Prescription Drug Importation: Can it Help America's Seniors? Safety of Imported Medications: I-SaveRx Case Study
|
|
- Howard Lane
- 6 years ago
- Views:
Transcription
1 Prescription Drug Importation: Can it Help America's Seniors? Safety of Imported Medications: I-SaveRx Case Study Presented By: Scott McKibbin Special Advocate For Prescription Drugs State Of Illinois
2 Presentation Topics State of Illinois International Drug Studies Canadian Prescription Drugs European Union Prescription Drugs Personal Importation Parallel Imports Safety and supply-chain integrity issues I-SaveRx 2
3 Background According to the World Health Organization, U.S. residents spend more money on health care than residents of all other countries in the world. In 2001, the average cost of a prescription drug was $71.18, an increase of 162% from Almost 70 million Americans lack prescription drug coverage. 3
4 Pharmaceutical Revenue Allocations, 2000* Company Merck % of Revenue Allocated to Marketing, Advertising, Administration 15% % Allocated to R&D 6% Pfizer 39% 15% Bristol- Myers Squibb Allergan 30% 42% 11% 13% *All figures from Families USA, Off the Charts: Pay, Profits and Spending in Drug Companies, July 2001, 4
5 State of Illinois International Drug Studies 5
6 Central Policy Issues Can Illinois Residents and Businesses Safely and Effectively Purchase Prescription Drugs from Europe? Can Illinois State Employees and Retirees Safely Purchase Prescription Drugs in Canada at a Lower Cost to the Taxpayers? 6
7 Study Team Interdisciplinary Medical Doctor Pharm.D. R.Ph. Ph.D. JD 7
8 Study Team (Continued) Multi-Agency Department of Public Health Department of Public Aid Department of Professional Regulations Central Management Services Department of Human Services Governor s Office 8
9 Primary Research Teams traveled to Canada and Selected EU Member States Versus Requiring Interested Parties Testify in Washington New York Mail Facility Reports Are Annotated Team Members Had No Financial Interest In Study Outcome 9
10 Regulation of Pharmacies Regulatory systems in Canada, Europe (Select EU Member States), and US provide substantially equivalent protection for the health and safety of the public Findings Methods of ensuring safety and efficacy of prescription drugs are comparable. Requirements for manufacturing, warehousing and storage of pharmaceuticals are comparable. Pricing and Distribution of pharmaceuticals is less likely to foster drug counterfeiting. 10
11 Regulation of Pharmacies Pharmaceutical dispensing requirements are substantially equivalent Educational requirements and professional regulation of pharmacists are equally rigorous Incident reporting of internal process errors was more rigorous in the Canadian provinces of Manitoba and Ontario than in the State of Illinois 11
12 Findings: Consumer Safety Safeguards: Patients would be required to submit medical history, current medications, and allergies Drugs that could be imported would be restricted to those deemed clinically appropriate and unlikely to spoil in transit. No habit-forming pain medications No antibiotics for acute illnesses No generics 12
13 Consumer Safety Patients can only import drugs prescribed by a doctor in US and first filled in a local pharmacy for a month. Vendors will supply drugs only in sealed packages obtained from wholesalers supplied directly from manufacturers Each patient would select a Primary Care Pharmacist who would coordinate pharmaceutical care incorporating prescriptions obtained through local retail pharmacies, domestic mail order pharmacy, and Canadian Mail Order Plan 13
14 Proposed Plan: Summary Contract with a non-domestic Pharmacy Benefits Manager (PBM) or similar entity Establish a Primary Care Pharmacist (PCPh) Model (State of Illinois Employees and Retirees) Require the employees and retirees to pay only the shipping cost for drugs obtained from Canadian sources 14
15 Proposed Plan: Drugs The program drugs include long term use, brand name drugs approved in the US by the FDA. The following types of drugs are not included: Antibiotics Controlled substances Drugs that are likely spoil during transit Generics Over The Counter (OTC) Drugs Medications otherwise deemed unsuitable for transportation 15
16 Domestic Medication Supply Chain Example Manufacturer ( 55 Gallon Drum ) 1 st Wholesaler/Repack (5,000 Units) 2 nd Wholesaler/Repack (1,000 Units) 3 rd Wholesaler/Repack (500 units) 4 th Wholesaler (or 5 th, 6 th, or 7 th ) Pharmacy Patient (Per Doctor s Script) 16
17 U.S Drug Distribution Models 17
18 Parallel Importation Wholesale Drug Distributors and Parallel Importers: Demonstrated and Maintained a Chain of Custody Qualified Person (QP as a technical qualification) met all of the requirements for experience in the field of pharmaceutical manufacturing. Standard operating procedures incorporating the Good Manufacturing Practices (GMP) were utilized for repackaging Entities had a valid license to participate in wholesale drug distribution Drugs were stored under conditions of proper temperature and humidity Secure sites with security systems in place were maintained Quarantine areas were maintained separately and distinctly from the general area 18
19 EU Guide to GMP Specifically Provides compliance and regulatory guidelines on who: May trade and/or take possession Repack Manipulate Distribute, or Store Pharmaceutical Products. 19
20 Parallel Import Traceability Documents Must Be Maintained By The Parallel Importer To Assure Traceability: The identity of the original manufacturer; Addresses of the original manufacturer; Purchase orders; bills of lading (tracking documents between the carrier and shipper); Receipt documents; Name or designation of the product; Manufacturer s batch number; Transportation and distribution records; All authentic Certificates of Analysis of the products received, including those of the original manufacturer; Any retest or expiry dates of the products obtained. 20
21 Canadian & European Distribution Models 21
22 I-SaveRx Offers more safety, accountability and regulation than the existing system of uncontrolled personal importation Stringent system of quality controls and multiple safety checks: Only refill prescriptions are filled Only licensed and state-inspected pharmacies participate in I-SaveRx I-SaveRx pharmacies required by contract to follow same standards used by Illinois pharmacies (and those of member States), including storage, warehousing, and dispensing standards State of Illinois regulatory agencies inspect all participating pharmacies on ongoing basis 22
23 I-SaveRx When order is placed, the Pharmacy Benefits Manager: Verifies that medication is eligible for dispensing Conducts a full US-based Drug Utilization Review (DUR) using First Databank software used by US pharmacies I-SaveRx program physician, licensed in selected country, will: Review the entire health history file and refill prescription If necessary, contact original physician to discuss questions/concerns I-SaveRx network pharmacy conducts final checks before shipping prescription: Pharmacist conducts another of safety checks in compliance with local law Prints information packets with same information (First Databank) provided by US pharmacies 23
24 I-SaveRx Current States State of Wisconsin State of Missouri State of Kansas Vermont Legislature Approves Bills, Requiring VT Join I-SaveRx Similar Bills Pending in Minnesota, Connecticut, West Virginia, and Tennessee 24
25 I-SaveRx Medication Supply Chain Manufacturers (sealed one month supply) Blister Packed typically in 28 or 30 units Wholesaler or Manufacturers Agent Pharmacy Patient (Via Traceable System) 25
26 State Sponsored Websites The Fight For Affordable Drugs I-SaveRx: Safe and Affordable Prescription Drugs 26
AKA Good Manufacturing Practice (GMP) Certification Program
AKA Good Manufacturing Practice (GMP) Certification Program Preamble The American Kratom Association (AKA) is establishing this program to assure the safety and integrity of kratom dietary supplements
More informationStates with Authority to Require Nonresident Pharmacies to Report to PMP
States with Authority to Require Nonresident Pharmacies to Report to PMP Research current through May 2016. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug
More informationGuidelines on the Sourcing of Medicinal Products for Sale or Supply by a Retail Pharmacy Business
Guidelines on the Sourcing of Medicinal Products for Sale or Supply by a Retail Pharmacy Business to Facilitate Compliance with Regulations 5(1)(g), 6, 8 and 11 of the Regulation of Retail Pharmacy Businesses
More informationCardinal Health s Commitment to Opioid Anti-Diversion, Education and Misuse Prevention
Cardinal Health s Commitment to Opioid Anti-Diversion, Education and Misuse Prevention The people of Cardinal Health care deeply about the devastation opioid abuse has caused American families and communities
More informationREPORT DIGEST. Released: September 2006 SYNOPSIS MANAGEMENT AUDIT OF THE FLU VACCINE PROCUREMENT AND THE I-SAVERX PROGRAM
REPORT DIGEST MANAGEMENT AUDIT OF THE FLU VACCINE PROCUREMENT AND THE I-SAVERX PROGRAM Released: September 2006 State of Illinois Office of the Auditor General WILLIAM G. HOLLAND AUDITOR GENERAL To obtain
More informationRULES OF THE TENNESSEE BOARD OF PHARMACY CHAPTER DRUG DONATION REPOSITORY PROGRAM TABLE OF CONTENTS
RULES OF THE TENNESSEE BOARD OF PHARMACY CHAPTER 1140-17 DRUG DONATION REPOSITORY PROGRAM TABLE OF CONTENTS 1140-17-.01 Definitions 1140-17-.02 Purpose 1140-17-.03 Eligibility Criteria for Program Participation
More information416 DRUG AND ALCOHOL TESTING I. PURPOSE
416 DRUG AND ALCOHOL TESTING I. PURPOSE A. The school board recognizes the significant problems created by drug and alcohol use in society in general, and the public schools in particular. The school board
More informationCANNABIS MANAGEMENT CORPORATION REGULATIONS
c t CANNABIS MANAGEMENT CORPORATION REGULATIONS PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to August 11, 2018. It is intended
More informationParallel trade: are industry concerns real or imagined?
Parallel trade: are industry concerns real or imagined? Steve Chaplin MSc, MRPharmS The parallel trade in medicines is claimed to save money for the NHS, but results in lost profits for the pharmaceutical
More informationPHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS
PHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS For Producer Audience Only - Please Do Not Distribute Regence has selected Prime Therapeutics as the Pharmacy benefits manager for its health plans.
More informationQuality, Safety and Sourcing in Unlicensed Medicines
Quality, Safety and Sourcing in Unlicensed Medicines with Andrew Trouton Managing Director, UL Medicines Agenda Welcome What is an unlicensed medicine? When should you consider using an unlicensed medicine?
More informationA Snapshot: Medical Marijuana in Rural New Mexico & Benefits of Legalizing Adult Use of Marijuana in Rural New Mexico
A Snapshot: Medical Marijuana in Rural New Mexico & Benefits of Legalizing Adult Use of Marijuana in Rural New Mexico A presentation to: NM Legislative Economic & Rural Development Committee November 6,
More informationThe Value of Walgreens
The Value of Walgreens How Walgreens improves employer health plans through access, quality and lower costs Why millions of patients choose Walgreens And your options to move forward with Walgreens Walgreens
More informationGuideline for the Rational Use of Controlled Drugs
Guideline for the Rational Use of Controlled Drugs Ministry of Health Male' Republic of Maldives April 2000 Table of Contents Page Introduction.. 2 1. Procurement and Supply of Controlled Drugs 3 1.1 Import
More informationhot topics in EPR indiana recycling coalition conference june 10, 2015
hot topics in EPR indiana recycling coalition conference june 10, 2015 1 who is the product stewardship institute? 2 product stewardship manufacturer ( producer ) responsibility other government regulatory
More informationRESPONSE FROM ALTRIA:
RESPONSE FROM ALTRIA: FDA Regulation of Tobacco http://www.altria.com/en/cms/about_altria/federal_regulation_of_tobacco/default.aspx?src=top_nav http://www.fda.gov/tobaccoproducts/default.htm The Food
More informationDo not open the test booklet prior to being told to do so.
Last Name: Pharmacy 4054 Pharmacy Law Exam II Do not open the test booklet prior to being told to do so. I, the undersigned student, agree to do my best on the exam and that I have only used resources
More informationB.C. Cannabis PRIVATE RETAIL LICENSING GUIDE Applications and Operations
B.C. Cannabis PRIVATE RETAIL LICENSING GUIDE Applications and Operations Copyright February 2018, Province of British Columbia. All rights reserved. This material is owned by the Government of British
More informationCrowe Healthcare Webinar Series
Crowe Healthcare Webinar Series Healthcare Providers Ongoing Challenges With Controlled Substances Presented by: Scott Gerard, Healthcare Risk Consulting Partner Eric Jolly, Healthcare Risk Vice President
More informationSECTION PRESCRIPTIONS
SECTION.1800 - PRESCRIPTIONS 21 NCAC 46.1801 EXERCISE OF PROFESSIONAL JUDGMENT IN FILLING PRESCRIPTIONS (a) A pharmacist or device and medical equipment dispenser shall have a right to refuse to fill or
More informationReport. Uganda Pharmaceutical Sector Scan JUNE 2010
Report On the Uganda Pharmaceutical Sector Scan Part of Component 1 of MeTA Baseline Assessments JUNE 2010 Drafted by consultants: 1. Samuel Balyejjusa, B.Pharm., MPH 2. Paschal Mujasi, B.Pharm., MBA 3.
More informationLike others here today, we are very conflicted on the FDA s proposal on behind-thecounter medications, but thank you for raising the issue.
Statement of Consumers Union William Vaughan, Senior Policy Analyst before the US Food and Drug Administration Public Meeting on Behind the Counter Availability of Drugs November 14, 2007 Consumers Union
More informationHow Mail-Servi. Prepared for
How Mail-Servi ice Pharmacies Will Save $46.6 Billion Over the Next Decade and the Cost of Proposed Restrictions Prepared for February 2012 Table of Contents I. Executive Summary... 3 Major Findings on
More informationThe Role of the Responsible Pharmacist (RP)
The Role of the Responsible Pharmacist (RP) Pharmaceutical industry perspective Vuyo Mokoena: Senior Manager: Monitoring, Compliance and Professional Conduct (MCPC) Overview Background Legislative provision
More informationPolling Question # 3. DISCLOSURE STATEMENT Pharmacy Immunizations How to Stay Competitive and in Compliance LEARNING OBJECTIVES
DISCLOSURE STATEMENT Pharmacy Immunizations How to Stay Competitive and in Compliance R. JEFFREY HEDGES President & CEO I, Jeff Hedges, disclose that I am employed as a consultant at R.J. Hedges & Associates.
More informationWHAT DO MANUFACTURERS AND IMPORTERS HAVE TO DO TO PREPARE FOR EU MEMBERSHIP?
WHAT DO MANUFACTURERS AND IMPORTERS HAVE TO DO TO PREPARE FOR EU MEMBERSHIP? pharmaceutical regulatory affairs consulting and education www.rapharm.eu Vesna Koblar, MD. PhD. EU28: Science, Medicines, Health
More informationFlexRx 6-Tier. SM Pharmacy Benefit Guide
FlexRx 6-Tier SM Pharmacy Benefit Guide Welcome to FlexRx The AllWays Health Partners FlexRx SM program is built for choice, savings, and convenience with benefits including: Low-cost drug tier for many
More informationCase 8:14-cv DKC Document 2-4 Filed 11/17/14 Page 1 of 17. Exhibit 3
Case 8:14-cv-03607-DKC Document 2-4 Filed 11/17/14 Page 1 of 17 Exhibit 3 Case 8:14-cv-03607-DKC Document 2-4 Filed 11/17/14 Page 2 of 17 Mallinckrodt: Chart Documenting Generic Substitution Laws for 50
More informationORDER of the Minister of Health No. 269/2017 of 14 March 2017 on mandatory provision of medicinal product adequate and continuous supplies
ORDER of the Minister of Health No. 269/2017 of 14 March 2017 on mandatory provision of medicinal product adequate and continuous supplies ISSUING BODY: The Ministry of Health published in: the Official
More informationRe: Implementation of the Federal Tamper-Resistant Prescription Pad Mandate
January 2, 2008 Ms. Carol Herrmann-Steckel Commissioner Alabama Medicaid Agency PO Box 5624 501 Dexter Avenue Montgomery, AL 36103-5624 Re: Implementation of the Federal Tamper-Resistant Prescription Pad
More informationHistory Note: Authority G.S ; ; ; Eff. May 1, 1997; Amended Eff. January 1, 2015; March 1, 2013.
21 NCAC 46.1412 PHYSICAL REQUIREMENTS A health care facility pharmacy shall have sufficient floor space allocated to it to ensure that drugs are prepared in sanitary, well lighted, and enclosed places.
More informationFood Fortification Regulations, 2016 (Gazetted on 24 October, 2016) ARRANGEMENT OF SECTIONS PART I PRELIMINARY
Statutory Instrument 120 of 2016 Food Fortification Regulations, 2016 (Gazetted on 24 October, 2016) [Cap 15:05 Section 1 Title 2 Interpretation ARRANGEMENT OF SECTIONS PART I PRELIMINARY 3 Inspection
More informationPlanning For The FDA s 'Deeming Rule' For E- Cigarettes
Law360, New York (September 21, 2015, 3:39 PM ET) -- The 2009 Family Smoking Prevention and Tobacco Control Act (TCA)[1] gave the U.S. Food and Drug Administration the authority to oversee the manufacture,
More informationQUESTIONS AND ANSWERS Access to Drugs in Exceptional Circumstances
QUESTIONS AND ANSWERS Access to Drugs in Exceptional Circumstances Published by authority of the Minister of Health Date Adopted 2017/06/09 Effective Date 2017/06/28 Health Products and Food Branch Our
More informationGuidance for Industry DRAFT GUIDANCE. This guidance document is being distributed for comment purposes only.
Compounded Drug Products That Are Essentially Copies of a Commercially Available Drug Product Under Section 503A of the Federal Food, Drug, and Cosmetic Act Guidance for Industry DRAFT GUIDANCE This guidance
More informationLegalization of Recreational Cannabis
Legalization of Recreational Cannabis Private Recreational Cannabis Retail Storefronts December 11, 2018 History of Cannabis Legalization April 13, 2017 Federal Bill C-45, otherwise known as the Cannabis
More informationPractice Direction Refill History Recording System
1.0 Scope and Objective: 1.1 Expected Outcome Practice Direction Refill History Recording System This document is a practice direction by Council concerning implementation of concept of prescription refill
More informationEffective and Compliance Dates Applicable to Retailers, Manufacturers, Importers, and Distributors of Newly Deemed Tobacco Products
Effective and Compliance Dates Applicable to Retailers, Manufacturers, Importers, and Distributors of Newly Deemed Tobacco Quick Facts Retailers that mix and prepare e-liquids or create or modify vaporizers
More informationModule 6. Pharmacy Based Respiratory Therapy Services. Scott K. Stolte, Pharm.D. Pre-Assessment Exercise
Module 6 Pharmacy Based Respiratory Therapy Services Scott K. Stolte, Pharm.D. Pre-Assessment Exercise 1 Question #1 Which of the following is NOT a role for the pharmacist recommended by NAEPP? a. Educate
More informationAmerican Emu Association. Certified Emu Oil Program
Table of Contents Part 1. Frequently Asked Questions... 3 Part 2. AEA Certified Fully Refined Seal & Verbiage Usage Requirements... 5 Section A. Program Requirements... 5 Section B. Product Labeling Requirements...
More informationTHE FDA DRUG APPROVAL PROCESS Under the Federal Food, Drug, and Cosmetic (FD&C) Act, FDA is responsible for ensuring that all new drugs are safe and
THE FDA DRUG APPROVAL PROCESS Under the Federal Food, Drug, and Cosmetic (FD&C) Act, FDA is responsible for ensuring that all new drugs are safe and effective. Before any drug is approved for marketing
More informationGuidance for Municipalities Regarding Marijuana for Adult Use January 2018
Guidance for Municipalities Regarding Marijuana for Adult Use January 2018 The following information is provided to assist municipalities by addressing questions related to the regulation of marijuana
More informationCannabis Legalization August 22, Ministry of Attorney General Ministry of Finance
Cannabis Legalization August 22, 2018 Ministry of Attorney General Ministry of Finance Federal Cannabis Legalization and Regulation The federal Cannabis Act received Royal Assent on June 21, 2018 and will
More informationPrescription Drug Options for Older Adults: Managing Your Medicines
Prescription Drug Options for Older Adults: Managing Your Medicines As people age, the likelihood of taking medicines increases; studies show that the more medicines people take, the more likely they are
More informationCARD/MAIL/PRE-APPROVAL/PREFERRED RIDER FOR PRESCRIPTION DRUG [INSURANCE] [Policy]holder: Group Policy No: Effective Date:
RIDER FOR PRESCRIPTION DRUG [INSURANCE] [Policy]holder: Group Policy No: Effective Date: CARD/MAIL/PRE-APPROVAL/PREFERRED The Prescription Drug Coverage under this Rider [replaces] [supplements] the Prescription
More informationMandatory PDMP Use PDMP Use STATE Prescriber Dispenser Conditions, if applicable
Arizona Amends worker s compensation statute to require physicians to request PMP information within two (2) business days of writing or dispensing prescriptions for at least a 30 day supply of an opioid
More informationPharmacy benefit guide
FlexRx SM 5-Tier Pharmacy benefit guide 1 Welcome to FlexRx The NHP FlexRx SM program is built for choice, savings, and convenience with benefits including: Low-cost drug tier for many common medications
More informationDear Member: We look forward to serving you. Sincerely, Express Scripts
Dear Member: Welcome to Express Scripts, the company Eastern Kentucky University has chosen to manage your prescription drug plan. As one of the nation s leading prescription benefit managers, Express
More informationAlignment of FSMA with Existing Food Safety Programs International Citrus & Beverage Conference
Alignment of FSMA with Existing Food Safety Programs International Citrus & Beverage Conference Donald Kautter US Food and Drug Administration Center for Food Safety and Applied Nutrition Office of Food
More informationADVANCE FOR PHYSICAL THERAPY AND REHAB MEDICINE
100 Beard Sawmill Road, Sixth Floor Shelton, CT USA 06484-6259 Phone: +1 203.447.2800 Fax: +1 203.447.2900 A not-for-profit organization since 1931, BPA Worldwide is governed by a tripartite board comprised
More informationUSE OF ALCOHOLIC BEVERAGES ON CAMPUS GUIDELINES
Forsyth Conference Center at Lanier Technical College Forsyth Campus 3410 Ronald Reagan Blvd Cumming, GA 30041 678-341-6633 Fax: 678-989-3113 forsythconferencecenter/laniertech.edu USE OF ALCOHOLIC BEVERAGES
More informationPHARMACY Section 9. Overview. Preferred Drug List. Additions and Exceptions to the Preferred Drug List
Overview The management of outpatient prescription drugs is an integral part of the medical management program to improve the health and well-being of our members. Prescriber and member involvement is
More informationGet the most from your prescription plan
Get the most from your prescription plan THE BALTIMORE CITY PUBLIC SCHOOLS Introducing Express Scripts What s Inside Your plan at a glance...2 Generics Preferred program...2 Prior authorization...3 Quantity
More informationCoventry Health Care of Georgia, Inc.
Coventry Health Care of Georgia, Inc. PRESCRIPTION DRUG RIDER (for High Deductible Health Plans) This Prescription Drug Rider is an attachment to the Coventry Health Care of Georgia, Inc. ( Health Plan
More informationCollecting Unwanted Medications: The Legal & Safe Way
Collecting Unwanted Medications: The Legal & Safe Way Lynn Rubinstein Northeast Recycling Council, Inc. January 28, 2009 Background What is NERC? Non-profit 10 Northeast states Mission: environmental sustainability
More informationUnderstanding the Value of Generic Drugs
Understanding the Value of Generic Drugs Generic drugs can help you get the most out of your health care budget. 05.02.306.1 (8/05) Many people believe that when something costs more, it must be of higher
More informationMHRA Anti-counterfeiting Strategy and Supply Chain Guidance
Safeguarding public health MHRA Anti-counterfeiting Strategy and Supply Chain Guidance PQG Annual Meeting for QPs 24 Mar 2010 Nimo Ahmed Head of Intelligence Medicines and Healthcare products Regulatory
More informationMandatory PDMP Use PDMP Use STATE Prescriber Dispenser Conditions, if applicable
Arizona Amends worker s compensation statute to require physicians to request PMP information within two (2) business days of writing or dispensing prescriptions for at least a 30 day supply of an opioid
More informationChanges to the Eighth Edition
Pharmacy Practice and the Law, Eighth Edition Includes Navigate 2 Advantage Access By Richard R. Abood, BS Pharm, JD-Professor Emeritus Pharmacy Practice, Thomas J. Long School of Pharmacy and Health Sciences,
More informationGet the most from your prescription plan
Get the most from your prescription plan THE BALTIMORE CITY PUBLIC SCHOOLS Introducing Express Scripts What s Inside Your plan at a glance...2 Generics Preferred program...2 Prior authorization...3 Quantity
More informationLegalization of Recreational Cannabis. Mary Ellen Bench City Solicitor, City of Mississauga November 26, 2018
Legalization of Recreational Cannabis Mary Ellen Bench City Solicitor, City of Mississauga November 26, 2018 October 17, 2018 recreational cannabis legalized (Canada) Ontario allows on-line purchases April
More informationLAO PEOPLE S DEMOCRATIC REPUBLIC PEACE INDEPENDENCE DEMOCRACY UNITY PROSPERITY
LAO PEOPLE S DEMOCRATIC REPUBLIC PEACE INDEPENDENCE DEMOCRACY UNITY PROSPERITY President s Office No. 13/PO DECREE of the PRESIDENT of the LAO PEOPLE S DEMOCRATIC REPUBLIC On the Promulgation of the Law
More informationPublic Health Impacts of 2016 West Virginia Legislation
Public Health Impacts of 2016 West Virginia Legislation Sherri A. Young, DO, FAAFP WVSOM Summer Seminar North Myrtle Beach, South Carolina June 15, 2016 1 Objectives Passage and implementation of Expedited
More informationDRUG PRODUCT INTERCHANGEABILITY AND PRICING ACT
c t DRUG PRODUCT INTERCHANGEABILITY AND PRICING ACT PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this Act, current to September 22, 2014. It is intended
More informationTamsulosin Hydrochloride 0.4 mg Capsule
Tamsulosin Hydrochloride 0.4 mg Capsule, Tamsulosin Hydrochloride 0.4 mg Capsule India, Tamsulosin Hydrochloride 0.4 mg Capsule manufacturers India, side effects Tamsulosin Hydrochloride 0.4 mg Capsule
More informationJanuary 19, Cannabis Legalization and Regulation Secretariat Address locator 0602E Health Canada Ottawa, Ontario K1A 0K9
January 19, 2018 Cannabis Legalization and Regulation Secretariat Address locator 0602E Health Canada Ottawa, Ontario K1A 0K9 By email: cannabis@canada.ca RE: Proposed Approach to the Regulation of Cannabis
More informationCounterfeit Pharmaceuticals. in Canada. The counterfeit criminal market. in Canada. No country is immune from counterfeit drugs
Criminal Intelligence Service Canada August 2006 Counterfeit Pharmaceuticals in Canada The counterfeit criminal market in Canada Counterfeit goods can be categorized into industry sectors: entertainment
More informationGENERAL INFORMATION AND INSTRUCTIONS
NON-PARTICIPATING MANUFACTURER CERTIFICATION FOR LISTING ON OREGON DIRECTORY GENERAL INFORMATION AND INSTRUCTIONS Who is required to file this Certification? Any tobacco product manufacturer who is a non-participating
More informationChallenges for U.S. Attorneys Offices (USAO) in Opioid Cases
Challenges for U.S. Attorneys Offices (USAO) in Opioid Cases Overview On August 2, 2017, U.S. Attorney General Jeff Sessions announced a pilot program whereby a new federal data analysis program is being
More information9/3/2013. Presentation Objective. Prescription Drug Abuse Statistics Prescription Drug Abuse Statistics. Pharmaceutical Drugs and the Environment
Presentation Objective Background - Why do we need a regulation for the disposal of controlled substances. Disposal of Controlled Substances DEA Notice of Proposed Rulemaking AHMP 2013 National Conference
More informationOverview of Current Medicine Take-Back Efforts
Overview of Current Medicine Take-Back Efforts Margaret Shield PhD Community Environmental Health Strategies LLC www.cehstrategies.com 206-499-5452 margaret.shield@cehstrategies.com June 16, 2017 Secure
More informationGeneral Providers. Tamper-Resistant Prescription Requirements
September 2008 Provider Bulletin Number 8138 General Providers Tamper-Resistant Prescription Requirements Effective with processing dates on and after October 1, 2008, written prescriptions for Kansas
More informationPrescription Drug Monitoring Program (PDMP) Delaware. Information contained in this presentation is accurate as of November 2017
Prescription Drug Monitoring Program (PDMP) Delaware Information contained in this presentation is accurate as of November 2017 Dr. Michael C. Dejos, PharmD, BCPS, LSSBB 2 Acknowledgements Christian Ruffin,
More informationCannabis Legalization
Cannabis Legalization Meeting with Education Stakeholders October 26, 2018 Agenda 1. Welcome and Introductions (EDU) 2. Overview of Federal and Provincial cannabis legislation (MAG) 3. Overview of Licence
More informationFalsified Medicines Directive - Safety Features Update
Falsified Medicines Directive - Safety Features Update Catherine Neary GMP Conference 12 th November 2014 Agenda Background Delegated Act(s) Proposals Under Consideration White List & Black List Next Steps
More informationGetting started with Prime
Getting started with Prime How does a pharmacy plan work? When you visit your doctor, he or she may prescribe medicine for you. Here's how the plan works: Take your prescription and member ID card to the
More informationSmoking Cessation and the Workplace
Smoking Cessation and the Workplace Profile of Tobacco Smokers and Workplace Smoking Cessation Policies and Programs Louise Chénier Manager, Workplace Health and Wellness Research The Conference Board
More informationReport of the Task Force on Drug Diversion through Institutional Outlets
Report of the Task Force on Drug Diversion through Institutional Outlets Members Present: Wiki Erickson (TX); David Flashover (NY); Donald Gibson (MN); Susan Ksiazek (NY); Wallace Nelson (NC). Not Present:
More informationSubmitted to the House Energy and Commerce Committee. Federal Efforts to Combat the Opioid Crisis
STATEMENT FOR THE RECORD Submitted to the House Energy and Commerce Committee Federal Efforts to Combat the Opioid Crisis October 25, 2017 America s Health Insurance Plans 601 Pennsylvania Avenue, NW Suite
More informationFood Commissaries under FSMA and the US FDA model Food Code
Food Commissaries under FSMA and the US FDA model Food Code Introduction A food commissary is a facility or operation that procures and/or produces foods intended for distribution. A retail or foodservice
More informationWhat Do IACP Members Think?
What Do IACP Members Think? Results of a National Survey of Compounding Practitioners February 27, 2013 Final Summary Results What Do Compounders Think? National Survey of 2,857 pharmacists and technicians
More informationMedicines regulation - National
Medicines regulation - National David Legge Savar, November 2018 (Several slides from Ken Harvey gratefully acknowledged) 1 National regulation Licensing of manufacturers and certification of foreign manufacture
More informationGuideline on Health Food Exportation to China
Guideline on Health Food Exportation to China 2018 Version Editor: CIRS Food Technical Team Tel: +86 571 87206538 Email: food@cirs-group.com 0 Foreword Chinese consumer s consumption of health food was
More information2016 Travelers Prescription Drug Plan Blue Cross Blue Shield Plan and United Healthcare Choice Plus Plan
2016 Travelers Prescription Drug Plan Blue Cross Blue Shield Plan and United Healthcare Choice Plus Plan Plan Details, Programs, and Policies Table of Contents Click on the links below to be taken to that
More informationInstant Drug Testing State Law Guide
Instant Drug Testing State Law Guide State Alabama Alaska Arizona POCT / Instant Testing Status Comment outside this voluntary law but not by companies that wish to qualify for the WC discount. FDA-cleared
More information4/26/2013. Libia Lugo Drug Specialist San Juan District Office Investigations Branch
Libia Lugo Drug Specialist San Juan District Office Investigations Branch The Food and Drug Administration (FDA) responsibilities extend to the 50 United States, the District of Columbia, Puerto Rico,
More informationCIGARETTE FIRE SAFETY AND FIREFIGHTER PROTECTION ACT Act of Jul. 4, 2008, P.L. 518, No. 42 Cl. 35 AN ACT
CIGARETTE FIRE SAFETY AND FIREFIGHTER PROTECTION ACT Act of Jul. 4, 2008, P.L. 518, No. 42 Cl. 35 AN ACT Providing for testing standards for cigarette fire safety, for certification of compliance by manufacturers,
More informationYour Prescription Card. Your guide for savings.
CVS Caremark 620 Epsilon Drive Pittsburgh, PA 15238 4750-_PM 9501 E. Shea Blvd SCOTTSDALE, AZ 85260 Your Prescription Card. Your guide for savings. Dear Plan Member, Welcome to your new benefits. Attached
More informationPHARMACY COMPLIANCE RISK AREAS FOR 2014
PHARMACY COMPLIANCE RISK AREAS FOR 2014 2014 San Juan Puerto Rico Regional Compliance Conference Darrell W. Contreras, Esq., LHRM, CHC-F, CHPC, CHRC 5 Risk Areas 1. Overbilling of Herceptin 2. Quality
More informationDrug Administration Law of the People's Republic of China Order of the President of the Peoples Republic of China. (No. 45)
Drug Administration Law of the People's Republic of China Order of the President of the Peoples Republic of China (No. 45) The Drug Administration Law of the People s Republic of China, revised at the
More informationThe Healthy Indiana Plan
The Healthy Indiana Plan House Enrolled Act 1678 A Pragmatic Approach Governor Mitch Daniels July 16, 2007 Indiana s Fiscal Health is Good First Back-to-Back Balanced Budget in Eight Years $1,000.0 Revenue
More informationBarbara Brohl Executive Director & State Licensing Authority Colorado Department of Revenue
Barbara Brohl Executive Director & State Licensing Authority Colorado Department of Revenue 1 Background and History Colorado Industry Segments Legislative Process Rulemaking Process Regulatory & Enforcement
More informationFlu Vaccination Clinics
Flu Vaccination Clinics June 18, 2009 Shepell fgi Contact: Paula Allen Vice President Organizational Solutions & Training 416-355-5495 1-800-461-9722 ext. 5495 pallen@shepellfgi.com www.shepellfgi.com
More informationSub. S.B. 119 As Passed by the Senate
AM3404 Sub. S.B. 119 As Passed by the Senate Topic: Opioid Data and Communication Expansion Act moved to amend as follows: In line 1 of the title, after "4723.52," insert "4729.01, 4729.44, 4729.75, 4729.79,
More informationSTANDARDISED PACKAGING AND TOBACCO PRODUCTS DIRECTIVE
This guidance document contains Assured Advice under the ACS Primary Authority Scheme. For more details visit www.acs.org.uk/assured-advice STANDARDISED PACKAGING AND TOBACCO PRODUCTS DIRECTIVE Laws regulating
More informationStandards, Education, Verification. Patient Focused Certification
Standards, Education, Verification Patient Focused Certification PFC Training helps you achieve quality standards. Staff Certification is now available online www.pfctraining.org jahan@safeaccessnow.org
More informationUsing Policy, Programs, and Partnerships to Stamp Out Breast and Cervical Cancers
Using Policy, Programs, and Partnerships to Stamp Out Breast and Cervical Cancers National Conference of State Legislatures Annual Meeting J August 2006 Christy Schmidt Senior Director of Policy National
More informationLegislative Bill Watch As of Thursday March, 13, 2014
Passed Bills Legislative Bill Watch As of Thursday March, 13, 2014 Bill Number and Title Bill Sponsors Summary Status HB 11 Overdose Reporting HB 23 Suicide Prevention Revisions H.B. 38 Second Substitute
More information1 HB By Representative Williams (JD) 4 RFD: Health. 5 First Read: 09-JAN-18 6 PFD: 11/28/2017. Page 0
1 HB37 2 188862-1 3 By Representative Williams (JD) 4 RFD: Health 5 First Read: 09-JAN-18 6 PFD: 11/28/2017 Page 0 1 188862-1:n:11/16/2017:PMG/tj LSA2017-3516 2 3 4 5 6 7 8 SYNOPSIS: This bill would establish
More information