MANUAL National Repository for Medicinal Products Author: Mariann Fallmark, Medical Products Agency Sign.: Version: Page: 3.4 1(31) Valid from: 2007-06-28 Replaces: 3.3 NPL – National Repository for Medicinal Products instructions for reviewing and verifying details in the NPL 1 National Repository for Medicinal Products MANUAL National Repository for Medicinal Products Version: Page: 3.1 2(31) HISTORY / VERSION HISTORY Date 2002-12-20 2003-01-22 2003-02-09 Version 0.1 0.2 0.3 2004-03-30 2004-04-02 2004-04-14 2004-04-29 2004-05-13 2004-05-27 2004-06-02 2004-12-09 2005-02-04 2005-02-2 1 0.4 0.5 0.6 0.7 0.8 1.0 1.1 2.0 2.1 2.2 2006-03-10 2006-07-07 2006-11-10 2006-12-05 2007-06-28 3 3.1 3.2 3.3 3.4 2 Reason/author New document/Bengt Dahlberg Changes following review Corrections following pilot testing and evaluation. Some elements added to interface but not included in this version/Bengt Dahlberg Edited following restart of project/Bengt Dahlberg Edited following internal review/Bengt Dahlberg List of elements rewritten following internal revision/Bengt Dahlberg Completion of new interface in accordance with interface review version 0.8 Changes following internal and external review/Mariann Nilsson Version changed to 1.0. New Screenshot 1. New Screenshots 6 and 7 and Table 1. Revision/Mariann Nilsson Addition of instructions and a further login screenshot/Mariann Nilsson Logo, user admin., delete/remove and addresses, NPL v2.2.1 (next price), new information about information flow between companies and Apoteket AB/MN Adjustment for NPL v3, parallel distribution and validation checks Warning messages EAN text changed Withdrawal of MA Question itemnumber MANUAL National Repository for Medicinal Products Version: Page: 3.1 3(31) CONTENTS: 1 INTRODUCTION ........................................................................................................................... 4 1.1 PURPOSE AND SCOPE ................................................................................................................... 4 1.2 DEFINITIONS AND ABBREVIATIONS.............................................................................................. 4 1.3 REFERENCES ............................................................................................................................... 5 2 COMPILING PRODUCT INFORMATION FOR REVIEW AND VERIFICATION ........... 6 3 USER ADMINISTRATION........................................................................................................... 6 4 THE REVIEW AND VERIFICATION PROCESS .................................................................... 8 4.1 PRODUCT STATUS AND ITS INFORMATION ELEMENT .................................................................... 9 5 INFORMATION TO BE REVIEWED/VERIFIED .................................................................... 9 6 THE NPL WEBSITE .................................................................................................................... 18 7 LOGGING IN AND THE PRODUCT REPORT ...................................................................... 19 7.1 LOGGING IN ............................................................................................................................... 19 7.2 THE PRODUCT REPORT ............................................................................................................... 21 7.3 VALIDATION CHECKS ................................................................................................................ 24 7.4 WARNING MESSAGES ................................................................................................................ 26 7.5 CHANGES .................................................................................................................................. 27 7.6 ERROR REPORTING .................................................................................................................... 28 8 ONGOING CHANGES IN THE NPL ........................................................................................ 28 8.1 NEW PRODUCTS ......................................................................................................................... 29 8.2 PRICE CHANGES ......................................................................................................................... 29 8.3 WITHDRAWAL OF PRODUCTS ..................................................................................................... 30 8.4 OTHER CHANGES ....................................................................................................................... 30 8.4.1 Change of item number .................................................................................................................................. 30 8.4.2 Suspension of ordering ................................................................................................................................... 30 8.4.3 Barcode (EAN code)....................................................................................................................................... 31 8.5 INSTRUCTIONS ........................................................................................................................... 31 3 MANUAL National Repository for Medicinal Products Version: Page: 3.1 4(31) 1 INTRODUCTION 1.1 Purpose and scope The purpose of this document is to describe how medicinal products companies must review and verify information in the NPL. The document describes briefly how information is brought together in the NPL from various information sources, and how medicinal products companies can access this information electronically with facilities for reviewing, commenting on, changing and ultimately verifying the information in the NPL. The NPL covers all approved medicinal products, even those not marketed in Sweden including those withdrawn after June 2004. Neither licensed medicinal products nor prescribable consumables covered by the Swedish benefits system are included in the repository. Parallel-imported medicinal products must be reviewed and verified in the same way as the original products. Parallel-distributed packs of centrally approved products must also be reviewed and verified by the parallel distributor (which is a company other than an MAH). These packs include those for original products, the MAH's packs and other parallel distributors' packs. Companies can change only their own packs, and only an MAH can change information at the product level (see Ch. 9 for how to change information). 1.2 Definitions and abbreviations Terminology ACA Element FLIS Review LIF LV LVIS LFN NPL ID Verification Verified product Interface 4 Description Apoteket's Central Article Repository. The system that forms the basis for the IT processing of all Apoteket AB's product information. A specific piece of information, e.g. name of medicinal product, constituting a part of the total information. The Pharmaceutical Benefits Board's Medicinal Product Information System Phase of work in which companies compare information in the NPL with their own internal information to confirm that the information in the NPL agrees with their own. Swedish Association of the Pharmaceutical Industry Medical Products Agency The LV Information System Pharmaceutical Benefits Board NPL ID (unique product identification). Set by LV when a new application for approval is made. Following review, the phase of work in which the company approves the information in the NPL by changing the product's status from "not verified" to "verified". Product that has been reviewed, corrected if necessary and approved by the company. Screen display (application) for reviewing and verifying product information in the NPL. MANUAL National Repository for Medicinal Products Version: Page: 3.1 5(31) 1.3 References Ref. No. Doc. No. Document Name Version No. 1 1–5 The NPL's instructions 2.0 5 MANUAL National Repository for Medicinal Products Version: Page: 3.1 6(31) 2 COMPILING PRODUCT INFORMATION FOR REVIEW AND VERIFICATION To create a National Repository for Medicinal Products, existing information from various principals must be assembled in a single repository. The information in the NPL comprises information available in the information systems of the Medical Products Agency (LVIS), the Pharmaceutical Benefits Board (FLIS) and the Apoteket Central Article Repository (ACA). Each organisation is responsible for the information it holds and that must be included in the NPL being transferred to the NPL. After the information has been assembled in the NPL, the company responsible for each product has the opportunity to review and verify the information. Information is updated constantly, so reviews must take place regularly. This creates an up-to-date and quality-assured repository of information about medicinal products. At the start of a review, all products have "not verified" status. The review includes the medicinal products company quality-assuring (in terms of correctness) the information about its products in the NPL. Once the review and any corrections to information have been completed, the company changes the product's status from "not verified" to "verified". The company is responsible for carrying out the necessary changes to the information elements it owns in the NPL. If during the review the company discovers errors in elements owned by the LV, the LFN or Apoteket, the company must inform the organisation in question. 3 USER ADMINISTRATION The user with the highest authority in the NPL is called the "NPL administrator" and is located at the LV. The NPL administrator is authorised to create new entities at all three levels in the NPL (see Fig. 1). On the nexthighest level there are four principal entities: the LV, the LFN, Apoteket and the Pharmaceutical industry. Each principal entity is authorised to define its own administrators within its own area. These administrators are authorised to add organisations or administrators for organisations within their respective principal areas, e.g. the administrator for the medical products industry (in the LIF) is authorised to add a new medicinal products company and an administrator linked to this company. Each company's administrator can then create users that will participate in the review. The medicinal products companies co-ordinate their authorisations in the LIF's Fass database (see Fig. 1). There are two different types of users of the NPL: administrators and users. Administrators are authorised to create both new administrators and users on their level, e.g. an administrator in a medicinal products company can create new users or administrators within his/her own company. If the same person is to be an administrator for several companies, an administrator identity is required for each company. NPL administrator LV LFN adm. Apoteket adm. Comp. 1 adm. Company 1 user 1 6 LIF Comp. 2 adm. Company 1 adm. 2 MANUAL National Repository for Medicinal Products Version: Page: 3.1 7(31) The NPL has only one administrator, located at the LV. There are four subordinate administrators, each authorised to create new users within their respective organisation. The LIF administrator creates one administrator at each company participating in review and verification. In turn, the administrator within each company is authorised to create new users that will participate in review/verification at the company. Each defined user within a company can view and verify only products from companies they are authorised to view. The list of products to be reviewed and verified by each company is defined by its role as an MAH or Agent. A product with both an MAH and an Agent is reviewed and verified by the Agent, in which case the MAH therefore has no access to the product. A product with only an MAH, and no Agent, is registered, checked and verified by the MAH. Once you have logged in to "User administration", B in Screenshot 1 is displayed: All users within the company are listed with their roles, i.e. "admin" or "user". "Remove" removes the user. The "Edit" option is used to change the user's various parameters, e.g. name, whether active, role, start/expiry dates or password. The "Add existing user" option displays a list of the company's existing users that can be added. The administrator can create new users with the "Add user" option. After the new user's details have been entered, clicking "Save" saves the user in the NPL and links him/her to the current company. It also enables the user to be added to other companies. Note that the e-mail address identifies the user, and can therefore occur only once in the system. 7 MANUAL National Repository for Medicinal Products Version: Page: 3.1 8(31) 4 THE REVIEW AND VERIFICATION PROCESS Product information is reviewed and verified using software provided by the LV via the Internet. This software contains an interface where companies can review product information in the NPL. Companies can also change certain information and ultimately verify the information by changing the status of a medicinal product to "verified". The interface is provided by the LV and is accessible on a server to which companies can connect. Communication takes place via secure log-in. In addition to the review and verification interface, there is also a user administration interface. This is used to add, remove and change users in companies reviewing/verifying information in the NPL. A complete list of the elements included in the NPL and that must be reviewed is given in Table 1. The Table also includes a description of each element's owner and whether companies can change the element directly in the interface. The user administration and review software is Web-based, so popular browsers such as Internet Explorer can be used. Chapters 7 and 8 describe how to correct information. Product information can be reviewed and verified only after logging in. If users have access to several companies' products, after logging in they must select the company whose products they want to work on. The products belonging to that company, in its capacity as an MAH or Agent, are then displayed. A simple search tool is available for selecting from the available products. Searching can be done either by the product's name (start of name is sufficient) or its NPL ID. The product information is displayed in separate fields, each with its own heading (see Chap. 7.2, Screenshot 4). Review/verification involves going through the information displayed in the NPL and ensuring that it agrees with the company's information. Any incorrect information must be changed. There are two ways of doing this. If the incorrect information is owned by the company and the change does not require special permission from the LV, the information can be corrected directly in the interface. If the incorrect information is owned by another principal, e.g. Apoteket, a separate comment must be sent to that principal containing the incorrect information and the product identity. The matter must then be considered by the owner concerned and corrected if necessary. See also Chapter 10, Reporting errors. Company Yes, mark as verified Verify NPL product info OK No, change in NPL Create a variation application Apply for variation No, request change LV Is it a variation? Request application No Other errors? Correct LVIS Update LVIS Transfer to NPL 8 NPL MANUAL National Repository for Medicinal Products Version: Page: 3.1 9(31) When a user has logged in to the NPL, the company's products are displayed and review/verification can begin by comparing the information with that held by the company. If the information matches, the company can verify it immediately by changing the product's status to "verified". If the information does not match, the company makes the changes directly in the interface or sends a request for a change to the appropriate principal. After the change has been made, the company can verify the information. 4.1 Product status and its information element A. If the product status is "Not verified" but all the information is correct, the company marks the product as "Verified" by clicking "Yes, set verified". If corrections are required subsequently, "No, correct errors" is clicked and then the change is saved with "Yes, save changes". The product status then changes to "Changed". If the changes are not to be saved, "No, discard changes" is used. The product status will then remain "Not verified". B. When the product status is "Changed", the company can choose to verify the information using "Yes, set to verified". The product status then changes to "Verified". The company can also choose to make further changes for a product with status "Changed" using the "No, correct errors" function. The product status stays "Changed" until the company chooses the "Yes, set to verified" function. C. A product whose status has changed to "Verified" can be returned to "Changed" status using the "No, set not verified" function. To change the product status from "Changed" to "Verified", use the "Yes, set to verified" function. 5 INFORMATION TO BE REVIEWED/VERIFIED Table 1 below contains a list of the elements included in the NPL information review/verification interface. The list does not include all the elements in the NPL, but only those included in review/verification. Some of the elements take values from a predefined list, e.g. Pharmaceutical form, in which the majority of values are predefined in Standard Terms. In Table 1 there is a reference to a number (Screenshot no.) indicating the corresponding element in the interface (Screenshot 4). 9 MANUAL National Repository for Medicinal Products Table 1 Element in interface Trade name Owner1 Can be Screenchanged shot no.3 in IF2 C No 1 Previous name C No 2 Pharmaceutical form LV No 3 Strength, alphanumeric LV No 4 Strength, numeric C Yes 5 Unit C Yes 6 Product type LV No 7 Approval date LV No 8 Withdrawal date LV No 9 ATC code LV No 10 1 Version: Page: 3.1 10(31) Description Name of product in accordance with approval obtained from the LV, available from the LVIS. Any previous name in full. State the product's previous names in the market, obtained from the LVIS. State the product's pharmaceutical form as approved, acc. to Standard Terms. Strength in full text. Has both numeric part and unit. Strength in full text is obtained from the LVIS. The reason for the division into 'Strength, alphanumeric', 'Strength, numeric' and 'Unit' is that certain prescribing modules base their functionality on such a division. Showing the strength of combination products correctly requires it to be stated as 'Strength, alphanumeric'. Strength, numeric part. The information has been preloaded from Apoteket AB. NOTE: for combination products that include several active substances of different strengths, this element must be left empty. Unit for numeric strength. The information has been preloaded from Apoteket AB. The unit can take values only from a predefined list. NOTE: for combination products that include several active substances of different strengths, this element must be left empty. States product type, e.g. medicinal product or extempore. Can take values only from a predefined list. Date when product was first approved for sale. Set by the LV in conjunction with the approval. Format is yyyy-mm-dd. States expiry date of product approval, provided the company has notified this in advance. Format is yyyy-mm-dd. ATC code. Anatomical Therapeutical Chemical classification in accordance with the code set on approval by the LV. The ATC code can take values only from a predefined list. "Owner" means the entity responsible for the content of the information. C = Company, A = Apoteket AB, LV = Medical Products Agency, LFN = Pharmaceutical Benefits Board.. 2 Whether the company can change information directly in the interface (IF) without contacting the LV or any other organisation. 3 Reference to Screenshot 7. 10 MANUAL National Repository for Medicinal Products Parallel-import country Owner1 Can be Screenchanged shot no.3 in IF2 LV No 11 Parallel-import deviation LV No Product notes C Yes Approval procedure LV No Medicinal product form, properties A No Swedish approval number LV No NPL ID LV No Contains latex C Yes Interchangeable LV No Permission for dose dispensing LV No Driving warning LV No LV sales stop LV No Contains lactose C Yes Element in interface Version: Page: 3.1 11(31) Description States country from which the medicinal product is parallel imported. Can take values only from a predefined list. 12 Deviation states how the parallel-imported medicinal product differs from the original product. May involve markings on tablets, etc. 13 Product notes refers to free text that the company may use. For example, this could concern information that the product is not intended to be marketed in Sweden. 14 Type of approval procedure used for the product's most recent approval. 15 Properties of the medicinal product form contains a detailed description, above all of the commodity's properties. Not currently used. 16 Swedish approval number. Issued by the LV. Synonymous with registration number. Has an additional zero (0) at the end for data processing reasons. Also, centrally approved products have a Swedish "approval no." for use in Sweden. 17 The NPL ID is a unique identifier for the product. Set by the LV when an application for approval has come in. 18 This marking states that latex residues may be present in the product. It applies above all to injectables, where rubber stoppers, etc., that include latex may come into contact with the product. The information is derived from the corresponding element at the pack level. This field cannot be edited. 19, 74, 75, States whether the product is interchangeable with 76 another product when dispensed at the pharmacy. This is stated with the value Yes or No. If the product is interchangeable, the interchangeability group to which it belongs is evident from the substance, pharmaceutical form and strength groups. 20 Permission for dose dispensing means that there is general permission for the product pack to be broken for dose dispensing. This permission is granted by the LV on special application. 21 States whether the product's SPC has a warning about driving. 22 States whether sales of the product are temporarily stopped by the LV. The product is still defined as approved, but sales have been stopped by the LV for some reason. 23 This marking states whether the product contains lactose. The information is preloaded on the basis of the product's composition in the LVIS. 11 MANUAL National Repository for Medicinal Products Marketed (prev. Available) Owner1 Can be Screenchanged shot no.3 in IF2 C Yes 24 Sold on prescription LV No 25 Special medicinal products A No 26 Control class LV No 27 Shelf life, dose disp. LV No 28 Form information A No 29 Pharmaceutical product C No 30 Amounts specified per pharmaceutical basic entity C No 31 Element in interface 12 Version: Page: 3.1 12(31) Description This field states whether a product is marketed in Sweden. The information is derived from the corresponding element for packs, where the company must state whether they are available. This field cannot be edited. States whether the product is sold on prescription, or whether some packs may be supplied OTC. Sold on prescription can take values only from a predefined list. Concerns prescribing rules for other special medicinal products in accordance with LVFS 1997:10, appendix 8. The information is preloaded from Apoteket AB. Other special medicinal products can take values only from a predefined list. States the product's narcotic class. The classification follows the classification established by the LV. Control class can take values only from a predefined list. Shelf life when broken states the product's shelf life in months after the pack has been broken. This shelf life is related to the permission for dose dispensing given (see above). General information about the form, e.g. if strength information has been changed, the old strength is given here. May also include information about a specific material, e.g. acrylic. Currently unused. The name of the basic pharmaceutical entity included in a medicinal product. No name is given where the medicinal product consists of only one entity. Where a medicinal product consists of more than one entity, they are distinguished with different names. For example, yellow tablet, white tablet, blue tablet for certain contraceptive pills, or powder and solution for an injectable fluid. Obtained from the LVIS. States how the amounts of the active ingredients included relate to the composition, per pharmaceutical product, per ml, per gram, etc. Can take values only from a predefined list. Obtained from the LVIS. MANUAL National Repository for Medicinal Products Type of ingredient Owner1 Can be Screenchanged shot no.3 in IF2 C No 32 Substance C No 33 Amount C No 34 Max. amount C No 35 Amount unit C No 36 Additional unit C No 37 Chemical Abstract Service Number, CASNO C No, the 38 LV changes on request by the company . NPL pack ID LV No Element in interface 39 Version: Page: 3.1 13(31) Description States the ingredient's role in the composition, e.g. active, inactive, colouring. In version 1.0 of the NPL, only active ingredients will be declared. Active ingredients may be active or active equivalent. Where the active form is a salt, ester or similar, the composition may be supplemented by stating the active equivalent, which means the amount of "pure" substance to which this corresponds. Type of ingredient can take values only from a predefined list. Obtained from the LVIS. Substance name in full text. INN, linked to CASNO. The nomenclature used when stating the name of the substance is obtained from the LVIS. Numeric amount. States the quantitative numeric component of a substance within a composition. Obtained from the LVIS. Upper limit where the quantitative numeric amount is an interval. Unit for numeric amount. States units for the numeric amount stated in Amount. The amount unit can take values only from a predefined list. States how the amount and amount unit relate in the composition. E.g. the stated amount is that intended within normal variations or, if the amount has not been stated, the additional unit can take on the value Q.S., i.e. the amount necessary. There may also be other variations. Can take values only from a predefined list. The information comes from the LVIS. International unique identifier for chemical substances. The LV has obtained this information from the LVIS and transferred it to the NPL. The LV has only transferred known CASNOs to the NPL. CASNOs for substances can be found at the following Internet address: http://toxnet.nml.nih.gov/cgibin/sis/htmlgen?HSDB NPL ID, unique identifier for each pack. Set by the LV when an application for approval has come in. 13 MANUAL National Repository for Medicinal Products Current item number Owner1 Can be Screenchanged shot no.3 in IF2 C Yes 40 EAN code C Yes 41 Previous item number C Yes 42 Pack size (text) LV No 43 Quantity multiple 2 C Yes 44 Quantity multiple 1 Quantity, numeric C C Yes Yes 45 46 Quantity, numeric, unit C Yes 47 DDD per pack A No 48 Element in interface 14 Version: Page: 3.1 14(31) Description This term contains an item number for each pack. The item number for an approved medicinal product is common to all Nordic countries. The item number can be reused after being unused for five years. The item number is therefore unsuitable for use as the only repository information in (e.g.) statistics. The information is preloaded from the LVIS and then maintained by the appropriate company. New packs that appear after approval must be given an item number in the NPL by the appropriate company. Barcode in figures. GS1 article number (EAN number) which is used for the barcode on the pack. Shall comply with standards for EAN-13, EAN-8, IFT-14 or GS1 128 codes. Apoteket AB handles all of them but emphasises the use of EAN-13 or EAN-8 codes. Same as no. 40, but here the company can state the previous item number if the pack has been given a new one. Quantity in full text. This term contains a composite description of the pack size. This term is used to give a simple description of the pack size. The term can be used instead of Quantity multiple 2, Quantity multiple 1, Quantity numeric, Quantity numeric unit. The information comes from the LVIS, and is the basis for the information submitted when the product was approved. Where the pack consists of several units, these can be specified with multiples. Some injectables have packs containing 60 ampoules packed as six units of ten ampoules each. Each ampoule contains 5 ml. In this case, 'Quantity multiple 1' is specified as 10, 'Quantity multiple 2' as 6, 'Quantity numeric' becomes 5 and 'Quantity numeric unit' becomes millilitre. Where there are no multiples, these elements are left empty. To define the pack size, only information in Quantity numeric and Quantity numeric unit is stated. The information is preloaded from Apoteket AB and maintained by the appropriate company. See 'Quantity multiple 2', field 44. Quantity in a numeric format, e.g. “98” if the pack is a jar with 98 tablets. See 'Quantity multiple 2', field 44 for description of pack size in numeric format where there are several units in one pack. Unit for the number in field 46, e.g. “pieces” or “tablets”. Values obtained from a predefined list. Defined Daily Dose per pack. Calculated as the drug's strength multiplied by the pack contents and then divided by the substance's DDD. MANUAL National Repository for Medicinal Products Element in interface Pack type detail Owner1 Can be Screenchanged shot no.3 in IF2 C Yes 49 AIP applies, not in benefit scheme C Yes 50 Next AIP, not in benefit scheme C Yes 51 Next AIP, not in benefit scheme, date AUP, not in benefit scheme, excl. VAT C Yes 52 C No 53 AUP, not in benefit scheme, incl. VAT AUP, prescription, not in benefit scheme C No 54 C No 55 AIP applies LFN No 56 AUP applies, OTC, excl. VAT LFN No 57 AUP applies, incl. VAT No 58 LFN Version: Page: 3.1 15(31) Description States type of pack. The information is preloaded from the LVIS and maintained by the appropriate company. The pack type detail can take values only from a predefined list taken from the European Pharmacopoeia's Standard Terms. AIP = Pharmacy purchase price. Not in benefit scheme means that the product is not included in the pharmaceutical benefits scheme and that the price has not been set by the LFN. Not included in the review. The information will be preloaded before start-up by Apoteket AB. States next AIP. This element contains information about the pack's next AIP. Stated in combination with 'Next AIP, not in benefit scheme, date'. Not included in the review. Date when next AIP comes into force. Not included in the review. Format is yyyy-mm-dd. AUP = Pharmacy retail price. States that the product is not covered by the pharmaceutical benefits scheme. Calculated by the NPL based on the formula supplied by the LFN. Not included in the review. See 'AUP, not in benefit scheme, excl. VAT' The pharmacy retail price for the pack on prescription. Concerns products not included in the benefits scheme. Calculated by the NPL based on the formula supplied by the LFN. Not included in the review. Apoteket's purchase price as determined by the LFN for medicinal products and consumables that are to be covered by the pharmaceutical reimbursement scheme. Not included in the review. Apoteket's retail price determined by the LFN for OTC medicinal products that if prescribed must be covered by the pharmaceutical reimbursement scheme. Calculated by the NPL based on the formula supplied by the LFN. Not included in the review. Apoteket's retail price determined by the LFN for ostomy products and medically related consumables that if prescribed on the medical devices prescription form must be covered by the pharmaceutical reimbursement scheme. Calculated by the NPL based on the formula supplied by the LFN. Not included in the review. 15 MANUAL National Repository for Medicinal Products AUP applies, prescription Owner1 Can be Screenchanged shot no.3 in IF2 LFN No 59 Storage LV No 60 Storage method LV No 61 OTC LV No 62 Marketed (prev. Available) C Yes 63 Available from C Yes 64 Out of stock C Yes 65 Withdrawn from C No 66 Contains latex C Yes 67 Item properties A No 68 Item information A No 69 Item information C Yes 70 Restrictions LFN No 71 Element in interface 16 Version: Page: 3.1 16(31) Description Apoteket's retail price determined by the LFN for prescription products that if prescribed must be covered by the pharmaceutical reimbursement scheme. Calculated by the NPL based on the formula supplied by the LFN. Not included in the review. Storage states the storage conditions for the pack, e.g. opened pack. Can take values only from a predefined list. Version 1.0 of the NPL includes only general storage instructions. This means that Storage can take only the value General from the predefined list. Information obtained from the LVIS. Storage method is a summary of information including shelf life and a unit for shelf life, together with temperature. Units for shelf life and temperature can take values only from predefined lists. Information obtained from the LVIS. Over the counter, i.e. whether the pack is available without prescription. Information obtained from the LVIS. States whether the pack is available, and must always be stated. If the pack is not available, the company may state a date when the pack is expected to become available for sale. Format is yyyy-mm-dd. States whether the company has stopped taking orders for the pack, i.e. it is not available and cannot be ordered from the wholesaler. States expiry date for pack approval provided this has been notified in advance by the company. Format is yyyy-mm-dd. This mark states that there may be latex residues in the product in this pack. This applies chiefly to injectables, where rubber stoppers and similar that include latex may come into contact with the product. Item properties contains a detailed description of the item's properties. For example, the description could be 'large', 'unperfumed', 'blue'. The information comes from Apoteket AB. General information about the item. The information comes from Apoteket AB. The company's own full text information about the item. For example, it could contain information on availability. States whether there are restrictions in relation to an approved indication for a prescribed medicinal product being covered by the pharmaceutical reimbursement scheme. For example, the pharmaceutical reimbursement scheme may apply only to a specific indication or patient group. MANUAL National Repository for Medicinal Products Organisations Owner1 Can be Screenchanged shot no.3 in IF2 LV No 72 Organisation's role LV No 73 Interchangeability - Strength LV No 74 Interchangeability - Substance LV No 75 Interchangeability Pharmaceutical form LV No 76 Element in interface Version: Page: 3.1 17(31) Description States the company and address. There may be several companies per product. Swedish addresses are given in Swedish format. Foreign addresses are given in English format. For example, Swedish addresses do not include SE- before the postcode, and box numbers are stated as Box and not P.O. Box. Foreign addresses are stated with the postcode followed by the country code. States the company's role, e.g. MAH or Agent. Organisation's role can take values only from a predefined list. States the strength group that a product belongs to if it is classified as interchangeable. Strength group can take values only from a predefined list. States the substance group that a product belongs to if it is classified as interchangeable. Substance group can take values only from a predefined list. States the pharmaceutical form to which a product belongs if it is classified as interchangeable. The group name can take values only from a predefined list. 17 MANUAL National Repository for Medicinal Products Version: Page: 3.1 18(31) 6 THE NPL WEBSITE Screenshot 1 shows the homepage of NPL. This page is displayed when the website address is entered in the Internet search engine used. The address of the NPL's homepage is: https://npl.mpa.se Screenshot 1 18 MANUAL National Repository for Medicinal Products Version: Page: 3.1 19(31) A. Review and verify product information. This option is used to access products for review and verification. Products linked to companies either by an MAH or an Agent are displayed. An e-mail address and password are used to log in. Users log in via option A. B. User administration. This option is used for the local administration of users at a company. The administrator assigned by the LIF creates new administrators and users. 7 LOGGING IN AND THE PRODUCT REPORT 7.1 Logging in You log into the NPL using your e-mail address and password. All logging in procedures work in the same way, and are described in general terms in this chapter. After you have chosen one of the options A or B in Screenshot 1, the general logging in screen for the NPL (Screenshot 2) is displayed. You use your e-mail address for the user name. You enter your password, which is assigned by the administrator, in the password box. You then log in using the "Login" button. If you are authorised for several companies, these will be listed. Choose which company's products you wish to review (Screenshot 3). To return to the first logging in window, click 'Log out'. Screenshot 2. Screenshot 3. When you have logged in, a list of the company's products that you can review and verify is displayed. 19 MANUAL National Repository for Medicinal Products Version: Page: 3.1 20(31) The list contains 10 products per page. The number of pages is shown below the list. The options below the list allow you to display the "next" page or skip to the final page. You can also display the "previous" page or skip to the first page. The company and your name (as the logged-in user from the company) are displayed at the top right of the page. This is also where the log out (end session) option is. Logging out returns you to the NPL's homepage. A Search criterion. State the status of products to be included in the search. Status is either 'verified' or 'not verified'. NOTE: you must always select at least one of these two to get hits on products. B Select withdrawn products here if you also want them to be included. The default is that withdrawn products are not shown. C Select this box if you want to see only invalid products. D Search criterion. You can search for a specific product by entering all or the beginning of its name. You can also search by entering a specific NPL ID. You can use % as a "wildcard", i.e. to replace unknown letters. A new search term, Nordic item no. is also available. If you enter an item number, the hitlist will display products for which a pack item number has been entered. Note that you can search only for products linked to the logged-in company. Start the search by clicking "Search". E You can sort the list by clicking the column headings. You can obtain a product report by clicking a product name (see Screenshot 4). "Last modified" shows when the LV and the LFN last updated the product. F The withdrawal date for withdrawn products is shown here (if you searched using the withdrawn products criterion). G States whether the product is valid (Y=Yes) or invalid (N=No). The product information elements are displayed in different colours. Each principal is specified with its own colour. The following nomenclature applies: Blue = Medical Products Agency Purple = Pharmaceutical Benefits Board Brown = Company Green = Apoteket AB 20 MANUAL National Repository for Medicinal Products Version: Page: 3.1 21(31) 7.2 The product report Screenshot 4 21 MANUAL National Repository for Medicinal Products Version: Page: 3.1 22(31) The numbers in Screenshot 4 correspond to the numbers in Table 1 that describe the elements to be reviewed/verified. A. You can change the language of the product report by clicking the flags. Headings and some information are changed to the language you select. Comments in free text are available only in Swedish. Values selected from a predefined list, such as pharmaceutical forms, etc., are translated into English. B. "Print Report" generates a preview of the paper printout and brings up the "Show audit" link. You print the page generated on the screen using the printer button in your Internet browser's menu bar. Click "Show audit" to see the traceability log, which is at the bottom of the product report. To return to the previous screen, click 'Back'. C. "Changed" shows the date when the product information was last changed. D. If you have reviewed the information in the form, and it is correct, verify the information by clicking "Yes, Set Verified". The status is then changed to verified. See Screenshot 3. E. If the information is not correct, click "No, Correct Errors". Screenshot 5 shows the form you use to change information. This change form is displayed automatically when you click "No, Correct Errors". F. The lower part of the screenshot displays a status list for the products of the various parties who have compiled the information. G. If you find information that you consider incorrect, and you are not authorised to change information in accordance with E above and Screenshot 5, you can use the ”Send comment" option to send a request for a change to the organisation that owns the incorrect information. When you click "Send comment", a form already containing the e-mail address is displayed automatically. The sender is the logged-in user (e-mail address). The e-mail form also includes information about the product to which the request for a change applies. As a comment, you state the information you consider incorrect and what you consider the correct information to be. Each organisation must then consider the requested change and reply to the sender. H. The approval procedure is a new element in version 3 (see no. 14 in the Table). I. Displays the two product elements derived from the pack information (new in version 3). Companies can no longer state Latex or Marketed for the product without it being stated on each pack. J. New field in version 3: "Previous item no.". This can be used to state the old item number when the number has been changed on the pack. 22 MANUAL National Repository for Medicinal Products Version: Page: 3.1 23(31) Screenshot 5 23 MANUAL National Repository for Medicinal Products Version: Page: 3.1 24(31) Screenshot 5 shows the editing window where incorrect information can be corrected. It opens when you choose the "No, correct errors" option. All values that can be changed in the interface are in brown italic. A grey row highlight that tracks the cursor makes it easier to follow rows. The elements that can be changed are also shown in Table 1. The screenshot below shows how a parallel distributor (in this case Orifarm AB) looks during editing. A grey row highlight that tracks the cursor makes it easier to follow rows. Boxes for entering information are available only for that company's packs. Note that information is saved in the repository only when you have left the editing window, i.e. when input boxes are no longer visible and you have returned to the preview window. 7.3 Validation checks Only packs that are being marketed are tested by the validation checks, i.e. the pack's "On the market" field = Yes. Invalid packs have the value N=No in the "Valid" column in the hitlist. If a product is tested by the system as "invalid", a red information symbol appears when you bring up the product report: 24 MANUAL National Repository for Medicinal Products Version: Page: 3.1 25(31) If you click the "i" symbol it expands and shows an error message; to hide the message again, click "Hide" on the far right. Note that you cannot save changes for invalid products until you have corrected the errors. For example, if a product has an incorrect item number on a pack, neither the LV nor the LFN can update the product until the company has corrected the incorrect item number. The following information is checked in the companies' fields: That there is a Nordic item number That the item number has six digits That there is an EAN code and that it consists of 8, 13 or 14 digits That the pack size is stated as quantity/unit That there is a quantity/unit if there is a multiple 1, and that there is a quantity/unit/multiple 1 if there is a multiple 2. That there is a price 25 MANUAL National Repository for Medicinal Products Version: Page: 3.1 26(31) That there is an AIP (industry) and an AIP (LFN) and that they are the same. That there is no difference in the numeric strengths of the original and parallel-imported products In addition, there are also some checks aimed at interchangeability and shelf life information, and comparisons between original and parallel-imported products. 7.4 Warning messages If a pack that is not on the market has an item number entered but no pack size is stated in "Size"/"Unit", a warning appears when the product report is displayed. It is a warning that the NPL requires an indication of size so that (e.g.) a price application can be dealt with by the LFN. It does not prevent product or pack information being updated. If you try to save an item number that already exist on a different pack following question will show: 26 MANUAL National Repository for Medicinal Products Version: Page: 3.1 27(31) Review the list and answer the question in order to continue. The same item number exist on different packs if the product is parallellimported from different countries. If a product appears on the list that should not have the same item number that has to be corrected. Note that products from other companies will also appear on the list if they incorrect have the same item number, if so contact ‘NPL Central’ or the fass.se support to forward a message to the company. 7.5 Changes NOTE: decimal numbers must be entered using the point (.) not the comma as the separator. There are two different ways to add to or change existing information. You can either change free text or choose an option from a predefined list. When a value for a particular element is missing, there is an "add" link to click on to add the value. Clicking the "add available date" option displays a field where you can add a new value for the date. An option for removing the value is displayed at the same time. When you have chosen the "add" option, an error message is displayed in the top part of the interface whatever the information you are adding. This is because a new element has been added to the document, and it has not yet been validated. When you have saved the new value, the document is validated and the error message disappears. Entering price has changed in version 3. When you want to add or change the price of a pack that is not included in the benefits system, click "edit next price". 27 MANUAL National Repository for Medicinal Products Version: Page: 3.1 28(31) State the next price (Next AIP) and the date on which the new price comes into force. To see retail prices, you must first save the price and then click "Show AUP". To remove a next price that has already been entered, click "Remove Next Price". See Chapter 8.2 for when prices can be changed. 7.6 Error reporting There is a separate instruction (available on the NPL website) for error reporting concerning accessibility, functional faults, authorisation problems or content-related errors. 8 ONGOING CHANGES IN THE NPL The quality assurance carried out by each company may involve different kinds of changes that must accordingly be dealt with differently. Changes may be due on the one hand to simple mistakes, i.e. mistakes in the principal's information system, and on the other to changed information that has not been notified to the principal concerned and is therefore not included in their information system. It can be difficult to establish in every case the category to which a mistake/change belongs. 28 MANUAL National Repository for Medicinal Products Version: Page: 3.1 29(31) Certain information elements owned by the companies can be changed directly in the interface provided (see Table 1). Changes to other elements are noted by the company and sent via e-mail to the owning principal. An automatic email link with the address is available in the interface (see G, Screenshot 4). This link automatically includes some information about the product in the e-mail. You add the information that you wish to change as free text, then send the e-mail to the principal, who will make an assessment and reply to you. The company can then choose either to delay verification until comments have been received from the principal or to verify immediately. Previous procedures that involved sending a letter or fax to (e.g.) Apoteket AB are no longer operative. Each product has one status flag per principal. The status can take the values "not verified", "verified" or "changed". If the information about verified products is changed, the status is not automatically changed, whereas the date changes to "last modified date". Companies can reset their flags to "changed" by clicking "No, set "Not verified"" if they consider that they want to continue to review the information on another occasion. A company's review is concluded when the statuses of all products are changed to verified. To reduce the risk of information in the NPL having an incorrect format, products have been given an additional status flag with the value valid or invalid. There are built-in validation checks that test products and set the status values. If a product has the value valid=No, there is some mistake in the product information that must be corrected. For example, the item number might have been entered with five digits when it should be six. NOTE: no other changes can be made to information until the error has been corrected. The hitlist has a column giving the product's validity status. See Chap. 9.1 for more information about validation checks. 8.1 New products When a new product is approved for sale, the information is transferred to the NPL from the LVIS. Other principals can subsequently supplement the information, and the company has the facility to review/verify the product information by changing the status from "not verified" to "verified". The product information is available externally for other parties immediately the company has changed the status from "not verified" to "verified". New products transferred to the NPL will initially be unavailable to external users. The company has 30 days to verify the product, after which the information becomes available externally but with the company's verification flag set at "not verified", which warns that the information has not been reviewed by the company responsible. See the NPL instruction "New product/new pack". New extempore products are transferred to the NPL and reviewed by Apoteket AB. When a new medicinal product is approved by the LV, it is published in the NPL and given current price information from either the LFN or, if the product is outside the benefits scheme, from the company concerned. For products that can be sold both OTC and on prescription within the benefit scheme, the company itself notes in the NPL the AIP price that applies outside the benefits scheme. This must be the same AIP as that within the benefits scheme because Apoteket does not deal with differentiated prices. Apoteket AB will obtain all information from the NPL daily, then transfer it into Apoteket's internal systems for article handling, sales, etc. Pharmacy sales of a new medicinal product, provided it is available, can begin the day after the information is obtained from the NPL. Because repository information is published internally in Apoteket AB's systems, it will also be published via Apoteket's Internet service for updating the computerised prescribing systems used within healthcare. At a later stage the healthcare service will be able to obtain information for updating prescribing systems directly from the NPL. 8.2 Price changes Apoteket AB will obtain new changed prices directly from the NPL for medicinal products within the pharmaceutical benefits system as well as those outside the pharmaceutical benefits system. Companies need not 29 MANUAL National Repository for Medicinal Products Version: Page: 3.1 30(31) notify new prices to Apoteket AB in any other way. Price changes for products within the pharmaceutical benefits scheme are made to the LFN as previously. Companies can change price information in the NPL up to 23:59 on the 5th of each month. The new price comes into force at the pharmacy from the 1st of the following month. See Chapter 7.5 for changes in the NPL. 8.3 Withdrawal of products After the company or the LV has notified about the expiry of the sales permit, the LVIS is updated with the expiry date, and that date is transferred to the NPL. The company states that the product is not on the market and enters “No” in the element “On the market”, see field 63 screenshot 4. 8.4 Other changes Every principal is responsible for updating the NPL. The information is sent via Web services in accordance with an established format. A company making a change to product information that requires approval by the LV must first apply to the LV before the change can be made in the NPL (variation). Following approval by the LV, the information is transferred automatically from the LVIS to the NPL, where it is made available. The status of the product will not be changed when there is an update with new information. If the product's status is "verified", the same status will apply even after the LV has updated with the new information. The same applies after the transfer of information from other principals. This can apply to changes such as discontinued medicinal products discontinued packs change of name change of form of medicinal product change to holder of sales permit changed Agent Companies can change information they own, e.g. certain price information or the availability of packs on the market, directly whenever they like via the interface. Companies need not notify Apoteket of such changes in any other way. The information is sent to Apoteket only via e-mail to Apoteket's mailbox: produktregistret@apoteket.se. 8.4.1 Change of item number Companies themselves administer item numbers via the NPL, and Apoteket obtains new item numbers directly from the NPL and replaces existing item numbers in Apoteket's terminal systems. The medicinal products companies are responsible for changing item numbers at the appropriate time and for the changes being correct. Apoteket does not check that the item numbers are correct. Each pack may have two item numbers, one current and one historical. 8.4.2 Suspension of ordering If a company wants to introduce information about the suspension of ordering for a product, this must be done via the NPL. This information too is obtained by Apoteket directly from the NPL to be introduced into pharmacy terminal systems. Information about the suspension of ordering has acquired increased importance due to the use of a new monitoring system. Suspension of ordering should be used because this information carries less risk of back orders at pharmacies. It also enables pharmacies to order available products more efficiently. However, other procedures apply to immediate or emergency withdrawals linked to order and/or sale suspension. (Red Web). 30 MANUAL National Repository for Medicinal Products Version: Page: 3.1 31(31) 8.4.3 Barcode (EAN code) The barcode for packs you want to sell must always be stated in the NPL by entering the numeric code associated with each barcode. Apoteket AB obtains the information from the NPL. This is very important information on the medicinal product pack because it is used to confirm that the correct product is handed to the customer (picking check) when Apoteket issues the product, and it is also the basis for payment. 8.5 Instructions For further information about how to use the NPL register, see the instructions on the NPL's website. This has descriptions of (e.g.) error reporting and a checklist for companies' reviews of new products/packs. 31