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Když zaklepe SÚKL

It's not just pharmaceutical manufacturers, laboratories, or large distributors that are on the inspectors' radar. Inspections also routinely target pharmacies, including their e-shops (so-called mail-order dispensing), and individual healthcare providers – i.e., doctors' offices, clinics, and hospitals.

Na obrázku vidíte odborníka připraveného na kontrolu SÚKL.

Key takeaways

An inspection by the State Institute for Drug Control (SÚKL) can occur unexpectedly and affects a wide range of entities. This includes not only manufacturers and distributors of medicinal products, but also pharmacies, e-shops, medical practices, clinics, and even marketing agencies. An inspection can also be initiated based on a complaint from a patient, employee, or competitor.
The most common issue is not the healthcare itself, but the associated administration. SÚKL frequently uncovers missing or insufficient documentation – for example, records of temperature, storage, and disposal of medicinal products, expiration date checks, records of addictive substances, or employee job descriptions.
Advertising and medical devices also pose a significant risk. Problematic areas can include, for instance, medicinal claims for food supplements, advertising for prescription-only medicines, or missing documentation and improperly performed servicing of medical devices. For advertising, sanctions can reach up to CZK 2 million.
The inspection does not end with the departure of the inspectors – the subsequent defence is crucial. The inspection is followed by a report, against whose findings objections can be raised, and potentially administrative proceedings regarding a fine. It is therefore key to react in a timely manner, observe deadlines, and have all documentation and internal processes prepared even before the inspection itself.
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A specific and high-risk area is the supervision of advertising for medicinal products. Many marketing agencies or website operators are not even aware that their activities fall under the strict supervision of the SÚKL (State Institute for Drug Control).

Moreover, inspectors don't just arrive based on a pre-set annual plan. Increasingly, the SÚKL conducts inspections based on a specific tip-off. This tip-off could be a patient's complaint, but also a report from a disgruntled employee or a competitor. Your business dispute can thus very quickly turn into a problem with the state administration.

Are you unsure whether the strict SÚKL rules also apply to your business model, for example, your new e-shop or marketing campaign? Our Prague-based legal team at ARROWS can provide you with a quick legal analysis. Write to us at consultation@arws.cz.

The On-Site Inspection Process: "Hello, we're from the SÚKL..."

The inspection itself is a formal process. It begins with the inspectors presenting their "authorisation to inspect" and their official "inspector's ID". At this moment, the inspection is initiated. The inspectors' rights under Czech legislation are very broad. They have the right to enter all premises related to the subject of the inspection, demand the submission of any data and documents, make copies or image recordings, and even use your equipment (such as an internet connection). 

Your basic duty is to allow the inspection to be carried out and to provide the inspectors with the necessary cooperation. However, this does not mean you have to surrender and stop working. What if the inspectors arrive unannounced (which the SÚKL commonly does) and you have a waiting room full of patients? You do not have to immediately interrupt the provision of healthcare. The Act on Health Services explicitly states that the performance of an inspection must not disrupt the provision of health services.

You have the right to politely inform the inspectors of the situation and ask them to wait for an operational break or until the end of your office hours to conduct the inspection. It is in these tense moments that having legal support on the phone is crucial. Our lawyers are ready to represent you in dealings with the authorities from the very first minute. For immediate assistance, write to us at consultation@arws.cz.

FAQ – Legal Tips for the Inspection Process

1. Do I have to let a SÚKL inspector in everywhere?

Yes, into all premises related to the subject of the inspection (warehouses, offices, preparation rooms, administrative areas). However, you do not have to let them into areas that are clearly unrelated (e.g., a private apartment in another part of the building).

2. Can the inspector take my original documents?

The inspector has the right to view documents and make copies. They should leave the originals with you unless it is absolutely necessary to take them (e.g., suspicion of a forgery). Always insist on a detailed record of what is being taken.

3. Can I remain silent during the inspection?

You are obliged to "provide cooperation," which means presenting documents and answering factual questions. However, you are not obliged to "confess" to breaking the law. We recommend communicating factually and consulting a lawyer if in doubt.

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The Achilles' Heel of Companies: Where the SÚKL Finds the Most Errors (and Imposes the Highest Fines)

Based on statistics and our experience, it is clear that the SÚKL does not impose the highest fines for "bad medicine," but for "bad administration." Operational shortcomings and missing documentation are by far the most common reasons for initiating administrative proceedings. The good news is that these risks are fully controllable.

1. Inadequate Documentation

SÚKL statistics are relentless. In one inspection campaign, "missing or inadequately prepared standard operating procedures" were found in 67.5% of the inspected facilities. Nearly two-thirds of companies then had deficiencies in their records of complaints and product recalls.

Inspectors most often find errors or a complete lack of documentation in these areas:

  • Storage and preservation of medicinal products.

  • Missing temperature control records (in the warehouse or refrigerator).

  • Expiry date control (expired medicines are not physically segregated).

  • Records and disposal of unusable medicinal products.

  • Keeping records of narcotic substances (the so-called "opiates register").

  • Missing written "job descriptions" for individual employees.

Missing documents are a clear signal to a SÚKL inspector that basic processes are not functioning within the company. The lawyers at ARROWS specialise in preparing compliance documentation. We will prepare auditable documentation and internal policies for you that will protect you from fines. Write to us at consultation@arws.cz.

2. Medical Devices: The Manufacturer's Paperwork Isn't Everything

The inspection covers not only medicines but also all equipment – from diagnostic devices to dental chairs. The inspector will look for the "Declaration of Conformity," instructions in the Czech language, and for more complex devices (Class II.b and III.), also the installation and operator training records.

But the biggest trap is servicing. Operators often rely on having a valid inspection certificate. However, the SÚKL checks whether the service and mandatory Safety and Technical Inspections (BTK) are performed by a person who is not only registered in the Register of Medical Devices (RZPRO) but also certified directly by the manufacturer for that specific device model. Using a "universal" service technician who is not authorised by the manufacturer is an administrative offence.

Operational and Documentation Failings

Risks and Sanctions

How ARROWS Helps

A high fine for missing documents that the SÚKL requires for key activities.

Preparation of tailor-made internal policies. We will prepare documentation that will pass an inspection.

Sanctions for improper storage of medicinal products, e.g., expired medicines were not segregated or temperature records for the refrigerator are missing.

Legal consultation and setting up compliance processes. We will help you establish a system that is functional and easily auditable.

Penalty for missing documentation for medical devices (missing Declaration of Conformity, records of safety checks, or operator training).

Preparation of documentation that protects against fines. We will ensure that your operational documents comply with the law.

Fine for incorrect records of narcotic substances (discrepancies in the "opiates register") or illegal disposal of medicines.

Legal advice on fulfilling statutory record-keeping obligations. Our lawyers will help you correctly set up even the most complex records.

Repeated fines due to employees' lack of knowledge. Inspectors find the same mistakes because staff have not been trained.

Expert training for employees (including certification). We will prepare training tailored to your practice (pharmacy, doctor's office, distribution).

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3. Advertising of Medicinal Products: Million-Crown Fines for a Single Word

The area of advertising regulation is a priority for the SÚKL because it directly affects public health, and fines here reach millions of crowns. It is crucial to distinguish between a medicine and a food supplement. The SÚKL primarily supervises advertising for human medicinal products. Advertising for food supplements is mainly handled by the Czech Agriculture and Food Inspection Authority (SZPI).

However, the greatest risk lies not in a typo, but in a strategic error. If your marketing department promotes a food supplement but uses "medicinal claims" (e.g., "cures inflammation," "eliminates pain"), the SÚKL can reclassify the entire product. In the regulator's eyes, your food supplement becomes an unregistered medicinal product.

This moves you from the relatively mild regulation of the SZPI to the strict jurisdiction of the SÚKL, and you face a fine of up to CZK 2,000,000 for promoting an unregistered medicine.

Other common mistakes in medicine advertising include:

  • Advertising a prescription-only medicine to the general public.

  • Using a "fear appeal" (e.g., "if you don't use the medicine, your condition will worsen").

  • Claiming that a medicine is 100% effective or has no side effects.

  • Endorsements from scientists, doctors, or celebrities.

  • Missing the mandatory warning: "Read the package leaflet carefully before use."

Advertising medicinal products is a minefield. At ARROWS, we review advertising campaigns daily and provide legal consultations that protect our clients from fines.

4. International Context: EMA, Parallel Imports, and Exports

The SÚKL is not an isolated body. It is part of the European network of medicines agencies and works closely with the European Medicines Agency (EMA). This concerns you if you are involved in the parallel import of medicines from the EU or, conversely, their export.

The operational decision to "sell surplus stock abroad" is not just a business transaction but a highly regulated legal act. The SÚKL and the Ministry of Health actively monitor and penalise the so-called re-export of medicines intended for the Czech market. The illegal export of medicines worth tens of millions of crowns is actively investigated.

Problems with medicines often cross borders. Thanks to our ARROWS International network, we handle cases with an international element on a daily basis. Do you need legal assistance with international distribution? Contact us at consultation@arws.cz.

Advertising and International Distribution

Risks and Sanctions

How ARROWS Helps

A fine of up to CZK 2 million for misleading advertising, e.g., promoting a prescription medicine to the public or using unapproved claims.

Legal analysis and review of advertising materials. We will ensure your campaigns comply with the law.

Penalty for illegally offering medicines on an e-shop (selling unregistered products or prescription-only medicines).

Legal opinions on the operation of e-shops with medicines. We will set up your processes (including EU logo verification) to meet SÚKL requirements.

Initiation of proceedings for violating the rules for parallel import of medicines from another EU member state.

Obtaining licences or necessary permits. We will help you obtain a parallel import permit and correctly set up your processes.

Sanctions and investigation for the illegal re-export of medicines abroad, which the SÚKL actively monitors.

Representation before regulators (including international ones). Thanks to the ARROWS International network, we can effectively represent you in proceedings with an international element.

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Life After the Inspection: The Report, Objections, and Administrative Proceedings

The inspection does not end with the physical departure of the inspectors – the legal process is often just beginning.

  • Step 1: The Inspection Report
    The inspector will draw up an inspection report summarising all findings. They have 30 days from the last action to prepare it, or 60 days in complex cases. You have the right to familiarise yourself with its contents and receive a copy.

  • Step 2: Objections – Your Key Defence
    If you disagree with the findings in the report, you must submit written and duly substantiated objections. A critical legal trap lurks here: the deadline.

    Older regulations (the State Inspection Act), which the SÚKL sometimes still cites in its templates, specified a 5-day deadline. However, common practice and the newer legislation (the Inspection Code) work with a 15-day deadline. Relying on an old template in the report and submitting objections on the sixth day could be fatal – the authority may reject them as being late.

    Filing objections is crucial. If you do not file objections, it is assumed that you agree with the findings in the report. The report then becomes the final and indisputable basis for administrative proceedings to impose a fine.

  • Step 3: Administrative Proceedings
    If your objections are rejected, the SÚKL will initiate administrative proceedings against you to impose a sanction. This is a full-fledged legal dispute that can last for months and result in fines in the tens of millions of crowns.

    The inspection report is not just a formality – it is a key piece of evidence. Filing timely and legally sound objections is absolutely essential for your defence. Our lawyers are ready to analyse the report and represent you in the objection process and subsequent administrative proceedings. For an immediate solution, write to us at consultation@arws.cz.

FAQ – Legal Tips for Post-Inspection Proceedings

1. What if I disagree with the report but don't file objections?

That is the biggest mistake you can make. If you do not file objections, it is assumed that you agree with the findings. The SÚKL then has a very easy position in the administrative proceedings to impose a fine. Always consult a lawyer about the benefits of filing objections.

2. Can the SÚKL fine me "on the spot"?

No. Inspectors do not collect fines on the spot. The inspection only ascertains the situation. Any potential fine (administrative penalty) is decided in a separate administrative proceeding that follows the inspection.

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Prevention is the Best Defence: How ARROWS Builds Your Compliance

Reactively dealing with a SÚKL inspection is always more expensive and stressful than quality prevention. Thanks to our long-term experience in managing a portfolio of over 150 joint-stock companies and 250 limited liability companies, we see risk patterns before they become a problem.

For our clients in the healthcare and pharmaceutical sectors, we provide comprehensive legal services that minimise the risk of fines:

  • Audit and setup of a pharmacovigilance system (mandatory monitoring and reporting of adverse drug reactions).

  • Preparation of complete "bulletproof" documentation (policies, job descriptions).

  • Expert training for employees and management to teach them how to behave during an inspection.

  • Regular compliance audits that simulate a SÚKL inspection.

We pride ourselves on speed and high quality. We also enjoy connecting our clients with each other when we see interesting business or investment opportunities. We would be happy to hear your business idea as well.

Administrative Proceedings and Strategic Prevention

Risks and Sanctions

How ARROWS Helps

Losing in administrative proceedings due to formal errors (e.g., a missed deadline) or weak arguments in the objections.

Representation in courts and before administrative bodies. Our experienced litigation lawyers will guide you through the entire administrative process.

A high fine for systemic failure (e.g., a non-functional pharmacovigilance system – reporting of adverse effects).

Legal advice on setting up the system. We will help you implement a functional and auditable pharmacovigilance system.

Uncertainty about the legal status of a product (Is it a medicine? A food supplement? A medical device?).

Preparation of comprehensive legal opinions. We will assess your product and its marketing and give you a clear recommendation on how to minimise risk.

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Conclusion: Don't Leave a SÚKL Inspection to Chance

A SÚKL inspection is a serious matter, but it is predictable. It focuses on documentation, advertising, and operational processes. Each of these areas can be legally addressed and prepared for.

Whether SÚKL inspectors have already visited you and left a report full of objections, or you want to responsibly prepare for their potential arrival, we are here for you. Our lawyers have extensive experience with SÚKL processes. For a comprehensive legal solution tailored to your company, write to us at consultation@arws.cz and arrange a consultation.

FAQ – Most Common Legal Questions about SÚKL Inspections

1. What is the exact difference between a SÚKL and an SZPI inspection regarding advertising?

The SÚKL inspects advertising for human medicinal products. The Czech Agriculture and Food Inspection Authority (SZPI) inspects advertising for foodstuffs, which includes food supplements. Be careful, if you use medicinal claims in an ad for a food supplement, the SÚKL may intervene on suspicion of promoting an unregistered medicine.

2. What does the SÚKL focus on when inspecting an e-shop selling medicines?

The SÚKL checks whether the mail-order service is operated by an approved "brick-and-mortar" pharmacy. It also verifies that the e-shop does not sell prescription-only medicines and that it displays the visible European logo for verifying legality on its website. It also checks that no unregistered or counterfeit medicines are being offered.

3. What are the key requirements for keeping records of addictive substances?

You must keep precise records (the so-called "opiates register"). The records must include data on receipt, dispensing, stock levels, and regular inventories must be conducted. The substances must be stored in lockable metal cabinets. Any discrepancies are strictly penalised by the SÚKL.

4. What is the highest fine the SÚKL can impose on me?

The sanctions vary. For a violation of the Act on the Regulation of Advertising, the fine can reach up to CZK 2,000,000. For serious violations of the Act on Pharmaceuticals (e.g., illegal distribution), sanctions can be in the tens of millions. In 2022 alone, the SÚKL imposed fines totalling over CZK 42 million.

5. I'm just a small doctor's office, do the same rules apply to me?

Yes. The Act on Pharmaceuticals and the Act on Medical Devices do not distinguish between "small" and "large" providers when it comes to basic obligations. Even a private practice must correctly store medicines (temperature, expiry), have documentation for its devices (safety checks, conformity), and maintain proper records. The risk of a penalty is real.

DO YOU HAVE MORE QUESTIONS? GET IN TOUCH

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About the author

JUDr. Jakub Dohnal, Ph.D., LL.M.
JUDr. Jakub Dohnal, Ph.D., LL.M.

Associate, managing partner

Jakub Dohnal is a solicitor and managing partner at ARROWS. He specialises in company sales, investor equity investments and property transactions — most often representing the owner who is selling a company whose value they have built up over many years and who needs the transaction to be completed on the agreed terms.

Disclaimer:

The information contained in this article is for general informational purposes only and serves as a basic guide to the issue as of 2026. Although we strive for maximum accuracy, laws and their interpretation evolve over time. We are ARROWS Law Firm, a member of the Czech Bar Association (our supervisory authority), and for the maximum security of our clients, we are insured for professional liability with a limit of CZK 350,000,000. To verify the current wording of the regulations and their application to your specific situation, it is necessary to contact ARROWS Law Firm directly (consultation@arws.cz). We are not liable for any damages arising from the independent use of the information in this article without prior individual legal consultation.