Why a physician in Panama should know how to read a COA
When a patient arrives with a vial of uncertain origin, or a colleague asks what backs a peptide, the only available document is often a certificate of analysis (COA). In Panama that document has a legal definition, but a PDF with charts does not by itself prove that the vial contents match what is written. The World Health Organization defines falsified products as those that "deliberately misrepresent their identity, composition or source" and warns that substandard and falsified products are often sold online or in informal markets7. This article, written as evidence and regulation for physicians and for research purposes only, summarizes what to look at. For the full legal framework, see the physician's legal map in Panama.
What Law 419 says about certificates and laboratories
Law 419 of 2024 defines the certificate of analysis (art. 3, item 16) as a "document issued by a national or foreign quality-control laboratory" that backs the product's identity and quality through lot-by-lot analysis1. Prior quality, safety and efficacy control is in art. 68, and art. 74 sets reference laboratories a limit of no more than 60 business days to perform it1. The reference laboratories are the Specialized Analysis Institute (IEA) of the University of Panama and the Institute for Scientific Research and High-Technology Services; other laboratories must be accredited by the Ministry of Commerce and Industries and authorized by the Ministry of Health (MINSA) through the National Directorate of Pharmacy and Drugs (DNFD) (arts. 72 and 73)1.
PAHO describes the IEA as the reference laboratory for quality control of medicines circulating in the national market2, and in October 2023 it was supporting documentation of procedures, including validation of analytical methods, with the goal of meeting WHO good practices for quality-control laboratories3. In February 2024 the Technical Medicines Board, MINSA's DNFD, the IEA and INDICASAT were discussing creating a Network of Medicine Quality-Control Laboratories with a good-practice guide4. That legal circuit is designed for registered medicines; we found no public procedure for a physician to send an unregistered vial for analysis, and in its August 2026 alert on falsified tirzepatide (lot D881474) the DNFD stated that the falsified product is not registered in Panama5. In September 2025 MINSA launched a national campaign against falsified medicines and warned that e-commerce and informal sales make oversight harder6. More context in falsified Ozempic and Mounjaro in Panama.
HPLC, molecular weight and content: three different questions
- Purity (HPLC): answers what fraction of the detected material is the target peptide versus its synthesis impurities. For peptides, typical impurities are sequences missing or carrying extra amino acids, and degradation products17.
- Identity (mass spectrometry): confirms that the molecular weight matches the declared sequence11. High purity of the wrong peptide is still the wrong product.
- Net content: peptide content is defined as the percentage of peptide relative to non-peptide material, mostly counter-ions and moisture, and it is not equivalent to purity11. A vial can be 98% "pure" and still contain less peptide than labeled.
- Validated method: the ICH Q2(R2) guideline offers a general framework for validating analytical procedures9. For synthetic peptides, the European Medicines Agency (EMA) guideline on development and manufacture, in force since June 1, 2026, covers characterisation, specifications and analytical control8.
A useful COA names the laboratory, the exact lot, the method and the conditions, and can be cross-checked with the issuing laboratory. ISO/IEC 17025 is the competence reference for laboratories, but ISO does not accredit laboratories: independent accreditation bodies do, so it is worth asking who accredited the laboratory and for which tests10.
What labs found when they tested gray-market peptides
In a 2024 study, six illegal online pharmacies sold semaglutide: three vials arrived and none of the three pens ordered. Measured purity was 7.7% to 14.37% against 99% claimed, content exceeded the label by 28.56% to 38.69%, and endotoxin was detected in all samples12. In Belgium, analysis of falsified peptides found purities of 5% to 75% in cysteine-containing ones, inorganic arsenic up to ten times the ICH limit for parenterals, and one lead-contaminated sample13; the same group documented haemolytic Bacillus cereus in two illegal injectable peptides14. With growth hormone sold online, 17 vendors shipped product directly, 94% without a prescription, and every sample had less somatropin than labeled16. A review summarizes falsification of biotechnology drugs as an already present risk18.
Red flags when reviewing a COA
The following signals are editorial criteria derived from the above, not an official standard:
- No identifiable laboratory, lot or method: the certificate cannot be cross-checked1.
- Purity without identity: no molecular weight, only a chromatogram11.
- Purity without net content, counter-ion or moisture11. The Belgian study showed that a supplier's certificate can differ widely from independent testing15.
- Identical charts or figures across different products or doses: may indicate a copied document. Ask the issuing laboratory to confirm the report.
- No verification code, or a client name different from the supplier presenting the report: if the laboratory offers a public registry, the client name should match.
- No traceability between the vial's lot number and the report's: Law 419 defines traceability as the system that follows a medicine from its production1.
How this connects to sanitary registration
A COA does not replace sanitary registration or turn a research product into a medicine. Law 419 classifies marketing a product without sanitary registration, except where the law itself allows it, as a very serious offense (art. 156)1, as we detail in the sanitary-registration double standard. For the broader picture of the molecule family, see the peptide universe.
Sources
- República de Panamá. Ley 419 de 1 de febrero de 2024, que regula los medicamentos y otros productos para la salud humana (art. 3, 18, 68, 72-74; texto vía vLex). vlex.com.pa ↗
- Organización Panamericana de la Salud. Instituto Especializado de Análisis realiza verificación de procesos regulatorios con el apoyo de la OPS en Panamá. 18 de julio de 2023. paho.org ↗
- Organización Panamericana de la Salud. Continúa colaboración entre OPS y el Instituto Especializado de Análisis de la Universidad de Panamá. 18 de octubre de 2023. paho.org ↗
- Panamá América. Mesa de Medicamentos trabaja en guía para laboratorios. 22 de febrero de 2024. panamaamerica.com.pa ↗
- Samaniego A. Minsa alerta sobre Mounjaro falsificado; este es el lote identificado. La Prensa (Panamá). 23 de agosto de 2026. prensa.com ↗
- Caicedo K. Más de 50 alertas por medicamentos falsificados, ¿cuál es el riesgo en Panamá? La Estrella de Panamá. 8 de septiembre de 2025. laestrella.com.pa ↗
- Organización Mundial de la Salud. Substandard and falsified medical products (nota descriptiva). 3 de diciembre de 2024. who.int ↗
- European Medicines Agency. Guideline on the development and manufacture of synthetic peptides (EMA/CHMP/CVMP/QWP/367182/2025). Vigente desde el 1 de junio de 2026. ema.europa.eu ↗
- U.S. Food and Drug Administration. Q2(R2) Validation of Analytical Procedures (guía ICH, versión final). Marzo de 2024. fda.gov ↗
- Eurofins. All you need to know about ISO 17025:2017 accredited laboratories. Actualizado el 5 de mayo de 2026. eurofins.com ↗
- Bachem. Quality control of amino acids and peptides: a guide (contenido neto de péptido, pureza, masa molecular). bachem.com ↗
- Ashraf AR, et al. Multifactor quality and safety analysis of semaglutide products sold by online sellers without a prescription: market surveillance, content analysis, and product purchase evaluation study. J Med Internet Res. 2024;26:e65440. PubMed 39509151 ↗
- Janvier S, et al. Impurity profiling of the most frequently encountered falsified polypeptide drugs on the Belgian market. Talanta. 2018;188:795-807. PubMed 30029448 ↗
- Janvier S, et al. Are injectable illegal polypeptide drugs safe? Case report demonstrating the presence of haemolytic Bacillus cereus in 2 illegal peptide drugs. Drug Test Anal. 2018;10(4):791-795. PubMed 28941153 ↗
- Verbeke F, et al. Quality evaluation of synthetic quorum sensing peptides used in R&D. J Pharm Anal. 2015;5(3):169-181. PubMed 29403929 ↗
- Vida RG, et al. Availability and quality of illegitimate somatropin products obtained from the Internet. Int J Clin Pharm. 2017;39(1):78-87. PubMed 27888454 ↗
- D'Hondt M, et al. Related impurities in peptide medicines. J Pharm Biomed Anal. 2014;101:2-30. PubMed 25044089 ↗
- Janvier S, et al. Falsification of biotechnology drugs: current dangers and/or future disasters? J Pharm Biomed Anal. 2018;161:175-191. PubMed 30165334 ↗
Informational article. It summarizes news, official statements and published studies; it is not medical or legal advice. Sources were checked on the publication date.