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REGISTERED/ACKNOWLEDGEMENT DUE . l ~ o Jr ' ( ,~~ ) GOVERNMENT OF THE PUNJAB ,HEALTH~E:~TM::T ~"'r Health Department !i12--- ORDER· No. SO(P-I)/H/4-21/03-04(Hafizabad). ~. ar et~ ar First Women Bank, Circular Road, Gujrat, supplied Almajax 250ml Suspension, Batch No. JX168, manu actured b~ M/s Medisearch to District Pharrna Brief facts of the case are that M/s Pioneer (Pvt.) Ltd., 5-Km, Raiwind Hafizabad. The Area Drug Inspector formation Dated; 11.11.2014. test/analysis Committee Board, drugs were declared no. TRA.22863 Punjab, considered by M/s Medisearch held on 22.11.2014. and statement even after vigorous notified vide CM office Directive The supplied reports manufactured Pharma on Form NO.5 that Suspension of solid cake which was not dispersible noted by the Inquiry Control recorded Manga Road, Lahore, observed that this was a criminal Laboratory, Lahore, Vide~ Provincial 250ml Batch No. JX168, . Suspension, Quality Analyst, report of Drugs Inspector negligence of M/s Medisearch on part of M/s Medisearch On the basis of test/analysis Hence, the warranties, & no. 5090 dated 08.01.2014, distributor were also • Dated: 21.11.2014. on Form No.5, report of CMIT and observations human use and may cause health hazards. (authorized by Drugs Testing Almajax (PVt.) Ltd., Lahore, and gross lapse in GMP compliance. mentioned due to the Pharma (Pvt.) Ltd., Lahore under Section 11 of Drugs Act, 1976, in its meeting of the Drugs Inspector dated 25.01.2014 Almajax is Substandard The Board, after scrutiny of the report of the Government DTL, observations Hospita shaking. Similar observations & TRA.22864 the case of Substandard Headquarter No. DS(ASSEM)CMO/14/TO-4/(B)/043485~'\J Substandard Dated: 21.11.2014 Pharma, [an ~ reports issued by of PQCB, the said drug is not fit for bearing nO.5019 dated 21.03.2014, nO.5010 issued by M/s Pioneer Pharma, [an Market, Circular Road, Gujrat Pharma on behalf of Mis Medisearch (Pvt.) Ltd., Lahore) Pharma (Pvt.) Ltd., Lahore under Section 23 of Drugs Act, 1976, are proved to be false. 2. In order to dispose Mis Medisearch Pharma off the case on merit, a show cause-personal (Pvt.) Ltd., Lahore and Mis Pioneer even No. dated 22nd November, 2014 with the direction at 12:00 Noon in the office of Secretary appeared q '/ on behalf of Mis Pharma for personal hearing on 3rd December, post & courier service and personally no one appeared record Pioneer Pharma, Gujrat, Lahore were again directed received by Mr. Na-, ced Akhtar Chaudhary, on behalf of Mis Medisearch Pharma hearing. The request (Pvt.) Ltd., Lahore was received, through was acceded 2014 at 10:00 AM. Once again, Mis Medisearch Gujrat, failed to appear lattend the personal the firms and they were directed hearing. Subsequently, to appear for personal Secretary Health alongwith written appeared on behalf of Mis Medisearch defense Pharma 2014 (if any). No one through Gujrat. Mis to appear registered Advocate High Court, on behalf Pharma (Pvt.) Ltd., Lahore and Mis Pioneer Pharrna, Gujrat, on 1st December, the date of personal December, and requisite and Mis letter of on 28th November, hearing 2014 at 12:00 Noon. The said notices were dispatched instead a letter from Mr. Naveed Akhtar Chaudhary extend defense (Pvt.) Ltd., Lahore (Pvt.) Ltd., Lahore and Mis Pioneer Pharma, Medisearch of Mis Medisearch Pharma written notice was issued to Gujrat, vide this department's to appear for personal Health alongwith Medisearch Pharma, hearing 2014. Yet again, and Mis Pioneer Pharma, courier service, requesting to. The personal hearing Gujrat, therein to was fixed on 9th (Pvt.) Ltd., Lahore and Mis Pioneer Pharma, Final Personal Hearing Notice was issued to hearing on 11th March, 2015 at 11:00 AM in the office of and all relevant record (if any). Mr. Uzair Nagra & Raja Junaid Lahore & Mis Pioneer Gujrat. Special Secretary Health was appointed as . Page 10f4 . ~ -_. - . ..' ..: ..--------- .. ' ~ (4\: Hearing Officer who heard the representatives case from Secretary PQCB & EDO (Health) of the firms in detail and for want of more clarifications Hafizabad, it was decided re-fixed for 8th April, 2015 at 11:00 AM. The accused informed Pioneer Gujrat Special Secretary Health/Hearing Hafizabad & Secretary point of EDO(Health) M/s Medisearch who supplied Pharama itself proves Lahore supplied & supplying mechanism to store different drugs from extreme humidity the Department, Government atmospheric/storage of Punjab. compliance to him. The drug in question when supplied to the respective drug is totally out of question They further added that the stores/warehouses M/s They of the patient further Gujrat, was sent to Pharma contented that this hence the of Hafizabad were present Lahore & as a gesture institution, which as Drug Testing Laboratory season. No dehumidifiers Mediserach that to protect were present voluntarily had no the to control offered for the of good will with the Health is a well proven fact that the always affect the drug very badly. PQCB, briefed Board that the Drug Inspector M/s Pioneer Pharma Sub-standard for the benefit conditions Secretary, condition store/warehouses. of the said drug 4. leveled against their firms. They contended drugs as per their label claim. No air conditioners replacement were Lahore & M/s quality vide TRA No. 232 Dated 03-01-2p14 heat which prevails in Punjab in summer inside Hafizabad of the firms in detail. View drug to their distributor, as of standard that the Drug was in perfect Lahore is a part of Health Department. the the particular Lahore and was declared of manufacturing hearing was PQCB was also heard in detail. it to DHQ Hospital Hafizabad as per rate contract awarded Drug Laboratory allegation on behalf of M/s Medisearch Officer heard the representatives Mr. Uzair Nagra & Mr. Raja Junaid denied the allegations 3. the case. Personal PQCB & EDO (Health) firms, Secretary Mr. Uzair Nagra & Raja [unair' appeared accordingly. to adjourn of the about the history of the proceeding of the case in Provincial Tehsil Hafizabad vide letter dated 21-11-2014 with the directions of the E.D.O (Health) Hafizabad inspected reported Qual!ty Control that he, on 17-11-2014, in Main Medicine Store of DHQ Hospital Hafizabad and took samples of the following drugs: Name of Drug Almajax 250 ml Batch No. Manufacturer -IX 168· Parma (Pvt.) M!s Mcdisearch Raiwind Manga Road, Lahore Suspension He informed that Drug Inspector the office of E.D.O (Health) Government Sr. No Q /' Name of Drug Almajax Suspension .Almajax I Suspension Drug The samples, Analyst Drug Testing Laboratory 1 Inspector, recovered/seized 250 ml Name of Drug 1 Almajax Suspension ml DTL Report No. & Date JX 11'·8 22863/DTL; 22864/DTL; again inspected Batch No. I JX 168 250 Batch No. JX 168 stocks of above-mentioned after test/analysis, were declared substandard by the Lahore as detailed below: 250 ml on 21-11-2014, Sr. No S-Km also took sample of Almajax 250 ml batch no. JX168 from the stock available at Hafizabad. 2 , Ltd, Main Medicine Report DTL Results' 21-11-2014 21-11-2014 Store Substandard Substandard of DHQ Hospital Hafizabad and drugs on Form No.5. Detail is given as under: Manufacturer Quantity Seized Reason-for Seizure M/s Medisearch Parma [Pvt] Ltd. 5-Km Raiwind Manga Road, Lahore 25084 Bottles Substandard (Formation of sold cake that is not dispersible even after vigorous Shaking) • Page 2 of4 ~ The case was considered by the PQCB under section 11 of the Drugs Act, 1967 in its meeting held on 22.11.2014. The Board, after scrutiny of the report of Government Drug Inspector compliance. observed Secretary, also took samples that this is a criminal negligence and statement of the and gross lapse in GMP Gujrat and Lahore General Hospital Suspension", Lahore which also after test/analysis were by the DTL Lahore. Detail is given below: Batch DTL Report No. & date Results JX 165 1616/DTL & 27-01-2015 Substandard' Suspension JX 167 689/DTL & 13-01-15 Substandard: Almajax 250m] Suspension JX 166 22862/DTL 21-11-2014 Almajax 120ml Almajax 120ml Suspension JX 155 1001/DTL & 19-01-15 Su bstandard. Suspension' JX 171 999/DTL & 19-01-15 Substandard Drug No Inspector 1 Bhakkar Almajax 250ml Suspension 2 Bhakkar Almajax 250ml 3 Bhakkar 4 Gujrat 5 LGH Lahore Name of Drug to the case history, manufactured Bhakkar, stocks of drug "Almajax Sr. In addition on part of the manufacturers PQCB, added that Drug Inspectors from available declared substandard Analyst, report of the Drug Inspector he also informed by M/s Medisearch No. DTL Report Su bstandard & that from 2009 to till date, 19 cases of Substandard Pharma Lahore have been reported Drugs in PQCB. Out of these 19 cases, 7 cases are of Almajex (Drug in Question). 5. EDO(Health) well ventilated as exhaust fans are installed therein. such incidence of caking in any other Antacid Syrup. He stated accused firms has caused provided by the government 6. I examined that M/s Medisearch !if! Hafizabad stated that they have a big hall for the storage detrimental a bad name to Health /Pharma, on the drugs/medicines of doubt Pharma (Pvt.) Ltd., Lahore and M/s Pioneer Pharrna, Gujrat, Lahore have acted in a manner or good practices. a substandard The GMPs were not followed at all by M/s Medisearch drug/medicine was not only manufactured (Pvt.) Ltd., Lahore but also the same were supplied Gujrat,. This indicates of other drugs/medicines manufactured and lapse of quality control. This matter pertains episode of the incidence quality control department to a government health of drugs reaction by M/s Medisearch Pharma by M/s Medisearch facility by M/s Pioneer a complete failure of quality control and criminal negligence supplied by M/s Pioneer Pharrna, Gujrat, cannot be truste. . and faith of patients drugs by the the available record of the instant case and it has been proved beyond any shadow to public interest Hence, the quality that during his whole service, he has seen no that supply of such Substandard Department which is health facility is being removed. (Pvt.) Ltd., Lahore. Resultantly, Pharma He contended of the drugs/medicines on part of the firms. Pharma (Pvt) Ltd., Lahore & on the basis of said incidence of criminal negligence to 'the lives of people. The Government cannot afford another j in PIC, Lahore and Shahdra as it would lead to another of the subject firms was not playing its due role satisfactorily disaster. leaving masses The at the :::';:". mercy of substandard and unhygienic drugs. By implication, the Government cannot.allow.the firms to play with the life and health of masses any further. 7. Under Section 23 of the Drugs Act 1976, the manufacture Now, on the basis of the above narrated from potential threat of contamination facts & perusal from the products & supply of substandard of record and in order to protect drugs is an Offence. the lives of the people of the said firms, safe guard public interest.in general, • Page 3 of4 • __ "if .:~_ , ,\ " prevent o~~ n' ~ ' in future & to protect the ,POSSWility of such incidents 1('"1 .-- .,. do,heri!b" debar • t"i ,~ .'~list and dis uali ~, the public health from a source of threat to life, I - M s Medisearch Plwrma Pvt. Ltd. 5-KmRaiwind , Manga Roq4 Lah~~~!~d-';ti';r~~"~;Pioneer Pharma, lan Marklt, Near First Women Bank. 'Circular Road, Gujrat. with ----, ."" .. immediate effect [or a period o[ One (01) year for'future participation in Governfnent of Punjab Health ' Department's tender business under powers ., conferred upon me under-Rules Rules, 2009 & Rule 21 of Punjab Procurement Punjab Procurement " of Business 2011, Rule 19 of Rules, 2014. GOVERNMENT OF THE PUNJAB NO. & DATE EVEN: A copy is forwarded , Secretary, 2. Chief Executive, Drug Regulatory 3. All Administrative ~The ",,~ .; Managing ~l~? procurement Secretaries, of all other procuring & Coordination, of Pakistan, Islamabad. Islamabad. of,the Punjab. Regulatory of the All.Principals , ')' 7. All Divisional Commissioners, of Medical & Health Institutions 8 . All Divisional Directors Punjab, Lahore with the request PPRA, Punjab II~ agencies. Authority and to debar punja.!p.~,~::~~ ~~' , ..•• c£ . ~;~. III "", 1:;';'~' 1i!lL '~P·'> ;& ••.""''/' Officers in Punjab. ;~"'ft~~:~¥ . t~'· h" f 10. All Executive District Officers (Health) in Punjab. . --- -. 12. The Secretary, ~-~--- ,..- 11. All Heads of Special Institutions Provincial of Health Department in Punjab. Quality Control Board Punjab, Lahore. 13, The Chief Drugs Controller, Punjab, Lahore. 14. The General Manager, Government 15. Th:et.s~'Qn Medical Store Depot, Guiberg-III, Lahore. Officer (Purchase-II}j(Purchase-III}j(Drugs Control}j(Standardization), H~~·i~h'Department. 20. PA to Additional Government Government 18. PS to Special Secretary, 19. PA to Procurement Procurement Cell, ; 16. PSO to Chief Secretary, 17. PSO to Secretary, l ~~~f1~i~~,'.1~ in Punjab. Health Services, in Punj'ab.·,.!;'4.:'" All District Coordination <.J .:? for J,y t;.--!l- of Health Department the contractor /: I\J~.0)-- The Director General Health Services, pU~jab, Lahore. 6. 9. Government on the Official Website 5' L.u:.:::- authority Dire,ctor, Punjab Procure~ent j') rn ,~ O- 0 action to the.- Ministry of National Health, Regulation t;,pload the same ,",,;:3.j 5. f necessary 1. ( "fJ ct:I..' +." for information of the Punjab. of the Punjab. Health Department. Government of th , Punjab, Health Department. Specialist, Health Department, Secretary (Technical), Lahore. Health Department. 21. Mjs Pioneer Pharma, [an Market, Near First Women Bank, Circular Road, Gujrat, 22. Mjs Medisearch Pharma (Pvt.) Ltd., 5-Km, Raiwind Manga Road, Lahore. ~ , Page 4 of4 \ .--.....