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Code of Practice
Philippine Copyright 2013
by Pharmaceutical and Healthcare Association of the Philippines
Foreword
Foreword
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
3
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
4
Member’s Pledge
Foreword
As a PHAP Member, I acknowledge our company’s responsibility to adhere to
the Code of Practice in our commitment to operate our businesses ethically
and with
The PHAP integrity.
Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the
I pledge International
to uphold Federation
the Guiding of Pharmaceutical
Principles Manufacturers
of the Code of Practice such as &
Associations
integrity,(IFPMA) and the
transparency, Mexico Cityaccountability
independence, Principles forandVoluntary Codes
patient focus to of
Business Ethics
ensure thatinall
theour
Biopharmaceutical
interactions withSector,.
publicItand
incorporates local requirements
private sectors, healthcare
and practices in relation
professionals, to registration;
medical labeling
institutions and patientand scientific claims
organizations, are atapproved
all times by
the Philippine Food and Drug
ethical, appropriate Administration (FDA).
and professional.
As Delegate, I recognize my role in leading the promotion of the Code of
PHAP and its members are committed to educational and promotional efforts that
Practice among company employees through information and education and
benefitthorough
patientstraining.
as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
_________________________
Company
The ethical promotion of prescription medicines is vital to the pharmaceutical
industry’s mission of helping patients through research and development of new
_________________________
and innovative medicines. Ethical promotion helps__________________
to ensure that HCPs have access
to the Print
rightName of Delegate
information they need and that right Date
patients have access to the right
Signature
medicines at the right time.
-------------------------------------------------------------------------------------------------------
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have PLEDGE
MEMBER’S with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
As a to
activities PHAP Member,
HCPs, I acknowledge
Patient groups andourPatient
company’s responsibility
Organizations and tocomply
adhere to
with
the Code of Practice in our commitment to operate our businesses ethically
applicable legal, regulatory and professional requirements.
and with integrity.
Through the promotion
I pledge to upholdof this
the Code, Principles
Guiding PHAP seeks of to
theensure that
Code of ethicalsuch
Practice promotional
as
practices are established
integrity, and be
transparency, at par with International
independence, accountability Standards
and worldwide.
patient focus to
ensure that all our interactions with public and private sectors, healthcare
professionals, medical institutions and patient organizations, are at all times
ethical, appropriate and professional.
As Delegate, I recognize my role in leadin g the promotion of the Code of
Practice among company employees through information and education and
TEODORO PADILLA
thorough training.
Executive Director
_________________________
Company
_________________________ __________________
Print Name of Delegate Date
Signature
5
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
6
PHAP Board
PHAP ofTrustees
Board of Trustees
Foreword
The PHAP Board of Trustees (BOT) sets the policies for the PHAP Code of Practice. It
has the responsibility of ensuring that all member companies abide by the Code.
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
7
PHAP Board of Trustees
(2013)
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
8
Ethics Committee/
Appeals Board
Ethics Commitee
Ethics Committee
Foreword
While the Board of Trustees sets policies and rules, it appoints an independent body
composed of experts from the academe, business ethics, and the healthcare sector.
To
Theadjudicate
PHAP Codeoverofpossible
Practiceinfractions
adopts intofull
theand
PHAP Codewith
aligns of Practice and dealsCode
the Expanded with of
complaints
Practice offrom
thewhatever source Federation
International they may come.of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
In the context
Business Ethics of transparency,
in the rulings Sector,.
Biopharmaceutical deliberated upon by the
It incorporates localPHAP Ethics
requirements
Committee (EC)
and practices inare madetopublic
relation as theylabeling
registration; are posted in the PHAP
and scientific website.
claims The by
approved
information includes
the Philippine Food andthe Drug
précisAdministration
of the cases and inquiries it handled, the nature of
(FDA).
the complaints, infringements and the corresponding rulings.
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
9
Ethics Commitee
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
10
Appeals Board
Appeals Board
Foreword
In the instance that either the complainant or the accused contests the ruling of the
EC, the issue may then be elevated to the Appeals Board (AB). Decisions by the AB
are absolutely
The PHAP Code final
of and executory.
Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA)
The composition of the and the be
AB shall Mexico
drawnCity
fromPrinciples for Voluntary
an independent Codes of
pool of experts.
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
11
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
12
User’s Guide
User’s Guide
Foreword
The Code o f Practice enumerates the rules falling on the 8 Guiding Principles with
explanatory notes as guides whenever necessary. This copy incorporates all
released
The PHAPcirculars
Code of and the latest
Practice adoptsamendments and modi�ications
in full and aligns and therefore
with the Expanded Code of
supersedes
Practice of allthe
prior rules.
International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
For ease and
Business convenience,
Ethics the Code is rendered
in the Biopharmaceutical Sector,. Itinincorporates
a ring binder format.
local Amended
requirements
sections shall in
and practices be relation
replacedtowith the new guidelines
registration; labeling and and the old claims
scientific ones transferred
approved byto
latter portion
the Philippine Food ofand
the Drug
CodeAdministration
Book. This shall(FDA).
serve as a reference for tracking the
Code of Practice amendment history.
PHAP and its members are committed to educational and promotional efforts that
An expanded
benefit patients“Index”
as wellportion containing
as programs keywords/ phrases
and collaborations that enable
that enhance easier and
the practice of
faster access
medicine. to speci�ic
PHAP throughprovisions
its Code ofofPractice
the Codeseeks
is provided.
to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director June 1, 2013 version
13
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
14
Table of Contents
Table of Contents
Foreword
TABLE OF CONTENTS PAGE PAGE
TABLEfrom
8 Key Principles (As Adopted OF the
CONTENTS
IFPMA) 19 PAGE
8 Key Principles (As Adopted from the IFPMA)
1.0 Code of Pharmaceutical Marketing Practices
The 1.0
PHAP
CodeCode of Practice
of Pharmaceutical adoptsPractices
Marketing in full and aligns with the Expanded
20 Code of
2.0 Medical
Practice of the Information and Claims Federation of Pharmaceutical Manufacturers &
International
2.0 Medical Information and Claims 21
Associations
3.0 Product (IFPMA)
Information and the Mexico City Principles for Voluntary Codes of
Business Ethics
3.0 Product in the Biopharmaceutical Sector,. It incorporates local
Information 27 requirements
4.0 All Promotional/Educational Materials
and 4.0
practices in relation to registration;
All Promotional/Educational Materials labeling and scientific claims
28 approved by
5.0 Mail, Faxes,
the Philippine FoodEmail
andand Text Administration
Drug Messages (FDA).
5.0 Mail, Faxes, Email and Text Messages 31
6.0 Competitions and Raffles
PHAP 6.0 Competitions and Raffles
and its members are committed to educational and promotional 32 efforts that
7.0 The Use of the Internet for Pharmaceutical Information
benefit patients as well as programs and collaborations
7.0 The Use of the Internet for Pharmaceutical Information that enhance
32 the practice of
8.0 Medical Representatives/ Professional Service Representatives
medicine. PHAP through its Code of Practice seeks to preserve the33 independence of
8.0 Medical Representatives/ Professional Service Representatives
the decisions
9.0 Product taken
Samplesby healthcare professionals (HCPs) in prescribing medicines to
9.0 Product Samples
patients. 33
10.0 Exhibit Booths
10.0 Exhibit Booths 34
The 11.0 Continuing Medical Education
ethical promotion of
11.0 Continuing Medical Education
prescription medicines is vital to the34pharmaceutical
industry’s mission
12.0 Medical of helping Activities
Society-Sponsored patients through research and development of new
12.0
and 13.0 Medical Society-Sponsored
innovative medicines. Activities
Ethical promotion helps to ensure that HCPs 38 have access
Independence of Healthcare Professionals
to the right
13.0 information
Independence they need
of Healthcare and that right patients have access
Professionals 39 to the right
14.0 Clinical Studies and Related Activities
medicines at the right time.
14.0 Clinical Studies and Related Activities 41
15.0 Patient Organizations
15.0 Patient Organizations
Industry relationships with HCPs must support, and be consistent 43 with the
16.0 Communications with the General Public
professional responsibilities they
16.0 Communications with the General Public have with their patients.45Pharmaceutical
companies mustCard
17.0 Discount maintain high ethical standards in the conduct of promotional
Guidelines
17.0 Discount
activities to HCPs, Card Patient
Guidelines 47
18.0 Administration of the Codegroups and Patient Organizations and comply with
applicable legal, regulatory
18.0 Administration and professional requirements.
of the Code 48
19.0 Complaints and Handling Procedures
19.0 Complaints and Handling Procedures 48
Through the promotion
20.0 Compliance of this Code, PHAP seeks to ensure that ethical promotional
Procedures
20.0 Compliance
practices are Procedures
established and be at par with International Standards 52
worldwide.
21.0 Amendments
21.0 Amendments 52
TEODORO PADILLA
Executive Director
15
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
16
Index
Index
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
17
Foreword
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
the Philippine Food and Drug Administration (FDA).
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
companies must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
applicable legal, regulatory and professional requirements.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
TEODORO PADILLA
Executive Director
18
Code of Practice
PHAP CODE Explanatory Notes
Foreword
PHAP Guiding Principles On Ethical Conduct
and Promotions
The following
The PHAP CodeGuiding Principlesadopts
of Practice set outinbasic
full and aligns with the Expanded Code of
standards of
Practice thatthe
applyInternational
to the conductFederation
of PHAP of Pharmaceutical Manufacturers &
Member Companies and their agents. This helps
Associations (IFPMA)
ensure that their andwith
interactions thestakeholders
Mexico City Principles for Voluntary Codes of
Business Ethics in the Biopharmaceutical Sector,. It incorporates local requirements
are appropriate.
and practices in relation to registration; labeling and scientific claims approved by
The healthcare
the Philippine Food andand Drug
well being of patients (FDA).
Administration
are the first priority for pharmaceutical
companies.
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well
Pharmaceutical as programs
companies and collaborations that enhance the practice of
will conform
medicine. PHAP
to high throughofitsquality,
standards Code safety
of Practice
and seeks to preserve the independence of
efficacytaken
the decisions as determined
by healthcare by regulatory
professionals (HCPs) in prescribing medicines to
authorities.
patients.
Pharmaceutical companies’ interactions
The ethical promotion must
with stakeholders of prescription
at all times bemedicines is vital to the pharmaceutical
ethical,
industry’s appropriate
mission and patients
of helping professional.
through research and development of new
Nothing should
and innovative be offered
medicines. or provided
Ethical by helps to ensure that HCPs have access
promotion
a company in a manner or on conditions
to the right
that would have an inappropriate right patients have access to the right
information they need and that
medicines at thetoright
influence time.
ensure the independence of
the Healthcare Professional (HCP).
Industry relationships with HCPs must support, and be consistent with the
Pharmaceutical companies are
professional responsibilities they have with their patients. Pharmaceutical
responsible for providing accurate,
companies must maintain high ethical standards
balanced, and scientifically valid data on in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
products.
applicable legal, regulatory and professional requirements.
Promotion must be ethical, accurate,
balanced and must not be misleading.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
Information in promotional materials must
practices are established
support and be at
proper assessment of par
the with
risks International Standards worldwide.
and benefits of the product and its
appropriate use.
19
committed to the transparency of industry
sponsored clinical trials in patients.
20
implementation of the Code and its implementing
guidelines. He or she shall ensure that all
company employees and the company’s external
advertising and/or public relations and
Foreword
promotional/ detailing agencies are conversant
with the PHAP Code. Press releases fall under
this provision. (Refer to GUIDELINES ON
COMMUNICATION OF PRESCRIPTION
The PHAP Code
PRODUCTS of Practice
TO THE GENERALadopts in full- and aligns with the Expanded Code of
PUBLIC
Practice 1.)of the International Federation of Pharmaceutical Manufacturers &
Appendix
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
1.4 Exclusions
Business Ethics inofthe
theBiopharmaceutical
Code Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
This Code does not seek to regulate the following
the Philippine Food and Drug Administration (FDA).
activities:
Promotion
PHAP and/ its
advertising
members / detailing of over - the-
are committed to educational and promotional efforts that
counter products astowell
benefit patients theastrade and and
programs public.
collaborations that enhance the practice of
However, PROVISIONS OF THIS CODE APPLY
medicine.
TO HCPs. PHAP through its Code of Practice seeks to preserve the independence of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
patients.or other trade terms for the supply of
*Pricing
pharmaceuticals products.
The ethical promotion of prescription medicines is vital to the pharmaceutical
2.0 MEDICAL INFORMATION AND
industry’s mission of helping patients through research and development of new
CLAIMS
and innovative medicines. Ethical promotion helps to ensure that HCPs have access
to the
2.1 right information they need and that 2.1
Responsibility right patients have access to the right
medicines at the right time. This responsibility relates not only to the
It is the responsibility of companies, their product being promoted but also to any
employees and their medical/technical advisers information given or claims made about other
Industry
to ensure thatrelationships
the contents ofwith HCPs must
all promotional and support,
products orand be consistent
disease with theIt
states or conditions.
professional
medical responsibilities
claims are they correct
balanced, accurate, have with theirto patients.
also applies tag lines andPharmaceutical
their ability to be
and fully supported
companies by the Product
must maintain high Information, substantiated.
ethical standards in the conduct of promotional
literature
activitiesor to “Data on File”
HCPs, or appropriate
Patient groupsindustry
and Patient Organizations and comply with
source, where these do not conflict with the It is fundamental that any claim made must
applicable
Product legal, regulatory and professional requirements.
Information. be consistent with the FDA approved
information sheet (package inserts) and
Through the
Activities of promotion of this Code, PHAP
company representatives and seeks to ensure
recognized that
current ethical
scientific promotional
papers.
company
practices are advertising and and
established PR be / at
Detailing
par with/ International Standards worldwide.
Promotional agencies shall comply with the
PHAP Code at all times. (a) All data to substantiate claims must
be easily retrievable so that they can be
2.2 Provision of Additional Information supplied upon request within 10 working
days.
Upon written request, the member company will
provide additional accurate and relevant (b) Evaluated data contained in an
TEODORO PADILLA
information about products being marketed to application for marketing may be used to
Executive Director
HCPs. substantiate claims. Such data must be
made available when the company is
All data cited in promotional materials in support requested to substantiate a claim. A
of a claim must be provided within 10 working statement that the data are “Confidential” will
days upon request. Substantiating information not be accepted.
must not rely solely on “data on file”; the
company must have it available upon request. (c) If the information on which a claim is
based may not be released (e.g., an “in
21
2.2.1.Provision of Substantiating Data press” article which is subject to
confidentiality provisions), then that
In addition to the information supplied or information MAY NOT BE USED TO
generally available, a company will, upon SUBSTANTIATE A CLAIM for purposes of
reasonable request, provide healthcare satisfying this section.
professionals with additional accurate and
relevant information about the products, which it (d) Papers cited as “in press” must have
markets, and about the company itself. been accepted for publication and are
available as final approved manuscripts or in
Data in support of a claim, including “data on file” proof form. Papers submitted for publication
or “in press,” MUST BE MADE AVAILABLE and not yet accepted by a journal may be
without delay upon reasonable request even identified only as “unpublished data”,
though the material is not generally available to “personal communication”, “unreferenced
the medical community. data “or similar terms.
2.2.2 Level of Substantiating Data (e) Data relating the cost effectiveness of a
product may be used to substantiate
Any information used to support a medical or promotional claims; however, these data
promotional claim must include sufficient detail must conform with Sections 2.1.2.2., 2.3, 2.5
and be of adequate quality to allow evaluation of and 2.7 of this Code.
the validity of results and hence the claim. Such
substantiating information must not rely solely on In determining whether sufficient evidence is
“data on file” but must be supported by a available to support a claim, companies
Recognized scientific published article. should have regard to issues such as, but not
limited to, the study design, the number of
patients, the location of any trial or study, its
primary purposes and end points, the results,
the reputation and qualifications of the
people involved in the study or trial, the
study’s consistency with the current body of
evidence and where (e.g., peer-reviewed
journal or professional journal) or if it has
been published.
22
2.3 Accurate Scientific Claims
2.3.1
PHAPUnapproved productsare
and its members andcommitted
indicationsto educational
2.3.1 and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
Products that have not been approved for The majority of breaches of the Code found
medicine. PHAP
registration by thethrough its Code
FDA cannot be of Practice concern
promoted. seeks to preserve the independence
this section. The following areof
the decisions
However, taken
samples by healthcare
of unapproved professionals
products may examples(HCPs) of in prescribing
situations medicines
wherein to
materials
patients.
be displayed and educational material made may breach the Code. This list is not all-
available at International Congresses and inclusive and is based on the experience of
Regional Congresses in accordance with Section the Ethics Committee.
The ethical promotion of prescription medicines is vital to the pharmaceutical
9. This restriction also applies to unapproved
industry’sformission
indications of products.
registered helping patients through(a) research
Literature and development
references of new
or quotations
and innovative medicines. Ethical promotionderived helps to ensure
from a study that HCPs have
or studies access
and citations
to the right information they need and that of individual
right patients opinions,
have which
accessaretosignificantly
the right
medicines at the right time. more favorable or unfavorable than have
been demonstrated either within the study,
or more likely from the body of experience.
Industry relationships with HCPs must support, and be toconsistent
It is unreasonable with ofthe
cite the results an
professional responsibilities they have with their favorable
excessively patients. Pharmaceutical
(or excessively
companies must maintain high ethical standards unfavorable to aconduct
in the comparative product) study
of promotional
activities to HCPs, Patient groups and Patient in a manner that
Organizations misleadingly
and comply suggests
with
that those results are typical.
applicable legal, regulatory and professional requirements.
(b) Information or conclusions from a study
Through the promotion of this Code, PHAP seeksthat istoclearly
ensure that ethical
inadequate promotional
in design, scope or
conduct to furnish
practices are established and be at par with International Standards port for such
sup-worldwide.
information and conclusions.
23
data are used a prominent statement
identifying this type of data and
acknowledging that such data do not
necessarily predict clinical effects must be
made on the same page and within
reasonable proximity to the data in a
manner that is not obscured by other
material.
24
2.4 Good Taste
June 1,
June 1, 2013
2013 version
version
25
Where a claim of comparative efficacy or
safety is made, it must not be based solely
on a comparison of Product Information
documents that do not reflect the general
literature, as those documents are based on
different databases and are not directly
comparable. This applies to Philippine as
well as overseas Product Information
documents.
26
that video, since such as a situation would
imply endorsement.
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
2.10 Distinction
Practice of theof Promotional Material
International Federation 2.10
of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Promotional material and advertisement must be Advertisement in a journal should not be
Business Ethics
identified as such.in the Biopharmaceutical Sector,. It incorporates
designed local requirements
to resemble editorial matter unless
and practices in relation to registration; labeling
clearlyand scientific
identified claims
as an approvedSee
advertisement. by
the
3.0 Philippine Food and Drug Administration also
PRODUCT INFORMATION (FDA).Section 4.3.
27
name and ad- dress of manufacturer(s) and
importer(s).
28
Appendix 1.)
June 1,
June 1, 2013
2013 version
version
29
never to individuals.
30
situation upon completion of the presentation.
Industry
5.1 relationships with
These communications HCPs with
must comply mustall support, anddoctors
“Consult your be consistent with
regarding the use the
and
relevant provisions
professional of the Code.
responsibilities they have with benefitstheir
and patients.
risk of thisPharmaceutical
drug for your
companies must maintain high ethical standards condition”
in the conduct of promotional
5.2 These communications should be sent only to
activities to HCPs, Patient groups
those categories of healthcare professionals and Patient Organizations
2. Abridged product and comply
information with
must be
applicable
whose needlegal,
for, regulatory
or interest and professional
in, the particular requirements.
printed in the Ad or a package insert
information can be reason- ably assumed. included in the publication. In the US,
Requests
Through the to promotion
be removedof this
from Code,
promotional
PHAP seeks to some prescription
ensure drug promotional
that ethical products are
mailing lists must be complied with promptly, and advertised in mass-circulated
practices are established and be at par
no name should be restored except upon specific
with International Standards
magazines like VOGUE
worldwide.
re- quest or with written permission.
The package insert is included in the
5.3 Mailing lists should be kept up-to-date. advertisement. Also, no. 1 statement is
included.
5.4 Exposed mail, including postcards,
envelopes, and wrappers, must not carry matter 3. Limit the circulation to doctors and
TEODORO
that might bePADILLA
regarded as advertising to the healthcare providers.
Executive
general Director
public or that could be considered
unsuitable for public view.
31
6.0 COMPETITIONS AND RAFFLES
Competitions must fulfill all of the following
criteria:
32
the general public.
33
9.2.1 Initiate therapy; and/or
34
and/or to pro- vide scientific or educational
information.
35
Sponsorship of the HCP must be limited to travel
to and from the venue and accommodation for
the duration of the scientific event with a
maximum of an additional two (2) days only.
Sponsorship of side trips of the HCP is
unacceptable.
36
11.7 Limits of Hospitality 11.7
Events
11.9 Company-Sponsored CME
TEODORO
11.9.1 PADILLA
Overseas
Executive Director
Pharmaceutical companies sponsoring doctors
overseas (Central America, USA, Australia,
Japan and Europe) company meetings may
sponsor no more than seven (7) doctors per
event. At a level above this, the rationale of an
overseas meeting vs. an in-country meeting is
highly questionable.
June
June 1,
1, 2013
2013 version
version
37
11.9.2 Regional
Pharmaceutical companies may sponsor no
more than twelve (12) HCPs to regional company
scientific meetings. Regional events are
described as those held in ASEAN countries,
Hong Kong, Taiwan, China, and Korea.
11.9.3 Local
Local company-sponsored CME events must be
held in business accommodation locations, and
not in primarily resort locations.
38
sponsorship is on a modest scale and does not
involve star talent that would attract public
attention.
Foreword
13.0 INDEPENDENCE OF HEALTHCARE 13.0
PROFESSIONALS
The PHAP Code of Practice adopts in full and aligns with
Sponsorship the Expanded
of employees of a Code
Memberof
Practice
No financialofbenefit
the International
or benefit-in-kindFederation of Pharmaceutical
(including company Manufacturers
in any sports activity &
is not allowed.
Associations
grants, (IFPMA) and
scholarships, the Mexico
subsidies, support,City Principles for Voluntary Codes of
consulting contracts
Business Ethics or educational
in the or practice-
Biopharmaceutical Sector,. It incorporates local requirements
related items) may be provided or offered to a
and practices in relation to
healthcare professional in exchange for
registration; labeling and scientific claims approved by
the Philippine Food
prescribing, and Drug Administration
recommending, purchasing, (FDA).
supplying or administering products or for a
commitment
PHAP and its to continue
members to are
do so. Nothing may
committed to educational and promotional efforts that
be offered
benefit or provided
patients as well in a manner and
as programs or on
collaborations that enhance the practice of
conditions that would inappropriately influence on
a healthcare professional’s prescribing practices. seeks to preserve the independence of
medicine. PHAP through its Code of Practice
the decisions
Gifts of any kindtakenfor by
thehealthcare professionals
personal benefit of (HCPs) in prescribing medicines to
patients. professionals are not allowed,
healthcare
irrespective of value, kind or occasion. The only
exceptions are as follows:
The ethical promotion of prescription medicines is vital to the pharmaceutical
industry’s
13.1 mission
Equipment, tools,ofdevices,
helpingcomputers
patients andthrough research and development of new
and innovative
educational medicines.
materials Ethical promotion
may be donated or loaned helps to ensure that HCPs have access
to
to medical training
the right institutions
information andneed
they hospitals,
and but
that right patients have access to the right
not to individuals.
medicines Clinics
at the right of doctors are not
time.
considered institutions. Items for donation must
have direct use in medical care and diagnosis.
Industry relationships
Examples of these arewith ECGHCPs must support, and be consistent with the
machines,
professional x-ray
stethoscopes, responsibilities
machines/films, they have with their patients. Pharmaceutical
scanners,
and other diagnostic
companies must maintain equipment. Business
high ethical standards in the conduct of promotional
machines
activities toandHCPs,appliances,
Patient communications
groups and Patient Organizations and comply with
equipment (such as fax machines, pagers and
applicable
cellular legal,furniture,
phones), regulatory andand
air professional
conditioners requirements.
are not allowed as donations.
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
Items of medical
practices utility may and
are established be offered for with
be at par free International Standards worldwide.
provided that such items are of modest value and
are beneficial to the provision of the medical
services and for patient care. Medical books as
well as subscriptions to medical journals may
also be offered free of charge. Medical books
must be given directly to the healthcare
professional, and subscriptions to journals must
TEODORO
be PADILLA
in the name of the healthcare professional.
Executive Director
GIFTS
13.2 On Christmas, gifts of moderate value may 13.2 Flowers for funerals can only be
be given to HCPs even if these gifts are allowed in the death of a healthcare
unrelated to the practice of medicine, as long as professional.
the retail price is not more than P1500.00. (to be
39
removed) A fundamental principle guiding the Code is
the preservation of the independence of the
Cultural Gifts, including gifts during Christmas decisions taken by HCPs in prescribing
shall not be allowed. medicines to patients. This is particularly
important in light of the need to assure the
Flowers for funerals can only be allowed on the public that company resources are not, in
death of an HCP. They are not allowed on any way, being used to influence HCPs’
occasions of death of any family member of a prescribing practices.
healthcare professional.
Therefore, pharmaceutical companies should
not offer any thing of value to HCP’s that may
be construed by the HCP or the public as
exerting undue influence or otherwise
reducing the HCP’s independence.
13.3 Hospitality & Meals 13.3 Tactical activities refer to the day-to-
day activities of Medical Representatives,
Meals with HCPs which include:
Meetings with HCPs
Member-companies are required to establish cap Small group presentations
amounts for hospitality and meals. A robust Focus group discussions
monitoring and control system must be in place Product group discussions
to ensure the implementation and adherence to Other hospital-based activities.
the said cap.
What is the meal cap for tactical activities
For tactical activities carried out by Medical by Medical Representatives?
Representatives, the amount spent should not
exceed the cap set in the Code. This amount is The meal cap is P1500/person.
subject to periodic review by member companies.
Hospitality & Meals
40
This may be viewed as a circumvention of
the cap imposed by PHAP. Thus, PHAP
Foreword
encourages companies to set up policies and
processes that will not allow the use of
private funds by employees to engage in
activities
The PHAP Code of Practice adopts in full and alignsthat arethe
with notExpanded
allowed under
Code the
of
Code.
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business
14.0 Ethics
Clinical in the
Studies andBiopharmaceutical
Related Activities Sector,.
14.0 It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
This section covers
the Philippine theand
Food conduct
DrugofAdministration
investigators’ In particular, cash gifts or equivalents are
(FDA).
meetings and presentations related to clinical completely not acceptable. Considered cash
trials and sponsored by pharmaceutical equivalents are gift certificates, prepaid cell
PHAP andheld
companies its locally
members are committed
or outside the country. to educational and
phone loads, promotional
gasoline cards, andefforts
the like.that
benefit patients as well as programs and collaborations that enhance the practice of
14.1 ClinicalPHAP
medicine. trialsthrough
are scientific
its Code of Practice How
investigations seeksdoes one ensure
to preserve thetransparency
independence in the
of
using valid study designs conducted according to conduct of Clinical trials?
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
protocols or study descriptions approved by the As stated in FDA Circular (2012-007) which
patients.
FDA and a duly established independent discusses the role of ethical boards on the
institutional review board or Ethics Committee. conduct of Clinical Trials on Investigational
The ethical promotion of prescription medicines researchis on vital
Medicinal products.
to the The General
pharmaceutical
14.1.1 Any mission
industry’s type of clinical studypatients
of helping or research Objectives
through researchsection,
and as well as in itemof5 new
development of its
program involving humans (pre- and post- Implementing Guidelines mandate the
and innovative
authorization,
medicines.
interventional
Ethicaland
promotion helps to ensure that HCPs have
non- registration of all research activities to a
access
to the right information
interventional) they need
must be conducted and that national
in compliance right patients have
registry to wit: access to the right
medicines
with at the right
the principles time.
of Good Clinical Practice as o “C. Mandatory Inclusion of
laid down in the Declaration of Helsinki. Clinical Trials in the
Industry relationships with HCPs must support, and Philippine be consistent Trial with
Registry.
the
14.1.2 All such studies must address meaningful All Clinical Trials are to be
professional responsibilities they have
medical or scientific topics, e.g. the clinical profile with their patients. Pharmaceutical
uploaded in the Philippine
companies
of a product suchmustasmaintain high ethical
safety, efficacy, standards in the Clinical
modes of conduct TrialofRegistry.
promotional
activities
action or toperformance
HCPs, Patient groups
related to and
otherPatient Organizations
o It is theand comply of
responsibility with
the
treatments.
applicable legal, regulatory and professional requirements. Study sponsor to upload
information related to the
14.1.3 The well being, personal integrity and clinical trial it is conducting to
Through
privacy the promotion
of participants must of this Code,
always PHAP seeks to ensurethe
be of highest that ethical promotional registry
practices
priority. Theareinformed
established anddocument
consent be at par must
with International Standards worldwide.
(http://registry.healthresearc
appropriately convey all relevant aspects of the h.ph) 30 days after the
study to potential subjects. application to conduct the
clinical trial has been
14.1.4 Studies in humans must not have the granted.
promotion of products as their purpose. Its o Specific provisions in the
implementation cannot be used as disguised publication of Clinical trial
promotions.
TEODORO PADILLA results are indicated from
Executive Director items 18 to 20, pages 52 –
14.1.5 The details of conducting and financing 53 of the PNHRS National
studies must be set out in a written contract. Ethical Guidelines for Health
Sponsor Company will only pay remuneration to Research 2011
HCPs, which reflect fair market value for study-
related activities. Published data derived from clinical
trials/studies may subsequently be
14.1.6 All clinical trials, once approved for translated into tools for marketing or
implementation by the FDA, shall be uploaded promotional activities.
into the Philippine Clinical Trial Registry as
June 1,
June 1, 2013
2013 version
version
41
required under local regulations.
14.7 PMS
14.8 HONORARIA 1
14.8.1 HCPs may be engaged as consultants 14.8.1 Please refer to Table 1 for a list of
and advisors for services such as speaking at recommended honoraria rates for Philippine-
and/or chairing meetings and events, based HCPs.
involvement in medical/scientific studies, clinical
trials or training services, participation at advisory For foreign HCP speakers, member
board meetings, and participation in market companies must comply with the applicable
research where such participation involves regulations in speaker's home country.
remuneration.
42
The arrangements that cover these genuine
consultancies or other services must, Foreword
to the
extent relevant to the particular arrangement,
fulfill all the following criteria:
TheA PHAP
(a) contractCode of Practice
or agreement must adopts in that
be in place full and aligns with the Expanded Code of
Practice the
specifies of thenatureInternational
of the services Federation
to be of Pharmaceutical Manufacturers &
provided
Associationsand the basis for
(IFPMA) andpayment of thoseCity Principles for Voluntary Codes of
the Mexico
services.
Business Ethics in the Biopharmaceutical
(b) A legitimate need for the services must be
Sector,. It incorporates local requirements
and practices
clearly identified in
andrelation to registration; labeling and scientific claims approved by
documented.
theThe
(c) Philippine Food
criteria for and Drug
selecting Administration
consultants must be (FDA).
directly related to the identified need and the
consultants
PHAP and must have the expertise
its members necessarytotoeducational and promotional efforts that
are committed
provide the service.
benefit patients as well as programs
(d) The number of consultants engaged must andnot
collaborations that enhance the practice of
medicine.
be greaterPHAP thanthrough its Codereasonably
the number of Practice seeks to preserve the independence of
the decisions
necessary takenthe
to achieve byidentified
healthcare
need.professionals (HCPs) in prescribing medicines to
(e) The hiring of the consultant to provide the
patients.
relevant service must not be an inducement to
prescribe, recommend, purchase, supply, and/or
The ethical
administer any promotion
medicine. of prescription medicines is vital to the pharmaceutical
industry’s
(f) mission offorhelping
The compensation patients
the services must through
be research and development of new
and innovative
reasonable medicines.
and reflect the fairEthical
marketpromotion
value of helps to ensure that HCPs have access
the services
to the rightprovided.
information For they
honorarium paid that
need and for right patients have access to the right
services to be rendered locally, member
medicines at the right time.
companies should take into consideration certain
criteria, including but not limited to:
Industry relationships with HCPs must support, and be consistent with the
Nature responsibilities
professional of services (speaker, chair, with their patients. Pharmaceutical
they have
moderator,
companies must etc.)
maintain high ethical standards in the conduct of promotional
therapeutic area of expertise
activities to HCPs, Patient groups and Patient Organizations and comply with
Experience level/qualification of HCP
applicable legal, regulatory and professional requirements.
engaged
number of HCPs in same level of
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
expertise
Complexity
practices of the subject
are established and matter
be at par with International Standards worldwide.
Duration of event
Number of event participants
43
those that are not on therapy but could benefit by constitutive documents (articles of
such (e.g. vaccines, or those at risk but not yet incorporation, declaration of membership,
on therapy) credo or similar documents.), on
organizational objectives, financial
15.1.3 Patient Support Programs statements, etc.
Programs that involve interaction with patients, Companies may impose as an additional
including patient education, or programs to requirement registration with a government
ensure patient compliance and adherence agency (e.g., Securities and Exchange
Commission) or recognition by another
formal group like the Philippine Medical
15.2 Interactions with Patient Organizations Association.
15.2.4 Events
44
supporting better healthcare and not for purposes
of promotion. Careful consideration needs to be
made about the appropriateness, language and
Foreword
style of communication. Therapeutic decisions
must be made by HCPs only.
The PHAP Code of Practice adopts in full and aligns with the Expanded Code of
15.3 Disease awareness programs
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations
Any (IFPMA) and
disease awareness the Mexico
programs must beCity Principles for Voluntary Codes of
accurate,
Business balanced and Biopharmaceutical
Ethics in the materials should be Sector,. It incorporates local requirements
written in appropriate
and practices language
in relation for the public.
to registration; labeling and scientific claims approved by
The purpose of such programs is to enhance
the Philippine
public awarenessFood
of and Drug Administration
diseases, to encourage (FDA).
members of the public to seek treatment for their
PHAP andand
symptoms its thereby
members saveare committed
and/or improve to
theeducational and promotional efforts that
lives of patients
benefit patientswhile not as
as well promoting the and
programs use of
collaborations that enhance the practice of
any specific product.
medicine. PHAP through its Code of Practice seeks to preserve the independence of
the decisions
15.4 takenPrograms
Patient Support by healthcare professionals (HCPs) in prescribing medicines to
patients.
Patient Support Programs (“PSPs”) should have
clear objectives,
The ethical and should
promotion maintain HCP
of prescription medicines is vital to the pharmaceutical
independence and protect the rights and privacy
industry’s mission of helping patients through research and development of new
of the participants. PSPs must not be designed or
and innovative
used to encourage medicines.
the use Ethical promotion
of products in a helps to ensure that HCPs have access
to the right
manner information
that is inconsistent they
with need and that right patients have access to the right
the approved
product
medicines labeling
at the(e.g.,
rightno targeting of patient
time.
populations outside of the approved product
label). All PSPs must comply with applicable laws
Industry
and relationships
regulations withrelating
(including laws HCPs tomust
data support, and be consistent with the
professional
privacy, responsibilities
drug safety reporting, drugthey have with their patients. Pharmaceutical
advertising
companies
laws, etc.). must maintain high ethical standards in the conduct of promotional
activities to HCPs, Patient groups and Patient Organizations and comply with
15.5 Patient Information
applicable legal, regulatory and professional requirements.
All safety data processing and reporting
Through the
obligations mustpromotion
be fulfilled.ofPatient
this Code, PHAP seeks to ensure that ethical promotional
or caregiver
data must are
practices only be collected
established andandbe atused and International Standards worldwide.
par with
disclosed in accordance with applicable privacy
laws and all notice and other privacy
requirements must be met. Companies must be
transparent, clear and unambiguous with patients
or patient caregivers about the collection of the
data and how it will be used. All required
consents
TEODOROmust be obtained and only the
PADILLA
minimum amount of data needed for the
Executivepurposes
disclosed Director should be collected and
retained for only as long as needed to achieve
the disclosed purpose.
45
GENERAL PUBLIC: Appendix 1.)
46
16.9 Patient Aids
Once a decision to prescribe a product has been
made, patient aids that are solely intended to
Foreword
provide information for the patient may be
product-specific. The content of such material
must be designed to assist patient compliance by
The PHAP
providing Code ofthat
information Practice
clarifiesadopts in full
the method of and aligns with the Expanded Code of
Practice
the of the International
administration, precautions, and Federation
special of Pharmaceutical Manufacturers &
instructions.
Associations Patient
(IFPMA) aidsandmustthe not makeCity Principles for Voluntary Codes of
Mexico
comparisons or include promotional claims. To
Business Ethics in the Biopharmaceutical
ensure compliance, patient aids must be
Sector,. It incorporates local requirements
and practicesbyin relation
administered to registration;
the appropriate labeling and scientific claims approved by
healthcare
the Philippine Food and Drug Administration (FDA).
professional.
16.10
PHAP The tonemembers
and its of material
are must not cause
committed to educational and promotional efforts that
unnecessary alarm or misunderstanding nor must
benefit patients as well as programs
it cause unfounded hopes of successful and collaborations that enhance the practice of
medicine.toPHAP
treatment through
stimulate itsfor
demand Code of Practice
prescription of seeks to preserve the independence of
the
a decisions
particular taken by healthcare professionals (HCPs) in prescribing medicines to
product.
patients.
17.0 Discount Card Guidelines
The ethical promotion of prescription medicines is vital to the pharmaceutical
industry’s
PHAP mission
recognizes that of helping
patients patients
benefit through research and development of new
from cash
and innovative
discounts medicines.
and that discountEthical promotion
programs allow helps to ensure that HCPs have access
access to cheaper
to the right medicines
information for need
they more and
Filipino
that right patients have access to the right
patients. On the other hand, the independence
medicines at the right time.
of healthcare professionals must be maintained
such that no financial benefit or benefit-in-kind
Industry
may relationships
be provided withto HCPs
or offered must support, and be consistent with the
a healthcare
professional
professionalin responsibilities
exchange for prescribing
they have or with their patients. Pharmaceutical
recommending
companies must the product.
maintain high ethical standards in the conduct of promotional
activities
Also, to HCPs,must
such programs Patient groups
encourage and Patient Organizations and comply with
appropriate
applicable
use legal, regulatory
for pharmaceutical andbyprofessional
products supporting requirements.
the qualified oversight by healthcare
professionals over the of prescribing
Through the promotion this Code, PHAPand seeks to ensure that ethical promotional
medication process.
practices are established and be at par with International Standards worldwide.
1. Cash discounts through coupons or e-
cards must be channeled through the
physician and backed up by prescription.
No such discount card or coupon can be
given directly to the patients.
2. Under no circumstances should the
TEODORO PADILLA
physician be compensated nor benefit
Executive
fromDirector
the discounts.
3. Discount programs should be non-
discriminatory. It must be made
available to any or all physicians who
may wish to pass them to the patients.
4. Discount schemes should not be
advertised in any form, including the
display of posters and/or leaflets in the
doctor’s clinic.
5. Discount cards cannot be tied to sales
47
promotion, raffles or promise of a reward
that may encourage self-medication,
e.g., requiring a minimum purchase
before the discount can be claimed.
6. Discount card and doctor’s letter to the
patient should only specify generic name
and not brand/trade name.
7. The company name may be featured on
the card.
48
complaint is being made (section
and paragraph number).
June 1,
June 1,2013
2013version
version
49
19.4 Notice
19.5 Response
The Letter to Respondent shall indicate the time
within which a response must be made which
shall be no more than fifteen (15) working days
from Respondent’s receipt of the document. No
extension of time shall be granted.
19.6 Resolution
Cases shall be decided within thirty (30) working
days from receipt of Respondent’s reply, or if
Respondent fails to submit a written response,
from the lapse of the period for submitting such
response.
19.7 Appeal
50
19.7.1 Appeals Board (AB) 19.7.1 How much is the administration fee
for appeals?
Decisions by the AB are absolutely finalForeword
and
executory. The administration fee for appeals is P40,
000.00 If the decision is reversed on appeal,
The composition of the AB shall be drawn from this amount will be returned to the appealing
The PHAP Code
an independent poolofof Practice
experts. adopts in full and aligns with the Expanded Code of
party.
Practice of the International Federation of Pharmaceutical Manufacturers &
Associations
An administration(IFPMA)
fee shalland
be the Mexico
charged to theCity Principles for Voluntary Codes of
party who files
Business the in
Ethics appeal.
the Biopharmaceutical Sector,. It incorporates local requirements
and practices in relation to registration; labeling and scientific claims approved by
All appeals shall be decided within thirty (30)
the Philippine
working days from Food andofDrug
receipt Administration (FDA).
the appeal.
19.8 Sanctions
PHAP and its members are committed to educational and promotional efforts that
benefit patients as well as programs and collaborations that enhance the practice of
If a company is found in breach of the PHAP
medicine. PHAP through
Code, the company its Code
has ten (10) of Practice
working days to seeks to preserve the independence of
the decisions
provide written taken
detailsbyofhealthcare
the action professionals
taken to (HCPs) in prescribing medicines to
patients.
comply with the ruling (‘the Compliance
Statement’).
The ethical promotion of prescription medicines is vital to the pharmaceutical
At the very least, the company will be asked to
industry’s
confirm that mission oforhelping
the activity patients
use of the materialthrough
or research and development of new
and innovative
program medicines.
in question, and anyEthical
similarpromotion
material/ helps to ensure that HCPs have access
to the right
program if notinformation they need
already discontinued or noand that right patients have access to the right
longer
in use, willat cease
medicines immediately
the right time. and that all
possible steps will be taken to avoid a similar
breach of the Code in the future.
Industry relationships with HCPs must support, and be consistent with the
professional
The Complianceresponsibilities
Statement must be they have
signed or with their patients. Pharmaceutical
authorized bymust
companies the General
maintain Manager and must
high ethical standards in the conduct of promotional
include the date
activities on which
to HCPs, the material
Patient groups wasand
finallyPatient Organizations and comply with
used or appeared and/or the last date on which
applicable legal,
the activity took regulatory and professional requirements.
place.
Through theScheme
19.9 Penalty promotion of this Code, PHAP seeks to ensure that ethical promotional
- First
practices areoffense shall be
established andmeted
be at apar
fine of International Standards worldwide.
with
PHP 200,000.00
- Succeeding offenses of the same nature
(e.g., interfering with HCP independence)
or within the same section of the Code
within a twelve month period shall be
meted a fine of PHP 750,000.00 per
offense.
TEODORO
- Clean PADILLA
slate if no violations of the same
Executive Director
offense are committed within a 12-month
period
- Reckoning date for all violations is the
date when a decision was issued by the
PHAP Ethics Committee
version
June 1, 2013 version
51
19.10 Publication of the Outcome
21.0 AMENDMENTS
52
provided to relevant employees to further
enhance COP compliance.
21.0 AMENDMENTS
Infomercials:
The ethicalofpromotion
Dissemination information of aofproduct,
prescription medicines
disease, clinical is vitalthrough
study or advocacy to the pharmaceutical
non-paid media.
industry’s mission of helping patients through research and development of new
Locally
and generated news:
innovative medicines. Ethical promotion helps to ensure that HCPs have access
Press materials prepared and issued by the Philippine-based pharmaceutical company.
to the right information they need and that right patients have access to the right
medicines
Mass Media: at the right time.
Any publication, book, notice, handbill, poster, circular, pamphlet, letter, billboard, print medium, radio,
television, cinema, mobile audio visual unit or widespread medium of information directed at the lay
Industry
public. relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
Press Release:must maintain high ethical standards in the conduct of promotional
companies
An official announcement or account of a news item circulated to the media without assurance
activities to HCPs, Patient groups and Patient Organizations and comply with
that it will come out in a newspaper or magazine.
applicable legal, regulatory and professional requirements.
Prescription products:
BFAD-registered medicines or drugs dispensed by drugstores and pharmacies to patients with
Through the
prescriptions. promotion
These of this
are also known Code, Drugs.”
as “Ethical PHAP seeks to ensure that ethical promotional
practices are established and be at par with International Standards worldwide.
Promotion:
The practice of giving temporary additional value to a brand, product or service to achieve specific
June 1, 2013 version
marketing objectives. This includes the distribution of free/sample pharmaceutical products.
Tri-media advertisement:
Paid advertising placement using print, TV and radio.
TEODORO
Wire news: PADILLA
Executive
Press articlesDirector
generated by a wire agency.
THE GUIDELINES
2. Per DOH AO 65 Sec. 2.4, the pharmaceutical company that owns the pharmaceutical product and its
Medical Direct or shall be responsible and accountable for the content of its advertisement and
promotional materials. To be consistent, all materials and press releases should have the approval of at
least the Medical Director.
3. Observe self-regulation in the following channels of communication and news trigger points:
a. June
Any form of tri-media advertisement 1, 2013
is strictly notversion
allowed per Section No.3 of BFAD Regulation
No.5s.1989. The only allowable channels of communication are press releases, editorials, health
columns and features, and public service announcements per Section 4 of BFAD Regulation No.5 s.
1987.
b. For multi-national and foreign-owned companies: news coming from company headquarters,
The local subsidiary should filter or adapt International Headquarters news to local
requirements.
Press information shall follow the company approval process. Consistent with DOH AO 65
Sec.2.4, the Medical Director should approve all outgoing press information.
It is advisable to also secure legal approval either through in-house legal counsel, a legal
prescriptions. These are also known as “Ethical Drugs.”
Promotion:
The practice of giving temporary additional value to a brand, product or service to achieve specific
marketing objectives. This includes the distribution of free/sample pharmaceutical products.
Tri-media advertisement:
Paid advertising placement using print, TV and radio.
Wire news:
Press articles generated by a wire agency.
THE GUIDELINES
Foreword
1. Conform to FDA and local industry regulations.
2. Per DOH AO 65 Sec. 2.4, the pharmaceutical company that owns the pharmaceutical product and its
The PHAP
Medical Code
Direct of Practice
or shall adopts
be responsible andin full and for
accountable aligns with the
the content of itsExpanded Code
advertisement and of
promotional materials. To be consistent, all materials and press releases should have the approval of at
Practice of the International
least the Medical Director.
Federation of Pharmaceutical Manufacturers &
Associations (IFPMA) and the Mexico City Principles for Voluntary Codes of
Business
3. ObserveEthics in the inBiopharmaceutical
self-regulation Sector,.
the following channels of It incorporates
communication localpoints:
and news trigger requirements
and practices in relation to registration; labeling and scientific claims approved by
a. Any form of tri-media advertisement is strictly not allowed per Section No.3 of BFAD Regulation
theNo.5s.1989.
Philippine TheFood
only and Drugchannels
allowable Administration (FDA).are press releases, editorials, health
of communication
columns and features, and public service announcements per Section 4 of BFAD Regulation No.5 s.
1987.and its members are committed to educational and promotional efforts that
PHAP
benefit patients asand
b. For multi-national well as programs
foreign-owned and collaborations
companies: news coming fromthat enhance
company the practice of
headquarters,
medicine.
ThePHAP
local through
subsidiaryitsshould
Code filter
of Practice
or adaptseeks to preserve
International the independence
Headquarters news to local of
the decisions taken by healthcare professionals (HCPs) in prescribing medicines to
requirements.
Press information shall follow the company approval process. Consistent with DOH AO 65
patients.
Sec.2.4, the Medical Director should approve all outgoing press information.
It is advisable to also secure legal approval either through in-house legal counsel, a legal
The ethical promotion
retainer or PHAP legal ofcounsel.
prescription medicines is vital to the pharmaceutical
industry’s mission of helping patients through research and development of new
c. Locally generated news.
and innovative
medicines.
This is allowable Ethical
if consistent withpromotion
PHAP Code. helps to ensure that HCPs have access
to the right information
However, this shouldthey need and
go through thatapproval
medical right patients have access
or the appropriate companyto approval
the right
medicines at theThe
process. right time. Medical Director should approve all outgoing press information.
company’s
It is advisable to also secure legal approval either through in-house legal counsel, a legal
retainer or PHAP legal counsel.
Industry relationships with HCPs must support, and be consistent with the
professional responsibilities they have with their patients. Pharmaceutical
d. By-lined articles
companies PHAPmustdoes maintain
not have jurisdiction over third-party
high ethical writers,in
standards health
thecolumnists
conductandofmedia spokes-
promotional
persons.
activities
to HCPs, Patient groups and Patient Organizations
Please refer to #4 below on ethics related to industry interactions. and comply with
applicable legal, regulatory and professional requirements.
e. Statements of Employees
Attributions, quotations and statements lifted out of an interview, lecture or media briefing are
Through the promotion of this Code, PHAP seeks to ensure that ethical promotional
allowed as long as employee statements, whether direct or indirect, conform to ALL the prescribed
practices are established and be at par with International Standards worldwide.
guidelines.
In-house prepared press/news articles containing attributions to doctors, scientists, head medical
researchers of the pharmaceutical company, and quotations/statements from employees (CEO,
country manager, managing director, medical director, etc.) shall be allowed as long as their
content complies with Guideline#5 (Acceptable and Recommended News Content/Format).
i. Wire news
Wire news is acceptable. PHAP has no jurisdiction over wire news independently picked up by
media. However, to be legitimate, wire news articles should have been properly sourced from the
news agency (e.g.,AP, Reuters).
Feeding of news on competitive products is considered unethical.
PHAP recommends the amounts in table as the maximum rates for HCP honoraria
for common events conducted within the Philippines.