National Prescription Monitoring System (SNCR) Now in Effect

The Brazilian National Prescription Monitoring System (SNCR) is now in effect in Brazil, modernizing the management of controlled medications. Established by the RDC 873/2024, the system became operational on July 18, 2024, and is now available for use by Health Surveillance agencies across the country. This initiative aims to improve the issuance and control of prescription numbering for medications and products subject to special control.

Key Changes with the SNCR

The SNCR introduces several important changes, aligning with Law 13.732/2018, which acknowledges the nationwide validity of special control prescriptions. Starting January 1, 2025, all Health Surveillance agencies must have their users registered and trained in the system by December 31, 2024. The key adjustments brought by RDC 873/2024 to the SVS/MS Ordinance 344/1998 and SVS/MS Ordinance 06/1999 include:

  1. Unified Prescription Numbering: The SNCR provides a single, national numbering system for prescription notifications, streamlining the process for prescribers of controlled medications.
  2. Elimination of Local Justification: Prescriptions from other states no longer require local authority verification or justification.
  3. Territorial Validity: The regulations regarding the territorial validity of all prescriptions have been updated to national coverage, in alignment with Law 13.732/2018.

Understanding the SNCR

The SNCR is an online platform designed for local health authorities, providing a unified numbering system for prescription notifications used by controlled medication prescribers. Health Surveillance agencies will continue to manage and control these numbers with the aid of the online tool, ensuring automated and efficient management.

Frequently Asked Questions

To assist with adapting to the new regulations, Anvisa has created a FAQ document addressing key issues related to RDC 873/2024 and the changes it brings to SVS/MS Ordinance 344/1998 and SVS/MS Ordinance 06/1999. Thorough reading of this document is essential for the correct application of the new rules and for adapting to the changes introduced by the SNCR.

About Controlled Products

SVS/MS Ordinance 344/1998 outlines control measures for narcotic, precursor, psychotropic substances, and other specially controlled substances. State, municipal, and Federal District authorities are responsible for overseeing and monitoring activities related to the production, commercialization, and use of these substances, as well as the medications containing them. The necessity for monitoring these medications and prescriptions stems from the potential risks these substances pose, including dependency and abuse, as well as their high potential for diversion to illicit use, fitting the definition of a drug under Law 11.343/2006.

Conclusion

The implementation of the National Prescription Monitoring System marks a significant step forward in the efficient management of controlled medications in Brazil. By centralizing prescription numbering and removing bureaucratic hurdles, the SNCR aims to streamline processes for healthcare providers and ensure safer use of controlled substances.