Monitoring drugs with quality as motto

Presently the pharmaceutical industry in Pakistan is producing all the major pharmaceutical dosage forms. The quality and safety of the drugs manufactured and sold through the entire network of retail chains is monitored and ensured by the Drugs Control Organization. The DCO functions as a wing in the Ministry of Health. It works under the rules and regulations laid down by the Drugs Act. The Drugs Act, 1976, regulates the pharmaceutical sector in Pakistan as:

• an Act to regulate the import, export, manufacture, storage, distribution and sale of drugs.
• extending to the whole of Pakistan and Federally Administered Tribal Areas (including Export Processing Zones).

Drugs Controller is the technical head of this Organization and the Director General is the departmental head. The Drugs Control Organization also has its field offices in the Provincial Headquarters. All the imports of pharmaceuticals are conducted through these offices. They also monitor the compliance to conditions of Drug Manufacturing Licenses, including Good Manufacturing Practices. The Provincial Governments have their own Inspectorates for post-marketing surveillance. The Provincial Quality Control Boards have jurisdictions in Quality Control cases in the respective provinces. The State of Azad Jammu and Kashmir has also adopted this Act and the jurisdiction of the Central Licensing and Registration Boards constituted under this Act is extended to the territory of A J & K. Though the domestic industry in Pakistan meets almost all the requirements on the formulation side, only few bulk pharmaceutical raw materials are being manufactured locally and most of the pharmaceutical raw materials are being imported in large quantities from different countries of the world. Under the Drugs Act, 1976 four types of Drugs Manufacturing Licenses are issued depending upon the nature of activity of pharmaceutical manufacture as under: - a) Formulation b) Basic Manufacture c) Semi Basic Manufacture d) Repacking As such a pharmaceutical unit (facility) can possess more than one license depending upon the nature of activities being undertaken. To establish a pharmaceutical unit in Pakistan all permissions relating to investment, transfer of dividends and profits and appointment of foreign staff, which were previously required have been dispensed with. There is no government requirement for joint venture projects. Now the only requirement is to obtain a Drug Manufacturing License under the Drugs Act, 1976 with a view to ensuring production of drugs of standard quality, by complying with notified current Good Manufacturing Practices. Once the conditions laid under the rules have been met, a Drug Manufacturing License is granted without delay. A Central Licensing Board, comprising 21 members including; the representatives of the Federal and Provincial Governments and the experts in medical and pharmaceutical fields, grants the Drug Manufacturing License. Procedure for formulation license:- 1. When a proposal is made for establishment of the a pharmaceutical unit, the following documents are requested: - a) A copy of the National Identity Card of the applicant. b) Deed / lease document of the land / plot, for its proper identification. c) Information about the company/firm, its directors or partners. d) Sketch of the proposed site. 2. Verification of the site. The proposed site should not be located in a place adjacent to an open sewerage, drain, public lavatory or any factory, which produces a disagreeable, or obnoxious odor or fumes or large quantities of soot, dust or smoke. For a license, by way of formulation a minimum plot size of not less than 2000 square yards is required. Once the requisite information is complete, the site verification takes about 3-4 weeks. 3. Approval of the layout plan. The applicant is required to furnish a layout plan giving details of the flow of operations, and drawn in line with the current Good Manufacturing Practices. The guidelines to this affect are given in Schedule B-1. Once the layout plan is found in order, it takes about 3-4 weeks for its approval. 4. As soon as the facilities are complete a formal application for grant of a Drug Manufacturing License is made on a prescribed Form-I, alongwith the requisite fee, for evaluation of the production and quality control facilities. 5. A panel of experts of the Central Licensing Board inspects the facilities to evaluate, if they comply with the requirements for grant of a license, as provided in the rules, and makes a report to the Board. 6. The Board, which meets every 6-8 weeks, passes its orders on the report and recommendations of the panel of inspectors. 7. A license is issued for a period of five years at a time, after which it is renewable on an application. Once an application for renewal has been made in time, the license continues to be in force till the decision on the application. 8. A license may be suspended or cancelled or renewal denied if the licensee fails to comply with the conditions of license. The procedural requirements for other types of Drug Manufacturing Licenses are similar as that of the Formulation, with some variations of conditions depending upon the type of the license. The Drug Manufacturing License Fee Schedule 'F' Site verification Rs. 1000/- Approval of the Rs. 1000/ - layout plan per section Revision/expansion Rs. 500/ - of lay out plan per section Grant of License Basic Rs.10,000/- Semi basic Rs.10,000/- Formulation Rs.35,000/- Repacking Rs.20,000/- Renewal of License - If the application for renewal is made before the expiry of the
• Basic Rs.5,000/-
• Semi basic Rs.5,000/-
• Formulation Rs.17,500/-
• Repacking Rs.10,000/-

Registration Of Drugs Registration of a drug is granted by the Registration Board, set up by the Federal Government under the Drugs Act, 1976. This Board, which comprises 21 experts in the field, before registering a drug, satisfies itself of its safety, efficacy, quality and economy. The Board also takes into consideration the public interest. In addition, in respect of registration of a drug for local manufacture, it is ascertained that the manufacturer possesses matching facilities. 1) An application for registration of a drug to be manufactured locally is made in a prescribed Form-5 under the Drugs (Licensing, Registering and Advertising) Rules, 1976. An application for registration of a drug to be imported is made in a prescribed Form-5 (A) under the said rules. 2) The respective offices evaluate the application. It takes 3-6 months to process the applications for branded generic drugs and 6-12 months in respect of new molecules. 3) Once the application is complete and has been evaluated it is placed before the Registration Board for its orders. 4) For every potency/strength of a drug a separate application is required. 5) A registration is issued for a period of five years at a time, after which it is renewable on an application. Once an application for renewal has been made in time, the registration continues to be in force till the decision on the application. 6) A registration may be suspended or cancelled or renewal denied if the holder of the registration fails to comply with the conditions of registration. The Federal Government has set up Expert Committees including a committee on Biologicals and a committee on Veterinary Drugs for furnishing opinion after drug's evaluation. The Registration Board also considers these opinions. The Registration Fee Schedule:-For grant of Registration New Drug Molecule - Rs.15,000/- Any other drug for import - Rs. 15,000/- Any other drug for local - Rs. 8,000/- manufacture including Galenicals For renewal of Registration (i) If the application for renewal is made before the expiry of the validity of a certificate: Drug for import - Rs. 7,500/- Drug for local manufacture - Rs. 4,000/- including galenicals (ii) If the application for renewal is made within sixty days after the expiry of the validity of a certificate: Drug for import - Rs. 15,000/- Drug for local manufacture - Rs. 8,000/- including galenicals Variance to registration - Rs. 1000/- Quality Control The manufacturing of quality drugs is primarily the responsibility of the manufacturer and for that matter every pharmaceutical unit establishes its own quality control laboratory. The Government regularly monitors the quality of drugs manufactured and marketed. Inspectors of Drugs at the Federal as well as Provincial level conduct post-marketing surveillance. For that purpose Drug Testing laboratories are established at the Federal as well as Provincial levels. The Central Licensing/Registration Boards or the Provincial Quality Control Board, as the case may be, for taking further action evaluate reports of the Government Analysts. In case a drug fails to comply with standards and/or conditions of registration it may result in the cancellation or suspension of a Drug Manufacturing License or registration or legal proceedings in a Drug Court. Drug Pricing The system of pricing of medicines has been liberalized. All drugs have been divided into two categories controlled and decontrolled drugs. About 800 drugs that have been considered essential for this purpose have been placed on the controlled list. For these a transparent system of price revision has been developed allowing periodic across-the-board price increases on account of the general rate of inflation and changes in the exchange rate of the rupee, etc. In case of decontrolled category, a more liberal system is in operation through which higher price increases are allowed at regular intervals compared to the controlled category of drugs. Sops for local manufacturing The pharmaceutical industry in Pakistan is presently importing a large number of pharmaceutical raw materials with a cost, which is increasing rapidly. The government's determination towards achieving self-sufficiency backed by a liberal policy is encouraging expansion of industrialization towards basic manufacture of pharmaceutical raw materials. Presently the following raw materials are being manufactured locally, for commercial sale.
• Penicillin and its derivatives for oral dosage forms; like Ampicillin Trihydrate, Amoxycillin Trihydrate, Ampicillin Anhydrous.
• Cephalosporins like Cephradine and Cephalexin, etc., both oral and sterile.
• Analgesics like Aspirin, Paracetamol and Ibuprofen.
• Quinolones like Norfloxacin and Ciprofloxacin.
• Steroids like Betamethasone, Dexamethasone and their salts.
• Other products like Pyrazinamide, Ephedrine HCl, Pseudo-ephedrine HCL, Furazolidone, Hyoscine, Rifampicin and Sulphamethoxazole

• The machinery and equipment, not manufactured locally, is importable at 5% customs duty.
• For bulk manufacturing of pharmaceutical raw materials, the chemical raw material are exempted from custom duty in excess of 5% ad valorem and sales tax.
• Once a local manufacturer of bulk pharmaceutical raw material is capable of meeting the required standards of quality and the domestic requirement, he may be granted a tariff protection on the recommendations of the National Tariff Commission.
The Drugs Act, 1976 Under this Act, the Federal Government has laid down the following rules to carry out various functions entrusted to it under this Act:- The Drugs (Licensing, Registering and Advertising) Rules 1976. - Provide the rules, procedures and conditions for grant of Drug Manufacturing Licenses, registration of drugs, promotion to the professionals and advertisement of drugs to the general public. The Drugs (Labelling and Packing) Rules, 1986. - Prescribe the manners in which a registered drug shall be labeled. The Drugs (Import and Export) Rules, 1976. - Provide procedures to import the finished drugs and the raw materials. The pharmaceutical raw materials can be imported by the holders of valid Drug Manufacturing Licenses and the registration of the respective drug. The Drugs (Appellate Board) Rules 1976. - Provide procedures for making appeals before the Appellate Board against the decisions of the Central Licensing and Registration Boards, as the case may be. The Drugs (Research) Rules, 1978. - Every lincesee is required to pay 1% of his gross profit towards a Central Research Fund, administered by the Federal Government. The Drugs (Specifications) Rules, 1978. - Provide order of specifications which shall be applied to a registered drug. Major Trade & Industry bodies in Pak Pakistan Pharmaceutical Manufacturers Association Head Office: 130-131 Hotel Metropol, Club Road, KARACHI Phone: 92-21-5211773 Fax: 92-21-5675608 Pharma Bureau (A group of multinationals operating in Pakistan) Head Office: Rooms 16 & 17, (Ground Floor), Plot 23, Sector 22, Korangi, Industrial Area, KARACHI Phone: 92-21-5060221-35 Fax: 92-21-5060360 E.mail: zhmpbk@attglobal.net Pakistan Chemists and Druggists Association Head Office: 18-Shaikh Chambers, M.A. Jinnah Road, Near Light House Cinema, KARACHI Phone: 92-21-2435606, 2438091 Fax: 92-21-2443784