OFFICE OF THE PRIME MINISTER

No. 233 2007

PROMULGATION OF ACT
OF PARLIAMENT

The following Act which has been passed by the Parliament and signed by the President in terms of the Namibian Constitution is hereby published in terms of Article 56 of that Constitution.

No.8 of 2007: Medicines and Related Substances Control Amendment Act, 2007.

Government Gazette 28 December 2007 No. 3968

Words underlined with a solid line indicate insertions in existing provisions.

Words in bold type in square brackets indicate omissions from existing provisions.

ACT

To amend the Medicines and Related Substances Control Act, 2003, so as to amend and delete certain definitions; to provide for a period within which the Council must be appointed; to provide for the appointment of chairpersons of committees established by the Council; to amend provisions relating to the classification of medicines and other substances as scheduled substances; to amend provisions relating to the manufacturing, packing and selling of specified Schedule 3 and specified Schedule 4 substances; to delete references to generic substitutions; to substitute references to Schedule 1, Schedule 2, Schedule 3 or Schedule 4 medicines by references to Schedule 1, Schedule 2, Schedule 3 or Schedule 4 substances; to insert provisions relating to the registration of premises engaged in the manufacturing of medicines; to amend provisions relating to offences and penalties; to amend provisions relating to the destruction of forfeited medicines, scheduled substances or other things; to provide for the making of regulations in relation to medicines; to amend provisions relating to the exclusion of medicines from the operation of the Act; to amend the transitional provisions; to amend provisions relating to the repeal and amendment of certain laws; and to provide for matters incidental thereto.

(Signed by the President on 21 December 2007)

BE IT ENACTED by the Parliament of the Republic of Namibia, as follows:

Amendment of section 1 of Act No. 13 of 2003

1. Section 1 of the Medicines and Related Substances Control Act, 2003 (hereinafter referred to as the principal Act) is amended

(a)

by the substitution for the definition of "animal" of the following definition:

'" animal' means all mammals with the exception of human beings, all birds including poultry, all bees, all amphibians, all reptiles, all fishes, all mollusc, all crustaceans and all bees [animal as defined in the Animal Diseases and Parasites Act, 1956 (Act No. 13 of 1956)];"

(b)

by the substitution for the definition of "appeal committee" of the following definition:

(c)

by the substitution for the definition of "authorised prescriber" of the following definition:

"'appeal committee' means the appeal committee referred to in section 34(2}[(1»);"; No. 3968 Government Gazette 28 December 2007

Act No.8, 2007 MEDICINES AND RELATED SUBSTANCES CONTROL AMENDMENT ACT, 2007

"'authorised prescriber' means a medical practitioner, a dentist, a veterinarian, [or] a person authorised to prescribe specified Schedule 1, Schedule 2 or Schedule 3 substances under section 31(1)) or a pharmacist authorised to prescribe specified Schedule 2 or Schedule 3 substances under section 31(2) [a medicine under section 31(1) or (2)];";

(d)

by the substitution for the definition of "committee" of the following definition:

"-'committee' means a committee established by the Council [Board] under this Act;";

(e)

by the substitution for the definition of "complementary medicine" of the following definition:

"'complementary medicine' means a substance or a mixture of substances

prepared and used or purported to be suitable for use or manufactured or

sold for use in

(a)

the diagnosis, treatment, mitigation, modification, or prevention, of a disease, abnormal physical or mental state, or the symptoms thereof, in humans or animals; or

(b)

restoring, correcting or modifying any somatic, psychic or organic function in humans or animals,

in accordance with the principles of any of the following disciplines:

(i)

Homeopathy;

(ii)

Western herbal medicine;

(iii) African traditional medicine; or

(iv) Chinese herbal medicine,

whether or not administered by or through a medical device;";

(f)

by the deletion of the definition of "health facility";

(g)

by the substitution for the definition of "manufacture" of the following definition:

"'manufacture' means to carry out operations, including the purchasing of material, processing, packaging, quality control, release and storage of medicinal products and related substances, and "manufacturing" has a corresponding meaning;";

(h)

by the substitution for the definition of "medical practitioner" of the following definition:

"'medical practitioner' means a medical practitioner as defined in the Medical and Dental [Professions] Act, 2004 (Act No. 10 of 2004), [1993 (Act No. 21 of 1993)] or a medical intern as defined in that Act;";

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Act No.8, 2007 MEDICINES AND RELATED SUBSTANCES CONTROL AMENDMENT ACT, 2007

(i) by the substitution for the definition of "medicine" of the following definition:

'''medicine' means

(a) a substance or a mixture of substances prepared and used or purported to be suitable for use or manufactured or sold for use in

(i)

the diagnosis, treatment, mitigation, modification or prevention of a disease, abnormal physical or mental state, or the symptoms thereof, in humans or animals; or

(ii)

restoring, correcting or modifying any somatic, mental [psychic] or organic function in humans or animals;

whether or not administered by or through a medical device;

(b)

a veterinary medicine; or

(c)

a complementary medicine;";

(j)

by the substitution for the definition of "patient" of the following definition: '''patient' means

(a)

in the case of a medical practitioner, a dentist, a practitioner or a registered nurse, a person treated by the medical practitioner, the dentist, the practitioner or the registered nurse;

(b)

in the case of a veterinarian or a para-veterinary professional, an animal treated by the veterinarian or the para-veterinary professional; and

(c)

in the case of a pharmacist, a person, [or an animal,] treated by the pharmacist;";

(k)

by the substitution for the definition of "pharmaceutical technician" of the following definition:

"'pharmaceutical technician' means a pharmaceutical technician as defined in the Pharmacy [Professions] Act, 2004 (Act No.9 of 2004) [1993 (Act No. 23 of 1993)];",

(1)

by the substitution for the definition of "pharmacist" of the following definition:

"'pharmacist' means a pharmacist as defined in the Pharmacy [Professions] Act, 2004 (Act No.9 of 2004) [1993 (Act No. 23 of 1993)];";

(m)

by the substitution for the definition of "pharmacist's assistant" of the following definition:

"'pharmacist's assistant' means a pharmacist's assistant as defined in the Pharmacy [Professions] Act, 2004 (Act No. 9 of 2004) [1993 (Act No. 23 of 1993];",

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Act No.8, 2007 MEDICINES AND RELATED SUBSTANCES CONTROL AMENDMENT ACT, 2007

(n) by the substitution for the definition of "pharmacist intern" of the following definition:

"'pharmacist intern' means a pharmacist intern as defmed in the Pharmacy [Professions] Act, 2004 (Act No.9 of 2004) [1993 (Act No. 23 of 1993);";

(0)· by the substitution for the definition of "practitioner" of the following definition:

"-'practitioner' means an allied or complementary health practitioner as defined in the Allied Health [Services] Professions Act, 2004 (Act No.7 of 2004) [1993 (Act No. 20 of 1993)];";

(p) by the substitution for the definition of "register" of the following definition:

"'register'

(a)

when used as a noun, means the medicines register or veterinary medicines register or complementary medicines register, or any other register kept in terms of section 17; and

(b)

when used as a verb, means to enter in a register referred to in paragraph (a);";

. (q) by the substitution for the definition of "registered nurse" of the following definition:

"'registered nurse' means a registered nurse as defined in the Nursing [Professions] Act, 2004 (Act No.8 of 2004) [1993 (Act No. 30 of1993)];";

(1) by the substitution for the definition of "Registrar" of the following definition:

'''Registrar' means the Registrar of Medicines appointed in terms of section

16;";

(m)

by the substitution for the definition of "scheduled substance" of the following definition:

"'scheduled substance' means any medicine or substance classified as a Schedule 0, Schedule 1, Schedule 2, Schedule 3, Schedule 4 or Schedule 5 substance in terms of section 29(1);";

(n)

by the substitution for the definition of "veterinary medicine[s]" of the following definition:

"'veterinary medicine [s]' means a substance or mixture of substances, [other than farm feeds as defined in the Fertilizers, Farm Feeds, Agricultural Remedies and Stock Remedies Act, 1947 (Act No. 36 of 1947),] including stock remedies as defined in the Fertilizers, Farm Feeds, Agricultural Remedies and Stock Remedies Act, 1947 (Act No. 36 of 1947), prepared and used or purporting to be suitable for use or manufactured or sold for use in connection with

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Act No.8, 2007 MEDICINES AND RELATED SUBSTANCES CONTROL AMENDMENT ACT, 2007

(a)

the diagnosis, treatment, prevention or cure of a disease, an infection or other unhealthy condition in animals;

(b)

the maintenance or improvement of health, growth, production or working capacity in animals; or

(c)

restoring, correcting or modifying a somatic or organic function, or for correcting or modifying behaviour, in animals,

whether or not administered by or through a medical device;". Amendment of section 3 of Act No. 13 of 2003

2. Section 3 of the principal Act is amended by the substitution for the words preceding paragraph (a) of subsection (1) of the following words:

"The Council consists of the following members to be appointed by the Minister within six months after the date of commencement of this Act as follows:".

Amendment of section 12 of Act No. 13 of 2003

3. Section 12 of the principal Act is amended by the substitution for subsection

(5) of the following subsection:

"(5) The Councilor the Permanent Secretary, as the case may be, may not exercise any powers, take a decision, or perform a function in terms of section 18(2), 19(4) or (11),20(1) or (4),21 (4),22(1) or (3),25(2),27(1) or (3),29(1), (3), (15), (23), (24), (27) or (29), [29(1)], 31(1), (2), (3), (4) or (5),32,33,37, 37B(3), 37C, 37D(2)' (3), (4) and (5), 37E, 42(a)(i), 44(1) or 45 with respectto a veterinary medicine, unless the veterinary medicines committee recommends so.".

Substitution of section 13 of Act No. 13 of 2003

4. The following section is substituted for section 13 of the principal Act: "Other committees

13. The Council may

(a)

from time to time, establish such other committees as it may consider necessary to investigate and report to it on a matter, which is within the purview of the Council in terms of this Act; and

(b)

appoint such persons, including

ill persons other than members of the Council, as it may consider fit to be members of a committee established in terms of paragraph (a);

(ill. the chairperson of such a committee.".

No. 3968 Government Gazette 28 December 2007 7 Act No.8, 2007 MEDICINES AND RELATED SUBSTANCES CONTROL AMENDMENT ACT, 2007 Amendment of section 29 of Act No. 13 of 2003

5. Section 29 of the principal Act is amended

(a) by the substitution for subsection (1) of the following subsection:

"(1) The Minister, on the recommendation of the Council and for the purpose of the control of medicines and other substances

(a)

must classify medicines and other substances, by notice in the Gazette, as Schedule 0, Schedule 1, Schedule 2, Schedule 3, Schedule 4 or Schedule 5 substances; and

(b)

may from time to time amend the Schedules referred to in . paragraph (a) by notice in the Gazette:

Provided that the Council must recommend only those medicines and other substances, which it considers necessary to be classified.";

(b)

by the insertion of the following subsection after subsection (1): "(IA) Any Schedule 0 substance maybe sold in an open shop.".

(c)

by the substitution for subsection (2) ofthe following subsection:

"(2) Subject to this section, a person may not sell, have in his or her possession or manufacture a medicine or a scheduled substance, except in accordance with the prescribed conditions.";

(d) by the substitution for paragraph (a) of subsection (15) of the following paragraph:

"(a) the Council may issue a permit in the prescribed form and manner to a person to manufacture, [or] pack and sell a specified Schedule 3 substance;"; and

(e) by the substitution for paragraph (a) of subsection (23) of the following paragraph:

"(a) the Council may issue a permit in the prescribed form and manner to a person to manufacture, [or] pack and sell a specified Schedule 4 substance;".

Amendment of section 30 of Act No. 13 of 2003

6. Section 30 of the principal Act is amended by the substitution for the heading of the following heading:

"Substitution of medicine on prescription with interchangeable multi-source medicine" ·

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Act No.8, 2007 MEDICINES AND RELATED SUBSTANCES CONTROL AMENDMENT ACT, 2007

"Licences and permits

31. (1) The Council may issue a licence on application in the prescribed form by a person, who lawfully performs a health service, other than a person referred to in subsection (2) or (3), authorising that person to

(a)

acquire;

(b)

possess; and

(c)

prescribe, use in respect of, or sell to, his or her patients,

specified Schedule 1, Schedule 2 or Schedule 3 substances, [medicines] subject to such conditions as the Council may determine, if the Council is satisfied that granting such a licence is in the public need and interest and that the person possesses the required competence to possess, prescribe, use, or supply those scheduled substances [medicines].

(2) The Council may issue a licence on application in the prescribed form by a pharmacist, authorising that pharmacist to

(a)

prescribe; and

(b)

sell to persons in respect of whom he or she has issued a prescription under paragraph (a),

specified Schedule 2 or Schedule 3 substances, [medicines] subject to such conditions as the Council may determine, if the Council is satisfied that granting such a licence is in the public need and interest and that the pharmacist possesses the required competence to prescribe those scheduled substances [medicines].

(3)

The Council may issue a licence on application in the prescribed form by a medical practitioner, a dentist or a veterinarian, authorising that medical practitioner, dentist or veterinarian to sell Schedule 1, Schedule 2, Schedule 3 or Schedule 4 substances [medicines] to his or her patients, subject to such conditions as the Council may determine, if the Council is satisfied that granting such a licence is in the public need and interest and that the medical practitioner, the dentist or the veterinarian has the required competence to dispense those scheduled substances [medicines].

(4)

Notwithstanding the other provisions of this section, the Minister, on the recommendation of the Council, may issue a permit to a person, who is not a pharmacist, authorising that person to manufacture, [or] pack and sell a medicine or a scheduled substance subject to conditions specified in the permit.

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(5)

The Council

(a)

must issue a licence to a person, who is the holder of a permit issued by the Minister under subsection (4), to manufacture, [or] pack and sell a medicine or a scheduled substance;

(b)

may issue a licence, on application by a pharmacist, authorising him or her to manufacture, [or] pack and sell a medicine or scheduled substance subject to such conditions as the Council may determine;

(c)

may issue a licence, on application by a person who may sell a medicine or a scheduled substance under this Act, authorising that person to import or export that medicine or scheduled substance subject to such conditions as the Council may determine.

(6)

The Registrar must register, in the prescribed form, every person issued with a licence or permit under this section.

(7)

If a medical practitioner, a dentist, a pharmacist, a veterinarian or other person granted a licence under this section ceases to carry out the functions authorised in that licence, he or she must notify the Registrar accordingly in writing and return the licence in question to the Registrar, and the Registrar must remove the name of that person from the relevant register.

(8)

A licence referred to in this section must be issued on payment of the fee prescribed for the particular licence.

(9)

A licence or permit issued under this section may be revoked, if a condition on which it was issued is not met.".

Amendment of section 33 of Act No. 13 of 2003

8. Section 33 of the principal Act is amended by the substitution for subsection

(1) of the following subsection:

"(1) If the Council is of the opinion that it is not in the public interest that a medicine or a scheduled substance be made available to the public, the Council may

(a)

by notice in writing handed or transmitted by registered post to any person direct that person; or

(b)

by notice in the Gazette direct any person, [to]

(i)

return any quantity of that medicine or scheduled substance in his or her possession to the manufacturer, supplier or importer of that medicine or scheduled substance; or

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(ii) deliver or send that medicine to any other person designated by the Council." .

Insertions of sections 37A, 37B, 37C, 37D, 37E and 37F in Act No. 13 of 2003

9. The following sections are inserted in the principal Act after section 37: "Premises to be registered

37A. (1) No person may manufacture any medicine on any premises unless

(a)

the premises are registered in terms of this Act in respect of the manufacturing concerned; and

(b)

the premises are under the continuous personal supervision of a pharmacist or a person contemplated in section 31(4).

(2) Subsection (1) prevails over any other provision to the contrary contained in any other law, and nothing in any other law is deemed to authorise any person to act in contravention of subsection (1).

Application for registration of premises

37B. (1) A person who wishes to have a premises registered as contemplated in section 37A(1), must submit an application to the Registrar in the prescribed form.

(2)

An application referred to in subsection (1) must be accompanied by

(a)

the prescribed particulars, if any; and

(b)

the prescribed application fee.

(3) The Registrar must submit, as soon as is practicable after he or she has received the application referred to in subsection (1), the application and the prescribed particulars, if any, to the Council for consideration, and must inform the applicant in writing that the application has been so submitted.

Consideration of application and registration of premises

37C. (1) On receipt of an application referred to in section 37B(1), the Council

(a)

may, if satisfied that the application meets the requirements of this Act and subject to subsection (2), approve the application; or

(b)

may

(i)

conduct such investigation or inquiry as it considers necessary, including any presentation by the applicant; and

(ii)

require further particulars from the applicant.

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(2)

In considering an application referred to in section 37B(1), the Council must have regard to

(a)

whether or not the registration is reasonably required in the public interest;

(b)

the suitability of the premises for the purposes for which the registration is required;

(c)

the safe custody of the medicines to be stored on the premises;

(d)

whether or not the applicant is the holder of a licence or permit contemplated in section 31(4) or 31(5).

(3)

If the Council approves an application referred to in section 37B(n( �/span>

(a)

the Council may determine such conditions as it considers necessary or desirable having regard to the purpose for which the premises are to be registered and the need for the safe custody of medicines to be stored on the premises; and

(b)

the Registrar must then

(i)

enter in the relevant register the prescribed particulars and any conditions determined by the Council, and

(ii)

issue to the applicant a licence in the prescribed form.

(4)

Subject to the provisions of subsection (5), ifthe Council refuses to approve an application referred to in section 37B(1), the Registrar must inform the applicant in writing of such refusal and the reasons for the refusal.

(5)

If the Council intends

(a)

to refuse to approve an application referred to in section 37B(n( � or

(b)

to approve such application subject to conditions determined by the Council,