Guest Editorial
Guest Editorial,
Continued from page 5
the significant profits available have
given counterfeiters strong motivation
to replicate virtually all elements of
pharmaceutical packaging including
boxes, bottles, and even blister packaging. Often, the “fakes” are so convincing that only those responsible for
product packaging can detect the subtle differences, which further adds to
the deception of supply-chain partners,
healthcare professionals, and patients.
In addition, most if not all on-package brand protection technologies become ineffective when a product is repackaged. This process occurs
the vast majority of the time in the
U.S. pharmaceutical supply chain and
remains supported by the EU in the
environment of parallel trade.
With the most important participant
in the supply chain being the patient,
on-package brand protection being less
than a total solution, and the downstream supply-chain technology and
informatics needed to make e-pedigree
In this threatening
environment,
pharmaceutical
manufacturers need to
establish protective
strategies that have an
immediate impact in
combating criminals.
initiatives a reality years away, on-dose brand protection technologies are
required for manufacturers to protect
the supply chain from plant to patient.
The pharmaceutical supply is under
attack by unscrupulous individuals who
seek to profit with complete disregard
to the health of patients. Ultimately, it
is the manufacturer’s product and the
health of the patients they serve that
are most at risk. As such, manufacturers shoulder the burden to implement protective measures that thwart
counterfeiters and diverters, protect
patients, and thereby raise the pharmaceutical supply chain to a higher
level of integrity and confidence. Manufacturers must also realize that the
enemy in this war is highly motivated,
connected and resourced. Traditional
methods of brand protection, while
still valuable, are waning in benefit. It
is a new-age battle that requires manufacturers to fight with everything at
their disposal, including state-of-the art
technologies that protect the integrity
and therapeutic benefit of each and
every dose.
Editorial,
Continued from page 4
back into his pharmacy’s drug supply.
He had told these unwitting providers
that he was collecting the drugs as part
of a humanitarian mission to underdeveloped countries.
The California State Board of
Pharmacy also discussed a letter from
Kaiser Permanente’s Steve Gray. This
pharmacist has asked for the board’s
help in requiring common carriers
like FedEx, UPS, and DHL to deliver pharmaceutical shipments directly
to pharmacists, rather than leaving
the shipments at unloading docks in
the hands of personnel unlicensed
to handle prescriptions. This request
(apparently his second or perhaps
even his third) reveals the very danger
that threatens the pharmaceutical
supply chain—the lack of continuous
visibility of how and where products
are handled.
Clearly, counterfeiting and diversion
are still threats. And the criminals are
getting craftier.
How should you protect your products throughout the supply chain? It
may even be a global supply chain,
given the globalized nature of commerce today, so perhaps the question
is: how can you protect products as
they loop around the world?
It is not an easy proposition. FDA
is looking closely at unqiue product identification; for drugs, it has
suggested the use of a serialized
National Drug Code (NDC). Other
governments around the world, too,
are looking at serialization. Duplicate serial numbers will certainly
help wave red flags. But can the
U.S.-centric NDC be serialized
so that it provides worldwide identification and therefore worldwide
protection?
The other big question is, will
unique autoID be enough? What
role could packages filled and sealed
by manufacturers (or their contract
packagers) play in assuring patients
of product integrity through minimal
product handling? With a few pharmacists tangled up in counterfeiting
and diversion, why leave patients
wondering about the source and path
of their medication?
Country-of-origin labeling is now
commonplace with fruits and vegetables—will something similar be
demanded of drugs, given import
scares?
As long as gaps in the global supply
chain exist, there will be opportunities
to divert pharmaceuticals.
It is up to manufacturers to acknowledge those gaps and participate in closing them with better identification and
better packaging.
Daphne Allen
Editor
daphne.allen@cancom.com