What makes a requirement binding here
SPEQ has not decoded the principal instrument for Peru to the standard this module requires, and states that rather than naming one. What is decoded is institutional and load-bearing: the medicines authority is a directorate-general — the Dirección General de Medicamentos, Insumos y Drogas — sitting inside the health ministry rather than standing beside it as an independent agency. Requirements therefore arrive as ministerial instruments and are administered within the ministry’s structure.
Through sanitary registration of the product and good-manufacturing-practices certification of the site that makes it, including sites outside the country. The directorate inspects and certifies, and where it does not inspect a foreign site directly it may rely on certification issued in the country of origin — which moves the practical constraint upstream, onto which authority issued the certificate a company already holds.