Determination That Folic Acid, Oral Tablets, 1 Milligram, and Other Drug Products Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness

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Federal RegisterMar 24, 2021
86 Fed. Reg. 15682 (Mar. 24, 2021)

AGENCY:

Food and Drug Administration, HHS.

ACTION:

Notice.

SUMMARY:

The Food and Drug Administration (FDA or Agency) has determined that the drug products listed in this document were not withdrawn from sale for reasons of safety or effectiveness. This determination means that FDA will not begin procedures to withdraw approval of abbreviated new drug applications (ANDAs) that refer to these drug products, and it will allow FDA to continue to approve ANDAs that refer to the products as long as they meet relevant legal and regulatory requirements.

FOR FURTHER INFORMATION CONTACT:

Stacy Kane, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6236, Silver Spring, MD 20993-0002, 301-796-8363, Stacy.Kane@fda.hhs.gov.

SUPPLEMENTARY INFORMATION:

In 1984, Congress enacted the Drug Price Competition and Patent Term Restoration Act of 1984 (Pub. L. 98-417) (the 1984 amendments), which authorized the approval of duplicate versions of drug products approved under an ANDA procedure. ANDA applicants must, with certain exceptions, show that the drug for which they are seeking approval contains the same active ingredient in the same strength and dosage form as the “listed drug,” which is a version of the drug that was previously approved. ANDA applicants do not have to repeat the extensive clinical testing otherwise necessary to gain approval of a new drug application (NDA).

The 1984 amendments include what is now section 505(j)(7) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355(j)(7)), which requires FDA to publish a list of all approved drugs. FDA publishes this list as part of the “Approved Drug Products with Therapeutic Equivalence Evaluations,” which is generally known as the “Orange Book.” Under FDA regulations, a drug is removed from the list if the Agency withdraws or suspends approval of the drug's NDA or ANDA for reasons of safety or effectiveness, or if FDA determines that the listed drug was withdrawn from sale for reasons of safety or effectiveness (21 CFR 314.162).

Under § 314.161(a) (21 CFR 314.161(a)), the Agency must determine whether a listed drug was withdrawn from sale for reasons of safety or effectiveness: (1) Before an ANDA that refers to that listed drug may be approved, (2) whenever a listed drug is voluntarily withdrawn from sale and ANDAs that refer to the listed drug have been approved, and (3) when a person petitions for such a determination under 21 CFR 10.25(a) and 10.30. Section 314.161(d) provides that if FDA determines that a listed drug was withdrawn from sale for safety or effectiveness reasons, the Agency will initiate proceedings that could result in the withdrawal of approval of the ANDAs that refer to the listed drug.

FDA has become aware that the drug products listed in the table are no longer being marketed.

Application No. Drug name Active ingredient(s) Strength(s) Dosage form/route Applicant
NDA 006135 Folic Acid Folic Acid 1 milligram (mg) Tablet; Oral Eli Lilly & Co.
NDA 016131 CLOMID Clomiphene Citrate 50 mg Tablet; Oral Sanofi-Aventis U.S. LLC.
NDA 016419 Propranolol Hydrochloride Propanolol Hydrochloride 1 mg/milliliter (mL) Injectable; Injection Baxter Healthcare Corp.
NDA 017473 ORAP Pimozide 1 mg; 2 mg Tablet; Oral Teva Pharms., USA, Inc.
NDA 019916 Morphine Sulfate Morphine Sulfate 1 mg/mL; 5 mg/mL Injectable; Injection ICU Medical, Inc.
NDA 019967 ULTRAVATE Halobetasol Propionate 0.05% Cream; Topical Sun Pharmaceutical Industries, Inc.
NDA 020647 ELDEPRYL Selegiline Hydrochloride 5 mg Capsule; Oral Somerset Pharms., Inc.
NDA 020925 TAVIST-1 Clemastine Fumarate 1.34 mg Tablet; Oral GlaxoSmithKline Consumer Healthcare.
NDA 021015 ANDROGEL Testosterone 12.5 mg/1.25 g Actuation Gel, Metered; Transdermal AbbVie Inc.
NDA 021204 STARLIX Nateglinide 60 mg; 120 mg Tablets; Oral Novartis Pharms., Corp.
NDA 021217 EXALGO Hydromorphone Hydrochloride 8 mg; 12 mg; 16 mg; 32 mg Tablet, Extended-Release; Oral Specgx, LLC.
NDA 021365 LEXAPRO Escitalopram Oxalate Equal to (EQ) 5 mg Base/5 mL Solution; Oral Allergan Sales, LLC.
NDA 021490 FEMCON FE Ethinyl Estradiol; Norethindrone 0.035 mg; 0.4 mg Tablet, Chewable; Oral Allergan Pharms., International, Ltd.
NDA 021860 SARAFEM Fluoxetine Hydrochloride EQ 15 mg Base Tablet; Oral Allergan Pharms. International, Ltd.
NDA 021870 Fludeoxyglucose F-18 Fludeoxyglucose F-18 20-200 Millicurie/mL Injectable; Intravenous Feinstein Institute Medical Research.
NDA 022442 REZIRA Hydrocodone Bitartrate; Pseudoephedrine Hydrochloride 5 mg/5 mL; 60 mg/5 mL Solution; Oral Persion Pharms., LLC.
NDA 050757 PREVPAC Amoxicillin; Clarithromycin; Lansoprazole 500 mg; 500 mg; 30 mg Capsule, Tablet, Capsule; Oral Takeda Pharms. USA, Inc.
NDA 203195 SUPRAX Cefixime 400 mg Capsule; Oral Lupin, Ltd.
NDA 207931 TECHNIVIE Ombitasvir; Paritaprevir; Ritonavir 12.5 mg; 75 mg; 50 mg Tablet; Oral AbbVie Inc.
NDA 208624 VIEKIRA XR Dasabuvir Sodium; Ombitasvir; Paritaprevir; Ritonavir EQ 200 mg Base; 8.33 mg; 50 mg; 33.33 mg Tablet, Extended Release; Oral AbbVie Inc.

FDA has reviewed its records and, under § 314.161, has determined that the drug products listed were not withdrawn from sale for reasons of safety or effectiveness. Accordingly, the Agency will continue to list the drug products in the “Discontinued Drug Product List” section of the Orange Book. The “Discontinued Drug Product List” identifies, among other items, drug products that have been discontinued from marketing for reasons other than safety or effectiveness.

Approved ANDAs that refer to the NDAs listed are unaffected by the discontinued marketing of the products subject to those NDAs. Additional ANDAs that refer to these products may also be approved by the Agency if they comply with relevant legal and regulatory requirements. If FDA determines that labeling for these drug products should be revised to meet current standards, the Agency will advise ANDA applicants to submit such labeling.

Dated: March 19, 2021.

Lauren K. Roth,

Acting Principal Associate Commissioner for Policy.

[FR Doc. 2021-06059 Filed 3-23-21; 8:45 am]

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