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talTabl
e1
Analysisofsamplescollectedaspart
ofOperationsStorm
IandStorm
II
OperationStorm
1
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/No.collected(%
failed)
%APIdetailsfor
failedsamples
Notesandpackaging
Seizure
location
(sample
ID)
Availability
ofauthentic
reference
sample
Classification
Antibiotics
Cambodia
Oralamoxicillin/250mg/cap
1/3
(33%
)87.2
Samples(1)thatfailedAPIcontent:
Oneunitlabeledas“AMOXIC
ILLIN
CAPSULESBP250mg”by“Glenmark,”
batchnumberAJ4498004.
Siem
Reap
+
PQ
<90%
Samples(2)thatpassedAPIcontent:
Oneunitlabeledas“AMOX
-MS250
Amoxillin250mg”by“MS,”
batchnumber87299.
Siem
Reap
üAuthentic
Oneunitlabeledas“RxHAGIM
OX,
Amoxicilin
250mgNhai”
by“CTCPDUOCHAU
GIA
NG.”
Batchnumbernotstated.
PreahVihear
+
90–110%
Cambodia
Oralamoxicillin/500mg/cap
2/5
(40%
)89.6
Samples(2)thatfailedAPIcontent:
Oneunitlabeledas“Amoxicillin
500mg,”
by“LaboratoiresEphac
Co.Ltd,”
batchnumber82024.
Siem
Reap
+
PQ
<90%
81.1
Oneunitlabeledas“AMOXIC
O(T
M)-
500”by“PlethicoPharm
aceuticals
Lim
ited,”
batchnumber06533.
PreahVihear
+
PQ
<85%
Samples(3)thatpassedAPIcontent:
Twounitslabeledas“Amoxicillin
500mg”by“BAIL
LY-C
REAT,”
batchnumber132and125.
Siem
Reap(132);
Phnom
Penh(125).
üAuthentic
Oneunitlabeledas“AMOX-M
S500,Amoxicillin500mg”by“MS,”
batchnumber87110.
Phnom
Penh
üAuthentic
Oneunitlabeledas“Pulm
oxyl(R
)-500
AMOXIC
ILLIN
CAPSULESBP
500mg”by“Micro
Laboratories
Lim
ited,”
batchnumber“PXFB0327”
Siem
Reap
+
90–110%
Cambodia
Oralampicillin/500mg/cap
3/7
(43%
)−
Samples(3)thatfailedAPIcontent:
45.8
Oneunitlabeledas“AMPIC
ILLIN
,Ampicillin500”by“ShijiazhuangOuyi
Pharm
aceuticalCo.,Ltd,”
batchnumber0529
Siem
Reap
+
PQ
<85%
89.5
Oneunitlabeledas“AMPIC
ILLIN
CapsulesBP500mg”by“Glenmark,”
batchnumber“AJ4368019.”
Siem
Reap
+
PQ
<90%
84.0
Oneunitlabeledas“AMPIC
O-500,
Ampicillin,GelulesB.P.500mg”by
“PlethicoPharm
aceuticalsLtd,”
batchno.6393
PreahVihear
+
PQ
<85%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
1
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/No.collected(%
failed)
%APIdetailsfor
failedsamples
Notesandpackaging
Seizure
location
(sample
ID)
Availability
ofauthentic
reference
sample
Classification
−Samples(4)thatpassedAPIcontent:
−Oneunitlabeledas“AMPIC
ILLIN
E500mg”by“Bailly-C
reat,”
batchnumber295.
Siem
Reap
+
90–110%
−Oneunitlabeledas“AMPIC
ILLIN
CAPSULESBP500mg,Dynacillin-500”
by“Micro
LaboratoriesLim
ited,”
batchnumberDYFB0039.
Siem
Reap
+90–110%
−Oneunitlabeledas“AMPIC
ILLIN
E500mg”by“LABORATOIR
ES
EPHACCo.,Ltd,”
batchnumber82013.
Siem
Reap
+
90–110%
−Oneunitlabeledas“AMPIM
ASTER,
AmpicillinCapsules500mg”by
“ShandongReyoungPharm
aceutical
Co.,Ltd,”
batchnumber080808.
PreahVihear
+
90–110%
Cambodia
Oralphen
oxymethylpen
icillin
(Pen
V)/~0.6g/tab
0/1
(0%
)–
Oneunitlabeledas“OspenÒ1000”
Unknown
+
90–110%
Phenoxymethylpenicillinaspotassium
salt
B.P
1,000,000IU
“(~0.6
g)”
by
“SANDOZ,”
batchnumber152890.
Cambodia
Oralphenoxymethylpenicillin
(PenV)/mg/tabnotstated.
Assumedto
be250mg/tab
0/1
(0%
)−
Loose
tabletspackedin
plasticbagwithout
identity
labeling.
Phnom
Penh
+
90–110%
Cambodia
Oralphenoxymethylpenicillin
(PenV)/250mg/tab
0/1
(0%
)−
Oneunitwithpaperslip
stating
“Penicillin-V
Tablet,PenicillinV
Potassium
equivalentto
PenicillinV
250mg.(400,000iu),60tablets”by
“T.ManPharm
aLtd,Part.,”
batchnumber6025104.
PreahVihear
+
90–110%
Cambodia
Oraltetracycline/250mg/cap
0/3
(0%
)–
Oneunitwithpaperslip
stating
“TETRAMAN
CAPSULE,
TetracyclineHCl250mg”by
“T.M
anPharm
aLtd,Part.,”
batchnumber7455106.
PreahVihear
+
90–100%
Oneunitlabeledas“TETRA-250,
TetracyclineHCl250mg”by
“Labo.EPHAC,”
batchnumber81066.
PreahVihear
+
90–110%
Oneunitlabeledas“TETRA-250,
TetracyclineHydrochloride250mg”
by“EPHACCo.,Ltd,”
batchnumber81098.
PreahVihear
+
90–110%
Antimalarials
Cambodia
Oralartesunate/50mg/tab
1/5
(20%
)83.4
Samples(1)thatfailedAPIcontent:
Oneunitlabeledas“Artesunate
50mg”by“BinhdinhPharm
a,”
batchnumber02706.
Phnom
Penh
+
PQ
<85%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
1
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/No.collected(%
failed)
%APIdetailsfor
failedsamples
Notesandpackaging
Seizure
location
(sample
ID)
Availability
ofauthentic
reference
sample
Classification
Samples(4)thatpassedAPIcontent:
Twounitslabeledas“
,Artesunate
Tablets,50mg
+12
,50
mg
+12tablets,
”by“G
uilin
Pharmaceu
ticalCo.,Ltd
China,”
batch
number
071201
OlympicMarket,
Phnom
Penh
üAuthentic
Fiveunitslabeledas“Artesunate
50mg”by“BinhdinhPharm
a,”
three
withbatchnumber2307,onewith
batchnumber0108andonewith
batchnumber6508.
Rattanak
iri(2307);
OlympicMarket,
Phnom
Pen
h(0108);
Siem
Reap(6508).
+
90–100%
Cambodia
Oralchloroquine/250mg/tab
0/3
(0%
)–
Oneunitconsistedofloose
tablespacked
inplasticbagindicatedasmanufactured
by“Adhon,”
batchnumber9305by
thesubmitter.
PreahVihear
+
90–110%
Oneunitconsistedofloose
tablespacked
inplasticbagindicatedas“Chloroquine
250mg,”
batchnumber216AM
bythe
submitter.Manufacturernotstated.
PreahVihear
+
90–110%
Oneunitconsistedofloose
tablespacked
inplasticbagindicatedas“Chloroquine”
by“ACDHO”bythesubmitter.Batch
numbernotstated.
Siem
Reap
+
90–110%
Cambodia
Oraldihydroartemisinin
(40mg)-piperaquine
phosphate
(320mg)
co-form
ulatedtabs
0/1
(0%
)−
Oneunitlabeledas“Artekin,Compound
Dihydroartemisinin”by“Holleykin
Pharm
aceuticalCo.,Ltd,”
batch
number011206.
OlympicMarket,
Phnom
Penh
+s90–110%
Cambodia
Oralmefloquine(250mg)+
artesunate
(50mg)
co-blisteredtabs
0/3
(0%
)−
Threesampleslabeledas“A
+M2,”
“A
+M3”and“A
+M4”withbatch
numbers
0818,00718and303117,
respectively.Manufacturernotstated.
Kandal
+
90–110%
Cambodia
Oralmefloquine(250mg)+
artesunate
(200mg)
co-blisteredtabs
1/2
(50%
)Artesunate
85.0,
Mefloquine103.1
Sample
(1)thatfailedAPIcontent:
Onelabeledas“Malarine(R
),3DayMalariaTreatm
ent,
COMPOSIT
ION:Mefloquine(250
milligramsbase)4tablets,Artesunate
(200mgbase)3tablets,”
“product
importedandrepackagedin
Cambodia,”
batchnumber337116.
Phnom
Penh
üSubstandard
<90%
Sample
(1)thatpassedAPIcontent:
Onelabeledas“Malarine”(T
haiPrinting),
batchnumber02018.Manufacturer
notstated.
DumexMarket,
Phnom
Penh
üAuthentic
Indonesia
imartemether/80mg/vial
1/1
(100%
)88.5
Oneunitlabeledas“Artemetherfor
injection”by“KunmingPharm
aceutical
Corp.,”batchnumber20050630.
Jayapura,Papua
üSubstandard
<90%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
1
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/No.collected(%
failed)
%APIdetailsfor
failedsamples
Notesandpackaging
Seizure
location
(sample
ID)
Availability
ofauthentic
reference
sample
Classification
Indonesia
iv/im
artesunate/60mg/vial
0/2
(0%
)−
Twosampleslabeledas“Artesunate
forinjection”by“Guilin
Pharm
aceutical
Co.,Ltd,China,”
batch
numberZA20060905andZA071102.
Ambon,Maluku
(ZA20060905);
Jayapura,Papua
(ZA071102)
üAuthentic
Indonesia
Oralartesunate
(50mg)+
amodiaquine(153mg)
co-blisteredtabs
1/2
(50%
)Artesunate
79.8,
Amodiaquine98.2
Sample
(1)thatfailedAPIcontent:
Oneunitlabeledas“Artesdiaquine(R
)tablets,Artesunate
50mg
+12Tabs+
Amodiaquine200mg
+12Tabs”
by“BeijingW
anhuiDouble
Crane
Pharm
aceuticalCo.,Ltd,Beijing,China,”
batchnumber030406.
Jayapura,Papua
+PQ
<85%
Sample
(1)thatpassedAPIcontent:
Oneunitlabeledas“Artesdiaquine(R
)tablets,Artesunate
50mg
+12Tabs+
Amodiaquine200mg
+12Tabs”
by
“BeijingW
anhuiDouble
Crane
Pharm
aceuticalCo.,Ltd,Beijing,China,”
batchnumber091006.
Ambon,Nusa
Tenggara
Tim
ur
+
90–110%
Indonesia
Oralartesunate
(50mg)+
amodiaquine(150mg)
co-blisteredtabs
0/2
(0%
)−
Twosampleslabeledas“ARSUAMOON,
Artesunate
Tablet+Amodiaquine
HydrochlorideTablets”by“Guilin
Pharm
aceuticalCo.,Ltd,China,”
batchnumbers
L0071110andL0071105.
Jayapura,Papua
(L0071110);
Ambon,Nusa
Tenggara
Tim
ur
(L0071105).
+
90–110%
LaoPDR
Oralartesunate/50mg/tab
4/9
(44%
)−
Samples(4)thatfailedAPIcontent:
0,0
Twounitslabeledas“
,ArtesunateTab
lets,50mg
+12
,50mg
+
12tablets,
”(“Guilin
Pharm
aceuticalCo.,Ltd,China”),
batchnumber060207.Theblisterpacks
did
notbearanyhologramsandhad
Type1counterfeitpackaging.
Southern
Laos
üCounterfeit
86.2
Oneunitlabeledas“Artesunat50mg”
by“Mekophar,”batchnumber06001AN.
üSubstandard
<90%
143.5
Oneunitlabeledas“Artesunat50mg”
by“Mekophar,”batchnumber06001AN.
üSubstandard
>115%
89.6
Oneunitlabeledas“Artesunate
50mg”
by“Mediplantex,”
batchnumber061106
üSubstandard
<90%
−Samples(5)thatpassedAPIcontent:
−Oneunitlabeledas“Artesunat50mg”
by“Nam
Ha(N
aphaco),”batch
number07102.
üAuthentic
−Twosampleslabeledas“Artesunat50mg”
by“Mekophar,”batchnumber07006FN
and06004AN.
üAuthentic
−Oneunitlabeledas“Artesunate
50mg”
by“Mediplantex,”
batchnumber39007.
+
90–110%
−Oneunitlabeledas“Artesunat50mg”
by“X.N
.D.P.T.U
.I,”
batchnumber010807.
x90–110%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
1
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/No.collected(%
failed)
%APIdetailsfor
failedsamples
Notesandpackaging
Seizure
location
(sample
ID)
Availability
ofauthentic
reference
sample
Classification
Myanmar
Oralartemether/50mg/tab
0/4
(0%
)–
Threesampleslabeledas“Antimalarial,
Artem,ArtemetherTabletsART50mg”
by“KunmingPharm
aceuticalCorp.,
China,”
batchnumbers
06116801,070DF2
and07DF1.
Bahan,Yangoon
(06116801);
+
90–110%
Myawaddy
(070DF2,
07DF1).
Oneunitlabeledas“AA-A
rtemether50mg
AntimalarialAgent,ART,50mg”by
“AA
MedicalProductsLtd,”
batch
number070911.
Kawthaung
+
90–110%
Myanmar
Oralartesunate/50mg/tab
1/4
(25%
)79.9
Samples(1)thatfailedAPIcontent:
Oneunitlabeledas“AA-A
rtesunat50mg,
12tablets,AntimalarialAgent”
by
“AA
MedicalProductsLtd,”
batch
number070901.
Bahan,Yangoon
+
PQ
<85%
Samples(3)thatpassedAPIcontent:
Twosampleslabeledas“Specific
antimalarial,ARTESUNATETABLETS,
,”by
“Guilin
Pharm
aceuticalCo.,Ltd,”
batch
numbers
070908and080206.Some
differencesfrom
authenticsample
but
concludedto
beprobably
authenticsample.
Myawaddy
üAuthentic
Oneunitlabeledas“ORALROUTE
ARTESUNAT”by“Central
Pharm
aceuticalFactory,”
batch
number010607.
Tachileik
+
90–110%
Myanmar
Oralmefloquine/250mg/tab
0/1
(0%
)−
Oneunitlabeledas“Mevax,Mefloquine
Tablets250mg”by“Ajanta
pharm
alimited,”
batchnumberM0037D.
Tachileik
+
90–110%
Myanmar
Oralmefloquine(250mg)+
artesunate
(200mg)
co-blisteredtabs
1/1
(100%
)Artesunate
91.9,
Mefloquine88.1
Oneunitlabeledas“Arfloquin”by
“Mekophar,”batchnumber07003FX.
Kawthaung
+
Mefloquine
PQ
<90%
Thailand
ivartesunate/60mg/vial
1/1
(100%
)110.9
Oneunitlabeledas“Artesunate
for
injection”by“Guilin
Pharm
aceutical
Co.,Ltd,Guangxi,China,”
batch
numberZA080202.(Importedby
AtlanticPharm
aceuticalCo.,Ltd,
Bangkok,Thailand).
Unknown
+
PQ
>110%
Thailand
Oralartesunate/50mg/tab
0/1
(0%
)97.2%
Oneunitlabeled
as“
,Artesunate
Tab
lets”by“
”(“Guilin
Pharmaceu
ticalCo.,Ltd,China”),
batch
number
080207.Somedifferences
from
authen
ticsample
butconcluded
tobeprobab
lyau
then
ticsample.
Unknown
üAuthentic
Vietnam
Oralartesunate/50mgtab
1/5
(20%
)83.7
Samples(1)thatfailedAPIcontent:
Onelabeledas“Artesunat50mg”by
“MekopharChemicalPharm
aceutical
Hanoicity
üSubstandard
<85%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
1
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/No.collected(%
failed)
%APIdetailsfor
failedsamples
Notesandpackaging
Seizure
location
(sample
ID)
Availability
ofauthentic
reference
sample
Classification
Joint-Stock
Co.HCM,Vietnam,”
batchnumber07001FN.
Samples(4)thatpassedAPIcontent:
Oneunitlabeledas“Artesunat50mg”
by“CTCPDPNam
Ha(N
aphaco),”
batchnumber07101.
VinhLocDistrict,
ThanhHoa
Province
üAuthentic
Twosampleslabeledas“Artesunat50mg”
by“CTCPHDPMekophar”
withbatch
number06001AN
and06004AN.
HaGiangTown,
HaGiang
Province
(06001AN);
Unknown
(06004AN)
üAuthentic
Oneunitlabeledas“Artesunat50mg”
by“MekopharChemicalPharm
aceutical
Joint-Stock
Co.HCM,Vietnam”with
batchnumber07004FN.
ThanhHoaTown,
ThanhHoa
Province
üAuthentic
Vietnam
Oralchloroquine/250mg/tab
0/3
(0%
)–
Oneunitconsistedloose
tabletspackedin
plasticbagwithpaperlabelstating
“Chloroquine250mg”by“Mekophar
ChemicalPharm
aceuticalJoit-Stock
Co,”
lotnumber“06001AN”andexpiry
date
“06/2010”
HaGiangTown,
HaGiang
Province
+
90–110%
Twounitslabeledas“CLOROQUIN
phosphat250mg”by“Namha
Pharm
aceuticalJoint-Stock
Co,Vietnam,”
batchnumber06102.
HaGiangTown,
HaGiang
District
üAuthentic
Oneunitlabeledas“CLOROQUIN
PHOSPHAT250mg”by“Mekophar,
HCM
City,”
batchnumber07001CN.
HaNoicity
üAuthentic
Vietnam
Oralquinine/250mg/tab
0/1
(0%
)−
Consistedloose
tabletspackedin
plasticbag
withpaperlabelstating“Quinine250mg”
by“MekopharChemicalPharm
aceutical
Joit-Stock
Co,”
batchnumber“0030905”
HaGiangTown,
HaGiang
Province
+
90–110%
Vietnam
Oralsulfadoxine(500mg)+
pyrimethamine(25mg)
co-form
ulatedtabs
0/3
(0%
)−
Threesampleslabeledas“CTCPHoa-D
uoc
pham,Mekophar,MEKOFAN”by
“Mekophar,”batchnumbers
0010405,
0021205,and06001AN.
VinhLocDistrict,
ThanhHoa
Province
+
90–110%
OperationStorm
II
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/no.collected(%
failed)
Chemicalassay
detailsforfailed
samples(actual%
API)
Notesandpackaging
Seizure
location
Authenticpackaging
anddosage
form
savailable
Antibiotics
Cambodia
Oralamoxicillin/250mg/cap
1/1
(100%
)85.3
Oneunitlabeledas“Amoxicillin250mg”
by“LABORATOIR
ESEPHAC
Co.,Ltd,”
batchnumber82030.
Unknown
+
PQ
<90%
Cambodia
Oralamoxicillin/500mg/cap
1/7
(14%
)48.5
Sample
(1)thatfailedAPIcontent:
Oneunitlabeledas“AMOXIC
ILLIN
500mg”by“ShijiazhuangOuyi
Unknown
+
PQ
<85%
(continued)
Supple
men
talTabl
e1
Continued
OperationStorm
II
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/no.collected(%
failed)
Chemicalassay
detailsforfailed
samples(actual%
API)
Notesandpackaging
Seizure
location
Authenticpackaging
anddosage
form
savailable
Pharm
aceuticalCo.,Ltd,”
batch
number0329.
Samples(6)thatpassedAPIcontent:
Oneunitlabeledas“AMOXIC
ILLIN
E500mg”by“LaboratoiresB.F.,”
batchnumber83.
Pailin
+90–110%
Oneunitlabeledas“AMOXIC
ILLIN
CAPSULESBP500mg”by“E.K
.HCo.,Ltd,”
batchnumber081110.
Unknown
+
90–110%
Oneunitlabeledas“Amoxicillin500mg”
by“Mekophar,”batchnumber09005AN.
Unknown
+
90–110%
Oneunitlabeledas“AMOXMASTER,
AmoxicillinCapsules500mg”by
“SHANDONG
ReyoungPharm
aceuticaL
Co.,Ltd,”
batchnumber080807
Unknown
+
90–110%
Oneunitlabeledas“AMOXIC
ILLIN
E500mg”by“LaboratoriesP.P.M
.,”
batchnumber1027
Unknown
+
90–110%
Oneunitlabeledas“AMOXIC
ILLIN
CAPSULESBP500mg”by“Glenmark,”
batchnumberAE4377019.
Unknown
+
90–110%
Cambodia
Oralampicillin/250mg/cap
1/1
(100%
)70.4
Oneunitlabeledas“AMPIC
ILLIN
E250mg”
by“LaboratoiresEphacCo.Ltd,”
batchnumber82009.
Unknown
+
PQ
<85%
Cambodia
Oralampicillin/500mg/cap
5/7
(71%
)−
Samples(5)thatfailedAPIcontent:
42.3
Oneunitlabeledas“AMPIC
ILLIN
500mg”
by“ShijiazhuangOuyiPharm
aceuticaL
Co.,Ltd”withbatchnumber0529.
Unknown
+
PQ
<85%
74.8
Oneunitlabeledas“AMPIC
ILLIN
CapsulesBP500mg”by“Glenmark”
withbatchnumberAJ4368028.
Unknown
+
PQ
<85%
71.1
Oneunitlabeledas“AMPIC
ILLIN
CAPSULESB.P.500mg”by“Flamingo
Pharm
aceuticalsLtd,”
batchnumber413.
StungTreng
+
PQ
<85%
80.6
Oneunitlabeledas“AMPIC
ILLIN
CAPSULESB.P.500mg”by“E.K
.HCo.,Ltd,”
batchnumber081109M.
Unknown
+
PQ
<85%
15.3
(contains
amoxicillin
66.6
mg/cap)
Oneunitlabeledas“AMPIM
EX-500,
AmpicillinCapsulesB.P.500mg,”
by
“FuLiPharm
aceutical,China.”
Batch
numbernotstated.
Battambang
+
Counterfeit
−Samples(2)thatpassedAPIcontent:
−Oneunitlabeledas“AMPIM
ASTER,
AmpicillinCapsules500mg”by
“ShandongReyoungPharm
aceutical
Co.,Ltd,”
batchnumber080808.
Battambang
+
90–110%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
II
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/no.collected(%
failed)
Chemicalassay
detailsforfailed
samples(actual%
API)
Notesandpackaging
Seizure
location
Authenticpackaging
anddosage
form
savailable
−Oneunitlabeledas“AMPI-MS500,
Ampicillin500mg”by“MedicalSupply
Pharm
aceuticalEnterprise
(MS),”batch
numberlT97095.
KohKong
Province
+
90–110%
Cambodia
Oralchloramphenicol/
250mg/cap
0/1
(0%
)−
Oneunitlabeledas
“CHLORAMPHENIC
OL”by“Hovid,”
batchnumberAH10598.
Unknown
+90–110%
Cambodia
Oralciprofloxacin/500mg/tab
0/2
(0%
)–
Oneunitlabeledas“CIPROXIN
-500,
CiprofloxacinTabletsUSP500mg.”
by
“UmedicaLaboratoriesPvtLtd,”
batch
numberZB801.
KampongCham
+
90–110%
Oneunitlabeledas“ECOFLOX-500,
CIPROFLOXACIN
TABLETSBP”by
“MedleyPharm
aceuticalsLtd,”
batch
numberD80244.
Unknown
+
90–110%
Cambodia
Oralcloxacillin/500mg/cap
1/1
(100%
)55.1
Oneunitlabeledas“CLOXA-M
S500”by
“MedicalSupply
Pharm
aceutical
Enterprise
(MS)”
withbatchnumber97014.
KohKong
Province
+
PQ
<85%
Cambodia
Oralmetronzidazole/250mg/tab
0/1
(0%
)−
Oneunitlabeledas“Metronidazole
TabletsB.P.250mg”by“Lyka
LaboratoriesLim
ited,”
batch
numberTL-137E.
KampongCham
+
90–110%
Cambodia
Oralphen
oxymethylpen
icillin
(Pen
V)/400,000IU
/tab
0/1
(0%
)–
Oneunitlabeledas“PENIC
ILLIN
VMingProv.
PsarPahi
+
90–110%
PENIC
ILLIN
VPOTASSIU
Mequi.
toPENIC
ILLIN
V400,000units”
by
“T.M
anPharm
aLtd,Part.”
withbatch
numberL/C6015102.
Cambodia
Oralphen
oxymethylpen
icillin
(Pen
V)/500,000IU
/tab
1/1
(100%
)82.5
Oneunitlabeledas“SQUASH
-PHENOXYMETHYLPENIC
ILLIN
500,000IU
”by“CheaChamnan
LaboratoireCo.,Ltd,”
batch
number080511.
Unknown
+
PQ
<85%
Cambodia
Oraltetracycline/250mg/tab
orcap
2/7
(29%
)−
Samples(2)thatfailedAPIcontent:
81.7
Oneunitlabeledas“BIO
MAN,Sugar
coatedtablet,TetracyclineHCl250mg”
by“T.ManPharm
aLtd,Part.”
Batch
numbernotstated.
Unknown
+
PQ
<85%
87.4
Oneunitlabeledas“
,AQ,Masa
Laboratory,CONFIT
,Tetracycline
HydrochlorideCapsule
250mg.”
by
“Masa
Laboratory,”
batchnumber610245.
Unknown
+
PQ
<90%
−Samples(5)thatpassedAPIcontent:
−Twosampleslabeledas“Tetraman,
TetracyclineHydrochlorideCapsules
250mg,
”by“T.M
an
Pharm
aLtd,Part,”
batchnumber
L/C7455106andL/C7455108.
Unknown
(L/C7455106);
KampongCham
(L/C7455108)
+
90–110%
−Unknown
+
90–110%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
II
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/no.collected(%
failed)
Chemicalassay
detailsforfailed
samples(actual%
API)
Notesandpackaging
Seizure
location
Authenticpackaging
anddosage
form
savailable
Oneunitlabeledas“TETRA-250,
TetracyclineHCl250mg”by
“Labo.EPHAC,”
batchnumber81099.
−Oneunitlabeledas“
Vescomycin
TetracyclineHydrochloride250mg”by
“VESCO,”
batchnumber151013.
Unknown
+
90–110%
−Oneunitlabeledas“
,C.M
.P,Chea
ChamnanLaboratoire,TETRA
C.M
.P,
TetracyclineHydrochloride250mg.
Capsule”by“CheaChamnanLaboratoire
Co.,Ltd,”
batchnumber081009.
Unknown
+
90–110%
Cambodia
Oraltetracycline/500mg/cap
1/3
(33%
)88.5
Sample
(1)thatfailedAPIcontent:
Oneunitlabeledas“TETRACYCLIN
E500mg”by“LABO.EPHAC,”
batch
number91010.
KohKong
Province
+
PQ
<90%
Samples(2)thatpassedAPIcontent:
Oneunitlabeledas“TETRACYCLIN
E500mg”by“Labo.Ephac,”batch
number81136.
Phnom
Penh
+
90–110%
Oneunitlabeledas“TETRA-M
S500
Tetracycline500mg”by“MS,”
batch
number80352.
Phnom
Penh
+
90–110%
Cambodia
Oraltetracycline/m
g/cap
notstated.Assumedto
be250mg/cap
1/1
(100%
)85.9%
(214.81mg/cap)
Oneunitconsistedofloose
capsulespacked
inplasticbagwithoutidentity
labeling.
Capsuleswere
printedwith“MS”logo.
Batchnumbernotstated.
Unknown
+
PQ
<90%
LaoPDR
Oralsulfamethoxazole
(400mg)-trim
ethoprim
(80mg)co-form
ulated
tab#
4/4
(100%
)Sulfamethoxazole
(124,123,81,83,82),
(112,80,81),
(109,81,82,82),
(114,117,80,83,82),
Trimethoprim
(84,82,96,98,96),
(66,76,76),
(65,87,92,97)and
(69,67,84,87,86)
Samples(4)thatfailedAPIcontent:
Oneunitas“Srim-side”by“KPN
Pharm
aFactory,”
Lot904002
VientianeCapital
+
PQ
<85%
>115%
Oneunitlabeledas“Sulfatrim
,”Lot0811035
+
PQ
<85%
>115%
Twosampleslabeledas“Vactrim”by
“Codupha-LaoPharm
aFactory,”
Lot916302and816303
+
PQ
<85%
>115%
LaoPDR
Oralamoxicillin/500mg/cap
5/6
(83%
)82.2,82.6,84.1,
75.7
and86.8
Samples(5)thatfailedAPIcontent:
Fivelabeledas“CODUPHA-LAO,
AMOXYCIL
LIN
,Amoxycilline500mg”
by“Codupha.”
FourfailedAPI%
85–115%
-onewithbatchnumber800252,
threewithbatchnumber800251andone
failedAPI%
90–110%
withbatch
number800234.
VientianeCapital
+
PQ
<85%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
II
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/no.collected(%
failed)
Chemicalassay
detailsforfailed
samples(actual%
API)
Notesandpackaging
Seizure
location
Authenticpackaging
anddosage
form
savailable
Samples(1)thatpassedAPIcontent:
Onelabeledas“AmoxyM.H
.,Amoxicillin
(astrihydrate)500mg”by“M
and
HManufacturingCo.,Ltd”withbatch
number23CZ.
+
90–110%
LaoPDR
Oralampicillin/250mg/tab
1/1
(100%
)67.1
Loose
tabletspackedin
ziplock
bagswith
paperlabelstating“Ampicilline.”
Manufacturerandbatchnumberwere
notstated.
VientianeCapital
+PQ
<85%
LaoPDR
Oralampicillin/500mg/cap
4/4
(100%
)79.0,67.7
82.9,
79.1,83.3
61.6
Twosampleslabeledas“CODUPHA-LAO,
AMPIC
ILLIN
,Ampicillin500mg”by
“Codupha”withbatchnumber800961
and800945.
VientianeCapital
+
PQ
<85%
Threeunitslabeledas“AMPIC
ILLIN
500,
AmpicillinTrihydrate
500mg”by
“P.D
.C.,”batchnumber012.
+
PQ
<85%
Oneunitlabeledas“AMPIC
ILLIN
ECAPSULES”by“Zhangfeng
Pharm
aceuticalFactory,Longchuan,
Yunnan,China,”
batchnumber081101.
+
PQ
<85%
LaoPDR
Oralciprofloxacin/500mg/tab
1/4
(25%
)79.0
Sample
(1)thatfailedAPIcontent:
Oneunitlabeledas“Ciprocin500,”
batchnumber021007.Manufacturer
wasnotstated.
VientianeCapital
+
PQ
<85%
Samples(3)thatpassedAPIcontent:
Oneunitlabeledas“Ciprofloxacin,
CiprofloxacinHCl500mg,”
batch
number28241207.Manufacturer
wasnotstated.
VientianeCapital
+
90–110%
Oneunitlabeledas“CIPROFLOXACIN
TabletsU.S.P.500mg”by“Brawn
LaboratoriesLtd,”
batch
numberBTG18017.
+
90–110%
Oneunitlabeledas“CIPROFLOXACIN
500mg”by“Thephaco,”
batch
number050908.
+
90–110%
LaoPDR
Oraltetracycline/250mg/cap
1/1
(100%
)89.6
Oneunitlabeledas“HEROLMYCIN
,250mg,Capsule”by“KPN
Pharm
aFactory,”
batchnumber801007.
VientianeCapital
+
PQ
<90%
LaoPDR
Oraltetracycline/250mg/tab
1/1
(100%
)131.3
Oneunitconsistedofloose
tabletspackedin
plasticbaglabeledas“Leomycine
Tab250mg,072011.”
Manufacturerand
batchnumbernotstated.
VientianeCapital
+
PQ
>115%
Thailand
Oraldoxycycline/100mg/tab
0/1
(0%
)–
Oneunitlabeledas“DoxycyclineHyclate
Tablets,”
USP
Suvannabumi
Term
inal
Airport,
Bangkok
+
90–110%
100mgby“W
est-w
ard
Pharm
aceutical
Corp.,”batchnumber66112A.
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
II
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/no.collected(%
failed)
Chemicalassay
detailsforfailed
samples(actual%
API)
Notesandpackaging
Seizure
location
Authenticpackaging
anddosage
form
savailable
Thailand
Oralphen
oxymethylpen
icillin
(Pen
V)/250mg/tab
0/1
(0%
)−
Oneunitconsistedloose
tabletspackedin
plasticbagwithoutidentity
labeling.
Indicatedas“Metro-V
250”withbatch
number0104022bythesubmitter.
Manufacturerwasnotstated.
MaesodDistrict,
Tak
+
90–110%
Thailand
Oralphen
oxymethylpen
icillin
(Pen
V)/400,000IU
/tab
0/2
(0%
)–
Oneunitconsistedloose
tabletspackedin
plasticbaglabeledas“PenV.400,000.”
Indicatedasmanufacturedby“Unison
LaboratoriesCo.,Ltd”withbatch
number“8PH30”bythesubmitter.
MuangDistrict,
Ranong
+
90–110%
Oneunitlabeledas“PENIC
ILLIN
VPOTASSIU
M400,000I.U.(250mg)”
by“UnisonLaboratoriesCo.,Ltd,”
batchnumber8PQ161.
+
90–110%
Thailand
Oralphen
oxymethylpen
icillin
(Pen
V)/500,000IU
tab
0/1
(0%
)−
Oneunitlabeledas“PENIC
ILLIN
TABLETS”by“A.N
.B.Laboratories
Co.,Ltd,”
batchnumber514634.
MuangDistrict,
Ranong
+
90–110%
Thailand
Oralphen
oxymethylpen
icillin
(Pen
V)/800,000IU
tab
0/2
(0%
)−
Twosampleslabeledas“PENIC
ILLIN
VPOTASSIU
M800,000I.U.”
by“Unison
Una”(“UnisonLaboratoriesCo.,Ltd”),
batchnumberL8PR01andL8PR03.
MaesodDistrict,
Tak(L
8PR01);
MuangDistrict,
Ranong
(L8PR03)
+
90–110%
Thailand
Oralphen
oxymethylpen
icillin
(Pen
V)/mg/tabnotstated
.Assumed
tobe250mg/tab
0/1
(0%
)−
Oneunitconsistedofloose
tabletspacked
inplasticbagwithoutidentity
labeling.
Indicatedas“PenicillinV
potassium”
bythesubmitter.Manufacturerandbatch
numbernotstated.
MaesodDistrict,
Tak
+
90–110%
Thailand
Oraltetracycline/250mg/cap
1/3
(33%
)86.6
Sample
(1)thatfailedAPIcontent:
Oneunitconsistedofloose
capsulesin
plasticbagwithoutidentity
labeling.
Indicatedas“Tetracycline250mg”with
batchnumber5112051bythesubmitter.
Manufacturerwasnotstated.
MaesodDistrict,
Tak
+
PQ
<90%
Samples(2)thatpassedAPIcontent:
Oneunitlabeledas“Tetra.250mg.”
Indicatedasmanufacturedby
“Pharm
asantLaboratoriesCo.,Ltd”
withbatchnumberL21015by
thesubmitter.
MuangDistrict,
Ranong
+
90–110%
Oneunitconsistedofloose
capsulesin
plasticbagwithoutidentity
labeling.
Indicatedasmanufacturedby“SevenStar
Co.,Ltd”withbatchnumber0824by
thesubmitter.
MuangDistrict,
Ranong
+
90–110%
Thailand
Oraltetracycline/500mg/cap
1/1
(100%
)87.3
Oneunitconsistedofloose
capsulesin
plasticbagwithoutidentity
labeling.
Indicatedas“Nidacycline500mg”with
MaesodDistrict,
Tak
+
PQ
<90%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
II
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/no.collected(%
failed)
Chemicalassay
detailsforfailed
samples(actual%
API)
Notesandpackaging
Seizure
location
Authenticpackaging
anddosage
form
savailable
batchnumber2581052bythesubmitter.
Manufacturernotstated.
Thailand
Oraltetracycline/m
g/cap
notstated.Assumedto
be250mg/cap
0/4
(0%
)–
Oneunitconsistedofloose
capsulesin
plasticbagwithoutidentity
labeling.
Indicatedas“NLMycin”withbatch
number104682bythesubmitter.
Manufacturernotstated.
MaesodDistrict,
Tak
+
90–110%
Oneunitconsistedofloose
capsulesin
plasticbagwithoutidentity
labeling.
Indicatedas“AD
Mycine”withbatch
numberC4834bythesubmitter.
Manufacturernotstated.
MaesodDistrict,
Tak
+
90–110%
Oneunitconsistedofloose
capsulesin
plasticbagwithoutidentity
labeling.
Indicatedasmanufacturedby“Asian
UnionLaboratoriesCo.,Ltd”withbatch
number516020bythesubmitter.
MuangDistrict,
Ranong
+
90–110%
Oneunitconsistedofloose
capsulesin
plasticbagwithoutidentity
labeling.
Indicatedas“Vescomycin”by“Vesco
Pharm
aCo.,Ltd,”
batchnumber15018
bythesubmitter.
Unknown
x90–110%
Antimalarials
Cambodia
Oralchloroquine/m
g/tab
notstated.Assumedto
be250mg/tab#
1/4
(25%
)(106,113,111,113),
(108,117,107,114),
(113,116,112,112),
110,147,119,111),
(108,122,121,114),
(110,122,116,118),
(109,118,119,115),
(108,114,112,115),
(110,115,115,118),
(102,113,115,117),
(105,114,120,112),
(103,115,116,117)
Sample
(1)thatfailedAPIcontent:
Unknown
Tenunitsof18–24tabletsin
plasticbags
w/o
identity
labeling,tabletswith
mosquitoim
ageembossedfailed
API%
85–115%
andtw
ounitsfailed
API%
90–110%
+
PQ
>115%
Sample
(3)thatpassedAPIcontent:
Threesamplesof18–23tabletsin
plastic
bagsw/o
identity
labeling,tabletswith
mosquitoim
ageembossed.
+
90–110%
Cambodia
Oralartesunate/50mg/tab#
2/5
(40%
)−
Samples(2)thatfailedAPIcontent:
(88,82,88,107),
(84,82,90,89)
Twounitslabeledas“Manufactured
byBinhdinhPharm
a”andDistributed
by“Canapharm
2000Inc.,Edmonton,
Canada,”
LotNo2307.
Unknown
+
PQ
<85%
(128,119,104,103)
Oneunitlabeledas“Arquine”“Medical
Supply
Pharm
aceuticalEnterprise”
Phnom
Penh,Cambodia,Lot
number80036.
+
PQ
>115%
−Samples(3)thatpassedAPIcontent:
−Fiveunitslabeledas“Manufacturedby
BinhdinhPharm
a”andDistributedby
+
90–110%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
II
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/no.collected(%
failed)
Chemicalassay
detailsforfailed
samples(actual%
API)
Notesandpackaging
Seizure
location
Authenticpackaging
anddosage
form
savailable
“Canapharm
2000Inc,Edmonton,Canada,”
LotNo2908.
−Twosamples(7
units)
labeledas
“Arquine”“MedicalSupply
Pharm
aceuticalEnterprise”Phnom
Penh,
Cambodia,Lotnumbers
80998and80036.
+90–110%
Cambodia
OralDHA
(40mg)-piperaquine
(320mg)co-form
ulatedtabs#
2/2
(100%
)DHA
(50,83,75),
(59,90,87)and
(74,58),
Piperaquine
(108,100,111),
(98,108,108),
(107,97)
Twosampleslabeledas“2daysmalaria
treatm
ent”
“Artekin”and“Holleykin
Pharm
aceuticalCo.Ltd”Guangdong,
China,Lotnumbers
011206and010707.
Packagingappearedto
begenuine.
Allhad£90%
DHA
thanthatstated,
andonehadpiperaquine>110%
Unknown
üSubstandard
<85%
Cambodia
Oralartesunate
(200mg)+
mefloquine(250mg)
co-blisteredtabs#
1/1
(100%
)Artesunate
81and
124,Mefloquine
108%
.
Oneunitlabeledas“Malarine”Lot337116.
Artesunate
tabsembossed“Mepha.”
Unknown
+
Artesunate
PQ
<85%
>115%
Cambodia
Oralartesunate
(50mg)+
mefloquine(unknown)
co-blisteredtabs#
1/1
(100%
)Artesunate
(90,87,93,83)and
(86,88,93,84)
Twounitslabeledas“A
+M4”Lot00618.
Mefloquinetabletswere
missing.
Unknown
+
Artesunate
PQ
<85%
Cambodia
Oralartemether/40mg/cap#
0/1
(0%
)−
Oneunitlabeledas“Kunming
Pharm
aceuticalCo.Ltd,”
Lot07GE1.
Unknown
üAuthentic
LaoPDR
Oralchloroquinephosphate/
250mg/tab#
1/1
(100%
)Chloroquine
(107,117,116,
116%
)
Fourunitslabeledas“MALACIN
”made
by“A.N
.B.LaboratoriesCo.Ltd,”
LotNo.500751.Packaging
appearedgenuine.
Unknown
üSubstandard
>115%
LaoPDR
Oralquininesulfate/m
g/tab
notstated.Assumedto
be250mg/tab#
9/10(90%
)Quinine
(95,61,74,70),
(86,71,74,81),
(83,77,72,75),
(71,70,61,71),
(70,62,75,71),
(69,76,80,81),
(80,75,77,76),
(79,75,72,77),
(75,80,83,84)
Samples(9)thatfailedAPIcontent:
Ninesetsof19–22whitetabletsin
plastic
bagsw/o
identity
labeling.Batch
numbernotstated.Stateddose
assumed.A
Unknown
+
PQ
<85%
Sample
(1)thatpassedAPIcontent:
Oneunitof22whitetabletsin
plastic
bagsw/o
identity
labeling.Stated
dose
assumed
+
90–110%
LaoPDR
Oralsulfadoxine
(500mg)-pyrimethamine
(25mg)coform
ulatedtabs#
3/3
(100%
)Sulfadoxine
(95,105,94),
(139,174)
Twosampleslabeledas“Mekofan”made
by“CTCPHoa-D
uocpharm
Mekophar.”
Lotnumbers
0021104,0010405.
Unknown
+
PQ
Pyrim
<85%
Pyrimethamine
(84,45,47),
(94,87)
Sulfa>115%
Sulfadoxine
(76,88,89),
(72,89,56)
Twounitslabeledas“Tancida”(2).
Lotnumberorexpirydate
0412.
+
PQ
Pyrim
<85%
Pyrimethamine
(84,45,46),
(84,43,24)
Sulfa<85%
(continued)
SUPPLEMENTALTABLE1
Continued
OperationStorm
II
Country/source
Medicine/m
gperunit
No.offailed
samples(90–110%
)/no.collected(%
failed)
Chemicalassay
detailsforfailed
samples(actual%
API)
Notesandpackaging
Seizure
location
Authenticpackaging
anddosage
form
savailable
LaoPDR
Oralartesunate/50mg/tab#
1/5
(20%
)(115,114,113)
Sample
(1)thatfailedAPIcontent:
Unknown
Onesample
labeledas“Artesunat”
madeby“Mekophar.”Lot07006FN.
Packagingappearedgenuine.
üSubstandard
>110%
Samples(4)thatpassedAPIcontent:
Threesamples(7
units)
labeledas
“Artesunat”
madeby“Mekophar.”
Lot07006FN
and09001FN,08001FN.
üAuthentic
Twounitslabeledasmadeby
“PHARBACO.”
Lot011207.
+
90–110%
LaoPDR
ivquininedihydrochloride/
600mg/vial#
0/1
(0%
)−
Oneunitlabeledasmadeby“ANB.”
Exp.
Date
10/2011,07/2011,04/2013,04/2012.
Unknown
üAuthentic
LaoPDR
ivartesunate
(60mg)vialand
5%
sodium
bicarbonate
#0/1
(0%
)−
Oneunitlabeledasmadeby“Guilin
Pharm
aceuticalCo.Ltd”LotZA061102
forartesunate
andT061101forbicarbonate.
Bicarbonate
notanalyzed.
Unknown
üAuthentic
Thailand
Oralchloroquinephosphate/
250mg/tab
2/4
(50%
)65.8
and62.1
Samples(2)thatfailedAPIcontent:
Onesample
labeledas“CHLOROQUIN
EPHOSPHATETABLETS.”
Manufacturer
andbatchnumbernotstated.
MaesodDistrict,
Tak
+
PQ
<85%
Onesample
withloose
tabletspackedin
plasticbagwithoutidentity
labeling.
Indicatedas“Chloroquinephosphate
250mg”withbatchnumber18139bythe
submitter.Manufacturernotstated.
MaesodDistrict,
Tak
+
PQ
<85%
Samples(2)thatpassedAPIcontent:
Onesample
labeledas“MALACIN
”by
“A.N
.B.LaboratoriesCo.,Ltd”withbatch
number500751.
MuangDistrict,
Ranong
+
90–110%
Onesample
labeledas
“CHLOROQUIN
EPHOSPHATE
TABLETS.”
Manufacturerandbatch
numbernotstated.
MuangDistrict,
Ranong
+
90–110%
Thailand
Oralchloroquine/m
g/tab
notstated.Assumedto
be250mg/tab
1/1
(100%
)71.6%
(179.1
mg/tab)
Loose
tabletspackedin
ziplocakbaglabeled
as“10/11/09;Chloroquine;18079.”
Manufacturernotstated.
MuangDistrict,
Ranong
+
PQ
<85%
Thailand
Oralquininesulfate/m
g/tab
notstated.Assumedto
be250mg/tab
1/1
(100%
)116.7%
(291.8
mg/tab)
Loose
tabletspackedin
plasticbagwithout
identity
labeling.Indicatedas“Quinne-S”
bythesubmitter.Manufacturerandbatch
numbernotstated.
MaesodDistrict,
Tak
+
>115%
API=activepharm
aceuticalingredient;CDC=CenterforDisease
ControlandPrevention;DHA
=dihydroartemisinin;HSA
=HealthSciencesAuthority;PQ
=poorquality
(insufficientevidence
todeterm
inewhetherfalsifiedorsubstandard).
AllassayedatHSA,except#thatwere
assayedatCDCandGeorgia
Tech,Atlanta,GA.Availabilityofauthenticreference
sample:ü
available;
+notavailable.
Thecriteriaof85–115%
and90–110%
APIhavebeenusedforinterpretation.T
hose
thatfailedusing85–115%
APIcriteriaare
givenin
red.90–110%
indicatesthatthesample
had%
APIwithin
thisrangebutauthenticpackagingexampleswere
notavailable
toallowconfirm
ationthatsample
wasauthentic.