, equipment and operational techniques employed reflect
the chemical industry rather than the finished drug manufacturing industry. In
some processes chemical and biochemical mechanisms have not been fully
characterized; therefore, the methods and procedures for materials
accountability will often differ from those applicable to the manufacture of
finished dosage forms. Many chemical processes are performed in closed systems
that tend to provide protection against contamination, even when the reaction
vessels are not enclosed in buildings. However, this does not preclude the
introduction of contaminants from equipment, materials used to protect
equipment, corrosion, cleaning and personnel.
Some excipient manufacturing processes may
require observance of GMP applicable to finished drug products or bulk active
ingredients because of the excipient’s intended use. However, such observance
is neither feasible nor necessary in many processes, particularly during the
early processing steps. The requirements increase as the process progresses. At
some logical processing step, usually well before the final finishing
operation, appropriate GMP should be imposed and maintained throughout the
remainder of the process. To determine the processing step at which these GMP
should be implemented, good judgment and a thorough knowledge of the process
are required. A detailed process flow should identify the unit operations,
equipment used, stages at which various substances are added, key steps in the
process, critical parameters (time, temperature, pressure, etc.) and monitoring
points.
An excipient manufacturer should be able to
identify critical or key points in the process where selective intermediate
sampling and testing is necessary in order to monitor process performance.
Towards the end of the process, the records should be increasingly thorough.
Significant processing steps, required to
produce an excipient that meets the established physical and chemical criteria,
should be identified by the excipient manufacturer. These steps can involve a
number of unit operations or unit processes. Unit operations include physical
processing steps involving energy transfer where there is no chemical change of
the molecule. Unit processes are those processing steps where the molecule
undergoes a chemical change.
Significant processing steps include but are not
limited to the following:
-
Phase
changes involving either the desired molecule, a solvent, inert carrier or
vehicle (e.g. dissolution, crystallization, evaporation, drying, sublimation,
distillation or absorption).
-
Phase
separation (e.g. filtration or centrifugation).
-
Chemical
changes involving either the desired molecule (e.g. removal or addition of
water of hydration, acetylation, formation of a salt).
-
Adjustments
of the solution containing the molecule (e.g. adjustment of pH).
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Mixing of
multiple components.
-
Changes
that occur in the surface area, particle size or batch uniformity (e.g.
milling, agglomeration, blending).
Automated process controls and processing
equipment are more likely to be used in an excipient plant than in a plant
manufacturing finished dosage forms. Use of automated equipment is appropriate
when adequate inspection, calibration and maintenance procedures are performed.
Production equipment and operations will vary depending on the type of
excipient being produced, the scale of production, and the type of operation
(i.e. batch versus continuous).
ISO “certification” for excipient manufacture is
increasingly being required by final dosage formulators in the USA, Europe and
Japan. Compliance to ISO 9000 series, in particular to ISO 9002, can confer
greater acceptability of a supplier’s excipients in world markets. There is
additional value to applying the principles of ISO 9000 to excipient
manufacture, since quality system measures enhance GMP. Such ISO considerations
as conformance to specific customer requirements, purchase of raw materials and
statistical techniques benefit both the excipient customer and the
manufacturer, and strengthen the relationship between the two.
It is therefore recommended that excipient
manufacturers establish and implement a formal company-wide quality policy.
Management should be committed to this policy and should appoint appropriate
company personnel to be responsible for coordination and implementation of the
quality system. Management should participate in the development of the
company’s quality policy and provide the resources necessary for development,
maintenance and periodic review of such a policy and quality system. Any
significant changes in the processes should be validated with respect to
excipient performance. It is recommended that all pharmaceutical manufacturers
and also local agents should be informed of these changes. Ideally, excipient
manufacturers should not subcontract any part of their process without the
explicit knowledge of the pharmaceutical manufacturer.
Safe handling instructions should be provided by
the excipient manufacturer to ensure that the purchaser is adequately equipped
to handle the material. This should include information on the material’s
toxicity and the measures to be taken upon accidental exposure. The equipment
requirements for proper handling of the material should also be established.
2.
Glossary
The definitions given below apply to the terms
used in these guidelines.
They may have different meanings in other
contexts.
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The blending of carry-over material from one
grade of an excipient with another, usually due to a continuous process.
*
drug master file (exclusively applied to regulations of USA)
Detailed information concerning a specific
facility, process or product submitted to the drug regulatory authority,
intended for incorporation into the application for marketing authorization.
*
model product
A product which simulates a group of similar
products.
*
mother liquor
A concentrated solution from which the product
is obtained by evaporation, freezing and/or crystallization.
*
pharmaceutical excipients
Substances other than active ingredient , which
have been appropriately evaluated for safety and are included in a drug
delivery system to:
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Protect,
support or enhance stability, bioavailability, or patient acceptability;
-
Assist in
product identification; or
-
Enhance any
other attribute of the overall safety and effectiveness of the drug during
storage or use.
3.
Self-inspection
and quality audit
An inspection team consisting of appropriate
personnel (e.g. auditors, engineers, laboratory analysts, purchasing agents,
computer experts) should participate in inspections. The operational
limitations and validation of the critical processing steps of a production
process should be examined, to make sure that the manufacturer is taking
adequate steps to check that the process works consistently.
The exicpient’s end use should be identified and
considered during inspection of excipient manufacturers. It is particularly
important to know whether the excipient is a direct or indirect component of a
drug dosage form; whether the excipient will be used in the preparation of a
sterile dosage form; and whether the excipient is presented as
pyrogen/endotoxin free. The excipient manufacturer is responsible for ensuring
that the excipients are pyrogen free if the manufacturer makes such a
representation in specifications, labels or a drug master file.
A good starting point for an excipient plant
inspection is a review of the following areas:
-
Non-conformance,
such as the rejection of a batch not complying with specifications, return of a
product by a customer, or recall of a product. The cause of non-conformance
should have been determined by the manufacturer, a report of the investigation
prepared, and subsequent corrective actions initiated and documented. Records
and documents should be reviewed to ensure that such non-conformance is not the
result of a poorly developed or inconsistent process.
-
Complaint
files. Customers may report some aspects of product attributes that are not
entirely suitable for their use. These may be caused by impurities or
inconsistencies in the excipient manufacturing process.
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Master
formula and batch production records. Frequent revisions may reveal problems in
the production process.
-
Specifications
for the presence of unreacted intermediates and solvent residues in the
finished excipient.
-
Storage
areas for rejected products.
In evaluating the adequacy of measures taken to
preclude contamination of materials in the process, it is appropriate to
consider the following factors:
-
Type of
system (e.g. open or closed). “Closed" systems in chemical plants are
often not closed when they are being charged and/or when the final product is
being removed. Also, the same reaction vessels are sometimes used for different
reactions.
-
Form of the
material (e.g. wet or dry)
-
Stage of
processing and use of the equipment and/or area (e.g. multipurpose or
dedicated)
Other factors that should be considered in
evaluating an excipient plant are:
-
Degree of
exposure of the material to adverse environmental conditions.
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Sterile
versus non-sterile operations.
4.
Equipment
4.1.
Use of equipment
Many excipients are produced using multipurpose
equipment. Fermentation tanks, reactors, driers, grinders, centrifuges and
other pieces of equipment are readily used or adapted for a variety of
products. With few exceptions such multiple usages is satisfactory provided the
equipment can be adequately cleaned according to written procedures. Equipment
that contains tarry or gummy residues that cannot be removed easily should be
dedicated for use with these products only.
Some fermentation tanks, reaction vessels, and
other equipment are not situated within a building and a considerable amount of
processing occurs in a closed system.
Where temperature control is important,
temperature recording devices should be used, with recording charts kept as
part of the batch record.
4.2.
Cleaning programme
Cleaning of multiple-use equipment should be
confirmed. The manufacturer should determine the effectiveness of the cleaning
procedures for each excipient or intermediate chemical used in that particular
piece of equipment. The validation data required depend on the types of raw
materials being made in the multiple-use equipment and the impact of trace
contaminants on drug safety and performance. Validation data should verify that
the cleaning process has removed residues to an acceptable level.
As an example, an equipment cleaning programme
may include, but is not limited to, the following:
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There should be a written equipment cleaning
procedure that provides details of what should be done and which cleaning
materials should be used. Some manufacturers list the specific solvents used
for each excipient and intermediate.
4.2.2.
Sampling plan
There should be some periodic testing after
cleaning to ensure that the surface has been cleaned to the required level. One
common method is to analyze the final rinse water or solvent for the presence
of the substance last used in that piece of equipment. In some cases, visual
inspections may be appropriate. A specific analytical method to determinate
residual substances may not always be available, but is preferred. The need for
an analytical method would be based on the potential adverse effect on product
quality, performance or safety. When safety is a concern, there should be a
specific analytical determination for a residual substance.
4.2.3.
Analytical methods/cleaning limits
The toxicity of the residual materials should be
considered when deciding on the appropriate analytical method and the residual
cleaning limits. The residual limits established for each piece of apparatus
should be practical, achievable and verifiable. The manufacturer should be able
to show, with supporting data, that the residual level permitted is
scientifically based. Another factor to consider is the possible non-uniformity
of the residue. The level of residue found by random sampling, such as taking a
swab from a limited area on a piece of equipment, does not necessarily
represent the highest level of contamination.
5.
Materials
5.1.
General
In case of labile products that may be sensitive
to environmental factors such as air, light, water, heat or cold, appropriate
manufacturing and storage conditions must be used to ensure product quality
throughout the process.
5.2.
Starting materials
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The name,
type, class, style, grade, item code numbers or other precise identification as
appropriate.
-
Drawings,
process requirements, inspection instructions and other relevant technical
data, including requirements for approval or verification of product,
procedures, process equipment and personnel.
Starting materials, including solvents and
recovered solvents, are sometimes stored in silos or other large containers,
making precise separation of batches difficult. Usage of such materials should
be demonstrated, via inventory or other records, with reasonable accuracy.
When purchased and recovered solvents are
commingled, the suitability of the recovered solvent must be demonstrated
through either validation or actual testing. The purchased materials should
comply with existing specifications.
Outdoor storage of starting materials (e.g.
acids, other corrosive substances, explosive materials) is acceptable if the
containers give suitable protection to their contents, identifying labels
remain legible and containers are adequately cleaned prior to opening and use.
5.3.
Rejected and recovered materials
Any starting material, intermediate or finished
excipient not complying with specifications must be clearly identified and
segregated to prevent inadvertent use or release for sale. A record of non-compliance
should be maintained. All cases of non-compliance should be investigated to
identify the root cause.
These materials may be:
-
Reprocessed/reworked
to meet the specified requirements;
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Rejected or
scrapped.
Occasional reprocessing/reworking of an
excipient may be acceptable. However, relying on the final testing only of the
reprocessed excipient to demonstrate compliance to specification is not
acceptable. The quality of the reprocessed material must be evaluated and
documented showing adequate investigation and demonstrating that the
reprocessed excipient is at least equivalent to other acceptable excipients.
When reprocessing has to be done frequently, it may be an indication that the
process, work instruction or training is inadequate and needs to be adjusted or
reinforced.
5.4.
Returned excipients
Returned excipients should be identified as such
and kept. If the conditions under which the products have been stored and
shipped or if the condition of the container itself casts doubt on the safety,
quality or purity of the excipient, the product should be destroyed, unless
thorough examination, testing, or other investigation shows that the product
meets the appropriate predefined standards. If returned excipient containers
are reused, all previous labelling should be removed or defaced. If the
containers are used repeatedly solely for the same excipient, all previous
batch numbers, or the entire label, should be removed or completely
obliterated.
5.5.
Storage practices
Pharmaceutical excipients should be stored under
conditions established by the manufacturer on the basis of stability data.
Records should be kept of the distribution of each batch of pharmaceutical
excipient, to facilitate the recall of the batch if necessary, according to
written procedures.
6.
Documentation
6.1.
General
The excipient manufacturer should have a system
to cover all documents and data that relate to the requirements of the quality
system. Documents, and subsequent changes to the documents, should be reviewed
and approved by designated personnel before being issued to the appropriate
areas identified in the documents. A record should be kept of where the
documents are located.
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To assign a
unique batch number to the excipient to be released and/or certified.
-
To prepare
a batch record.
-
To
demonstrate that the batch has been prepared under GMP conditions from the
processing point at which excipient GMP have been applied.
-
To
demonstrate that the batch is homogeneous within the manufacturer’s
specifications. This does not require a final blending of continuous process
material, if process controls can demonstrate compliance with specifications
throughout the batch.
-
To
demonstrate that the batch has not been commingled with material from other
batches for the purpose of either hiding or diluting an adulterated substance.
-
To
demonstrate that the batch has been sampled in accordance with a sampling plan
that ensures a representative sample of the batch is taken.
-
To
demonstrate that the batch has been analyzed using scientifically established
tests and methods designed to ensure that the product meets accepted standards
and specifications for quality, identity and purity.
-
To
demonstrate that the batch has stability data to support the intended period of
use; these data can be obtained from actual studies on the specific excipient
or from the applicable “model product” stability studies that can reasonably be
expected to simulate the performance of the excipient.
6.2.
Specifications
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A positive identification test uniquely
applicable to the excipients should be established through analytical
technology, such as infrared spectrophotometry and chromatography.
It is important that manufacturers identify and
set appropriate limits for impurities. These limits should be based upon
appropriate toxicological data, or limits described in national compendial
requirements. Manufacturing processes should be adequately controlled so that
the impurities do not exceed such established specifications.
Many excipients are extracted from or purified
by the use of organic solvent. These solvents are normally removed by drying
the moist excipient. In the view of the varying and sometimes unknown toxicity
of solvents, it is important that excipient specifications include tests and
limits for residues of solvents and other reactants.
Container specifications should be established
for all excipients to assure consistency in protecting the product during
transport from the excipient manufacturer to the pharmaceutical producer. The
specifications should not only provide for containers that maintain the
stability of the product, but should also meet requirements for protection
during shipping, against insect infestation, during handling, etc.
6.3.
Batch production records
Computer systems are increasingly used to
initiate, monitor, adjust and otherwise control manufacturing processes. These
operations may be accompanied by recording charts that show key parameters
(e.g. temperature) at suitable intervals, or even continuously, throughout the
process. In other cases, key measurements (e.g. pH) may be displayed
temporarily on a monitor screen, but are not available in hard copy.
Records showing addition of ingredients, actual
performance of operations by identifiable individuals, and other information
usually seen in conventional records, may be missing. When computers and other
sophisticated equipment are employed, the emphasis must be change from
conventional, hand-written records to:
-
Systems and
procedures that show the equipment and software are in fact performing as
intended;
-
Checking
and calibration of the equipment at appropriate intervals;
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Assurance
that changes in the program are made only by authorized personnel and that they
are clearly documented and validated.
6.4.
Other documents
Shipping and storage requirements should be
established to ensure that the product reaches the manufacturer with proper
quality attributes. This should be mutually agreed upon between the vendor and
purchaser and established prior to transportation of product.
Written procedures should be established and
followed for maintenance of equipment. All maintenance activities performed
must be recorded. This may be in the form of a log, computer database or other
appropriate documentation, as long as the system can identify who was
responsible for performing each function.
7.
Good
practices in production and quality control
7.1.
Change control and process validation
Process changes may lead to changes in inherent
product characteristics. Manufacturers should have a formal process change
system in place, with written standard operating procedures covering such
changes. Management of the change system should be assigned to an independent
quality unit having responsibility and authority for final approval of process
changes.
Excipient manufacturers often produce laboratory
or pilot batches. Scale-up to commercial production may involve several stages
and data should be reviewed to demonstrate the adequacy of the scale-up
process. Scale-up may introduce significant problems of consistency between
patches. Pilot batches should serve as the basis for establishing in-process
and finished product purity specifications.
Manufacturers will generate reports that discuss
the development and limitation of the manufacturing process. Summaries of such
reports should be reviewed to determine if the plant is capable of producing
the excipient. The report serves as the basis for the validation of the
manufacturing and control procedures, as well as the basis documentation to
demonstrate that the process works consistently.
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7.2.
Good practices in production
7.2.1.
Prevention of cross-contamination
Potential for cross-contamination should be
considered in the design of the manufacturing process and facility. The degree
to which cross-contamination should be minimized depends on the safety and
intended use of the excipient.
The precautions taken to minimize
cross-contamination should be appropriate to the conditions of the
manufacturing facility and will take account of the range of materials
manufactured. When the excipient product is initially recovered, it should be
in a clean environment and not exposed to airborne contaminants, such as dust
from other excipient or industrial chemicals. Typically, the damp product will
be unloaded into clean, covered containers and transported for drying and other
manipulations. These subsequent operations should be performed in separate
areas or under controlled conditions because once dry, the excipient is more
likely to contaminate its environment, including any surrounding products. The
primary consideration is that the building and facilities should not contribute
to an actual or potential contamination of the excipient.
The air handling systems at the site of
manufacture should be designed to prevent cross-contamination. In dedicated
areas processing the same excipient, it is permissible to recycle a portion of
the exhaust air back into the same area. The adequacy of such a system of
operation for multi-use areas, especially if several products are processed
simultaneously, should be carefully analyzed. in multi-use areas where several
products are completely confined in closed vessels and piping systems,
filtration of the supply air (combined fresh make-up air and recycled air) is
acceptable if the conditions are consistent with other existing regulations
(e.g. environmental, safety).
In those areas where the excipient is in a damp
or moistened form, such as filter or centrifuge cake, and may be exposed to
room air, filter efficiencies in the supply air system as low as 85% may be adequate.
In those areas where one or more of the products is being processed in a dry
form, such filtration may not be enough to prevent cross-contamination. In all
cases, manufacturers should be able to demonstrate the adequacy of their air
handling systems.
Excipient manufacturers should have a documented
programme identifying all insecticides, pesticides, rodenticides and herbicides
used at the site manufacture. Adequate measures should be taken to prevent
these agents contaminating the excipients.
7.2.2.
In-process blending/mixing
Some processes require blending or mixing. Such
in-process blending is acceptable provided it is adequately documented in batch
production records. Examples include:
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-
Recycling
material from one batch for further use in a subsequent batch.
-
Repeated
crystallizations of the same mother liquor for better yield of crystals.
-
Collecting
several centrifuge loads in a single drier/blender.
Incidental carry-over is another type of
in-process mixing that frequently occurs. Examples include:
-
Residue
adhering to the wall of micronizer used for milling the finished excipient.
-
Residual
layer of damp crystals remaining in a centrifuge bowl after discharge of the
bulk of the crystals from a prior batch.
-
Incomplete
discharge of fluids, crystals or particles from a processing vessel upon
transfer of the material to the next step in the process.
These residues are usually acceptable since
clean-up between successive batches of the same excipient is not normally
required during production. However, in the case of non-dedicated production
units, complete cleaning procedures designed to prevent contamination that
would alter the quality of the substance must be employed when changing from
one excipient to another. Checking the effectiveness of these cleaning
procedures may require the use of analytical testing for the substances
involved.
In contract to in-process blending and
incidental carry-over discussed above, other blending operations should be
directed towards achieving homogeneity of the finished excipient batch. Three
areas in the processing of finished batches of an excipient which should be
examined carefully and critically are:
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The point
in the process at which the batch number is assigned;
-
The
sampling procedure used to obtain the sample that is intended to be representative
of the batch.
Blending of excipient batches to salvage
adulterated material is not an acceptable practice.
Mother liquors containing recoverable amounts of
excipients are frequently reused. Secondary recovery procedures for such
excipients are acceptable, if the recovered excipient meets it specifications
and if recovery procedures are indicated in batch production records. Secondary
recovery procedures for reactants and intermediates are acceptable provided
that the recovered materials meet suitable specifications.
7.2.3.
Control of microbial contamination
The manufacture of sterile excipients for use in
aseptic/sterile processing presents technical challenges. It is essential that
adequately qualified and trained personnel be used to supervise and perform
procedures associated with the manufacture of sterile excipients. The
environment in which procedures are conducted, and the operators themselves,
are significant potential source of contamination in aseptic operations.
Processes should be designed to minimize contact between excipient and the
environment and the operators. Those aseptic excipient operations which require
considerable operator involvement must have adequate controls. Major potential
problem areas include aseptic removal of the excipient from centrifuges, manual
transfer to drying trays and mills, and the inability to sterilize the drier.
Not all equipment currently in use can be sterilized.
The excipient manufacturer must document the
cleaning of critical processing equipment such as centrifuges and driers. Any
manipulation of sterile excipients after sterilization must be performed as a
validated aseptic process. This is particularly important for those excipients
which are not further sterilized prior to packaging into final containers. In
some instances, the compendial monographs may specify that an excipient which
does not meet parenteral grade standards must be labelled as not suitable for
use in the preparation of injectable products.
Some manufacturers of non-sterile excipients use
heat, gamma radiation and other methods to reduce the microbial burden. These
methods are acceptable provided the manufacturer has shown that the product
meets microbial requirements and that the process is under control within the
manufacturer’s specifications. Any procedure should be validated in accordance
with recognized international standards to demonstrate that the process will
produce the intended result. Post-production treatment of excipients should not
be used as a substitute for attention to microbiological control during
production.
A protected environment may be necessary to
avoid microbial contamination or degradation caused by exposure to heat, air or
light. The degree of protection required may vary depending on the stage of the
process. Often, direct operator contact is involved in the unloading of
centrifuge bags, transfer hoses (particularly those used to transfer powders),
drying equipment and pumps, and equipment should be designed to minimize the
possibility of contamination. The sanitary design of transfer and processing
equipment should be evaluated. Those with moving parts should be assessed for
the integrity of seals and other packing materials to avoid product
contamination.
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The environment to which the excipient may be
exposed should be similar to that used in the manufacture of the final dosage
form. This is especially true in the case of excipients intended for parenteral
dosage forms. For example, controlled areas may need to be established along
with appropriate air quality classifications. Such areas should be serviced by
suitable air handling systems and there should be adequate environmental
monitoring programmes. Any manipulation of sterile excipient after
sterilization must be performed as an aseptic process, using Class 100 air and
other aseptic controls.
7.2.4.
Water systems/water quality
While drinking water is used for many excipient
processes, purified water is also widely used. Because of the well-known
potential for microbial growth in deionizers and ultrafiltration or reserve
osmosis systems used to produce purified water, such systems must be properly
validated and checked. Proper control methods include the establishment of
water quality specifications and corresponding action levels, remedial action
when microbial levels are exceeded and adequate maintenance procedures such as regeneration
and sanitation/sterilization.
Appropriate specifications for chemical and
microbial quality should be established and periodic testing conducted. Such
specifications will vary depending on the process and the point in the process
when the water is used. For example, in some cases, if the water is used in
later processing steps such as for a final wash of the filter cake, or if the
excipient is crystallized from an aqueous system, the water quality standards
may need to be higher than normally specified or purified water. This is
particularly important where the excipient’s intended use is in parenteral
dosage forms. The frequency of microbial and chemical testing of purified water
depends on a variety of factors, including the test results and the point in
the process (e.g. final wash in centrifuge) at which such water is used.
Most purified water and water for injection
systems, including reverse osmosis and ultrafiltration systems, have the
potential for endotoxin contamination. If the final excipient is supposed to be
pyrogen free or sterile, or will be used in preparing parenteral products,
validation of the system to control endotoxins should be conducted and routine
testing of the process water for endotoxins should be performed (preferably by
the LAL (Limulus amoebocyte lysate) method).
7.2.5.
Packaging operations
When the programme for packaging operations is
being set up, particular attention should be given to minimizing the risk of
cross-contamination, mix-ups, or substitutions. Different products should not
be packaged in close proximity unless there is physical segregation or the use
of electronic surveillance.
7.2.6.
Delivery
The manufacturer should arrange for the
protection of the product after final inspection and testing. Where contractually
agreed, this protection should include delivery to destination. Distribution
records should be kept.
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7.3.1.
General
The quality control unit, in addition to having
the responsibility and authority to approve or reject all components,
in-process materials, packaging materials and finished excipients, and to
review production records, etc., should also be responsible for approving or
rejecting excipients manufactured, processed, packaged, or held under contract by
another company, as well as for approving or rejecting all procedures,
specifications and process changes having an effect on the quality of the
excipient.
7.3.2.
Control of starting materials
All starting materials must be tested or
otherwise verified prior to use. Verification should include a certificate of
analysis from the supplier and, wherever feasible, an identification test.
There should be clear guidance or standard operating procedures established for
the approval of each starting material.
Starting materials are usually subjected to an
identity test and additional testing to confirm that they meet appropriate
specifications. Some starting materials may not be acceptance tested by the
manufacturer because of the hazards involved or other valid considerations. In
such cases, quality certification for each batch from the vendor should be on
file. There should always be some evidence of an attempt by the excipient
manufacturer to establish identity, even if it is only a visual examination of
containers, examination of labels, or recording of batch numbers from the
labels.
7.3.3.
In-process testing
In-process inspection and testing should be
performed by monitoring the process or by actual sample analysis at defined
locations and times. The result should conform to established process
parameters or acceptable tolerances. Work instructions should delineate the
procedure to follow and how to use the inspection and test data to control the
process.
7.3.4.
Quality records and retention samples
The manufacturer should establish and maintain
procedures for identification, collection, indexing, filing, storage,
maintenance and availability of quality records. Quality records should be
maintained to demonstrate achievement of the required quality and the effective
operation of the quality system. These data should include pertinent
subcontractor quality records.
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All appropriate records relating to inspection
and testing must be available for review. Where the process is continuously
monitored, acknowledgement must be made of this and the result of the
monitoring should be available.
Reserve samples of the released excipient should
be retained for 1 year after the expiry or re-evaluation date, or for one year
after distribution is complete. Sample size should be twice the amount required
to perform release specification testing.
7.3.5.
Stability studies
Many excipient products are very stable and may
not require extensive testing to check stability. The stability of some
excipients may be affected by undetected changes in starting material
specifications, or subtle changes in manufacturing procedures. Excipients may
also be shipped in a large variety of different packaging types that can affect
their stability (e.g. metal and plastic drums, bags, plastic and glass bottles,
bulk tanks).
Some excipients may be similar in chemical
structure to other excipients, and some may be mixtures or blends of other
excipients. These excipients may be very similar to others within a product
group. Minor quantitative differences of some of the components may be the only
significant variation from one product to another. For these excipients, a
“model product” approach to assess the stability may be appropriate. Stability
studies of this type should involve selection of several “model products” that
would be expected to simulate the stability of the product group being
assessed. This selection must be scientifically based. Data from stability
studies of these “model products” can be used to determine the theoretical
stability of similar products.
The full stability testing programme, when
needed, usually contains the following features and takes into account
historical data:
-
The
programme should be formalized in writing and ongoing studies should be reviewed
at least annually.
-
The
programme should periodically include a sample from at least one commercial
size batch.
-
Stability
samples should be stored in containers that approximate the primary market
container. Simulations of all types of containers are not required, unless
there are theoretical reasons to indicate that stability may be affected by
container type.
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Additional
samples may be stored under stress conditions (e.g. elevated temperature,
light, humidity or freezing) if such conditions might reasonably be encountered
during distribution and storage.
-
Stability-indicating
test methods should be used.
-
Where
stability of the excipient appears to be a significant issue is its use in
pharmaceutical manufacturing, additional periodic testing of either the
specific material or “model products” may have to be performed to ensure that
the expected stability does not significantly change with the future batches.
The frequency of testing should be determined by the impact that the
excipient’s stability may have on its usage
7.3.6.
Expiry/re-evaluation dating
Conducting a stability testing programme does
not necessarily mean that expiry dates must be used. Where stability testing
indicates a limited shelf-life, the label should declare an expiry date of
indicate the need for re-evaluation testing at an appropriate interval to
assure quality at time of use. If the need for special storage conditions
exists (e.g. protection from light, heat) such restrictions should be placed on
the label.
7.3.7.
Calibration of measuring and test equipment
All measuring and test equipment identified as
being part of the quality system should be properly calibrated and maintained.
This includes all in-process instruments identified as critical quality
instruments, as well as test equipment used in the laboratory. The control
programme should include the standardization or calibration of reagents,
instruments, apparatus, gauges and recording devices at suitable intervals, in
accordance with an established written programme containing specific
directions, schedules, limits for accuracy and precisions, and provisions for
remedial action in the event that accuracy and/or precision limits are not met.
reagents, instruments, apparatus, gauges and recording devices not meeting
established specifications should not be used. Computer systems used to verify
that the product conforms to specifications must be audited to ensure satisfactory
performance in the laboratory.
NAME OF REPORTING UNIT
--------
SOCIALIST REPUBLIC OF
VIETNAM
Independence - Freedom – Happiness
----------------
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Tel/Fax:
<Location, date>
REPORT (1)
Violations committed by
bidders during bidding and supply of drugs
To:
..........................................................................
Pursuant to Clause 4 Article 5 of Circular No.
15/2019/TT-BYT, .... <name of reporting unit> .... prepares a report on
Violations committed by bidders during bidding and supply of drugs in the year:
No.
Drug name
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Bidder’s name
Violations
(2)
Violation time
Violation records
Notes
I. Violations during contract execution
(3)
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II. Violations during drug recall (3)
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III. Other violations (3)
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Notes: (1) In
consideration of the reporting unit’s reports and documents mentioned in Clause
4 Article 5 of Circular No. 15/2019/TT-BYT, Drug Administration of Vietnam will
publish this report on its website for 12 months.
(2) Specify
the violations committed by the bidders during the bidding process and
execution of contracts for drug supply against applicable regulations on drug
bidding and relevant regulations.
( 3) Documents
proving the violations and actions taken by competent persons must be provided.
DIRECTOR
(Signature, seal)
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(Promulgated together with Circular No. 29/2020/TT-BYT
dated 31/12/2020 of the Minister of Health)
Criteria
Scale
Score
1. The offered drug products are
manufactured by a production line that (1):
24
1.1. Comply with EU-GMP regulations or
equivalent regulations
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a) In a country with reference authorities.
24
b) In a country with a SRA but without
reference authorities
22
c) In a country other than those mentioned in
(a) and (b).
20
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20
1.3. Comply with GMP regulations:
a) as evaluated by a Vietnamese pharmaceutical
authority, and the drug undergoes processing/technology transfer in Vietnam
from a SRA country.
24
b) in Vietnam and is evaluated by a Vietnamese
pharmaceutical authority as in compliance with WHO-GMP.
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23
1.4. Cases other than those specified in 1.1,
1.2 and 1.3
19
13. The drug product is provided by a
bidder with good reputation in contract execution (11):
10
13.1. The bidder has violations during
execution of contracts for supply of drugs for health facilities as published
on the website of Drug Administration of Vietnam
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13.2. The bidder was awarded the contract by
the reporting unit and:
a) provides drugs on schedule under the
contract
10
b) fails to provide drugs on schedule under
the contract
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8
Notes:
(1):
If the drug is manufactured in Vietnam and satisfies more than one criterion,
the highest score shall apply. In case multiple manufacturers participate in
the manufacturing process of the drug, the score will be given according to the
manufacturer with the lowest GMP regulations. For foreign drugs that are
processed or undergo technology transfer in Vietnam, GMP regulations of the
hiring or transferring party shall apply).
(11)
This will be evaluated according to:
- Information
about violations committed by the bidder during supply of drugs for health
facilities nationwide published on the website of Drug Administration of
Vietnam at http://www.dav.gov.vn.
-
Execution
of drug supply contracts between the bidder and the reporting unit.
APPENDIX 6
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A.
LIST OF WHOLLY ABROGATED LEGISLATIVE DOCUMENTS
I. Food safety
1.
Decision No. 01/2006/QD-BYT dated 09/01/2006
of the Ministry of Health promulgating the “Regulations on reporting and
model reports on food safety under the management of health authorities”
2.
Decision No. 12/2006/QD-BYT dated 9/3/2006 of
the Ministry of Health on management hierarchy and participation in state
management of food safety in the health sector
3.
Circular No. 05/2007/TT-BYT dated
07/03/2007của of the Minister of Health providing guidelines for conditions
and procedures for appointment of organizations carrying out state inspection
of food safety and quality of imported foods.
4.
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5.
Circular No. 11/2014/TT-BYT dated 18/3/2014 of
the Minister of Health on management of rapid test kits
6.
Joint Circular No.
13/2014/TTLT-BYT-BNNPTNT-BCT dated 09/4/2014 of the Ministry of Health, the
Ministry of Agriculture and Rural Development and the Ministry of Industry
and Trade on assignment of tasks and cooperation in state management of food
safety.
II. PHARMACEUTICALS - COSMETICS
7.
Decision No. 47/2007/QD-BYT dated 24/12/2007
of the Minister of Health on application of good manufacturing practice, good
laboratory practice, good storage practice and good distribution practice to
facilities manufacturing, testing, selling, distributing, exporting,
importing, storing vaccines and biologics.
8.
Circular No. 02/2007/TT-BYT dated 24/01/2007
of the Minister of Health elaborate some Articles of the Law on Pharmacy and
the Government's Decree No. 79/2006/ND-CP dated August 09, 2006 on conditions
for drug business
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Circular No. 13/2015/TT-BYT dated 28/05/2015
of the Minister of Health amending Clause 2 Article 21 of Circular No.
47/2010/TT-BYT
10.
Circular No. 44/2014/TT-BYT dated November 25,
2014 of the Minister of Health on drug registrations
11.
Circular No. 32/2019/TT-BYT dated 16/12/2019
of the Minister of Health amending Clause 4 Article 4 and Appendix No. 01-MP
of Circular No. 06/2011/TT-BYT on cosmetics management
III. PLANNING - FINANCE
12.
Joint Circular No. 09/TT-LB dated 21/7/1992 of
the Ministry of Health and the Ministry of National Defense on organization
of military-civilian medicine boards, combination of military and civilian
medicine units in epidemic management and receipt of patients.
13.
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IV. SCIENCE, TECHNOLOGY AND TRAINING
14.
Circular No. 03/2012/TT-BYT dated 02/02/2012
of the Minister of Health on clinical drug trial
V. PERSONNEL MANAGEMENT
15.
Decision No. 3051/2000/QD-BYT dated 29/08/2000
of the Ministry of Health on contents and forms of examinations for promotion
of health officials.
16.
Joint Circular No. 08/2007/TTLT-BYT-BNV dated
05/6/2007 of the Ministry of Health and the Ministry of Home Affairs on
payrolls of state-owned health facilities
17.
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18.
Joint Circular No. 06/2010/TTLT-BYT-BNV-BTC
dated 22/03/2010 of the Ministry of Health and the Ministry of Home Affairs
providing guidance on implementation of the Government’s Decree No.
64/2009/ND-CP on benefits for health officials and public employees working
in extremely disadvantaged areas
VI. MEDICAL EQUIPMENT AND WORKS
19.
Circular No. 07/2002/TT-BYT dated 30/05/2002
of the Minister of Health on applying for marketing authorization of medical
devices.
20.
Decision No. 1629/2001/QD-BYT dated 23/05/2001
of the Minister of Health promulgating 10 health sector standards for medical
devices.
21.
Decision No. 326/2002/QD-BYT dated 04/02/2002
of the Minister of Health promulgating 09 health sector standards for medical
devices.
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Decision No. 4380/2003/QD-BYT dated 18/08/2003
of the Minister of Health promulgating 8 health sector standards for medical
devices.
VII. MEDICAL ENVIRONMENT MANAGEMENT
23.
Circular No. 05/1999/TT-BYT dated 27/03/1999
of the Minister of Health on registration and licensing use of substances
subject to stringent labor hygiene regulations.
24.
Directive No. 12/2001/CT-BYT dated 20/11/2001
of the Minister of Health on organization of the annual National Week of
“Labor Hygiene and Safety, Fire Safety”.
25.
Circular No. 36/2010/TT-BYT dated 11/08/2010
of the Minister of Health abrogating Decision No. 29/2005/QD-BYT dated
30/9/2005 of the Minister of Health promulgating the application form for
marketing authorization of pesticides and antibacterial preparations for
domestic and medical use.
26.
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27.
Decision No. 26/2007/TT-BYT dated 19/4/2007 of
the Minister of Health abrogating Decision No. 1635/2004/QD-BYT dated
11/5/2004 of the Minister of Health promulgating the Regulations on
recognition of the titles of “Health Family”, “Health Village”, “Health
Neighborhood”.
VIII. MOTHER AND CHILD HEALTH
28.
Joint Circular No.
10/2006/TTLT/BYT-BTM-BVHTT-UBDSGDTE dated 25/8/2006 providing guidance on
implementation of the Government’s Decree No. 21/2006/ND-CP dated 27/02/2006
on sale and use of dietary products for infants
B.
LIST OF PARTIALLY ABROGATED LEGISLATIVE DOCUMENTS
No.
NAME OF DOCUMENT
ABROGATED CONTENTS
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Circular No. 52/2015/TT-BYT dated 21/12/2015
of the Minister of Health on state inspection of food safety and quality of
imported foods, control of imported foods, certification of imported foods
under the management of the Ministry of Health.
All regulations of the Circular except for
those on documentation and procedures for issuance and revocation of health
certificates of imported food products.
2
Decision No. 46/2007/QD-BYT dated 19/12/2007
of the Ministry of Health promulgating the “Regulation of maximum level of
biological and chemical pollution in food”.
Regulations on maximum permissible limits of
B.cereus in dried food and nutritious food for children, special food
substitutes (requiring heat treatment before use), dried food and nutritious
food for children, special food substitutes (not requiring heat treatment
before use) in Part 6.9.
Regulations on maximum permissible limits of micro-organisms in food in
special foods in Part 6. Maximum permissible limits of micro-organisms in
food in the Regulation on maximum permissible limits of biological and
chemical contamination in foods promulgated together with the Decision.