Generic Labeling
Generic Labeling
Department of Health
ADMINISTRATIVE ORDER
No. 2014 - ___________
SUBJECT:
I.
RATIONALE
Article III, Section 7 of the 1987 Philippine Constitution declares that the
State recognizes the right of the people to gain information on matters of public
concern, such as those relating to health and health products.
Labels and labeling materials are the primary source of information for
consumers. They provide useful information such as those dealing with the safe
and effective use of a pharmaceutical product (e.g., indication(s), pharmacologic
class and dosage), and information dealing with quality (e.g., manufacturing and
expiration dates, registration number, and manufacturer).
The Food and Drug Administration (FDA), as the regulatory authority of
the Philippines responsible for all matters pertaining to pharmaceutical products,
has crafted several issuances to ensure that drug establishments provide the most
accurate information relating to their products. In the course of the enforcement of
these issuances, coupled with the advent of globalization and development of
harmonization schemes of technical procedures and requirements applicable to
the pharmaceutical industries in the ASEAN region, gaps in regulations have been
identified, and the need for a more transparent and clear regulatory guideline
pertaining to labels has been raised.
Hence, this Order is issued to rationalize the regulations on labeling of
pharmaceutical products for human use, as well as to address the gaps and issues
raised for the effective implementation of the declared policy.
Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila Trunk Line 651-7800 Direct Line: 711-9501
Fax: 743-1829; 743-1786 URL: http://www.doh.gov.ph; e-mail: [email protected]
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II.
DECLARATION OF POLICY
It is declared a policy of the State to protect and promote the right to
health of the people and instill health consciousness among them, as provided
under Article II, Section 15 of the 1987 Philippine Constitution. Furthermore, it
is declared a policy of the State to protect consumers against hazards to health and
safety, and to provide information to facilitate sound choice in the proper exercise
of their rights as consumers.
In the implementation of the foregoing policy, the Department of Health,
through the Food and Drug Administration, is mandated in accordance with the
provisions of Section 5 (o) of Republic Act 9711, otherwise known as the Food
and Drug Administration Act of 2009, to prescribe standards, guidelines, and
regulations with respect to information, advertisements and other marketing
instruments and promotion, sponsorship, and other marketing activities about
health products.
III.
OBJECTIVE
The objective of this Administrative Order is to rationalize the existing
rules and regulations on generic labeling requirements of pharmaceutical
products, consistent with the harmonized requirements of the ASEAN Member
States; thus, providing a more updated and comprehensive guideline as a response
to the needs of the pharmaceutical industry and the public.
IV.
SCOPE
This Administrative Order shall apply to all manufacturers, traders and
distributors (i.e. exporters, importers and wholesalers) of pharmaceutical products
for human use, including herbal medicines and traditionally-used herbal products.
V.
DEFINITION OF TERMS
For purposes of this Administrative Order, the following terms shall mean:
1. Active Moiety - the molecule or ion, excluding those appended portions of
the molecule that cause the drug to be an ester, salt (including a salt with
hydrogen or coordination bonds), or other noncovalent derivative (such as
complex, chelate, or clathrate) of the molecule, responsible for the
physiological or pharmacological action of the drug substance.
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13. Expiration Date - the date (i.e. month and year) placed on the label of a
drug product designating the time prior to which a batch of the product is
expected to remain within the approved shelf-life specification if stored
under defined conditions. After the expiration date, there is no guarantee
that the product will remain within the approved specifications and,
therefore, it may be unsuitable for use and should not be used.
14. Formulation - the name, strength, and reference monograph of all APIs
and/or excipients present in the pharmaceutical product.
15. Generic Class Name - the identification of a pharmaceutical product
containing three or more APIs by its scientifically and internationally
recognized name or by its official generic name as determined by FDA.
16. Generic Name - the identification of a pharmaceutical product by its
scientifically and internationally recognized active pharmaceutical
ingredient or by its official generic name as determined by FDA.
17. Indication - the FDA-approved clinical use of a pharmaceutical product
based on substantial, scientifically supported evidence of its safety and
efficacy in the given dosage form.
18. Label - the written, printed or graphic matter on any pharmaceutical
product, its immediate container, tag, literature or other suitable material
affixed thereto for the purpose of giving information as to the identity,
components, ingredients, attributes, directions for use, specifications and
such other information as may be required by law or regulation.
19. Labeling Materials - label on the immediate container, and the other
printed materials that are made available with the pharmaceutical product
at the time of purchase and/or when the product is used, such as the outer
wrapper cartons, SPC/package insert/leaflet accompanying the product,
which provide the accurate and necessary detailed information for the
identification and proper use of the product.
20. Large Volume Parenterals injectable preparations with a volume more
than 100mL.
21. Lot Number - any distinctive combination of letters and/or numbers
assigned to a particular lot, herein defined as a portion of a batch.
22. Manufacturer - an establishment engaged in any and all operations
involved in the production of health products as well as the final release of
the finished product, with the end view of its storage, sale or distribution;
provided, that the term shall not apply to the compounding and filling of
prescriptions in drugstores and hospital pharmacies.
23. Marketing Authorization (MA) - an official document issued by the
competent drug regulatory authority (DRA) for the purpose of marketing
or free distribution of a product after evaluation for safety, efficacy, and
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quality, and containing, inter alia: the name of the product; the
pharmaceutical dosage form; the quantitative formula (including
excipients) per unit dose; the shelf-life and storage condition(s); and
packaging characteristics; specific information on which authorization is
based (e.g., The product(s) must conform with all the details provided in
the application and as modified in subsequent correspondence.); the
product information approved for health professionals and the public, the
sales category, the name and address of the holder of the authorization,
and the period of validity of the authorization. In the Philippines, the MA
is in the form of a Certificate of Product Registration (CPR).
24. Marketing Authorization Holder (MAH) - the company or corporate or
legal entity in the field of pharmaceuticals in whose name the MA for a
pharmaceutical product has been granted. This party is responsible for all
aspects of the product, including quality and compliance with the
conditions of the MA. The authorized holder must be subjected to
legislation in the country that issued the MA, which normally means being
physically located in that country. In the Philippines, the MAH may either
be a manufacturer, trader, or distributor (exporter, importer or wholesaler).
25. Mode of Administration - the manner and site where the pharmaceutical
product is to be introduced into or applied on the body.
26. Net Content - the total amount/quantity/number of the dosage form in a
certain container of a pharmaceutical product expressed in metric system.
27. New Chemical Entity (NCE) - new chemical or biological API not
previously authorized for marketing for any pharmaceutical use in the
country in question.
28. Over-the-Counter (OTC) Drugs - pharmaceutical products or drug
preparations that can be dispensed even without the written order of a
licensed physician or dentist.
29. Pack Size - refers to the quantity of dosage form in the final packaging
(excluding the shipping carton) of a pharmaceutical product bearing the
required labeling information.
30. Package Insert (PI) - the document defining information that is supplied
with a prescription pharmaceutical product by the MAH.
31. Patient Information Leaflet (PIL) - the document defining information
intended for the patient that is supplied with over-the-counter (OTC)
preparations and household remedies by the MAH.
32. Pharmacologic Category - refers to the classification of the pharmaceutical
product based on its therapeutic action as specified in the product
registration.
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33. Precautions - the instruction and the special care required in the use of the
pharmaceutical product to avoid undesired effects and to ensure its safe
and effective use.
34. Prescription Pharmaceutical Products - pharmaceutical products that are to
be dispensed only upon written order or prescription of a duly licensed
physician or dentist for the management or treatment of a condition or a
diagnosed disease of man.
35. Primary Label - refers to the label on the primary packaging material of a
pharmaceutical product.
36. Product Name - the name (i.e. Generic Name and Brand Name, if any) of
the pharmaceutical product as registered in FDA.
37. Product Description - refers to the complete organoleptic description of
the finished pharmaceutical product.
38. Registration Number - a combination of letters/numbers assigned to a
particular pharmaceutical product by FDA as proof of registration.
39. Shelf-life - the time period during which a drug product is expected to
remain within the approved specifications, provided that it is stored under
the conditions defined in the label.
40. Small containers - are pharmaceutical packaging materials that hold less
than or equal to 5 mL volume or 5 g weight, which include:
(a) ampoules, vials, and nebules of small volume parenterals;
(b) packaging materials for ophthalmic, otic, and nasal liquid preparations;
(c) jars and tubes for semi-solid preparations; and
(d) any other packaging material of the same capacity.
41. Small Volume Parenterals injectable preparations with a volume of
100mL and below.
42. Storage Condition(s) - the acceptable specified range temperature,
humidity, and other environmental factors within which optimal stability
of the pharmaceutical product is ensured based on laboratory data.
43. Summary of Product Characteristics (SPC) - the product information as
approved by the DRA. It also serves as the source of information for
health personnel as well as for consumer information on labels and leaflets
of pharmaceutical products advertisement for control of advertising.
A Company Core Data Sheet (CCDS) approved by the DRA may also be
considered.
44. Undesirable Effects - also known as adverse events, refer to untoward
medical occurrence that may present during treatment with a drug product
but which does not necessarily have a causal relationship with this
treatment.
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GENERAL REQUIREMENTS
The following are the minimum mandatory information that shall appear
in the labeling materials accompanying a pharmaceutical product:
1. Product Name
2. Dosage Form and Strength
3. Pharmacologic Category
4. Formulation/Composition
5. Indication(s)
6. Dosage and Mode of Administration
7. Contraindication(s), Precaution(s), Warning(s) (if applicable)
8. Interactions
9. Undesirable Effects
10. Overdose and Treatment
11. Storage Condition(s)
12. Net Content or Pack Size
13. Name and Address of MAH
14. Name and Address of Manufacturer
15. For prescription pharmaceutical products, the Rx Symbol and Caution
Statement
16. ADR Reporting Statement
17. Registration Number
18. Batch Number and Lot Number (if any)
19. Expiration Date and Date of Manufacture
All information required to appear on the label shall be (a) written in
English and/or Filipino and (b) readable with normal vision without straining. The
color contrast, position and spacing of the printed matters on the label must be
taken into consideration in complying with labeling requirements.
For all NCEs, biotechnological products, and prescription generic products
and herbal products, a package insert shall be submitted; for all household
remedies, over-the-counter drug and herbal medicines, and traditionally-used
herbal products, a patient information leaflet shall be submitted. The SPC shall be
the basis of the submitted PI for NCEs and biotechnological products.
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SPECIFIC REQUIREMENTS
A. Product Name
1. the product name shall indicate the generic name and the brand name (if
any) of the pharmaceutical product;
2. the generic name shall be as the active moiety based on the International
Non-proprietary Name (INN), and consistent with the dosage strength
indicated; for pro-drugs, the generic name shall be the INN of the prodrug
itself and not its active chemical (metabolite) form;
3. the generic name shall appear prominently with an outline box, with the
generic names prominence over the other information being clearly and
distinctly readable by normal vision as may be determined by common
visual sense;
4. for herbal medicines and traditionally-used herbal products, the generic
name shall be the botanical origin or as recognized by FDA;
5. if a product is identified by a brand name together with its generic name,
the generic name enclosed in an outline box shall in all cases appear
immediately above the brand name; for narrative texts (whether in the unit
carton, primary label or insert), the brand name shall in all cases be
preceded by the generic name and enclosed in parenthesis or brackets;
6. for products with multiple APIs, the product name shall indicate all of the
APIs, enumerated in the order of decreasing pharmacologic activity and
placed inside the box in either of the given format:
Ex.:
Ferrous Sulfate
Folic Acid
Brand Name
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If the APIs have more or less similar pharmacologic activity, they shall be
enumerated in the order of decreasing potency and strength; provided, that
if there exists a single approved name for fixed-dose combination (e.g.,
Cotrimoxazole for the standard formulation Sulfamethoxazole /
Trimethoprim), the single approved name shall be used; provided further,
that if there is no single approved name but there exist a generic class
name (e.g., Multivitamins for multi-vitamin containing preparations, as
approved by FDA), the generic class name shall be used.
The individual components of the single approved name and generic class
name shall be enumerated under Formulation.
B. Dosage Form and Strength
1. The label shall specify the (a) dosage form of the product such as tablet,
capsule, suspension, ointment, etc., (b) the specific delivery system, if any
such as modified release, and (c) specific mode of administration, if any
and appropriate, such as vaginal/rectal suppository, etc., as approved by
FDA. If there is no qualifier for tablets, it is understood as an oral,
uncoated, immediate release tablet.
2. The label shall specify the dosage strength of the product which shall be
expressed in metric units reduced to lowest terms and in the number of the
largest unit specified (e.g., 500mcg, not 0.5mg).
3. FDA, as deemed necessary and appropriate, shall allow the strength of
certain dosage forms to be expressed as percentage.
4. For products with multiple APIs, the dosage strength shall be stated in
accordance with the generic name indicated: for multiple APIs, the
individual strengths shall be indicated, separated by a slash sign (/); if a
single approved name is used, the dosage strength shall be indicated as the
sum.
Ex.:
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Piperacillin Sodium
Tazobactam Sodium
Brand Name
4 g / 500 mg Powder for Injection (IV)
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Cotrimoxazole
Brand Name
960 mg Tablet
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C. Pharmacologic Category
The pharmacologic category shall be as determined by FDA, taking into
consideration current acceptable standards for therapeutic categories.
D. Formulation/Composition
1. The label shall state the name and strength of all APIs present per unit
dose of the product, which shall be indicated by their generic names,
arranged in decreasing potency.
2. The name of the API shall be stated in full (including salts and esters, if
any) and correlated to the active moiety, when applicable. The name of the
API shall be in accordance with its International Non-Proprietary Name
(INN); for herbal medicines and traditionally-used herbal products, the
official Philippine Pharmacopeia name shall be used, or as determined by
FDA.
3. The reference monograph used for the analysis of the finished
pharmaceutical product shall be indicated immediately after the API,
unless a non-official method is used; for multiple APIs, it shall be
indicated after the first API.
Each tablet contains:
Sodium Ascorbate, USP....................................562.5 mg
(equivalent to Ascorbic Acid 500 mg)
Each tablet contains:
Calcium Carbonate, BP.............................................750mg
(equivalent to elemental Calcium 300 mg)
Each capsule contains:
Amoxicillin (as Trihydrate), USP.............................500mg
Each vial contains:
Omeprazole (as Sodium) .............................40mg
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Ex.
Multivitamins + Iron
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Multivitamins + Irons + Panax ginseng
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Minerals + Ascorbic Acid + Panax ginseng
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EXEMPTIONS
The requisites provided in this Administrative Order shall not apply to the
following cases:
1. Drug products manufactured for export;
2. Veterinary drug products;
3. If the container or primary pack containing the product is enclosed in a
transparent covering and the particulars which are required to be set on the
label on the container or primary pack are clearly visible through
transparent covering, the transparent covering is exempted;
4. Products that are compounded by a pharmacist in accordance with the
individual prescription of a medical practitioner or dentist for immediate
use;
5. Investigational drugs, i.e. new chemical or structural modification of a
tried and tested or established drug proposed to be used for a specific
therapeutic indication(s);
6. Foreign donations of pharmaceutical products;
7. Products that require special handling (e.g., pre-filled syringes, products
that require cold-chain management); and
8. Low volume of importation.
A Generic Labeling Exemption (GLE) application shall be concurrently
submitted by applicant companies with their application for pharmaceutical
product registration, except for certain situations as promulgated by FDA. If
granted, FDA shall issue a GLE certificate with a corresponding validity and
number. The Registration Number assigned by FDA must be reflected on the
label of the pharmaceutical product.
X.
SANCTIONS
Any violation of this Administrative Order consistent with Republic Act
No. 3720 and Republic Act No. 9711 and its implementing rules and regulations
shall be a ground for filing of appropriate administrative charges and/or
imposition of administrative sanctions such as, but not limited to, imposition of
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XII.
TRANSITORY PROVISION
All registered pharmaceutical products shall be required to submit the
revised labeling materials compliant with this Administrative Order upon renewal
of their MA.
Reasonable exhaustion period shall be given to registered products subject
to renewal within one (1) year of approval of this Administrative Order.
XIII. EFFECTIVITY
This Order shall take effect after fifteen (15) days following its publication
in two (2) newspapers of national circulation and upon filing to the University of
the Philippines Law Center-Office of the National Administrative Register.
ENRIQUE T. ONA, MD
Secretary of Health
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