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National Drug Policy Programs

improving access to quality essential


medicine

• to improve supply side access to


quality essential medicines;
• to ensure rational use of medicines by
prescribers, dispensers, and patients;
• to institutionalize transparency and
good governance in the pricing and
procurement of medicines.
Safety, efficacy and quality
health products

• Licensing of Establishments
• Registration of health
products
• Post-Marketing Surveillance
• Enforcement of FDA
Mandates
BRIEF BACKGROUND HISTORY

Philippine
National Drug
Policy
Republic Act No. 6675:
1986 Generics Act of
Medium Term
1988
Philippine
Development Republic Act No. 9502:
Program Universally
Accessible and
Affordable Quality
Medicines Act
Pharma 50 2005
Botika ng
2008
Baranggay National Center for
Pharmaceutical
2010 Access and
Management
2015
Pharmaceutical
Division
National Drug Policy Programs
• Phil. National Formulary
(PNF)
• Antimicrobial Stewardship Program • Pharmaceutical Supply Chain
(AMS) Management (PSCM)
• Drug Pricing Programs
GOVERNMENT MEDIATED ACCESS • Medicines Access Programs (MAPs)
PRICE (GMAP)
MAXIMUM RETAIL PRICE (MRP) Insulin
Drug Price Reference Index (DPRI) Mental Health
Drug Price Watch (DPW) DOH Maintenance Medicines
Electronic Drug Price Monitoring System
DRUG PRICING
PROGRAMS
GOVERNMENT MEDIATED ACCESS PRICE (GMAP)
MAXIMUM DRUG RETAIL PRICE (MRP)

www.pharmadiv.doh.gov.ph
www.pharmadiv.doh.gov.ph
www.pharmadiv.doh.gov.ph
www.pharmadiv.doh.gov.ph
“Universally Accessible Cheaper and Quality
Medicines Act of 2008”

 Mandate to institute a fair, transparent and


rational drug pricing system in the country.
 Transparency of medicine prices and mark-
ups
 Help government in reducing the cost of its
procurement of essential medicines.
www.dpri.doh.gov.ph
DRUG PRICING PROGRAMS
DRUG PRICE REFERENCE INDEX (DPRI)

In 2014, DOH launched the DPRI:


 Department Order No. 2014 – 0146
 Scope: DOH facilities (Retained /
Specialty Hospitals, Regional Offices,
COBAC and Philippine Pharma
Procurement Inc. (formerly PITC
Pharma))
In 2015, government – wide implementation:
 Administrative Order No. 2015 – 0051
 Scope: All government health facilities
and agencies (LGU Hospitals, Military
Hospitals, DOH facilities, and other
government facilities.
 Both COA and DILG now recommend
and use the DPRI.
Annual collection of procurement data (POs)
 DOH – retained hospitals
 DOH Regional Offices
 DOH Central Office (COBAC) Only lowest winning bid per
 PITC Pharma. hospital shall be used in setting the
Encoding the gathered data
reference price.
 Generic Name (only included in PNF)
 Acquisition cost
 Quantity
 Manufacturers
Only cGMP certified
 Suppliers
 Brand Name
 Mode of Procurement (Competitive Bidding,
NP, LS, DC)
Winning bid from cGMP players
 DOH retained hospitals
 DOH Regional Offices
 DOH Central Office (COBAC)
 PITC Pharma.

Identify the median For molecule with only


procurement price for one manufacturer in the
each molecule and strength market, the DPRI is set
at the lowest
procurement price.
Source: Purchase Order based on competitive bidding from DOH retained hospitals, Regional
Office, COBAC and PITC Pharma. All suppliers included are GMP Certified
Source: Purchase Order based on competitive bidding from DOH retained hospitals, Regional
Office, COBAC and PITC Pharma. All suppliers included are GMP Certified

Region Facility Unit Cost Quantity Brand Manu. Supp.


COBAC 0.39 400,000 - Intas Philpharm
Luzon BGHMC 0.27 75,000 Amlosyl Intas Endure
BRTTH 0.65 5,500 Amlosyl Intas Philpharm
Extreme 1.99 500 Amlosyl Intas Philpharm
Wide NCH 0.51 500 Amlosyl Intas Sel-J Phar
Variation of LPGSTC 2.59 15,000 Amlosyl Intas Philpharm

Procureme SLH 0.48 4,000 Amlosyl Intas Philpharm


Visayas EVRMC 0.70 4,000 Amlosyl Intas Philpharm
nt Price
Eversley 1.22 8,000 Amlosyl Intas Philpharm
Mindanao MHRTH 0.44 2,000 Amlosyl Intas Philpharm
0.52 9,375 Amlosyl Intas Philpharm
APMC 18.70 4,500 Amlosyl Intas Philpharm
CRMC 23.26 1,000 Amvasc Amherst Unilab
ZCMC 0.72 47,000 Amlosyl Intas Philpharm
Source: Purchase Order based on competitive bidding from DOH retained hospitals, Regional
Office, COBAC and PITC Pharma. All suppliers included are GMP Certified
Region Facility Unit Cost Quantity Brand Manu. Supp.
COBAC 0.39 400,000 - Intas Philpharm
Luzon BGHMC 0.27 75,000 Amlosyl Intas Endure
BRTTH 0.65 5,500 Amlosyl Intas Philpharm
Volume does 1.99 500 Amlosyl Intas Philpharm
not seem to NCH 0.51 500 Amlosyl Intas Sel-J Phar
be a LPGSTC 2.59 15,000 Amlosyl Intas Philpharm

determinant SLH 0.48 4,000 Amlosyl Intas Philpharm


Visayas EVRMC 0.70 4,000 Amlosyl Intas Philpharm
of price
Eversley 1.22 8,000 Amlosyl Intas Philpharm
Mindanao MHRTH 0.44 2,000 Amlosyl Intas Philpharm
0.52 9,375 Amlosyl Intas Philpharm
APMC 18.70 4,500 Amlosyl Intas Philpharm
CRMC 23.26 1,000 Amvasc Amherst Unilab
ZCMC 0.72 47,000 Amlosyl Intas Philpharm
Source: Purchase Order based on competitive bidding from DOH retained hospitals, Regional
Office, COBAC and PITC Pharma. All suppliers included are GMP Certified
Region Facility Unit Cost Quantity Brand Manu. Supp.
COBAC 0.39 400,000 - Intas Philpharm
Luzon BGHMC 0.27 75,000 Amlosyl Intas Endure
BRTTH 0.65 5,500 Amlosyl Intas Philpharm
1.99 500 Amlosyl Intas Philpharm
Location NCH 0.51 500 Amlosyl Intas Sel-J Phar
does not LPGSTC 2.59 15,000 Amlosyl Intas Philpharm
seem to be a SLH 0.48 4,000 Amlosyl Intas Philpharm
determinant Visayas EVRMC 0.70 4,000 Amlosyl Intas Philpharm
of price Eversley 1.22 8,000 Amlosyl Intas Philpharm
Mindanao MHRTH 0.44 2,000 Amlosyl Intas Philpharm
0.52 9,375 Amlosyl Intas Philpharm
APMC 18.70 4,500 Amlosyl Intas Philpharm
CRMC 23.26 1,000 Amvasc Amherst Unilab
ZCMC 0.72 47,000 Amlosyl Intas Philpharm
Source: Purchase Order based on competitive bidding from DOH retained hospitals, Regional
Office, COBAC and PITC Pharma. All suppliers included are GMP Certified
Region Facility Unit Cost Quantity Brand Manu. Supp.
COBAC 0.39 400,000 - Intas Philpharm
Same Luzon BGHMC 0.27 75,000 Amlosyl Intas Endure
Suppliers BRTTH 0.65 5,500 Amlosyl Intas Philpharm
are charging 1.99 500 Amlosyl Intas Philpharm
different NCH 0.51 500 Amlosyl Intas Sel-J Phar
prices for LPGSTC 2.59 15,000 Amlosyl Intas Philpharm
the same SLH 0.48 4,000 Amlosyl Intas Philpharm
medicines to Visayas EVRMC 0.70 4,000 Amlosyl Intas Philpharm
different Eversley 1.22 8,000 Amlosyl Intas Philpharm
procuring Mindanao MHRTH 0.44 2,000 Amlosyl Intas Philpharm
entities 0.52 9,375 Amlosyl Intas Philpharm
APMC 18.70 4,500 Amlosyl Intas Philpharm
CRMC 23.26 1,000 Amvasc Amherst Unilab
ZCMC 0.72 47,000 Amlosyl Intas Philpharm
Source: 2013 Procurement Data

RP: P49.60 (median)

Median international RP (MSH): P55.00


Median Thai RP: P27.25

Mercury Drug SRP: 650.00 (Pharex generic) – P1,516.75 (Fortum)


The Generics Pharmacy SRP: P192.00 (PPGI)
Total cost (without 7,352,066.82
RP)

Cost
DPR 2013: Php 49.60 Savings

Total cost and Savings 4,363,907.20 2,988,159.62


(Median RP)

00000 2000000 4000000 6000000 8000000


• Hospitals (gov’t and private)
Inventory and Prices of essential Drug Establishments
Medicines  Drug Outlets
Drug Distributor
Drug Manufacturer

www.edpms.doh.gov.ph
Uploading schedule
Type of Establishment (Facility) Acquisition Price Selling Price Month of Uploading

Drug Manufacturer x  Quarterly


Drug Manufacturer Traders x  Quarterly

Distributor

 Importer   Quarterly
 Exporter   Quarterly
 Wholesaler   Quarterly
Hospitals (government and private) x  Quarterly

Drug Outlet with two (2) or more x  Quarterly


branches
Drug Outlet with one (1) branch x  Annual - July
SELECTION

Philippine National Formulary

www.pharmadiv.doh.gov.ph
For LGUs (RHUs) For HOSPITALS
AMR
Antimicrobial Resistance
• Antimicrobial Stewardship Program for Hospitals

• Antimicrobial Stewardship Program in Primary


Health Care Setting

• Advocacy
• Philippine Antibiotic Awareness Week (PAAW)
Administrative Order no. 42 s. 2014

The Inter-Agency Committee


on Antimicrobial Resistance
(ICAMR)

Chair and Co-chair:


Department of Health
Department of Agriculture

Members:
Department of Trade and Industry
Department of Interior and Local Government
Department of Science and Technology

www.icamr.doh.gov.ph
Antimicrobial Stewardship Program (AMS)
Restricted antimicrobials may only be procured by
health facilities that satisfy any of the following
conditions:

(1) presence of an Infection Control


Committee whose chairperson is a
physician and DOH-trained on
Antimicrobial Stewardship;
OR
(2) presence of a board certified infectious
disease specialist who shall authorize the
use of the drug as clinically needed.
MAINTENANCE
Medicines

Breast
Childhood
Cancer
Cancer

Insulin Stroke

Medicines Access Programs (MAPs)


Started: June 2015
Beneficiaries: ALL Patients

Regular Insulin 100IU/ml 10ml vial


Isophane Human Insulin 100IU/ml 10 ml vial
Biphasic Isophane Human Insulin 70/30 100IU/ml 10ml vial
MENTAL HEALTH MEDICINES ACCESS PROGRAM
(MHMAP)
Psychotropic medicines included in the program:
1. Carbamazepine 200 mg 19. Risperidone 2 mg orodispersible tab
2. Lithium Carbonate 450 mg 20. Risperidone 4 mg
3. Valproate Disodium + Valproic Acid 250 mg 21. Escitalopram 10 mg
4. Biperiden 2 mg 22. Fluoxetine 20 mg
5. Chlorpromazine 200 mg 23. Setraline 50 mg
6. Chlorpromazine 100 mg
7. Clozapine 25 mg
8. Clozapine 100 mg
9. Fluphenazine Decanoate 25 mg/mL
10.Haloperidol 5 mg
11.Haloperidol 20 mg
12.Haloperidol 5 mg/mL
13.Flupentixol Decanoate 20 mg/mL
14.Olanzapine 10 mg
15.Quetiapine 200 mg
16.Quetiapine 300 mg
17.Risperidone 1 mg
18.Risperidone 2 mg
Botika ng Bayan
"I will revive the Botika ng Bayan near
government centers.

“I want to make sure that ‘no one goes


home without buying medicine”

- PRES. RODRIGO DUTERTE


August 24, 2016

“The President wants every patient with


prescription to be given free medicine”

- PAGCOR VP Arnel Ignacio,


Nov. 30, 2016
OBJECTIVES

• To improve access to medicines of patients in GIDAs, Urban


Poor and uniformed personnel and their families
• To reduce out-of-pocket expenses by providing free essential
medicines to the most inaccessible health facilities and unserved
population
• To rationalize the distribution of common medicines intended for
beneficiaries and to establish partnership with LGUs and uniformed
personnel
IMPLEMENTING MECHANISM for GIDA/RHUs:
Initial Supply/Regular Stocks

RHU as Botika ng
Bayan

BHS as BNB Satellite


Pharmacy Assistant
Barangay
Outreach
DOH PROGRAM MEDICINES
DOH COMPACK PROGRAM
Amlodipine 10mg, 30 tablets per treatment pack
Losartan 50mg, 30 tablets per treatment pack
Metformin 500mg, 90 tablets per treatment pack
Gliclazide 30mg MR, 30 tablets per treatment pack
Simvastatin 40mg, 30 tablets per treatment pack

INSULIN MEDICINES ACCESS PROGRAMS


Regular Insulin 100 IU/mL, 10 mL vial
Isophane Human Insulin 100 IU/mL, 10 mL vial
Biphasic Isophane Human Insulin 70/30 100 IU/mL, 10 mL vial
DOH PROGRAM MEDICINES
NATIONAL TUBERCULOSIS CONTROL PROGRAM
Category 1 Anti TB drugs for Adult
Anti TB drugs for Children (Fixed-Dose Combination)
Anti TB drugs for Children (Single Dose Formulation)
Anti TB drugs for Children (Single Dose Formulation Kit)
Isoniazid Preventive Therapy (IPT) for children

FAMILY PLANNING PROGRAM


Combined Oral Contraceptive (COC) Pills
Progestogen-only Pills (POP)
Intrauterine Device TCU 380-A
Depot medroxyprogesterone acetate (DMPA) / Injectables
Male Condoms
DOH PROGRAM MEDICINES
MICRONUTRIENT SUPPLEMENTATION PROGRAM
Vitamin A 100,000 IU bottle
Vitamin A 200,000 IU bottle
Ferrous salt solution drops 15mg FE / 0.6ml bottle
Ferrous sulfate with folic acid bottle
Micronutrient powder, sachet
Calcium carbonate

NEGLECTED TROPICAL DISEASES


Albendazole 400mg tablet (deworming for GP)
Praziquantel 600mg tablet
Diethylcarbamazine 50mg tablet
Ferrous Sulfate
DOH PROGRAM MEDICINES
INTEGRATED MANAGEMENT FOR CHILDHOOD ILLNESS
Oral Rehydration Salt
Cotrimoxazole 40mg + 200mg per 5ml syrup
Cotrimoxazole 80mg +400mg tablet
Amoxicillin 125mg/5ml. 60ml syrup
Amoxicillin 250mg capsule
Nalidixic Acid 250mg/5ml syrup
Tetracycline 250mg capsule
Chloroquine 150mg tablet
Primaquine 15mg tablet
Vitamin A 100,000 IU
Vitamin A 200,000 IU
Ferrous Sulfate 200mg + 250mg Folate, 60mg elemental iron
Ferrous sulfate 150mg per 5ml
Ferrous sulfate 25mg
Albendazole 400mg tablet
Zinc
PROPOSED LIST OF ADDITIONAL MEDICINES FOR
UNDERSERVED POPULATION (GIDA & URBAN POOR)
ANTIBIOTICS
• Amoxicillin 500mg capsule
• Amoxicillin 100 mg/mL, 15 mL drops
• Amoxicillin 250mg/5ml, 60ml syrup
• Ciprofloxacin 500 mg Tablet
• Cloxacillin (as Sodium) 500 mg Capsule
• Co-Amoxiclav 625mg tablet
• Cefalexin 250 mg/5 mL, 60 mL Bottle
• Cefalexin 500 mg Capsule
• Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 800 mg+160 mg Tablet
• Cotrimoxazole 400/80mg syrup
PROPOSED LIST OF ADDITIONAL MEDICINES FOR
UNDERSERVED POPULATION (GIDA & URBAN POOR)
TOPICAL ANTIBACTERIALS
• Fusidate Sodium/Fusidic Acid Cream 2%, 5 g Tube
• Mupirocin 2% cream, 5 g tube

BRONCHODILATORS
• Salbutamol 100mcg/dose x 200 actuations
• Salbutamol 1 mg/mL, 2.5 mL (unit dose) Nebule
• Salbutamol 2mg/5ml, 60ml syrup
• Fluticasone + Salmeterol 125 mcg + 25 mcg x 120 doses Metered Dose Inhaler
• Fluticasone + Salmeterol 250 mcg + 25 mcg x 120 doses Metered Dose Inhaler
PROPOSED LIST OF ADDITIONAL MEDICINES FOR
UNDERSERVED POPULATION (GIDA & URBAN POOR)
ANTI-THROMBOTIC ANTACID
Clopidogrel 75 mg Tablet Omeprazole 40 mg Capsule

ANTI-INFLAMMATORY ANTI-DYSLIPIDEMIA
Celecoxib 200 mg Capsule Atorvastatin 40mg tablet
Mefenamic Acid 250mg tablet/capsule
Mefenamic acid 500mg tablet/capsule

VITAMINS
Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Tablet
Multivitamins for pediatric patients
PHARMACEUTICAL SUPPLY CHAIN MANAGEMENT
Organizational structure
SELECTION
Financing management Quantification
Information management
Motivated staff
Management
USE PROCUREMENT
Support

Reception
DISTRIBUTION
Storage
PHARMACEUTICAL SUPPLY CHAIN MANAGEMENT

A. MANAGEMENT, ADMINISTRATION &


HUMAN RESOURCE
B. SELECTION AND QUANTIFICATION
C. REQUEST AND RECEIPT OF MEDICINES
D. INVENTORY MANAGEMENT
E. STORAGE CONDITION
A. MANAGEMENT, ADMINISTRATION & HUMAN
RESOURCE

1. 13
Is there a dedicated (8%)
person assigned to
handle medicines
and other health
154
commodities in the
(92%)
health facility?

YES NO

REGION VIII
RURAL HEALTH UNITS
A. MANAGEMENT, ADMINISTRATION & HUMAN
RESOURCE

1.
Is there a dedicated
person assigned to 2
handle medicines (33%)
4
and other health (67%)
commodities in the
health facility?

YES NO

REGION VIII
PROVINCIAL HEALTH OFFICE
A. MANAGEMENT, ADMINISTRATION & HUMAN
RESOURCE
PSCM ORIENTATION/
2. TRAINING
Is the dedicated
person assigned
given an 81 86
orientation or
training on
handling 49% 51%
medicines/
commodities and
inventory YES NO

management?
REGION VIII
RURAL HEALTH UNITS
A. MANAGEMENT, ADMINISTRATION & HUMAN
RESOURCE
PSCM ORIENTATION/
2. TRAINING
Is the dedicated
person assigned 2
given an
orientation or 4 33%
training on
handling
67%
medicines/
commodities and
inventory YES NO

management? REGION VIII


PROVINCIAL HEALTH OFFICE
A. MANAGEMENT, ADMINISTRATION & HUMAN
RESOURCE
3. AVAILABILITY OF COMPUTER
Does the health AND INTERNET CONNECTION
151
facility have a 160

140
computer that can 111
120
be used for 100

encoding? 80

60
56

4. 40
16
Does the health 20

facility have 0
YES NO

internet AVAILABILITY OF COMPUTER


INTERNET CONNECTION
connection?
REGION VIII
RURAL HEALTH UNITS
A. MANAGEMENT, ADMINISTRATION & HUMAN
RESOURCE
3. AVAILABILITY OF COMPUTER
Does the health AND INTERNET CONNECTION
6
facility have a 5
5
computer that can 4
be used for 4

encoding? 3

2
2
4. 1
1
Does the health
facility have 0
YES NO

internet AVAILABILITY OF COMPUTER


INTERNET CONNECTION
connection?
REGION VIII
PROVINCIAL HEALTH OFFICE
A. MANAGEMENT, ADMINISTRATION & HUMAN
RESOURCE
5.
Does the health facility ENCODER OF REPORTS &
have a dedicated REPORTS COMPLIANCE
160
encoder for recording
140
ALL health commodities?
Does he/she handle all 120
152 137
commodities? 100

80

6. 60

Is the health facility 40 30


cooperative and 20 15
consistent in providing 0
the documentation YES NO

requirements of the W/ENCODER COMPLIANT

DOH by using the REGION VIII


prescribed forms and
format? RURAL HEALTH UNITS
A. MANAGEMENT, ADMINISTRATION & HUMAN
RESOURCE
5.
Does the health facility ENCODER OF REPORTS &
have a dedicated REPORTS COMPLIANCE
4.5
encoder for recording
4
ALL health commodities?
3.5
Does he/she handle all 4 4
3
commodities?
2.5

2
6. 1.5
Is the health facility 1
2 2
cooperative and 0.5
consistent in providing 0
the documentation YES NO

requirements of the W/ENCODER COMPLIANT

DOH by using the


prescribed forms and REGION VIII
format? PROVINCIAL HEALTH OFFICE
REGION VIII RURAL HEALTH UNITS
Q1 LGU PROCURED

93 24
YES
74
143 NO

127

40

FILED RIS NO FILED


YES NO
RIS
REGION VIII PROVINCIAL HEALTH OFFICE
Q1 LGU PROCURED
5 0

YES
6 NO

1
4
2

FILED RIS NO FILED


YES NO
RIS
C. REQUEST AND RECEIPT OF MEDICINES
12.
10.
11. Are the Delivery Receipts
Are the medicines received (IRP, BL, Stock Transfers)
Are the medicines
COMPLETE based on the properly documented,
received in GOOD
Invoice-Receipt of Property filed and readily available
CONDITION with no
(IRP) and Bill of Lading for access?
damage?
(BL)?
180 165
160
155
140
134
120
100
80
60
40
20
0

REGION VIII RURAL HEALTH UNITS


IRP & BL NO DAMAGE DELIVERY RECEIPTS
C. REQUEST AND RECEIPT OF MEDICINES
12.
10.
11. Are the Delivery Receipts
Are the medicines received (IRP, BL, Stock Transfers)
Are the medicines
COMPLETE based on the properly documented,
received in GOOD
Invoice-Receipt of Property filed and readily available
CONDITION with no
(IRP) and Bill of Lading for access?
damage?
(BL)?
6.2
6 6
6
5.8
5.6
5.4
5.2
5
5
4.8
4.6
4.4

REGION VIII PROVINCIAL HEALTH OFFICE


IRP & BL NO DAMAGE DELIVERY RECEIPTS
D. INVENTORY MANAGEMENT
UPDATED STOCKCARDS

YES NO
13.
Does the health 31,
facility update
19%
every movement of
stock through stock
cards, log books or 136,
electronic copy? 81%

REGION VIII
RURAL HEALTH UNITS
D. INVENTORY MANAGEMENT
UPDATED STOCKCARDS
YES NO
13.
Does the health
facility update
every movement of
3, 3,
stock through stock
cards, log books or
50% 50%
electronic copy?

REGION VIII
PROVINCIAL HEALTH OFFICE
D. INVENTORY MANAGEMENT
FEFO

14. YES NO

Does the health


facility follow the 21,
First Expiry First- 13%
Out (FEFO) and
First In, First-Out
(FIFO) principle for 146,
supplies with no 87%
expiry date?

REGION VIII
RURAL HEALTH UNITS
D. INVENTORY MANAGEMENT
FEFO

14. YES NO

Does the health


facility follow the
First Expiry First-
2,
Out (FEFO) and 33%
First In, First-Out 4,
(FIFO) principle for 67%
supplies with no
expiry date?

REGION VIII
PROVINCIAL HEALTH OFFICE
D. INVENTORY MANAGEMENT
15. 170
Has the health facility
experienced stock outs
this quarter? Which
118 91
commodity and what
month/s?

W/ STOCKOUTS
16.
Has the facility W/ OVERSUPPLY
experienced oversupply
of DOH commodities?

1
REGION VIII RURAL
HEALTH UNITS
D. INVENTORY MANAGEMENT
15.
Has the health facility
6
experienced stock outs
this quarter? Which
commodity and what
month/s?

W/ STOCKOUTS
16. 3 3
Has the facility W/ OVERSUPPLY
experienced oversupply
of DOH commodities?

1
REGION VIII PROVINCIAL
HEALTH OFFICE
D. INVENTORY MANAGEMENT
170
17.
Does the health 141
facility PHYSICALLY
separate the
SORTS OUT
damaged, expired
43 UNWANTED
and recalled PHARMACEUTICALS
medicines from the
lot of inventory?
WITH EXPIRED
STOCKS

18.
Are there expired
medicines in stock now?
1
REGION VIII RURAL
HEALTH UNITS
D. INVENTORY MANAGEMENT
6
17.
Does the health
facility PHYSICALLY
separate the
damaged, expired 4 SORTS OUT
UNWANTED
and recalled
medicines from the 3 PHARMACEUTICALS

lot of inventory?
WITH EXPIRED
STOCKS

18.
Are there expired
medicines in stock now?
1
REGION VIII
PROVINCIAL HEALTH
OFFICE
E. USE OF MEDICINES, DISPOSAL AND
DONATIONS
19.
Does the health
facility have a
system, for
recording
dispensed
medicines to the
166 (99%)
patients such as
logbooks, index YES NO
cards, etc.?
REGION VIII
RURAL HEALTH UNITS
E. USE OF MEDICINES, DISPOSAL AND
DONATIONS
19.
Does the health
facility have a
system, for
recording
dispensed 5,
83%
medicines to the
patients such as
logbooks, index YES NO
cards, etc.?
REGION VIII
PROVINCIAL HEALTH OFFICE
E. USE OF MEDICINES, DISPOSAL AND
DONATIONS
20. 21.
Is there a functional system for Has the facility received any
reporting Adverse Drug Reaction complaints from patients and
(ADR)? Is there a reported ADR clients on the use of any
during the quarter? commodities from DOH?

170 YES,
14
98

69 YES
NO

NO,
0 153
REGION VIII RHU
REGION VIII RHU
E. USE OF MEDICINES, DISPOSAL AND
DONATIONS
20. 21.
Is there a functional system for Has the facility received any
reporting Adverse Drug Reaction complaints from patients and
(ADR)? Is there a reported ADR clients on the use of any
during the quarter? commodities from DOH?

YES, 0

YES
NO NO,
1 6
0
0
REGION VIII PHO
REGION VIII PHO
D. INVENTORY MANAGEMENT
DONATION
22. W/ DONATED MEDICINES
Are there donated NO DONATED MEDICINES
medicines in the health
facility? Does the health
130
facility have a functional
system for processing
medicine donations like 37
documentations and
operational
measures/systems are
followed on the
acceptance?

REGION VIII RHU


D. INVENTORY MANAGEMENT
DONATION
22. W/ DONATED MEDICINES
Are there donated NO DONATED MEDICINES
medicines in the health
facility? Does the health
facility have a functional
system for processing
medicine donations like
documentations and NO DONATED MEDICINES
operational
measures/systems are
followed on the
acceptance?

REGION VIII PHO


D. INVENTORY MANAGEMENT
FUNCTIONAL SYSTEM FOR
DISPOSAL
23. YES NO
Is there a
functional system 153
for disposing
medicines? How do
they dispose
expired 14
commodities?

REGION VIII RHU


D. INVENTORY MANAGEMENT
FUNCTIONAL SYSTEM
FOR DISPOSAL
5
23.
Is there a
functional system
for disposing
medicines? How do
they dispose
expired
commodities?
1
1
REGION VIII PHO
YES NO
F. STORAGE CONDITION
STORAGE ROOM

24. YES NO

Does the health


facility have a
storage room solely 49,
29%
for medicines and
other
commodities? 118,
71%

REGION VIII RHU


F. STORAGE CONDITION
STORAGE ROOM

24. YES NO

Does the health


facility have a
1, 17%
storage room solely
for medicines and
other
commodities?
5, 83%

REGION VIII PHO


F. STORAGE CONDITION
25. 26.
Is the storeroom dry, Are medicines protected
clean, well ventilated? from direct sunlight?

NO NO

59 10 YES
YES
35% 6%
108 157
65% 94%

REGION VIII RURAL HEALTH UNITS


F. STORAGE CONDITION
25. 26.
Is the storeroom dry, Are medicines protected
clean, well ventilated? from direct sunlight?
NO

1
YES 17%

3
NO 50% YES

3 5
50% 83%

REGION VIII PROVINCIAL HEALTH OFFICE


F. STORAGE CONDITION
27. 28.
Is the health facility stockroom Are medicines stored following
equipped with an industrial correct temperature conditions?
thermometer?

YES,
YES,
69
NO, 75 NO,
92 98

REGION VIII RURAL HEALTH UNITS


F. STORAGE CONDITION
27. 28.
Is the health facility stockroom Are medicines stored following
equipped with an industrial correct temperature conditions?
thermometer?

YES,
YES, 0
1

NO,
5 NO,
6

REGION VIII PROVINCIAL HEALTH OFFICE


F. STORAGE CONDITION
29.
30.
Does the health facility use
Are the stockroom and
cabinets, shelves and pallets?
cabinets secured/locked?

NO,
25
NO,
68

YES, YES,
99 142

REGION VIII RURAL HEALTH UNIT


F. STORAGE CONDITION
29.
30.
Does the health facility use
Are the stockroom and
cabinets, shelves and pallets?
cabinets secured/locked?

NO,
YES,
1
2

NO,
YES,
4
5

REGION VIII PROVINCIAL HEALTH OFFICE


F. STORAGE CONDITION
ENOUGH STORAGE SPACE

31. YES NO

Generally, is there
enough space to
store all medicines? 47,
28%

120,
72%

REGION VIII RURAL HEALTH UNITS


F. STORAGE CONDITION
ENOUGH STORAGE SPACE

31. YES NO

Generally, is there
enough space to
store all medicines?

3, 3,
50% 50%

REGION VIII PROVINCIAL HEALTH OFFICE


F. STORAGE CONDITION
ARRANGEMENT IN THE
STOREROOM
YES NO

32.
Is there a system of
arranging products 50,
in the storeroom? 30%
117,
70%

REGION VIII RURAL HEALTH UNITS


F. STORAGE CONDITION
ARRANGEMENT IN THE
STOREROOM
YES NO

32.
Is there a system of
arranging products 2,
in the storeroom? 33%
4,
67%

REGION VIII PROVINCIAL HEALTH OFFICE


F. STORAGE CONDITION
33.
170
Is there a functioning and well-
maintained biological refrigerator or
159
refrigerator for medicines?
140
W/BIO REF
34.
Is the health facility prepared to
maintain cold chain during
emergency situations? W/
CONTINGE
NCY PLAN

0
REGION VIII RHU
F. STORAGE CONDITION
33.
6
Is there a functioning and well-
maintained biological refrigerator or
refrigerator for medicines? 6 6

W/ BIO REF
34.
Is the health facility prepared to
maintain cold chain during
emergency situations? W/
CONTINGENCY
PLAN

0
REGION VIII PHO
DOCUMENTARY REQUIREMENTS FOR THE PROCUREMENT OF
HEALTH-RELATED GOODS BASED ON EXISTING LAWS AND
REGULATIONS
• CERTICATE OF PRODUCT REGISTRATION – is the certificate being
issued to a licensed manufacturer, trader, importer, or distributor for
the purpose of marketing or free distribution of a product after
evaluation for safety, efficacy and quality from FDA.
• CERTICATE OF PRODUCT LISTING – is the certificate being issued to a
licensed manufacturer, trader, importer, or distributor for the purpose
of distribution and/or sale of cosmetic specialty qualified listing
(without pre-market approval) with FDA after evaluation for safety,
efficacy and quality from FDA.
• CERTIFICATE OF GOOD MANUFACTURING PRACTICE – current system of quality
assurance aimed at ensuring that products are consistently manufactured to a
quality appropriate for intended use. It is concerned with both manufacturing
and control process and procedures.

• CERTIFICATE OF COMPLIANCE TO EDPMS – shall be a requirement to all drug


establishment who wish to participate in all government tendering activities for
drugs and medicines. (AO 2016-009 Sec. VI p.5)

• LICENSE TO OPERATE – is an authorization to run or provide or conduct the


health or health related business or services issued by FDA.
• Batch certification for Antibiotics – “AO 151 s 1971 and AO 103 s
2003,”
Losing Sight of the Common Objective

I'm glad that the hole


is not on our side!
•Dios mamajes!

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