FOI release

Freedom of Information request (FOI 22/854)

Published 17 January 2024

FOI 22/854

25th August 2022

Dear

Thank you for your email of 28 July 2022, in which you requested the following:

“Question 1

a. Please may you provide the sales information for TOTAL WEIGHT in kilograms of oral isotretinoin products supplied to the NHS for each of the following years:

i. 2021 ii. 2020 iii. 2019 iv. 2018 v. 2017 vi. 2016 vii. 2015 viii. 2014 ix. 2013 x. 2012

b. If it is within the time/cost limit set by the FOI Act, please provide breakdown of total weight in kilograms of oral isotretinoin products by supplier.

Question 2

Please may you provide the total amount of money received by the MHRA from the below companies for the years 2016 to 2021 inclusive. Where possible, if it is within the time/cost limit set by the FOI Act, please may you provide a breakdown of why the money was paid to the MHRA.

  • Roche Products Ltd, and subsidiaries thereof.
  • A A H Pharmaceuticals Ltd, and subsidiaries thereof
  • Ennogen Healthcare Ltd, and subsidiaries thereof.
  • Sigma Pharmaceuticals Plc, and subsidiaries thereof.
  • Stiefel Laboratories (UK) Ltd, and subsidiaries thereof.
  • Sun Pharmaceutical Industries Europe B.V., and subsidiaries thereof.

I would like this information returned in an email.”

We are handling your request under the Freedom of Information Act (the Act).

Question 1

We do hold some information within the scope of your request. However, the information which we do hold has been obtained via a commercial database, Midas. In handling your request we have considered whether any of the exemptions within the Act apply to what you have requested. We consider that Section 41 (Information Provided in Confidence) and Section 43(2) (Commercial Interests) are both applicable.

Section 41 is an absolute exemption for which we are not required to conduct a public interest test, except to state that we would consider the release of this information to be an actionable breach of confidence. In the case of Section 43(2), this exempts information whose disclosure would, or would be likely to, prejudice the commercial interests of any legal person (an individual, a company, the public authority itself or any other legal entity). We are required to consider the public interest when applying this exemption. In this case we do not believe that there is a public interest in releasing this information when it would damage the commercial interests of the Midas database and its operator, IQVIA, by supplying freely to you information which has been obtained from their commercial database.

In saying this we wish to make two further points:

  1. You are free to contact Midas to arrange your own access to this information: https://www.iqvia.com/solutions/commercialization/brand-strategy-and-management/market-measurement/midas
  2. There may be some data which is held and can be made available to you via the NHS Business Services Authority. We recommend you contact them if you wish to make such a request: https://www.nhsbsa.nhs.uk/contact-us. They also make available some data on the prescribing of medicines in secondary care https://opendata.nhsbsa.net/dataset/secondary-care-medicines-data and primary care https://www.nhsbsa.nhs.uk/prescription-data/prescribing-data publicly available.

Question 2

We hold information in scope of your request, but we are unable to supply some of what you have requested as set out below.

In the table below you will find data which goes back to 2017, rather than 2016 as requested. 2016/2017 was the year we transitioned from our old Enterprise Resource Planning system to system which we are currently using. Section 12 of the Act allows public authorities to refuse requests where the cost of dealing with them would exceed the appropriate limit, which for central government is set at £600. This represents the estimated cost of one person spending 24 working hours in determining whether the department holds the information, locating, retrieving and extracting the information. Extracting data for 2016 from our old system would involve a significant amount of manual effort to retrieve and extract information in scope of your request, which we estimate would exceed the 24 working hours permitted under the Act. For this reason we are exempting under Section 12 the information you have requested for 2016.

In the usual course of handling a request where we have identified that Section 12 will exempt some information, our usual process is to contact the requestor to explain the position and request a refinement of the request. In this instance the only refinement we would be able to suggest is for you to request the data from 2017, for the reasons given. In order to comply with the timeframes outlined in the Act we have proceeded with your request on that basis, but please note this does not prevent you challenging our use of Section 12 should you wish to do so.

The data from 2017 onwards is presented in the table below. Please note the following:

  • The MHRA levies fees on the pharmaceutical industry in relation to services provided, and regulatory functions carried out, by the MHRA in relation to medicinal products for human use (for example, medicines licence applications, scientific advice meetings or clinical trial applications). The fees charged are set out in secondary legislation through Parliament.
  • We do not keep data about subsidiaries or any other element of the corporate structure of our customers. Key words were used to identify related customers where possible.
  • You requested ‘a breakdown of why the money was paid’. We have added a ‘Purpose of payment’ column into this table, which lists the description of the payments from our Chart of Accounts; please note the data covers all payments, not just those which relate to Isotretinoin. You may also find the details of our fees as published on gov.uk helpful when reviewing this table.
  • We were not able to locate any payments from a Stiefel Laboratories in this timeframe.
Keyword Customer Name Purpose of Payment 2017/18 2018/19 2019/20 2020/21 2021/22 Grand Total
AAH AAH PHARMACEUTICALS LIMITED GDP Inspections 11,616.00 3,872.00 3,872.00 3,872.00 1,936.00 25,168.00
    GMP Inspections     2,655.00     2,655.00
    ML/WDL Variations 972.00 1,229.00 486.00 1,229.00 1,486.00 5,402.00
    Periodic Fees   576.00 576.00 576.00 576.00 2,304.00
Ennogen ENNOGEN HEALTHCARE LIMITED Complex Applications   51,286.00 25,643.00 51,286.00 128,215.00 256,430.00
    CPRD Data       30,000.00   30,000.00
    Export Certificates 340.00 68.00 136.00   440.00 984.00
    Falsified Medicines Directive   3,157.00       3,157.00
    GDP Inspections         7,744.00 7,744.00
    GMP Inspections 4,240.83 13,784.36 11,500.40   7,246.00 36,771.59
    Group Variations 1,866.00 9,643.70 16,978.00 13,731.00 6,113.00 48,331.70
    Inspection Expenses 1,621.42 6,977.75 3,135.60     11,734.77
    Labels/Leaflets 8,436.00 23,172.00 14,497.00 21,137.00 28,492.40 95,734.40
    ML/WDL Variations 771.00 2,542.00 2,570.00 514.00 3,187.00 9,584.00
    Periodic Fees   118,004.00 151,245.00 161,826.00 172,023.00 603,098.00
    PL/PLPI Change of Address 442.00 884.00 884.00 10,608.00 3,094.00 15,912.00
    PLPI Applications 26,342.40 36,736.00       63,078.40
    PLPI Variations 35.70 2,891.70 8,211.00 3,570.00 28,209.00 42,917.40
    Product Licence Reclassifications       277.00   277.00
    Product Licence Variations 7,026.40 13,375.00 12,069.00 19,709.70 7,983.00 60,163.10
    Simple Applications 2,564.00     2,564.00   5,128.00
    Standard Applications   18,804.00   9,402.00 9,402.00 37,608.00
    Unlicensed Imported Medicines   2,077.00 10,383.00 10,383.00 25,957.00 48,800.00
  ENNOGEN LIMITED Pharmacovigilance         7,965.00 7,965.00
Roche F HOFFMANN-LA ROCHE LIMITED Clinical Trials Applications     9,180.00     9,180.00
    Clinical Trials Variations     900.00 1,125.00 450.00 2,475.00
  F. Hoffmann-La Roche AG Sales of Goods & Products         3,775.00 3,775.00
  Genentech Inc. CPRD Observationals 320,000.00   750,000.00 656,250.00 375,000.00 2,101,250.00
    Miscellaneous Income   5.05 48.00 48.00 48.00 149.05
    Sales of Goods & Products     684.00 378.00 1,257.00 2,319.00
  Roche Chile Ltda. (CL) Miscellaneous Income 48.00 48.00       96.00
    Sales of Goods & Products 190.00 228.00       418.00
  ROCHE DIABETES CARE GMBH Clinical Investigations   3,820.00       3,820.00
  Roche Diagnostica Brasil Ltda Sales of Goods & Products     595.00     595.00
  Roche Diagnostics (HK) Ltd Miscellaneous Income   48.00       48.00
    Sales of Goods & Products 1,881.00 114.00       1,995.00
  Roche Diagnostics Belgium Miscellaneous Income 48.00         48.00
    Sales of Goods & Products 109.00         109.00
  Roche Diagnostics GmbH Miscellaneous Income 768.00 1,104.00 576.00 912.00   3,360.00
    Sales of Goods & Products 14,568.00 105,334.00 23,826.00 23,447.74 72,480.00 239,655.74
  Roche Diagnostics International Ltd Miscellaneous Income 48.00   48.00 144.00   240.00
    Sales of Goods & Products 5,886.00 3,608.00 2,622.00 4,889.00 2,614.00 19,619.00
  Roche Diagnostics Ltd Miscellaneous Income   48.00       48.00
    Sales of Goods & Products 1,015.00 342.00   1,354.00 731.00 3,442.00
  Roche Diagnostics Poland Sp.z.o.o. Miscellaneous Income     48.00 48.00   96.00
    Sales of Goods & Products     120.00 126.00 172.00 418.00
  Roche Diagnostics Rus LLC Sales of Goods & Products       2,034.00 4,036.00 6,070.00
  Roche Diagnostics S.L Sales of Goods & Products   416.00 334.00 220.00   970.00
  Roche Diagnostics SpA Miscellaneous Income   48.00       48.00
    Sales of Goods & Products   114.00       114.00
  Roche Diagnostics Turkey A.S Miscellaneous Income     96.00 96.00   192.00
    Sales of Goods & Products 27,552.00 20,189.00 187,370.00 152,168.00 199,360.00 586,639.00
  Roche Diagnostics UK Ltd Miscellaneous Income   33.20       33.20
    Sales of Goods & Products 15,095.00 13,310.80 9,883.00 6,528.00 6,686.00 51,502.80
  Roche Lietuva, UAB Sales of Goods & Products   1,506.00     1,292.00 2,798.00
  Roche Molecular Systems, Inc. Miscellaneous Income 48.00   96.00 192.00   336.00
    Sales of Goods & Products 5,519.00 5,070.00 4,038.00 5,338.00 4,936.00 24,901.00
  ROCHE PALO ALTO EAM PIM Meeting     49,509.00     49,509.00
  ROCHE PRODUCTS LIMITED Clinical Trials Applications 64,260.00 76,500.00 55,080.00 156,060.00 79,785.00 431,685.00
    Clinical Trials Variations 13,275.00 54,900.00 45,675.00 61,560.00 76,275.00 251,685.00
    Company Meetings   3,624.00     7,214.00 10,838.00
    EAM PIM Meeting   30,053.00 11,933.00 37,576.00 3,624.00 83,186.00
    Export Certificates 204.00 204.00     1,216.00 1,624.00
    Falsified Medicines Directive   514.00   514.00 257.00 1,285.00
    GCP Inspections     30,811.50 3,726.00   34,537.50
    GMP Inspections       2,655.00 931.50 3,586.50
    Group Variations 7,062.00 4,406.20 10,246.70 1,555.00 23,158.50 46,428.40
    Homeopathic Applications         704.00 704.00
    Labels/Leaflets 1,853.00 5,393.00 1,893.00 2,092.00 6,257.00 17,488.00
    Major Applications       18,437.00 111,190.00 129,627.00
    Miscellaneous Income         3,624.00 3,624.00
    ML/WDL Variations 486.00 2,000.00 1,900.00 2,313.00 2,000.00 8,699.00
    Periodic Fees   87,896.00 75,756.00 45,390.00 255,935.00 464,977.00
    Periodic Safety Update Reports       890.00 16,020.00 16,910.00
    Pharmacovigilance   39,825.00       39,825.00
    Product Licence Variations 7,675.70 1,982.00 10,812.70 7,334.50 79,591.70 107,396.60
    RAMAXL   15,500.00 15,500.00 15,500.00 15,500.00 62,000.00
    Renewals         2,241.00 2,241.00
    Unlicensed Imported Medicines   519.00 130.00 130.00 2,077.00 2,856.00
  ROCHE REGISTRATION LIMITED EMA Inspections   3,060.00       3,060.00
    Periodic Fees         -457.00 -457.00
Sigma SIGMA PHARMACEUTICALS PLC Export Certificates   68.00       68.00
    Falsified Medicines Directive   3,157.00 257.00 514.00 514.00 4,442.00
    GDP Inspections 1,936.00   7,744.00     9,680.00
    GMP Inspections   5,310.00       5,310.00
    ML/WDL Variations 486.00 615.00 1,715.00 486.00 972.00 4,274.00
    Periodic Fees   576.00 576.00 576.00 576.00 2,304.00
    Unlicensed Imported Medicines   519.00 130.00     649.00
Sun SUN PHARMA UK LIMITED Decentralised Applications Incoming (CMS)     107,524.00     107,524.00
    Export Certificates   476.00     68.00 544.00
    Group Variations 4,315.00 8,314.00 10,875.00     23,504.00
    Homeopathic Applications   704.00       704.00
    Labels/Leaflets 777.00 11,863.00 2,192.00     14,832.00
    ML/WDL Variations     486.00   257.00 743.00
    Periodic Fees   156,906.00 128,100.00     285,006.00
    Product Licence Reclassifications   277.00       277.00
    Product Licence Variations 8,916.00 14,765.00 12,368.00   971.00 37,020.00
  SUN PHARMACEUTICAL INDUSTRIES EUROPE BV Company Meetings   2,763.00 5,526.00     8,289.00
    Complex Applications         25,643.00 25,643.00
    Decentralised Applications Incoming (CMS) 137,826.00 54,061.00 124,242.00 217,938.00   534,067.00
    Export Certificates     476.00     476.00
    Group Variations 3,082.00 1,244.00 8,474.00 14,811.00 5,701.00 33,312.00
    Labels/Leaflets 704.00 13,032.00 9,917.00 7,937.00 6,390.00 37,980.00
    Periodic Fees   135,042.00 240,123.00 249,364.00 364,625.00 989,154.00
    Periodic Safety Update Reports       445.00   445.00
    Pharmacovigilance         21,240.00 21,240.00
    Product Licence Variations 11,228.00 9,959.00 11,460.00 13,520.40 14,359.10 60,526.50
  SUN PHARMACEUTICAL INDUSTRIES LIMITED Inspection Expenses 9,750.00 13,000.00       22,750.00
    GCP Inspections 26,550.00         26,550.00
    GMP Inspections   23,895.00       23,895.00
    Sales of Goods & Products     1,200.00 1,260.00 7,840.00 10,300.00
Grand Total     759,434.45 1,247,387.76 2,237,936.90 2,058,566.34 2,249,205.20 8,552,530.65

We hope you find this information helpful.

If you disagree with how we have interpreted the Freedom of Information Act 2000 with regards to your request, you can ask for the decision to be reviewed. The review will be carried out by a senior member of the Agency who was not involved with the original decision.

If you have a query about the information provided, please reply to this email and please remember to quote the reference number above in any future communications.

If you were to remain dissatisfied with the outcome of the internal review, you would have the right to apply directly to the Information Commissioner for a decision. Please bear in mind that the Information Commissioner will not normally review our handling of your request unless you have first contacted us to conduct an internal review. The Information Commissioner can be contacted at:

Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

Yours sincerely

MHRA Customer Experience Centre