Life Sciences Commercialisation in Portugal: Overview | Practical Law

Life Sciences Commercialisation in Portugal: Overview | Practical Law

A Q&A guide to life sciences commercialisation in Portugal.

Life Sciences Commercialisation in Portugal: Overview

Practical Law Country Q&A 3-568-3910 (Approx. 31 pages)

Life Sciences Commercialisation in Portugal: Overview

by Fernanda Matoso and Alessandro Azevedo, Morais Leitão, Galvão Teles, Soares da Silva & Associados
Law stated as at 01 Oct 2023Portugal
A Q&A guide to life sciences commercialisation in Portugal.
This Q&A provides a high-level overview of key practical issues, including the life sciences sector, pricing and state funding, distribution and sale, importing, advertising, patents, trade marks, competition law, and product liability.

Life Sciences Sector Overview

1. Give a brief overview of the life sciences sector in your jurisdiction.
The Portuguese life sciences sector, in which the pharmaceutical industry and wholesale distribution players have an important role and share, has significantly grown in recent years. This growth in business volume has been largely driven by the diversity of products available on the market including innovative medicines, particularly biological products, innovative medical devices, and health technologies.
Portuguese start-ups have emerged and contributed to market growth with innovative solutions:
  • Supplying devices and software developed to provide effective, better, and safer health care services to patients.
  • Contributing to the efficiency of the care provided to patients by health care units and health care professionals.
Universities also have a key role in health research and development (R&D), although Portuguese R&D has not reached the level of other EU countries.
The pharmaceuticals industry, notably the big pharma companies, continue to dominate the local market and are quite active in reshaping business activity, particularly through spin-offs of specific business areas and mergers and acquisitions. There is no available public information on recent transactions.
The interaction between the industry and the National Health Service (Serviço Nacional de Saúde) (SNS) is substantial. As the main health care provider in Portugal, the SNS is the industry's biggest client. However, this interaction is subject to strict supply rules in the form of tendering and public procurement procedures. Pharmaceutical companies' advertising, promotional activities, and provision to SNS hospitals and health care providers are also strictly regulated.
Since 2018, Portugal has been prominent in the medical cannabis field and related activities including the cultivation and manufacture of medical cannabis products. Investment in medical cannabis is quite substantial, due to:
  • The increase of applicants and granted licences.
  • Substantial regulation of medical cannabis cultivation and manufacture activities which require strict security measures and compliance with the Good Agricultural Practices (GAP) and Good Manufacturing Practices (GMP).
2. Give a brief overview of key life sciences funding issues in your jurisdiction.
The life sciences funding is not specific to the sector. Therefore, companies are financed by equity with variable financing rates and source the remaining financing through the common means of financing economic activities. Therefore, in addition to capital increases by existing shareholders or by opening the share capital to new shareholders, companies obtain financing from banks or by issuing bonds.
Sometimes public support, either national or from the EU, is made available to finance research initiatives.

Pricing, Government Funding, and Reimbursement

National Health Care System

3. What is the structure of the national health care system, and how is it funded? Briefly explain how pharmaceuticals are introduced into that system.

Structure and Funding

The SNS comprises all the public services and units that provide health care services, including:
  • Groups of health centres.
  • Hospitals, irrespective of their legal designation.
  • Local health units.
The Portuguese Autonomous Regions of Madeira and Azores have a specific Regional Health Service, which is locally supervised and monitored by specific regional entities.
The Statute of the SNS is contained in Decree-Law No. 52/2022, 4 August 2022 (in Portuguese). The SNS is governed at central level by an executive board.
The SNS is funded through the state annual budget and by moderating fees paid by users. The SNS also includes a centralised procurement system for hospitals for the purchase of medical products, through the Central Purchasing Authority of the Shared Services of the Ministry of Health (Serviços Partilhados do Ministério da Saúde (SPMS)). The procurement for the purchase of medical products in the Portuguese Autonomous Regions is centralised by local designated entities.
The SNS also has arrangements with private providers for the delivery of designated diagnostic and therapeutic services.

Interaction of the Life Sciences Industry with the Health Care System

Pharmaceutical companies interact with health care professionals serving the health care system through:
  • Medical sales representatives' visits.
  • Scientific, educational, and medical products promotional events and activities addressed to health care professionals.
  • Support of health care professionals' continuous education and training through funding the registration costs for scientific and educational activities and events promoted or organised by third parties.
  • Support of health care professionals' continuous education and training through funding scientific and educational activities organised by medical societies.
In addition to these interactions, the life sciences industry has a commercial relationship with the healthcare system, as healthcare providers are among the main purchasers of the products sold by the life sciences industry.
Public and private healthcare providers receiving public funding are subject to public procurement rules. This means that the procurement of products sold by the life sciences industry must follow the strict procedures laid down by law (mainly in the Public Procurement Code, approved by Decree-Law No 18/2008 of 29 January, as amended (in Portuguese). As a rule, these procurement procedures must be competitive procedures (that is, procedures open to market competition).
Some of the medicines purchased by the hospitals of the NHS services and institutions or bodies and services of the Ministry of Health are to be purchased through centralised procurement procedures leading to the conclusion of framework agreements. Centralised purchasing procedures are conducted by the SPMS.

Price Regulation and Reimbursement

4. How are the prices of medicinal products regulated? When is the cost of a medicinal product funded by the government or reimbursed? How is a pharmacist compensated for dispensing services?

Price Regulation

Decree-Law No. 97/2015 of 1 June 2015 sets out specific price regimes for the different types of medicines, distinguishing the outpatient market from the hospital market (SNS hospitals), as follows.
Outpatient market. Ministry of Health Order no. 195-C/2015 of 30 June 2015 sets out the price of medicines determined in accordance with a maximum price mechanism for:
  • Medicines subject to medical prescription reimbursed by the state or that are under a reimbursement request.
  • Reimbursed medicines not subject to a medical prescription.
These prices are determined through a comparison with the approved wholesaler prices (PVA) in referenced countries for the same medicine, or for an identical pharmaceutical with the same active substance, pharmaceutical formula, and dosage.
The price of generic medicines is obtained by a comparison with a reference medicine with the same dosage, and must be:
  • Less than 50% of the price of the reference medicine.
  • Less than 25% of the price of a medicine with a wholesale price in all its [forms] that is equal to or less than EUR10.
The maximum price of parallel imported medicines must be at least 5% less than the maximum retail price approved for that medicine and for the identical and similar medicines that hold a marketing authorisation in Portugal.
Non-reimbursed medicines subject to medical prescription that already have a maximum retail price can be modified under the notification price regime. The market authorisation holder can notify the National Authority of Medicines and Health Products, I.P. (Autoridade Nacional do Medicamento e Produtos de Saúde) (INFARMED) that it intends to market the medicine at a higher retail price. INFARMED can oppose the intended price. If INFARMED fails to oppose it, the market authorisation holder's notified price is considered tacitly approved.
Hospital market. Non-reimbursed medicines subject to medical prescription to be purchased by SNS units and services are subject to a specific prior evaluation procedure. As a result, the supply conditions and maximum price of these medicines is regulated in a written contract between the medicine market authorisation holder and INFARMED. However, the maximum acquisition price of these medicines cannot exceed either:
  • The lowest wholesale price in force in designated referenced countries for the same medicines.
  • The lowest price for identical or essentially similar pharmaceutical medicinal products if no identical medicines exist.
The prior evaluation procedure may also apply to other medicines, if the respective sales volume with SNS entities and services is significant. The maximum acquisition price of generic medicines to be purchased by SNS units and services is also determined in accordance with the maximum price mechanism.
Reimbursed medicines. The price of both prescription and over-the-counter (OTC) medicines eligible for reimbursement by the SNS is subject to the reference price mechanism, when these medicines are included in homogeneous groups of medicines. The reference price for each homogeneous group of medicines corresponds to the average of the five lowest retail prices of the medicines that make up each homogeneous group. The reference countries are subject to a yearly review by the Minister of Health.
In a specific homogeneous group, the maximum retail price of new medicines to be reimbursed should be at least 5% less than the generic medicine that has the lowest price and has at least a 5% market share of generic medicines in the homogeneous group.
The maximum prices are subject to annual revisions, on the basis of a comparison with prices approved in the reference countries. Exceptional reductions may also occur under a specific order issued by the Ministry of Health, due to a need to regularise the relevant market.
The price of OTC medicines that are not subject to reimbursement by the SNS is not regulated by the public authorities.
Decree-Law No. 97/2015 provides that certain medical devices or generic groups of medical devices for SNS users can be subject to a maximum prices special regime, which is to be defined by specific orders issued by the Ministry of Health. In addition, certain devices can also be subject to a maximum acquisition price by SNS entities, through a prior evaluation contract with the market authorisation holder or distributor.

Reimbursement

The cost of a medicinal product can be funded by the state on the basis of either:
  • Its technical-scientific and added therapeutic value.
  • Evidence provided in relation to its economic advantage.
(Decree-Law No. 97/2015.)
The scientific and economic assessment for funding by the SNS is carried out by INFARMED. Medicines that receive upfront reimbursement of the pharmacy sale price by the SNS generally fall within one of four rating bands:
  • Band A: 90%.
  • Band B: 69%.
  • Band C: 37%.
  • Band D: 15%.
(Order no. 195-D/2015, 30 June 2015.)
Order no. 195-D/2015, 30 June 2015 specifies the pharmacotherapeutic groups and subgroups included in each of the scales.
Decree-Law 97/2015 also establishes that special funding and reimbursement regimes apply:
  • Special reimbursement for similar biologicals. Similar biological medicines follow the general or special reimbursement regime for biological reference medicines, with adaptations due to market share and prices.
    For reimbursement, the retail price of the biological medicine to be reimbursed cannot exceed 80% of the price of the reference biological medicine, when both medicines are to be marketed in the outpatient market. In specific circumstances, the price of a similar biological medicine can be reduced to 70% of the price of the reference biological medicine, notably if the similar biological medicine holds at least a 5% market share in terms of the active substance in accordance with the applicable International Common Denomination.
  • Other special regimes. Special reimbursement regimes can be established for determined pharmaceutical therapeutic groups or subgroups, considering users' income, the prevalence of diseases, and public health objectives.
  • Exceptional reimbursement regimes. Exceptional regimes can also be established by specific order of the Ministry of Health for:
    • certain pathologies or special groups of users;
    • certain therapeutic indications;
    • integrated management system of diseases; and
    • medicines qualified by a Minister of Health order as indispensable for lifesaving.

Pharmacist Reimbursement

A pharmacist in a dispensing pharmacy is remunerated through a maximum legal margin on the reimbursed medicines not subject to medical prescription and on medicines subject to medical prescription (reimbursed or not), based on the approved medicine authorised wholesale price (MAWP). The pharmacist's price margin varies according to the MAWP price, as follows:
  • MAWP equal or up to EUR5: 5.58% over the MAWP plus EUR0.63.
  • MAWP of EUR5.01 to EUR7: 5.51% over the MAWP plus EUR1.31.
  • MAWP of EUR7.01 up to EUR10: 5.36% over the MAWP plus EUR1.79.
  • MAWP of EUR10.01 up to EUR20: 5.05% over the MAWP plus EUR2.80.
  • MAWP of EUR20.01 up to EUR50: 4.49% over the MAWP plus EUR5.32.
  • MAWP over EUR50: 2.66% over the MAWP plus EUR8.28.
(Order no. 195-C/2015.)
Pharmacies can also obtain a specific additional remuneration of EUR0.35 per medicine package, provided that they meet the applicable conditions under Order no. 262/2016, 7 October 2016. For each pack of medicines dispensed at a price equal to or lower than the 4th lowest price of the homogeneous group of medicines (group of medicinal products with the same qualitative and quantitative composition in active substances, dosage, and route of administration, with the same or equivalent pharmaceutical form, in which at least one generic medicinal product on the market is included), the pharmacy is remunerated by EUR0.35.

Distribution and Sale

5. Who is authorised to prescribe and supply medicines to patients or consumers? Who is authorised to distribute prescription medicines and over-the-counter medicines?
Prescription medicines and OTC medicines reimbursed by the SNS are exclusively sold in pharmacies. OTC medicines not subject to reimbursement by the SNS can be sold by OTC retailers (parafarmácias).
The home delivery of medicinal products is allowed by:
  • Pharmacies for prescription medicines.
  • Pharmacies and OTC retailers for OTC medicines.
(Order 1427/2007, 2 December 2007.)
Home delivery must be provided in the geographic municipality where the pharmacy or OTC retailer is located and in the surrounding geographic municipalities.
Orders by patients can be placed through any of the following methods:
  • Telephone.
  • Fax.
  • Online pharmacy.
  • OTC retailer website.
  • Email.
Pharmacies are governed by the rules of Decree-Law No. 307/2007, 31 August 2007. OTC medicine retailers are governed by Decree-Law No. 134/2005, 16 August 2005.
6. How is the wholesale distribution of medicines regulated?
Wholesale distribution activity is defined by the Medicines Act (approved by Decree-Law No. 176/2006, 30 August 2006) as the activity of supplying, holding, storing, or supplying medicinal products for processing, reselling, or use in medical services, health units, and pharmacies, excluding supply to the public.
Wholesale distribution can be carried out:
  • Directly by wholesale distributors in the national market: entities independent from the marketing authorisation holders, disposing of a comprehensive range of medicinal products to ensure the continuous and permanent supply to the Portuguese market.
  • Indirectly by logistics operators: an individual or legal entity that provides logistics services of storage and delivery of medicinal products to manufacturers and marketing authorisation holders.
Wholesale distributers and logistic operators must be authorised by INFARMED. Wholesale distribution applications to INFARMED must include:
  • Name or business name and address or registered office of the applicant.
  • Legal person identification number or tax identification number.
  • Identification of the technical director.
  • Location of the premises where the activity is to be carried out.
  • Certificate or document proving the academic and professional qualifications of the technical director.
  • The technical director's responsibility statement (a declaration issued by the technical director stating that, for all legal purposes, they assume responsibility for wholesale distribution carried out by a marketing authorisation holder and commit to comply with all legal regulations in force).
  • Plan and description of the premises where the activity is to be carried out.
  • Copy of the licence to use the establishment issued by the competent administrative body.
  • Proof of compliance with legal requirements regarding fire risk prevention.
  • Copy of the contracts concluded with the person assuming the technical management and, where appropriate, with the wholesale distributor who stores the medicinal products.
  • A copy of the contract concluded with the entity responsible for the implementation and operation of the national medicines verification system, with effect conditional on the issuance of the distribution authorisation, if the applicant intends to distribute prescription-only medicinal products equipped with a safety device.
After verifying the submission meets the application criteria, INFARMED proceeds, within a maximum period of 30 days, to the inspection of the premises where the applicant intends to conduct the activity and issues its decision within 30 days.
The authorisation specifies the distribution activities the entity is authorised to perform and identifies the respective warehouse facilities.
Wholesale distributors require:
  • A technical director, responsible for the wholesale distribution activity.
  • Adequate facilities and equipment with the capacity to ensure storage in accordance with the medicines' conservation and distribution conditions.
Among other obligations, wholesale distributors must comply with good distribution practices (GDP).
Marketing authorisation holders or their local representatives are exempted from the wholesale distribution authorisation. They must register their distribution activity with INFARMED. Registration is a simpler procedure. Registration applications are submitted electronically and must include:
  • The applicant's identification data.
  • A list of the medicinal products to be distributed.
  • The identity of the technical director and the technical director's responsibility statement.
  • The location of the premises where the activity will be carried out.
  • A copy of the contract concluded with the logistics operator that stores the medicinal products.
Manufacturers of medicinal products duly licensed by INFARMED are exempt from obtaining wholesale distribution authorisation for medicinal products they have manufactured.
7. Which regulatory authority supervises the distribution of medicines? What are the consequences of non-compliance with the medicine distribution laws?
INFARMED exercises regulatory, supervisory, and sanctioning powers. INFARMED:
  • Issues the necessary authorisations for wholesale distribution.
  • Issues, at its discretion, regulations on specific matters relating to the wholesale distribution of medicines.
  • Carries out the necessary inspections for issuing and monitoring authorisations including ad hoc inspections.
  • Can impose sanctions depending on the seriousness of the infraction and the level of fault, for example:
    • loss of illicit objects, equipment, and devices to the state;
    • cessation of the company's infringing activity, for a maximum of two years;
    • deprivation of the right to participate in public tenders, for a maximum of two years; and
    • suspension of authorisations, licences, and other titles attributing rights, for a maximum of two years.
  • Can revoke authorisations for breach of authorisation conditions and in cases duly justified on public health grounds.
  • Can initiate administrative offence procedures in response to violations of the applicable law and regulations under which it can impose financial sanctions. Violations can be punished with fines of between EUR2,000 and 15% of the annual turnover of the infringer or EUR180,000 per infringement (whichever is lower), subject to judicial review.

Cross-Border Trade and Parallel Imports

8. What are the main requirements to import medicinal products into your jurisdiction? Are parallel imports of medicinal products into your jurisdiction allowed?

Import Requirements

The import of medicinal products is subject to INFARMED's prior authorisation.
Each batch of imported medicinal products, including those manufactured but not controlled or released in a EU member state, must undergo:
  • A full qualitative and quantitative analysis of the active substances.
  • All the other tests or checks necessary to demonstrate the product's quality in accordance with the relevant marketing authorisation.
It is the responsibility of the importer to ensure that medicinal products and investigational medicinal products imported from third countries have been manufactured:
  • By manufacturers duly authorised or notified and accepted for that purpose in their respective countries.
  • In accordance with standards which are at least equivalent to EU GMP.
Medicinal products imported from countries with which the EU has concluded treaties that have the effect of waiving the requirement for a national import authorisation do not require authorisation.

Parallel Imports

Parallel imports of medicinal products are permitted provided the following conditions are met:
  • The medicine must have a valid marketing authorisation in the EU member state of origin.
  • The medicine is commercialised in compliance with the conditions established in the Medicines Act.
  • The medicine must have the same:
    • quantitative and qualitative composition of active substances;
    • pharmaceutical form; and
    • therapeutic indications. (Different excipients can be used or different quantities of the same excipients if they have no therapeutic impact.)
  • The authorisation does not pose a risk to public health.
The conditions set out in the second and fourth bullet points above are presumed to be verified if:
  • The medicine to be imported is manufactured in another EU member state by a company contractually linked to the marketing authorisation holder in Portugal, or by a company that is part of the same corporate group.
  • The company that holds the marketing authorisation for the medicine in Portugal manufactures or markets the medicine in Portugal under an agreement with a company contractually linked to the market holder in the member state of origin.
A parallel import is subject to a prior authorisation procedure that requires the submission of a specific form and documents. The authorisation must be granted by INFARMED within 45 days, if this time period is not suspended due to pending clarification requests or additional submission of documents.
In addition to complying with the generic labelling requirements (applicable to all medicinal products to be marketed in Portugal), parallel imported medicinal products must be labelled with:
  • The name of the medicinal product.
  • The intellectual property rights.
  • The name or business name and address or registered office of the parallel importer.
  • The registration number assigned by INFARMED.
Intellectual property rights cannot be used to oppose parallel imports.

Advertising

9. What is the main legislation and what are the regulatory authorities that control pharmaceutical advertising? Does the industry have a system of self-regulation based on industry codes of conduct? What are the main elements of that system?
The advertising of medicinal products is governed by:
  • The Medicines Act.
  • Decree-Law No. 5/2017, 6 January 2017, which establishes the advertising principles and a prohibition on SNS hospitals from requesting and receiving benefits from the pharmaceutical industry and from other health technology companies, unless INFARMED authorises the receipt of the benefit and it does not harm their impartiality and neutrality.
INFARMED is responsible for the supervision and enforcement of the provisions on advertising to health care professionals and the general public. In this context, INFARMED issues administrative regulations on specific topics on the advertising of medical products.
The Portuguese Pharmaceutical Industry Association (Associação Portuguesa da Indústria Farmacêutica) (APIFARMA) has approved the following codes, which bind pharmaceutical companies that are APIFARMA members:
  • The Code of Ethics for Promotion Practices of the Pharmaceutical Industry and Interaction with Healthcare Professionals and Institutions, Organisations, or Associations Comprising Healthcare Professionals (Code of Ethics).
  • The Code of Conduct Governing the Relations Between Pharmaceutical Industry and Patients' Organisations, Patients' Advocates, Patients' Experts, Patients, and Caregivers (Code of Conduct).
  • The Code of Good Practice for Communication.
10. Is there a definition of advertising or advertisement in relation to pharmaceuticals? What kinds of activities, channels and communications meet those definitions (and are therefore subject to restrictions), and what falls outside (and is therefore permitted)?
The Medicines Act defines advertisement of medicines as any form of information, prospecting, or incentive which is within the scope of, or has the effect of, promoting the prescription, dispensation, sale, acquisition, or consumption of medicines in any of the following circumstances:
  • Directed to the public in general.
  • Directed to wholesale distributors and health care professionals.
  • Conducted through medical sales representatives' visits to health care professionals.
  • Conducted through the provision of samples or commercial bonuses to wholesale distributors and health care professionals.
  • Conducted though granting, offering or promising pecuniary or in-kind benefits, except when their value is insignificant.
  • Conducted through the sponsorship of promotional meetings attended by health care professionals.
  • Conducted through the sponsorship of congresses or meetings of a scientific nature where health care professionals attend or participate, through the direct or indirect payment of their expenses.
  • Reference to the commercial name of a medicine.
The advertising regulations do not apply to:
  • Medicine labelling and informative leaflets.
  • Correspondence necessary to answer a specific question about a medicine, which can be accompanied by any document, provided that it does not contain any element of advertising.
  • Specific information and reference documents concerning changes in the secondary packaging, warnings about adverse reactions within the scope of pharmacovigilance, sales catalogues, and price lists, provided that they do not contain any other information about the medicine.
  • Information relating to human health or diseases, provided that there is no reference, even if indirect, to medicinal products.
11. Do companies have to set up internal procedures for managing and approving their advertising of pharmaceuticals?
Medicinal product marketing authorisation holders must:
  • Establish a scientific service responsible for the information related to the product.
  • Maintain complete and detailed records (to be kept for five years) of all advertising material, specifying the target addressees, dissemination channel, and date of the first dissemination.
The scientific service must ensure that:
  • Advertising activities comply with all the obligations imposed by the law and codes (see Question 9).
  • Medical sales representatives have appropriate professional qualifications.
Scientific service records must be available for INFARMED to consult or inspect.
No other internal procedures or approvals are mandatory.
12. Does pharmaceutical advertising have to be approved by a regulator?
Pharmaceutical advertising does not require INFARMED's approval, except in cases involving vaccination campaigns or promotional campaigns for generics aimed at the general public. These adverts must be approved by INFARMED or the campaigns can be classified as prohibited advertising activity.
Marketing authorisation holders or holders of medicinal products registers must submit one sample of each advertising material concerning each product, for information purposes, to INFARMED within ten days of its issue. (Holders of registrations for medicinal products are those entities subject to simplified registration procedures (for example, some homeopathic medicinal products or some herbal medicinal products) and, eventually, holders of registrations for medicinal products that have centralised marketing authorisations.)
13. Are there rules on comparative advertising that apply to pharmaceutical advertising?
Comparative advertising of medicines can only be directed at health care professionals. Comparative advertising to the general public is prohibited.
APIFARMA’s Code of Ethics states that comparative advertising should be based on relevant and comparable aspects. It cannot be misleading or defamatory and the comparison of medicinal products should be limited to the product characteristic specifications, instructions for use, technical documents, or credible clinical data.
14. Is it possible to share information about pharmaceuticals or indications that are unlicensed and is there a risk that this could be caught by advertising rules?
Advertising of unauthorised medicinal products or of unlicensed indications is prohibited.
However, certain information is not classified as advertising, for example, price and product lists (see Question 10). Information on human health or diseases is also not classified as advertising if there is no direct or indirect reference to or mention of a specific medicinal product.
APIFARMA’s Code of Ethics states that the pharmaceutical industry can disclose advances in medicinal products and therapeutics and the results of scientific research they are carrying out to the scientific community.
15. Are there particular rules or issues with the use of the internet and social media for advertising pharmaceuticals?
The general rules applicable to advertising medicines in the Medicines Act apply to advertising medicines thorough the internet and social media.
INFARMED has issued two Informative Circulars (Informative Circular no. 229/CD, of 9 November 2011 and Informative Circular no. 236/CD of 16 November 2011) establishing specific rules on advertising through the internet and other digital channels. Pharmaceutical companies can advertise their prescription-only medicines to the general public, whether or not they are reimbursed if:
  • The information is exclusively available on pharmaceutical companies' institutional own corporate websites, and not on social networks, or disseminated by any other means.
  • The information to be disclosed, together and simultaneously, must only consist of a faithful reproduction of the packaging of the medicinal product and a literal and integral reproduction of the package leaflet, a summary of the product characteristics (SmPC), as authorised by INFARMED.
  • Advertising medicines containing substances defined as drugs or psychotropic substances by the international conventions for drugs and psychotropic substances on websites and social media is forbidden.
Healthcare professionals' access to advertisements for pharmaceuticals via the internet or social media follows the general rules for advertising to healthcare professionals. The content made available to healthcare professionals through these channels should not be accessible to the general public (and cannot under the law be made available to the general public).
16. What are the consequences of non-compliance with the rules on advertising pharmaceuticals? How are the rules enforced and by which authorities or organisations?
INFARMED can impose fines for any infringement of the Medicines Act provisions, including those relating to advertising. The fines, per infringement, range from EUR2,000 to 15% of the business volume of the infringer or EUR180,000, whichever is lower.
Depending on the seriousness of the infraction and the level of fault, INFARMED can also impose:
  • Loss of illicit objects, equipment, and devices to the state.
  • Interdiction of the company's infringing activity, for a maximum of two years.
  • Deprivation of the right to participate in public tenders, for a maximum of two years.
  • Suspension of authorisations, licences, and other titles attributing rights, for a maximum of two years.
INFARMED can also punish the infringement of advertising legal provisions by:
  • Publication of the decision to impose fines on social media, including the essential elements of the condemnatory decision.
  • Suspension of advertising the relevant medicine, for a maximum of two years.
  • Exclusion of the relevant medicine from the reimbursement regime by the state.
  • Suspension of the infringer’s medical sales representatives' visits to SNS hospitals and services. The law does not foresee any time limit for this suspension.
Infringements of APIFARMA’s code provisions on advertising and inducement to prescribe and consume medicinal products are dealt with by APIFARMA’s Ethics Council, which can impose the following penalties on members:
  • A simple warning.
  • A reprimand.
  • A penalty up to the amount of five years of membership fees.

Advertising to the Public

17. Which pharmaceuticals can and cannot be advertised to the public? What information must and must not be included in advertising of pharmaceuticals to the public?
Certain medicines cannot be promoted or advertised to the general public, only to health care professionals (for example, doctors, pharmacists, and nurses). They must be advertised in scientific publications or other forms of communication with use restricted to health professionals. These medicines include:
  • Prescription medicines.
  • Medicinal products that contain psychotropic or narcotic substances.
  • Medicines that are reimbursed by the SNS.
Over-the-counter (OTC) medicines can be advertised to the general public.
The advertising of all of the above categories of medicinal products must:
  • Comply with the particulars listed in the SmPC.
  • Encourage the rational use of the medicinal product by presenting it objectively, without exaggerating its properties.
  • Not be misleading.
Any advertisement to the general public of an OTC medicine must:
  • Clearly indicate that it is an advertisement.
  • Clearly identify the product as a medicinal product.
  • Include the following minimum information:
    • the name of the medicinal product;
    • its common name if the medicinal product contains only one active substance;
    • the information necessary for correct use of the medicinal product; and
    • a legible invitation to read the instructions on the package leaflet or the outer packaging carefully.
The advertising of a medicinal product to the general public must not contain any material that:
  • Gives the impression that a medical consultation or surgical operation is unnecessary, in particular by offering a diagnosis or by suggesting treatment by mail.
  • Suggests that the effects of taking the medicine are guaranteed, are unaccompanied by adverse reactions, or are better than, or equivalent to, those of another treatment or medicinal product.
  • Suggests that the health of the subject can be enhanced by taking the medicine.
  • Suggests that the health of the subject could be affected by not taking the medicine.
  • Is directed exclusively or principally at children.
  • Refers to a recommendation by scientists, health professionals, or persons who are neither of the foregoing but who, because of their celebrity, could encourage the consumption of medicinal products.
  • Suggests that the medicinal product is a foodstuff, cosmetic, or other consumer product.
  • Suggests that the safety or efficacy of the medicinal product is due to the fact that it is natural.
  • Could, by a description or detailed representation of a case history, lead to erroneous self-diagnosis.
  • Refers, in improper, alarming, or misleading terms to claims of recovery.
  • Uses, in improper, alarming, or misleading terms, pictorial representations of changes in the human body caused by disease or injury, or of the action of a medicinal product on the human body or parts of it.
Advertising to persons qualified to prescribe or supply medicinal products must include the following:
  • Essential information compatible with the SmPC.
  • The supply classification of the medicinal product.
  • The conditions for reimbursement by the SNS.
Measures or commercial practices related to margins, prices, and discounts are not subject to the advertising rules of the Medicines Act.
18. Is it permitted to provide free samples to the public? Are there restrictions on special offers and other types of inducements?
The provision of free samples to the public is not permitted.
In addition, pharmaceutical companies, companies responsible for the promotion of medicines, and wholesale distributors cannot give or promise to give, directly or indirectly, to the general public prizes, gifts, bonuses, or pecuniary or in-kind benefits.

Engagement with Patient Organisations

19. What activities are permitted (or required) in relation to engagement with patient organisations? What restrictions apply?
Pharmaceutical companies can, as a general principle, interact with patient organisations. There are no prohibitions in the Medicines Act.
APIFARMA’s Code of Conduct expressly mentions the following activities:
  • Provision of services by patients’ organisations to pharmaceutical companies.
  • Participation of patients’ organisations in events organised by pharmaceutical companies.
  • Financial support granted by pharmaceutical companies for the participation of patients’ organisations in events organised by third parties (hospitality costs, limited to travelling, meals, lodging, and registration costs).
  • Provision of information or educational materials to patients’ organisations provided that, cumulatively:
    • the unit value is less than EUR60 (including VAT);
    • its content is relevant to patients, caregivers, and the general public;
    • it has no direct or indirect reference to a prescription‐only medicinal product; and
    • the relevant legal provisions are complied with.
  • Events and activities co‐organised by pharmaceutical companies and patients’ organisations (development of specific projects, with activities and tasks time-limited and based on a legitimate and common interest).
  • Events and activities organised by patients’ organisations and supported by pharmaceutical companies.
APIFARMA’s Code of Conduct contains several rules on these interactions:
  • Pharmaceutical companies must conclude a written agreement with the patient organisation when contracting for the provision of services or providing, directly or indirectly:
    • any sponsorship; or
    • any pecuniary or in-kind benefit.
  • Pharmaceutical companies cannot request to be or require that they are the exclusive financing entity of a patient association or of any of its activities or events.
  • The support granted should not include costs associated with the patients’ organisation’s operational costs or other costs not associated with the events, projects, or activities.

Advertising to Health Care Professionals and Organisations

20. What are the definitions of a health care professional and a health care organisation? What information must be included in advertising to them?
Health care professional is defined in the Medicines Act as a person legally qualified to prescribe, dispense, or administer medicines, namely physicians, dentists, veterinary surgeons, odontologists, pharmacists, or nurses. No definition of a health care organisation is provided by Portuguese law.
Advertisements to health care professionals must include, in a legible way:
  • The name of the medicinal product.
  • The essential information compatible with the SmPC.
  • The medicinal product’s dispensation regime classification, that is, if it is prescription-only.
  • The medicinal product’s reimbursement regime.
  • The date of the issuance of the advertising material and the date of its last revision.
(Article 3(1)(jjj) and Article 154(2), Medicines Act, respectively.)

Gifts and Incentives

21. What are the restrictions on marketing practices such as gifts, sponsoring, consultancy agreements, or incentive schemes for health care establishments or individual medical practitioners?
Marketing authorisation holders, companies responsible for the promotion of medicines, and distributors cannot offer or promise to offer, directly or indirectly, to health professionals or to patients any gifts, bonuses, or pecuniary or non-pecuniary benefits, unless the offer relates to an object relevant to the practice of medicine and is of insignificant economic value (Article 158(1), Medicines Act).
The sponsoring of scientific promotions addressed to health professionals, and consultancy agreements engaging health professionals, are allowed provided payments are not conditional on the prescription or dispensing of medicines. Event promoters can provide health professionals with travel and attendance expenses for their participation in scientific and promotional events, as speakers or consultants, subject to certain requirements.
Decree-Law No. 5/2017, 6 January 2017, established a new set of rules on publicity and transparency. One of the most relevant restrictions is the prohibition on SNS hospitals or Ministry of Health bodies and services receiving benefits from pharmaceutical or medical devices companies unless previously authorised by the Ministry of Health. In addition, scientific or similar actions of pharmaceutical companies cannot be conducted at SNS hospitals or services premises. Scientific actions in SNS facilities cannot:
  • Have a promotional nature.
  • Be sponsored by companies that manufacture, distribute, or market medicines or medical devices.
Anti-bribery legislation also applies to the life sciences sector, notably when dealing with public officials and state institutions.
The following provisions can apply:
  • Receiving improper payment (Article 372, Criminal Code).
  • Passive corruption (Article 373, Criminal Code).
  • Active corruption (Article 374, Criminal Code).
Penalties can include imprisonment and fines for representatives of the company, public officials, and other third parties for committing certain offences.
Portuguese anti-bribery provisions can apply to offences occurring outside Portugal, but exceptions may apply.

Transparency and Disclosure

22. Do pharmaceutical companies have to disclose details of transfers of value to health care professionals or health care organisations?
Marketing authorisation holders or their local representatives must report benefits of EUR60 or above, granted to health care professionals, health care organisations, or patient organisations.
These benefits must be reported to INFARMED’s transparency platform 30 working days from the effectiveness of the benefit (payment of the benefit or granting of the benefit in cases of granting of benefits in kind or of rights assessable in cash).
Benefits are defined in Medicines Act as any advantage, value, good, or right assessable in cash, regardless of its form, whether it is a prize, sponsorship, subsidy, fee, subvention, or any other form.
INFARMED notifies the recipient by email and requires them to validate the reported information. If the recipient does not validate the reported information, they must inform INFARMED of their reasons. If the recipient remains silent on the reported information, it is considered tacitly accepted.
There is no distinction between public and private providers.
23. What are the consequences of non-compliance with the rules on marketing to health care professionals?
There are no consequences specific to non-compliance with the rules on marketing to health care professionals. The penalties in Question 16 apply.

Patents

Conditions for Patentability

24. Provide a brief definition of a patent, the key legal requirements to obtain it and the law that applies.

Conditions and Legislation

The Portuguese law does not provide a definition of patent. However, patent is defined in jurisprudence as “legal title that can be granted to any invention of a technical nature, provided that it is new, involves an inventive step, and is susceptible of industrial application” (Judgment of Lisbon Court of Appeal of 28 June 2018, proc. 108/16.0YHLSB.L1-2).
Patents are governed by the Industrial Property Act (Decree-Law No. 110/2018, 10 December 2018 (in Portuguese)).
A patent is granted to an invention, in all fields of technology, provided it:
  • Is new: it does not form part of the state of the art.
  • Involves an inventive step: if, having regard to the state of the art, it is not obvious to a person skilled in the art.
  • Is susceptible to industrial application: it can be made or used in any kind of industry or in agriculture.

Types of Patent Available

Patents can protect:
  • Products, substances, or compositions used in surgical or therapeutic methods for treating the human body.
  • Diagnostic methods used on the human body.
New processes for obtaining known products, substances, or compositions can also be patented.
If a patent concerns a process, the rights conferred by it will cover the products obtained directly by the patented process.

Main Categories Excluded from Patent Protection

Patents cannot protect:
  • Discoveries, scientific theories, and mathematical methods.
  • Materials or substances already existing in nature and nuclear materials.
  • Aesthetic creations.
  • Schemes, rules, or methods for intellectual acts, playing a game, or operating business and computer programs.
  • Presentations of information.
  • Processes for cloning human beings.
  • Processes for modifying the germinal genetic identity of human beings.
  • The use of human embryos for industrial or commercial purposes.

Specific Provisions for the Life Sciences Industry

Health product patents are subject to the general regime. Some aspects, however, may be of particular relevance for the life sciences sector:
  • Portuguese law provides that new inventions, involving an inventive step, can be patented if they are susceptible to industrial application, even when they concern:
    • a product composed of biological material, or containing biological material; or
    • a process that makes it possible to produce, treat, or use biological material.
  • Although the sequence or a partial sequence of a gene is not patentable, a new invention can be patented if it:
    • involves an inventive step and is susceptible to industrial application; and
    • concerns any element isolated from the human body or otherwise produced by means of a technical process.
    This includes the sequence or a partial sequence of a gene, even if the structure of that gene is identical to that of a natural element, provided that the industrial application of the sequence or a partial sequence of a gene is expressly and correctly set out in the patent application.
Where an invention involves the use of or concerns biological material which is not available to the public and which cannot be described in a patent application in a manner that enables the invention to be reproduced by a person skilled in the art, the description will be considered inadequate for the purposes of patent law unless:
  • The biological material has been deposited no later than the date on which the patent application was filed with a recognised depositary institution. The international depositary authorities which acquired this status by virtue of Article 7 of the Budapest Treaty of 28 April 1977 on the international recognition of the deposit of micro-organisms for the purposes of patent procedure (Budapest Treaty) are recognised.
  • The application as filed contains the relevant information as is available to the applicant on the characteristics of the biological material deposited.
  • The patent application states the name of the depository institution and the accession number.
Portugal follows the controversies existing at the EU level on second medical use patents.
Under certain conditions, supplementary protection certificates (SPCs) for medicinal products can be granted (see Question 26).

Registering a Patent

25. Which authority registers patents? Briefly outline the key stages and timing in obtaining a patent.

Patent Registration Authority

Patent applications can be made by:
  • An application for a national patent to the National Industrial Property Institute (Instituto Nacional da Propriedade Industrial) (INPI). Detailed information and guidance on the application procedure and applicable fees is available on its website.
  • An application for a European patent to the European Patent Office. Detailed information and guidance on the application procedure and applicable fees is available on its website.
  • An application for an international patent filed under the Patent Cooperation Treaty 1970 (PCT) with the INPI, the European Patent Office, or elsewhere. Details can be found at the PCT's Applicant's Guide.
An application to the INPI should contain:
  • The applicant's name, business name or company name, nationality, domicile or place of establishment, tax identification number if resident in Portugal, and email address, if any.
  • The heading or title summarising the subject matter of the invention.
  • The name and country of residence of the inventor.
  • The country where the first application was filed, the date and number of that filing, if the applicant wishes to claim the right of priority.
  • A statement that an application has been made for utility model protection for the same invention, if applicable.
  • The signature or electronic identification of the applicant or their authorised representative.
The application must be supported by the following elements:
  • Claims of novelty and which characterise the invention.
  • A description of the object of the invention.
  • Drawings necessary for a perfect understanding of the description.
  • A summary of the invention.

Process and Timing

Provisional patent application. To ensure the priority of a patent, it is possible to file a provisional application and postpone the submission of all the required elements of a full application for a maximum of 12 months.
Portugal recognises foreign priority for patent applications under the terms set out in the Paris Convention for the Protection of Industrial Property 1883 (Paris Convention).
Patent application. Once an application has been submitted, a preliminary examination follows.
When all the formal requirements are satisfied, the intention to grant a patent is published in the national Industrial Property Bulletin within 18 months from the date of receipt of the application (exceptions can be made where an applicant requires an urgent publication).
In addition, the INPI carries out a prior art search to assess the patentability requirements (up to a maximum of ten months from the date of the application). The research report (which is not binding) is immediately sent to the applicant.
Patent application opposition. Proceedings can be initiated within two months from the date the application is published by INPI.
The final patent decision is notified by INPI to the applicant and published in the Industrial Property Bulletin.
Although there is no possibility of opposition after the patent has been granted, patents can be declared invalid on the following grounds:
  • The subject matter of the patent does not fulfil the requirements of novelty, inventive step, and industrial application.
  • The subject matter of the patent is not susceptible to protection.
  • It is recognised that the title or heading given to the invention covers different subject matter.
  • The subject matter of the patent has not been described in such a way as to allow its execution by an expert in the speciality.

Length of Patent Protection

26. When does patent protection start and how long does it last? Can monopoly rights be extended by other means?

Duration

Patent protection typically lasts for 20 years from the date of application and is not subject to extensions, although exceptions can apply.

Extending Protection

Applications for SPCs for medicinal products can be submitted to the INPI, to extend protection by up to five years. The application must include:
  • A copy of the first marketing authorisation for Portugal identifying the product.
  • The number and date of the authorisation.
  • An SmPC.
In addition, a request for an extension of an SPC can be submitted in relation to medicinal products for paediatric use.
Supplementary protection certificates and extensions are provided by INPI in accordance with:

Patent Infringement

27. What rights does a patent grant to its owner? On what grounds can a patent infringement action be brought? What are the main defences to a patent infringement action? How is a claim for patent infringement made and what remedies are available?

Rights Granted by a Patent

A patent holder has the right to prevent others from manufacturing, offering, storing, commercialising, or using a patented product or importing or possessing it for any of these purposes without their consent. A process patent holder has the right to prevent others from using the process, offering the process for use, and using, importing, storing, disposing of, or offering to dispose of a product directly obtained by the patented process.

Grounds for Patent Infringement

A patent holder can oppose all acts constituting a violation of their patent, including:
  • The manufacture of products that are covered by the patent.
  • The use or application of means or processes that are the object of the patent.
  • The import or distribution of products obtained by any of the above.
Claim and remedies. A civil action can be brought against the infringer and claim relief including:
  • An injunction.
  • An order to deliver the infringing medicinal products.
  • Payment of damages.
In addition, an unauthorised use of a patent is a criminal offence, subject to imprisonment for up to three years or a fine.

Defences to a Patent Infringement Action

Defences against a patent infringement action involve, in general terms, invoking all arguments that call into question the rights that the claimant wishes to assert or that show that there is no infringement of those rights.
Research exemption. Conducting the necessary studies and trials with a view to authorising the marketing of a generic or similar biological medicinal product, including the granting of a marketing authorisation, does not infringe patent rights or SPCs for medicinal products (Bolar exemption).
IP exhaustion. The rights conferred by a patent do not allow its proprietor to prohibit acts relating to products protected by it after they have commercialised those products, or the products have been commercialised with their consent, within the European Economic Area (EEA), unless there are legitimate grounds for the patent owner to oppose the continued commercialisation of the products.

International IP Treaties

28. Is your jurisdiction party to international treaties that facilitate the recognition of foreign IPRs in your jurisdiction?

Patents

Portugal is a signatory to:

Trade Marks

Legal Requirements to Obtain a Trade Mark

29. Provide a brief definition of a trade mark, the key legal requirements to obtain it, and the law that applies.

Legislation and scope of protection

Trade marks are governed by the Industrial Property Act.
Provided a trade mark adequately distinguishes the products and services of one company from those of others, it can include:
  • A sign or set of signs that can be represented graphically, for example:
    • names of persons;
    • drawings;
    • letters;
    • numbers; or
    • sounds.
  • The form of the product or its packaging.
A trade mark can also consist of an advertising phrase for the products or services, provided it is distinct, regardless of protection conferred by copyright.
A medicinal name can be registered as a trade mark with the INPI.
A trade mark application must contain the following information:
  • Details of the applicant's business, tax number (if resident in Portugal), and email address.
  • The products the trade mark is designed for:
    • grouped in accordance with the categories in the international classification of goods and services;
    • defined in precise terms; and
    • preferably using the alphabetical terms in the international classification of goods and services.
  • Express indication that the trade mark is an association or certification trade mark, if the applicant wants to register a collective trade mark.
  • The registration number of any award featured or referred to in the trade mark.
  • The colours used in the trade mark, if these are claimed as a distinctive element.
  • The country of first application for registration of the trade mark, and the date and number of the application, if the applicant wishes to claim a right of priority.
  • If applicable, the date from which the applicant has been using the trade mark.
The following cannot be registered as trade marks:
  • Trade marks that are devoid of any distinctive character.
  • Signs that exclusively consist of the form:
    • imposed by the nature of the product itself;
    • of the product necessary for obtaining a technical result; or
    • that confers a substantial value to the product.
  • Signs that are exclusively made up of indications that may serve in commerce to designate the type, quality, quantity, purpose, value, geographic origin, period, or means of production of the product or the service, or other characteristics of it.
  • Trade marks that exclusively consist of signs or indications that have become commonly used in modern day language or in the habitual and constant habits of commerce.
  • Colours, unless they are combined with each other or with graphics, wording, or other particular and distinctive elements.

Registering a Trade Mark

30. Which authority registers trade marks? Briefly outline the key stages and timing to obtain a registered trade mark.

Trade Mark Registration Authority

A trade mark application is submitted to the INPI. Detailed guidance on the applicable procedure and fees can be accessed on the INPI's website.
The standard fees for both an initial trade mark application and renewals are:
  • In one class: EUR126.17 for online submission and EUR252.33 for paper submission.
  • For each additional class: EUR31.99 for online submission and EUR63.96 for paper submission.

Process and Timing

Once the application is filed, there is an initial examination in accordance with the rules governing the composition of trade marks. The application is published online in the national Industrial Property Bulletin.
Portugal recognises foreign priority for trade mark applications under the terms set out in the Paris Convention.
There follows an opposition period. Any opposition proceedings must be initiated within two months from the date the application is published by INPI.
The INPI carries out the substantive examination of the application, which consists of examining the trade mark to be registered and comparing it with other trademarks and distinctive trade signs. The INPI does not provide a search report.
If no grounds for refusal are found, the trade mark registration is granted and the approval decision is published.

Competition Law Issues

Competition Authorities and Legislation

31. Briefly outline the competition law framework in your jurisdiction and how it impacts on the pharmaceutical sector.

Competition Law and Main Provisions

The Competition Act (Law No. 19/2012, 8 May 2012, as amended (in Portuguese)) closely follows the EU competition law framework. Therefore, in addition to regulating the concentration of undertakings, the competition law regime enforces two essential prohibitions:
  • The prohibition of agreements, decisions, or practices restricting competition.
  • The prohibition of abuse of dominant position.
Therefore, agreements between companies, concerted practices between companies, and decisions by associations of companies which have as their object or effect the prevention, distortion, or appreciable restriction of competition in all or part of the national market, and the abuse by one or more companies of a dominant position on the national market or on a substantial part of it, are, as a rule, prohibited.
A breach of the antitrust rules can incur misdemeanour sanctions of up to 10% of a company’s annual turnover per infringement.

Competition Authority

The Competition Authority is the public agency responsible for the enforcement of the national competition legal framework.
The competition authority has the power to issue administrative regulations, conduct studies, inspections and audits, and impose sanctions. In the context of the sanctioning procedure, the competition authority may require the provision of information from any natural or legal person, conduct interviews with any person, conduct searches, examinations, document collections, and seizures.
The Competition Authority has significant experience in merger cases in the pharmaceutical and health care sector, as reflected in decisions adopted in various procedures. Recent cases include:
  • 52/2019: Lab Hilário de Lima / Lab São Lázaro.
  • 31/2019: Chiesi / Raxone assets.
  • 02/2019: Base/IMAG.
  • 45/2018: Group HPA Saúde/HSGL.
  • 38/2018: AH*IBERFAR/Logifarma.
  • 33/2018: Essential Pharma/Priadel assets.
  • 31/2018: Polski Bank/Stemlab.
  • 16/2018: Riemser/Eisai assets.
  • 15/2018: Unilabs/Laboratório Tâmega.
  • 09/2018: Albimed/IMI.
  • 08/2018: Recordati/Cystagon assets.
  • 07/2018: Plural/Farmadeira.
  • 06/2018: Luz Saúde/Idealmed III, Imacentro, Ponte Galante.
The Competition Authority has investigated and adopted several antitrust enforcement decisions in the pharmaceutical sector. A recent case regarding unlawful conduct by several companies led to the imposition of fines (National Association of Pharmacies et al v Competition Authority), and was later judicially partially confirmed by the Competition Court and by the Lisbon Court of Appeal.
Another antitrust case handled by the Competition Authority concerned abuse of dominance by a pharmaceutical company in the context of tender proposals submitted to SNS hospitals (see Question 32). The infringing company was fined EUR900,000.
32. Has pharmaceutical competition case law in your jurisdiction focused on any key areas?
Settlements regarding the generic entry of pharmaceuticals in the market can be challenging from a competition law perspective, including those settlements that may lead to a delay of generic entry in return for a payment by the innovative company to the generic company.
Other examples of potentially problematic agreements relate to settlements that contain restrictions beyond the exclusionary zone of the patent. This means that these reach beyond a patent geographic scope, protection period, or exclusionary scope, as these agreements may not appear to directly relate to the IP rights granted by the relevant patents.
For example, the Competition Authority opened an antitrust inquiry (Case PRC 2014/4) after receiving information from the Secretary of State for Health regarding an agreement between pharmaceutical companies, under which the non-innovative company agreed to withdraw a generic medicine from the Portuguese market. The antitrust inquiry was concluded in 2016, following a Competition Authority decision without the adoption of a statement of objections deeming the companies' conduct lawful. The Competition Authority's findings in this investigation are the first in Portugal to combine competition law rules and IP law in the context of a patent settlement between originator and generic pharmaceutical undertakings. The decision provides ample guidance to economic agents regarding the requirements that must be fulfilled for these agreements to comply with competition law in Portugal.
The Competition Authority has adopted a decision finding a pharmaceutical company guilty of abusing its dominant position, in the context of proposals submitted in public tenders opened by several SNS hospitals (the Roche case Proc. PRC/2008/10). The Competition Authority's investigation was based on a complaint lodged by a biopharmaceutical company that was a direct competitor in public tenders involving the supply of several medicines. Due to its market share in several relevant medicine markets, the defendant company was considered to have a dominant position in relation to part of the medicines included in the proposals submitted to the hospitals. On the basis of the submitted documentary evidence (for example, tender announcements, tender bids and award decisions), the Competition Authority concluded that the defendant abused its dominant position in relation to several relevant medicine markets by, among other things, offering mixed-bundle and loyalty rebates in its medicine tender proposals, thereby infringing the relevant provision of the Competition Act. Although it took into account the mitigating circumstances of the defendant's co-operation throughout the inquiry, the Competition Authority still ruled against the company, imposing a misdemeanour fine of EUR900,000.
Issues have surfaced relating to parallel imports and competition law, including in the context of marketing authorisation holders aiming to secure the adequate and continuous supply of the national market, although these have not led to formal decisions by the Competition Authority.

Commercial Contracts and Competition Law

33. Briefly outline the competition issues that can arise in relation to commercial contracts and other business arrangements relating to medicinal products.
Agreements on the licensing of technology and patents in the pharmaceutical sector can be caught by Article 101 of the Treaty on the Functioning of the European Union (TFEU) and by the equivalent national provisions, Articles 9 and 10 of the Competition Act.
Relevant competition rules are found in the Technology Transfer Block Exemption Regulation (316/2014), which, under the Competition Act, must be closely followed by the Competition Authority.
Generally, competing companies under a licensing of technology or a patent agreement, or any other agreement, cannot directly or indirectly, in isolation or in combination with other factors under their control, have as their object any of the following:
  • Restrict or delay the future entry of an innovative or generic medicine in the market to the detriment of patients.
  • Restrict a party's ability to determine its prices when selling products to third parties.
  • Allocate markets or customers.

Licensing Approvals and Formalities

34. Does a patent or trade mark licence and payment of royalties under it to a foreign licensor have to be approved by a government or regulatory body? Are there any formalities or other requirements to make the licence enforceable?
There are no restrictions on licensing or transferring patents to foreign parties, or on intellectual property transfers for inventions that are funded (or partially funded) by public investment.
There are no requirements for either a patent or trade market licence agreement or payment of royalties to be approved or accepted by a government or regulatory body. However, licences must be drawn up in writing and if the grant of sublicences is not authorised by the licence, these can only be granted with the written authorisation of the right holder (Industrial Property Code).
Licence agreements must be registered with the INPI to be made enforceable against third parties.

Product Liability

Regulators

35. Outline the key regulators and their powers in relation to medicinal product safety.
INFARMED is the key regulator of medicinal product liability and its powers in this context are extensive. Under the Medicines Act, there is also a National Pharmacovigilance System of Medicines (a platform for the centralisation of information on adverse reactions, for which INFARMED is responsible).
Marketing authorisation holders, wholesalers, distributors, and pharmacies must make their premises, installations, products, and documents (including sensitive information and proprietary data) accessible at all times to INFARMED. In addition, market authorisation holders/wholesalers must have an emergency plan, which ensures effective implementation of any recall from the market ordered by INFARMED for the medicinal product concerned.
Non-compliance with the relevant provisions of the Medicines Act or with INFARMED's decisions is subject to a misdemeanour fine of between EUR2,000 and up to 15% of the annual turnover of the infringer or EUR180,000 (whichever is the lower) per infringement imposed by INFARMED, without prejudice to potential criminal, tort, and disciplinary liability.
INFARMED can also revoke, suspend, or modify a marketing authorisation because, among other things, a medicine is unsafe. As a rule, when the medicine is marketed in other EU member states, any safety decision is co-ordinated with the EMA and the competent national authorities of the other EU jurisdictions where the product is marketed.

Medicinal Product Liability Law

36. Outline the key areas of law applicable to medicinal product liability, including key legislation and recent case law.
Medicinal product liability can arise under criminal law, contract, and tort law.
Portugal has a specific legal regime for product liability set out in Product Liability Act (Decree-Law No. 383/89, 6 of November 1989, as amended (in Portuguese)) based on the Product Liability Directive (85/374/EEC) as amended by the Product Safety Directive (1999/34/EC).
The injured person must prove:
  • Damage.
  • The defect.
  • A causal relationship between the defect and the damage.
( Article 1 of Product Liability Act.)
The Civil Code (Decree-Law no. 47344 of 25 November 1966, as amended (in Portuguese)also recognises tort liability based on:
  • The infringement of legal provisions (Article 483).
  • Joint and several liability (Articles 490 and 497).
  • Indemnity limitation in cases of negligence (Article 494).
    There is a general limitation period of three years (Article 498).
Under the Civil Code, liability depends on the fulfilment of five cumulative requirements:
  • Conduct (act or omission) controllable by human resolution.
  • The unlawfulness of the conduct.
  • Imputation of the conduct to a natural or legal person.
  • The existence of damages.
  • A causal link between the conduct and the damage.
A claim for damages can also be brought under contractual liability, where there is a contract between the wrongdoer and the natural or legal person suffering the damage.

Liable Parties

37. Who is potentially liable for defective medicinal products?
The producer is liable for any damage, independently of fault, caused by a defect in their product. The producer is defined as one of the following:
  • The manufacturer of a finished product.
  • The producer of any raw material.
  • The manufacturer of a component part.
  • Any person who, by putting their name, trade mark, or other distinguishing feature on the product presents themselves as its producer.
(Article 2, Product Liability Act.)
In addition, without prejudice to the liability of the producer, any person who imports into the EU a product for sale or any form of distribution in the course of their business is also considered to be a producer and is responsible as a producer. If the producer cannot be identified, each supplier of the product is treated as its producer unless they inform the injured person, within a reasonable time, of the identity of the producer or of the person who supplied them with the product. (Article 2, Product Liability Act.)

Defences

38. What defences are available to product liability claims? Is it possible to limit liability for defective medicinal products?
Standard defences in a product liability claim include that:
  • The defendant did not put the product into circulation.
  • The defect that caused the damage did not exist at the time the product was put into circulation and came into being afterwards.
  • The product was either:
    • not manufactured by the defendant for sale or any form of distribution for economic purpose; or
    • not manufactured or distributed by the defendant in the course of their business.
  • The defect is due to compliance of the product with mandatory regulations issued by the public authorities.
  • The state of scientific and technical knowledge at the time the defendant put the product into circulation was not such as to enable the defect to be discovered.
  • In the case of a manufacturer of a component, the defect is attributable to the design of the product in which the component has been fitted or to the instructions given by the manufacturer of the product.
The issue of limitation of liability is a very controversial one, especially when it comes to limitation of liability for damages that may result from a medicinal product. A case-by-case analysis is necessary to answer whether a specific limitation of liability is valid.

Product Liability Claims

39. How can a product liability claim be brought?

Limitation Periods

The limitation periods for bringing a product liability claim are:
  • Three years from the day on which the claimant became aware, or should reasonably have become aware, of the damage, the defect, and the identity of the producer.
  • Ten years from the date on which the producer put into circulation the actual product which caused the damage, unless the injured person has since started proceedings against the producer.
(Articles 11 and 12, Product Liability Act.)

Class Actions

Law No. 83/95, 31 August 1995, as amended (in Portuguese) establishes the legal framework applicable to a representative action. The aim of this type of action is to represent collective or diffuse interests either for prevention (injunction) or for redress (claims for damages). A representative action for a product liability claim in the Portuguese courts can be brought by:
  • A natural person.
  • An association or foundation (in cases that are directly connected with their purpose).
(Article 2(1), Law 83/95.)
Companies cannot use the representative action procedure.
The Portuguese procedure is an opt-out system. The claimant automatically represents all the holders of similar rights or interests at stake who do not opt out following, among others, a public notice of submission of the representative action before the court. The claimant can seek redress for damages suffered, but compensation cannot be individually identified and will be determined globally. Representative actions in the context of product liability claims are rare in Portugal.

Remedies

40. What remedies are available to the claimant? Are punitive or exemplary damages allowed for product liability claims?
The claimant (or their estate) can claim damages for:
  • Death.
  • Personal injury.
  • Non-patrimonial damages.
  • Damage to, or the destruction of, property (other than the defective product itself), provided the property:
    • is of a type ordinarily intended for private use or consumption; and
    • was mainly used by the injured person for their own private use or consumption.
Punitive damages are not available in Portugal for product liability claims.

Contributor Profiles

Fernanda Matoso, Partner and Head of Life Sciences

Morais Leitão, Galvão Teles, Soares da Silva & Associados

T +351 21 381 74 00 
F +351 21 381 74 99
E [email protected]
W www.mlgts.pt
Professional qualifications. Portuguese Bar Association, 1986
Areas of practice. Administrative and public law; health and pharmaceuticals.
Non-professional qualifications. Law Degree, Universidade Livre de Lisboa, 1984

Alessandro Azevedo, Principal Associate

Morais Leitão, Galvão Teles, Soares da Silva & Associados

T +351 21 381 74 00 
F +351 21 381 74 99
E [email protected]
W www.mlgts.pt
Professional qualifications. Portuguese Bar Association, 2017
Professional and academic qualifications. Law Degree, University of Lisbon School of Law, 2015; Postgraduate Studies in Public Procurement, ICJP – University of Lisbon School of Law, 2015 and in Medicinal Products Law, THD-ULisboa – University of Lisbon School of Law, 2017; Conclusion of the curricular part of the MSc degree program in Legal-Political Science, in Administrative Law, University of Lisbon School of Law, 2016
Areas of practice. Administrative and public law; health and pharmaceuticals.