Anticounterfeiting: the urgency grows

Prescription drugs come first, but efforts could encompass OTC, too.

FDA's Counterfeit Drug Task Force is more focused on RX drugs than OTC products
FDA's Counterfeit Drug Task Force is more focused on RX drugs than OTC products

In no area is there as much emphasis on anticounterfeiting than in the drug industry. Expect to see even more activity in this area now that the Food and Drug Administration’s February report, “Combating Counterfeit Drugs,” is out. Both prescription-only and over-the-counter (OTC) drugs will be affected.

“The Counterfeit Drug Task Force final report focuses on the prescription drug supply because that’s where we’ve seen the most counterfeiting occur,” says Ilisa Bernstein, senior science policy advisor at FDA. “The counterfeiters target higher-priced drugs and prescription drugs that cost much more than OTC drugs. However, that doesn’t mean that OTC drugs are not at risk. Consumers should be vigilant when buying OTCs as well.”

Counterfeiting is a larger problem outside the United States than within the country, but that doesn’t mean domestic products are immune to counterfeiting. Lew Kontnik is a consultant on anticounterfeiting, and he points out that in May 2003 nearly 20 million doses of fake Lipitor (a cholesterol-lowering medication) were pulled from pharmacies in the United States. Kontnik also points to fake Viagra imported into the United States from South America and Asia.

Whether the counterfeiting affects prescription or OTC drugs, the game plan laid out by FDA is to use multiple packaging strategies as a defense. As the FDA report says, there is no “magic bullet” in foiling counterfeiters. Rather, the FDA strategy aims to combat counterfeits with a multilayer approach that combines multiple overt and covert techniques along with radio frequency identification (RFID) as tactics in assuring the safety of the drug supply.

“The philosophy is that you have to keep rotating your measures,” says John Bitner, president of Bitner Associates, Inc., a consulting firm working with major pharmaceutical corporations who are addressing the issue. “With today’s technology, it is only a matter of time before the counterfeiters can figure out the system. You have to keep one step ahead of them.”

FDA in its February report on anticounterfeiting agrees. That’s why the agency plans to issue guidance that would facilitate regular changes in anticounterfeiting techniques—”rotating your measures,” as Bitner puts it.

RFID as a constant

Although FDA envisions a variety of anticounterfeiting techniques coming into play, it does see one constant—RFID. The FDA report asks for RFID tags on prescription drugs at the primary package level by 2007. In essence, that strategy puts a unique serial number on each primary package at the point where it is packaged, allowing it to be tracked and traced through the supply chain from point of origin to point of use.

“The supply chain is where the product lives,” says a report from The Product Surety Center, a New Mexico State University organization that helped develop the February report for the FDA. The Product Surety Center’s report goes on to say that anyone who intends to counterfeit or tamper with product has to enter the supply chain at some point, and the ability to detect that entry through track-and-trace technology improves the chain’s security.

Under FDA’s RFID scenario for drugs, a unique electronic product code (EPC) identifier on each primary package will reveal if counterfeits have been introduced into a pallet. A check of the EPC of each package against shipping records will show which packages have been removed and which do not have the appropriate codes.

In implementing RFID as an anticounterfeiting technology, FDA wants widespread implementation by 2007. This year the agency will conduct feasibility studies using RFID on pallets, cases, and packages of pharmaceuticals. Indications from suppliers are that many drug companies are already running pilot programs to assess options.

The Wal-Mart factor

Another player in this field is Wal-Mart. The retailer wants to have RFID tags on Class 2 prescription drugs (addictive painkillers and other narcotics) as a way to further control these substances moving through its pharmacies. Wal-Mart’s timeline is more aggressive than FDA’s, and it already is behind schedule. The initial Wal-Mart deadline was March 2004, and the deadline has already been pushed back because its vendors could not meet the date.

Will pharmaceutical manufacturers be able to meet FDA’s timeline for implementation of RFID as an anticounterfeiting tool?

“The chip technology is not there yet,” says Neil Sellars of National Label Co.” The refinement of the chip technology and the limited availability of chips is a restriction right now.” Chip suppliers are focused on Wal-Mart’s case/pallet initiative right now, Sellars explains, and they are not focusing on chips for individual packages.

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