Pharmaceutical Products Recall Guidelines
Pharmaceutical Products Recall Guidelines
Pharmaceutical Products Recall Guidelines
PHARMACEUTICAL PRODUCTS
RECALL GUIDELINES
May 2017
Page
A. Introduction and Definitions 2
B. Stages of Recall Procedure 4
C. Notification of a Pharmaceutical Product Problem 5
D. Initiation of a Recall/ Information Required for Assessment of 6
Recall
E. Assessment of Recall 7
- Recall strategy
- Classification of recall
- Level of recall
F. Communication to Public 10
- Recall letters
- Press releases
G. Responsibilities of Licensee 11
- Records
- Recall procedure
- Problem reporting
- Recall
- Refund mechanism
- Post-recall
H. Evaluation of the Recall 15
I. Reinstatement of Supply 16
Appendices
One Pharmaceutical Product Problem Report Form/ Recall 17
Notification Form
Two Recall Reply Form 21
Three Final Report Form 23
Four Documents Relating to Submission of Analytical Report 25
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 1
A. INTRODUCTION AND DEFINITIONS
Introduction
Regulation 28(8) & 33(5) of the Pharmacy and Poisons Regulations require a holder
of a wholesale dealer licence and a manufacturer to set up and maintain a system of
control that will enable the rapid and, so far as practicable, complete recall of any lot
or batch of a pharmaceutical substance or product from sale to the public in the event
of the pharmaceutical substance or product being found to be dangerous or injurious
to health. It is mandatory that all licensees comply with Pharmacy and Poisons
Ordinance and associated Regulations. Any person who is guilty of an offence under
the above provisions of regulation is liable on conviction to a fine of $100,000 and to
imprisonment for 2 years.
The Guidelines represent Department of Health current stance on this topic. They are
recognized by the licensing authority as being appropriate to the specialized
requirements for the recall of pharmaceutical products and are the licensing condition
for all licences issued by the licensing authority. Any licensee has failed to comply with
the conditions or has been convicted of an offence under the Ordinance/ Regulations,
the licensing authority may revoke or suspend the licence for a period as it thinks fit.
The role of the Drug Office of the Department of Health in a recall is to assess the
adequacy of the Licensee‟s decision on the recall of the product and to monitor the
progress and effectiveness of the recall. The Drug Office may alert the public of the
product problem and instruct the Licensee to recall and dispose of the product
according to the circumstances.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 2
Definitions
Licensee-
Licensee is the person or business that has the primary responsibility for the supply.
The Licensee could be the manufacturer, importer, distributor or the certificate holder
of a pharmaceutical product.
Pharmaceutical product-
Under the Pharmacy and Poisons Ordinance, pharmaceutical product means any
substance, or combination of substances-
(a) presented as having properties for treating or preventing disease in human
beings or animals; or
(b) that may be used in, or administered to, human beings or animals, either with
a view to-
(i) restoring, correcting or modifying physiological functions by exerting a
pharmacological, immunological or metabolic action; or
(ii) making a medical diagnosis.
Recall-
A process for withdrawing or removing a pharmaceutical product from the
pharmaceutical distribution chain because of defects in the product, complaints of
serious adverse reactions to the product and/ or concerns that the product is or may
be counterfeit. The recall might be initiated by the manufacturer, wholesale dealer
licence holder, or Department of Health.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 3
B. STAGES OF RECALL PROCEDURE
The procedure is divided into six stages, which are set out below, with a reference to
the Section in which detailed information is given.
See
Recall Stage
Section
1. Receipt of Pharmaceutical Product Problem Report C
Notification to the Department of Health
Information on problem of pharmaceutical products, see also Pharmaceutical
Product Problem Report Form (Part 1) at Appendix ONE.
2. Initiation of a Recall D
Information Required for Assessment of Recall
Information on product, problem and distribution is required, see also- Recall
Notification Form (Part 2) at Appendix ONE.
3. Assessment of Recall E
The classification, level and strategy of recall are determined depending on
the potential hazard of the defective product and the extent of product
distribution.
4. Recall F
Letters and press release (if required) are dispatched to relevant firms for
notifying on the recall. See Recall Reply Form at Appendix TWO.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 4
C. NOTIFICATION OF A PHARMACEUTICAL PRODUCT PROBLEM
Certain information is essential to permit the assessment of the validity of the report of
quality defects, safety or efficacy problem with pharmaceutical products, the potential
danger to consumers and the action appropriate to the situation. A Pharmaceutical
Product Problem Report Form (Part 1) is used to report problems to the Department of
Health, it is provided at Appendix ONE.
Serious problems which may lead to recall of Class I or Class II (refer to recall
classification at Section E) must be reported to the Department of Health within 24
hours after receipt of the complaint or report for investigation. The Pharmaceutical
Product Problem Report Form (Part 1) at Appendix ONE together with opinions on
toxicological or therapeutic hazards and the action proposed by the authorities/
organization (if any) should be referred on to the Senior Pharmacist (LC-W) of the
Department of Health. For less serious problems would result in a Class III recall, the
Pharmaceutical Product Problem Report Form should be sent to Department of
Health no later than 72 hours after receipt of complaint or report of a problem.
It should be noted that the Licensee has to send the Pharmaceutical Product Problem
Report Form (Part 1) to Department of Health prior to their decision on recall.
When the need for recall has been established, additional information is required so
that an appropriate recall strategy may be devised. A summary of the information
required is provided in Section D.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 5
D. INITIATION OF RECALL/ INFORMATION REQUIRED FOR ASSESSMENT OF
RECALL
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 6
E. ASSESSMENT OF RECALL
Recall Strategy
Each recall is a unique exercise. There are a number of factors common to all recalls
that need to be considered in tailoring an appropriate recall strategy. These include
the nature of the deficiency in the product, the incidence of complaints, public safety,
distribution networks, recovery procedures, resources for corrective action and
availability of alternative products.
In determining the recall strategy, the Licensee should consider the factors which may
affect the duration of the recall action and should inform the Department of Health.
The recall should be completed by the date as directed by the Department of Health.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 7
to get misdirected;
- If product is to be returned, explain the mechanics of the process;
- Explain if the recall will create a market shortage that will impact on the consumer;
- Determine and provide the course of action for out-of-business distributors;
- Provide a proposed disposal plan of the recalled products, whether they would be
destroyed, reconditioned or returned to overseas manufacturer; and
- Inform Department of Health before product destruction, the proposed method of
destruction would be reviewed and Department of Health may choose to witness
the destruction.
Classification
Recalls are classified according to the following system:
Class I recalls occur when products are potentially life-threatening or could cause a
serious risk to health.
Examples of Class I Defects
- Wrong Product (label and contents are different products)
- Correct product but wrong strength, with serous medical consequences
- Microbial contamination of sterile injection or ophthalmic product
- Chemical contamination with serious medical consequences
- Mix up of some products („rogues‟) with more than one container involved
- Wrong active ingredient in a multi-component product with serious medical
consequences
Class II recalls occur when product defects could cause illness or mistreatment, but
are not Class I.
Examples of Class II Defects
- Mislabeling e.g. wrong or missing text or figures
- Missing or incorrect information- leaflets or inserts
- Microbial contamination of non-injectable, non-ophthalmic sterile product with medical
consequences
- Chemical/ physical contamination (significant impurities, cross contamination,
particulates)
- Mix up of products in containers (“rogues”)
- Non-compliance with specification (e.g. assay, stability, fill/ weight or dissolution)
- Insecure closure with serious medical consequences (e.g. cytotoxics, child resistant
containers, potent products)
Class III recalls occur when product defects may not pose a significant hazard to
health, but withdraw may be initiated for other reasons.
Examples of Class III Defects
- Faulty packaging e.g. wrong or missing batch number or expiry date
- Faulty closure
- Contamination- microbial spoilage, dirt or detritus, particulate matter
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 8
must be reported to the Department of Health for further evaluation and investigation.
Note: Each recall is a unique exercise and there may be occasions when the scope of
a recall can be narrowed to particular customer groups. The classification is
determined by the Department of Health. Expert advice might be sought where the
nature of the hazard or its significant is not clear.
Level
As with classification, the level (or depth) of a recall is to be assigned by Department
of Health. In determining the recall level, the principal factors to be considered are the
significance of the hazard (if any), the channels by which the pharmaceutical products
have been distributed, and the level to which distribution has taken place. Again,
expert opinion may be necessary to determine the significance of the hazard.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 9
F. COMMUNICATION TO PUBLIC
Recall letters
In case of a recall, the Licensee may prepare letters with a factual statement of the
reasons for the recall of the product, together with specific details that will allow the
product to be easily identified. The letter may be sent by mail, facsimile or e-mail to
the clients.
The recall letter should use company letterhead; include date and name and title of
signatory. The text of recall letter may include:
a. Description of the pharmaceutical product: name of the product; Hong
Kong registration number; name of manufacturer, pack size; dosage form;
batch number(s) and expiry date;
b. Hazard associated with the product: The reason for the recall should be
concisely explained. It should be made clear that further distribution or use of
the product should cease immediately.
c. Instruction for recall of the product: The method of return, disposal or
correction and refund mechanism of the product. There should be a request for
a response to confirm receipt and understanding of the action to be taken e.g.
pre-addressed cards, telephone replies or a form to complete and return by
facsimile or e-mail. The Licensee should clearly identify a hotline for enquiry.
For retail level recall, the Licensee should have confirmation for returning all the stock
on hand from the consignees using the Recall Reply Form at Appendix TWO.
If safety to the public is involved and distribution is limited, the Licensee may contact
the clients of the information listed above by telephone and followed by a recall letter.
Press Release
Rapid alert to public is usually reserved for hazards classified as Class I, and where
appropriate Class II, or situation where other means for controlling the hazard appear
inadequate. Rapid alert to public may be issued through appropriate channels which
may include press release.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 10
G. RESPONSIBILITIES OF LICENSEES
Records
The Licensee should maintain records for all the pharmaceutical products
manufactured or distributed by them in accordance with the followings:
For manufacturers
- A system should be in operation whereby the complete and up-to-date histories of
all batches of products from the starting materials to the finished products are
progressively recorded;
- The system should allow the determination of utilization and disposal of all starting
materials and bulk products.
For distributors
- Records of all sales or distribution (including professional samples and export to
overseas countries) of pharmaceutical products should be retained or kept readily
accessible to permit a complete and rapid recall of any lot or batch of a
pharmaceutical product.
Besides, the Licensee should retain records of problem reports received about each
product. Problem reports should be evaluated by competent personnel and
appropriate action taken. The evaluation of each report and the action taken should
be shown in the records.
All the above records should be readily available and easy to follow so as to expedite
recall whenever necessary. A copy of manufacturing/ import and distribution records
should be sent to Department of Health when a recall is implemented.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 11
Recall Procedure
As mentioned in Section B, Licensee should prepare procedures for recall action
which are consistent with the Guidelines and which are applicable to their own
operations. All senior personnel should be familiar with their responsibilities in
connection with the procedure and of the records system for pharmaceutical products.
Problem Reporting
Where evaluation of a problem report concerning pharmaceutical products indicates
that recall may be necessary, the report must be conveyed with the least possible
delay to the Department of Health, including pharmaceutical products that have been
exported-only and not supplied in Hong Kong. Any batch of a formulated product that
has been distributed, or any batch of a starting material that is found not to comply
with the approved product specifications or a relevant standard of PICS, must also be
reported if it has been used in a distributed products.
Recall
Licensee has the prime responsibility for implementing recall action, and for ensuring
compliance with the recall procedure at its various stages (Section B). However, no
recall, regardless of level, should be undertaken without consultation with the
Department of Health.
A responsible officer for recall should be appointed to coordinate the recall and his/her
name and contact phone number should be notified to Department of Health. In
addition, this officer has to report the progress of recall regularly to the Department of
Health.
For Class I recall, Licensee should notify its clients within 24 hours upon the decision
of recall. The company personnel may be utilized to immediately disseminate
information on the recall. This includes telephone advice to quarantine stock pending
recall or possible recall followed by recall letters if necessary. A Recall Reply Form
(Appendix TWO) should be sent to all consignees to confirm quantity of stock on hand
and have all of them returned. The reply form should be kept for inspection by
Department of Health. All Class I recall should complete within a time as found
suitable for the case agreed by Department of Health.
For consumer level recall, the Licensee should set up sufficient recall spots for
collection of recalled products. Information of location of the recall spots, their
operating hours and duration, conditions of refund as well as method of refund should
be noticed to consumers by effective means.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 12
recall, providing the provisions are observed in relation to unauthorized possession of
certain stock, e.g. dangerous drugs.
Licensee may also be required to notify overseas recipients of recall actions that
affect them.
Refund Mechanism
Licensee should set up a refund mechanism for the recalled products.
Post-recall
After the timeframe directed by Department of Health to complete the recall, or at
other agreed times, the Licensee is to provide the Department of Health with an
interim report during recall process for the monitoring of progress within 7 days after
initiation of recall. The interim report should contain the following information:
- the number of organizations or persons to whom the defective product has been
supplied;
- the date and means of notifying them of the recall;
- the number of responses received from them;
- the names of the non-responders;
- the quantity of stock returned;
- the quantity of stock has been off shelves pending return to Licensee;
- the estimated time frame for the completion of the recall .
A final report (refer Final Report Form at Appendix THREE) contain the following
information should be submitted to Department of Health within 14 days after
commencing of the recall:
- the circumstances leading to the recall;
- the consequent action taken by the Licensee;
- the extent of distribution of the relevant batch in Hong Kong and overseas;
- the result of the recall
the quantity of stock returned, corrected, outstanding;
the quantity of stock used by the consignees and;
the quantity of stock not located;
date of recall completion;
- confirmation (using Recall Reply Form at Appendix TWO), where practicable, the
retailers have returned all the recalled products to the Licensee and the customers
have received the recall letter;
- the method of destruction or disposal of the recalled products; and
The licensee should report to Department of Health with relevant explanation and
obtain its approval if the final report cannot be submitted within 14 days after
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 13
commencing of the recall.
After completion of the recall, a report on investigation results on the problem and the
action proposed to be implemented in future to prevent a recurrence of the problem
should be submitted to Department of Health in a timely manner.
These reports establish the effectiveness of the recall and unless satisfactory reports
are received, further recall action may have to be considered.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 14
H. EVALUATION OF THE RECALL
The Department of Health examines the recall reports and the signed Recall Reply
Forms submitted by the Licensee and assesses the effectiveness of the recall action.
Recall records may be inspected and in some case the Department of Health may
contact a percentage of customers in the distribution list as a means of assuring the
Licensee is carrying out its recall responsibilities. If Department of Health finds the
recall to be ineffective, the Licensee will be asked to take appropriate steps, including
re-issuing recall letters.
Where a recall is initiated following a report submitted by a party from overseas health
authorities, the reporter is to be provided with an outline of the results of investigation
and a summary of the recall.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 15
I. REINSTATEMENT OF SUPPLY
The quality of the products shall conform specific requirements before resuming the
supply to public. The Licensee must seek approval from Department of Health for
reinstatement of the pharmaceutical product previously “totally recalled”.
Sampling
When Department of Health satisfies the submitted reports, sample of the first three
batches of the product (being manufactured by the local manufacturer / being
imported) will be collected for examination by the Hong Kong Government Laboratory.
The Licensee shall notify Department of Health (Please contact Senior Pharmacist
(LC-W) at 3107 3498 (telephone), 3107 0221 (facsimile) or
[email protected] (email address). For emergence notification during
off hours, please contact Senior Pharmacist (LC-W) at 9389 0209)once the
product is ready for sampling. The product can be put on the market only upon
approval for reinstatement from Department of Health is obtained.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 16
APPENDIX ONE
PHARMACEUTICAL PRODUCT
PROBLEM REPORT FORM/
Note:
When the reported problem may lead to Class I or II recall, it should be reported to
Senior Pharmacist (LC-W) Department of Health within 24 hours by telephone and
following by facsimile or email of this form (Part 1 only).
If Class I or II recall is required, Part 1 & 2 of this form should be reported to Senior
Pharmacist (LC-W) of Department of Health immediately by telephone and followed
by facsimile or email.
The Licensee shall NOT wait to submit this information until ALL applicable
information in Part 2 of this form is prepared and assembled prior to notification to
the Department of Health.
For problem may lead to Class III recall, Part 1 of the form should be returned by
facsimile or by email to Senior Pharmacist (LC-W) no later than 72 hours. When
Class III recall is required, the form (both Part 1 & 2) should submitted by facsimile or
email to Senior Pharmacist (LC-W).
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 17
Attn: Senior Pharmacist (LC-W)
Fax Number: 3107 0221
Has manufacturer/ distributor been contacted? No Yes (please write down their names)
Other relevant information (attach photos, package insert and press release of oversea authority of the
product if any)
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 18
DETAILS OF THE PRODUCT
Name of the product (as in product registration certificate) HK Registration number
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 19
Attn: Senior Pharmacist (LC-W)
Fax Number: 3107 0221
Operating hours and duration of the recall spots (For Consumer level recall only)
Means of Refund at the recall spots Money Credit Note Replacement Other
Conditions of Refund at the recall spots
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 20
APPENDIX TWO
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 21
Recall Reply Form
To :
Attention :
Facsimile
:
Number
Postal Address :
Subject :
From :
Contact person :
Telephone
Number :
Facsimile
Number
Stock received:
Batch No. Quantity
Batch No. Quantity
Batch No. Quantity
I declare that the information provided by me in this reply form is complete and true to
the best of my knowledge.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 22
APPENDIX THREE
FINAL REPORT
Note:
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 23
Attn: Senior Pharmacist (LC-W)
Fax Number: 3107 0221
Result of Recall
Quantity of stock returned Quantity of stock outstanding
Quantity of stock used or sold by the consignees
Quantity of stock not located
No. of Recall Reply Form received from consignees on all stock returned/ reported
Disposal Plan
Method of Disposal Destroy Return to overseas manufacturer
Others, please specify:
Licensee Name :
Name of Recall Officer : Signature :
Date :
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 24
APPENDIX FOUR
Accredited Test
The laboratory performed the tests should obtain accreditation on the specific test
method in accordance with the international standards e.g. ISO 17025 by third parties
such as the Hong Kong Accreditation Service (HKAS) in Hong Kong or other Mutual
Recognition Agreement (MRA) partners to ensure the its competence in performing
pharmaceutical product testing. The Licensee shall submit the raw data and QC data
for the tested samples to substantiate the validity of test results. These data could
facilitate the Government Laboratory in evaluating the data in the analytical reports.
List of the HKAS MRA partners are available in the HKAS websites:
http://www.itc.gov.hk/en/quality/hkas/doc/common/mramla/MRA_HOKLAS_en.pdf
Non-accredited Test
In case accreditation of the specific test could not be arranged, the analytical report
might be considered acceptable if the laboratory has obtained appropriate
accreditation in the area of pharmaceuticals or pharmaceutical products and be able
to provide necessary documents to prove its competence in respect of their quality
control and technical aspects in performing the specific chemical tests.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 25
Basically the information should include, but not limited to, the following:
Detailed method (including standard preparation procedure, sample
preparation procedure, instrument parameters, and quality control procedure
in details);
Raw data and QC data for all tested samples shown in the report (including
chromatograms, mass spectra and calculation);
Validation summary for the method used (including method linearity, limit of
detection, limit of quantitation, method bias, precision, and measurement
uncertainty);
Reference material used and purity verification summary; and
Relevant proficiency test participated.
Licensee may refer to Technical Criteria for Laboratory Accreditation (HOKLAS 003)
and Supplementary Criteria No. 1, No. 2 and No. 20 published by The Hong Kong
Laboratory Accreditation Scheme (HOKLAS) via the HKAS website at
http://www.itc.gov.hk/en/quality/hkas/doc/common/publication/hoklas_pub_en.pdf
For non-chemical tests, other equivalent technical criteria listed in the website shall be
followed and should be considered on case-by-case basis.
__________________________________________________________________________________________
Pharmaceutical Products Recall Guidelines- 2017 Version Page 26