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PRESENTED BY Dr . Jalal Mokhalalati, B.Sc., M.Sc., Ph.D. PRESENTED BY Dr . Jalal Mokhalalati, B.Sc., M.Sc., Ph.D.

PRESENTED BY Dr . Jalal Mokhalalati, B.Sc., M.Sc., Ph.D. - PowerPoint Presentation

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PRESENTED BY Dr . Jalal Mokhalalati, B.Sc., M.Sc., Ph.D. - PPT Presentation

Quality Medical Regulations Services QMRS Ottawa Ontario Canada email jalalqmrscom HEALTH CANADA Natural Health PRODUCTS REGULATIONS SITE LICENSING 9172014 wwwqmrscom 1 HEALTH CANADA Natural Health PRODUCTS REGULATIONS ID: 746146

products health natural canada health products canada natural qmrs regulationssite www 2014 site licence licensing nhps product regulations requirements

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PRESENTED BYDr. Jalal Mokhalalati, B.Sc., M.Sc., Ph.D.Quality Medical Regulations Services (QMRS)Ottawa, Ontario, Canadaemail: jalal@qmrs.com

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

9/17/2014

www.qmrs.com

1Slide2

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGObjective:The objective of this presentation is to provide attendees with some essential information on

HC Natural Health products regulations and site licensing process

9/17/2014

www.qmrs.com

2Slide3

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGBackgroundAll NHPs sold in Canada are subject to the Natural Health Products Regulations

, which came into force on January 1, 2004.To get product and site licenses, specific labelling and packaging requirements must be met, GMPs must be followed, and proper safety and efficacy evidence

must be provided.

9/17/2014

www.qmrs.com

3Slide4

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGWhat are natural health products?Natural health products (NHPs) are naturally occurring substances that are used to restore or maintain good health. They are often made from plants, but can also be made from animals, microorganisms and marine sources. They come in a wide variety of forms like tablets, capsules, tinctures, solutions, creams, ointments and drops.

9/17/2014www.qmrs.com

4Slide5

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGNHPs (complementary or alternative medicines, include:Vitamins

and mineralsHerbal remediesTraditional and Homeopathic medicines

Probiotics

Other

products like amino acids and essential fatty acids

9/17/2014

www.qmrs.com

5Slide6

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGNHPs are used and marketed for a number of health reasons, like the prevention or treatment of an illness or condition, the reduction of health risks, or the maintenance of good health. They must be safe to be used as over-the-counter products. Products

needing a prescription are regulated as drugs.9/17/2014

www.qmrs.com

6Slide7

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGAre there risks to using NHPs?While NHPs

are generally safe, they are not risk free. Risks include:

Manufacturing problems (Such as

contamination, or incorrect ingredients)

Unproven claims, which can lead people to use the wrong products for serious

conditions

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7Slide8

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGAre there risks to using NHPs?Not

enough information for people to make an informed choice (like incorrect instructions or no warnings that a product may not be suitable for certain groups)Interaction

with others prescription drugs

Unwanted

side

effects

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8Slide9

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGNHPs Marketing authorization?To be licensed in Canada, NHPs

must be safe, effective, of high quality and carry detailed label information People can identify products that have been licensed for sale in Canada by looking for the eight-digit Natural Product Number (NPN) on the label.A NPN means that the product has been authorized for sale in Canada and is safe and

effective

9/17/2014

www.qmrs.com

9Slide10

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGHC Approval: NPN

9/17/2014www.qmrs.com

10Slide11

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGHC Licensing Requirements:

Product licensingEvidence requirements for safety and efficacy

Site

licensingGood Manufacturing Practices

9/17/2014

www.qmrs.com

11Slide12

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGProduct licensingAll NHPs must have a product license before they can be sold in Canada.

To get a license, applicants must give detailed information about the product to Health Canada, including: medicinal ingredients, source, dose, potency, non-medicinal ingredients and recommended use(s).

9/17/2014

www.qmrs.com

12Slide13

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGEvidence requirements for safety and efficacyThe safety and efficacy of NHPs and their health claims must be supported by proper evidence so that consumers and HC

know the products are safe and effective. The type and amount of supporting evidence required depends on the proposed health claim of the product and its overall risks.

9/17/2014

www.qmrs.com

13Slide14

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGSite licensingAll Canadian manufacturers, packagers, labelers, and importers of NHPs must

have site licenses. To get a license, sites must maintain proper distribution records, have proper procedures for product recalls and for the handling, storage and delivery of their products, and demonstrate that they meet GMPs requirements

.

9/17/2014

www.qmrs.com

14Slide15

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

What is a Site Licence?

The Regulations requires a manufacturer, packager, labeler,

and

importer of NHPs to hold a valid site licence.

A

site licence issued by the NHPD gives the licensee authorization to conduct these activities.

These activities must be carried out according to the GMPs outlined under the Regulations.

9/17/2014

www.qmrs.com

15Slide16

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGGood Manufacturing Practices (GMPs)Good Manufacturing Practices for NHPs cover:

product specifications, premises, equipment, personnel, sanitation program, operations, quality assurance, stability, records, batch samples, and recall reporting 

9/17/2014

www.qmrs.com

16Slide17

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGPurpose of the Site Licence Regulations

To ensure that HC is aware of all sites that

are manufacturing, packaging, labelling, and importing NHPs in Canada.

To set the requirement that businesses assure

HC

that they are meeting the regulatory requirements related to

GMP

To

ensure that all NHPs

are

safe, of good quality, and are

produced & stored

in sites that comply with the

GMP Regulations.

9/17/2014

www.qmrs.com

17Slide18

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

Who Requires a Site Licence? A

site licence is required for the physical site in Canada where any persons or businesses wish to manufacture, package, label, and/or import a NHP for sale.

9/17/2014

www.qmrs.com

18Slide19

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

Notes on Importing NHPs:

Any business or individual that brings into Canada a NHP for the purpose of sale is considered to be an importer.

Importers that ship a product directly to the retailer without first storing the product require a site licence

Retailers

selling products that they themselves have imported are considered

importers

9/17/2014

www.qmrs.com

19Slide20

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

Applying for a Site Licence

Applicants

must provide

evidence

of GMP compliance

in the form of one of the following:

Audit Report from a NHPD recognized third

party

Quality Assurance Report (QAR)

Form

Drug Establishment Licence (DEL):

Certificate of Compliance (

CoC

) or inspection report issued by a Regulatory Authority from a country for which HC presently has a mutual recognition agreement (

MRA)

GMP

Certificate

from

a Qualified

Authority

9/17/2014

www.qmrs.com

20Slide21

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGSubmission ManagementScreening

& Assessment of the ApplicationApplications meeting administrative requirements will be assigned a file number and a submission number.

The

NHPD aims to complete a site licence application within 45 days from the date of receipt to the date of issuance of the site licence or refusal.

9/17/2014

www.qmrs.com

21Slide22

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

Deficiencies in the Application

Deficiencies in the application can range from minor and easily correctable to major or critical,

There

are four types of deficiencies:

Administrative deficiencies

Minor deficiencies

Major deficiencies

Critical deficiencies

9/17/2014

www.qmrs.com

22Slide23

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGSite Licence Issuance:The NHPD will only issue or amend a site licence when the applicant has submitted a complete submission with all the required supporting information to assess whether the site is fully compliant with the Regulations.

9/17/2014

www.qmrs.com

23Slide24

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

Refusal to Issue a Site Licence:

The NHPD may refuse to issue or amend a site licence when the site is not compliant with the GMP

requirements

When the

application

is

deficient,

When

the applicant does not provide additional information on request, or

When

the information submitted is false or misleading.

9/17/2014

www.qmrs.com

24Slide25

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

Products Manufactured, Packaged and Labelled at Foreign Sites

Canadian importers must be licensed and the onus is on them to provide evidence that imported products come from sites that meet Canadian GMPs

or

equivalent standards.

Importers may submit either an Audit Report from

third

party or a QAR

or

any of the following

of for

their foreign sites:

9/17/2014

www.qmrs.com

25Slide26

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

Foreign Site Reference Number

(FSRN) Authorization Form:

A FSRN authorization form signed and dated by

the Senior Official indicated for that company.

FSRN's

are issued to

sites

that have demonstrated compliance to

GMPs Regulations

via the FSRN application process.

9/17/2014

www.qmrs.com

26Slide27

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING2. Certificate of Compliance (CoC

) Or inspection report (including corrective actions taken) issued by a Regulatory Authority from a country for which the HC Inspectorate presently has a mutual recognition agreement (MRA) related to GMP.

9/17/2014

www.qmrs.com

27Slide28

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

3. Good

Manufacturing

Practices Certificate or inspection report (including the corrective actions taken) from a Qualified Authority.

A

qualified authority is an authority member of the Pharmaceutical Inspection Cooperation Scheme (PIC/S) or the United States Food and Drug Administration (USFDA).

9/17/2014

www.qmrs.com

28Slide29

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGLicence Expiry and RenewalThe site licence must be renewed as follows:

1. Every year, for the first three years2. Every two years, when the licensee has held the licence for

three years from the date of issuance but less than nine years.

3. Every three years, when the licensee has held the licence for nine years from the date of issuance or more.

9/17/2014

www.qmrs.com

29Slide30

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGLicence Amendment

An amendment is required when:Adding a new activity.

Adding a new building

Changing from manufacturing, packaging, labelling, or importing a non-sterile dosage form to sterile dosage form.

Adding a new foreign site.

9/17/2014

www.qmrs.com

30Slide31

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSINGLicence Suspension and Cancellation

HC may suspend a site licence when:The licensee is found to have contravened the Regulations

When licensee make

a false or misleading statement in the

application

When HC

has enough evidence to believe that it is necessary to suspend the licence to prevent

consumers injury .

9/17/2014

www.qmrs.com

31Slide32

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

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To Conclude:

A site

wishing to obtain a SL must demonstrate that

requirements

for

GMP

have been met.

To

demonstrate

GMP

compliance, the

site

will need to provide evidence that its buildings,

equipment, procedures and proposed

practices

meet

the

requirements

A Canadian importer must provide satisfactory evidence that the foreign site meets the Canadian GMP

requirements required

by

t

he

Canadian

regulationsSlide33

HEALTH CANADA: Natural Health PRODUCTS REGULATIONSSITE LICENSING

For Any Questions Please Contact:

Dr. Jalal Mokhalalati

Email: jalal@qmrs.com

9/17/2014

www.qmrs.com

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