Indonesia has recently faced various healthcare issues resulting from a lack of proper supervision from the government and lack of specified regulations on the quality and safety of food and drugs that are circulated in the public market.
However, the main problem may not just be the implementation of the government supervision itself, but rather the lack of centralised regulations — currently there is no single regulation in Indonesia that generally governs on food and drugs.
In-line with the above and also as part of the 2015 — 2019 National Legislative Programme, the House of Representatives of the Republic of Indonesia (Dewan Perwakilan Rakyat Republik Indonesia or DPR) is currently discussing the Draft Law on Food and Drugs Supervision ("Draft Law"), which incorporates a total of 105 articles setting out a comprehensive umbrella arrangement of provisions related to the supervision of food and drugs.
From a hierarchical perspective, the Draft Law has a very interesting significance. Being a 'Law' (or Undang-Undang), the Draft Law is superior to all of the other more technical regulations on food and drugs. This means that all other 'lower ranked' regulations (which are typically issued by the Food and Drugs Supervisory Agency or Badan Pengawas Obat dan Makanan or "BPOM") must not deviate from the provisions in the Draft Law.
We have highlighted some of the notable features of the Draft Law below.
The Draft Law does not cover only food and drugs, but also cosmetics. The Draft Law covers the following types of products:
Among the other new features, the Draft Law finally provides a clear categorization for drugs, natural-based drugs and processed food (something which has never been done before in one regulation), as follows:
More specific requirements on drugs will be regulated in a Minister of Health regulation. Natural-based drugs and processed foods will be regulated further by a Head of BPOM regulation.
The Draft Law also regulates the requirements that will apply to all or some FDC Products:
The Draft Law provides several exemptions from the requirements for FDC Products.
For instance, the production of traditional herbs (i.e., Jamu Gendong and Jamu Racikan) and processed food which are made by individuals are exempted from the manufacturing license requirement and labelling requirements.
The following products are also exempted from having to obtain marketing authorisation:
Under the Draft Law, the distribution of drugs may only be done by legal entities who engage in: (i) pharmaceutical manufacturing, (ii) pharmaceutical wholesale, or (iii) government-owned pharmacy storage facilities. Meanwhile, the distribution of drug ingredients may only be done by pharmaceutical businesses specialising in manufacturing drug ingredients and in pharmaceutical wholesale.
The distribution chain for drug products is as follows:
The distribution chain for drug ingredients are as follows:
Drugs (whether prescribed or not) can only be handed over to the end consumer (or patients) by the pharmacist (apoteker) at the relevant healthcare facility.
Prescribed drugs or medicines may only be handed over by the pharmacist based on a written prescription of the relevant medical worker, e.g., doctors or dentists. Non-prescription drugs or medicines may only be handed over by pharmacists or pharmaceutical technical assistants at the pharmaceutical facility.
Notwithstanding the above, narcotic and psychotropic drugs cannot be handed over or sold to the end consumer (even with a prescription). The handover or supply of narcotics and psychotropic types of drugs is very limited, i.e., it can only be done from an apothecary to other apothecaries, to hospitals and/or to clinics.
The supervision of FDC Products in Indonesia will be done through the following mechanism:
The government will carry out sample collections and lab tests periodically or if it receives new information or if there is a suspicion or indication that the FDC Products in the market are not in compliance with the prevailing standards and requirements.
If the lab test shows that the FDC Products are not in compliance with the standards and requirements, then the government will recall those products and later destroy them.
The government may also destroy expired FDC Products or FDC Products whose marketing authorisation has been revoked, or if the FDC Products are related to a criminal action.
Under the Draft Law, all manufacturers of FDC Products will be held responsible and will be considered to give an indemnity on the quality, safety and utility of the FDC Products that they produce. This responsibility extends to any unwanted or uninformed side effects.
The distributor of the FDC Products will be held liable and must indemnify other parties for the distribution process of the FDC Products, i.e., they will be held responsible if their practice is not in compliance with the prevailing standards and requirements for good distribution.
In addition, all business actors that hold marketing authorisation of the relevant FDC Products as well as the head of a healthcare facility (who hands over drugs with a medical prescription) must be responsible for and give an indemnity on the quality, safety and utility of the FDC Products that they hand over to others.
Hadiputranto, Hadinoto & Partners, Member of Baker & McKenzie International - 24th November 2016
Capital: Jakarta
Population: 259 million (2016)
Currency: Indonesian Rupiah
Nominal GDP: $936 billion USD (IMF, 2016)
GDP Per Capita: $3,620 USD at Current Prices (IMF, 2016)
GDP Growth: 5.0% (2016)
External Debt: 36.80% of GDP (BI, Q2 2016)
Ease of Doing Business: 91/190 (WB, 2017)
Corruption Index: 90/176 (TI, 2016)
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