The actions that stakeholders can make according to the information given in the diagram; purchase of drugs, sales of drugs, return of the drugs, declaration of consumption (for consumption centers), verification.
Production Notification
Manufacturer/Importer Sale Notification
Import Notification
Wholesaler Sale Notification
Pharmacy Sale Notification
Pharmacy sales start when prescription information is entered into the system. By making prescription entry to the system, a provision is requested from the reimbursement agency. After the provision request the drugs in the prescription should be entered in the system.
If the system's check finds the sales notification positive then sale can be done. After the check, pharmacy can request a provision for the prescription from the reimbursement agency. This process can be done with "Prescription Sale Confirmation" better known as "Prescription Confinement".
After notifying the prescription to the reimbursement agency, the medicines are investigated by the agency with the Pharmaceutical Track&Trace system and an investigation is started according to the information received.
At the same time when the data matrix is read during the sales process, the expiration date is also checked. If the expiration date has passed, the product can not be sold.
To prevent the resale of a sold product, pharmacies are also required to notify the system of the sale of over-the-counter medicines. In order to avoid the suspension from the reimbursement agencies, every product, prescription or non-prescription, should be reported.
Confirmation
This process shows if a product can or cannot be sold. If a product is shown available in a different pharmacy there will be an investigation for the real place of the said product.
Product's registrations are kept with the sale notifications. With this database, inconsistencies with the registrations can be found. The nonconforming product is deemed to be counterfeit and the unit for which the inconsistency arises is held accountable for fraud.
Deactivation
Purchase Return Notification
Purchase Confirmation
If the product is delivered without problems, it is reported to the system. In system design, purchase confirmation use is optional.
In pharmacies, the purchase confirmation notification is received when the sales transaction takes place. Because of this, it is not necessary to approve the purchase of the products given in case of emergency, but for the sale of the remaining products that cannot be done immediately, it is necessary to notify the purchase of the products concerned.
Purchase Offer
Sales Return Notification
The sales return notification is made by the salesman, if delivered products are returned for any reason. With this notification, it is verified whether the sold products are the same as the returned products.
Consumption Notification
Consumables are the products that are used in a process and are not reusable. In this situation, every box of medicine is used for multiple patients so traceability is not possible for consumables in consumption centers (hospitals, health centers, family medicine clinics, polyclinics, etc.). Also for the consumption centers, the reimbursement of the products are made in unit dose. Because of this reasons preventing the resale of used medicines is not possible with sales notification. For this reason, it has been decided by the Ministry of Health Administrators that it is better for the consumption centers to make consumption notification instead of sales notification. Since the products, for which the consumption notifications are made, are recorded in the system as such and they cannot be used or sold elsewhere.