- Shop Products
- Services & Tools
- Business Resources
- Clinical Resources
- About Us
- Contact Us
|The requirements of the Drug Supply Chain Security Act (DSCSA) took effect for distributors in November 2019 and will phase in fully by November 2023.|
|The purpose of the DSCSA is to improve the security of the pharmaceutical supply chain by reducing the risk of counterfeit, stolen, contaminated or otherwise harmful drugs from reaching patients and consumers.|
|The DSCSA directs the Food and Drug Administration (FDA) to establish national licensure standards for wholesale providers and requires them to report licensure annually to FDA.|
|The DSCSA will affect how McKesson Medical-Surgical distributes low unit of measure prescription drugs and return of prescription drugs, as of November 2019.|
Under the DSCSA, the saleable units of measure of all prescription drugs must contain a serial number. Unfortunately, numerous manufacturers have elected to limit serialization to the case or carton level – and not put serial numbers on individual boxes or vials. As a result, the typical low unit of measure that you have purchased in the past will no longer be available from distributors.
Beginning November 27, 2019, McKesson Medical-Surgical stopped selling low unit of measure quantities of prescription drugs, such as vials and eaches, unless they have been serialized by the applicable manufacturer. Instead, McKesson will work with repackagers to provide you the low unit of measure services that you have come to expect from McKesson. Our repackagers will create low unit of measure packaging for you that will comply with the DSCSA and address your prescription drug needs.
The DSCSA requires wholesaler distributors to perform a verification for returned prescription drug products. In order for McKesson Medical-Surgical to associate the returned prescription drug product with its DSCSA transactional data (Transaction Information & Transaction Statement): customers will need to provide an invoice reference or other related information (e.g.: sales order number, customer PO, order date, etc.) so that we are able to associate the drug product was originally purchased from McKesson Medical-Surgical. This information will be gathered during the return authorization generation process when you contact our customer service center.
Beginning November 27, 2020, dispensers should only engage in transactions involving prescription drug product encoded with a product identifier. According to the DSCSA, “a dispenser may only engage in transactions involving prescription drug products if such product is encoded with a product identifier.”
The second requirement for dispensers is effective on November 27, 2020 and relates to performing verifications of the product identifier when investigating suspect product. Since 2015, all DSCSA trading partners, including dispensers, have been required to have policies and procedures to detect and investigate suspect products. As a part of that suspect product investigation, dispensers are expected to add the verification of product identifiers to the process.
Due to the increased expense related to repackaging, relabeling, handling and transportation, you will see an increase in price for prescription drugs sold by the vial or each.
Additionally, low unit of measure prescription drugs will be drop-shipped to meet timing guidelines for the new serialization requirements. Non-refrigerated items have a drop-ship fee of $5, while refrigerated items have a drop-ship fee of $25.
See our frequently asked questions to learn more.
Download the complete list of affected items to find out when they will be available for drop-ship in low units of measure.
November 27, 2013
Congress enacts the Drug Quality and Security Act (DQSA), which includes Title II, the Drug Supply Chain Security Act (DSCSA)
DSCSA requirements begin phasing in
All pharmaceutical suppliers are required to send to McKesson Medical-Surgical the DSCSA transaction data: Transaction Information, Transaction Statement & Transaction History for prescription drugs. McKesson Medical-Surgical must provide the DSCSA transaction records to its customers
McKesson Medical-Surgical will retain customer’s DSCSA transaction data for prescription drugs purchases from McKesson Medical-Surgical Distribution Centers for a period of six years (from the invoice date)
All manufacturers and repackagers serialize product for all prescription drugs by affixing a product identifier (2d) bar code to each individual package and homogenous case
Distributors must sell serialized units of measure for prescription drugs. In response, McKesson Medical-Surgical begins sourcing repackaged low unit of measure prescription drugs
McKesson Medical-Surgical will only accept prescription drug returns if our customer purchased the prescription drug from McKesson Medical-Surgical
Dispensers should only purchase and sell prescription drug products encoded with a product identifier
Dispensers will need to perform verification of the product identifier when investigating suspect product as it relates to prescription drugs
Now through 2023
Product tracing requirements continue to phase in under DSCSA
The higher price reflects additional expenses related to repackaging, relabeling, handling and transportation.
This is the most efficient way for the supply chain to accommodate the serialization requirements by the November 2019 deadline.
Drop-ship fees vary on if the item is refrigerated or not. Non-refrigerated items have a drop-ship fee of $5. Refrigerated items have a drop-ship fee of $25.
No. GPO contracts do not include low unit of measure items and all will be non-contract.
On statements or invoices, you will see the item price and a separate line for the drop-ship fee.
No. The new drop-shipped low unit of measure prescription drugs are NOT returnable.
Drop-shipped prescription drugs will be sent UPS ground. Shipment time varies based on location but expected within 5 – 7 days.
We will be releasing waves of the transition items from August – November 2019.
Any prescription drugs returned to McKesson Medical-Surgical will require that you originally purchased the product from McKesson Medical-Surgical by providing a valid invoice number and the product is in saleable condition.
Customer will need to provide an invoice reference or other related information (e.g.: sales order number, customer PO, order date, etc.) so that we are able to associate the drug product was originally purchased from McKesson Medical-Surgical.
To be a valid invoice reference, the prescription drug needs to have been purchased on that account and invoice and there needs to be an available return quantity meaning that a return has not already been made against that reference exhausting the quantity purchased.
No, controlled substances are not returnable.
A customer who provides an invalid invoice reference will be denied the saleable return request. No credit will be given without a valid invoice reference.
No, OTC drugs does not apply to DSCSA. Only pharmaceutical drug products – controlled substances and prescription (Rx) drugs.
The term “dispenser” as defined in the DSCSA means a retail pharmacy, hospital pharmacy, a group of chain pharmacies under common ownership and control that do not act as a wholesale distributor, or any other person authorized by law to dispense or administer prescription drugs, and the affiliated warehouses or distribution centers of such entities under common ownership and control that do not act as a wholesale distributor; and does not include a person who dispenses only products to be used in animals in accordance with section 512(a)(5).
If you are only administering the prescription drugs products and not dispensing to your patients then no further action is required.
McKesson Medical-Surgical is not in a position to provide guidance as to whether a customer meets the definition of a “dispenser” or the criteria for an exception. If you have questions on whether you meet the definition of a “dispenser” under the FDA Drug Supply Chain Security Act (DSCSA), please consult with your regulatory team or legal counsel for guidance.
Be advised that information contained in this update is intended to serve as a useful reference for informational purposes only and is not complete clinical information. This information is intended for use only by competent healthcare professionals exercising judgment in providing care. McKesson cannot be held responsible for the continued currency of or for any errors or omissions in the information.
©2019 McKesson Medical-Surgical Inc.