The National Pharmacovigilance System (NPS) was created in Portugal in 1992 to monitor adverse drug reactions. Over time, it decentralized into four regional centers to be closer to health professionals and universities. The NPS collects, processes, and evaluates spontaneous reports of adverse drug reactions to monitor drug safety. It has adapted to EU pharmacovigilance requirements and is a mature system that aims to reduce drug risks. Recent EU legislation from 2010 gave consumers the ability to directly report adverse reactions and increased transparency, public involvement, and efficiency in pharmacovigilance.