TABLE IV

Potential Impact Levels of the Category “Complexity”

Risk LevelFactorImpact AssessmentExamples
48Product directly used by patient or Manufactured via highly complex processesPatient use: Requires specific training/assessment, e.g., self-injection or Manufacturing/trading: sterile products, aseptic production, sterile API or Sterile packaging material or Products required to be manufactured under strict separation regimes
34Product directly used by the patient and manufactured via a complex process or Manufactured in complex processes or requiring complex services to maintain qualityPatient use: No specific training required, e.g., oral administration or Manufacturing/trading: nonsterile finished products, Bulk nonsterile drug product or Storage & distribution: “Key Warehouse”; products with special storage/transport requirements
22Compounds not directly used by patients or Services with no direct impact on patient health/safetyManufacturing/trading: nonsterile API/API-Biotech products/specified excipients or Packaging material: any other or Operations limited to packaging only or Storage & distribution: warehousing only
11Compounds only used during manufacturing processesManufacturing/trading: Starting materials/raw materials/excipients