System & processes in Swedish Pharmacies Ludvig Mller - PowerPoint PPT Presentation

System & processes in Swedish Pharmacies Ludvig Möller LloydsApotek

Implementation of e-verification should not affect availability of medicines McKesson Proprietary and Confidential

VARA & PRIS Stock management system Hand out of Goods in Prescription Pharmacist Pack control dispensed item process handling approval to patient RR/RRD Decommissioning FORS & ARKO Verification LF HKDB FOLK FOTA NMVS

Verification and decommissioning Hand out of Pack control dispensed item 2. Unique identifier in the 2D code is saved together with the to patient prescription order Decommissioning 1. Instant verification Verification 3. Decommissioning once 2D code is is done once scanned. payment transaction is processed NMVS

Only valid responses concerning a possible counterfeit or product defect should be shown to the pharmacy staff McKesson Proprietary and Confidential 15/11/2017 5

Verification and decommissioning Goods in process Disposal of medicines Risk based verification Medicines are during goods in process decommissioned once Decommissioning disposed at the Verification pharmacy. Integrated functionality Functionality depends is preferred. on pharmacy system NMVS

Ensure implementation in the pharmacies EAN-code functionality EAN-codes are today used for pack- control Pharmacy systems EAN-codes will continue to be used for still need to support non-serialized products released prior to 9th February 2019. EAN-codes EAN-codes will continue to be used for products not covered by FMD 7 12.09.2017 McKesson Europe Proprietary and Confidential

Ensure implementation in the pharmacies 2D-code functionality 2D-codes can today be used for pack-control Pack control and verification will be merged into the same process step 2D-codes and EAN-codes might both exist on the same pack. 8 12.09.2017 McKesson Europe Proprietary and Confidential

If a 2D-code is on the pack the pack is covered by FMD and the 2D-code should be scanned

Potential challenges Quarantine and Mistakes and errors during upload Verification early in the process worried in EU-hub found in the pharmacies promotes availability costumers Medicines centrally approved by Products not in VARA cannot be handled in the normal EMA but not on the Swedish market process and requires manual decommissioning Both EAN- and 2D-codes on the EAN-code might be Pack is not decommissioned same pack scanned instead. 2D-codes not uploaded in the HUB Pack not found Pack cannot be dispensed 10 15/11/2017 McKesson Proprietary and Confidential

Mistakes and problems with serialization of the pack & suspected counterfeits should be found as early in the process as possible 11

Sweden is well prepared for e-verification Current scanning Swedish pharmacies during pack-control have well functioning and database IT-systems are systems for connections during integrated with the check out – no need implementation of the national database new regulation for extra process steps. 12 15/11/2017 McKesson Proprietary and Confidential