Chapter 458
Fil-qosor
Din il-liġi tirregola l-mediċini, mill-manifattura sal-bejgħ, biex tiżgura li jkunu sikuri u effettivi għall-użu mill-bniedem. Tistabbilixxi regoli dwar kif il-prodotti mediċinali jiġu prodotti, distribwiti, maħżuna, u rreklamati.
X'tirregola
- Il-manifattura, il-preparazzjoni, u l-assemblaġġ ta' prodotti mediċinali.
- Id-distribuzzjoni bl-ingrossa, il-ħażna, il-qerda, u r-rimi ta' prodotti mediċinali.
- Ir-reklamar u l-awtorizzazzjoni ta' prodotti mediċinali.
- Ir-regolamentazzjoni tal-bejgħ ta' prodotti mediċinali, spiżeriji, u attivitajiet farmaċewtiċi relatati.
Lil min tikkonċerna
- Kull min hu involut fil-manifattura, id-distribuzzjoni, il-ħażna, jew il-bejgħ ta' prodotti mediċinali.
- Spiżeriji u professjonisti tal-kura tas-saħħa li jippreskrivu jew ifornu mediċini.
Punti ewlenin
- "Reklamar" ta' prodotti mediċinali jinkludi kwalunkwe attività li tippromwovi l-preskrizzjoni, il-forniment, il-bejgħ jew il-konsum tagħhom, bħal żjarat minn rappreżentanti tal-bejgħ jew l-għoti ta' kampjuni.
- "Reklamar" jeskludi t-tikkettar u l-fuljetti tal-pakkett, korrispondenza li twieġeb mistoqsijiet speċifiċi, materjal informattiv fattwali mingħajr pretensjonijiet dwar il-prodott, u dikjarazzjonijiet dwar is-saħħa tal-bniedem mingħajr referenza diretta jew indiretta għal prodott mediċinali.
- "Prodott mediċinali" huwa kwalunkwe sustanza jew taħlita ta' sustanzi ppreżentati bħala li għandhom proprjetajiet għall-prevenzjoni jew it-trattament tal-mard fil-bnedmin, jew li jistgħu jintużaw fil-bnedmin biex jirrestawraw, jikkoreġu, jew jimmodifikaw funzjonijiet fiżjoloġiċi, jew biex jagħmlu dijanjosi medika.
- "Prodott mediċinali falsifikat" huwa kwalunkwe prodott mediċinali b'rappreżentazzjoni falza tal-identità tiegħu (inkluż l-ippakkjar, l-isem, il-kompożizzjoni, u s-saħħa tal-ingredjenti), is-sors tiegħu (inkluż il-manifattur, il-pajjiż tal-manifattura, il-pajjiż tal-oriġini, jew id-detentur tal-awtorizzazzjoni għat-tqegħid fis-suq), jew l-istorja tiegħu (inklużi r-rekords u d-dokumenti relatati mal-kanali tad-distribuzzjoni).
Legal text
ME DICINE S CHAPTER 458 MEDICINES ACT To make provision for matters connected with the manufacture, preparation and assembly, wholesale distribution, storage, destruction, disposal, advertising and authorisation of medicinal products and any activity connected therewith and the regulation of the sale of medicinal products, pharmacies and related pharmaceutical activities and for any other matters ancillary thereto or connected therewith. 21st November, 2003; 1st December, 2003 ACT III of 2003 , as amended by Acts III of 2004 and XI of 2007; Legal Notice 427 of 2007 ; and Acts XXIX of 2007 , V of 2013 , VII and XXXV of 2020 and XX of 2025. ARRANGEMENT OF ACT Part I Part II Title I Title II Title III Part III Title I Title II Title III Title IV Part IV Part V Part VI Part VII Part VIII First Schedule Articles 3 - 18 4 - 13 14 - 18 19 - 89 19 - 36 37 - 53 Preliminary Administration Licensing Authority The Medicines Authority Medicines Review Board General Provisions Marketing authorisation relating to Medical Products Manufacture of Medical Products for Human Use Wholesale Distribution and Brokering of Medicinal Products for Human Use 54 - 65 Pharmacies and related Pharmaceutical Activity 66 - 89 Poisonous Substances 90 - 96 Other dealings with Medicinal Products 97 - 98 Offences and Penalties 99 - 100 Enforcement 101 - 104C Miscellaneous Provisions 105 - 109 - Panel of experts to sit on Medicines Review Board Second Schedule- Proceedings of the Medicines Review Board Third Schedule - Conditions and criteria where any person can have or not have a direct or indirect interest in a pharmacy Short title. 1. MEDICINES The short title of this Act is the Medicines Act. PART I PRELIMINARY Interpretation. Amended by: III. 2004.44; XI. 2007.2; V. 2013.2. 2. In this Act, unless the context otherwise requires - "adverse reaction" means a response to a medicinal product which is noxious and unintended; "advertising" in relation to medicinal products includes any form of door-to-door information, canvassing activity or inducement designed to promote the prescription, supply, sale or consumption of medicinal products and without prejudice to the generality of the foregoing in particular includes: (
- a)the advertising of medicinal products to the general public; (
- b)the advertising of medicinal products to persons qualified to prescribe or supply them; (
- c)visits by medical or sales representatives to persons qualified to prescribe medicinal products; (
- d)the supply of samples; (
- e)the provision of inducements to prescribe or supply medicinal products, by way of a gift, offer or promise of any benefit or bonus, whether in money or in kind, except when the intrinsic value of such an inducement is minimal; (
- f)sponsorship of promotional meetings attended by persons qualified to prescribe or supply medicinal products; (
- g)sponsorship of any scientific congress attended by persons qualified to prescribe or supply medicinal products and in particular where payment of their travelling and accommodation expenses is offered in connection therewith; but shall exclude: (
- i)the labelling and the accompanying package leaflets, as may be specified in accordance with the provisions of Part III, Title I of this Act; (
- ii)correspondence, even if accompanied by material of a non-promotional nature, which is in reply to a specific question about a particular medicinal product; (iii) factual, informative, announcement or reference material relating to pack changes, adversereaction warnings as part of general drug precautions, trade catalogues, price lists and other material of a similar nature provided that such material does not include any product claim; (
- iv)any statement relating to human health or ME DICINE S disease, provided there is no reference, whether direct or indirect, to a medicinal product; "active substance" means any substance or mixture of substances intended to be used in the manufacture of a medicinal product and that, when used in its production, becomes an active ingredient of that product intended to exert a pharmacological, immunological or metabolic action with a view to restoring, correcting or modifying physiological functions or to make a medical diagnosis; "analysis" includes testing of a medicinal product or any of its constituents, both active or inactive, in respect of their chemical, physical, pharmaceutical, biological, toxicological or pharmacological properties; "assemble", in relation to a medicinal product, means to enclose the product in a container which is labelled before the product is sold or supplied, or, where the product is already enclosed in the container in which it is to be sold or supplied, labelling the container before the product is sold or supplied in it, and shall also include the act of introducing approved information in or on the container and "assembly" shall be construed accordingly; "authorised officer" in relation to the Medicines Authority means any officer or employee of the Authority or any other person authorised by the Authority to act on its behalf and in relation to the Licensing Authority means any officer or employee of the Department as referred to in article 5 of the Department of Health (Constitution) Ordinance authorised by the Licensing Authority to act on its behalf; "brokering of medicinal products" means all activities in relation to the sale or purchase of medicinal products, except for wholesale distribution, that do not include physical handling and that consist of negotiating independently and on behalf of another legal or natural person; "business" means any economic activity whether carried out by the individual or by a body of persons, whether corporate or unincorporate and includes the exercise of a profession; "clinical trial" means any investigation in human subjects intended to discover or verify, the clinical, pharmacological and, or other pharmacodynamic effects of one or more investigational medicinal products, and, or to identify any adverse reactions to one or more investigational medicinal products, and, or to study the absorption, distribution, metabolism and excretion of one or more investigational products with the object of ascertaining their safety and, or efficacy. This includes clinical trials carried out in either one site or multiple sties, whether in one or more than one Member State; "common name" means the international non-proprietary name recommended by the World Health Organization, or, if one does not exist, the usual common name; "composition" in relation to a medicinal product, means the ingredients constituting it and the proportions, and the degrees of strength, quality and purity, in which those ingredients are MEDICINES respectively contained in it and as m ay be established in a recognised pharmacopoeia; "container" in relation to a medicinal product, means the immediate packaging or outer packaging; "cosmetic product" shall have the same definition as found under the Product Safety Act; "dental practitioner" means a person who is authorised to exercise such profession under the Medical and Kindred Professions Ordinance or any other law replacing the same; "designated Minister" means the Minister who is designated by the Prime Minister as being responsible for the Medicines Authority; "disease" includes any injury, ailment or adverse condition, whether of body or mind; "dispensing" means the sale or supply of medicinal products from a pharmacy; "excipient" means any constituent of a medicinal product other than the active substance and the packaging material; "falsified medicinal product" means any medicinal product with a false representation of: (
- a)its identity, including its packaging and labelling, its name or its composition as regards any of the ingredients including excipients and the strength of those ingredients; (
- b)its source, including its manufacturer, its country of manufacturing, its country of origin or its marketing authorisation holder; or (
- c)its history, including the records and documents relating to the distribution channels used, but excludes unintentional quality defects and is without prejudice to infringements of intellectual property rights; "foodstuff" shall have the same meaning as that under the Food Safety Act; "good practice" in relation to manufacturing practice, laboratory practice, distribution practice, clinical practice and dispensing practice means the standards for the proper execution of the relative activity as established by or under this Act; "herbal medicinal product" means any medicinal product, exclusively containing as active ingredients one or more herbal substances or one or more herbal preparations, or one or more such herbal substances in combination with one or more such herbal preparations; "herbal preparations" means preparations obtained by subjecting herbal substances to treatments such as extraction, distillation, expression, fractionation, purification, concentration or fermentation. These include comminuted or powdered herbal substances, tinctures, extracts, essential oils, expressed juices and processed exudates; ME DICINE S "herbal substances" means all mainly whole, fragmented or cut plants, plant parts, algae, fungi, lichen in an unprocessed, usually dried, form, but sometimes fresh. Certain exudates that have not been subjected to a specific treatment are also considered to be herbal substances. Herbal substances are precisely defined by the plant part used and the botanical name according to the binomial system (genus, species, variety and author); "homeopathic medicinal product" means any medicinal product prepared form substances called homeopathic stocks in accordance with a homeopathic manufacturing procedure described by the European Pharmacopoeia or, in the absence thereof, by the pharmacopoeias currently used officially in the Member States. A homeopathic medicinal product may contian a number of principles; "immediate packaging" means the container or other form of packaging immediately in contact with the medicinal product; "immunological medicinal product" means any medicinal product consisting of vaccines, toxins, serums or allergen products, where (
- a)vaccines, toxins and serums shall cover in particular: (
- i)agents used to produce active immunity, such as cholera vaccine, BCG, polio vaccines, smallpox vaccine; (
- ii)agents used to diagnose the state of immunity, including in particular tuberculin and tuberculin PPD, toxins for the Schick and Dick Tests, brucellin; (iii) agents used to produce passive immunity, such as diphtheria antitoxin, anti-smallpox globulin, antilymphocytic globulin; (
- b)"allergen product" shall mean any medicinal product which is intended to identify or induce a specific acquired alteration in the immunological response to an allergizing agent; "importation" means any one or more of the following activities: procuring, holding, selling and release of imported medicinal products in any part of Malta notwithstanding any provisions in any other Act, but does not include imported medicinal products that are in transit where the whole consignment of the said products remains fully intact and its status is not changed for free circulation; "ingredient" in relation to the manufacture or the preparation of a substance, includes anything which is the sole active ingredient of the substance as manufactured or prepared; "investigational medicinal product" means a pharmaceutical form of an active substance or placebo being tested or used as a reference in a clinical trial, including products already with a marketing authorization but used or assembled (formulated or packaged) in a way different from the authorised form, or when used for an unauthorised indication, or when used to gain further MEDICINES information about the authorised form; "kit" means any preparation to be reconstituted or combined with radionuclides in the final radiopharmaceutical, usually prior to its administration; "labelling" means any information on the immediate or outer packaging; "licence" means a licence issued under the provisions of this Act; "licensee" means any person who is the holder of a licence for a particular activity granted under this Act; "magistral formula" means any medicinal product prepared in a pharmacy in accordance with a medical prescription for an individual patient; "manufacture", in relation to a medicinal product, includes any process carried out in the course of manufacturing the product, but does not include dissolving or dispersing the product in, or diluting or mixing it with, some other substance used as a vehicle for the purpose of administering it; "medical practitioner" means a person who is authorised to exercise such profession under the Medical and Kindred Professions Ordinance or any other law replacing same; "medicinal prescription" means any medicinal prescription issued by a professional person qualified to prescribe medicinal products by or under this Act; "medicinal product" means any substance or combination of substances (
- a)presented as having properties for preventing disease in human beings; or treating or (
- b)which may be used in or administered to human beings either with a view to restoring, correcting or modifying physiological functions by exerting a pharmacological, immunological or metabolic action, or to making a medical diagnosis; "medicinal products derived from human blood or human plasma" means medicinal products based on blood constituents which are prepared industrially by public or private establishments, s uc h m e d ic i na l p r o du c ts i n c l u d in g , i n p a r t i c u l a r, a l bu m i n , coagulating factors and immunoglobulins of human origin; "medicinal purpose" includes any one or more of the following purposes: (
- a)the treating or preventing disease; (
- b)the diagnosing of disease or ascertaining the existence, degree or extent of a physiological condition; (
- c)contraception; (
- d)inducing anaesthesia; (
- e)the prevention or interference with the normal operation of a physiological function, whether ME DICINE S permanently or temporarily, and whether by way of terminating, reducing or postponing or increasing or accelerating the operation of that function or in any other way. "Medicines Authority" means the Authority established under article 4; "Medicines Review Board" means the Board established under article 14; "Minister" means the Minister responsible for public health; "name of the medicinal product" means the name, which may be either an invented name not liable to confusion with the common name, or a common or scientific name accompanied by a trade mark or the name of the marketing authorisation holder; "officinal formula" means any medicinal product which is prepared in a pharmacy in accordance with the prescriptions of a pharmacopoeia and is intended to be supplied directly to the patients served by such pharmacy; "outer packaging" means the packaging into which the immediate packaging is placed; "package", in relation to any medicinal product, means any box, packet or other article in which one or more container of the product are, or are intended to be, enclosed, and, where any such box, packet or other article is, or is to be itself enclosed in one or more other boxes, packets or articles, includes any of the said boxes, packets or articles; "package leaflet" means a leaflet containing information for the user which accompanies the medicinal product; "pharmacist" means a person who is authorised to exercise such profession under the Medical and Kindred Professions Ordinance, or any other law replacing the same; "pharmacy technician" means a person authorised to act as such under the Medical Kindred and Profession Ordinance or any other law replacing the same; "post-authorisation safety study" means any study relating to an authorised medicinal product conducted with the aim of identifying, characterising or quantifying a safety hazard, confirming the safety profile of the medicinal product, or of measuring the effectiveness of risk management measures; "prescribed" means prescribed by regulations made by the Minister under this Act; "qualified person" means any person who is a qualified person in relation to a manufacturer’s licence as provided in article 38
- a)of the definition "risks related to use of the medicinal product"; "risks related to use of the medicinal product” means (
- a)any risk relating to the quality, safety or efficacy of the medicinal product as regards patients’ health or public health; (
- b)any risk of undesirable effects on the environment "rules" means rules made by the Licensing Authority under the provisions of this Act; "serious adverse reaction" means an adverse reaction which results in death, is life-threatening, requires inpatient hospitalisation or prolongation of existing hospitalisation, results i n pe rs i s te n t or sig ni fi c a n t di s a b il it y or i nc a pac it y, or i s a congenital anomaly or birth defect "strength of the medicinal product" means the content of the active substances expressed quantitatively per dosage unit, per unit of volume or weight according to the dosage form; "substance" means any matter irrespective of origin be it human (including human blood and human blood products), animal (including micro-organisms, whole animals, parts of organs, animal secretions, toxins, extracts, blood products), vegetable (including micro-organisms, plants, parts of plants, vegetable secretions, extracts), or chemical (including elements, naturally occurring chemical materials and chemical products obtained by chemical change or synthesis); "Superintendent of Public Health" has the same meaning as is assigned to it by article 4 of the Department of Health (Constitution) Ordinance; "unexpected adverse reaction" means an adverse reaction, the nature, severity or outcome of which is not consistent with the summary of product characteristics; ME DICINE S "veterinary surgeon" means a person who is authorised to exercise such profession under the Veterinary Services Act, or any other law replacing the same; "wholesale distribution", in relation to a medicinal product and active substances, includes any one or all activities consisting of procuring, holding, supplying or exporting medicinal products and active substances, apart from supplying medicinal products to the public. PART II ADMINISTRATION Title I - The Licensing Authority 3.
- a)to establish standards to ensure the quality, safety and efficacy of medicinal products; (
- b)to establish standards for the operation of pharmacies; (
- c)to establish standards for the manufacture, preparation, assembly, packing, packaging or re-packing and labelling of medicinal products or any substance which is used or is intended to be used in such products; (
- d)to establish standards for the operation of wholesale distribution; (
- e)to establish standards for the testing or analysis of medicinal products or any substance which is used or is intended to be used therein; (
- f)to establish standards for the carrying out of clinical trials; (
- g)to establish standards for the reporting of adverse reactions, serious adverse reactions or suspected unexpected adverse reactions and make provision for the collection or submission of related information from any person or activity regulated by or under this Act; (
- h)to establish standards in relation to the advertising of medicinal products; (
- i)to advise the Minister in the making of regulations in respect of the classification of medicinal products; (
- j)to issue, renew, amend, vary, suspend or revoke marketing authorisations for medicinal products; (
- k)to withdraw or recall medicinal products from the market in the interest of public health; and (
- l)to ensure compliance with international obligations entered into by the Government of Malta in relation to any matter regulated by or under this Act; (
- m)to issue, renew, amend, vary, suspend or revoke any Functions of the Licensing Authority. Amended by: XI. 2007.3. MEDICINES authorisation or licence that may be required by or under this Act; (
- n)to carry out inspections of any activity, service or procedures in relation to medicinal products and to do all such things as may be necessary for the purpose of ensuring compliance with any provisions of this Act, or made thereunder v; (
- o)to authorise the advertising medicinal products; and promotion of (
- p)to carry out any other activity as may be prescribed; (
- q)to advise the Minister on any matter connected with its functions or any other provision of this Act.
- n)and (
- o)to the Medicines Authority.
- Amended by: V. 2013.
- There shall be established a Medicines Authority, or such other authority as the Prime Minister may, after consultation with the Minister and the designated Minister, designate in terms of article 109A. Legal personality of the Medicines Authority. 5.
- b)to assist and advise the Licensing Authority on any matter relating to the regulation of medicinal products and related activities; (
- c)to undertake such activities and projects as may be necessary or expedient for the proper exercise of its functions; (
- d)to establish such procedures as may be necessary for obtaining and assessing information as regards the safety, quality and efficacy of medicinal products to be placed on the market in Malta; (
- e)to establish such procedures as may be necessary to make such assessments of medicinal product safety, quality and efficacy as it may deem necessary for those products to be placed on the market in Malta; (
- f)to establish such procedures as may be necessary for monitoring and obtaining reports on the quality, safety or efficacy of medicinal products; (
- g)to make recommendations to the Licensing Authority in relation to standards and licensing; (
- h)to advise the Licensing Authority on the precautions or restrictions to which medicinal products may be subjected for their marketing or continued use in Malta; (
- i)to furnish, whenever it so thinks fit or is so requested by the Licensing Authority, advice or make recommendations to the Licensing Authority in relation to any matter connected with its functions; and (
- j)to notify the EU Commission of non-prescription medicinal products which in its judgement are at risk of falsification and may inform the EU Commission of medicinal products which may be deemed not to be at risk according to the criteria set out in Article 54a
- The Authority shall establish such Directorates as may be necessary, and shall assign to each such Directorate those functions Organisation of the Medicines Authority. MEDICINES which it may deem expedient for the proper exercise of its functions. The Chief Executive Officer of the Medicines Authority. Amended by: V. 2013.
- 8.
- i)(
- ii)(iii) (
- iv)(
- v)(
- vi)is a member of the House of Representatives; or is a Judge or a Magistrate; or is legally incapacitated; or has been declared bankrupt or has made a composition or arrangement with his creditors; or has been convicted of fraud or any other offence against public trust, or has otherwise been sentenced to a term of imprisonment for a term not less than three months; or has a financial or other interest whether direct or indirect, in any enterprise or activity which is likely to affect the discharge of his functions as a member of the Authority.
- a)The Chief Executive Officer of the Authority shall hold office for a period not exceeding five years and shall be eligible for re-appointment for further periods each not exceeding five years. (
- b)The Chief Executive Officer of the Authority may be relieved from office by the designated Minister prior to the expiry of his term of office where, in the opinion of t h e d e s i g n a t e d M i n i s t e r, h e h a s b e e n g u i l t y o f misconduct or on the ground of inability to continue to perform the functions of his office, whether due to infirmity of mind or of body, or to any other cause, or of misbehaviour. Employees of the Medicines Authority. Amended by: V. 2013.6. 9.
- Except with the approval of the designated Minister, the Authority shall not enter into any contract for the supply of goods or materials or for the execution of work or for the rendering of services, to or for the benefit of the Authority, which is estimated by the Authority to involve an expenditure exceeding two hundred and thirty-two thousand and nine hundred and thirty-seven euro and thirty-four cents (232,937.34) or such other amount as the designated Minister may from time to time direct in writing, except after notice of the intention of the Authority to enter into such contract has been published and competitive tenders have been Procurement by the Medicines Authority. Amended by: L.N. 427 of 2007; V. 2013.
- MEDICINES issued. Applicability of the Code of Ethics.
- The Chief Executive Officer and all other executive officers and employees of the Authority shall conform with and abide by any public service values and Code of Ethics that may be in force from time to time in relation to public officers. Exemption from tax, etc.
- The Authority shall be exempt from any liability for the payment of any tax on income or duty on documents for the time being in force in Malta. Title III - Medicines Review Board Establishment of Medicines Review Board. 14.
- a)a person who shall be a legal practitioner having at least seven years’ legal experience who shall act as the chairperson; and (
- b)two other persons who possess the technical and scientific qualifications and experience in the field of regulation of medicinals.
- i)(
- ii)(iii) (
- iv)(
- v)(
- vi)is a member of the House of Representatives, or is a Judge or a Magistrate; or is legally incapacitated; or has been declared bankrupt or has made a composition or arrangement with his creditors; or has been convicted of fraud or any other offence against public trust, or has otherwise been sentenced to a term of imprisonment for a term not less than three months; or has a financial or other interest, whether direct or indirect, in any enterprise or activity which is likely to affect the discharge of his functions as a member of the Board.
- a)to medicinal products for human use intended to be placed on the market in Member States and either prepared industrially or manufactured by a method involving an industrial process; (
- b)in cases of doubt, where, taking into account all its characteristics, a product may fall within the definition of a medicinal product and within the definition of a product covered by other Community legislation.
- a)any medicinal product prepared in accordance with a magistral formula; (
- b)any medicinal product prepared in accordance with an officinal formula; (
- c)medicinal products intended for research and development trials, but without prejudice to the provisions of the Clinical Trials Regulations; S.L. 458.43 (
- d)radionuclides in the form of sealed sources; (
- e)whole blood, plasma or blood cells of human origin, except for plasma prepared by a method involving an industrial process; (f)
- a)The Authority may, in accordance with legislation in force and to fulfil special needs, exclude from the provisions of this Act medicinal products supplied in response to a bona fide unsolicited order, formulated ME DICINE S in accordance with the specifications of an authorised health-care professional and for use by an individual patient under his direct personal responsibility. (
- b)The Authority may temporarily authorise the distribution of an unauthorised medicinal product in response to the suspected or confirmed spread of pathogenic agents, toxins, chemical agents or nuclear radiation any of which could cause harm: Provided that marketing authorisation holders, manufacturers and health professionals are not subject to civil or administrative liability for any consequences resulting from the use of a medicinal product otherwise than for the authorised indications or from the use of an unauthorised medicinal product, when such use is recommended or required by the Authority in response to the suspected or confirmed spread of pathogenic agents, toxins, chemical agents or nuclear radiation any of which could cause harm. This shall apply irrespective of whether or not national or Community authorisation has been granted: Provided further that liability for defective products, as provided for by Council Directive 85/374/EEC of 25 July, 1985 on the approximation of the laws, regulations and administrative provisions of the Member States, concerning liability for defective products shall not be affected by the preceding proviso. Title I - Marketing Authorisation Relating to Medicinal Products Amended by: XI. 2007.7. 20.
- a)refuse to process the application if such application is not submitted in accordance with the provisions of this Act; (
- b)request the applicant to furnish it with such further information relating to the application as it may consider necessary; and where any such request has been made, the Medicines Authority shall not be required to determine the application until the information as requested has been submitted to it; (
- c)assess the application in respect of medicinal product safety, quality and efficacy in such a manner and within such period as may be prescribed by or under this Act; and (
- d)carry out any other activity as may be prescribed by the Minister from time to time.
- a)the summary of product characteristics as approved; (
- b)the approved labelling and packaging; (
- c)any conditions that may be attached to the granting of the marketing authorisation; (
- d)the classification of the medicinal product; (
- e)the term of validity of the marketing authorisation; ME DICINE S (
- f)any other specification that the Licensing Authority may deem necessary. 24.
- a)the summary of product characteristics as approved; (
- b)the approved labelling and packaging; (
- c)any conditions that may be attached to the granting of the marketing authorisation; (
- d)the classification of the medicinal product; (
- e)the term of validity of the marketing authorisation; (
- f)any other specification that the Licensing Authority may deem necessary. 28.
- a)the medicinal product is harmful; or (
- b)it lacks therapeutic efficacy, where such lack of therapeutic efficacy shall be deemed as occurring when it is concluded that therapeutic results cannot be Suspension or revocation of marketing authorisation. Amended by: XI. 2007.8; V. 2013.10. MEDICINES obtained from the medicinal product; or (
- c)the risk benefit balance is not favourable; or (
- d)its qualitative and quantitative composition is not as declared; or (
- e)the controls on the medicinal product and, or on the ingredients and the controls at an intermediate stage of the manufacturing process have not been carried out, or if the requirement or obligation relating to the grant of the manufacturing authorisation has not been fulfilled: Provided that the Licensing Authority may limit the prohibition to supply the medicinal product, or its withdrawal from the market, to those batches which are the subject of dispute.
- a)a medicinal product prescription; or subject to a Classification of medicinal products. medicinal (
- b)a medicinal product not subject to a medicinal prescription, where such medicinal product is considered that with reasonable safety it can be sold or supplied by or under the supervision of a pharmacist unless otherwise provided for by this Act that a medicinal product under subarticle
- a)the medicinal products that have a valid marketing authorisation; List of medicinal products having a marketing authorisation. (
- b)the medicinal products which may only be sold by prescription; and (
- c)where applicable, the type of prescription required and the person or persons authorised to issue the said prescription.
- b)and (
- c)and such publication shall be deemed to amend the list of medicinal products issued under subarticle
- A medicinal product may only be advertised in accordance with such conditions as may be established by or under this Act. Advertising of medicinal products. 31A. Marketing authorisation holders shall abide by the standards on pharmacovigilance, marketing authorisations as well as labelling and packaging as may be established by or under this Act. Marketing authorisation holders to abide by standards. Added by: V. 2013.
- Homeopathic medicinal products. Amended by: III. 2004.47; XI. 2007.
- MEDICINES 32.
- a)to (
- c)shall be subject to special simplified procedures as provided in subarticle
- a)are administered orally and externally, subject to such regulations as may be made by the Minister in respect thereof; (
- b)have no specific therapeutic indication appearing on the labelling of the medicinal product or in any information relating thereto; and (
- c)have a sufficient degree of dilution to guarantee the safety of the medicinal product, in particular, the medicinal product may not contain either more than one part per 10,000 of the mother tincture or more than 1/100 th of the smallest dose used in allopathy with regard to active principles whose presence in an allopathic medicinal product results in the obligation to submit a medicinal prescription.
- The provisions of this Part shall apply to medicinal products based on blood constituents which are prepared industrially by a private or a public establishment but shall not apply to blood, plasma or blood cells of human origin. Radiopharmaceutical medicinal product.
- The marketing authorisation referred to in article 20 shall be required for generators, kits, precursor radiopharmaceuticals and industrially prepared radiopharmaceuticals other than radiopharmaceuticals prepared at the time of use by a person or by an establishment authorised, under this Act, to use such medicinal products in an approved health care establishment exclusively from authorised generators, kits or precursor radiopharmaceuticals in accordance with the manufacturer’s instructions. ME DICINE S 35.
- The Licensing Authority may prescribe rules regulating the issue or otherwise of a marketing authorisation for herbal medicinal products. Herbal medicinal products. Amended by: III. 2004.
- Title II - Manufacture of Medicinal Products for Human Use
- Without prejudice to any exemption that may be granted under this Act, no person shall import from countries which are outside the European Union or European Economic Area, manufacture, assemble or in any way modify any medicinal product except in accordance with a manufacturer ’s licence issued in accordance with the provisions of this Act or any regulations or rules made thereunder: Manufacturer’s licence. Amended by: V. 2013.
- Provided that such a licence shall not be required for the preparation, division, changes in packaging or presentation where these processes are carried out for the purpose of dispensing or administering as provided under this Act. 38.
- a)the name of the medicinal product and pharmaceutical form or forms, which is to be manufactured, assembled or in any way modified; (
- b)the place where such activity is to take place, and such information and documentation as may be required in order to show that such place is suitable and sufficient for that purpose; (
- c)the equipment and control facilities as may be required by or under this Act; (
- d)the name and address of the applicant; (
- e)the name of at least one qualified person who shall be professionally responsible for the activity, such person having such qualifications as may be prescribed: Provided that when more than one qualified person is nominated, the application will clearly delineate the specific responsibilities of each person; (
- f)any other information, documentation or evidence as may be requested by the Licensing Authority in accordance with or under this Act.
- Where the Licensing Authority considers that circumstances may exist which would render necessary the consideration of whether the licence should be varied, suspended or revoked, the Licensing Authority may serve on the holder of a manufacturer's licence a notice requiring him, within such time as may be specified in the notice, to furnish it with any information specified in the notice. Suspension or revocation of manufacturer’s licence. Amended by: XI. 2007.
- 41.
- a)the matters stated in the application on which the licence was granted were false or incomplete in a material particular; (
- b)a material change of circumstances has occurred in relation to any of those matters; (
- c)any of the conditions of the licence has been contravened; (
- d)the requirements in relation to the licences as established by or under this Act have not been complied with; (
- e)the processes of manufacture or assembly of a medicinal product are carried out in a manner that is not in compliance with the provisions of the marketing authorisation of that medicinal product; (
- f)the conditions for good manufacturing practice are not being complied with; and (
- g)in any other circumstance as is established by or under this Act. Inspection in relation to manufacturers, etc. 42.
- a)inspect the manufacturing establishment and any other location he may deem necessary; (
- b)examine any relevant documents; (
- c)take any samples he may deem necessary; (
- d)draw up a report of the findings and communicate the contents of such report to the licensee or the applicant for a licence in relation to such inspection and to the qualified person; (
- e)carry out any other activity he may deem appropriate for the proper execution of his duties and responsibilities as provided for by or under this Act.
- a)may renew the licence, with or without modifications, for such a further period as specified; or (
- b)if, having regard to the provisions of this Act, it considers it necessary or expedient to do so, may refuse to renew the licence. 44. It shall be the duty of the holder of a manufacturer's licence (
- a)to immediately inform the Licensing Authority of any change of the qualified person; (
- b)to provide authorised officers access to his premises at any reasonable time; (
- c)to enable the qualified person to carry out his duties established by or under this Act; (
- d)to maintain such records for any transaction in medicinal products as may be established by or under this Act and have such records available for inspection by any authorised officer for such period of time as may be required by or under this Act; (
- e)to have at his disposal the services of staff to satisfy the requirements specified by or under this Act in Responsibilities of manufacturer’s licence holder. MEDICINES relation to the manufacture, assembly or modification of medicinal products; (
- f)to apply in writing to the Licensing Authority of any change proposed or modification required in relation to the licence; (
- g)to comply with the regulations or Orders relating to good practice in manufacture as may be established by or under this Act or under any other Act; (
- h)to dispose of medicinal products as established by or under this Act or under any other Act; (
- i)Responsibilities of the qualified person. Amended by: III. 2004.49. other responsibilities as may be established from time to time by or under this Act. 45.
- a)to ensure that standards of good practice manufacturing are complied with at all times; in (
- b)to ensure that each batch of medicinal products has been manufactured, tested and complies in all respects with any requirement established by or under this Act; and (
- c)to ensure that each batch of medicinal products has been manufactured in accordance with the requirements of the marketing authorisation.
- The Licensing Authority, may if it has reasonable suspicion to believe that any qualified person is acting in contravention of any of the provisions of this Act, suspend the activity of such qualified person by notice in writing specifying the reasons for such suspension until such person has complied with any requirement of the Licensing Authority to remedy the noncompliance. Change in conditions of manufacturer’s licence.
- The Licensing Authority may upon an application made by the holder of licence in request thereof, vary the conditions of the licence if it is satisfied that such variation will not adversely affect standards of good practice in manufacture as may be prescribed. Obligations of Licensing Authority.
- The Licensing Authority may vary, suspend, revoke or refuse to renew a manufacturer's licence, or it may refer the matter to the Medicines Authority, and in such case the provisions of article 20
- The provisions of articles 37 to 48 shall apply to the manufacture and assembly of homeopathic medicinal products. Manufacture of homeopathic medicinal products. Substituted by: XI. 2007.
- Without prejudice to article 33, the provisions of articles 37 to 48 and any regulations made thereunder shall apply to the manufacture and assembly of medicinal products derived from human blood and human plasma. Manufacture of medicinal products derived from human blood and human plasma, etc. Amended by: XI. 2007.
- Without prejudice to article 34, the provisions of articles 37 to 48 and any regulations made thereunder shall apply to the manufacture and assembly of radiopharmaceutical medicinal products. Manufacture of radiopharmaceuticals. Amended by: XI. 2007.
- Without prejudice to article 35, the provisions of articles 37 to 48 and any regulations made thereunder shall apply to the manufacture and assembly of immunological medicinal products. Immunological medicinal product. Amended by: XI. 2007.
- Without prejudice to article 36, the provisions of articles 37 to 48 and any regulations made thereunder shall apply to the manufacture and assembly of herbal medicinal products. Herbal medicinal products. Amended by: XI. 2007.
- Title III - Wholesale Distribution and Brokering of Medicinal Products for Human Use Substituted by: V. 2013.
- 54.
- a)the name and address of the applicant; (
- b)the address of the premises that are to be used for the purpose of wholesale distribution; (
- c)the equipment and control facilities as may be required by or under this Act; (
- d)information, documentation or evidence to prove that the premises is suitable and adequate, and that there are suitable facilities, installations and equipment so as to ensure proper conservation and distribution of medicinal products; (
- e)the name of at least one responsible or qualified person who shall be professionally responsible for the activity, such person having such qualifications as may be prescribed: Provided that when more than one qualified or responsible person is nominated, the application will clearly delineate the specific responsibilities of each person; (
- f)any other information, documentation or evidence as may be requested by the Licensing Authority in accordance with or under this Act.
- a)may renew the licence, with or without modifications, for such a further period as specified; or (
- b)if, having regard to the provisions of this Act, it considers it necessary or expedient to do so, may refuse to renew the licence. 59. It shall be the duty of the holder of a wholesale dealer's licence (
- a)to immediately inform the Licensing Authority of any change of the qualified or responsible person; Obligations of holder of wholesale dealer’s licence. (
- b)to provide authorised officers access to his premises at any reasonable time; (
- c)to enable the Licensing Authority to carry out its duties established by or under this Act; (
- d)to maintain such records for any transaction in medicinal products as may be established by or under this Act and have such records available for inspection by any authorised officer for such period of time as may be required by or under this Act. 60.
- a)where the matters stated in the application on which the licence was issued were false or incomplete in a material particular; (
- b)where a material change of circumstances has occurred in relation to any of those matters; (
- c)where any of the conditions of the licence has been contravened; (
- d)where the requirements in relation to the licence as established by or under this Act have not been complied with; (
- e)where conditions of good practice in wholesale distribution are not being complied with; and (
- f)in any other circumstance as may be established by or under this Act. Change in conditions of a wholesale dealer’s licence. 62. The Licensing Authority may, upon an application made by the holder of a licence in respect thereof, vary the conditions of the licence, if it is satisfied that such variation will not adversely affect the standards of good practice in wholesale distribution. Obligations of Licensing Authority. 63. The Licensing Authority may vary, suspend, revoke or refuse to renew a wholesale dealer’s licence, or it may refer the matter to the Medicines Authority, and in such case the provisions of article 20
- a)inspect the wholesale dealing establishment and any other location it may deem necessary; (
- b)examine any documents relating to the inspection; (
- c)take any samples it may deem necessary; (
- d)draw up a report of the findings, which shall be communicated to the licensee or the applicant for a licence in relation to such inspection and to the responsible person; (
- e)carry out any other activity it may deem appropriate for the proper execution of its duties and responsibilities as provided for by or under this Act. Special provisions. 65. Without prejudice to the provisions of this Part, the Licensing Authority may by rules establish additional requirements for the wholesale distribution of: (
- a)narcotic or psychotropic substances; ME DICINE S (
- b)medicinal products derived from blood; (
- c)immunological medicinal products; (
- d)radiopharmaceuticals; (
- e)such other medicinal products or class or classes of medicinal products as the Minister may prescribe. Title IV - Pharmacies and Related Pharmaceutical Activity 66.
- a)the name and address of the applicant; (
- b)the address of the premises that are to be used for the purpose of the retail sale of the medicinal products; (
- c)the equipment and control facilities as may be required by or under this Act; (
- d)the name of a managing pharmacist who shall be professionally responsible for all activities; (
- e)any other information, documentation or evidence as may be requested by the Licensing Authority in Application for a pharmacy licence. Amended by: V. 2013.19. MEDICINES accordance with or under this Act.
- Where the Licensing Authority considers that circumstances may exist which would render necessary the consideration of whether the licence should be varied, suspended or revoked, the Licensing Authority may serve on the holder of a pharmacy licence a notice requiring him, within such time as may be specified in the notice, to furnish it with any information specified in the notice. Duration and renewal of pharmacy licence. Substituted by: V. 2013.
- 70.
- a)may renew the licence, with or without modifications, for such a further period as specified; or (
- b)if, having regard to the provisions of this Act, it considers it necessary or expedient to do so, may refuse to renew the licence. Transfer of a pharmacy licence. 71. No person may transfer a licence unless authorised by the Licensing Authority which authorisation shall not be issued unless the Licensing Authority is satisfied that the new licensee complies with any requirement established by or under this Act, and on payment of the prescribed fee. ME DICINE S 72. The Licensing Authority may suspend a pharmacy licence granted under this Act for such period as it may determine or may revoke, or vary the provisions of any such licence in any of the following circumstances: Suspension or revocation of pharmacy licence. (
- a)where any matter stated in the application on which the licence was issued is false or incomplete (
- b)where a material change of circumstances has occurred in relation to any of those matters; (
- c)where the provisions of the licence have been contravened by the licensee; or (
- d)in any other circumstance as may be established by or under this Act: Provided that the Licensing Authority shall notify the licensee of the decision giving detailed reasons for such decision. 73.
- a)to inform the Licensing Authority of any change of the managing pharmacist, prior to such change; (
- b)to provide authorised officers access to his premises at any reasonable time; (
- c)to enable the Licensing Authority to carry out its duties established by or under this Act; (
- d)to maintain such records for any transaction in medicinal products as may be established by or under this Act and have such records available for inspection by any authorised officer for such period of time as may be required by or under this Act; Obligations of the holder of a pharmacy licence. Amended by: V. 2013.22. MEDICINES (
- e)to comply with regulations or Orders relating to good practice in retail sale of medicinal products as may be established by or under this Act; (
- f)to dispose of medicinal products as established by or under this Act or any other law; (
- g)ensure that a pharmacist is present at all times during the time when the pharmacy is open; (
- h)other responsibilities as may be established from time to time by or under this Act. Managing pharmacist. Amended by: V. 2013.23. 75.
- b)ensure that he or another pharmacist is present in the pharmacy at all times in order to sell or supervise the sale of medicinal products and to keep records of the pharmacist who was present while the pharmacy was open; (
- c)keep any documents, information or evidence in the manner as may be required to be kept by or under this Act; (
- d)carry out such obligations pertaining to a managing pharmacist as may be established by or under this Act; (
- e)nominate a substitute managing pharmacist when he cannot carry out his duties for a period of five or more consecutive days and shall notify the Licensing Authority of this substitution: Provided that in exceptional cases the licensee may nominate a replacement and notify the Licensing Authority; (
- f)comply with regulations or rules relating to good practice in the dispensing of medicinal products as may be established by or under this Act; (
- g)dispose of medicinal products as established by or under this Act or any other law.
- The conditions and criteria where any person can have or not have a direct or indirect interest in a pharmacy shall be prescribed under this Act. Interest in a pharmacy. Substituted by: XI. 2007.
- The licensee shall employ a pharmacist to carry out the responsibilities of a managing pharmacist and shall provide all the support and in no way interfere with the managing pharmacist’s or a pharmacist's professional responsibilities in the performance of his duties as defined in by or under this Act or under any other law. Licensee may employ one or more pharmacists. 79.
- The Licensing Authority may by rules prescribe the format, content and presentation of a prescription required by or under this ME DICINE S Act.
- The pharmacist shall label each medicinal product or magistral formula or officinal formula dispensed in accordance with such regulations or rules made under this Act. Labelling of dispensed products. Amended by: XI. 2007.
- It shall not be lawful for any managing pharmacist to sell, allow the sale, dispensing or supply in any other way of - Disposal of expired, deteriorated or imperfect products. (a) any imperfect, deteriorated or harmful substance; (b) any medicinal product bearing an expiry date which has expired; (c) food not in accordance with the provisions of the Food Safety Act, or any regulations made thereunder: Provided that such imperfect, deteriorated or expired substances or medicinal products shall only be kept in such place and in such a manner as the Licensing Authority may from time to time by rules establish. 85.
- Premises, facilities, records and equipment used for the storage, preparation and dispensing of medicinal products are to be kept in accordance with the requirements and standards established by or under this Act. Premises, etc., in accordance with requirements and standards.
- The preparation of magistral and officinal formulas, and the division of authorised packs into smaller units, reconstitution, dispensing and administration of medicinal products and any other activity related to medicinal products and their use shall be in accordance with such standards as may be established under this Act. Pharmacist to be guided by set standards. Amended by: XI. 2007.
- 88.
- a)If in the course of the inspection, any article is found to be in breach of the provisions of this Act or any regulation made thereunder, the inspecting officer shall forthwith seize the said article. (
- b)The wrapper or receptacle containing the article so seized shall be sealed and the signature of the inspecting officer and the managing pharmacist shall be appended to the seal: Provided that if the managing pharmacist so requests, the article in question shall be divided, by the inspecting officer, in two equal parts, sealed and signed in the manner as aforesaid, and one part be given to the managing pharmacist: Provided further that the inspecting officer shall send the seized article, sealed and signed in the manner aforesaid to the Licensing Authority together with the inspection report as described in subarticle
- a)all those substances which, taken even in a very small dose, may cause the death or serious injury to any person, (
- b)all those substances which the Minister may, on the ME DICINE S advice of the Licensing Authority, prescribe, but does not include any similar substance which is used, or is intended to be used, for day to day domestic purposes, which latter substance, however shall be deemed to be a poison for the purpose of article 94. 91. It shall not be lawful for any person to keep for sale, manufacture, sell or otherwise distribute or deal in any poison without a licence from the Licensing Authority. Keeping, etc., of poisons. 92.
- a)being the holder of a marketing authorisation, or (
- b)in the course of business carried by him and consisting, in whole or in part, of manufacturing medicinal products or of selling medicinal products by way of wholesale dealing, shall sell or supply any medicinal product to which the rules apply to any person who does not fall within a class specified in those rules. Adulteration of medicinal products. Amended by: V. 2013.26. 98. No person shall (
- a)add any substance to, or abstract any substance from, a medicinal product so as to affect injuriously the composition of the product, with the intent that the product shall be sold or supplied in that state; or (
- b)knowingly or unknowingly sell or supply, or offer or expose for sale or supply, or have in his possession for the purpose of sale or supply: (
- i)(
- ii)any medicinal product whose composition has been injuriously affected by the addition or abstraction of any substance; any medicinal product which is deliberately and fraudulently mislabeled with respect to identity and, or source including products with the correct ingredients, with the wrong ingredients, without active ingredients, in an insufficient quantity or excessive quantity of active ingredients or with fake packaging. PART VI OFFENCES AND PENALTIES Offences and penalties. Amended by: XI. 2007.17; L.N. 427 of 2007. Substituted by: V. 2013.27. 99.
- a)for the purpose of ascertaining whether there is or has been, or there is likely to be any contravention of any provisions of this Act or of any regulations or rules made thereunder; (
- b)generally for the purposes of the exercise by the Licensing Authority of its function under this Act or under any regulations or rules made thereunder. For the purposes of this Part, premises shall include any building, structure, any other place whatsoever or any means of transport.
- a)and (
- b)as follows: (
- a)manufacturers, located in the European Union or in third countries, and wholesale distributors of medicinal products shall be subject to repeated inspections; (
- b)the Licensing Authority shall have a system of supervision including by inspections at an appropriate frequency based on risk, at the premises of the manufacturers, importers, or distributors of active substances, located in Maltese territory, and effective follow-up thereof.
- a)any substance or article appearing to him to be a medicinal product; (
- b)any article used or intended to be used to contain any medicinal product or to be a label or leaflet used or intended to be used in connection with a medicinal product; (
- c)any plant or equipment appearing to him to be used or intended to be used in connection with the manufacture or assembly of medicinal products, and any process of manufacture or assembly of any medicinal products and the means employed, at any stage in the process of manufacture or assembly, for testing the materials after they have been subjected to those processes; or (
- d)any premises, records, documents and pharmacovigilance system master file of the marketing authorisation holder ME DICINE S or any firms employed by the marketing authorisation holder to perform pharmacovigilance activities as established under article 31A: Provided that an authorized officer may also carry out inspections of starting material manufacturers after a specific request for the purpose is made by such manufacturer himself: Provided further that the samples that may be collected may be analysed at a designated laboratory identified by the Authority.
- a)to inspect any records, in whatever form they are held, related to the manufacture, assembly, sale or supply of a medicinal product and, where such records are kept in electronic form: (
- i)may have access to, and inspect and check the operation of any computer, any associated apparatus or material which is or has been in use in connection with the records; and (
- ii)may require any person having charge of, or otherwise connected with the operation of, the computer, apparatus or material to afford him such assistance as he may reasonably require; (
- b)to take copies of any entry in any book or document produced in pursuance of the preceding paragraph and where the records are kept electronically, by means of a computer or otherwise, require the records to be produced in an intelligible form which may be taken away; (
- c)to take photographs of any equipment, premises, records and documents.
- a)set aside a sample of the substance or article seized; or (
- b)treat that substance or article as a sample, whichever he considers more appropriate having regard to the nature of that substance or article.
- a)Where any medicinal product has been seized under the provisions of this Act, and the owner thereof consents in writing to the destruction of such medicinal product, the Licensing Authority may, after taking such samples as may be required to prove the offence, direct that the said medicinal product be destroyed without prejudice to the taking of any proceedings against the person responsible for the offence, and the said Licensing Authority shall recoup all the expenses involved in the destruction of the medicinal product. (
- b)In those cases where the owner fails to consent to the destruction of the medicinal product, the Licensing Authority may