OPPI Guidelines On Good Laboratory Practices (GLP)

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Good Laboratory Practices (GLP) Guidelines

ORGANISATION OF PHARMACEUTICAL PRODUCERS OF INDIA

ACKNOWLEDGEMENTS

OPPI Technical Committee 2004-05 led by Mr. Ajit Singh,


Managing Director, Associated Capsules Pvt. Ltd. contributed
towards OPPI Good Laboratory Practices (GLP) Guidelines.
Members of Technical Committee, Mr. G.K. Nair, Technical
Advisor, Associated Capsules Pvt. Ltd. and Dr. A.G.
Seshadrinathan, Vice President, Technical, Raptakos Brett & Co.
spearheaded the preparation of the publication.

OPPI TECHNICAL COMMITTEE


CHAIRMAN
Ajit Singh

Associated Capsules

VICE-CHAIRMAN
R. Raghunandanan

GlaxoSmithKline

MEMBERS:
G.K. Nair
Dr. K.R.P. Shenoy
Satish L. Rajkondawar
Ram Parthasarathy
Dr. U.C. Shetty
Pramod Pimplikar
Dr. Bomi M. Gagrat
Ms. Shweta Purandare
Dr. A.G. Seshadrinathan
V.N. Phatak
Dr. Amit Bhadra

Associated Capsules
AstraZeneca
Sanofi Aventis Group
Baxter
Johnson & Johnson
Merck
Pfizer
Procter & Gamble
Raptakos Brett & Co.
Solvay
Wyeth

CONTENTS
Sr. No.

Page No.

1.

Objective

2.

Scope

3.

Personnel

4.

Facilities

5.

Documentation

6.

Calibration

7.

Out of Specification (OOS)

10

8.

Validation ot Analytical Methods

12

9.

Change Control

14

10.

Laboratory Reagents & Reference Standards

14

11.

Safety

15

12.

Training

17

13.

Quality Audit

19

14.

Management Review

20

15.

Definitions
15.1
15.2
15.3
15.4
15.5
15.6
15.7

22

16.

GLP
Test Facility
Test Facility Manager
Study Plan / Test Method
Raw Data
Standard Operating Procedures (SOP)
Quality Assurance Program

Bibliography

24

OPPI
GOOD LABORATORY PRACTICES (GLP)
GUIDELINES
1. OBJECTIVE
Compliance with GLP is a regulatory / legal requirement for the acceptance
of certain studies, undertaken by facilities, to be submitted to Regulatory /
Health Authorities, for risk assessment in Health & Environmental Safety.
For example in UK the Good Laboratory Practice Monitoring Authority
(GLPMA) enforces compliance. The GLP Regulations require that any test
facility that conducts, intends to conduct a regulatory study must be a
member, or prospective member, of the UK GLP Compliance programme.
However there are test facilities, typically as part of a manufacturing
organization, that conduct studies (Tests) which are not regulatory
studies. This document is intended for such facilities. Besides this, in the
arena of Life Sciences, whether in Research or Development or
Manufacture, a good testing Laboratory is a must for building confidence
that the basis of GMP and product assessment is logically and scientifically
correct. However the various branches of Life Sciences need such specific
testing facilities from recombinant DNA testing to Pharmacovigilence that it
will not be possible to cover all such esoteric testing facilities. This document
therefore provides the basic requirements in the running of a general testing
Laboratory in terms of good practices. The objective is to facilitate the

proper application and interpretation of GLP principles in a generic


manner.

2. SCOPE
This document is designed to facilitate the proper application and
interpretation of the GLP principles for the Organization and for the
Management of a Quality Control Laboratory and to provide guidance for
the appropriate application of GLP principles to testing. This guidance
document is organized in such a way as to provide easy reference to the
GLP principles by following the sequence of the different parts of these GLP
principles.

3. PERSONNEL
The Test Facility must have adequate personnel with the required
qualification, experience and training (and Approval from regulatory
authorities wherever needed) to carry out the assigned functions in a timely
manner according to the principles of GLP.
A Job Description of every category / level of personnel in the Test Facility
must be maintained. This must cover every individual engaged in testing /
analyzing or supervising the analysis. The Job Description must also specify
the limits of authority at each level / category.

The training record for every individual cross-referenced with the Job
description and Departmental training including Material Safety Data sheet
must be available.
The Test Facility Manager must have sufficient educational background,
experience, training and authority to ensure that the Principles of GLP are
complied with, in the test facility.
The Test Facility Manager will ensure that the personnel clearly understand
the functions they are to perform and, where necessary, provide training for
these functions. The Indian Drugs & Cosmetics Act and Rules there under
requires that each area of operations in the Laboratory has an approved
person (competent technical staff) to conduct the tests and /or sign off the
documentation.

4. FACILITIES
The test facility should ideally be situated with direct access to personnel
working in them, without the need to enter through the manufacturing area,
and should be separated from manufacturing areas. This is particularly
important for laboratories involved in the control of biologicals,
microbiologicals and radioisotopes, which should also be separated from
each other. Steps should be taken in order to prevent the entry of
unauthorized personnel. The area must not be used as a right of way by
personnel who do not work in them. Laboratory personnel, however, must

have access to production areas for sampling and investigation as


appropriate.
Facilities should be designed to suit the operations to be carried out in them.
Lighting, temperature, humidity and ventilation should be appropriate and
such that they do not adversely affect the products being tested or the
accurate functioning of equipment. If sterility testing is conducted then the
area should mimic the aseptic production conditions and gowning and
entry procedures, with the final stage of the changing room being, in the atrest state, of the same air quality / air classification as that into which it
finally opens, viz. the aseptic testing area. Sterility test must be conducted
under Grade A conditions, typically in a Laminar Flow Module, placed in
class 100 conditions. Sufficient space should be available to avoid mix-ups
and cross-contamination. There should be adequate storage space for
samples and records.
All laboratory instruments and equipment should be qualified and
calibrated in accordance with the manufacturers recommendations and
pharmacopoeial requirements. All the test instruments and equipment must
have unique identification numbers,(for their use, cleaning, calibration,
service & maintenance) that can be linked to analytical raw data,
calibration reports and logbooks.
Separate rooms which are climate controlled, may be necessary to protect
sensitive instruments from electrical interference, humidity, vibrations etc.

Control samples or reference samples also will need a separate room which
is equipped with temperature and humidity control capable of achieving
the same storage conditions as stated on the labels of the materials being
tested. Proper consideration should be given to ventilation requirements of
the areas depending on the activities carried out therein e.g. extraction,
handling of fuming chemicals, organic solvents, distillation involving
heating etc.
Personal protective equipment should be worn by personnel in the
laboratory (see chapter on Safety). Ideally a distinctive overall or Lab-coat
is advisable for laboratory personnel.
If part or all of the testing is contracted out and a contract testing laboratory
is used, this should be audited and approved based on compliance with
GLP. A technical agreement must be in place between the contract giver
and the contract acceptor with a system in place to provide updated
authorized analytical methods and specifications for the analysis involved.
A change control system must also be in place with the contract testing
laboratory.

5. DOCUMENTATION
The availability of a complete set of SOPs necessary to govern all the
pertinent activities and procedures in the test facility is an absolute
prerequisite. They define how to carry out protocol specific activities. They

should be written in a chronological order listing different steps in the


accomplishment of an activity. There must be a clear mention of
responsibilities. SOPs must be subjected to periodic reviews for updating, if
required, while it must remain user friendly. Major consideration should be
given to the degree of details incorporated in them. Some of the key SOPs
which need to be addressed include:
a.

Samples handling and accountability.

b.

Receipt, identification, storage, method of sampling of test and


control articles.

c.

Record keeping, reporting, storage and retrieval of data.

d.

Operating of technical audit personnel in conducting and


reporting audits, inspections, reports, reviews.

e.

Routine inspection of cleaning, maintenance, testing,


calibration of equipment.

f.

Handling of Out Of Specification (OOS) results.

g.

Calibration management.

h.

Validation of analytical methods.

i.

Change control procedure.

j.

Health and safety protection.

k.

Animal room preparation and animal care.

l.

Storage, maintenance and traceability of microbial cultures.

m.

Storage, use of reference standards and Reagents.

n.

Laboratory waste handling.

There must be a SOP in place in the laboratory for glassware cleaning & it
should be based on glassware washing efficiency both related to chemical
labs & micro labs. Sensitive items like cells for photometry readings must
have cleaning procedures that demonstrate adequate cleaning.
All documents used should be reviewed, approved, authorized prior to use.
In case of exclusive use of the electronic media, the software and processes
used should be validated and suitable measures put in place to ensure
password controls.
Documents should be periodically reviewed and where necessary, revised
to ensure continuing suitability. Invalid or superseded documents must be
promptly removed or otherwise assured against unintended use. Changes
to documents should be reviewed and approved by the same function that
performed the original review.
Procedures should be established to describe how changes in documents in
computerized systems can be made and controlled. Additionally, clear-cut
procedures must be evolved for storage, distribution, retrieval and

destruction of documents.
Provision must be made to retain raw data, SOPs, documents, final reports
for a predetermined period. There should be archives for orderly storage
and expeditious retrieval. Conditions of storage should minimize
deterioration. Persons responsible for archiving must be identified and only
authorized persons must enter the archives.
Raw data should be recorded on duly controlled raw data sheets or prepaginated authorized logbooks. It should be verified independently by
another competent person. The raw data including the automated
instrument printouts should be immediately signed and dated by the
analyst performing the test. The data stored on temporary storage media
(e.g. thermal paper) should be transferred to a robust storage media (e.g.
photocopy or scan of the print out) and duly authorized establishing
traceability to the original raw data. Data should be recorded, wherever
possible, so as to facilitate trending.
Tests performed must be recorded and the records should include at least
the following data:
i.

Name of the material and where applicable dosage form.

ii.

Batch no. and where appropriate the manufacturer and/or the


supplier.

iii.

Reference to the relevant specifications and test procedures.

iv.

Test results, including observations and calculations, and


reference to any Certificates of Analysis.

v.

Date of testing.

vi.

Initials of the person/s that performed the test.

vii.

Initials of the person /s who verified the testing and the


calculations where appropriate.

viii.

A clear statement of the status decision (release or reject etc.)


and the dated signature of the designated Facility Manager or
Responsible Person.

6. CALIBRATION
All test and measuring equipment are likely to influence the test results
directly or indirectly and must be subject to calibration.
The frequency of calibration depends on the instrument, the
recommendation from manufacturers, laboratory experience and extent of
use. Procedures employed for calibration must be clearly written down and
test report must conclude with a statement of status. In case of nonconformity, the report must indicate corrective and preventive action.
All the test instruments and equipment must have a unique identification
number that should be linked to analytical raw data, calibration reports and

logbooks for their use.


Calibration certificate / calibration record / calibration report should carry a
unique identification number, the name and address of the agency, if
outside expert is involved, in addition to the identification and description
of test procedure including traceability to primary standards if used. The
certificate should also indicate the calibration results and the due date for
next calibration. The equipment should have a tag displaying the status of
calibration.
When an instrument for calibration has been adjusted or replaced, the
calibration results before and after repair, if available, should be reported.
Reference materials used must be characterized, certified, purchased from
reputable sources and traceable to national and international measures.
When an instrument is found Out of Calibration it should be
conspicuously labeled as such so that its use for testing is prevented. The test
results between non-compliant calibration results and last successful
calibration should be reviewed to confirm the correctness of the test results
reported and appropriate action should be taken based on the outcome of
the investigation. In case of frequent failures, the frequency of calibration
and preventive maintenance should be reviewed and revised if necessary.

7. OUT OF SPECIFICATION (OO S)


Out Of Specification (OOS) results are those results, generated during

10

testing, that do not comply with the relevant specifications or standards or


with the defined acceptance criteria. If at any time during the process of
study or testing, a result is obtained that is out of specification or is
considered atypical (for example during stability testing), a defined
procedure must be followed to investigate the result and determine the
course of action.
The objective of the procedure is to ascertain if the OOS or atypical result is
valid (i.e. that the result is an accurate representation of the measured
attribute of the sample taking into consideration the precision of the
analytical method) and, if the result is valid, to determine its probable cause
and impact. OOS or atypical results can arise from causes that can be
divided into 3 main categories:

Laboratory Error

Operator error Non-Process Related

Process related Manufacturing Process Error

The first stage of the procedure is a laboratory investigation to determine if


the OOS is clearly assignable to laboratory error. If so then the result may be
discarded and the test repeated. If the OOS is not clearly due to laboratory
error then the investigation is expanded outside the laboratory testing and
can include re-sampling. The aims of the expanded investigation are to
identify the probable cause of the OOS or atypical result and to determine

11

the significance of the result when making decisions about the material or
product under test.
Under certain circumstances there may be justification for not following the
above procedure when OOS or atypical result is obtained. Examples of
such situations include, but are not limited to:

Pharmacopoeial specifications which give specific guidance in


tests like Content Uniformity, Dissolution, Sterility Testing etc.

Stability Testing, where prediction from trend analysis indicate


that the result is valid

OOS supported by results for other tests like low assay with
high result for impurity content.

Investigation of OOS for a starting material, raw material or


intermediate may, where justified, be restricted to a
consideration of the suitability of the material for onward
processing.

In circumstances where the procedure is not followed, the justification for


this approach must be documented and approved by the Facility Manager.

8. VALIDATION OF ANALYTICAL METHODS


All analytical methods, particularly non-standard and in-house test

12

methods must be validated by a laid down procedure. All analytical


equipment must be appropriately qualified before method validation. The
degree of validation should reflect the purpose of analysis and the type of
product being tested. For example there should be an increasing degree
between tests for packaging materials, raw materials, intermediates and
finished products or clinical trial materials. The validation methodology
must be clearly documented and should include:

Selectivity and specificity

Range

Linearity and range

Robustness

Bias

Precision

Limit of detection

Limit of quantification

A record must be maintained of any modification of the validated method


and should include reason for modification and appropriate data to verify
that results are as accurate and reliable as the established method.
Suitability of all methods should be verified under actual conditions of use
and documented. In addition, it would also be useful to perform inter-

13

laboratory comparison of results periodically.

9. CHANGE CONTROL
All changes in equipment, test environment, test method, services, systems
or location that may affect reproducibility, accuracy or standards must be
formally requested, documented and accepted. The likely impact of the
change should be evaluated and the change control procedure should
ensure that sufficient supporting data are generated to demonstrate that
change does not affect the end result or the in-house or registered
specifications.

10. LABORATORY REAGENTS & REFERENCE STANDARDS


There must be written procedures in place for the handling of reagents and
preparation of standard solutions.
A primary standard is one that has been shown by an extensive set of
analytical tests to be authentic material of established quality. This standard
may be obtained from a recognized source (like USP, BP etc) or may be
prepared by independent synthesis or by further purification of existing
production material. An in-house primary standard is an appropriately
characterized material prepared by the manufacturer from a representative
lot for the purposes of physicochemical testing of subsequent lots and
against which in-house reference material is calibrated. A secondary

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standard is a substance of established quality, as shown by comparison to


a primary reference standard, used as reference standard for routine
laboratory analysis.
Reagents should be dated as soon as received and a use by date assigned
based on experience or alternatively a short date (1 year) first assigned
which can then be extended based on retesting. Laboratory reagents
intended for prolonged use should be marked with the preparation date and
the signature of the person who prepared them. The expiry date of unstable
reagents and culture media should be indicated on the label, together with
specific storage conditions. In addition, for volumetric solutions, the last date
of standardization and the last current factor should be indicated.
Reagents and chemicals should be stored by their hazard class and not by
alphabetical order. For example storage should be by segregating into
groups of oxidizers, reactives, corrosives etc. Within the particular group
alphabetical storage may then be done.

11. SAFETY
People who work in scientific laboratories are exposed to many kinds of
hazards. This can be said of most workplaces; in some, the hazards are well
recognized (those of ordinary fire, for example) and the precautions to be
taken are obvious. Laboratories, however, involve a greater variety of
possible hazards than do most workplaces, and some of those hazards call

15

for precautions not ordinarily encountered elsewhere. It is however not


possible to enumerate each and every safety precaution that should be
followed; this chapter consequently sets forth some of the major rules for
safety and recommends the reader to the Bibliography at the end for wider
reading and understanding of specific hazards and safety practices to deal
with these.
The design and construction is the first instance of building safety features in
the laboratory. Laboratory must be equipped with adequate fire
extinguishers, personal protective equipment (PPE), safety showers, eye
wash fountains and first aid kits. The design should facilitate the change of
street clothes and footwear to specific PPE needed by the laboratory
personnel.
No employee should work alone in a laboratory or chemical storage area
when performing a task that is considered usually hazardous by the
laboratory supervisor or safety officer. Clothing worn in the laboratory
should offer protection from splashes and spills, should be easily removable
in case of accident, and ideally should be fire resistant. No food, beverage or
cosmetic products should be allowed in the laboratory or chemical storage
area at any time.
Laboratories using compressed gas cylinders should ensure that they are
secured at all times either to a wall or placed in a holding cage to prevent
tipping. Since the gases are contained in heavy, highly pressurized metal

16

containers, the large amount of potential energy resulting from


compression of the gas makes the cylinder a potential rocket or
fragmentation bomb. In summary, careful procedures are necessary for
handling the various compressed gases, the cylinders containing the
compressed gases, regulators or valves used to control gas glow, and the
piping used to confine gases during flow. Ideally the cylinders should be
located outside the lab, with clearly labeled piping identifying the gas, piped
into instruments or parts of the lab.
Storage of flammable solvents should be minimized as far as possible and
cabinets used for storage of flammable liquids must be properly used and
maintained and only materials that are compatible must be stored
together.(refer to OSHA in Bibliography). Reagents, solutions, glassware
or other apparatus should not be stored in fume / extraction hoods as this
not only reduces the available space but more importantly may interfere
with the proper airflow pattern and reduce the effectiveness of the hood as a
safety device.

12. TRAINING
Test Facility management must provide training for all personnel whose
duties involve the conducting of tests and analysis. Training should also be
provided to other personnel whose activities could affect the quality of
testing. Besides the basic training on the theory and practice of GLP, newly

17

recruited personnel should receive training appropriate to the duties


assigned to them. This should provide personnel with good motivation to
perform the relevant tasks in a manner aiming towards full compliance of
GLP.
Following the identification of training needs, general training sessions or
small workshops for personnel should be laid down for successful
implementation of GLP. These should be followed by hands on exercises
leading to practical application of GLP principles. Training programs must
lead to change in cherished habits of personnel. The importance of
documentation used for legible, indelible recording of all events, data and
other occurrences together with their dating and initialing, correctly
introducing changes into records must be highlighted. Training program
should be designed so as to maintain continuity. A constant coaching may
be needed to enable the immediate detection, admonition and correction
of slips, errors, omission and neglect.
A formal training program, in the form of an SOP, must be in place which
includes a procedure for assessing the competence/skills of the personnel
undergoing training. Records must be maintained of persons who are
adjudged competent and authorized, including dates of authorization to
perform specific tasks such as sampling, testing, calibration, operating
typical equipment, issuing of test reports, etc.
In addition, the records of their educational and professional qualification,

18

training undergone, skills and experience shall also be maintained (See


chapter on Personnel).

13. QUALITY AUDIT


The test Facility should have a documented Quality Assurance (QA)
Program to assure that tests / studies performed are in compliance with
these principles of Good Laboratory Practice. The QA program or Self
Audit should be carried out by an individual or by individuals who are
designated by and directly responsible to the Facility Manager and who are
thoroughly familiar with the test procedures. These individuals must not be
involved in the conduct of the study / test being assured.
The responsibilities of these QA / Audit personnel include, but are not
limited to, the following functions:
a.

Maintain a copy of all approved test methods / study plans and


SOPs in use in the test facility.

b.

Verify that the test methods / study plans contain the


information required for compliance with these principles of
Good Laboratory Practice.

c.

Conduct audits / inspections to assure that tests are conducted


in accordance with these principles of Good Laboratory
Practice. Inspections can be of three types as specified by the

19

QA SOP :
i.

Study / Test-based inspection

ii.

Facility-based inspection

iii.

Process-based inspection

d.

Document and retain records of all inspections.

e.

Inspect the final reports to confirm that the methods,


procedures and observations are accurately and completely
described and that the reported results accurately and
completely reflect the raw data of the studies / tests.

f.

Promptly report inspection results in writing to the Facility


Manager and ensure that corrective action is put in place if
necessary.

14. MANAGEMENT REVIEW


Management of a test facility has the ultimate responsibility for ensuring that
the facility as a whole operates in compliance with the GLP principles. This
will involve the implementation of Quality Assurance or Quality Audit
program which is independent of the actual conduct of test / study and is
designed to assure the test facility management of compliance with these
principles of GLP.

20

The individual or individuals responsible for conducting the program must


not be involved in the test or in any study program being assured. The
implementation of such an audit program is discussed under the chapter
Quality Audit. Records of these inspections along with corrective actions
taken should be archived. Archival facilities should enable secure storage
and retrieval of all documents like Test methods, raw data, final reports etc.
Normally an inspector from a Regulatory Agency will not request to see an
actual report of an audit as such requests could inhibit auditors when
preparing inspection reports. It is sufficient to show that a program of self
audit exists through documented evidence and to show that a procedure for
corrective action is also in place.

21

15. DEFINITIONS
15.1 GLP :
Good Laboratory Practice is concerned with the organizational processes
and the conditions under which laboratory tests are planned, performed,
monitored, recorded, archived and reported. Adherence by test facilities to
the principles of GLP ensures proper planning of tests and the provision of
adequate means to carry them out. It facilitates the proper conduct of tests,
promotes their full and accurate reporting and provides means whereby the
validity and integrity of the tests and analytical data can be verified. It also
facilitates an audit trail of the products manufactured.

15.2 Test Facility :


Means the Operational Unit, including the premises, equipment,
instruments and persons, which are necessary for conducting the studies.

15.3 Test Facility Manager:


Means the person who has the authority and formal responsibility for the
organization and functioning of the Test Facility according to these
principles of Good Laboratory Practice.

15.4 Study Plan / Test method


Means a document which defines the objectives and experimental design
for the conduct of the test / study including specified instruments to be used
22

and the acceptance criteria of the data.

15.5 Raw data


Means all original test records and documentation, or verified copies
thereof, which are the result of original observations and activities in a study
/ test. Raw data also could include hand written notes, computer printouts,
recorded data from automated instruments, or any other data storage
medium that has been validated as capable of providing secure storage of
information. These should be linked to final outcome such that traceability
is possible.

15.6 Standard Operating Procedures (SOP) :


Means documented procedures which describe how to perform all the
pertinent activities and procedures in the test facility. The compilation of
topics for SOPs will involve the logical dissection of whole processes, such
as conduct of studies / tests, into their single activities, as well as an effort to
list equipment, apparatus or instrument which would be used in the GLP
relevant areas. The SOP should also include the necessary precautions to
be taken while performing a particular test.

15.7 Quality Assurance Program


Means a defined system, including personnel, which is designed to assure
test facility management of compliance with these principles of Good
Laboratory Practices.

23

BIBLIOGRAPHY
1.

OECD (Organization for Economic Co-operation and Development,


Paris 1998) Principles of Good Laboratory Practice

2.

OECD QA and GLP, 1999

3.

OECD in Vitro GLP, 2004

4.

Guide to UK GLP Regulations, Feb 2000 (by GLPMA)

5.

ICH Q7A GMP section 11 Laboratory Controls

6.

OSHA (Occupational Safety and Health Administration USA;


www.osha.gov)

7.

ISO / IEC 17025; 1999

8.

GLP Why & How by Dr Jurg Seiler. Publ. Springer-Verlag.

9.

MCA Orange Guide (Rules and Guidance for Pharmaceutical


Manufacturers and Distributors 2002)

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About OPPI
OPPI is an organisation of pharmaceutical manufacturers established in 1965.
Its membership consists of Research based International and large Indian
pharmaceutical companies.
OPPI members account for a substantial share of the industry's total
investment, export and R&D. The market share of its Member-Firms in total
Pharmaceuticals Market in India is over 60%.
OPPI is not only an industry association but also a scientific and professional
body. It organises national and international seminars and workshops relating
to key issues of the pharmaceutical industry and healthcare. It supports
scientific research by professional and academic institutes. It also brings out
technical publications, like Quality Assurance Guide and Environment, Health
& Safety Guide, Pharmaceutical Compendium, Research report on
outsourcing opportunities, Model Guidelines etc.
OPPI members adhere to the Code of Pharmaceutical Marketing Practices of
International Federation of Pharmaceutical Manufacturers Associations
(IFPMA). OPPI has developed operational guidelines for its members for
interpretation and implementation of this Code of Ethical Marketing Practices.
OPPI is also a member of the WorldSelf-Medication Industry (WSMI), France
and has developed code of ethics for advertisement of drugs.
OPPI identifies itself with the country's national health objectives and
encourages its members to make substantial contributions to social concerns. It
also co-ordinates its Members' efforts in national calamities like epidemics,
floods, earthquakes and cyclone.
OPPI also assists other scientific and educational programmes besides having
its own on-going programmes of health education and supports the country's
national objectives of health improvement.

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