Hallie
Forcinio is Pharmaceutical Technology’s Packaging Forum editor,
4708 Morningside Drive, Cleveland, OH 44109, tel. 216.351.5824, fax
216.351.5684, editorhal@cs.com.
We
are now less than a year away from the April 24, 2006, deadline that
requires bar coded labels on approximately 153,500 packaging units of
prescription and over-the-counter (OTC) drugs dispensed in hospitals.
Drug products approved for use after the rule’s April 24, 2004,
effective date must be bar coded within 60 days of approval.
FDA’s final rule requires a linear bar code representing the product’s
national drug code (NDC) to be placed on the immediate container label
and the outer wrapper that appears on most prescription and certain OTC
drugs commonly used in hospitals, or about 75% of OTC products. The lot
number and expiration date do not have to be included, but drug makers
may do so, if desired. The rule applies to most drug manufacturers, as
well as repackers, relabelers, private label distributors, and blood
establishments (www.fda.gov/OHRMS/DOCKETS/98fr/04-4249.htm).
The goal is to reduce medication errors by providing an automated means
to confirm the right dose is given to the right patient at the right
time via the correct administration route. In use, the bar code on the
unit dose pack is scanned at the time of administration. For a more
complete record, bar codes on the patient’s wrist band and caregiver’s
identification badge also could be scanned.
Compliance with the unit-dose bar coding rule requires integration of
bar code technology, printing, quality control, data collection and
transmission, and recordkeeping. If widely divergent packaging formats
are involved, more than one solution may be required. Narrowing the
choices can be a bewildering, time-consuming endeavor.
Further complicating the scenario, many technology providers, early
adopters, and trade organizations recommend looking beyond simple
compliance to use the information unit-dose coding makes available to
gain internal benefits. This means encoding variable information such
as the lot number and expiration date in addition to the NDC. “Many
benefits can be gained through process changes that take advantage of
information available on unit-of-use labels with little incremental
labeling or equipment costs,” notes a white paper entitled, “Beyond
Point of Care: Benefiting from Unit-of-Use Bar Code Traceability in the
Life Sciences Supply Chain” (Zebra Technologies,
Vernon Hills, IL, www.zebra.com).
In fact, the report notes, “variable-information labeling can improve
regulatory compliance, recall management, distribution and returns,
production control, product authentication, customer service, and other
operations for manufacturers and distributors.”
Many of these benefits relate to the increased visibility unit-of-use
bar codes can provide. The ability to track product at the batch level
throughout the supply chain increases efficiency and improves customer
service while ensuring returns are authorized. In recall situations,
this level of traceability makes it possible to pinpoint affected
quantities and shipments and minimize the amount of product returned.
Unit-of-use data also can be valuable in production and inventory
management. “Encoding lot numbers in the unit-of-use packaging and
marrying that information with electronic production records can
satisfy 21 CFR Part 11
[Electronic Records and Signatures Rule] reporting requirements and
provide traceability by raw material batch, manufacturing equipment,
time of production, equipment operator, and other variables,” the
report says. (continued)