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Notices of Suspension

As of April 2009, the WHO Prequalification of Medicines Programme will publish Notices of Suspension (NOS) after it has become evident that there are serious concerns about the conduct of a manufacturer, or data and/or information relating to a prequalified product.

Manufacturers of Finished Pharmaceutical Products (FPPs)

What is a Notice of Suspension (NOS)?

A Notice of Suspension is a letter issued by the WHO Prequalification of Medicines Programme, after it has become evident that there are serious concerns about the conduct of a manufacturer, or data and/or information relating to a prequalified product. An NOS will not disclose commercially confidential information.

An NOS is issued to remind a manufacturer of its obligations and to inform suppliers and procurement agencies of potential risks associated with a given product. 

In situations of immediate public health concern the NOS may lead to the:

·         withdrawal of products from the "List of prequalified products";

·         recall of batches of products on the "List of prequalified products" that had been supplied by a manufacturer;

·         rejection of applications submitted for assessment to the Prequalification Programme.

Why is an NOS published?

The World Health Assembly Resolution WHA57.14 "Scaling up treatment and care within a coordinated and comprehensive response to HIV/AIDS" of 22 May 2004, requests the WHO, among other actions:

"3. (4) to ensure that the prequalification review process and the results of inspection and assessment reports of the listed products, aside from proprietary and confidential information, are made publicly available;"

This is why the WHO Prequalification of Medicines Programme is publishing on its web site the WHO Public Inspection Reports (WHOPIR) and WHO Public Assessment Reports (WHOPAR).

To further respond to WHA57.14 Resolution, and the request of Member States and international procurement organizations to enhance transparency, the WHO Prequalification of Medicines Programme will publish negative outcomes. 

The NOS will inform procurement organizations and other users of the specified medicinal products of concern related to the product from a manufacturer. 

The publication of an NOS should further motivate manufacturers to take appropriate corrective and/or preventive actions in a timely manner and to address observations and non-compliances for the benefit of patients.

When will an NOS be published? How long is an NOS in effect?

An NOS will be issued to a manufacturer if there are immediate concerns relating to a product and WHO will proceed to publish the NOS on its web site. The NOS will remain active on the WHO Prequalification of Medicines Programme web site until WHO has confirmed that the corrective actions have been implemented satisfactorily by the manufacturer.