Importing Medicines 2021 UK Guidance

Responsible Person

From 1 January 2021, a wholesale dealer in Great Britain may only import Qualified Person (QP) certified medicines from the European Economic Area (EEA) if certain checks are made by the ‘Responsible Person (import) (RPi)’. Great Britain is England, Wales and Scotland.

This guidance describes how you can apply to be a RPi, and how to verify that QP certification of a medicine has been done in the EEA.

RPi applications may be submitted through the MHRA Portal from 1 January 2021.

Products which do not require RPi oversight

Medicinal products sourced from Northern Ireland for wholesale purposes are out of scope of this guidance. This is permitted under the supervision of a Responsible Person (RP).

Products with a UK or Great Britain marketing authorisation that are imported into Great Britain from outside the UK without QP certification from a country on the list will require QP certification under a UK manufacturing and import authorisation before being placed on the market.

Products without a marketing authorisation in the UK, Northern Ireland, Great Britain or a listed country are outside the scope of this guidance. Importation of such products is permitted under the supervision of a Responsible Person (RP), with notification to the MHRA of each importation that is for supply to the Great Britain market.

1. Introduction

The RPi is responsible for implementing a system to confirm that the required QP certification has taken place for products that have been imported into Great Britain from countries on an approved country for import list (initially, this will be countries in the EEA). The RPi may delegate the activity of checking QP certification has taken place but remains responsible for ensuring the effectiveness of these checks.

The RPi is required to implement a system for confirming QP certification has taken place when importing into Great Britain the following products from a listed country:

  • A UK or Great Britain licensed medicine for use in Great Britain
  • A UK or Great Britain licensed medicine for supply to another third country
  • A Northern Ireland or approved country licensed medicine for supply to fulfil special clinical needs
  • A Northern Ireland or approved country licensed medicine imported as an introduced medicine for supply to another third country
  • A Northern Ireland or approved country licensed medicine for use as a parallel import

2. What evidence can be used for QP certification

The RPi should ensure that written evidence is available to demonstrate that each batch of product has been QP certified as required in Article 51 of Directive 2001/83/EC.

Not all options listed below may be suitable for different supply chain relationships, however just one of these pieces of evidence is sufficient to satisfy the requirements of regulation 45AA of the Human Medicines Regulations 2012. Other evidence may be acceptable provided it confirms that QP certification has taken place for the batch in question.

2.1 Evidence for Great Britain Wholesale Dealers Licence (WDA(H)) holders importing a UK, Northern Ireland, Great Britain or EEA licensed medicine from a listed country

Batch certification by a QP may be confirmed using evidence such as:

  • Batch certificate confirming QP certification in accordance with Article 51 of Directive 2001/83/EC)
  • A copy of the ‘control report’ (Appendix II to EU Good Manufacturing Practice Annex 16)
  • Statement of certification (ad-hoc, confirming certification in accordance with Article 51 of Directive 2001/83/EC)
  • Reference to company internal systems (e.g. global Enterprise Resource Planning system) that shows batch certification
  • Confirmation that the final manufacturing step (other than batch certification) of an authorised medicine has been performed by a Manufacturing and Import Authorisation holder in a listed country. A copy of the Marketing Authorisation and technical agreement with the manufacturer should be available to place reliance on this supply chain control
  • For medicines authorised in a listed country, batch certification may be verified by confirming that the medicine has been purchased from an authorised wholesaler after it has been ‘placed on the market’ in the listed country

3. Additional guidance

3.1 Supply chain security

Checks on products imported from a listed country should also ensure that the product is not the subject of a recall or reported as stolen and is available on the market within the listed country’s licensed supply chain. Good Distribution Practice (GDP) requirements for supplier qualification set out in GDP 5.2 must be maintained. The MHRA’s supplier verification blog provides additional guidance. Products that have been certified by a QP but have been diverted to countries not within a listed country or Northern Ireland must be imported by the holder of an MIA and recertified by a QP.

3.2 Products imported for parallel import or special need

The RPi should implement a process to confirm the status of the unique identifier for Prescription Only Medicines, if wholesale dealers are importing products:

  • for parallel import
  • for use for special clinical need or introduction

This is required by the EU’s Falsified Medicine Directive.

Products that are supplied as decommissioned must be decommissioned by the final EEA supplier and not at any other point in the supply chain.

3.3 Great Britain WDA(H) holders acting as or on behalf of the UK Marketing Authorisation Holder (MAH)

For Great Britain WDA(H) holders acting as or on behalf of the UK or Great Britain MAH, the expectation is that products have been certified prior to importation. Shipment to Great Britain under pre-certification quarantine is not acceptable for the WDA(H) importation model.

4. Working as a RPi

If you are named as a RPi on a WDA(H) you have an important role in ensuring the safe control of medicines. You have training and an understanding of the industry in order to qualify for the role, where you have the legal responsibility to ensure that batches of authorised medicines imported from countries on a list have been appropriately certified prior to being placed on the Great Britain market.

You will take responsibility for implementing a system for the WDA(H) as a whole. There is no requirement for each site on the WDA(H) to name its own RPi. You do not have to be an employee of the licence holder but must be continuously contactable. Where you are not an employee, there should be a written contract between the licence holder and the RPi specifying responsibilities, duties, authority and time on site.

If you are a contract RPi then you are expected to ensure you do not over extend yourself and apply to act as RPi for too many companies.

5. Becoming a RPi

There are two stages to becoming named as a RPi.

5.1 Eligibility

You must first demonstrate that you are eligible to act as an RPi. This is through a combination of relevant qualifications and experience. It is also expected that you will be a member of a professional body with a published code of conduct. Once eligibility has been assessed and accepted by MHRA, you can be named on a register; the register will be maintained by MHRA and will include all persons eligible to be named as a RPi.

The regulations set out expectations for qualifications, experience and membership of professional bodies.

Qualifications

Acceptable qualifications are a diploma, certificate or other evidence of formal qualifications awarded on completion of a university or other higher education course of study in:

  • pharmacy
  • chemistry
  • medicine
  • biology or
  • a related life science

Equivalent qualifications acceptable for RPi candidates include:

Other qualifications may also be acceptable. These will be checked during the application process. You can check the suitability of your qualifications by email to GDP.Inspectorate@mhra.gov.uk.

5.1.1. Experience

You must be able to demonstrate, for example by providing a curriculum vitae (CV), that you have a minimum of 2 years’ experience in performing the functions of a responsible person on a WDA(H). Evidence of performing other functions, for example a quality assurance role for a pharmaceutical manufacturer, may also be considered equivalent.

5.1.2. Professional bodies

Acceptable professional body memberships are:

  • Royal Society of Biology
  • Royal Pharmaceutical Society
  • Pharmaceutical Society of Northern Ireland
  • Royal Society of Chemistry

Additional bodies that the licensing authority considers to be equivalent for RPi candidates include:

  • The Chartered Institute of Logistics and Transport
  • The Chartered Quality Institute.

Other professional associations may be acceptable. These will be checked during the application process. You can check the suitability of your professional body membership by email to GDP.Inspectorate@mhra.gov.uk.

5.1.3. Qualified Persons acting as RPi

If you are a person named on the Qualified Persons register you will also be eligible to act as a RPi. You must still apply to be named on the RPi register. As an alternative to providing evidence of your qualifications and membership of a professional body you may provide evidence of your QP registration.

5.2 Suitability

You must also demonstrate suitability to be named on a specific WDA(H) licence. At the time of application, MHRA will confirm whether you are named on the register, and check whether your experience is suitable for the proposed licence activity. For example, an eligible RPi without prior experience in parallel importation might not be considered suitable to be named on WDA(H) where the company are importing licensed products for parallel trade.

5.3 Applying to be named as a RPi

RPi applications may be submitted through the MHRA Portal from 1 January 2021.

The Responsible Person (import) (RPi) is described in regulations 45AA and 45AB of the Human Medicines Regulations 2012 (as amended).

This guidance will apply from 1 January 2021.

Published 1 September 2020

Import a human medicine

Guidance for UK wholesalers and manufacturers on how to import human medicines including unlicensed medicines, how to apply for a licence and how much it costs.

Import a licensed medicine

If you want to import a licensed medicine you’ll need to apply for one or more licences:

  • wholesale (also known as a wholesale dealer licence or wholesaler distribution authorisation)
  • manufacturer
  • marketing authorisation (MA)

The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for issuing wholesale and manufacturer licences. MHRA aim to process all applications within 90 working days.

If the human medicine you want to import contains a controlled substance (having or using it is controlled by law) you must contact the Home Office.

Apply for a wholesaler licence

You’ll need to apply for a wholesaler licence if you import medicine from:

  • a country in the European Economic Area (EEA) and then supply it to another country, including the UK
  • a non-EEA country and export it to a non-EEA country

How much you pay depends on the type of application, the number of sites, and how much money you make from sales.

Apply for a wholesaler licence

Apply for a manufacturer licence

You’ll need to apply for a manufacturer licence if you import medicine from outside the EEA or use in the UK or to supply it to an EEA country.

Apply for a manufacturer licence

Apply for a marketing authorisation (MA) licence

You need to have an MA licence before you can sell a human medicine. There are many types of MA licence so the process you need to follow depends on the type of MA licence you need.

Before a medicine can be released to the market, a Qualified Person (QP) named in the manufacturer/importer licence must certify that it has been manufactured and tested according to:

Apply for an MA licence

Site inspections

MHRA will inspect the manufacturing site you use to produce or import the medicine when you’re applying for an MA.

There is a list of GMP-compliant manufacturers available on the EU’s EudraGMDP website.

Import an unlicensed medicine

You can import an unlicensed medicine if:

  • you import it from outside the EEA to export it back to a country outside the EEA (called an introduced product)
  • licensed medicines do not work for the special clinical needs of a patient (called a special product)

Import an introduced product

You must be a licensed wholesale dealer in the UK to import an introduced product.

You can only export an introduced product to a person authorised in the non-EEA country to receive medicinal products for wholesale distribution or supply to the public.

An introduced medicinal product will not have an MA for the UK or another EEA country.

Import a special product

You’ll need to apply for a:

You’ll also need to make a notification of intent to import an unlicensed medicine 28 days before you import it.

Make a notification of intent to import an unlicensed medicine

You must send a completed notification of intent form to MHRA.

Each entry must have the unique reference number you have given it and each unlicensed human medicine should have the short product code.

Send completed notifications to: imports@mhra.gov.uk.

MHRA may object to the import if:

  • there are concerns about the product’s safety or quality
  • there is an equivalent licensed product available that will meet the special clinical needs of the individual patient
  • there isn’t a special clinical need for a patient to have the product

You can import the product if MHRA does not object within 28 days of their acknowledgement letter.

Importers are responsible for ensuring that the products imported comply with the Transmissible Spongiform Encephalopathies (TSE) Regulations.

Importers should look at the guidance on the TSE requirements when importing an unlicensed medicine.

Make an urgent import notification

In cases of clinical emergency (usually the treatment of life-threatening illness or where significant injury is likely) MHRA is able to process an import notification within one working day.

Commercial or other non-clinical reasons aren’t acceptable reasons for urgency.

During office hours you can talk to the import notifications supervisor, by calling 020 3080 7002. If the line is busy, phone 020 3080 6000.

For exceptionally urgent cases that are out of office hours, contact the MHRA duty officer on 07795 641532.

Products the MHRA will not licence for import

There are some products that MHRA do not licence for import. Download information relating to specific products (MS Word Document325KB) (MS Word Document, 325KB) for updates on importing:

  • Cisapride
  • melatonin
  • single component measles, mumps and rubella vaccines
  • subcutaneous immunotherapy (allergy desensitising products)
  • sublingual immunotherapy (SLIT) products
  • supplements from the USA
  • talc preparations for pleurodesis

Fees

Fees are charged annually using a banding system based on the number of notifications you submit. Customers are provided with an estimate early in the financial year, followed by an invoice once all the information for the year is available.

A doctor may make the request to a licensed importer, or to a pharmacist who then places the order with the importer. If a doctor or pharmacist holds their own wholesaler or specials licence, they can make the order themselves.

Fees for safety and quality vetting of unlicensed imported medicines

Number of notifications estimated for coming year Additional sum to be paid with annual periodic fee for manufacturers licence holders and wholesale dealer licence holders £
1-20 130
21-100 519
101-1,000 2,077
1,001-5,000 10,383
5,001-20,000 25,957
20,001-50,000 51,914
50,001-100,000 103,828
100,001+ 155,742

Combination medicines and products, which have two different medicines within one pack, are considered a single notification. Separate packs of different products would require separate notifications.

Contact

For help, email imports@mhra.gov.uk or phone 020 3080 7002.

Published 9 August 2005