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China Pharmaceuticals Guide: New Policy and Regulation

Published by: Urch Publishing

Published: Jun. 1, 2000 - 206 Pages


Table of Contents


EXECUTIVE SUMMARY


PREFACE


1: CHINA'S DRUG ADMINISTRATION SYSTEM

  • Past and present of China's drug administration
    • History
    • Development of the PRC's drug administration institutions
    • Establishment of the State Drug Administration


  • Function and structure of the State Drug Administration
    • Major functions of the State Drug Administration
    • Structure of the State Drug Administration
    • New features of the State Drug Administration
    • Current objectives and tasks for national drug administration


  • Technical support departments of the national drug administration system
    • State Pharmacopoeia Committee
    • National Institute for the Control of Pharmaceutical and Biological Products
    • National Committee for TCM Protection and Evaluation
    • SDA Drug Review Centre
    • SDA Medical Device Products Review and Registration Centre
    • SDA Drug Evaluation Centre
    • SDA Drug Accreditation Centre


  • Establishment of the local drug administration system
    • Principles for the establishment of the local drug administration system
    • Progress in the reorganisation of the local drug supervision agencies


2: DRUG ADMINISTRATION LAW OF THE PEOPLE'S REPUBLIC OF CHINA

  • Legislation on drug administration
    • Significance of the Drug Administration Law
    • The 1999 amendment of the Drug Administration Law
    • Outline of the 1999 Drug Administration Law


  • Approval and registration of drugs
    • Definitions
    • New drugs and the application and approval for production
    • Application and approval for imported drugs
    • Drug standard


  • Licensing system and administration of drug production and sales
    • Major features of the licensing system
    • Definitions
    • Provisions on drug production and sales


  • Provisions on traditional Chinese medicine
    • Principles of TCM regulation
    • Different provisions for TCM as against other types of drugs


  • Legal liabilities provided in the Drug Administration Law
    • Breach of law and legal liabilities
    • Legal liabilities for producing and selling adulterated and inferior drugs
    • Legal liabilities for unlicensed production or sales of drugs
    • Legal liabilities for violating other provisions in the drug production and sales administration
    • Legal liabilities for violation of law by drug administration employees in service


3: ADMINISTRATION OF DRUG REGISTRATION

  • Administration of approval of new drugs
    • Definition and scope of new drugs
    • Classification of new drugs
    • Preclinical investigation of a new drug
    • Clinical investigation of new drugs
    • Application and approval of new drugs
    • Information and data needed for new drug applications
    • Approval of new drugs
    • Trial production of new drugs
    • Quality standards for new drugs
    • Supplementary applications for new drugs
    • Protection of new drugs
    • Technology transfer of new drugs


  • Inspection and approval of generic drugs
    • Definition of generic drugs
    • Conditions and requirements of application for registration
    • Application and approval procedures for registration
    • Documents to be submitted in application for generic drugs


  • Registration and administration of imported drugs
    • Definition and administrative scope of imported drugs
    • Basic requirements for imported drugs
    • Registration procedures
    • Basic requirements for registration applicants
    • Principles of rejection of registration
    • List of documents to be submitted for registration of imported drugs
    • Quality revalidation of imported drugs
    • Clinical investigation
    • Approval and issuing of registration for imported drugs
    • Renewal of the Registration Certificate of Import Drugs
    • Supplementary applications for imported drugs
    • Revalidation of imported drugs
    • Examination of imported drugs
    • Penalties in administration of imported drugs


4: SUPERVISION, ADMINISTRATION AND RE-EVALUATION OF DRUG RESEARCH AND PRODUCTION

  • Supervision and administration of drug research
    • Registration of drug research institutions
    • Application of the GLP accreditation system
    • Adoption of the GCP accreditation system and establishment of bases for clinical drug research
    • Punishment for violations of legislation and regulations


  • Monitoring of pharmaceutical production
    • Administration of licences issued for pharmaceutical manufacturers
    • Administration on licences for self-prepared medication of medical institutions
    • Good Manufacturing Practice (GMP)


  • Administration of drug classification and the National
    • Basic Drug List system
    • Significance and basic principles of administration of drug classification
    • Outline of drug classifications
    • Plan and objectives of drug classification
    • System of National Basic Drugs
    • Adverse reactions and post-market re-evaluation of drugs
    • Administration of drugs for special uses


5: SUPERVISION AND ADMINISTRATION OF DRUG DISTRIBUTION

  • Laws and regulations of drug distribution
    • Administrative measures in drug distribution
    • Administrative penalty procedures in drug supervision
    • Regulations forbidding medical enterprises from attracting non-medical enterprises into the
      business
    • Regulations forbidding cross-province or cross-city subsidiary hospitals from using prepared drugs from their main hospital
    • Regulations forbidding medicine markets to open
    • Regulations forbidding individuals from entering into contracts with medical businesses or enterprises
    • Disposal of drugs in bankrupt enterprises


  • Qualification authentication of drug wholesalers and retailers
    • 'Qualification Authentication of Newly Opened Medical Enterprises'
    • 'Detailed Rules of Wholesale Business Qualification Assessment'


  • Quality management in medical business
    • Good Sales Practice (GSP)
    • GSP authentication management
    • Detailed articles of GSP authentication


  • The Licence to Run Medical Businesses
    • Administration of the Licence to Run Medical Businesses
    • Qualification standard for the renewal of the Licence to Run Medical Businesses


  • Medicine Quality Control and the National Medicine
    • Quality Bulletin
    • Basic structure of the medicine quality control system
    • Production of the National Medicine Quality Bulletin
    • Penalties for unqualified medicines on the National Medicine Quality Bulletin


  • Penalties on counterfeit and poor-quality medicine
    • Procedures of investigation and penalties for counterfeit and poor-quality medicine
    • Responsibilities and divisions of administrative penalty work on counterfeit and poor-quality
      medicines
    • Supervision of TCM material markets
    • Penalties for counterfeit and poor-quality medicines in TCM material markets


  • Examination and administration on medicine advertisements
    • Advertisement Law of the People's Republic of China
    • Measurements of advertisement examination
    • Guidelines for medicine advertisement examinations
    • Other regulations related to medicine advertisement administration and examination


6: ADMINISTRATION OF THE MEDICAL SYSTEM IN CHINA

  • Reform of the Medical Administration System and transformation of its functions
  • Function of the Medical Department under the State
    • Economic and Trade Commission
    • General Affairs Section (or the Enterprise and Institution Reform Section)
    • Planning and Development Section
    • Trade Administration Section


  • Administrative functions delegated to national trade societies and associations
    • National medical trade societies and associations
    • Administrative work delegated to trade associations and societies


  • Reforms on and requirements for function allocation of local medical administration
  • Outline of 'the Ninth 5-year Plan' for the pharmaceutical industry
    • Major economic targets in 'the Ninth 5-Year Plan' for the pharmaceutical industry
    • Phases to reach the economic targets set in 'the Ninth 5-Year Plan' for the pharmaceutical industry
    • Major development areas in 'the Ninth 5-Year Plan'


  • Foreign investment guidance in the medical industry
    • Fundamental policies for foreign investment in the pharmaceutical industry
    • Foreign investment guidance in the medical industry


7: ADMINISTRATION OF THE PRICE OF MEDICAL PRODUCTS IN CHINA

  • Organisation of price administration on medical products at state level
    • State Development Planning Commission
    • Principles of government fixed price and guide price of medical products
    • Formulation of central government fixed price and guide price lists


  • Principles in pricing and price adjustment
    • Principles for government guide price and government fixed price
    • Principles in pricing and price adjustment
    • Principles in the pricing of imported drugs


  • Measures taken in the pricing and price adjustment of drugs
    • Manufacturer's prices of various drugs (TCM materials and herbal decoctions excluded)


  • Prices fixed by enterprises
    • Principles for the market-adjusted pricing of drugs
    • Principles for the pricing of other drugs
    • Discount rate for sales of drugs
    • Registration of drug sales


8: REFORMS TO THE HEALTHCARE SYSTEM IN CHINA AND THEIR IMPACT ON THE PHARMACEUTICAL MARKET

  • Public Medical Care and Labour Healthcare Systems
    • Positive contributions and impact on the pharmaceutical market
    • Main problems


  • Reforms of the medical care system
    • Pilot studies at the 'Two Cities'
    • 'Reforms' extended to 57 cities
    • Range of reimbursable medicines covered by the Public Medical Care System
    • Capping the total expenditure and adjusting its composition
    • Pilot study boosting over-the-counter (OTC) sales


  • Basic Health Insurance System for employees in cities and townships
    • Importance of health insurance as part of the social security system
    • Main features in the Basic Health Insurance System for employees in cities and townships
    • Wide coverage and basic standard
    • Raising and use of funds
    • Drug list of the Basic Health Insurance System for employees in cities and townships
    • Independent accounting and administration of drugs and medical services


  • Co-operative Healthcare System in rural areas
    • Rural areas: the focus of healthcare policies of the Chinese government
    • Co-operative Healthcare System
    • Establishment of healthcare organisations and healthcare personnel teams in rural areas
    • Higher expectations of wellbeing in the countryside
    • Countryside - a new growth area in the Chinese medical economy


  • Objectives for healthcare reform and development
    • Objectives for healthcare development in China
    • Healthcare in China has a long way to go


9: DEVELOPMENT OF THE MEDICAL INDUSTRY IN CHINA

  • Development of the pharmaceutical industry
    • Scope and overview of the pharmaceutical industry
    • Synthetic pharmaceutical industry
    • Traditional Chinese medicine industry


  • Development of the medicine business
    • Distribution model for medicines
    • China's medicine market
    • Prospect of China's medicine market


  • Intellectual property rights of medicines and development of new medicines
    • Development and perfection of protecting intellectual property rights of medicines
    • Research and exploitation of new medicines shifting from imitation to innovation


  • Development of medical education
    • Higher medical education
    • Secondary medical education
    • Continuous education in the medicine trade
    • Emergence and continuation of post-training of employees in the medicine trade


APPENDICES


LIST OF TABLES

  • Table 3.1: Data requirements for application for clinical investigation of new drugs (synthetic)
  • Table 3.2: Data requiremexnts for application for clinical investigation of new drugs (TCM)
  • Table 3.3: Data requirements for application for clinical investigation of new drugs (TCM preparations)
  • Table 3.4: Data requirements for application for clinical investigation of new drugs (TCM materials)
  • Table 3.5: Data requirements for application for clinical investigation of new drugs (TCM preparations)
  • Table 4.1: Adverse drug reaction monitoring centres
  • Table 9.1: Proportion of major synthetic drug types for export 1994-97 (%)
  • Table 9.2: Export of three main bulk drug types (tons)
  • Table 9.3: Output of 24 major chemical medicines in 1997
  • Table 9.4: Output of five major preparation types in 1997
  • Table 9.5: State-approved genetically engineered drugs for production
  • Table 9.6: Productive ability and output of major preparations for traditional
    Chinese medicine in 1997
  • Table 9.7: Gross sales and growth of medicinal commodities before 1978
  • Table 9.8: Gross sales and growth of medicinal commodities from 1978
  • Table 9.9: Sales of medical commodities in China 1953-97
  • Table 9.10: Sales of the four major medical commodities in urban and rural
    areas in China 1979-94


LIST OF FIGURES

  • Figure 1.1: Structure of the State Pharmacopoeia Committee
  • Figure 2.1: Basic rules of DAL - from research and development to post-market
  • Figure 2.2: Issuance of the 'Three Licences'
  • Figure 3.1: General procedure for new drug approval
  • Figure 3.2: Accelerated procedure for new drug approval
  • Figure 3.3: Technology transfer of new drugs - approval procedure
  • Figure 3.4: Application procedures for generic drugs
  • Figure 3.5: Registration and approval procedures for imported drugs
  • Figure 3.6: Quality standard revalidation procedures
  • Figure 3.7: Approval procedures for clinical investigation
  • Figure 3.8: Approval procedures for renewal of drug import registration
  • Figure 3.9: Procedures for examination and ratification of supplementary applications
  • Figure 3.10: Procedures for revalidation of imported drugs
  • Figure 3.11: Procedures for import examination
  • Figure 9.1: Circulation of drugs
  • Figure 9.2: Sales growth of medical commodities, 1978-97
  • Figure 9.3: Urban and rural sales of four major kinds of medical commodities, 1979-94



Abstract

In a unique collaboration China Concept Consulting, the Chinese Information Centre of The State Drug Administration (SDA) and Informa Pharmaceuticals have prepared the China Pharmaceuticals Guide - a definitive reference manual to the regulation of pharmaceuticals in this exciting market.



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