These Regulations may be cited as the Human Medicines Regulations 2012.

These Regulations come into force on 14th August 2012.

A vaccine against infectious diseases is not to be treated as a gene therapy medicinal product.

Where an advanced therapy medicinal product contains viable cells or tissues, the pharmacological, immunological or metabolic action of those cells or tissues is to be treated as the principal mode of action of the product.

An advanced therapy medicinal product containing both autologous and allogeneic cells or tissues is to be treated as being for allogeneic use.

A product which falls within the definition of a tissue engineered product and within the definition of a somatic cell therapy medicinal product is to be treated as a tissue engineered product.

Regulation 17(1) (manufacturing of medicinal products: requirement for licence) shall not apply in circumstances where paragraph (4) applies.

Regulations 17(1) (manufacturing of medicinal products: requirement for licence) and 46 (requirement for authorisation) shall not apply in circumstances where paragraph (5) or (6) applies.

These Regulations do not apply where paragraph (7) applies.

This paragraph applies where a medicinal product is manufactured or assembled by a doctor or dentist and the conditions in paragraphs (8) and (9) are met.

This paragraph applies where the product is a radionuclide that is in the form of a sealed source.

Chapter 1 of Part 13 (requirements for packaging and package leaflets relating to medicinal products) does not apply to a medicinal product that is sold or supplied in circumstances where paragraph (11) or (12) applies in relation to the product, except to the extent set out in paragraph (14), but the requirements of paragraph (13) shall apply.

This paragraph applies where a medicinal product is the result of a process of manufacture to which regulation 17(1) does not apply by virtue of paragraph (5) or (6).

Regulations 269 (offences relating to packaging and package leaflets: other persons) and 271 (offences: penalties) shall have effect in relation to paragraph (13) as if that paragraph were a requirement of Part 13.

Regulation 17(1) does not apply in circumstances where a medicinal product used for vaccination or immunisation against coronavirus is labelled by a holder of a wholesale dealer’s licence to take account of a change to the shelf life of the product because of the thawing of the product.

For the purposes of this regulation—

• “authorised” has the meaning given in regulation 3(15); and

• “relevant arrangements” has the meaning given in regulation 19(4C) (exemptions from requirement for wholesale dealer’s licence).

This regulation ceases to have effect on 1st April F842026.

Regulations 17(1) (manufacturing of medicinal products: requirement for licence) and 46 (requirement for authorisation) do not apply where any provision of section 10 of the Medicines Act 1968 M1 so provides.

Chapter 1 of Part 13 (requirements for packaging and package leaflets relating to medicinal products) does not apply to a medicinal product that is sold or supplied in circumstances where paragraph (3) or (4) applies in relation to the product, except to the extent set out in paragraph (6), but the requirements of paragraph (5) shall apply.

This paragraph applies in a case where a medicinal product is the result of a process of manufacture to which regulation 17(1) does not apply by virtue of any provision of section 10 of the Medicines Act 1968.

The information specified in Part 2 of Schedule 26 must appear on the outer packaging, or, if there is no outer packaging, on the immediate packaging of a medicinal product that is sold or supplied in circumstances where paragraph (3) or (4) applies in relation to the product.

Regulations F68269 (offences relating to packaging and package leaflets in Great Britain: other persons), 269A (offences relating to packaging and package leaflets in Northern Ireland: other persons) and 271 (offences: penalties) shall have effect in relation to paragraph (5) as if that paragraph were a requirement of Part 13.

The licensing authority is responsible for the grant, renewal, variation, suspension and revocation of licences, authorisations, certificates F82, designations, opinions and registrations under these Regulations.

In these Regulations “the licensing authority” means either or both of the Ministers.

Paragraph (4) does not apply to any function that is conferred by these Regulations on a person or body other than the licensing authority.

Any function that is conferred on “the Ministers” by these Regulations is to be exercised by the Ministers acting jointly.

Paragraph (7) does not apply where these Regulations provide for a function of the Ministers to be exercised by either of them acting alone or both of them acting jointly.

In these regulations “advertisement”, in relation to a medicinal product, includes anything designed to promote the prescription, supply, sale or use of that product.

In these Regulations (unless the context otherwise requires)—

• F10“the 2001 Directive” means Directive 2001/83/EC of the European Parliament and of the Council on the Community Code relating to medicinal products for human use;

• F81“the 2018 Regulations” means the Health Service Products (Provision and Disclosure of Information) Regulations 2018;

• F44“active implantable medical device”—

  1. a

     has the meaning given in regulation 2 of the Medical Devices Regulations 2002; or

  2. b

     to the extent necessary for the practical application of that definition, also or instead has the meaning given in regulation 137 of those Regulations;

• F1“active substance” means any substance or mixture of substances intended to be used in the manufacture of a medicinal product and that, when used in its production, becomes an active ingredient of that product intended to exert a pharmacological, immunological or metabolic action with a view to restoring, correcting or modifying physiological functions or to make a medical diagnosis;

• “administer” means administer to a human being—

  1. a

     orally, by injection, or by introduction into the body in any other way; or

  2. b

     by external application (whether or not by direct application to the body),

  and any reference in these Regulations to administering anything is to administering it in its existing state or after it has been dissolved or dispersed in, or diluted or mixed with, a substance used as a vehicle;

• “advanced therapy medicinal product” means F74, in the case of a medicinal product for sale or supply by the holder of a UKMA(NI) or UKMA(UK), a medicinal product described in Article 2(1)(a) of Regulation (EC) No 1394/2007;

• “adverse reaction” means a response to a medicinal product that is noxious and unintended;

• “advisory body” has the meaning given by regulation 12(1);

• F44“agreed paediatric investigation plan” means a paediatric investigation plan which the licensing authority has agreed in accordance with regulation 50B;

• F44“Annex I to the 2001 Directive” means, in relation to UKMA(GB), Annex I to the 2001 Directive, as modified in accordance with Schedule 8B;

• F44“approved country for batch testing list” means the list published by the licensing authority under paragraph 14(3) of Schedule 7 (obligations of qualified persons) and “approved country for batch testing” means a country included in that list;

• F44“approved country for import list” means the list published by the licensing authority under regulation 18A (approved country for import) and “approved country for import” means a country included in that list;

• “appropriate practitioner” means an appropriate practitioner within the meaning of regulation 214;

• “Article 126a authorisation” means an authorisation granted by the licensing authority under Part 8 of these Regulations;

• F2“assemble”, in relation to a medicinal product or an active substance, includes the various processes of dividing up, packaging and presentation of the product or substance, and “assembly” has a corresponding meaning;

• “biological medicinal product” and “biological substance” have the meaning given in the third indent of paragraph 3.2.1.1.(b) of Annex I to the 2001 Directive;

• “blood component” means any of the following—

  1. a

     red cells;

  2. b

     white cells;

  3. c

     platelets; and

  4. d

     plasma;

• “the British Pharmacopoeia” means the British Pharmacopoeia referred to in regulation 317;

• F3“brokering” means all activities in relation to the sale or purchase of medicinal products, except for wholesale distribution, that do not include physical handling and that consist of negotiating independently and on behalf of another legal or natural person;

• “business” includes—

  1. a

     a professional practice;

  2. b

     any activity carried on by a body of persons whether corporate or unincorporated; and

  3. c

     the provision of services by or on behalf of the Secretary of State, the Minister for Health, Social Services and Public Safety, the Welsh Ministers or the Scottish Ministers as the case may be under the following enactments—

     1. i

        the National Health Service Act 2006 M2,

     2. ii

        the Health and Personal Social Services (Northern Ireland) Order 1972 M3 and the Health and Social Care (Reform) Act (Northern Ireland) 2009 M4,

     3. iii

        the National Health Service (Wales) Act 2006 M5,

     4. iv

        the National Health Service (Scotland) Act 1978 M6;

• F52...

• “certificate of registration” means a certificate of registration granted by the licensing authority under Part 6 of these Regulations F75and—

  1. a

     “COR(UK)” means such a certificate in force in the whole United Kingdom;

  2. b

     “COR(GB)” means such a certificate in force in Great Britain only;

  3. c

     “COR(NI)” means such a certificate in force in Northern Ireland only;

• “clinical management plan” means a written plan relating to the treatment of an individual patient and agreed by—

  1. a

     the patient;

  2. b

     the doctor or dentist who is a party to the plan; and

  3. c

     any supplementary prescriber who is to prescribe, give directions for administration or administer under the plan;

• “clinical trial” has the meaning given by regulation 2 of the Clinical Trials Regulations;

• “the Clinical Trials Directive” means Directive 2001/20/EC of the European Parliament and of the Council on the approximation of the laws, regulations and administrative provisions of the Member States relating to the implementation of good clinical practice in the conduct of clinical trials on medicinal products for human use M7;

• “the Clinical Trials Regulations” means the Medicines for Human Use (Clinical Trials) Regulations 2004 M8;

• “the Commission” has the meaning given by regulation 9(1);

• F32“Commission Regulation 2016/161” means Commission Delegated Regulation (EU) 2016/161 supplementing Directive 2001/83/EC of the European Parliament and of the Council by laying down detailed rules for the safety features appearing on the packaging of medicinal products for human use;

• “common name” in relation to a medicinal product, active substance or excipient means—

  1. a

     its international non-proprietary name recommended by the World Health Organisation; or

  2. b

     if such a name does not exist, its usual common name;

• F44“the Committee for Medicinal Products for Human Use” means the committee established under Article 5(1) of Regulation (EC) No 726/2004;

• F44“conditional marketing authorisation” means a UKMA(GB) granted under regulation 49(1)(a) in accordance with regulation 58F;

• “community practitioner nurse prescriber” means a person—

  1. a

     who is a registered nurse or a registered midwife; and

  2. b

     against whose name is recorded in the professional register an annotation signifying that the person is qualified to order drugs, medicines and appliances from the Nurse Prescribers' Formulary for Community Practitioners in the current edition of the British National Formulary;

• “contravention” includes failure to comply (and “contravene” has a corresponding meaning);

• F36“coronavirus” and “coronavirus disease” have the meanings given in section 1(1) of the Coronavirus Act 2020;

• “cosmetic” means any substance or preparation intended to be applied to the surfaces of the human body (including the epidermis, pilary system and hair, nails, lips and external genital organs), or the teeth or buccal mucosa, wholly or mainly for the purpose of—

  1. a

     perfuming them;

  2. b

     cleansing them;

  3. c

     protecting them;

  4. d

     caring for them or keeping them in condition;

  5. e

     modifying their appearance (for aesthetic purposes or otherwise); or

  6. f

     combating body odours or normal body perspiration;

• F44“country” means a country or territory;

• “dentist” means a person registered in the dentists register under section 14 of the Dentists Act 1984 M9;

• F44“Directive 2001/18/EC” means Directive 2001/18/EC of the European Parliament and of the Council of 12 March 2001 on the deliberate release into the environment of genetically modified organisms and repealing Council Directive 90/220/EEC – Commission Declaration;

• F53...

• F54...

• “disease” includes any injury, ailment or adverse condition, whether of body or mind;

• “doctor” means a registered medical practitioner;

• F83“EAMS medicinal product” means a medicinal product that—

  1. a

     has been included in the Early Access to Medicines Scheme by means of the licensing authority issuing an EAMS scientific opinion in respect of it; and

  2. b

     remains in the scheme by virtue of the EAMS scientific opinion not ceasing to have effect in respect of it by virtue of regulation 167D;

• F83“EAMS scientific opinion” is to be construed in accordance with regulation 167C(2)(b);

• F83“EAMS scientific opinion holder” means the holder of a EAMS scientific opinion, and accordingly, is the person who places on the market the product to which the opinion relates;

• F83“Early Access to Medicines Scheme” means the scheme of that name established and operated under regulation 167C(1);

• “effervescent”, in relation to a tablet or capsule, means containing not less than 75 per cent, by weight of the tablet or capsule, of ingredients included wholly or mainly for the purpose of releasing carbon dioxide when the tablet or capsule is dissolved or dispersed in water;

• “electronic communication” means a communication transmitted (whether from one person to another, from one device to another or from a person to a device or vice versa)—

  1. a

     by means of an electronic communications network within the meaning of section 32(1) of the Communications Act 2003 M10; or

  2. b

     by other means but while in an electronic form;

• F21“electronic signature” has the meaning given within Article 3(10) of Regulation (EU) 910/2014 of the European Parliament and of the Council on electronic identification and trust services for electronic transactions in the internal market;

• “the EMA” means the European Medicines Agency established by Regulation (EC) No 726/2004;

• “enactment” includes primary and secondary legislation of the devolved administrations in Wales, Scotland and Northern Ireland;

• “enforcement authority” means the Secretary of State, the Minister for Health, Social Services and Public Safety or a person on whom a function of enforcing a provision of these Regulations has been conferred by virtue of regulations 323 or 324;

• F44“EU agreed paediatric investigation plan” means a paediatric investigation plan agreed in accordance with the Paediatric Regulation;

• F83“EU Clinical Trials Regulation” means Regulation EU No. 536/2014 of the European Parliament and of the Council on clinical trials on medicinal products, and repealing Directive 2001/20/EC;

• “EU Exit Regulations” means the Human Medicines (Amendment etc.) (EU Exit) Regulations 2019;

• “EU marketing authorisation” means a marketing authorisation granted or renewed by the European Commission under Regulation (EC) No 726/2004;

• “European Economic Area” or “EEA” means the European Economic Area created by the EEA agreement;

• “the European Pharmacopoeia” means the European Pharmacopoeia published by the European Directorate for the Quality of Medicines;

• F4“excipient” means any constituent of a medicinal product other than the active substance and the packaging material;

• “exempt advanced therapy medicinal product” has the meaning given in regulation 171;

• “expert advisory group” has the meaning given by regulation 14(1);

• F5“export” means export, or attempt to export, from the United Kingdom, whether by land, sea or air;

• F22“external use” in relation to a medicinal product—

  1. a

     means its use by application to the skin, teeth, mucosa of the mouth, throat, nose, ear, eye, vagina or anal canal in circumstances where local action only is necessary and systemic absorption is unlikely to occur; but

  2. b

     does not include its use by means of a throat spray, nasal spray, nasal inhalation or teething preparation or by means of throat pastilles, throat lozenges, throat tablets or nasal drops;

• F6“falsified medicinal product” means any medicinal product with a false representation of—

  1. a

     its identity, including its packaging and labelling, its name or its composition (other than any unintentional quality defect) as regards any of its ingredients including excipients and the strength of those ingredients;

  2. b

     its source, including its manufacturer, its country of manufacturing, its country of origin or its marketing authorisation holder; or

  3. c

     its history, including the records and documents relating to the distribution channels used;

• “Fees Regulations” means F15the Medicines (Products for Human Use) (Fees) Regulations 2016;

• “the Good Manufacturing Practice Directive” means F76—

  1. a

     in the case of a medicinal product manufactured or assembled in, or imported into, Great Britain—

     1. i

        Commission Directive 2003/94/EC laying down the principles and guidelines of good manufacturing practice for medicinal products for human use and for investigational medicinal products for human use, as modified by Schedule 2A, or

     2. ii

        if Regulations have been made under the powers in regulation B17(1), and have come into force, those Regulations;

  2. b

     in the case of a medicinal product manufactured or assembled in, or imported into, Northern Ireland, Commission Directive 2003/94/EC laying down the principles and guidelines of good manufacturing practice for medicinal products for human use and for investigational medicinal products for human use;

• “the Health and Care Professions Council register” means the register established and maintained by the Health and Care Professions Council under article 5 of the F34Health Professions Order 2001M11;

• “health care professional” means—

  1. a

     a doctor;

  2. b

     a dentist;

  3. c

     a pharmacist;

  4. d

     a pharmacy technician registered in Part 2 F39... of the Register of pharmacists and pharmacy technicians established and maintained under article 19(2) of the Pharmacy Order 2010 M12;

  5. e

     a registered nurse;

  6. f

     a registered midwife;

  7. g

     a registered optometrist;

  8. h

     a registered osteopath as defined in section 41 of the Osteopaths Act 1993 M13;

  9. i

     a registered chiropractor as defined in section 43 of the Chiropractors Act 1994 M14;

  10. j

      a person registered as a member of a relevant profession within the meaning of article 2 and paragraph 1 of Schedule 3 to the F35Health Professions Order 2001, in the Health and Care Professions Council register; or

  11. k

      a person registered in the dental care professionals register established and maintained under section 36B of the Dentists Act 1984 M15 as a member of a profession complementary to dentistry specified by regulation 2 of the General Dental Council (Professions Complementary to Dentistry) Regulations 2006 M16;

• “health centre” means a health centre maintained under—

  1. a

     section 2 or 3 of the National Health Service Act 2006 M17;

  2. b

     section 2 or 3 of the National Health Service (Wales) Act 2006 M18;

  3. c

     section 36(1)(b) of the National Health Service (Scotland) Act 1978 M19; or

  4. d

     article 5 of the Health and Personal Social Services (Northern Ireland) Order 1972 M20;

• F32“healthcare institution” has the meaning given by Article 3(2) of Commission Regulation 2016/161;

• “herbal medicinal product” means a medicinal product whose only active ingredients are herbal substances or herbal preparations (or both);

• “herbal preparation” means a preparation obtained by subjecting herbal substances to processes such as extraction, distillation, expression, fractionation, purification, concentration or fermentation, and includes a comminuted or powdered herbal substance, a tincture, an extract, an essential oil, an expressed juice or a processed exudate;

• “herbal substance” means a plant or part of a plant, algae, fungi or lichen, or an unprocessed exudate of a plant, defined by the plant part used and the botanical name of the plant, either fresh or dried, but otherwise unprocessed;

• “homoeopathic medicinal product” means a medicinal product prepared from homoeopathic stocks in accordance with a homoeopathic manufacturing procedure described by—

  1. a

     the European Pharmacopoeia; or

  2. b

     in the absence of such a description in the European Pharmacopoeia,

     1. i

        F45 in relation to a certificate of registration or marketing authorisation for a national homoeopathic product in force in Great Britain only, the British Pharmacopoeia, or in an pharmacopoeia used officially in an country that is included in a list published by the licensing authority for this purpose;

     2. ii

        in relation to a certificate of registration or marketing authorisation for a national homoeopathic product in force in the whole United Kingdom or in Northern Ireland only, in the British Pharmacopoeia or in any pharmacopoeia used officially in an EEA State;

• F32“hospice” means an institution whose primary function is the provision of palliative care to persons resident there who are suffering from a progressive disease in its final stages;

• “hospital” includes a clinic, nursing home or similar institution;

• “immediate packaging” in relation to a medicinal product means the container or other form of packaging immediately in contact with the medicinal product;

• F7“import” means import, or attempt to import, into the United Kingdom, whether by land, sea or air F46and “imported” is to be construed accordingly;

• “inspector” means a person authorised in writing by an enforcement authority for the purposes of Part 16 (enforcement) (and references to “the enforcement authority”, in relation to an inspector, are to the enforcement authority by whom the inspector is so authorised);

• “intermediate product” means a substance which—

  1. a

     has been manufactured for use in the manufacture of medicinal products; and

  2. b

     is intended for further processing by a manufacturer of such products;

• “investigational medicinal product” has the meaning given in regulation 2(1) of the Clinical Trials Regulations;

• “labelling” in relation to a container or package of medicinal products means affixing to or otherwise displaying on it a notice describing or otherwise relating to the contents (and “label” has a corresponding meaning);

• “the licensing authority” has the meaning given by regulation 6(2);

• F81“listed NIMAR product” means a product included in a list maintained in accordance with regulation 167B on the date it is dispatched from Great Britain to Northern Ireland;

• “manufacture”, in relation to a medicinal product, includes any process carried out in the course of making the product, but does not include dissolving or dispersing the product in, or diluting or mixing it with, a substance used as a vehicle for the purpose of administering it;

• “manufacturer's licence” has the meaning given by regulation 17(1);

• “marketing authorisation” means—

  1. a

     a UK marketing authorisation; or

  2. b

     an EU marketing authorisation;

• “medicinal product subject to general sale” has the meaning given in regulation 5(1) (classification of medicinal products);

• F44“medical device”—

  1. a

     has the meaning given in regulation 2 of the Medical Devices Regulations 2002; or

  2. b

     to the extent necessary for the practical application of that definition, also or instead has the meaning given in regulation 69 of those Regulations;

• “the Ministers” is to be construed in accordance with regulation 6(6) to (8);

• “name” in relation to a medicinal product means—

  1. a

     where the product has a UK marketing authorisation or traditional herbal registration, the name—

     1. i

        as approved by the licensing authority in granting the authorisation or registration, or

     2. ii

        where that name has been varied since that approval, as so amended;

  2. b

     where the product has an EU marketing authorisation, the name—

     1. i

        as approved by the European Commission in granting the authorisation, or

     2. ii

        where that name has been varied since that approval, as so amended; and

  3. c

     where the product has an Article 126a authorisation, the name—

     1. i

        as approved by the licensing authority to appear on the packaging and any package leaflet of the product under the authorisation, or

     2. ii

        where that name has been varied since that approval, as so amended;

• “the Narcotic Drugs Convention” means the Single Convention on Narcotic Drugs signed by the United Kingdom on 30thMarch 1961 as amended by the Protocol Amending the Single Convention on Narcotic Drugs signed by the United Kingdom on 25th March 1972;

• “NHS primary dental services” means—

  1. a

     in relation to England, primary dental services under the National Health Service Act 2006;

  2. b

     in relation to Wales, primary dental services under the National Health Service (Wales) Act 2006;

  3. c

     in relation to Scotland, dental services under the National Health Service (Scotland) Act 1978 or personal dental services in connection with a pilot scheme under the National Health Service (Primary Care) Act 1997 M21; and

  4. d

     in relation to Northern Ireland, general dental services under the Health and Personal Social Services (Northern Ireland) Order 1972 or personal dental services in connection with a pilot scheme under the Health Services (Primary Care) (Northern Ireland) Order 1997 M22;

• “NHS primary medical services” means—

  1. a

     in relation to England, primary medical services under the National Health Service Act 2006;

  2. b

     in relation to Wales, primary medical services under the National Health Service (Wales) Act 2006;

  3. c

     in relation to Scotland, primary medical services under the National Health Service (Scotland) Act 1978; and

  4. d

     in relation to Northern Ireland, primary medical services under the Health and Personal Social Services (Northern Ireland) Order 1972;

• F81“NIMAR” means Northern Ireland MHRA authorised route;

• “nurse independent prescriber” means a person who—

  1. a

     is a registered nurse or registered midwife; and

  2. b

     is noted in the professional register as qualified to order drugs, medicines and appliances as a nurse independent prescriber or a nurse independent / supplementary prescriber;

• F44“nursing home” has the meaning given by article 11 of the Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003;

• F36“occupational health vaccinator” means a person who is employed or engaged by a person operating an occupational health scheme, who is—

  1. a

     a registered nurse, a registered midwife or, in England, a registered nursing associate;

  2. b

     an operating department practitioner, a paramedic or a physiotherapist who is registered in Part 13, 8 or 9 of the Health and Care Professions Council register; or

  3. c

     a pharmacist;

• “optometrist independent prescriber” means a person—

  1. a

     who is a registered optometrist; and

  2. b

     against whose name is recorded in the relevant register an annotation signifying that the person is qualified to order drugs, medicines and appliances as an optometrist independent prescriber;

• F44“orphan criteria” means the criteria listed in regulation 50G(2);

• F44“orphan marketing authorisation” means a UK marketing authorisation granted under regulation 49(1)(a) in accordance with regulation 58C;

• F44“Orphan Regulation” means Regulation (EC) No 141/2000 of the European Parliament and of the Council of 16 December 1999 on orphan medicinal products as it has effect in EU law;

• “outer packaging” in relation to a medicinal product means any packaging into which the immediate packaging of the medicinal product is placed;

• “package” in relation to a medicinal product, includes—

  1. a

     a container of the product;

  2. b

     any box, packet or other article in which one or more containers of the product are or are to be enclosed; and

  3. c

     any box, packet or other article in which a box, packet or other article mentioned in paragraph (b) or this paragraph is or is to be enclosed;

• “package leaflet” in relation to a medicinal product, means a leaflet that accompanies the product and contains information for the user of the product;

• “paediatric clinical trial” means a clinical trial conducted in whole or in part on persons under the age of 18 years;

• F44“paediatric indication” means a term of a UK marketing authorisation enabling the medicinal product to which the authorisation relates to be used by or administered to persons under the age of 18 years;

• “paediatric investigation plan” means a research and development programme with the purpose of generating data determining the conditions in which a medicinal product may be authorised to treat persons under the age of 18 years;

• F44“paediatric population” means that part of the population consisting of persons under the age of 18 years;

• “the Paediatric Regulation” means Regulation (EC) No 1901/2006 of the European Parliament and of the Council of 12 December 2006 on medicinal products for paediatric use and amending Regulation (EEC) No 1768/92, Directive 2001/20/EC, Directive 2001/83/EC and Regulation (EC) No 726/2004M23;

• F44“parallel import licence” has the meaning given in regulation 48(2);

• F77“paramedic independent prescriber” means a person—

  1. a

     who is a registered paramedic; and

  2. b

     against whose name is recorded in the relevant register an annotation signifying that the person is qualified to order drugs, medicines and appliances as a paramedic independent prescriber;

• “periodic safety update report” or “PSUR” has the meaning given in regulation 191 (obligation on holder to submit periodic safety update reports: general requirements);

• “pharmacist” means—

  1. a

     in relation to Great Britain a person registered in Part 1 F40... of the Register of pharmacists and pharmacy technicians maintained under article 19(2) of the Pharmacy Order 2010 M24; and

  2. b

     in relation to Northern Ireland a person registered in the register of pharmaceutical chemists for Northern Ireland F41... maintained under articles 6 and 9 of the Pharmacy (Northern Ireland) Order 1976 M25;

• “pharmacist independent prescriber” means a person who—

  1. a

     is a pharmacist; and

  2. b

     is noted in the relevant register as qualified to order drugs, medicines and appliances as a pharmacist independent prescriber;

• “the Pharmacovigilance Risk Assessment Committee” means the committee of the EMA established by Article 56(1)(aa) of Regulation (EC) No 726/2004;

• “pharmacovigilance system” means a system used by the holder of a F47UK marketing authorisation, EU marketing authorisation, traditional herbal registration or Article 126a authorisation, or by the licensing authority, to fulfil the tasks and responsibilities set out in Part 11 and designed to monitor the safety of authorised or registered medicinal products and detect any change to their risk-benefit balance;

• “pharmacovigilance system master file” means a detailed description of the pharmacovigilance system used by the holder of a F47UK marketing authorisation, EU marketing authorisation, traditional herbal registration or Article 126a authorisation with respect to one or more authorised or registered medicinal products;

• “pharmacy medicine” has the meaning given in regulation 5(5) (classification of medicinal products);

• F8“physiotherapist independent prescriber” means a person—

  1. a

     who is a registered physiotherapist; and

  2. b

     against whose name is recorded in the relevant register an annotation signifying that the person is qualified to order drugs, medicines and appliances as a physiotherapist independent prescriber;

• “podiatrist independent prescriber” means a person—

  1. a

     who is a registered podiatrist; and

  2. b

     against whose name is recorded in the relevant register an annotation signifying that the person is qualified to order drugs, medicines and appliances as a podiatrist independent prescriber;

• “post-authorisation efficacy study” means any study relating to a medicinal product to which a F48UK marketing authorisation relates that is conducted with the aim of considering the efficacy of that product;

• “post-authorisation safety study” means any study relating to a medicinal product to which a F47UK marketing authorisation, EU marketing authorisation, traditional herbal registration or Article 126a authorisation relates that is conducted with the aim of—

  1. a

     identifying, characterising or quantifying a safety hazard;

  2. b

     confirming the safety profile of the medicinal product; or

  3. c

     measuring the effectiveness of risk management measures;

• “prescription only medicine” has the meaning given in regulation 5(3) (classification of medicinal products);

• “product information” in relation to a medicinal product means—

  1. a

     the summary of the product characteristics;

  2. b

     the immediate and outer packaging; and

  3. c

     the package leaflet;

• “the professional register” means the register maintained by the Nursing and Midwifery Council under article 5 of the Nursing and Midwifery Order 2001 M26;

• “the Psychotropic Substances Convention” means the Convention on Psychotropic Substances signed by the United Kingdom on 21st February 1971;

• “qualified person”, except in relation to the expression “appropriately qualified person”, means—

  1. a

     a person who satisfies the requirements specified in Part 1 or 2 of Schedule 7; or

  2. b

     where an application for a licence is made before 30th April 2013, in so far as the application relates to activities in respect of traditional herbal medicinal products, a person who has been engaged in activities in respect of traditional herbal medicinal products equivalent to those in Part 3 of Schedule 7 on or before 30th April 2011 and continues to be so engaged at the time when the application is made;

• F44“qualifying Northern Ireland goods” has the same meaning that it has in the European Union (Withdrawal) Act 2018, including any meaning defined for the purposes of that Act from time to time by regulations made under the power conferred by section 8C(6) of that Act;

• F26“radiation emergency” has the meaning given by regulation 2(1) of the F33Radiation (Emergency Preparedness and Public Information) Regulations 2019;

• “radionuclide” means a radioactive isotope;

• “radionuclide generator” means any system incorporating a fixed parent radionuclide from which is produced a daughter radionuclide which is to be removed by elution or by any other method and is to be used in a radiopharmaceutical;

• “radionuclide kit” means any preparation to be reconstituted or combined with radionuclides in the final radiopharmaceutical, usually prior to its administration;

• “radionuclide precursor” means any radionuclide produced for the radio-labelling of another substance prior to administration, other than a radionuclide that is incorporated in or produced from a generator or is included in a radiopharmaceutical;

• “radiopharmaceutical” means a medicinal product which, when ready for use, contains one or more radionuclides included for a medicinal purpose;

• F17“registered dietitian” means a person registered in Part 4 of the Health and Care Professions Council register;

• “registered midwife” means a person registered in the Midwives Part of the professional register;

• “registered nurse” means a person registered in the Nurses Part or the Specialist Community Public Health Nurses Part of the professional register;

• “registered optometrist” means a person whose name is entered in the register of optometrists maintained under section 7(a) of the Opticians Act 1989 M27F42...;

• F27“registered paramedic” means a person who is registered in Part 8 of the Health and Care Professions Council register;

• “registered pharmacy” means—

  1. a

     in relation to Great Britain, premises entered in the register required to be kept under article 19 of the Pharmacy Order 2010 for the purposes of sections 74A and 74J of the Medicines Act 1968 M28; and

  2. b

     in relation to Northern Ireland, premises entered in the register required to be kept under section 75 M29 of the Medicines Act 1968;

• F18“registered physiotherapist” means a person registered in Part 9 of the Health and Care Professions Council register;

• “registered podiatrist” means a person registered in Part 2 of the Health and Care Professions Council register;

• “registered radiographer” means a person registered in Part 11 of the Health and Care Professions Council register;

• “registrable homoeopathic medicinal product” means a homoeopathic medicinal product to which regulation 102 applies;

• F11“Regulation (EC) No 726/2004” means Regulation (EC) 726/2004 of the European Parliament and of the Council of 31 March 2004 laying down Community procedures for the authorisation and supervision of medicinal products for human and veterinary use and establishing a European Medicines Agency F49, as it has effect in EU law;

• “Regulation (EC) No 1394/2007” means Regulation (EC) No 1394/2007 of the European Parliament and of the Council of 13 November 2007 on advanced therapy medicinal products and amending Directive 2001/83/EC and Regulation (EC) No 726/2004M30;

• “Regulation (EC) No 1234/2008” means Commission Regulation (EC) No 1234/2008 of 24 November 2008 concerning the examination of variations to the terms of marketing authorisations for medicinal products for human use and veterinary medicinal products M31F50, as it has effect in EU law;

• “the relevant EU provisions” means the provisions of legislation of the European Union relating to medicinal products for human use, except to the extent that any other enactment provides for any function in relation to any such provision to be exercised otherwise than by the licensing authority;

• “relevant European State” means an EEA State or Switzerland;

• “relevant medicinal product” has the meaning given by regulation 48;

• “the relevant register” means—

  1. a

     in relation to a pharmacist—

     1. i

        in Great Britain, Part 1 of the Register of pharmacists and pharmacy technicians maintained under article 19(2) of the Pharmacy Order 2010, or

     2. ii

        in Northern Ireland, the register maintained in pursuance of articles 6 and 9 of the Pharmacy (Northern Ireland) Order 1976;

  2. b

     in relation to a registered nurse or registered midwife, the professional register;

  3. c

     in relation to a registered optometrist, the register of optometrists maintained under section 7(a) of the Opticians Act 1989 F43...; and

  4. d

     in relation to a chiropodist or podiatrist, a physiotherapistF23, an orthoptistF28, a paramedic or a radiographer, the part of the Health and Care Professions Council register relating to—

     1. i

        chiropodists and podiatrists,

     2. ii

        physiotherapists, F24...

     3. iii

        radiographersF25, F29...

     4. iv

        orthoptistsF30, or

     5. v

        paramedics;

• “retail pharmacy business” means a business (other than a professional practice carried on by a doctor or dentist) which consists of or includes the retail sale of medicinal products that are not subject to general sale;

• “risk management plan” means a detailed description of the risk management system;

• “risk management system” means a set of pharmacovigilance activities and interventions designed to identify, characterise, prevent or minimise risks relating to a medicinal product, including an assessment of the effectiveness of those activities and interventions;

• “serious adverse reaction” means an adverse reaction that—

  1. a

     results in a person's death;

  2. b

     threatens a person's life;

  3. c

     results in a person being hospitalised as an inpatient or prolongs a person's existing stay in hospital;

  4. d

     results in a person's persistent or significant disability or incapacity; or

  5. e

     results in a congenital anomaly or birth defect;

• “special medicinal product” means a product within the meaning of regulation 167 or any equivalent legislation in F51a country other than the United Kingdom;

• “substance” means any matter regardless of its origins and includes—

  1. a

     human substances (such as human blood and human blood products);

  2. b

     animal substances (such as micro-organisms, whole animals, parts of organs, animal secretions, toxins, extracts and blood products);

  3. c

     vegetable substances (such as micro-organisms, plants, parts of plants, vegetable secretions and extracts);

  4. d

     chemical substances (such as elements, naturally occurring chemical materials and chemical products obtained by chemical change or synthesis); and

  5. e

     gases and vapours;

• “the summary of the product characteristics” in relation to a medicinal product means—

  1. a

     where the product has a UK marketing authorisation or traditional herbal registration, the summary of the product characteristics—

     1. i

        as approved by the licensing authority in granting the authorisation or registration, or

     2. ii

        where the summary has been varied since that approval, as so amended; or

  2. b

     where the product has an EU marketing authorisation, the summary of the product characteristics—

     1. i

        as approved by the European Commission in granting the authorisation, or

     2. ii

        where the summary has been varied since that approval, as so amended;

• “supplementary prescriber” means a person who is noted in the relevant register as qualified to order drugs, medicines and appliances as a supplementary prescriber (or, in the case of a registered nurse or registered midwife, as a nurse independent/supplementary prescriber) and is—

  1. a

     a pharmacist;

  2. b

     a registered midwife;

  3. c

     a registered nurse;

  4. d

     a chiropodist, podiatrist, physiotherapistF31, paramedic or radiographer; F19...

  5. e

     a registered optometrist; F20or

  6. f

     a registered dietitian;

• F44“supplementary protection certificate” has the meaning given in section 128B(2) of the Patents Act 1977;

• “suspected” in relation to an adverse reaction means that there is at least a reasonable possibility of there being a causal relationship between a medicinal product and an adverse event;

• F16“therapeutic radiographer independent prescriber” means a person—

  1. a

     who is a registered radiographer; and

  2. b

     against whose name is recorded in the relevant register—

     1. i

        an entitlement to use the title “therapeutic radiographer”; and

     2. ii

        an annotation signifying that the person is qualified to order drugs, medicines and appliances as a therapeutic radiographer independent prescriber;

• F55...

• “traditional herbal medicinal product” means a herbal medicinal product to which regulation 125 applies;

• “traditional herbal registration” means a traditional herbal registration granted by the licensing authority under these Regulations F61and—

  1. a

     “THR(UK)” means such a registration in force in the whole United Kingdom;

  2. b

     “THR(GB)” means such a registration in force in Great Britain only;

  3. c

     “THR(NI)” means such a registration in force in Northern Ireland only;

• F62“UK marketing authorisation” means a marketing authorisation granted by the licensing authority under Part 5 of these Regulations or Chapter 4 of Title III to the 2001 Directive (mutual recognition and decentralised procedure) and—

  1. a

     “UKMA(UK)” means such an authorisation in force in the whole United Kingdom;

  2. b

     “UKMA(GB)” means such an authorisation in force in Great Britain only;

  3. c

     “UKMA(NI)” means such an authorisation in force in Northern Ireland only.

• F44“under the unfettered access route” means an application for—

  1. a

     a UKMA(GB) under reduced or alternative requirements specified in Part 5 (as referred to in regulation 49(1A));

  2. b

     a COR(GB) under reduced or alternative requirements specified in Part 6 (as referred to in regulation 103(1A));

  3. c

     a THR(GB) under reduced or alternative requirements specified in Part 7 (as referred to in regulation 127(1A));

• “vaccine” means an antigenic substance which consists wholly or partly of—

  1. a

     any micro-organisms, viruses or other organisms in any state;

  2. b

     any toxins of microbial origin which have been detoxified (toxoids); or

  3. c

     any extracts or derivatives of any micro-organisms or of any viruses,

  being substances which, when administered to human beings, are used for the prevention of specific diseases;

• F44“variation to the terms of a UK marketing authorisation” means any change to—

  1. a

     the information provided in accordance with regulations 50 to 57 and Schedule 8; or

  2. b

     the terms of the decision granting the UK marketing authorisation, including the summary of the product characteristics and any conditions, obligations, or restrictions affecting that UK marketing authorisation, or changes to the labelling or the package leaflet connected with changes to the summary of the product characteristics,

  and “vary” and “variation” in relation to a UK marketing authorisation are to be construed accordingly;.

• F44“withdrawal agreement” has the meaning given in section 39 of the European Union (Withdrawal Agreement) Act 2020;

• “wholesale dealer's licence” has the meaning given by regulation 18(1).

In these Regulations, references to distribution of a product by way of wholesale dealing are to be construed in accordance with regulation F1218(4) and (5).

In these Regulations, references to selling by retail, or to retail sale, are references to selling a product to a person who buys it otherwise than for a purpose specified in regulation F1318(5).

In these Regulations, references to supplying anything in circumstances corresponding to retail sale are references to supplying it, otherwise than by way of sale, to a person who receives it otherwise than for a purpose specified in regulation F1418(5);

Unless otherwise provided, any provision of an EU Regulation made applicable to a UKMA(NI), COR(NI) or THR(NI) by virtue of Article 5(4) of, and Annex 2 to, the Protocol on Ireland/Northern Ireland in the EU withdrawal agreement applies equally in respect of a UKMA(UK), COR(UK) or THR(UK).