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The Loi du 29 février 2024 creates a mandatory federal authorisation architecture under AFMPS covering three tiers of the pharmaceutical raw-materials supply chain:
Tier 1 — Manufacturers / importers: Must hold a fabrication authorisation and demonstrate compliance with Good Manufacturing Practice (GMP) for active substances. They are the only actors permitted to import raw materials into Belgium.
Tier 2 — Distributors: Must hold a distribution authorisation and comply with Good Distribution Practice (GDP) principles. They may only source from authorised manufacturers or other authorised distributors.
Tier 3 — Pharmacists: May only procure raw materials from Tier 1 or Tier 2 authorised actors. Limited exceptions exist for materials with "limited use" status as defined by ministerial decree.
Quality standards hierarchy: Raw materials require authorisation based on reference standards in priority order — (1) European Pharmacopoeia, (2) Belgian Pharmacopoeia or recognised official standards, (3) Deutscher Arzneimittel-Codex, (4) Minister-approved monographs. AFMPS evaluates applications; the minister grants final authorisation.
Enforcement: Violations carry imprisonment of one month to two years and fines of €25 to €250,000. Enhanced penalties apply for offences causing serious health harm, abuse of professional trust, large-scale distribution methods, or organised crime involvement.
The statute was prepared and promulgated during Belgium's EU Council Presidency (1 January – 30 June 2024). Belgium hosted the founding conference of the EU Critical Medicines Alliance (CMA) on 24 April 2024 in Leuven — an EU-wide initiative to address critical medicines shortages driven partly by concentration of API and raw-material production outside the EU (predominantly India and China). The Belgian law provides the national supply-chain security layer that complements the CMA's EU-level voluntary coordination mechanism and anticipates mandatory EU-wide requirements under the proposed EU Critical Medicines Act (filed as 2025-03-11-eu-critical-medicines-act-proposal).