Guidance library · 42 questions

Moving medicines and vaccines: the cold chain

Vehicles, cool boxes, couriers, off-site clinics and home visits: what GDP, UKHSA and SPS guidance say about keeping temperature in transit and proving it.

Reviewed by Jake Farrow, Managing DirectorLast reviewed 19 October 2026

Temperature control does not stop at the loading bay: under GDP the supplier stays responsible until the medicine reaches the customer's delivery address, for ambient products as well as fridge lines. The one thing to remember: for every route you need evidence, either data from the journey itself or a validation sound enough to stand in for it.

Why it matters

The journey is the least controlled part of the chain

A store has walls, a stable load and a mapped probe. A van has none of that. The MHRA's 2020 transport blog says dark, solid-sided vans with no compartment cooling are more likely to get hot in summer, and curtain-sided trailers risk both high and low excursions. By air, the MHRA air freight guidance names the airport tarmac as the greatest and most frequent vulnerability.

Cold chain packing has its own traps. A cool pack touching the product, or one over-frozen in a freezer, can take a fridge line below its range, and the MHRA freezer blog calls checking whether a pack feels solid 'a false test of conditioning'. Ambient products are in scope too: the 2016 deficiency data record major findings for uncontrolled ambient transport with no risk assessment.

What the rules say

GDP chapter 9 and the clauses around it

For wholesalers the legal duty is regulation 43 of the Human Medicines Regulations 2012, which makes the GDP guidelines a licence condition; the MHRA GDP Inspectorate enforces it. Chapter 9 of the EU GDP Guidelines carries the detail. Section 9.2 says a risk assessment of delivery routes decides where temperature controls are needed, transport monitoring equipment is calibrated at least once a year, excursions are reported to the distributor and the recipient, and transport providers are told the conditions for each consignment.

Section 9.3 says container choice should consider external temperature extremes, maximum transit time including customs, and the packaging's qualification status. Section 9.4 asks for qualified packaging, containers or vehicles for temperature-sensitive products, seasonal mapping of temperature-controlled vehicles, cool packs that never touch the product, staff trained in box assembly, and control over cool pack reuse. Chapter 7 covers anyone you contract to carry the goods.

What inspectors and the other sectors add

The MHRA's 2016 transport blog suggests validated insulated containers for small volumes of lower-risk products on journeys under three hours, packs for longer journeys and refrigerated transport for larger volumes or likely delays. The three hours is the author's practical guide, not an EU GDP limit. It calls monitoring every refrigerated delivery best practice, with the data kept for five years and reviewed per consignment. The 2020 blog adds that where each shipment is not monitored "a very robust validation is required with clearly defined limits of validation", and that ex-works terms do not move GDP responsibility to the customer.

Outside wholesale the principles are the same at a smaller scale. Green Book chapter 3 asks practices taking vaccines to clinics for validated medical-grade cool boxes with a max/min thermometer, recorded at the start and end of each session. NHS SPS rules out domestic cool boxes, says cool packs are usually conditioned at +2 °C to +8 °C and that frozen packs are avoided unless the manufacturer recommends them. For quick-frozen food the law goes further: the ATP agreement and Regulation (EC) 37/2005 require recorders compliant with EN 12830.

What good looks like

Qualify the lane, then prove each journey

For a refrigerated van, WHO Supplement 11 describes a static mapping to find the load space's hot and cold spots, then at least four tests: maximum and minimum payload in the warmest season and again in the coldest, ideally on a real worst-case route with multiple drops. The vehicle is only provisionally qualified after the first season. For insulated shippers, the HPRA's IA-G0011 wants qualification under real transport conditions, to the furthest delivery point, with the time of packing recorded so the receiver can check arrival within the validated time.

Cool packs need a system, not a feel: the freezer blog asks you to trace each pack's conditioning time, use the phase-change temperature the product needs, and prevent mix-ups, for example by numbering packs.

A temperature-controlled delivery, step by step
  1. Assess the laneRoute, season, mode and worst-case duration, including delays and customs.
  2. Qualify the methodMap the vehicle or qualify the packaging, in both warm and cold seasons.
  3. Pack out to procedureConditioned packs, never touching the product; record the time of packing.
  4. Monitor the journeyA calibrated logger, calibrated at least once a year, or a validation sound enough to stand in.
  5. Review on receiptCheck the data for each consignment; quarantine anything in doubt.
  6. Act on excursionsTell the distributor and recipient, investigate, and let the RP decide.

Drawn from EU GDP chapter 9, MHRA Inspectorate blogs (2016, 2020) and WHO Supplement 11.

When someone else drives

Using a courier or 3PL moves the work, not the responsibility. EU GDP chapter 7 requires a written contract setting out each party's duties, an assessment of the contractor's competence, an audit before work starts and at a risk-based frequency after, and no subcontracting without your prior approval. The MHRA's 2020 blog says couriers should come from an approved, risk-assessed list, not be chosen on price. We recommend the written agreement also requires the carrier to report any excursion to you within one working day of the event, with the data (our recommendation; GDP sets no deadline).

Where stock rests on the way, the MHRA's 2016 receipt and storage blog sets the policy: a site holding ambient stock in transit for under 36 hours, with no change of ownership, need not be licensed; refrigerated stock needs a licensed site unless it stays overnight in continuously refrigerated vehicles.

Worked example

A summer delivery that runs late

This is an illustrative example; times, readings and hold time are invented. A wholesaler ships fridge lines in a passive shipper qualified for a summer pack-out with a 30-hour hold time.

Tuesday 06:10, packed and the time recorded; 06:30, collected by an approved courier. Tuesday 15:00, the courier reports a missed delivery window and the parcel goes out again next morning. Wednesday 10:00, the pharmacy receives it, downloads the logger and sees 9.4 °C for 50 minutes. Following the MHRA receipt advice, it quarantines the stock in its fridge and contacts the supplier.

What the supplier does: records the deviation, tells the recipient formally as EU GDP 9.2 asks, and asks the marketing authorisation holder for stability data that matches this excursion. The RP decides disposition on that evidence. What changes: the lane risk assessment now covers a missed window, and the courier contract defines what happens to failed deliveries.

Where it is unclear

Time limits that do not agree

Several numbers in transport guidance conflict or have aged. The 2016 MHRA transit policy uses 36 hours where the HPRA uses 48 (storage in transit). The April 2020 COVID flexibilities, including non-controlled transport below 20 °C and 96 hours at a transit hub, were framed as temporary but have not been formally withdrawn (COVID flexibilities). Return windows for fridge lines run from the MHRA's 24 hours in GB to EU GDP's 'for example 10 days', which is not the UK expectation (returns).

Method is unsettled too. WHO Supplement 11 allows a test chamber to simulate the seasons for vehicles, while the HPRA says chamber studies of shippers 'are not considered to be reflective of actual conditions'. Whether a short excursion counts, and whether mean kinetic temperature can excuse one, are covered under excursion duration and MKT.

Inspection findings

What inspectors have found

In the MHRA's 2016 GDP deficiency data, transportation (section 9.2) drew a major finding in 13% of the sampled inspections, second only to the quality system. Examples include no sound assessment of whether ambient products needed temperature control on every route, including third-party distributors; transport monitored with uncalibrated equipment; risk assessments with 'erroneous assumptions concerning UK climatic conditions'; no proof ambient products stayed within limits for the whole journey; and 'customer collects' arrangements never formalised.

The same data cite missing transport contracts, no audits of contract acceptors and 3PLs subcontracting without review. This is the only GDP-specific deficiency dataset found on GOV.UK, so treat it as a guide to common gaps rather than a current ranking.

In summary

The short version

  • Risk-assess every route, ambient as well as cold chain, using real UK seasonal data.
  • Qualify vehicles and packaging in both warm and cold seasons, under real conditions.
  • Control cool packs: traceable conditioning, no contact with product.
  • Monitor each journey with calibrated loggers, or hold a validation sound enough to stand in.
  • Review the data for each consignment; keep it five years.
  • Put couriers and 3PLs under written contracts, audit them and approve any subcontractor.
  • Where the sources differ, assess the risk and record your reasoning.

Cold chain transport

Questions, answered from the source

Last checked 19 October 2026. Each answer links to its source and says whether it is law, formal guidance or interpretation.

What storage temperatures does UK law set for red cells, platelets and granulocytes?Law

Part 4 of the Schedule to the Blood Safety and Quality Regulations 2005 sets liquid storage at +2 to +6°C for red cell preparations and whole blood (28 to 49 days depending on process), +20 to +24°C for platelets (5 days, or 7 with bacterial detection or reduction) and +20 to +24°C for granulocytes (24 hours). It also says transport and distribution at every stage of the transfusion chain must maintain product integrity. Regulation 7 requires blood establishments to comply with Part 4.

What's agreed, and what isn't

The Regulations give cryopreservation durations (for example plasma and cryoprecipitate up to 36 months) but no frozen storage temperature; the -25°C figure for FFP comes from the JPAC Red Book. Transport has no numeric range in law, only the integrity requirement.

Status
Law
Applies to
Blood
Last checked
18 October 2026
How should platelets be stored, and what happens if the agitator stops?Guidance

Platelets are stored at a core temperature of 22 ±2°C with continuous gentle agitation, for up to 5 days in a closed system (7 days only with bacterial screening or pathogen inactivation). If agitation is interrupted, for example by equipment failure or long transport, the platelets keep the same shelf life as long as no single interruption lasts more than 8 hours and all interruptions total no more than 24 hours. Transport containers should be equilibrated at room temperature, and on receipt the platelets go back to 22 ±2°C storage with agitation.

What's agreed, and what isn't

Platelets need controlled room-temperature storage, not a fridge. Monitoring of the incubator or agitator, and of room temperature where open shelving is used, is implied but not specified.

Status
Formal guidance
Applies to
Blood, Hospitals and wards
Last checked
18 October 2026
If a medicine has no storage conditions on the label, do we still need to monitor its temperature?Interpretation

Yes. EMA's GDP Q&A says it is not acceptable to leave storage unmonitored. A product without a storage statement has been justified by stability data at 25°C/60% RH or 30°C/65% RH (long term) and 40°C/75% RH (accelerated), reflecting climate zones I and II. Controls should therefore keep conditions relevant to those zones, temperature should be monitored during storage and transport, and appropriate monitoring limits should be set.

What's agreed, and what isn't

The Q&A does not give a specific numerical limit; you have to set and justify one. It applies to EU GDP, which MHRA applies in the UK through its GDP guidance, but check MHRA's own position for UK-specific nuance.

Status
Interpretation
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
Can unused vaccines go back in the fridge after a clinic or school session?Guidance

Yes, if temperature monitoring shows the cold chain was maintained. Returned vaccines should be marked with the date and time of return, placed at the front and used at the earliest opportunity. If the cold chain cannot be confirmed, do a risk assessment as for a fridge excursion.

What's agreed, and what isn't

Without a cool box max/min record you cannot show the cold chain was kept, so the stock should be treated as an incident. Northern Ireland says vaccines should not be taken out to clinics more than once.

Status
Formal guidance
Applies to
GP practices, Community pharmacy, Care homes
Last checked
18 October 2026
How often should cool box temperatures be recorded during a vaccination session?Guidance

The Green Book says cool box temperatures should be monitored while in use with max/min thermometers, and recorded at the start and end of each session. The 2014 protocol says to monitor max/min temperature while the box is in use.

What's agreed, and what isn't

The Green Book adds that cool boxes lose performance with age and use, so monitoring is always needed. Public Health Scotland suggests in-house checks of cool boxes twice a year (winter and summer) over the longest routes. Northern Ireland asks for cool box records to be kept for five years with the related fridge records.

Status
Formal guidance
Applies to
GP practices, Community pharmacy, Care homes
Last checked
18 October 2026
What do we need to take vaccines to an off-site clinic or home visit?Guidance

Use a validated medical-grade cool box and cool packs from a recognised medical supplier, never a domestic cool box, with a validated max/min thermometer. Keep vaccines in their original packaging, wrapped in bubble wrap or similar so they do not touch the cool packs. Take only what the session needs and keep opening to a minimum.

What's agreed, and what isn't

Cool packs are normally stored at +2°C to +8°C, not frozen, unless the cool box manufacturer says otherwise. The Green Book does not set a maximum transit time. Northern Ireland's guidance covers short transits of under two hours and says vaccines should not go out and back to clinics more than once.

Status
Formal guidance
Applies to
GP practices, Community pharmacy, Care homes
Last checked
18 October 2026
What should we check when a vaccine delivery arrives?Guidance

Check the delivery against the order for discrepancies, leaks or damage before signing for it, then refrigerate immediately; vaccines must not be left at room temperature. Record the receipt on a stock inventory. The Green Book notes that distributors and manufacturers will not take vaccines back once they have left their control.

What's agreed, and what isn't

Because returns are not accepted, a delivery left unrefrigerated at reception becomes the practice's own excursion to manage. The 2026 Vaccine Update repeats that returns cannot be accepted, so check you have fridge capacity before ordering.

Status
Formal guidance
Applies to
GP practices, Community pharmacy
Last checked
18 October 2026
Can a customer return a fridge item to us so we can resell it?Guidance

Only with documented evidence that the product was kept under its authorised storage conditions the whole time. EU GDP 6.3 says that if any deviation has occurred, a risk assessment must show the product's integrity, and the evidence should cover delivery to the customer, examination, opening of transport packaging, return to packaging, collection and return, and return to the distributor's fridge. The general return conditions also apply: unopened, undamaged, in date, not recalled, and assessed by a trained, authorised person.

What's agreed, and what isn't

For returns from customers without a wholesale authorisation, EU GDP gives 'for example 10 days' as an acceptable time limit. That is not the UK expectation: in GB the MHRA position (Inspectorate blog, 5 May 2016) is that refrigerated returns from unlicensed sites are completed within 24 hours including transport, and ambient returns within five days. Go beyond that only if agreed with the GDP Inspectorate in writing. In practice, many wholesalers refuse refrigerated returns altogether.

Status
Formal guidance
Applies to
Wholesalers (WDA), Community pharmacy, Hospitals and wards
Last checked
18 October 2026
Can a returned fridge line go back into saleable stock in Ireland?Guidance

HPRA policy is that cold-chain products may only be returned to saleable stock where there is no reasonable possibility the cold chain was compromised. Examples given are where the batch was recorded on distribution and the whole delivery-and-return process is validated, or where a unique monitoring device attached to the product shows whether it left refrigerated conditions.

What's agreed, and what isn't

This closely mirrors EU GDP section 6.3, which already requires documented evidence of authorised storage throughout and lists the same chain of steps (delivery, examination, re-packing, collection, return to the fridge); the HPRA adds the attached-monitor option. If any deviation occurred, EU GDP requires a risk assessment demonstrating product integrity. Returns criteria should be established in procedures.

Status
Formal guidance
Applies to
Wholesalers (WDA)
Last checked
18 October 2026
What does GDP say we must do when a temperature excursion happens in transit?Guidance

EU GDP 9.2 says a deviation such as a temperature excursion during transport should be reported to the distributor and to the recipient of the affected products, and a procedure should be in place for investigating and handling excursions. Risk assessment of delivery routes should decide where temperature controls are needed.

What's agreed, and what isn't

The guideline does not define how long an excursion has to last before it counts, or who decides whether the product can be used. In practice the RP decides disposition, using stability information from the manufacturer or marketing authorisation holder. MHRA inspectors have warned that such data is often not directly comparable to the excursion.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
A cold chain delivery arrived warm or with ice packs touching the product - what should we do?Interpretation

The MHRA blog says the person receiving the delivery must check it was transported properly, for example no direct contact with gel or ice blocks and not warm to the touch. If that cannot be confirmed, the delivery should be quarantined in a suitable fridge while the supplier is asked, and treated as unsuitable for supply until resolved. If doubt remains after enquiries, the delivery should be rejected and returned to the supplier.

What's agreed, and what isn't

'Warm to the touch' is a crude check; where the supplier ships with data loggers, the data should be reviewed. Who pays and who decides disposition should be in the supply agreement.

Status
Interpretation
Applies to
Wholesalers (WDA), Community pharmacy, Hospitals and wards
Last checked
18 October 2026
How quickly must a customer send back a fridge item for us to consider returning it to stock?Interpretation

The MHRA blog sets out MHRA guidance on returns. For non-defective refrigerated products returned from an unlicensed site, the return should be completed within 24 hours, including transport. For ambient products from an unlicensed site, the limit is five days. For returns from a licensed WDA site, a pragmatic approach applies, but the RP or authorised person must show 'full knowledge' of storage, including transport, throughout.

What's agreed, and what isn't

This is the MHRA position for GB. EU GDP 6.3 gives 'for example 10 days' for returns from customers without a wholesale authorisation, but that is not the UK expectation; go beyond 24 hours (refrigerated) or five days (ambient) only if agreed with the GDP Inspectorate in writing. The COVID-19 10-day allowance was temporary. For cold chain items, documented evidence of storage throughout is needed whatever the time limit.

Status
Interpretation
Applies to
Wholesalers (WDA), Community pharmacy, Hospitals and wards
Last checked
18 October 2026
Do refrigerated vans have to be temperature mapped?Guidance

Yes, if temperature-controlled vehicles are used. EU GDP 9.4 says temperature mapping under representative conditions should be carried out and should take account of seasonal variations, and the monitoring equipment should be maintained and calibrated. For temperature-sensitive products, qualified equipment (thermal packaging, temperature-controlled containers or vehicles) should be used between manufacturer, wholesaler and customer.

What's agreed, and what isn't

No method, duration or re-mapping interval is specified. 'Seasonal variations' is generally read as summer and winter mapping, but the guideline does not say so. Customers can ask for evidence that products stayed within their temperature conditions, and you should be able to provide it.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
We're applying for a new WDA(H) - do we need mapping done before the inspection?Guidance

Yes. MHRA Guidance Note 6 says applicants must be inspection-ready at the point of application. That includes being able to show a temperature mapping exercise of the proposed wholesale area with a clear methodology, and evidence of transport validation. Applicants should also give details of ambient and cold chain storage, transport arrangements, computerised systems and business contingency plans.

What's agreed, and what isn't

GN6 does not define what counts as adequate transport validation. For small applicants using couriers, this usually means courier qualification plus packaging or lane qualification evidence. The MHRA mapping blog notes that new applicants are often unclear about mapping expectations.

Status
Formal guidance
Applies to
Wholesalers (WDA)
Last checked
18 October 2026
What does the RCVS Practice Standards Scheme require for medicines temperature monitoring?Guidance

Core standard 10.1.6 (Small Animal) requires monitoring and recording of maximum and minimum temperatures wherever medicines are stored, including consulting rooms, prep rooms, fridges and vehicles. Where readings fall outside range, there must be evidence of an action plan to correct the deviation and deal with affected medicines, and practices should consider alarms. Without an alarm, and for min/max thermometers, checks must be made daily, and assessors will ask to see weekly written records. Temperature-sensitive medicines should ideally go out in vehicles only 'by use', in a cool box or fridge unit whose suitability is demonstrated.

What's agreed, and what isn't

Equivalent standards sit in the Farm Animal and Equine modules under different numbers. PSS is voluntary accreditation, but the underlying duty to store per the SPC is now law under VMR Schedule 3 paragraph 3E.

Status
Formal guidance
Applies to
Veterinary
Last checked
18 October 2026
How often must temperature loggers used in vans and shipping boxes be calibrated?Guidance

EU GDP 9.2 says equipment used to monitor temperature during transport in vehicles or containers should be maintained and calibrated at regular intervals, at least once a year. Section 9.4 repeats that monitoring equipment in temperature-controlled vehicles should be maintained and calibrated at regular intervals.

What's agreed, and what isn't

This is one of the few fixed frequencies in EU GDP; storage monitoring calibration is risk-based instead. Single-use loggers are usually covered by the supplier's calibration certificate, which should be checked as part of supplier qualification.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
How long must a tissue establishment keep temperature monitoring records for tissues and cells used in patient treatment?Guidance

The HTA Guide to Quality and Safety Assurance says raw data such as temperature monitoring printouts must be kept for at least 10 years in their original format, and records critical to quality and safety for at least 10 years after expiry, clinical use or disposal. All critical equipment must have set operational limits, such as temperature, and be monitored, with calibration against a traceable standard where available and procedures for malfunction or failure. Transport conditions, including temperature and time limits, must be specified and validated, and shipping containers validated for their purpose.

What's agreed, and what isn't

After 10 years the guide allows raw data to be stored in another format. For electronic monitoring systems, 'original format' means the native data with its audit trail, which needs planning for system migrations.

Status
Formal guidance
Applies to
Tissue and mortuary
Last checked
18 October 2026
Can vaccines left over in the cool box at the end of a clinic go back in the fridge?Guidance

The SW ICARS toolkit says yes, provided there is evidence the cold chain was maintained. Returned vaccines should be labelled and used at the earliest opportunity. It says to use only validated medical-grade cool boxes and packs with validated min/max thermometers, to record temperatures at the start and end of each session, and to take only enough vaccine for the session. Domestic cool boxes should not be used.

What's agreed, and what isn't

The evidence for return comes from the session temperature record, so a cool box without a min/max reading cannot show the cold chain was maintained.

Status
Formal guidance
Applies to
GP practices, Transport
Last checked
18 October 2026
Can vaccines taken out to a clinic or care home be returned to the practice fridge if unused (Northern Ireland)?Guidance

Under PHA guidance, vaccines leaving the practice should be removed from the fridge just before transfer and carried only in a validated cool box with a min/max thermometer or data logger, with those readings kept for five years alongside the records of the fridge they return to. If they stayed within 2-8°C they can go back into the fridge marked 'use first'. Vaccines should not make the trip from fridge to clinic more than once. Cool packs must not touch the vaccines, and cool boxes should be kept out of direct sunlight.

What's agreed, and what isn't

The guidance assumes short transit times (it refers to under two hours for home or care home visits). For longer journeys, validate the cool box against the manufacturer's stated hold time.

Source
Guidance on vaccine handling and storage in GP practices Public Health Agency (NI), 30 September 2024
Status
Formal guidance
Applies to
GP practices, Transport
Last checked
18 October 2026
Can we qualify insulated cold-chain shippers in an environmental chamber for Irish distribution?Guidance

IA-G0011 states that qualification should use actual transport conditions and that chamber studies 'are not considered to be reflective of actual conditions'. Studies should send containers with loggers to the furthest delivery location, cover seasonal extremes (possibly separate summer and winter pack-outs), full and empty loads, and any door openings during delivery. The time of packing, not dispatch, should be recorded so receivers can confirm receipt within the validated time.

What's agreed, and what isn't

Ice-pack conditioning and re-freezing times should form part of validation, and freezers used for ice packs are subject to the same qualification as product freezers. The position on chamber studies is a notable HPRA-specific statement; it is not wording from the EU GDP Guidelines.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
Can we use an ordinary picnic cool box and ice packs to move fridge medicines between sites?Guidance

No. SPS says domestic cool boxes should not be used. Use cold chain containers and cool packs from a recognised medical supplier, whose manufacturer confirms the temperature range and hold time. Cool packs are usually conditioned at 2-8 °C. Ice packs or frozen packs are generally avoided unless the manufacturer specifically recommends them, because of the freezing risk. Medicines must not touch the packs. Cool boxes always need monitoring, preferably with a calibrated data logger, otherwise a min/max thermometer.

What's agreed, and what isn't

Cool boxes should be re-validated in line with the manufacturer's instructions under simulated real use. With refrigerated vehicles, the logistics provider must give per-delivery temperature evidence instead. Mini-fridges on vehicle power must be validated for engine-off periods on multi-stop routes. SPS gives no generic maximum transit time.

Status
Formal guidance
Applies to
Transport, Hospitals and wards, GP practices, Community pharmacy
Last checked
18 October 2026
Do shipments of investigational products to trial sites need temperature monitoring?Guidance

The EU guideline on sponsors' handling and shipping of IMPs (effective 1 January 2023) says temperature monitoring of transport and storage conditions is necessary, the records should be kept and evaluated at delivery, and equipment critical to keeping the required conditions in transit should be qualified. Any deviation during shipment should be recorded and formally investigated with the manufacturer.

What's agreed, and what isn't

This is the EU text, which applies in Northern Ireland. For Great Britain the 2010 Annex 13 asks for shipping to the sponsor's instructions (44) and storage records to be reviewed before transfers between sites. In practice sponsors expect the same evidence either way.

Status
Formal guidance
Applies to
Manufacturers, Transport
Last checked
19 October 2026
Does a haulier or courier holding medicines in transit in Ireland need a wholesale authorisation?Guidance

The HPRA's position is that storage of medicinal products for more than 48 hours during transportation, or any storage of refrigerated product regardless of time, is storage requiring that premises to hold a WDA. A carrier that does not own the product and only transports it generally does not need a WDA under the same conditions.

What's agreed, and what isn't

The wholesaling guide words the refrigerated case more softly ('may be regarded as falling within' WDA requirements), so for any cold-chain cross-dock arrangement it is worth confirming with the HPRA. Contracted transport should be audited and covered by a service level agreement that includes sub-contracting.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
Does the HPRA require refrigerated vans to be temperature mapped?Guidance

Where refrigerated vehicles or containers are the primary means of environmental control, IA-G0011 says they should be validated and monitored, including mapping to find hot and cold spots under worst-case conditions (loaded to capacity, seasonal extremes) and considering door openings, power sources and breakdowns. Loads at risk of freezing should be monitored with calibrated data loggers, and single-use monitors should be qualified.

What's agreed, and what isn't

Vehicle validation is not necessary if a validated container/packaging configuration provides the primary environmental control. The guide gives no mapping frequency for vehicles.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
How do we qualify a refrigerated delivery van?Guidance

WHO Supplement 11 recommends a static mapping first to find hot and cold spots in the load space. This is followed by at least four tests: maximum and minimum payload in the warmest season, and maximum and minimum payload in the coldest season, ideally on a real worst-case route with multiple drops and door openings. The vehicle can be only provisionally qualified after the first season's tests, and fully qualified once both seasons are done, unless a test chamber is used to simulate them. An alternative is full qualification of each vehicle type plus an installation qualification for each new vehicle.

What's agreed, and what isn't

Requalification is expected after significant modifications and should be considered when monitoring shows unexplained variability. WHO sets no fixed interval.

Status
Formal guidance
Applies to
Transport, Wholesalers (WDA)
Last checked
18 October 2026
If we use a 3PL or courier, what do we need in place?Guidance

EU GDP chapter 7 requires a written contract that sets out each party's duties. The contract giver is responsible for the outsourced activity, must assess the contractor's competence, and should audit before work starts and whenever it changes, with audit frequency based on risk. The contractor must not subcontract without the contract giver's prior evaluation and approval. Chapter 9.2 adds that transport providers must be told the transport conditions for each consignment.

What's agreed, and what isn't

EU GDP 3.2 also says contracted premises should be covered by their own wholesale authorisation. The 2016 MHRA deficiency data included missing transport contracts, no audits of contract acceptors, and 3PLs allowed to subcontract without review.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
Is it still allowed to use non-temperature-controlled transport when it's below 20°C outside?Guidance

This was a temporary COVID-19 flexibility. MHRA guidance from April 2020 allowed non-temperature-controlled transport when ambient temperature was below 20°C. It required 'do not refrigerate' products to be identified and shipped appropriately below 8°C, with a risk assessment and mitigation. The same guidance allowed storage equipment to be used with limited qualification, completed retrospectively, and products to be held at transit hubs for up to 96 hours without a WDA(H).

What's agreed, and what isn't

The GOV.UK page has not been formally withdrawn, but it was framed as temporary and under regular review, and the 2023 MHRA GDP symposium gave delegates an 'update on the Covid Flexibilities'. Do not rely on these flexibilities today without confirming with the GDP Inspectorate. Wholesalers using them also had to record the decision and notify Covid19.GMDP@mhra.gov.uk.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
What are the rules on using ice packs or cool packs in insulated boxes?Guidance

EU GDP 9.4 says cool packs must be placed so the product does not touch them directly. Staff must be trained to assemble insulated boxes, including seasonal configurations, and on reusing cool packs. There should be a system to control reuse so that incompletely cooled packs are not used by mistake, and frozen and chilled packs should be physically segregated. Delivery of sensitive products and control of seasonal temperature variation should be in a written procedure.

What's agreed, and what isn't

EU GDP 9.3 adds that container selection should consider external temperature extremes, maximum transit time including customs, and the qualification status of the packaging. Pack-out validation is expected but its method is not specified.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
What are the temperature rules for transporting blood components?Guidance

Transit containers, packing materials and procedures should be validated to keep component surface temperature within range. Routine transport temperatures should be monitored periodically, with revalidation after any change to containers, packing or procedure. Containers should be equilibrated to storage temperature before filling, not exposed beyond their validated range and time, and dead air space minimised; melting ice must not touch components. For red cells the validated surface range is 2-10°C, with 10°C acceptable between supplier and hospital on one occasion of up to 12 hours. Donations intended for platelets must not drop below 18°C on the way from the donor session.

What's agreed, and what isn't

The Red Book accepts that red cells sometimes leave the supplier before they have cooled to 4 ±2°C. In that case the 2-10°C transport range may not be achievable and local judgement applies. A 2016 JPAC change notice used different wording, so use the live online Red Book.

Status
Formal guidance
Applies to
Blood, Transport
Last checked
18 October 2026
What does Annex 15 expect when we ship finished product from the manufacturing site?Guidance

Section 6 says products should be transported in line with the conditions in the marketing authorisation, the label or the product specification file (6.1). Routes should be defined and seasonal variation considered (6.2). A risk assessment should cover delays, failure of monitoring devices, topping up liquid nitrogen and product susceptibility (6.3), and continuous monitoring and recording of critical environmental conditions should be performed "unless otherwise justified" (6.4).

What's agreed, and what isn't

GDP then applies from dispatch: transport loggers calibrated at least once a year (GDP 9.2) and a procedure for excursions. MHRA's 2016 GMP deficiency examples include air shipments with no justification for not having a logger in every pallet.

Status
Formal guidance
Applies to
Manufacturers, Transport
Last checked
19 October 2026
What extra temperature controls does the MHRA expect when we ship medicines by air?Guidance

MHRA air freight guidance says aircraft hold temperature control is limited, and the 'greatest and most frequent vulnerability' is on the airport tarmac during loading and unloading. It recommends minimising tarmac time, priority ramp handling, covered storage at transit airports and thermal blankets. It also lists pre-conditioned temperature-controlled vehicles with electronic monitoring for ground legs, and cargo hold temperatures of +15°C to +25°C. The IATA Time and Temperature Sensitive label must show the external handling range, and that range must match the air waybill or service agreement.

What's agreed, and what isn't

The guidance was published as part of Brexit contingency planning (2019) and draws on WHO TRS 961 Supplements 12 and 13. Its technical content still reflects general expectations. Any variation from an airline's branded pharma service should be agreed beforehand in an SOP.

Source
Guidance on air freight of medicines MHRA, 9 October 2019
Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
Are ordinary vans or curtain-sided trailers acceptable for ambient medicines?Interpretation

The MHRA transport QRM blog says dark solid-sided vans with no compartment cooling are more likely to get hot in summer. It says curtain-sided trailers are at high risk of both high and low temperature excursions, and of theft. It calls temperature-controlled vehicles the industry-chosen answer and expects interim risk mitigation while fleets are replaced. Other risk controls it mentions include delivering at cooler times of day in summer and outsourcing to couriers better able to control temperature.

What's agreed, and what isn't

Uncontrolled vehicles are not banned outright; the expectation is a documented, data-backed route risk assessment. The 2016 MHRA deficiency data cited assessments with 'erroneous assumptions concerning UK climatic conditions'. Couriers should be chosen from an approved, risk-assessed list, not on price.

Status
Interpretation
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
Can we send fridge lines in an insulated box instead of a refrigerated van?Interpretation

The MHRA blog says validated insulated containers can be used for small volumes of lower-risk products on journeys under three hours. Longer journeys need gel or ice packs, positioned so they never touch the product. Larger volumes, or journeys likely to be long or delayed, generally need refrigerated transport. Whatever the method, you must be able to show the required temperatures are maintained.

What's agreed, and what isn't

The three-hour figure is the blog author's practical guide, not an EU GDP limit. The blog calls routine temperature monitoring of all refrigerated deliveries best practice, especially for high-risk products such as vaccines, insulin and blood products, which are vulnerable to freezing as well as heat.

Status
Interpretation
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
Do we need to keep and review the temperature data from each delivery?Interpretation

The MHRA blog says best practice is calibrated temperature monitoring that gives data for the entire journey. The wholesaler should keep this data for the required five years. Distributors should review the data for each consignment and have procedures for corrective action when something goes wrong. Each journey should be treated as unique, with length, complexity and season considered when choosing packaging and transport.

What's agreed, and what isn't

Monitoring every shipment is described as best practice, not an absolute requirement. The 2020 MHRA transport blog adds that where shipments are not individually monitored, "a very robust validation is required with clearly defined limits of validation".

Status
Interpretation
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
Does a depot or freight site that holds our medicines overnight need to be on a wholesale licence?Interpretation

MHRA policy, set out in the inspector's blog, is that a site does not need to be named on a licence if ambient products are held there for less than 36 hours in transit and ownership has not transferred. Sites holding ambient products for more than 36 hours must be licensed. Sites holding refrigerated products must be licensed even for less than 36 hours, unless the products stay overnight in continuously refrigerated vehicles.

What's agreed, and what isn't

The policy only covers storage in transit; if picking, handling returns or decisions on resale happen there, the site must be on the licence. During COVID-19 the MHRA temporarily allowed up to 96 hours at a transit hub without a WDA(H), with a risk assessment. That was a temporary flexibility, not a change to this policy.

Status
Interpretation
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
How do we know a cold pack is properly conditioned before packing a shipment?Interpretation

The MHRA freezer blog says checking whether a pack feels solid is 'a false test of conditioning'. Packs freeze from the outside, and over-frozen (supercooled) packs can freeze products below their range. Use packs only as the manufacturer's instructions or your own qualification define, use the right phase-change temperature for the product, and be able to trace how long each pack has been conditioned. Prevent mix-ups between conditioned and unconditioned packs, for example by numbering them or rotating freezers.

What's agreed, and what isn't

The blog notes some packs are fully conditioned in a soft gel state, so rules differ by product. Domestic freezers can take more than 24 hours to condition packs, so they may not suit a high-throughput pack-out.

Source
Use of Freezers MHRA, 20 June 2017
Status
Interpretation
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
How do we prove veterinary medicines stay in range in practice vehicles and courier deliveries?Interpretation

VMD expects vehicle cold storage to be researched, tested and validated before use. Records should show when the unit reached temperature, when medicines went in, and that they were removed before any excursion. Where vehicle ambient temperatures may exceed 25°C, use validated insulated containers or active cooling. For deliveries, including by courier, send validated test parcels through the real service at least twice a year, ideally in very cold and very warm weather, on the highest-risk routes identified by risk assessment. The test should show how long the packaging holds and that deliveries arrive within that time.

What's agreed, and what isn't

A thermometer left in a packed parcel in a room does not count as a valid test. Delivery to parcel collection boxes must be included in the validation, and the VMD suggests that in some cases the safest option is not to use it. Responsibility stays with the supplying premises even when a courier gives assurances.

Status
Interpretation
Applies to
Veterinary, Transport
Last checked
18 October 2026
If the customer collects the goods (ex-works), are we still responsible for transport temperature?Interpretation

Yes, according to the MHRA. The 2020 transport QRM blog says that although ex-works may suit the commercial terms, GDP makes the supplier responsible for delivering the medicine to the customer's delivery address. Using ex-works to step away from transport control is described as an abdication of responsibility that 'is not acceptable', and in one example it raised the supplier's inspection risk rating.

What's agreed, and what isn't

The 2016 MHRA deficiency data also cited 'customer collects' arrangements where GDP responsibilities had not been formalised. The practical answer is a written agreement defining who controls and monitors the journey, with the supplier keeping oversight.

Status
Interpretation
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
What transport temperature failings did MHRA inspectors cite in their deficiency data?Interpretation

The MHRA 2016 GDP deficiency data gives these transport examples. There was no sound assessment of whether ambient products needed temperature control across all transport routes, including third-party distributors. Uncontrolled ambient transport was used with no risk assessment. Transport temperature was monitored with uncalibrated equipment. Risk assessments contained erroneous assumptions about UK climate. Companies could not show ambient products stayed within limits for the whole journey. 'Customer collects' arrangements had not been formalised.

What's agreed, and what isn't

These were major deficiencies. They confirm that ambient products are in scope for transport temperature control, a point small wholesalers often miss.

Status
Interpretation
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
Does changing our insulated shipper or heating settings need formal change control in Ireland?Guidance

Yes, the HPRA GDP guide gives a change of insulated shipper for cold-chain products, a change to heating system settings and relocation of a storage area as examples of changes needing change control. Changes should be evaluated for impact on quality and traceability, including validation, and approved by relevant managers and the RP before implementation.

What's agreed, and what isn't

Such changes can also be mapping or qualification triggers under IA-G0011. The guide notes wholesalers working to other accredited standards should do a gap analysis against GDP.

Status
Formal guidance
Applies to
Wholesalers (WDA), Transport
Last checked
18 October 2026
We make or store investigational medicinal products. Which GMP rules apply in Great Britain and Northern Ireland?Guidance

Since the amended UK clinical trials regulations took effect on 28 April 2026, the MHRA says GMP for IMPs means the principles in Commission Directive 2003/94/EC for Great Britain and Commission Delegated Regulation 2017/1569 for Northern Ireland. The MHRA says separate GB guidelines for IMPs, intended to reflect the 2010 EU Annex 13, will be published in their own document.

What's agreed, and what isn't

Until that GB guide appears, the 2010 Annex 13 is the reference for GB: it asks the QP to verify conditions of storage and shipment (40) and for storage records at the original site to be reviewed before a transfer between trial sites (47). The MHRA page cites "Directive (EU) 2017/1559", which appears to be a typo.

Status
Formal guidance
Applies to
Manufacturers, Transport
Last checked
19 October 2026

20-minute compliance check

How would you answer an inspector on temperature?

In 20 minutes we go through monitoring, alarms, mapping, calibration and excursions with you. You get the gaps in writing. No product tour.