Page 99 - 2024 Taiwan Health and Welfare Report
P. 99

07 | Management of Food and Drug








                  Section 2  Source Management for                     doses transported under temperature out of
                                                                       approved range.
                              Medicinal Products
                                                                    (3)  The results of the pharmaceutical quality
                  1. As of the end of 2023, the numbers of domestic
                    and imported drug product manufacturers and        investigation and monitoring for 2023 are shown
                    active pharmaceutical ingredient manufacturers in   in Table 7-5.
                    compliance with the GMP regulations formulated in   2. Since its establishment in 2010, the task force
                    accordance with PIC/S (Pharmaceutical Inspection   for combating counterfeit and substandard drugs
                    Cooperation Scheme) standards are detailed in   has witnessed a significant decrease in the annual
                    Table 7-4.                                      average seizure rate, dropping from the initial rate
                  2. As of the end of 2023, a total of 1,010 manufacturers   of 11.81% to 1.60% in 2023, as shown in Figure
                    and  distributors  have obtained  GDP (Good     7-3. In 2023, the health authorities handled a total
                    Distribution Practice) permits for distribution   of 10,525 cases of non-compliant advertisements
                    operations in compliance with GDP regulations.  related to food, drugs and cosmetics. The total
                                                                    amount of fines imposed amounted to NTD 432
                  Section 3  Supply Chain Monitoring for            million. The violation rate in advertisements for 2023
                              Drugs                                 was 9.19%, as shown in Figure 7-4.
                  1. Drug Quality Monitoring                      Section 4 Management of Drug Safety
                    (1)  In 2023, TFDA received 935 reports of alleged   1. Pharmaceutical Safety Monitoring in 2023: Received
                       quality defects in total, out of which 26 cases   13,357 domestic adverse drug reaction (ADR)
                       have been chosen for recall (including voluntary   reports, monitored 95 domestic and international
                       notifications from manufacturers). Additionally,   drug safety alerts and 9 COVID-19 vaccine safety
                       TFDA has actively monitored 1,368 foreign drug   alerts, conducted safety re-evaluation of 53 new
                       quality alerts and selected 39 relevant alerts to   medicinal products after five years post-market
                       be published under the "Notification and Safety   safety monitoring and issued 11 drug safety
                       Watch Section" of the TFDA's website.        communications to provide information to patients
                    (2)  In 2023, 583 batches of biologics, a total of   and health care professionals about new safety
                       27,846,492 doses were inspected and sealed.   issues.
                       TFDA rejected 4 batches comprising 8,506


                    Table 7-4    Number of Manufacturers that Obtained the Approval Letter of PIC/S GMP


                                                    Domestic                                Overseas
                              Manufacturers                           Manufacturers   Manufacturers
                    Category    of western   Manufacturers Logistics  Pilot   of medicinal   of western   Manufacturers
                              pharmaceutical   of APIs  Plants  Plants    gases    pharmaceutical   of APIs
                                products                                              products
                    Numbers       144           29        26      9        31           958          887
                  Source: Taiwan Food and Drug Administration


                    Table 7-5    Results of Drug Quality Monitoring in 2023


                                                                             No. of    Compliant  Compliance
                                        Tested Items
                                                                          reported case  cases      rate (%)
                  Quality monitoring (including nitrosamine impurities) for oral tablet
                  formulations containing Chlorpheniramine maleate and 7 other   54        54       100%
                  ingredients.

                  Source: Taiwan Food and Drug Administration

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