To date, the pharmaceutical industry's primary defence to counterfeiting is to create more sophisticated packaging that makes imitation more difficult, such as packaging involving barcoding and RFID.
The full version of this counterfeiting feature can be read in the July issue of our digital magazine: http://www.pharmtech.com/ptedigital0710
To date, the pharmaceutical industry's primary defence to counterfeiting is to create more sophisticated packaging that makes imitation more difficult, such as packaging involving barcoding and RFID. However, counterfeiters are becoming increasingly sophisticated and this approach ultimately only secures the packaging rather than the product itself. Also, implementing an RFID strategy can be very costly from an operational standpoint because it requires additional manpower and also introduces some technology hurdles that must be overcome before it can be more broadly applied. For example, each individual pallet or package requires an individual RFID chip, which despite decreasing prices, still costs about 7–15 cents. In the case of the Viagra implementation in 2006, Pfizer ultimately spent $5 million on just the pilot phase of their RFID tagging initiatives.1 Additionally, there are also unsettled questions about whether the RF energy used to read the tags may impact sensitive biologics.2
One analytical technique that has gained significant traction in the fight against counterfeits is Raman spectroscopy, which was originally created for use in condensed matter physics and chemistry where it was used to study vibration, rotational and other low-frequency modes in a system. The biggest difference between Raman spectroscopy and RFID is that the former tests the actual drug and/or raw materials, which is important for markets where the product is sold without its original packaging. Raman spectroscopy also accurately identifies chemicals through sealed glass, plastic bottles, plastic bags and blister packs, which means that the operator does not come into direct contact with the substance. This avoids potential contamination and preserves the integrity of any evidence that can be used against counterfeiters.
In recent years, Raman spectroscopy has become available as a lightweight, handheld instrument that can identify even slight differences in drug formulations. This type of instrument can be deployed to authenticate the raw materials and/or finished products on the spot at points throughout the supply chain, including:
The World Health Organisation (WHO) estimates that counterfeit pharmaceutical levels range from less than 1% in the developed world to more than 30% in less developed regions. In less developed countries, there are gaps throughout the supply chain because standards are not as strict as they are in more developed regions. Open markets, where the unauthorised re-sale of medicines often takes place, are also very prevalent in these regions.
Bringing technologies to less developed countries should be a top priority, and these technologies should ideally be portable and easy to use with minimal training, which handheld Raman instruments may be able to offer.
Some countries already have an anti-counterfeiting strategy in place. For instance, Nigeria's National Agency for Food and Drug Administration and Control (NAFDAC) has launched a text messaging service called the Mobile Authentication Service (MAS) that allows anyone in Nigeria to check the authenticity of their medicines. More than 80% of the population in Africa have mobile phones, which makes systems such as these highly accessible to the general public.
In combination with its MAS system, Nigeria is also using our handheld Raman instruments to identify even the slightest difference in drug formulation. After just two weeks of deployments, the instruments had helped authorities seize more than 60000 counterfeit drugs.3 The technology was also used to help NAFDAC intercept a consignment of counterfeit Lonart DS anti-malarial tablets worth 10 million naira.3 Arrests were made in connection with the incident, which sends a clear message to counterfeiters that there will be consequences.
Nigeria's aggressive anti-counterfeiting campaign is now being emulated in other developing countries. For instance, Indonesia's national agency for food and drug control (BPOM) is now using TruScan and others are also evaluating the technology.
Although supply chains in developed regions, such as the EU and the US, are tighter than those in less developed countries, they are still not 100% secure against counterfeiters, which is why it is still necessary for manufacturers in these areas to implement anti-counterfeiting strategies. Counterfeit identification rates will be lower in these regions compared with less developed countries, but every case counts. The biggest risk in these countries lies in medicine purchases made via the internet. As such, it is very important to educate consumers to allow them to better tell whether the medicine they are buying is legitimate. There are little things consumers can do to check the medicine they are taking is authentic, such as checking the seal to confirm it's not broken, reviewing the expiration date and buying medicines only from legal pharmacies.
Another significant risk facing developed countries stems from globalisation. Many businesses outsource the manufacture of drugs or raw materials to foreign countries, which creates the potential for substandard or counterfeit products and ingredients to enter the supply chain. One example of this is the 2008 Heparin incident when it was discovered that Heparin, which is used daily in many hospitals worldwide, was contaminated with a toxic substance. The contamination occurred in China and resulted in hundreds of patient injuries and more than 80 deaths.
The FDA and the European Medicines Agency rely on manufacturers to meet certain standards, but many medicines now have foreign sources beyond the reach of these agencies. This situation will not be resolved unless new policies and regulations are put in place.
Counterfeiters will inevitably focus on products that are easiest to counterfeit, as well as the countries with the least amount of enforcement. The challenge for manufacturers is to keep pace with counterfeiters by making it as difficult as possible for drugs to be copied. This will be achieved by deploying serialisation technologies, such as RFID, as well as chemical identification instruments that can provide a quick "pass" or "fail" analysis of a medicine on the spot.
Duane Sword is Vice President Marketing & International Sales at Thermo Fisher Scientific.
1. RFID Journal, "Pfizer's RFID Pilot Is the Start of Something Big" (2006). www.rfidjournal.com
2. Federal Communications Commission, "Radio Frequency Safety" (2009). www.fcc.gov
3. Thermo Fisher Scientific, "Thermo Fisher Scientific Helps Nigerian FDA Fight Counterfeit and Substandard Pharmaceuticals Using State-of-the-Art Portable Raman Instrument" (2010). www.ahurascientific.com