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Navigating the regulatory Maze for<br />

import and export of pharmaceuticals<br />

Dan Bell, LCB, CCS.<br />

Director, Commercial Operations & Regulatory Compliance


Scope<br />

• Import Process – Roles & Responsibilities<br />

• <strong>Importer</strong> of Record, Exporter, and customs brokers. Getting everyone to play nicely.<br />

• Valuation, Tax, Duties, Classification, HTS Codes.<br />

• Correctly Classify API & avoid overpaying duties & fees<br />

• Identifying the Regulatory Implications of Incorrect Classification.<br />

• Who is really holding my shipment hostage?<br />

• OGAs – <strong>The</strong> “Alphabet Soup” of Other Government Agencies.<br />

FDA, EMA, SFDA, USDA, CDC, DCGI, DGFT ANVISA,<br />

• Invoice tour – Key data elements for pharmaceutical products.<br />

Identify key data elements required for compliant and complete reporting.<br />

• Government programs, new initiatives.<br />

• “Emerging” & BRIC Countries<br />

• Import & Export considerations for challenging locations.<br />

• Best Practice Summary & Conclusions


Clinical Supply Chain Interruptions<br />

What are the implications?<br />

• Impact to patient recruitment &<br />

continued treatment<br />

• Inventory deterioration<br />

• Missed production slots.<br />

• Additional or rescheduled investigator visits<br />

impacting timelines<br />

• Import license exhaustion on quantity or date expiry


Poll Question 1<br />

What is the primary reason given for import delays? Customs or<br />

Agency compliance issue?


Help! Customs is holding my shipment hostage!<br />

“What can be done to prevent Customs delays?”<br />

“Can you assist in getting our shipment released from Customs?”<br />

“Why do I have to pay Taxes & duties?”<br />

“What is my HTS code? FDA Product Code?”<br />

“Can you help us navigate the maze of required permits?”<br />

“Can you help us make sense of the FDA import process?”


Other Government Agencies


Roles & Responsibilities - <strong>Importer</strong> of Record<br />

<strong>The</strong> <strong>Importer</strong>:<br />

• In most cases, is often the Sponsor or<br />

for clinical shipments the CRO<br />

• Responsible for all customs matters<br />

associated with the imported cargo<br />

• Has a bond assuring the government<br />

he will comply with all laws.<br />

• Must be named as the Consignee on the<br />

Bill of Lading or will not be able to be<br />

<strong>Importer</strong> of Record


Roles & Responsibilities - <strong>Importer</strong> of Record<br />

<strong>The</strong> <strong>Importer</strong>:<br />

• Responsible for accuracy of information<br />

• Responsible for sufficiency of all<br />

documentation<br />

• Responsible for timeliness of all<br />

documentation<br />

• Responsible for proper markings<br />

• Liable for all duties, taxes, fees, fines,<br />

penalties<br />

• And must retain all records for at least 5 years<br />

from date of entry into U.S. commerce


Roles & responsibilities - Customs Broker<br />

<strong>The</strong> Broker<br />

• Prepares and files Customs entries<br />

– based on information received from <strong>Importer</strong><br />

• Arranges Customs examination<br />

• Arranges Other Governmental Agencies releases<br />

• Communicates with forwarders, couriers and carriers<br />

• Communicates with Customs on behalf of <strong>Importer</strong><br />

• Must have a power of attorney from <strong>Importer</strong><br />

• Treat <strong>Importer</strong>’s records as confidential<br />

• May act as a third party record keeper for <strong>Importer</strong><br />

– Note: Broker only has Customs entry docs


Roles & responsibilities - Exporter<br />

<strong>The</strong> Exporter:<br />

• Provides correct, timely documentation<br />

and information to <strong>Importer</strong><br />

• Marks products with country of origin<br />

before it leaves origin.<br />

• Obtain export license where necessary.<br />

• Keep records to substantiate origin and<br />

value.<br />

• Complies with all export reporting<br />

regulations


INCO Terms 2010


USA – Import process, Clinical Pharmaceuticals<br />

Document Check List:<br />

Invoice – Complete with all data that will be entered by the US customs broker,<br />

including relevant OGA statements. This should be on shipper/exporter company<br />

letterhead. Copies are OK, however in the case of shipments requiring certain<br />

USDA permits, original signed invoices are required. This is a critical document<br />

and must always be provided.<br />

End Use Letter – This is in the form of a letter with a statement from the shipper or<br />

importer as to the reason for the import. E.g. To test the safety and efficacy of XYZ<br />

pharmaceutical as apart of FDA approved phase XX clinical trial. Again this is a<br />

back-up document that may be required after initial entry has been filed.<br />

IND Application (FDA form 1571) – This is the orig. application that was<br />

completed by the sponsor (or their authorized representative), in order to conduct<br />

the clinical trial in the US. This is a back-up document that may be requested after<br />

the initial entry has been filed.


Invoice Tour<br />

• Key data elements<br />

• 19CFR 141.85 & 141.86


Invoice Tour - SHIPPER<br />

SHIPPER<br />

CLASSIC CHEMICALS AND SUPPLIES, INC<br />

ABC STREET<br />

ANYTOWN, WA 01234<br />

AUSTRALIA<br />

JOHN SMITH<br />

TEL: +61- 3 1234 567<br />

JSMITH@MPINC.COM


Invoice Tour – ULTIMATE CONSIGNEE<br />

ULTIMATE CONSIGNEE/ DELIVERY TO:<br />

SPECIALALIZED CMO SERVICES<br />

1234 ABC ROAD<br />

ALLENTOWN, PA 18100 – USA<br />

JANE BROWN / PROJECT MANAGER<br />

PHONE +1 (555) 123-4567


Invoice Tour – EXPORT COUNTRY<br />

COUNTRY OF EXPORT: AUSTRALIA<br />

COUNTRY OF MANUFACTURE/ORIGIN: INDIA<br />

COUNTRY OF ULTIMATE DESTINATION: USA<br />

GROSS WEIGHT: 305 KG<br />

DIM= 3 PALLETS @ 117CM X 117 CM X 98 CM


Invoice Tour – IMPORTER OF RECORD<br />

IMPORTER OF RECORD<br />

RX PHARMACEUTICALS, INC / EIN# 12-3456789<br />

123 ABC VALLEY ROAD<br />

ANYTOWN , CA 91234<br />

UNITED STATES OF AMERICA<br />

CHUCK DAVIS<br />

TEL: +1 555-123-4567


Invoice Tour - MANUFACTURER<br />

MANUFACTURED BY:<br />

AN OTHER CHEMICALS AND PHARMACEUTICALS LTD.<br />

AURANGABAD, MAHARASHTRA - ANTIBIOTIC (PENICILLIN & CARBAPENEMS) & NON-<br />

ANTIBIOTIC API<br />

L-8(PART), L-9 & GUT NO.38, MIDC INDUSTRIAL AREA,<br />

WALUJ, AURANGABAD DISTRICT - 431136<br />

MAHARASHTRA, INDIA


Invoice Tour - TSCA<br />

TSCA Statement:<br />

I certify that all chemicals in this shipment are not subject to TSCA<br />

I certify that all chemical substances in this shipment comply with all applicable rules or orders<br />

under TSCA and that I am not offering a chemical substance for entry in violation of TSCA or any<br />

applicable rule or order there under.


Invoice Tour - USDA<br />

USDA Statement(s):<br />

Does not contain any material of animal, plant or microbial origin.<br />

Vaccine/pharmaceutical material is intended for human use only, and the material does not contain live livestock<br />

and poultry viral agents and the material is prepared, packaged, and physically labeled in the final dosage form<br />

ready for sale to the consumer.<br />

Gelatin-containing human pharmaceuticals, placebos, and gel caps for use in clinical trials or other analytical<br />

testing USDA permit # XYZ123


Invoice Tour – QTY, PCS,WEIGHT, ETC.<br />

NO OF<br />

PKGS.<br />

TYPE OF<br />

PKGS.<br />

FULL DESCRIPTION OF GOODS<br />

QTY<br />

UNITS OF<br />

MEASURE<br />

NET<br />

WEIGHT<br />

(KG)<br />

UNIT<br />

VALUE<br />

EXTENDED<br />

VALUE<br />

$US<br />

30 SHIPPER<br />

GBX 1234 (RX ABCD/RX 1234) 3240 VIALS 250 $1 $3240


Invoice Tour - DESCRIPTION<br />

GBX 1234 (RX ABCD/RX<br />

1234)<br />

500 MG STERILE VIAL<br />

BATCH NUMBER: AB123120X


Invoice Tour – HTS CODE<br />

US HTS# 3003.90.0000


Invoice Tour – FDA PRODUCT CODE<br />

FDA PRODUCT CODE: 62 H I Z 99


Invoice Tour – FDA IND #<br />

FDA IND# 123456


Invoice Tour - CAS<br />

CAS#: 123456-24-4


Invoice Tour – PACKING DETAIL<br />

PACKED IN 6 VIALS/CARTON<br />

18 CARTONS / SHIPPER<br />

10 SHIPPERS/ PALLET (BATCHES)<br />

3 PALLETS TOTAL


Invoice Tour - USE<br />

ACTIVE INGREDIENT: XOPENEM IS A CARBAPENEM ANTIBIOTIC.<br />

IT IS INDICATED FOR THE TREATMENT OF BACTERIAL INFECTIONS.


Electronic Transactions<br />

CBP shares entry data with Other Government Agencies:


HTS – Harmonized Tariff System<br />

<strong>The</strong> Harmonized Tariff Schedules are used to communicate duty rates and special<br />

trade agreement regulations.<br />

Nomenclature is the term used to describe the systematic naming of things as in a<br />

tariff nomenclature, e.g., Harmonized System.<br />

<strong>The</strong> Harmonized System is an international goods nomenclature consisting of:<br />

General Rules of Interpretation (GRI’s),<br />

Section and Chapter legal notes,<br />

4-digit Heading and 6-digit Subheading.<br />

Each WTO member nation has agreed to utilized the foundational international<br />

Harmonized System nomenclature, however, duty rates are not<br />

harmonized and are established country by country or through multilateral<br />

agreements.


HTS – Harmonized Tariff System<br />

U.S. Harmonized Tariff number is 10 digits long and typically formatted as 4 digits<br />

Separated by a period, then 2 digits, a period, followed by the final 4 digits:<br />

For example, Pharmaceutical grade Niacin API would be classified as 2936.29.1510.<br />

<strong>The</strong> first 4 digits (2936) are called a HEADING number. This level is internationally harmonized. <strong>The</strong><br />

“heading” for Cough and cold medicaments is “2936” – Provitamins and vitamins, natural or<br />

reproduced by synthesis (including natural concentrates), derivatives thereof used primarily as<br />

vitamins, and intermixtures of the foregoing, whether or not in any solvent.<br />

<strong>The</strong> second level is at 6 digits (2936.29.) is called the SUB-HEADING level. This level is<br />

internationally harmonized. <strong>The</strong> “sub-heading” for Pharmaceutical grade Niacin API is “2936.29”-<br />

Other vitamins and their derivatives.<br />

<strong>The</strong> third level is at 8 digits (2936.29.15) and is the level where the U.S. assigns the duty rate. <strong>The</strong><br />

US duty rate is applied at third level “2936.29.15”- Niacin and niacinamide. Note duty rates are<br />

“Free”.<br />

Finally, the forth level is at the 10 digit (2936.29.1510) is called the Statistical Suffix. <strong>The</strong>se two digits<br />

are for statistical purposes. <strong>The</strong> “Statistical Suffix” for Pharmaceutical grade Niacin API is<br />

“2936.29.1510”- Niacin: Pharmaceutical grade.


HTS – Harmonized Tariff System


Poll Question 2<br />

Q. Is duty payable on “bulk drug product” imported into<br />

the USA for use in a PH II clinical trial?


HTS – Pharmaceutical Appendix & CAS<br />

http://www.usitc.gov/publications/docs/tata/hts/bychapter/1202PHARMAPPX.pdf


Definitions – Pharmaceutical Products<br />

HQ 963778<br />

U.S. CUSTOMS SERVICE<br />

GENERAL NOTICE<br />

GUIDANCE CONCERNING THE TARIFF CLASSIFICATION OF<br />

PHARMACEUTICAL PRODUCTS IMPORTED FOR CLINICAL RESEARCH<br />

ACTION: Guidance concerning the tariff classification of pharmaceutical products imported for clinical research.<br />

SUMMARY: This notice sets forth Customs views regarding the classification, under the Harmonized Tariff<br />

Schedule of the United States (HTSUS), of pharmaceutical products, imported in bulk form or dosage form for<br />

clinical research, for which no New Drug Application has been approved by the Food and Drug Administration<br />

DETERMINATION<br />

1. Unmixed (pure) compounds, imported in bulk for use in Phase I of clinical trials should not be classified as<br />

“drugs” of Chapter 29, HTSUS. Unmixed (pure) compounds, imported in bulk for use in Phase II or Phase III<br />

of clinical trials should be classified as “drugs” of Chapter 29, HTSUS.<br />

2. Mixtures of compounds, imported in bulk for use in any phase of clinical trials, should be classified as<br />

“medicaments” of heading 3003, HTSUS.<br />

3. Pharmaceutical products imported in dosage form for use in clinical trials should be classified as<br />

“medicaments” of heading 3004, HTSUS.


API – EU New Regulations<br />

• <strong>The</strong> European Union (EU) has reformed the rules for<br />

importing into the EU active substances for medicinal<br />

products for human use.<br />

• 2 January 2013, all imported active substances must<br />

have been manufactured in compliance with standards of<br />

good manufacturing practices (GMP) at least equivalent to<br />

the GMP of the EU. <strong>The</strong> manufacturing standards in the<br />

EU for active substances are those of the ‘International<br />

Conference for Harmonization’ – ICH Q7.<br />

• 2 July 2013, this compliance must be confirmed in<br />

writing by the competent authority of the exporting<br />

country.<br />

This document must also confirm that the plant where the<br />

active substance was manufactured is subject to control<br />

and enforcement of good manufacturing practices at least<br />

equivalent to that in the EU.


API – EU Regulations<br />

• <strong>The</strong> US is not currently on the EMA exempt list.<br />

• FDA has an existing process for issuing Export Certificates<br />

• Export Certification issued by the FDA may satisfy the new EU written confirmation<br />

requirement.<br />

• Certificates are currently used to confirm compliance with the rules of<br />

Food and Drug Act<br />

• Export Certificate cost? $175<br />

• Link to FDA Export Certificate below for reference:<br />

http://www.fda.gov/RegulatoryInformation/Guidances/ucm125789.htm


Valuation<br />

1. Transaction Value is the price paid or payable at time of exportation, less non-dutiable charges,<br />

plus any assists, royalties, license fees, or proceeds which accrue to the foreign seller.<br />

2. Transaction Value of Identical Merchandise is used when there is no legitimate Transaction Value and<br />

there is Identical Merchandise sold.<br />

3. Transaction Value of Similar Merchandise is used when there is no legitimate Transaction Value and<br />

Identical Merchandise has not been sold<br />

4. Deductive Value is the next method to be used if none of the Transaction Value methods above are<br />

available. This method starts with the resale price in the U.S., and deducts U.S. profit, overhead,<br />

international and domestic freight and insurance.<br />

5. Computed Value is the next method used by Customs if there is no resale. This method is a cost<br />

method, starting with costs associated with material and labor and overhead to produce, plus a normal<br />

foreign profit. An importer may select this method on the entry summary if they prefer this method over<br />

Deductive and there is not Transaction Value (as in 1, 2, or 3 above).<br />

6. Reasonable Adjustment Using All of the Above Methods is used as a last resort and must<br />

be reasonable


FDA – “FLAGS”<br />

FD0 - Indicates that FDA has determined the article, even though subject to FDA's laws and<br />

regulations, is acceptable for CBP release without further presentation of prior notice or other<br />

entry information to FDA.<br />

FD1 - Indicates that the article may be subject to FDA jurisdiction, including FDA review under<br />

801(a) of the FD&C Act. For products not subject to FDA jurisdiction, a filer can "Disclaim"<br />

product from FDA notification requirements.<br />

FD2 - Indicates that the article is under FDA jurisdiction and review of entry information by<br />

FDA under section 801(a) will take place. However, the article is not "food" for which prior<br />

notice information is required.<br />

FD3 - Indicates that the article may be subject to prior notice under section 801(m) of the<br />

FD&C Act and 21 CFR Part1, subpart I. , e.g., the article has both food and non-food uses.<br />

FD4 - Indicates that the article is "food" for which prior notice is required under section 801(m)<br />

of the FD&C Act and 21 CFR Part1, subpart I.


FDA – Product Code<br />

<strong>The</strong> FDA Product Code is a seven characters long and is broken into the following five fields.<br />

Industry, Class, Subclass, Process Identification Code (PIC), Product<br />

PIC - specifies either the process, storage or dosage form depending on the type of product.<br />

A missing or incorrect FDA product code is one of the most common reasons for a hold/rejection!<br />

http://www.accessdata.fda.gov/scripts/ora/pcb/tutorial/tutorial.cfm


FDA – ITACS<br />

What is ITACS? - Import Trade Auxiliary Communications System<br />

ITACS is a newly created internet portal for import trade. It is linked to FDA’s Mission<br />

Accomplishment and Regulatory Compliance Services (MARCS) import entry review<br />

system. ITACS will allow users to view current FDA status on import entries and allow for<br />

faster communication between FDA and entry filers.<br />

Some of the benefits of ITACS:<br />

· View current FDA status of entries<br />

· Submit documents directly to FDA<br />

· Documents can be submitted through ITACS instead of local FDA port office<br />

· ITACS will be operational even if CBP/FDA interface is down<br />

· No waiting time for return phone calls<br />

· Detailed information regarding shipment: at the line level<br />

Who can access ITACS?<br />

Anyone with a valid entry number can access ITACS.<br />

What entries can be viewed?<br />

Any entry at any port which was successfully transmitted to CBP/FDA via ABI (i.e., broker<br />

entry).<br />

Link to ITACS: https://itacs.fda.gov/itacs/app/welcomeToITACS.jsf


FDA – ITACS<br />

What is ITACS? - Import Trade Auxiliary Communications System<br />

ITACS is a newly created internet portal for import trade. It is linked to FDA’s Mission<br />

Accomplishment and Regulatory Compliance Services (MARCS) import entry review<br />

system. ITACS will allow users to view current FDA status on import entries and allow for<br />

faster communication between FDA and entry filers.<br />

Some of the benefits of ITACS:<br />

· View current FDA status of entries<br />

· Submit documents directly to FDA<br />

· Documents can be submitted through ITACS instead of local FDA port office<br />

· ITACS will be operational even if CBP/FDA interface is down<br />

· No waiting time for return phone calls<br />

· Detailed information regarding shipment: at the line level<br />

Who can access ITACS?<br />

Anyone with a valid entry number can access ITACS.<br />

What entries can be viewed?<br />

Any entry at any port which was successfully transmitted to CBP/FDA via ABI (i.e., broker<br />

entry).<br />

Link to ITACS: https://itacs.fda.gov/itacs/app/welcomeToITACS.jsf


USDA<br />

USDA Permit – When required, a copy of a valid<br />

USDA permit should travel with the shipment.<br />

Required for animal or plant derived products, either<br />

the pharmaceutical compound or more typically when<br />

capsules of bovine or porcine origin are used.<br />

USDA Permits – Valid for 1 year & will state the<br />

expiration date on the permit.<br />

Renewals/first time permit applications can take<br />

anywhere from 4 – 8 weeks to obtain.


USA – Import process flow<br />

Shipper arranges<br />

Export details<br />

(shipping, licenses,<br />

invoicing, etc….)<br />

Forwarder/Carrier<br />

prepares bill of loading<br />

and manifest and<br />

sends documents to<br />

broker<br />

Broker receives<br />

documents, prepares<br />

entry and files with<br />

Customs<br />

Customs reviews<br />

import information<br />

and determines if<br />

shipment is to be<br />

examined<br />

Customs/OGA<br />

examines and<br />

decides whether<br />

to release<br />

YES<br />

Customs releases<br />

(including OGA)<br />

Cargo moves to<br />

final consignee<br />

NO<br />

Customs holds,<br />

seizes or requires<br />

Reexportation<br />

Customs issues<br />

Redelivery (within 30<br />

days of release)<br />

YES<br />

Customs/OGA<br />

finds something<br />

wrong with<br />

marking or<br />

product<br />

<strong>Importer</strong> redelivers<br />

to Customs Custody<br />

NO<br />

DISAGREES<br />

Customs<br />

issues CF28,<br />

<strong>Importer</strong> has 30<br />

days to response.<br />

Customs reviews<br />

info<br />

If Customs disagrees<br />

with original<br />

qualification or value,<br />

a CF29 is issued<br />

advising rate or value<br />

advance at time of<br />

liquidation. <strong>Importer</strong><br />

usually has 20 days<br />

to respond.<br />

Liquidation occurs,<br />

usually 1 year from<br />

date of entry (can be<br />

suspended by statute<br />

or up to 4 years by<br />

extensions<br />

YES<br />

NO<br />

Customs<br />

reviews entry<br />

summary info.<br />

Questions?<br />

<strong>Importer</strong> reviews<br />

entry documentation,<br />

advises broker of<br />

changes or additional<br />

information, otherwise<br />

retains records for<br />

5 years.<br />

AGREES


<strong>The</strong> Regulatory Maze<br />

Most countries require<br />

permits that can take<br />

anywhere from 30 to 90<br />

days to import.


Regulatory Guidelines:<br />

A Moving Target<br />

Count the black circles<br />

Working with experts reduces headaches


Recruitment Value<br />

Which Country Offers Higher Value?


Recruitment Value<br />

Clinical trial growth is focused on the countries that<br />

have the greatest density of populations to sites.


China<br />

Exporting Biological Samples<br />

2 weeks<br />

Human Serum Plasma<br />

Ministry of Health Export Permit<br />

vs<br />

Whole Blood &<br />

Tissue<br />

HGRMO<br />

Permit<br />

3 months


China<br />

Importing Reagents<br />

Which category does NOT require a CIQ permit?<br />

plant animal human


China<br />

Importing Reagents<br />

Permit approval: 2 to 4 days<br />

Reagents containing Animal or<br />

Plant compounds require a CIQ permit.<br />

plant<br />

animal<br />

human<br />

An application for the CIQ permit can<br />

commence<br />

once the following information is gathered:<br />

• number of pieces/vials/or contents<br />

• weight of the shipment<br />

• precise description<br />

(must be in accordance with actual product description)


India<br />

Importing Pharmaceuticals<br />

Single or Multiple Use…<br />

Consignee or importer must apply for permits<br />

Permitting<br />

process:<br />

REQUIRED FOR PERMIT APPLICATION<br />

REQUIRED FOR EXPORT<br />

• Clinical Trial Approval Letter from DCGI & DGFT • IEC code (Import Export Code)<br />

• Aayat - Niryaat Form<br />

• Import permit and/or NOC<br />

• List of participating sites from India<br />

• Invoice<br />

• Registration Membership Certificate<br />

• Packing list<br />

• Import Export Certificate<br />

• MSDS / COA (if applicable)<br />

• Clinical Protocol<br />

If commercial then complete application as per Form-8 & Form-9


Brazil<br />

Importing Clinical Materials<br />

In Brazil, everything<br />

is under the microscope<br />

• Import license: 1 month to obtain and<br />

expires in 6 months<br />

• Import Permit: per shipment: 7 days<br />

• Imports heavily taxed<br />

• If the importer is a CRO or the sponsor, a<br />

nota fiscal is required.


Best Practices<br />

Your company must be able to provide…<br />

Roles and responsibilities<br />

Engage your experts early<br />

Requirements and capabilities<br />

Assessment and evaluation<br />

Avert risk, rather than risk adverse<br />

Document validation<br />

Build-in redundancy<br />

Intervention options<br />

…or work with a supply<br />

chain partner who can


Q&A<br />

For further Discussion or Work-shops<br />

• Dan Bell – dan.bell@marken.com

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