1 2 CONSULTATION DOCUMENT 3 THERAPEUTIC GOODS ACT 1989 4 THERAPEUTIC GOODS ORDER NO. 79 5 Standard for the labelling of medicines 6 7 8 I, John Skerritt, delegate of the Minister for Health for the purposes of section 10 of the Therapeutic Goods Act 1989 and acting under that section, having consulted with the Therapeutic Goods Committee in accordance with subsection 10(4) of that Act, HEREBY: 9 10 11 (1) Other than for the purposes of section 4(3), REVOKE, on and from <<1 January 2018 tbc>>, Therapeutic Goods Order No. 69 General requirements for labels for medicines made on 27th August 2001, and as amended; and 12 (2) DETERMINE that the matters specified in this Order constitute a standard for medicines. 13 <<Q4 2014 – tbc>> 14 Dated 15 16 17 [DRAFT ONLY - NOT FOR SIGNATURE] John Skerritt Delegate of the Minister for Health 18 Page 1 of 42 19 CONTENTS 20 INTRODUCTION ........................................................................................................ 3 21 1 NAME OF ORDER ............................................................................................. 4 22 2 COMMENCEMENT ............................................................................................ 4 23 3 APPLICATION - THERAPEUTIC GOODS TO WHICH ORDER APPLIES ....... 4 24 4 TRANSITION ARRANGEMENTS ...................................................................... 5 25 26 5 EXEMPTIONS – MEDICINES OR PACKAGING TO WHICH THIS ORDER DOES NOT APPLY ............................................................................................................... 5 27 6 INTERPRETATION ............................................................................................ 6 28 7 GENERAL REQUIREMENTS, INCLUDING LABEL PRESENTATION .......... 12 29 8 INFORMATION TO BE INCLUDED ON THE LABEL ..................................... 13 30 9 INFORMATION TO BE INCLUDED ON THE MAIN LABEL ........................... 16 31 10 QUALIFICATIONS AND SPECIAL REQUIREMENTS .................................... 18 32 11 HOW INFORMATION IS TO BE EXPRESSED ............................................... 30 33 SCHEDULE 1........................................................................................................... 36 34 35 SUBSTANCES OR GROUPS OF SUBSTANCES PRESENT IN MEDICINES THAT ARE REQUIRED TO BE DECLARED ON THE LABEL OF MEDICINES ............... 36 36 SCHEDULE 2........................................................................................................... 41 37 FORMAT OF MEDICINE INFORMATION PANEL .................................................. 41 38 SCHEDULE 3........................................................................................................... 42 39 SPECIFIED UNITS FOR ENZYMES ........................................................................ 42 40 Page 2 of 42 Section Introduction 41 Introduction 42 43 (1) 44 45 46 47 48 (2) The purpose of the label on a medicine is to provide information about the medicine such as its identity, potency, content, storage, expiry date, dose, directions for use, sponsor details and registration/listing status. Labels on medicines can also include other information not required by this Order but which may be required by other legislation or for commercial purposes such as the sponsor’s logo. 49 50 51 52 (3) The information included on a label contributes to the quality use of medicines. Quality use of medicines means selecting management options wisely, choosing suitable medicines if a medicine is considered necessary, and using those medicines safely and effectively. 53 54 55 56 (4) The requirements set out in this Order are consistent with the National Medicines Policy which aims to meet medication and related service needs, so that both optimal health outcomes and economic objectives are achieved. The four central objectives of the policy are: This Order sets out what kinds of information are required to be included on the label of a medicine and in what circumstances. 57 58 (a) timely access to the medicines that Australians need, at a cost individuals and the community can afford; 59 (b) medicines meeting appropriate standards of quality, safety and efficacy; 60 (c) quality use of medicines; and 61 (d) maintaining a responsible and viable medicines industry. 62 63 64 65 66 67 (4) This Order also sets out general requirements for the labelling of medicines. The purpose of the Order is to facilitate the quality use of medicines by consumers and health professionals by ensuring the appropriate labelling of medicines. Consideration of the following objectives in designing labels, and assessing and determining compliance with the requirements of this Order, will assist in achieving that purpose: 68 minimising the risk of prescribing, dispensing and self selection errors; 69 enhancing consumer safety; 70 71 avoiding consumer confusion and the inappropriate use of medicines (including misuse, over-use, and under-use); 72 assisting the appropriate selection of a medicine; 73 assisting the safe and effective use of a medicine; 74 optimising identification and usability of necessary information; 75 76 improving consumers’ ability to solve problems related to medicines, such as managing multiple medicines; and 77 78 where relevant, ensuring consumers are aware of where to go for further information about their medicine. 79 80 81 (5) Guidelines for medicine labelling are available on the Therapeutic Goods Administration website (http://www.tga.gov.au) to assist sponsors in the design of labels for medicines. Page 3 of 42 Section 1 82 (6) Name of Order Under the Act: 83 84 85 whether a medicine conforms to a standard applicable to the medicine is a matter the Secretary must take into account in deciding whether to register the medicine on the Register 86 87 an applicant for the listing of a medicine must certify that the medicine conforms to every standard applicable to the medicine 88 89 failure to conform to a standard applicable to a medicine is grounds for the Secretary to suspend or cancel the registration or listing of the medicine 90 91 failure to conform to a standard applicable to a medicine is grounds for the Secretary to recall the medicine 92 93 94 it is an offence to supply medicines in Australia that do not comply with a standard applicable to the medicine relating to labelling or packaging and civil penalties may be payable in relation to such supply 95 96 97 98 99 100 101 whether the presentation of a medicine is acceptable is a matter the Secretary must take into account in deciding whether a medicine can be registered – ‘presentation’ means the way in which the medicine is presented for supply and includes matters relating to the labelling and packaging of the medicine. Subject to specified notice requirements, the Secretary may decide to suspend or cancel the registration of a medicine, if it appears to the Secretary that the presentation of the medicine is not acceptable 102 103 104 an applicant for the listing of a medicine must certify that the presentation of the medicine is not unacceptable. Unacceptable presentation is a ground for suspension or cancellation of the listing of a medicine. 105 106 registered or listed medicines that have been supplied may be subject to compulsory recovery requirements if: 107 108 (a) in the case of a registered medicines, it appears to the Secretary that the presentation of the medicine is not acceptable; and 109 110 (b) in the case of listed medicines, it appears to the Secretary that the presentation of the medicine is unacceptable. 111 112 (7) 1 113 114 115 118 119 Name of Order This Order is to be known as the Therapeutic Goods Order No. 79 - Standard for the labelling of medicines. 2 Commencement This Order commences on <<1 January 2015 – tbc >>. 116 117 To avoid doubt, this section is not part of the Order. 3 Application - Therapeutic goods to which Order applies Subject to sections 4 and 5, this Order applies to medicines supplied or for supply in Australia. Page 4 of 42 Section 4 120 4 Transition arrangements Transition arrangements 121 122 123 124 125 (1) On or before <<31 December 2017 – tbc >>each medicine to which this Order applies must comply with either: (a) the requirements specified in this Order, or (b) the requirements specified in Therapeutic Goods Order No 69 General requirements for labels for medicines. 126 127 (2) On and from <<1 January 2018 – tbc>> each medicine to which this Order applies must comply with the requirements specified in this Order. 128 129 130 131 132 (3) Notwithstanding (1) and (2), medicines imported into or manufactured in Australia before <<1 January 2018 – tbc>> but supplied by a person other than the sponsor after that date must comply with Therapeutic Goods Order No 69 General requirements for labels for medicines (TGO 69), if at the time of their release for supply they complied with TGO 69 by reason of (1) above. 133 134 135 Exemptions – Medicines or Packaging to which this Order does not apply 5 (1) This Order does not apply to a medicine that is: 136 137 (a) intended for use in the treatment of another person in accordance with an approval set out in paragraph 19(1)(a) of the Act; or 138 139 (b) intended for life-threatening cases consistent with the requirements set out in regulation 12A of the Regulations; or 140 141 142 (c) the subject of an authorisation granted under subsection 19(5) of the Act and its use is consistent with the requirements set out in regulation 12B of the Regulations; or 143 144 145 (d) exempted from the operation of Division 2 of Part 3-2 of the Act because of an exemption made by the Minister under section 18A of the Act in relation to that medicine; or 146 (e) the subject of an approval under section 19A of the Act; or 147 148 149 (f) intended for use solely for experimental purposes in humans in accordance with an approval set out in paragraph 19(1)(b) of the Act or consistent with the requirements set out in Item 3 of Schedule 5A of the Regulations; or 150 151 152 (g) a starting material used in the manufacture of a medicine, except when prepackaged for supply for other therapeutic purposes or formulated as a dosage form; or 153 (h) not at its final stage of manufacture; or 154 155 (i) imported for use in the treatment of the importer or the importer’s immediate family as set out in Item 1 of Schedule 5 of the Regulations; or 156 (j) a medical gas; or 157 (k) an export only medicine as defined in the Act; or 158 159 (l) made up or compounded extemporaneously by a pharmacist, or a person in the course of his or her employment by a pharmacist and under the direct personal Page 5 of 42 Section 6 Interpretation 160 161 162 supervision of that pharmacist, in accordance with the individual prescription of a health professional authorised under a law of a State or Territory to prescribe; or 163 164 (m) made up or compounded extemporaneously, for a specific or individual case, by a pharmacist in the lawful practice of his or her profession; or 165 166 167 (n) supplied, in the course of treating a patient, by a health professional in the lawful practice of his or her profession, unless it is a medicine in a starter pack; or 168 169 170 (o) made up or compounded extemporaneously, for a specific and individual case, by a complementary healthcare practitioner in the lawful practice of his or her profession; or 171 172 (p) of a kind described in paragraph (a) or (b) of the entry ‘HUMAN BLOOD PRODUCTS’ in Appendix A of the Poisons Standard. 173 174 175 176 177 (2) 6 The requirements of this Order do not apply to a transparent covering that encloses or wraps the container or primary pack containing a medicine and where the information which is required to be set out on the label of the container or the primary pack is clearly visible through that transparent covering. Interpretation 178 In this Order: 179 Act means the Therapeutic Goods Act 1989; 180 181 active ingredient means a therapeutically active component in a medicine’s final formulation that is responsible for its physiological or pharmacological action; 182 183 adjuvant means an ingredient which, when administered with an antigen, modifies the immune response to that antigen; 184 185 antimicrobial preservative means an ingredient added to a medicine to inhibit the growth of micro-organisms in the medicine; 186 187 188 approved product details, in relation to a medicine, means details in relation to the medicine as approved under section 25 of the Act for the registration of the medicine; 189 Australian Approved Names List has the same meaning as in the Regulations; 190 191 192 193 batch number means a number, or a combination of numerals, symbols or letters, which is given by a manufacturer to a batch of medicine, to uniquely identify that batch and from which it is possible to trace that batch through all stages of manufacture and distribution; 194 195 196 197 198 batch number prefix means the prefix which precedes the batch number and clearly indicates that the number is the batch number. The format must be in the form of the following: BATCH NUMBER’, ‘BATCH NO.’, ‘BATCH’, ‘B’, ‘(B)’, B/N’, ‘LOT NUMBER’, ‘LOT NO.’, or ‘LOT’, or words or symbols to this effect, including a mixture of lower and upper case letters; 199 biological medicine means a medicine: 200 (a) Page 6 of 42 that is a peptide, protein or polysaccharide based, but is not an antibiotic; and Section 6 Interpretation 201 (b) that is derived from biological sources; and 202 (c) that is required to be entered in the Register as registered goods: and 203 204 205 (d) 206 207 208 calendar pack means a pack containing individual dosage units that is labelled with day/date markings to specify the sequence in which the dosage units in the pack must be used in order to achieve the intended therapeutic activity; 209 capacity means the volume of the empty container; 210 211 212 Certificate of Listing, in relation to a medicine, means the certificate given to the applicant for listing of the medicine under subsection 26A(9) of the Act in relation to that medicine; 213 214 215 Certificate of Registration, in relation to a medicine, means the certificate given to the applicant for registration of a medicine under subsection 25AB(4) of the Act in relation to that medicine; 216 217 complementary healthcare practitioner means a person described in paragraph 42AA(1)(c) of the Act; 218 composite pack has the same meaning as in the Act; 219 220 concentrated solution for injection means a sterile liquid which must be diluted with another sterile liquid in order to prepare an injection; 221 container has the same meaning as in the Act; 222 223 224 225 226 delivered dose means, in relation to: (a) pressurised metered dose preparations for inhalation - the dose delivered from the inhaler to the patient in a single actuation or delivery; and (b) powders for inhalation - the dose delivered from the inhaler in a single delivery; 227 dial dispenser pack means a container that has the following characteristics: 228 229 (a) each of the dosage units is located in individual pockets preformed in a circular rigid tray; 230 231 (b) a close-fitting, rotatable, transparent lid which can only be rotated in one direction is located over the tray; and 232 233 (c) the individual dosage units can be dispensed by detaching a predefined portion of the lid or tray, and rotating the lid to the appropriate position; 234 directions for use has the same meaning as in the Act; 235 diluent means a liquid used for reconstitution or dilution; 236 237 238 239 240 241 is included in the list in Part 1 of Schedule 10 of the Regulations, except Items 14 and 15 under that Part, but does not include a ‘biological’ within the meaning of section 32A of the Act; durable, in relation to a label, means that the label will not before the expiry date, under normal storage conditions deteriorate to the extent of becoming illegible, or become detached from the container, packaging or pack, due to the influence of any one or more of the following: (a) light; (b) atmospheric humidity or dryness; Page 7 of 42 Section 6 Interpretation 242 243 244 (c) (d) (e) normal atmospheric temperatures; recommended storage temperatures; the contents of the container, packaging or pack; 245 246 excipient, in relation to a medicine, means an ingredient of the medicine other than the active ingredient; 247 248 expiry date, in relation to a product, means the date (month and year) after which the product should not be used; 249 250 251 252 253 254 255 256 expiry date prefix means a prefix which precedes the expiry date which has the following characteristics: (a) clearly indicates that the information following the prefix is the expiry date; (b) is in the following form: 'EXPIRY DATE', 'EXPIRY', 'EXPIRES', 'EXP. DATE', or 'EXP' or words to this effect, including a mixture of lower and upper case letters; (c) is not in the following form: 'Best by' or ‘Best before’ or ‘Use by’ or ‘Use before’ or words to this effect. 257 258 259 external, in relation to the use of a medicine, means application in the ears, eyes or nose or to a body surface other than in the mouth, rectum, vagina, urethra or other body orifice; 260 261 262 263 health professional includes the following: (a) a health practitioner of any kind registered under a law of a State or Territory that provides for the registration of health practitioners of that kind; and (b) a biomedical engineer, prosthetist or rehabilitation engineer; 264 265 266 herbal material means a plant or part of a plant (defined by its botanical scientific name according to the binominal nomenclature system, including author, and the plant part), whether fresh or dried, that is whole, fragmented, cut or ground; 267 268 herbal preparation means an ingredient that is the result of the processing of a herbal material; 269 270 271 272 homoeopathic medicine means a medicine that: (a) contains one or more homoeopathic preparations; and (b) may contain excipients necessary for presentation of the medicine in the final dosage form. 273 274 275 276 277 278 279 280 281 282 283 homoeopathic potency means the dilution factor of a homoeopathic preparation, expressed as: (a) ‘nX’ where each dilution is a decimal or ten-fold dilution and 'n' is the number of dilutions such that the total dilution is 10n; or (b) ‘nC’ where each dilution is a centesimal or hundred-fold dilution and 'n' is the number of dilutions such that the total dilution is 100n; or (c) ‘nLM’ or ‘LMn’ where, from a 3C starting dilution, each subsequent dilution is a fifty millesimal or fifty thousand fold dilution and 'n' is the number of dilutions such that the total dilution is 50,000n. Note: Where 1000 centesimal dilutions are performed, the potency is expressed as nM; that is, 1M potency represents a 1,000C dilution, 2M a 2,000C dilution, etc Page 8 of 42 Section 6 Interpretation 284 homoeopathic preparation has the same meaning as in the Regulations. 285 286 287 hypertonic, in relation to the tonicity of large volume injections, means an injection with an osmolality of more than 350 milliosmoles per kilogram of solvent, as determined by the osmotic pressure; 288 289 290 hypotonic, in relation to the tonicity of large volume injections, means an injection with an osmolality of less than 250 milliosmoles per kilogram of solvent, as determined by the osmotic pressure; 291 292 intermediate packaging means a level of packaging which, if it exists, encloses one or more containers and is itself enclosed in a primary pack; 293 294 295 isotonic, in relation to the tonicity of large volume injections, means an injection with an osmolality within the range 250 milliosmoles to 350 milliosmoles per kilogram of solvent, as determined by the osmotic pressure; 296 297 label means a display of printed information upon, or affixed to, the container, any intermediate packaging and any primary pack containing the medicine; 298 listed goods has the same meaning as in the Act; 299 300 301 302 303 machine readable code means a code that: (a) encodes the Global Trade Item Number (GTIN) for the medicine as allocated under the GS1 System; and (b) identifies different product variants and differentiates between different strengths, pack sizes and dose forms; 304 305 Note: The machine readable code may also include additional information such as batch number and expiry date details. There is no specified format for the machine readable code. 306 307 308 309 310 311 main label means: (a) where there are two or more labels or two or more portions of a single label that label or portion of the label where the name of the medicine is more or most conspicuously shown; or (b) where the name of the medicine is equally conspicuous on two or more labels or portions of a label – each label or portion; 312 313 314 315 medical gas means a gas or a combination of gases presented for treating or preventing disease or administered to humans with a view to making a medical diagnosis or for the purpose of restoring, correcting or modifying physiological functions in humans; 316 medicine has the same meaning as in the Act; 317 318 medicine kits has the same meaning as described in Item 12 of Part 1 of Schedule 4 to the Regulations; 319 320 321 322 323 324 325 name and contact details in respect of the sponsor or supplier of a medicine means: (a) the name of the Australian sponsor or supplier of the medicine; and (b) sufficient information about the sponsor or supplier, whether by reason of the inclusion of the sponsor’s or supplier’s street address of its registered place of business in Australia (not being a post office address), an email address or a telephone number, to allow it to be identified so as to facilitate public contact on matters of complaint, use or general enquiry; Page 9 of 42 Section 6 Interpretation 326 327 328 329 330 331 332 333 334 335 336 name of an active ingredient means: (a) the name of the active ingredient that is accepted for inclusion in the Australian Approved Names List; or (b) where the ingredient is a homoeopathic preparation: (i) either the name of the active ingredient, or the substance from which the dilution was prepared, that is accepted for inclusion in the Australian Approved Names List, together with a statement of the homoeopathic potency; or (ii) until such time as a name is accepted for inclusion in the Australian Approved Names List, a traditional homoeopathic name in full or as traditionally abbreviated with a statement of the homoeopathic potency; 337 338 name of an excipient means the name of the excipient that is accepted for inclusion in the Australian Approved Names List; 339 340 341 342 343 344 name of the dosage form means: (a) in relation to a medicine that is intended to be, or is, a listed goods or registered goods, the name of the dosage form as entered, or proposed to be entered, in the Register in relation to the medicine; and (b) in relation to a medicine that is not entered in the Register, the name of the pharmaceutical form of the medicine; 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 name of the medicine means the following: (a) where the medicine is intended to be, or is, entered in the Register - the name of the medicine intended to appear or appearing on the Certificate of Registration or Certificate of Listing in relation to the medicine, not including the following information: (i) the name of the active ingredient (except where the name of the active ingredient is intended by the supplier or the sponsor to be, or because of the way it is represented, to form part of the name of the medicine); (ii) the strength (except where numbers or words denoting strength are included in that name to differentiate medicines, by strength); (iii) the dosage form (except where this is integral to differentiate medicines from other medicines); (iv) container details; (v) the pack size; (vi) ‘new formulation’ or representations to the same effect; and 360 361 362 363 364 365 366 367 368 (vii) flavour descriptors (except where this is integral to differentiate medicines from other medicines); (viii) the name of the sponsor or supplier (or part thereof) (except where the name is intended by the supplier or the sponsor to be, or because of the way it is represented, to form part of the name of the medicine); and (b) where the medicine is neither intended to be, nor is, entered in the Register: (i) the registered trade mark for the medicine; or (ii) a unique, invented, common or scientific name, assigned to the medicine by the sponsor and appearing on the label; Page 10 of 42 Section 6 Interpretation 369 370 nominal volume means the volume of medicine that the container is specified by the sponsor or supplier to contain; 371 372 nominal weight means the mass of medicine which the container is specified by the sponsor or supplier to contain; 373 374 osmolality means the number of osmoles (usually expressed as milliosmoles or mOsm) of the solute in a kilogram of water; 375 pharmaceutical benefit has the same meaning as in the Regulations; 376 377 Poisons Standard means the current Poisons Standard as defined in section 52A of the Act; 378 primary pack has the same meaning as in the Act; 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 quantity of the medicine means: (a) where the medicine consists of discrete dosage units, such as tablets or capsules or sachet – the stated number of units in the container; or (b) where the medicine is: (i) a solid or semi-solid, other than a biological medicine or a medicine for injection - the nominal weight of the solid or semi-solid in the container; (ii) a liquid, other than a biological medicine - the nominal volume of the liquid in the container; (iii) a pressurised metered-dose preparation or dry powder inhaler - the stated number of deliverable doses in the container; (iv) a non-pressurised metered dose preparation - the minimum number of deliverable doses in the container; (v) a solid biological medicine - the nominal weight, number of doses or potency units in the container; (vi) a liquid biological medicine - the nominal volume of liquid in the container and (A) the nominal weight, total number of doses or potency units in the container, or (B) the nominal weight, number of doses or potency units per unit volume, and (c) where the medicine is a medicine of any of the kinds referred to in paragraph (b) and the medicine consists of a number of identical containers within the primary pack – the number of containers (e.g. 5 x 10 mL vials); 403 Register has the same meaning as in the Act; 404 registered goods has the same meaning as in the Act; 405 Regulations means the Therapeutic Goods Regulations 1990; 406 Secretary has the same meaning as in the Act; 407 408 small container means a container which has a capacity less than or equal to 25 millilitres that is not a very small container; 409 410 solid ophthalmic medicine means a substance in a container to which a sterile diluent is added to prepare eye drops; Page 11 of 42 Section 7 General requirements, including label presentation 411 sponsor has the same meaning as in the Act; 412 standard has the same meaning as in the Act; 413 414 standardisation means the process in which the content of a specific chemical constituent(s) has been determined in a herbal material or herbal preparation. 415 starter pack means: 416 417 418 419 420 (a) 421 Therapeutic Goods Advertising Code has the same meaning as in the Act; 422 423 very small container means a container having a capacity less than or equal to 2.5 millilitres; 424 425 426 427 428 warning statements means: (a) any labelling requirements specified in the instrument made by the Minister under subsection 3(5A) of the Act, as in force from time to time; 429 430 431 432 433 434 (b) (c) 435 (b) for medicines for which a pharmaceutical benefit is payable - a pack that does not exceed one-third of the most commonly prescribed pharmaceutical benefits quantity (the pharmaceutical benefits primary quantity); and for other medicines - a pack that does not exceed one-third of the smallest trade pack; Note: (d) (e) 7 These requirements apply to all medicines other than those described in Part 1 of Schedule 10 to the Therapeutic Goods Regulations 1990 any warning statements specified in any standard that applies to the medicine; any warning required by the Secretary to be included on the label as a condition of registration or listing in relation to the medicine; any warning statement specified in the Regulations that applies to the medicine; and any warning statements specified in the Poisons Standard. General requirements, including label presentation 436 437 438 (1) The container, intermediate packaging (if any) and primary pack in which a medicine is packed must each bear a label or labels that comply with the requirements of this Order that are applicable in relation to that medicine. 439 (2) The information required by this Order to be included on a label or labels must: 440 (a) be clearly visible and not be obscured; and 441 (b) be in the English language; and 442 (c) be in durable and legible characters; and 443 444 (d) unless otherwise specified, be displayed in text size of not less than the equivalent of 6 point Arial; and 445 (e) be in a colour or colours contrasting strongly with the background; and 446 (f) unless otherwise specified, be in a metric unit of measurement only. 447 448 (3) The label must be: (a) Page 12 of 42 durable; and Section 8 449 450 451 452 453 454 455 (b) 456 457 458 (4) Information to be included on the label unless it is attached to a container (such as a blister or strip pack or sachet) which individually encloses or seals dosage units in such a way that the container must be cut or torn to access the dosage units, and the container is enclosed in a primary pack that complies with the requirements of this Order in such a position on the container, packaging or pack that information required by this Order to be included on the label is not damaged, defaced, destroyed, or removed when the packaging is opened. Other than for medicines intended to be, or that are, listed goods or registered goods, the label must comply with advertising requirements, in particular, the requirements set out in: 459 (a) Part 5-1 of the Act or the regulations; and 460 (b) the applicable provisions of the Therapeutic Goods Advertising Code, 461 462 463 464 465 466 467 unless specific exemptions or approvals in writing have been given by the relevant delegate of the Secretary in relation to the medicine under the Act which have the effect that the relevant requirement does not apply in relation to the label. 468 469 470 471 Note: 8 Registered goods and listed goods must comply with requirements relating to advertising applicable under Part 5-1 of the Act or under the regulations and the applicable provisions of the Therapeutic Goods Advertising Code: see s.25(1)(1)(fa), s.26(1)(fa) and s.26A(2)(da) of the Act. Information to be included on the label (1) Subject to the qualifications and requirements specified in sections 9 and 10 below, the labelling on a container or on a primary pack for a medicine must include: Note: For intermediate packaging that is opaque, see (2) below. 472 (a) the name of the medicine; and 473 (b) the name(s) of all active ingredients in the medicine; and 474 (c) the quantity or proportion of all active ingredients in the medicine; and 475 (d) the name of the dosage form; and 476 (e) the quantity of the medicine; and 477 (f) the batch number of the medicine preceded by the batch number prefix; and 478 (g) the expiry date of the medicine, preceded by the expiry date prefix; and 479 (h) the storage conditions applicable to the medicine; and 480 481 482 483 484 485 (i) the name and contact details of the sponsor or supplier of the medicine as at the date of release for supply or, where there was a change in the name or contact details of the sponsor or supplier, whether by reason of a change of supplier or sponsor or otherwise, within the 12 months preceding that date, the name and contact details of the sponsor or supplier immediately prior to that change; and 486 (j) where: 487 488 (i) Page 13 of 42 a substance or substance within the group of substances referred to in Column 1 of Schedule 1 to this Order is present in the medicine; Section 8 Information to be included on the label 489 490 (ii) the circumstances as set out in Column 2 of Schedule 1 exist in relation to such a substance or no circumstances are set out in Column 2; and 491 492 (iii) the medicine is intended to be administered via any one or more of the route(s) of administration referred to in Column 3 of Schedule 1, 493 then: 494 (iv) a statement: 495 496 (A) indicating that the medicine contains the substance expressed using the Name stated in Column 4 of Schedule 1; and 497 498 499 500 501 502 503 (B) 504 505 506 where any of the circumstances and requirements set out in Column 2 of Schedule 1 exist in relation to the substance – a statement of the kind referred to as a ‘requirement’ in that Column (if any) except where the medicine contains a substance included in Schedule 4 or Schedule 8 of the Poisons Standard or is a human blood product included in Appendix A of the Poisons Standard and the information referred to in (iv) is set out in a leaflet inserted in the primary pack of the medicine; (k) warning statements, where these are required in relation to a particular medicine or in specified circumstances applying to a particular medicine such as the following: 507 508 509 (i) where the medicine is for external use the required statement is ‘Caution: Not to be Swallowed’, or ‘For External Use Only’, or words to this effect; 510 (ii) where: 511 512 513 514 515 516 517 518 519 520 521 (A) the medicine is for oral use; and (B) the medicine does not contain a substance included in Schedule 4 or Schedule 8 of the Poisons Standard; and (C) the medicine contains active ingredient(s) included in category 'B' (including 'B1', 'B2, 'B3') or category 'C' in the document titled ‘Prescribing medicines in pregnancy database’ published on the TGA website as on the date of commencement of this Order; and (D) the medicine is not subject to other specific warning statement(s) relating to use during pregnancy, the required statement is: ‘If pregnant or likely to become pregnant, consult a pharmacist or a doctor before use’ or words to this effect; 522 (iii) where: 523 524 525 526 527 528 529 530 531 (A) the medicine is a registered goods for oral use; and (B) the medicine does not contain a substance included in Schedule 4 or Schedule 8 of the Poisons Standard; and (C) the medicine contains active ingredient(s) included in category ‘D’ in the document titled ‘Prescribing medicines in pregnancy database’ published on the TGA website as at the date of commencement of this Order; and (D) the medicine is not subject to other specific warning statements(s) relating to use during pregnancy, Page 14 of 42 Section 8 the required statement is ‘Do not use this medicine if pregnant or likely to become pregnant’ or words to this effect; and 532 533 534 Information to be included on the label (l) directions for use of the medicine except where: 535 536 537 (i) the medicine contains a substance that is included in Schedule 4 or Schedule 8 of the Poisons Standard, or is a human blood product included in Appendix A of the Poisons Standard; or 538 539 540 (ii) the dose of the medicine is usually determined for each individual patient by a health professional authorised under a law of a State or Territory to determine the dose; or 541 542 543 544 545 546 (iii) there is insufficient space on the label of the container or the primary pack to include directions for use, and those directions for use are set out in a leaflet inserted in the primary pack of the medicine, and a statement is included on the label on the container or the primary pack, as the case may be, that those directions are set out in the enclosed leaflet; and 547 548 549 550 (m) if the medicine requires some preparation, such as dissolving, suspending, diluting or reconstituting before use - instructions for its preparation and, where relevant, a statement of the conditions of storage and the maximum period of storage between preparation and use, except where: 551 552 (i) there is insufficient space on the label of the container or the primary pack to include this information; and 553 554 (ii) this information is set out in a leaflet inserted in the primary pack of the medicine; and 555 556 557 (iii) a statement is included on the label on the container or the primary pack, as the case may be, that those instructions are set out in the enclosed leaflet; and 558 559 (n) a statement of the purpose or purposes for which it is intended that the medicine be used, except where: 560 561 562 (i) 563 (ii) the medicine is: 564 565 566 567 568 569 the medicine contains a substance that is included in Schedule 4 or Schedule 8 of the Poisons Standard, or is a human blood product included in Appendix A of the Poisons Standard; or (A) (B) Page 15 of 42 supplied solely to a complementary healthcare practitioner for supply to a person after affixing by the practitioner of an instruction label on the medicine following a consultation with that person; and the label of the medicine includes the words ‘For Practitioner Dispensing Only’; and Section 9 570 Information to be included on the main label (o) if the medicine is: 571 572 573 (i) an injection or infusion - the approved route(s) of administration, such as 'intravenous', 'intramuscular', or 'subcutaneous' or other phrase, word or abbreviation denoting the approved route(s) of administration; or 574 575 576 577 (ii) contained in an ampoule but is not an injection - a statement of the approved route of administration for the medicine, such as ‘inhalation’, ‘For oral use only’ or other phrase, word or abbreviation denoting the approved route(s) of administration; and 578 579 580 581 (p) a machine readable code, if the medicine contains a substance that is included in Schedule 4 or Schedule 8 of the Poisons Standard, or is a human blood product included in Appendix A of the Poisons Standard, except where the medicine is a starter pack; 582 583 584 585 586 (q) a minimum space of 70 x 30 millimetres for the dispensing label, if the medicine contains a substance that is included in Schedule 4 or Schedule 8 of the Poisons Standard, or is a human blood product included in Appendix A of the Poisons Standard, unless precluded by the dimensions of the primary pack; and 587 588 (r) where the medicine is packaged in a primary pack that is a carton, that name of the medicine on at least three non-opposing sides of the carton. 589 590 (2) If intermediate packaging (if any) is opaque, then the label on the intermediate packaging must include: 591 (a) the name of the medicine; and 592 (b) the name(s) of all active ingredients in the medicine; and 593 (c) the quantity or proportion of all active ingredients in the medicine; and 594 (d) the batch number of the medicine preceded by the batch number prefix; and 595 (e) the expiry date of the medicine preceded by the expiry date prefix; and 596 597 (f) the name of the sponsor, or registered trademark that readily identifies the sponsor or supplier of the medicine. 598 599 600 601 602 603 604 605 (3) 9 If the container is fully enclosed within a disposable delivery device which obscures the label on the container from view, the labelling requirements on the label on the container must also be applied on the delivery device and visible on the surface of that device. Information to be included on the main label (1) Subject to the qualifications and special requirements specified in this section and section 10 of this Order, the information on the main label of the medicine must include: 606 (a) the name of the medicine; and 607 (b) the name(s) of all active ingredients in the medicine; and 608 (c) the quantity or proportion of all active ingredients in the medicine; and 609 (d) the name of the dosage form; and Page 16 of 42 Section 9 Information to be included on the main label 610 (e) the quantity of the medicine; and 611 (f) if the medicine is: 612 613 614 (i) an injection or infusion - the approved route(s) of administration, such as 'intravenous', 'intramuscular', or 'subcutaneous' or other phrase, word or abbreviation denoting the approved route(s) of administration; or 615 616 617 618 (ii) contained in an ampoule but is not an injection - a statement of the approved route of administration for the medicine, such as ‘inhalation’, ‘For oral use only’ or other phrase, word or abbreviation denoting the approved route(s) of administration. 619 620 621 (2) The name of the medicine on the main label must be presented in a continuous, uninterrupted manner and not be broken up by additional information, logos, background text or graphics. 622 623 (3) The name of the medicine and the name(s) of active ingredient(s) must on the main label: 624 625 626 (a) appear as a cohesive unit by placing the name, and quantity, of each active ingredient together on separate lines of text immediately below the name of the medicine; and 627 628 629 (b) not be separated by any text or graphics, except where additional information is required by paragraph 11(2)(j) or in relation to medicines contained in a composite pack or a medicine kit. 630 631 (4) All text required by this Order to be on the main label must be oriented in the same direction. 632 633 634 635 636 (5) Subject to subsection (7), the active ingredient(s) and the quantity or proportion of active ingredient(s) must be identifiable in relation to the other material on the label (whether required under the Order to be included or otherwise) including through the choice of type size, font type or colour of the name of the active ingredient(s) and quantity or proportion of active ingredient(s) and of the other material. 637 (6) If the medicine is intended to be, or is, listed goods: 638 639 640 641 (a) if the medicine is a sunscreen preparation - the name of every active ingredient, together with the quantity or proportion of every active ingredient, and the name of the dosage form, may appear on a side panel or side label or on a rear panel or rear label; or 642 643 644 645 (b) if there are four or more active ingredients in the medicine - the name of every active ingredient, together with the quantity or proportion of every active ingredient, may appear on a side panel or side label or on a rear panel or rear label. 646 (7) Subject to (8), if the medicine is intended to be, or is, registered goods: 647 648 649 (a) the name of the active ingredient(s) and the quantity or proportion of active ingredient(s) must be displayed in a text size of not less than the equivalent of 15 point Arial in any sans serif font; and 650 651 652 (b) if the medicine is a solution for injection, powder for injection or concentrated solution for injection and the route of administration is only for infusion – then in addition to the requirement set out in paragraph (a), the Page 17 of 42 Section 10 Qualifications and special requirements words ‘for infusion’ must be displayed adjacent to the name of the dosage form. 653 654 655 656 (8) If the medicine is intended to be, or is, registered goods and there are four or more active ingredients and: 657 658 659 660 661 (a) subsection 10(20) does not apply - the names of every active ingredient, together with the quantity or proportion of every active ingredient, may be included on a side panel or side label or on a rear panel or rear label, displayed in a text size of not less than the equivalent of 12 point Arial in any sans serif font; or 662 663 664 (b) 10(20) applies - the names of every active ingredients, together with the quantity or proportion of every active ingredient, need not be displayed on the main label. 665 666 10 Qualifications and special requirements (1) Preparations for ophthalmic use 667 668 669 In addition to the requirements of sections 8 and 9 above, if a medicine is a preparation for ophthalmic use, the label on the container and on the primary pack or, where subsections 10(14) or 10(15) applies, on the primary pack, must include: 670 (a) the name of any antimicrobial preservative in the medicine; 671 672 673 (b) if the medicine, other than an ophthalmic ointment, does not contain an antimicrobial preservative - the statement ‘Contains no antimicrobial preservative. Use once only and discard residue’ or words to that effect; 674 675 676 677 (c) if the medicine is for multidose use - a statement to the effect that “the medicine should not be used more than four weeks”, or such shorter period as specified in the approved product details in relation to the medicine, after the container is first opened; 678 679 680 681 682 (d) if the medicine consists of a solid ophthalmic medicine for preparing eye drops for multidose use - a statement to the effect that “the medicine when prepared should not be used more than four weeks”, or such shorter period as specified in the approved product details in relation to the medicine, after the container is first opened. 683 684 (e) if the medicine consists of a solid ophthalmic medicine for preparing eye drops for multidose use - the words ‘for eye drops’. 685 686 687 688 689 690 (2) Injections with nominal volume greater than 100 millilitres (a) 691 692 693 694 If a medicine is an injection having a nominal volume greater than 100 millilitres, or is a concentrated solution for injection which when made up has a nominal volume of greater than 100 millilitres, the label on the container and on the primary pack must comply with sections 8 and 9 above, and subsection 10(8) if applicable, subject to the following: (i) Page 18 of 42 where there are more than three active ingredients belonging to the same class of substances, such as amino acids, carbohydrates or electrolytes in the medicine – the information on the label must include the class of substances and the name of the dosage form; Section 10 Qualifications and special requirements 695 696 697 698 699 (ii) 700 701 702 703 704 705 (iii) where the medicine contains an active ingredient that is not intended for electrolyte replacement or nutritional therapy and is not intended for use as a radio-contrast agent or as a plasma volume expander or replacement - the information on the label must include a statement of the proportion of that active ingredient expressed in terms of weight (or potency, if appropriate) in the nominal volume of injection in the container. 706 707 708 709 (b) where the medicine is intended for electrolyte replacement or nutritional therapy or is intended for use as a radio-contrast agent or as a plasma volume expander or replacement - the information on the label must include a statement of the proportions of dissolved, emulsified or suspended active ingredients in the medicine in terms of percentages; The label on the container and on the primary pack of a medicine that is an injection having a nominal volume greater than 100 millilitres, or is a concentrated solution for injection which when made up has a nominal volume of greater than 100 millilitres, must also include: 710 711 (i) the name and quantity of each excipient in the nominal volume of injection in the container; and 712 713 714 (ii) where one or more active ingredients are amino acids and/or protein - a statement giving the total amount of nitrogen, in grams, in the nominal volume of injection in the container; and 715 716 717 (iii) where the medicine is intended for use as an energy source - a statement of the energy equivalent, in kilojoules, of the nominal volume of injection in the container; and 718 719 720 (iv) where the medicine is intended for use as a radio-contrast agent - a statement of the equivalent amount of iodine in terms of milligrams of iodine per millilitre; and 721 (v) 722 723 (vi) a statement specifying whether the injection is hypotonic or hypertonic or isotonic; and 724 (vii) the pH range of the injection; and 725 726 (viii) the statement ‘Use in one patient on one occasion only. Contains no antimicrobial preservative’ or words to that effect. 727 (3) the osmolality; and Injections with nominal volume of 100 millilitres or less 728 729 730 731 732 Except where subsection 10(4) or 10 (5) below applies, if a medicine is an injection that has a nominal volume of 100 millilitres or less, or is a concentrated solution for injection which when made up has a nominal volume of 100 millilitres or less, then in addition to the requirements of sections 8 and 9 above, and subsection 10(8) if applicable, the label on the container and on the primary pack must include: 733 (a) the name and quantity of each excipient in the medicine, expressed: 734 735 (i) for single dose injections - as the quantity of that excipient in the nominal volume of injection in the container; 736 737 (ii) for a powder or a concentrated solution for injection - as the quantity of that excipient in the container; Page 19 of 42 Section 10 738 739 740 Qualifications and special requirements (iii) where the injection is intended for multidose use - as the quantity of that excipient in one millilitre of the injection or as the quantity in a suitable dose volume where the nominal volume is less than one millilitre; and 741 742 743 744 (b) where the medicine is supplied in a container with potential for multidose use, such as a vial or pre-filled syringe, and an antimicrobial preservative is not included in the medicine - the statements ‘Use in one patient on one occasion only. Contains no antimicrobial preservative’ or words to that effect; and 745 746 (c) where the medicine is a concentrated solution for injection or is a powder for injection administered by infusion: 747 (i) a direction not to administer the solution undiluted; and 748 749 750 751 (ii) a direction to dilute the solution with the specified diluent by the appropriate factor or to the appropriate volume before use, or, the statement ‘see Product Information for dilution instructions’ or words to that effect; and 752 753 754 755 (d) (4) where the medicine is an injection containing a radio-contrast agent - a statement of the equivalent amount of iodine in terms of milligrams of iodine per millilitre. Injections with container capacity of 25 millilitres or less 756 Except where subsection 10(5) applies, if a medicine is an injection that: 757 (a) has a container capacity of 25 millilitres or less; and 758 759 (b) the container is enclosed in a primary pack, the label of which complies with the requirements of this Order, 760 761 762 then the label on the container must comply with sections 8 and 9 and subsection 10(3) and subsection 10(8) (if applicable) except if the label contains the following information displayed in a text size of not less than the equivalent of 8 point Arial: 763 (c) the name of the medicine; and 764 (d) the name(s) of all active ingredients in the medicine; 765 766 and the following information displayed in a text size of not less than the equivalent of 6 point Arial: 767 (e) the quantity or proportion of all active ingredients in the medicine; and 768 (f) the name of the dosage form; and 769 (g) the quantity of the medicine; and 770 (h) the batch number of the medicine preceded by the batch number prefix; and 771 (i) the expiry date of the medicine preceded by the expiry date prefix; and 772 773 774 (j) the name of the sponsor or supplier as it appears on the primary pack, or registered trademark that readily identifies the sponsor or supplier of the medicine; and 775 776 777 (k) the approved route of administration for the medicine, such as ‘intravenous’, ‘intramuscular’ or ‘subcutaneous’ or other phrase, word or abbreviation denoting the approved route(s) of administration; and Page 20 of 42 Section 10 Qualifications and special requirements where the medicine must be diluted before use - the direction ‘Dilute before use’; and 778 779 (l) 780 781 (m) if the injection is a biological medicine - the name of any adjuvants in the medicine; and 782 783 784 785 (n) 786 (5) where the medicine is supplied in a container with potential for multidose use, such as a vial or pre-filled syringe, and an antimicrobial preservative is not included in the medicine - the statements ‘Use in one patient on one occasion only. Contains no antimicrobial preservative’ or words to that effect. Injections with container capacity of 2.5 millilitres or less 787 If: 788 789 (a) a medicine is an injection that has a container capacity of 2.5 millilitres or less; and 790 791 (b) the container is enclosed in a primary pack, the label of which complies with the requirements of this Order; 792 793 794 795 796 then the label on the container must comply with sections 8 and 9 and subsection 10(3), and subsection 10(8) if applicable except if the label on the container contains the name of the medicine displayed in a text size of not less than the equivalent of 6 point Arial and the following information displayed in a text size of not less than the equivalent of 4 point Arial: 797 (c) the quantity of the medicine; and 798 (d) the batch number of the medicine preceded by the batch number prefix; and 799 (e) the expiry date of the medicine preceded by the expiry date prefix; and 800 801 802 (f) the approved route of administration for the medicine, such as ‘intravenous’, ‘intramuscular’ or ‘subcutaneous’ or other phrase, word or abbreviation denoting the approved route(s) of administration; and 803 804 (g) where the medicine must be diluted before use - the direction ‘Dilute before use’; and 805 806 807 808 809 810 811 812 (h) where the medicine is supplied in a container with potential for multidose use, such as a vial or pre-filled syringe, and an antimicrobial preservative is not included in the medicine - the statement 'Single dose', or words to that effect, and, where space permits, ‘Use in one patient on one occasion only. Contains no antimicrobial preservative’ or words to that effect. If the container label size does not allow the statement 'Use in one patient on one occasion only. Contains no antimicrobial preservative.', this statement must appear on the primary packaging; and 813 814 815 (i) if the medicine contains only one active ingredient - the name of the active ingredient and the quantity or proportion of the active ingredient in the medicine, or suitable unambiguous abbreviation of the name and quantity; and 816 817 818 (j) if the medicine is available in more than one strength and the name of the medicine does not identify the strength - the quantity or proportion of each active ingredient. Page 21 of 42 Section 10 819 (6) Qualifications and special requirements Peritoneal dialysis solutions 820 821 822 The label on the container and on the primary pack of a medicine which is a solution for use in peritoneal dialysis must, in addition to the requirements referred to in sections 8 and 9, include: 823 824 825 (a) the formulation of the solution expressed in grams per litre and in millimoles per litre, including that if a concentrate for peritoneal dialysis solution the formulation must include the formulation both before and after dilution; and 826 (b) the calculated osmolarity expressed in milliosmoles per litre; and 827 (c) the nominal volume of the solution in the container; and 828 829 (d) a statement that the solution is free from bacterial endotoxins, or where applicable, that it is apyrogenic; and 830 (e) a statement that the solution is not to be used for intravenous infusion; and 831 832 (f) a statement ‘Use in one patient on one occasion only. Contains no antimicrobial preservative’ or words to that effect; and 833 834 (g) if a concentrate, the statement ‘Dilute before use’ and the directions for dilution (e.g. ‘See product information for dilution instructions’). 835 836 (7) 837 838 839 840 841 842 Preparations for use on skin and/or mucous membranes or by inhalation, and metered nasal sprays The label on a container and on a primary pack (if any) of a medicine which is a preparation for use on skin and/or mucous membranes or is for inhalation or is a metered nasal spray, but not including a medicine for ophthalmic use, must, in addition to the requirements referred to in sections 8 and 9 above, include the name of any antimicrobial preservative in the medicine. (8) Biological medicines 843 844 845 The label on a container and on a primary pack (if any) of a biological medicine must, in addition to the requirements referred to in sections 8 and 9 above, and subsections 10(2) and 10(3) if applicable, include: 846 847 (a) the name and proportion of any antimicrobial preservative in the medicine; and 848 (b) the name of any adjuvants in the medicine; and 849 (c) for vaccines produced in animal cells or cell cultures: 850 851 (i) the name of the cell culture substrate or the name of the source animal, and the name of the tissue used in the manufacture of the medicine; and 852 (ii) the name of any residual antibiotic present in the medicine; and 853 854 (d) Page 22 of 42 for antisera - the name of the animal in which the medicine has been prepared; and Section 10 Qualifications and special requirements 855 856 857 (e) for monoclonal antibodies and recombinant products - the abbreviated name of the cell culture substrate, placed immediately after the active ingredient name; and 858 859 (f) for other biological medicines - the name of the animal or organism from which the medicine has been prepared. 860 (9) 861 862 863 864 865 866 867 868 Homoeopathic medicines Where all the active ingredients in a medicine are homoeopathic preparations, the main label on the container and the main label on the primary pack (if any) must, in addition to the requirements referred to in sections 8 and 9 above, include a statement to the effect that the medicine is a homoeopathic medicine in text size that is not less than 50% of the text size of the name of the medicine and (in any event) not less than the equivalent of 8 point Arial. (10) Formulations containing both homoeopathic preparations and nonhomoeopathic ingredients 869 870 871 872 Where a medicine contains active ingredients that are homoeopathic preparations, and other active ingredients that are not homoeopathic preparations, then, in addition to the requirements referred to in sections 8 and 9 above: 873 874 875 876 877 (a) the main label on the container and the main label on the primary pack (if any) must include a statement to the effect that the medicine contains homoeopathic preparations in text size that is not less than 50% of the text size of the name of the medicine and (in any event) not less than the equivalent of 8 point Arial; and 878 879 880 881 882 883 (b) the label on the container and the label on the primary pack (if any) must differentiate ingredients that are homoeopathic preparations from those that are not, such as by including the statement ‘contains homoeopathic preparations of’ adjacent to the list of homoeopathic ingredients, or by prefacing the name of the homoeopathic active ingredient with the term ‘homoeopathic’. 884 (11) 885 886 887 888 889 Sunscreen preparations If the medicine is a sunscreen preparation and is enclosed in a container which has a capacity of not more than 25 millilitres, then notwithstanding sections 8 and 9, the information on the container (other than the sun protection factor) may be reduced to a text size of not less than the equivalent of 4 point Arial. (12) Medicine kits 890 891 The label on a package that, together with medicines, constitute a medicine kit must include the following information: 892 (a) the name given to the kit; and 893 (b) the name and contact details of the sponsor of the kit; and 894 (c) the name of each of the medicines within the kit and its dosage form; and Page 23 of 42 Section 10 Qualifications and special requirements 895 896 (d) the name, and quantity or proportion, of all active ingredients in each of the medicines within the kit; and 897 (e) the quantity of each medicine within the kit; and 898 899 900 (f) a statement of purpose for each medicine within the kit except where a medicine contains a substance that is included in Schedule 4 or Schedule 8 of the Poisons Standard; and 901 902 903 904 (g) directions for use for each medicine within the kit or a statement directing consumers to the directions for use on the label of each medicine within the kit, except where the medicine contains a substance that is included in Schedule 4 or Schedule 8 of the Poisons Standard; and 905 (h) the batch number of the kit preceded by the batch number prefix; and 906 907 (i) an expiry date for the kit, being the earliest expiry date of the medicines within the kit, preceded by the expiry date prefix; and 908 909 (j) any warning statements that relate to the any of the medicine within the kit; and 910 911 (k) storage conditions applicable to the kit, being the most restrictive of the storage conditions for any of the medicines within the kit; and 912 913 (l) the listing number given to the kit, set out on the label consistent with the requirements specified in the Regulations. 914 915 916 917 Note: (13) The label on the container and on the primary pack (if any) of each medicine within a medicine kit must comply with the requirements of this Order. Starter packs 918 919 920 921 Where a medicine contains a substance that is included in Schedule 4 or Schedule 8 of the Poisons Standard and is presented in a starter pack, in addition to the requirements referred to in sections 8 and 9, the label on the container or primary pack (if any) must include: 922 923 924 (a) a space to accommodate the addition of at least the following dispensing details: patient’s name, prescriber’s name and telephone number, directions for use including dose, and date of supply; and 925 926 927 (b) warnings required under State or Territory law to be applied at time of dispensing, except where there is insufficient space, in which case the information must be set out in a leaflet inserted in the primary pack; and 928 (c) the statement ‘starter pack’ or words to that effect. 929 (14) Small containers (not including injections) 930 If: 931 932 (a) the medicine is enclosed in a small container (but is not a very small container) and is not an injection; and 933 934 (b) the container is enclosed in a primary pack, the label of which complies with the requirements of this Order, Page 24 of 42 Section 10 Qualifications and special requirements 935 936 937 938 then the label on the container must comply with sections 8 and 9 and subsections 10(1) and 10(8) (if applicable), except if there is set out on the label of the container the following information displayed in a text size of not less than the equivalent of 8 point Arial: 939 (c) the name of the medicine; and 940 (d) the name(s) of all active ingredients in the medicine, 941 942 and the following information displayed in a text size of not less than the equivalent of 6 point Arial: 943 (e) the quantity or proportion of all active ingredients in the medicine; and 944 (f) the name of the dosage form; and 945 (g) the quantity of the medicine; and 946 (h) the batch number of the medicine preceded by the batch number prefix; and 947 (i) the expiry date of the medicine preceded by the expiry date prefix; and 948 949 (j) the name of the sponsor as it appears on the primary pack, or registered trademark that readily identifies the sponsor or supplier of the medicine; and 950 951 952 953 (k) if the medicine is contained in an ampoule - a statement of the approved route of administration for the medicine, such as ‘inhalation’, ‘For oral use only’ or other phrase, word or abbreviation denoting the approved route(s) of administration of the medicine; and 954 (l) if the medicine: 955 956 957 958 (i) is an ophthalmic preparation for multidose use - a statement to the effect that the medicine should not be used later than four weeks, or another shorter period as specified in the approved product details in relation to the medicine, after the container is first opened ; or 959 960 961 962 963 (ii) consists of a solid ophthalmic medicine for preparing eye drops for multidose use - a statement to the effect that the medicine when prepared should not be used later than four weeks, or another shorter period as specified in the approved product details in relation to the medicine, after the container is first opened; 964 965 (m) if the medicine is a biological medicine - the name of any adjuvants in the medicine; and 966 967 (n) 968 (15) if the medicine is intended to be, or is, registered goods and there are four or more active ingredients. Very small containers (not including injections) 969 If: 970 (a) the medicine is enclosed in a very small container but is not an injection; and 971 972 (b) the container is enclosed in a primary pack, the label or which complies with the requirements of this Order, 973 974 975 then the label on the container must comply with sections 8 and 9, and subsections 10(1) and 10(8) if applicable, except if the name of the medicine is set out on the label of the container displayed in a text size of not less than the equivalent of 6 Page 25 of 42 Section 10 Qualifications and special requirements 976 977 point Arial, together with the following information displayed in a text size of not less than the equivalent of 4 point Arial: 978 (c) the quantity of the medicine; and 979 (d) the batch number of the medicine preceded by the batch number prefix; and 980 (e) the expiry date of the medicine preceded by the expiry date prefix; and 981 982 983 984 (f) if the medicine is contained in an ampoule - a statement of the approved route of administration for the medicine, such as ‘inhalation’, ‘For oral use only’ or other phrase, word or abbreviation denoting the approved route(s) of administration of the medicine; and 985 986 987 (g) if the medicine contains only one active ingredient - the name of the active ingredient and the quantity or proportion of the active ingredient in the medicine, or suitable unambiguous abbreviation of the name and quantity. 988 989 (16) Individually wrapped medicines (a) Subject to paragraph (b), if: 990 991 992 (i) a medicine consists of individual dosage units such as tablets, capsules, pills, pastilles, cachets, lozenges, pessaries, suppositories, single doses of a powder, single doses of a liquid, or a transdermal patch; and 993 994 (ii) each dosage unit is enclosed in an individual wrapper, sachet or blister, whether sealed or unsealed; and 995 (iii) one or more dosage units are enclosed in a primary pack; and 996 997 (iv) the label on the primary pack complies with the requirements of this Order, 998 999 then the label on each individual wrapper, sachet or blister must comply with sections 8 and 9 except if the following information is set out on the label: 1000 (v) 1001 (vi) the name(s) of all active ingredients in the medicine; and 1002 (vii) the quantity or proportion of all active ingredients in the medicine; and 1003 1004 (viii) the batch number of the medicine preceded by the batch number prefix; and 1005 (ix) the expiry date of the medicine preceded by the expiry date prefix; and 1006 1007 (x) 1008 (b) the name of the medicine; and the name of the sponsor or supplier, or registered trademark that readily identifies the sponsor or supplier of the medicine. If: 1009 (i) the medicine consists only of pastilles or lozenges; and 1010 1011 (ii) each dosage unit is individually wrapped in an unsealed protective cover; and 1012 1013 (iii) each dosage unit is, after being so wrapped, enclosed in a primary pack that complies with the requirements of this Order, 1014 1015 then the label for each individual wrapper must comply with sections 8 and 9 except if there is set out, on the individual wrapper, the name of the medicine. Page 26 of 42 Section 10 1016 (c) Qualifications and special requirements Where: 1017 1018 (i) a medicine consists of dry herbs contained in individual bags and the bag is retained around the herbs during preparation; and 1019 1020 (ii) the bags are contained in a primary pack, the label of which complies with the requirements of this Order, 1021 1022 then the individual bag need not be labelled with the information referred to in sections 8 and 9. 1023 1024 (d) A transdermal patch must be labelled with one of the following markings that remain on the patch after application to the patient: 1025 (i) a code or other marking that is unique to the medicine; or 1026 1027 (ii) the name of the medicine, and where there is more than one strength of that medicine, an indicator of the strength; or 1028 1029 (iii) the name of the active ingredient(s) together with a statement of the quantity of active ingredient(s) released in a stated time. 1030 1031 (17) Strip, blister and dial dispenser packs (a) Subject to paragraph (b), if: 1032 1033 1034 (i) a medicine consists of individual dosage units such as tablets, capsules, pastilles, cachets, lozenges, pessaries, suppositories or single doses of powder; and 1035 1036 1037 (ii) two or more dosage units are individually enclosed in a strip, blister or dial dispenser pack such that the dosage units can only be extracted individually; and 1038 1039 (iii) the strip, blister or dial dispenser pack is enclosed in a primary pack, the label of which complies with the requirements of this Order, 1040 1041 1042 then the label on the strip, blister or dial dispenser pack must comply with sections 8 and 9 except where the following information is set out on that label: 1043 (iv) the name of the medicine; and 1044 (v) 1045 (vi) the quantity or proportion of all active ingredients in the medicine; and 1046 1047 (vii) the batch number of the medicine preceded by the batch number prefix; and 1048 (viii) the expiry date of the medicine preceded by the expiry date prefix; and 1049 1050 (ix) the name of the sponsor or supplier, or registered trademark that readily identifies the sponsor or supplier of the medicine. 1051 (b) the name(s) of all active ingredients in the medicine; and If in relation to a medicine referred to in (a) there are: 1052 1053 (i) four or more active ingredients in the medicine and the medicine is intended to be, or is, registered goods; or 1054 1055 (ii) two or more active ingredients in the medicine and the medicine is intended to be, or is, listed goods, Page 27 of 42 Section 10 Qualifications and special requirements 1056 1057 1058 then the label on the strip, blister or dial dispenser pack must comply with sections 8 and 9 except if there are set out on that label, the following information: 1059 (iii) the name of the medicine; and 1060 1061 (iv) the batch number of the medicine preceded by the batch number prefix; (v) the expiry date of the medicine preceded by the expiry date prefix; and 1062 1063 (vi) the name of the sponsor or supplier, or registered trademark that readily identifies the sponsor or supplier of the medicine. 1064 1065 1066 1067 1068 1069 1070 1071 (c) (18) In addition to the requirements referred to in paragraphs (a) and (b) as relevant, if the strip or blister is not a calendar pack or does not contain multiple formulations, then the name of the medicine, the name(s) of all active ingredients in the medicine, if required, and the quantity or proportion of all active ingredients in the medicine, if required, must appear on the label at least once in relation to every two dosage units enclosed in the strip or blister. Plastic ampoules (a) Subject to paragraph (b), if: 1072 1073 (i) a medicine is contained in a plastic ampoule, whether or not it is a medicine for injection; and 1074 1075 (ii) the capacity of the container of the medicine in the plastic ampoule is 8 millilitres or less; and 1076 (iii) two or more ampoules are attached to a connecting strip; and 1077 1078 (iv) the ampoules and their connecting strip are enclosed in a primary pack that complies with the requirements of this Order, 1079 1080 1081 then the information required by this Order to appear on the label of the container of the medicine may be divided between the ampoule and the connecting strip. 1082 1083 (b) Whether or not the seal is broken when an ampoule is detached from the strip, the following information must appear on the label of each ampoule: 1084 (i) the name of the medicine; and 1085 (ii) the quantity or proportion of all active ingredients in the medicine; and 1086 1087 (iii) the batch number of the goods preceded by the batch number prefix; and 1088 (iv) the expiry date of the goods preceded by the expiry date prefix; and 1089 1090 (v) the approved route(s) of administration followed by the word ‘only’ and/or warnings against use by other routes of administration. 1091 1092 1093 1094 (c) If a medicine is contained in a plastic ampoule which has a container with a capacity of 25 millilitres or less, but greater than 8 millilitres, then the requirements of subsection 10(4), 10(8) or subsection 10(14), as relevant, apply notwithstanding the container being a plastic ampoule. 1095 1096 (d) If a medicine is contained in a plastic ampoule which has a container with a capacity greater than 25 millilitres, then the requirements of subsection 10(3) Page 28 of 42 Section 10 1097 1098 1099 Qualifications and special requirements or subsection 10(2) or subsection 10(8), as relevant, apply notwithstanding the container being a plastic ampoule. (19) Composite packs 1100 1101 1102 (a) The expiry date on the package that, together with medicines, constitutes a composite pack must be the earliest of the expiry dates of the medicines that constitute the composite pack. 1103 1104 1105 (b) The storage conditions on the package that, together with medicines, constitutes a composite pack must be the most restrictive of the storage conditions of the medicines that constitute the composite pack. 1106 1107 1108 1109 Note: (20) The label on the container and primary pack (if any) of each medicine comprising a composite pack must comply with this Order. Registered medicines that require a Medicine Information panel (a) The requirements in this subsection do not apply to: 1110 1111 (i) medicines containing substances included in Schedule 4 or Schedule 8 of the Poisons Standard; 1112 (ii) human blood products included in Appendix A of the Poisons Standard; 1113 (iii) medicines for injection; or 1114 1115 (iv) the container label for a medicine where subsection 10(14) or 10(15) of this Order applies in relation to the medicine. 1116 1117 1118 1119 (b) 1120 1121 1122 1123 1124 1125 1126 In addition to the requirements of section 9, the label on the container and label on the primary pack (if any) of a medicine to which this subsection applies must contain an information panel as shown in Schedule 2 of this Order that: (i) contains the information required by paragraphs 8(1)(b), (c), (j), (l), and (n); and (ii) contains the information required by paragraph 8(1)(k), unless there is a contrary requirement as to the location of a specific warning statement; and (iii) may contain additional information under the heading ‘Other information’. 1127 1128 1129 (c) The information panel is to be titled Medicine Information displayed in a text size that is no smaller than the text size used for the headings required to be included in that panel. 1130 1131 1132 (d) Subject to paragraph (f), the information required by this subsection to be included in the Medicine Information panel is to be presented in black text with white background. 1133 1134 1135 (e) The information, when required, is to be presented in the following order in the Medicine Information panel under the headings: Ingredients, Uses OR What this medicine is used for, Warnings, Directions for use, Other information. 1136 1137 1138 1139 (f) The headings Ingredients, Uses OR What this medicine is used for, Warnings, Directions for use and Other information in the Medicine Information panel are to be highlighted by the use of bold fonts, shading, box-borders, colour or by other suitable means. Page 29 of 42 Section 11 How information is to be expressed 1140 1141 1142 1143 1144 (g) Where relevant, the warning statements in the Medicine Information panel are to be grouped under subheadings such as ‘Do not use if’, ‘Ask a doctor or pharmacist before use if you’ and ‘Stop use and ask a doctor if’. These subheadings are to be presented in bold fonts but must use text sizes that are smaller than the text size used for the headings. 1145 1146 (h) A horizontal hairline is to be used below each of the subheadings under ‘Warnings’ in the Medicine Information panel. 1147 1148 (i) The title, headings and subheadings in the Medicine Information panel are to be left justified. 1149 1150 1151 (j) Unless specified otherwise, use of uppercase letters is to be avoided in the Medicine Information panel and the information is to be presented in sentencecase format using capital letters at the beginning of sentences. 1152 1153 (k) The Medicine Information panel must not be broken up by non-mandatory information, logos or graphics. 1154 1155 1156 (l) Where it is impractical to include the entire Medicine Information panel on one panel of the label, then the Medicine Information panel can be continued elsewhere on the label, and if so: 1157 1158 (i) the format and order of information required by this subsection to be included in the Medicine Information panel must be retained; and 1159 1160 1161 1162 (ii) the continuation of the Medicine Information panel must be signalled by placing the word ‘continued...’at the right bottom corner of the first panel and the subsequent Medicine Information panel(s) titled ‘Medicine Information (continued)’. 1163 1164 1165 1166 1167 11 How information is to be expressed (1) Use of appropriate metric units (a) For active ingredient(s), where a particular is a statement of mass for which there is a metric unit of measurement, the metric units must be expressed as follows: 1168 1169 (i) a statement of quantity for 1 microgram up to 999 micrograms inclusive must be expressed in terms of micrograms; 1170 1171 (ii) a statement of quantity for 1000 micrograms may be expressed as either 1000 micrograms or 1 milligram; 1172 1173 (iii) a statement of quantity for more than 1 milligram up to 999 milligrams inclusive must be expressed in terms of milligrams; 1174 1175 (iv) a statement of quantity for 1000 milligrams may be expressed as either 1000 milligrams or 1 gram; and 1176 1177 (v) a statement of quantity for more than 1 gram up to 999 grams inclusive must be expressed as grams. 1178 1179 1180 1181 (b) Page 30 of 42 Where a range of medicines contains the same active ingredient(s) in the same dosage form in a series of strengths then the label must state the quantity of each active ingredient in terms of either the highest or lowest metric unit of measurement in the series of strengths. Section 11 1182 1183 1184 1185 How information is to be expressed Example: 1186 1187 (c) 1188 1189 1190 1191 A range of expressions for active ingredient would be stated as 0.5 milligram, 1 milligram and 5 milligrams, or 500 micrograms, 1000 micrograms and 5000 micrograms, rather than 500 micrograms, 1 milligram and 5 milligrams. Where the active ingredient is in liquid form, the equivalent metric units of volume must be expressed in the same manner. Example: A statement of volume for more than 1 millilitre up to 999 millilitres inclusive must be expressed in terms of millilitres, but a statement of volume for 1000 millilitres may be expressed as either 1000 millilitres or 1 litre. 1192 1193 1194 (d) Where the information is a statement of mass or volume, the unit of measurement must be consistent with the unit of measurement used in any warning statement required for that ingredient. 1195 1196 (e) Where a statement of quantity is expressed as less than one (1) unit, the statement of quantity must include the leading zero. 1197 (2) Expression of quantity or proportion of active ingredients 1198 1199 Subject to subsections 11(3), 11(4) or 11(5) below, the quantity or proportion of an active ingredient to be included on a label must be expressed: 1200 1201 (a) for a discrete dosage unit - as the quantity of the active ingredient in the dosage unit; 1202 1203 1204 (b) for a solid for ingestion, where there is no discrete dosage unit - as the quantity of the active ingredient contained in the stated weight of a suitable dose of the solid; 1205 (c) subject to paragraph (d) below, if the medicine is a liquid for ingestion: 1206 1207 (i) as the quantity of the active ingredient contained in the stated volume of a suitable dose of the liquid; or 1208 1209 1210 1211 1212 (ii) in the case where the liquid for ingestion is one of a series of strengths containing the same active ingredient – as the quantity of the active ingredient contained in the stated volume of a suitable dose of the liquid with the quantity or proportion of active ingredient expressed consistently across the series in terms of the same stated dose volume. 1213 1214 1215 1216 Example: (d) 1217 Where the dose volume is 5 mL, and there are strengths of 1 mg/mL and 5 mg/mL, these must be labelled as 5 mg in 5 mL and 25 mg in 5 mL, respectively. for a medicine required to be prepared before use, and: (i) where the process results in a medicine that is a liquid for ingestion: 1218 1219 1220 1221 (A) as the quantity of the active ingredient contained in the stated volume of a suitable dose of the liquid after preparation in accordance with the instructions set out on the label of the medicine; or 1222 1223 1224 (B) Page 31 of 42 in the case where the medicine is one of a series of strengths containing the same active ingredient - as the quantity of the active ingredient contained in the stated volume of a suitable dose Section 11 How information is to be expressed 1225 1226 1227 1228 of the liquid after preparation in accordance with the instructions set out on the label of the medicine with the quantity or proportion of active ingredient expressed consistently across the series in terms of the same stated dose volume; and 1229 1230 1231 Example: 1232 1233 1234 Where the dose volume is 5 mL, and there are strengths of 1 mg/mL and 5 mg/mL, these must be labelled as 5 mg in 5 mL and 25 mg in 5 mL, respectively. (ii) for any other medicines - as the weight or volume of active ingredient in a stated weight or volume of the medicine, after preparation in accordance with the instructions included in the label of the medicine; 1235 1236 1237 (e) for a transdermal patch, intrauterine drug delivery system or implant - as the total quantity of the active ingredient in each patch, drug delivery system or implant and the quantity of the active ingredient released in a stated time; 1238 (f) for a medicine for injection: 1239 1240 1241 1242 (i) where the medicine is a powder for injection or a concentrated solution for injection – as the nominal quantity (the dose delivered to the patient when the dose is administered as directed) of the active ingredient in the container; 1243 1244 (ii) where the nominal volume of the medicine for injection is greater than 100 millilitres and the medicine is intended: 1245 (A) for electrolyte replacement or nutritional therapy; or 1246 (B) as a plasma volume expander; or 1247 (C) as an additive to any of these types of injection, 1248 then: 1249 1250 1251 (D) as the number of millimoles in the nominal volume of the injection in the container for each active ingredient or ion of precisely known molecular weight; or 1252 1253 1254 (E) as the weight contained in the nominal volume of the injection in the container for each active ingredient for which the molecular weight is not precisely known; 1255 1256 1257 1258 1259 (iii) where the nominal volume of the medicine for injection is greater than 100 millilitres and the medicine contains an active ingredient which is not intended for electrolyte replacement or nutritional therapy or as a plasma volume expander - as the weight of the active ingredient in the nominal volume of injection in the container; 1260 (iv) where the medicine for injection is intended for multidose use: 1261 1262 1263 (A) where the nominal volume in the container is greater than 1 millilitre - as the quantity of the active ingredient in one millilitre of the injection; and 1264 1265 1266 (B) Page 32 of 42 the volume in the container is less than or equal to 1 millilitre - as the quantity of the active ingredient in a suitable dose volume of the injection; Section 11 1267 1268 1269 (v) How information is to be expressed where the injection is a small volume injection and is usually intended for administration as a single dose - as the quantity of active ingredient in the stated volume of the injection in the container. 1270 1271 1272 (g) for antibiotic preparations, where potency units are used as a measure of activity - as the number of such units expressed as International Units (IU) established by the World Health Organization; 1273 1274 1275 1276 (h) for preparations applied to the skin and mucous membranes, other than those covered by paragraphs (g) and (i) - as a percentage expressed in terms of w/w, w/v, v/v or v/w, as appropriate, or as the weight or volume in a stated weight or volume of the medicine, as appropriate; 1277 1278 (i) for pressurised metered dose inhalers, dry powder inhalers and other metered dose products such as nasal sprays: 1279 1280 1281 (i) in the case of a medicine where the dose has been established as the delivered dose– as the quantity of active ingredient delivered per metering; or 1282 1283 1284 (ii) in the case of a medicine that is the subject of a monograph of the British Pharmacopoeia and the dose has been established as a metered dose – the metered quantity of active ingredient; or 1285 1286 1287 1288 (iii) where the medicine is a powder for inhalation is supplied in the form of a capsule, or as a well in a blister tray or other suitable pharmaceutical form and labelling with the delivered dose is not established - as the quantity of active ingredient in each dosage unit; 1289 1290 1291 (j) Notwithstanding the requirements in paragraphs 11(2)(a) –11(2)(i), the following requirements apply in the circumstances specified in the following subparagraphs, in addition to the requirements set out in those paragraphs: 1292 1293 1294 (i) for preparations that are enzymes – as the activity unit specified in Column 1 of Schedule 3 to this Order in relation to a particular enzyme set out in Column 3 of that Schedule; 1295 1296 1297 (ii) for medicines containing an active ingredient which is a herbal material, such as a dry, fresh, milled or powdered herb – as the weight of the herbal material and 1298 1299 1300 1301 (A) where standardisation of the herbal material is claimed on the label of the medicine – the minimum dry weight or minimum fresh weight of herbal material and also the quantity of standardised component(s) in the herbal material 1302 (iii) for medicines containing a herbal preparation: 1303 1304 (A) where the preparation is an essential oil - as the quantity of the herbal preparation; or 1305 1306 1307 (B) where the preparation is a fresh, concentrated, dry or diluted juice as the dry weight or fresh weight of the herbal material from which the juice was derived; or 1308 1309 1310 (C) where standardisation of the herbal preparation is claimed on the label of the medicine – the minimum dry weight or minimum fresh weight of herbal material from which the preparation is Page 33 of 42 Section 11 How information is to be expressed 1311 1312 derived and also the quantity of standardised component(s) in the herbal preparation; or 1313 1314 1315 (D) where the preparation is not mentioned under subsubparagraphs (A), (B), or (C) - as the dry or fresh weight of the herbal material from which the preparation was derived; 1316 1317 (iv) for oral preparations containing trace elements as salts - as the quantity of the element with the name of the salt being indicated; 1318 1319 (v) 1320 1321 1322 (vi) for a preparation containing biological organisms - as the number of organisms present per metric unit for liquids and powders and as the number of organisms present per dosage unit for other dosage forms; 1323 (k) for preparations containing Vitamin A - as the quantity or proportion of Vitamin A expressed in terms of microgram retinol equivalents; for any other medicines: 1324 1325 1326 (i) where the medicine is a liquid and includes an active ingredient which is a liquid - as the appropriate amount of the active ingredient, either by weight or volume, in a stated volume of the medicine; 1327 1328 1329 (ii) where the medicine is a liquid and includes an active ingredient which is a solid - as the weight of active ingredient in a stated volume of the medicine; 1330 1331 1332 (iii) where the medicine is a liquid and includes an active ingredient which is a gas - as the weight of the active ingredient in a stated volume of the medicine; 1333 1334 1335 (iv) where the medicine is a solid and includes an active ingredient which is a liquid - as the appropriate amount of the active ingredient, either by weight or volume, in a stated weight of the medicine; 1336 1337 1338 (v) 1339 1340 (3) where the medicine is a solid and includes an active ingredient which is a solid - as the weight of the active ingredient in a stated weight of the medicine. Expression of quantity or proportion of active ingredients for homoeopathic preparations 1341 1342 The label on the container and on the primary pack of a medicine that contains a homoeopathic preparation must include: 1343 1344 1345 (a) where the medicine is a fully potentised, single ingredient, homoeopathic medicine and it is clear that the ingredient comprises 100% of the medicine – the name of the active ingredient; or 1346 1347 1348 (b) where all active ingredients of the medicine are homoeopathic preparations and are all included in the medicine in the same proportion - as ‘Contains equal parts of ...’ followed by the name of each active ingredient; or 1349 1350 (c) where paragraphs (a) and (b) do not apply- the quantity of the preparation in one millilitre or in one gram of the medicine Page 34 of 42 Section 11 1351 (4) 1352 1353 How information is to be expressed Expression of potency in biological medicines (a) For a liquid biological medicine or a biological medicine required to be prepared before use, the potency: 1354 (i) must be included on the label of the medicine; and 1355 1356 1357 (ii) must be expressed as potency units, or weight of active ingredient per dose or per unit volume, or as the volume which contains the recommended dose. 1358 1359 1360 1361 1362 1363 1364 1365 (b) (5) The potency unit to be used must be: (i) the International Unit (IU) established by the World Health Organization; or (ii) where IU have not been established, then the potency unit to be used is that specified in the approved product details in relation to the medicine. Expression of activity of radionuclides in radiopharmaceutical preparations 1366 1367 The quantity or proportion of an active ingredient which is a radionuclide and is included in a radiopharmaceutical preparation must be: 1368 (a) included on labels; and 1369 1370 (b) expressed in terms of the total activity of the radionuclide in the container, in becquerels, at a specified date and hour. 1371 1372 1373 (6) Permitted statements of storage temperature conditions For the purposes of this Order, the following statements of storage temperature conditions are permitted: 1374 (i) ‘Store below –18oC (Deep freeze)’; 1375 (ii) ‘Store below –5oC (Freeze)’; 1376 (iii) ‘Store below 8oC (Refrigerate)’; 1377 (iv) ‘Store at 2oC to 8oC (Refrigerate. Do not freeze)’; 1378 (v) 1379 (vi) ‘Store below 30oC’; and 1380 1381 1382 (vii) for a medicine that is, or is intended to be, registered goods, any other storage temperature and conditions as specified in the approved product details in relation to the medicine. 1383 Page 35 of 42 ‘Store below 25oC’; Section Schedule 1 Schedule 1 Substances or Groups of substances present in medicines that are required to be declared on the label of medicines Column 1 includes a general descriptor for the substance or group of substances required to be declared on the label of medicines, and a number of indicative substances names for particular groups of substances. Column 2 specifies the circumstance, such as specified concentration of the substance when present in the medicine or specified amounts of substances contained in the medicine, where if it occurs require the particular declaration on the label identifying the particular substance or group of substances set out in column 1, and provides additional required statements that are supplemental to the required declaration on the label. Where there are no circumstances specified in column 2, then the presence of the substance or group of substances is required to be declared on the label irrespective of any circumstance, concentration or amount of the substance or group of substances present in the medicine. Column 3 identifies those routes of administration of the medicine containing the substance or group of substances, where for the purposes of this Schedule and taking into consideration any circumstance specified in column 2, the substance or group of substances must be declared on the label. Column 4 identifies the name of the substance, the group of substances or a general descriptor of the substance to be included on the label of the medicine where the particular substance or group of substances are present in the medicine. The name also describes a group of substances that have similar characteristics and is to be used irrespective of whether one or more of the substances in the group are present in the formulation. Presentation on the label must be in the form “Contains ‘Name (as set out under Column 4)’”. Column 1 Substance name or Group of substances name Column 2 Circumstances (if any) and additional requirements (if any) Column 3 Route of administration Column 4 Name to be includes on the label aspartame Oral aspartame benzoates, including: benzoic acid sodium benzoate crustacea and crustacean products (see Note 1), including: crab lobster white shrimp egg and egg products, including: dried egg yolk egg lecithin All benzoates All crustacea; or crustacean products All egg; or egg products Page 36 of 42 Section Substances or Groups of substances present in medicines that are required to be declared on the label of medicines ethanol Circumstance: Where present in a concentration of 3% v/v or more. All alcohol All fish; or fish products Oral All, other than skin and mucous membrane applications All galactose Gluten Oral All lactose milk; or milk products All peanuts; or peanut products All, other than skin an mucous membrane applications Oral Oral phenylalanine Requirement: To declare on the label the quantity of ethanol as % v/v. fish and fish products (see Note 2), including: cod cod – liver oil halibut tuna galactose gluten or ingredient derived from gluten-containing grain (see Note 3) Circumstance: Where gluten or an ingredient derived from glutencontaining grain is present. hydroxybenzoic acid esters, including: ethyl hydroxybenzoate methyl hydroxybenzoate propyl hydroxybenzoate sodium ethyl hydroxybenzoate sodium methyl hydroxybenzoate sodium propyl hydroxybenzoate lactose (see Note 4) milk and milk products, including (see Note 4): casein hydrolysed milk protein nonfat dry milk whey powder whole dry milk peanuts and peanut products, including: Arachis hypogaea arachis (peanut) oil Phenylalanine pollen potassium salts, including: potassium bicarbonate potassium chloride Circumstance: Where the total potassium content of the dose is greater than 39 mg (1mmol) elemental potassium per dose Requirement: To declare on the label (in mg) the quantity of elemental potassium per dose. Page 37 of 42 hydroxybenzoates pollen potassium Section Substances or Groups of substances present in medicines that are required to be declared on the label of medicines propolis royal jelly saccharin, including: saccharin calcium saccharin sodium sesame seeds and sesame seed products, including: sesame seed sesame oil Sesamum indicum sodium salts, including: sodium bicarbonate sodium chloride Circumstance: Where the total sodium content of the maximum recommended daily dose of the formulation is greater than 120 mg of elemental sodium per dose. Oral Oral Oral propolis royal jelly saccharin All sesame seeds; or sesame seed products Oral sodium All soya beans; or soya bean products All sorbates Oral sucralose Requirement: To declare on the label (in mg) the quantity of elemental sodium per dose. soya beans and soya bean products, including: Glycine max soya bean soya oil excluding: soya oil that is fully refined; d-alpha tocopherol, dalpha tocopheryl acetate, d-alpha tocopheryl acid succinate, mixed (highalpha type) tocopherols concentrate, or mixed (low-alpha type) tocopherols concentrate when derived from soybean sources; vegetable oils derived phytosterols and phytosterol esters from soybean sources; plant stanol ester produced from vegetable oil sterols from soybean sources. sorbates, including: potassium sorbate sorbic acid sucralose Page 38 of 42 Section Substances or Groups of substances present in medicines that are required to be declared on the label of medicines sugar alcohols, including: erythritol isomalt lactitol maltitol mannitol polydextrose sorbitol xylitol sugars – monosaccharides and disaccharides (see Note 5), including: fructose glucose honey (as a mixture of sugars) invert sugar lactose maltose sucrose sulfites, including: (see Note 6) potassium metabisulfite sodium bisulfite sodium metabisulfite sodium sulfite sulfur dioxide tartrazine tree nuts and tree nut products (see Note 7), including: almond oil Juglans nigra macadamia nut oil Macadamia ternifolia Prunus dulcis walnut Page 39 of 42 Circumstance: Where the total sugar alcohol content of the formulation exceeds 2 g per maximum recommended daily dose. Requirement: To declare on the label the quantity of sugar alcohols present per recommended maximum daily dose; and a statement 'Products containing (name of sugar alcohol) may have a laxative effect or cause diarrhoea'. Circumstance: Where the presence of sugars may have a significant glycaemic effect and the total sugar content (including lactose which requires a separate declaration) exceeds 100 mg per recommended daily dose. Oral sugar alcohols; or name of sugar alcohol Oral sugars All sulfites All All tartrazine tree nuts; or tree nut products Section Substances or Groups of substances present in medicines that are required to be declared on the label of medicines Note 1: Crustacea include various species of aquatic animals which have an inedible chitinous outer shell. These include but are not limited to crab, crayfish, lobster, prawn and shrimp. Note 2: Fish includes freshwater fish, diadromous fish and marine fish, including shark. Note 3: Gluten – some formulations of medicines may contain gluten that is present naturally as a constituent of an ingredient such as wheat starch. Note 4: Lactose, where obtained from milk, does not require the ‘contains milk product’ statement. Note 5: Sugars – monosaccharides and disaccharides – some sugar derivatives may not have a significant impact on glycaemic control. Lactose forms part of total sugars for the purposes of determining if the sugars will have a significant glycaemic effect and for calculating the total daily dose. Where lactose is present in the medicine, the entries under ‘lactose', ‘sugars –monosaccharides and disaccharides' and ‘milk and milk products’ (if of dairy origin) each apply. Note 6: Sulfur dioxide – some formulations of medicines may contain sulfur dioxide as a residue, for example, gelatin, but must be identified. Note 7: Tree nuts are the seeds of a variety of trees and shrubs which are characterised by a hard inedible shell enclosing an oily seed. Tree nuts include almond, Brazil, cashew, chestnut, and walnut. Coconut is the fruit of the palm (Cocos nucifera) and is not considered to be a tree nut. Page 40 of 42 Section Schedule 2 Schedule 2 Format of Medicine Information panel Medicine Information Ingredient(s) Each tablet/capsule/xx mL dose contains the active ingredient(s) xxxxxxxxx mg/mL/% xxxxxxxxx mg/mL/% Also contains xxxx, xxxx and xxxx (name of Schedule 1 substance or group of substances). Uses OR What this medicine is used for For the temporary relief of: xxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxx Warnings Do not use if xxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx Ask a doctor or pharmacist before use if xxxxxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx Stop use and ask a doctor if xxxxxxxxxxxxxxxxxxx xxxxx Other warnings, grouped under suitable subheadings. Directions for use Approved directions for use, for example: Take x tablet every x-x hours as required. Do not take more than x in a xx hour period. Do not exceed the recommended dose Other information Inclusion of this sub-heading and additional information under this section of the information panel is optional. Examples of information that can be included here are storage conditions, sponsor contact details, other information about tamper evident features. Page 41 of 42 Section Schedule 3 Schedule 3 Specified Units for Enzymes Column 1 Unit Column 2 Unit Description Column 3 Permitted Ingredients actinidain units Actinidain units actinidain (of Actinidia deliciosa and chinensis) ALU Acid lactase units Tilactase ALU/g Acid lactase unit per gram Tilactase CU Cellulase unit Cellulase CU/g Cellulase unit per gram Cellulase DUAA Alpha-amylase dextrinising unit Amylase DU/g Dextrinising unit per gram Amylase HUT Haemoglobin units on the tyrosine basis Protease HUT/g Haemoglobin unit on the tyrosine basis per gram Protease LipU Lipase units Lipase LipU/g Lipase unit per gram Lipase thousand ALU Thousand Acid lactase unit Tilactase thousand ALU/g Thousand Acid lactase units per gram Tilactase thousand CU Thousand cellulase unit Cellulase thousand CU/g Thousand cellulase unit per gram Cellulase thousand DUAA Thousand alpha-amylase dextrinising unit Amylase thousand DUAA/g Thousand alpha-amylase dextrinising unit per gram Amylase Thousand HUT Thousand haemoglobin units on the tyrosine Protease basis Thousand HUT/g Thousand haemoglobin units on the tyrosine Protease basis per gram thousand LipU Thousand lipase unit Lipase thousand LipU/g Thousand lipase units per gram Lipase USP Unit Caricain (of Carica papaya) Page 42 of 42 United States Pharmacopoeial Unit