Human Medications, Human Drugs, Animal Medications, Animal Drugs, Pharmacy law, Pharmaceutical law, Compounding law, Sterile and Non Sterile Compounding 797 Compliance, Veterinary law, Veterinary
Compounding Law; Health Care; Awareness of all Types of Compounding Issues;
Pharmacy Benefit Managers (PBMs), Outsourcing Facilities
Food and Drug Administration and Compliance Issues
Monday, March 9, 2020
High Importance: Notice to Compounders: Changes that affect compounding as of March 23, 2020
A change to the law will impact compounding of certain products beginning on March 23, 2020. On that date, biological products that were approved under the Federal Food, Drug, and Cosmetic (FD&C) Act will transition to being licensed under the Public Health Service (PHS) Act.1 This transition affects compounding under sections 503A and 503B of the FD&C Act because, beginning on March 23, these transitioning biological products will not be eligible for the exemptions for compounded drugs under sections 503A and 503B of the FD&C Act.2
The Biologics Price Competition and Innovation (BPCI) Act of 2009 created an abbreviated licensure pathway under the PHS Act for biological products that are demonstrated to be biosimilar to, or interchangeable with, an FDA-approved biological product. This pathway was established as a way to provide more treatment options, increase access to lifesaving medications, and potentially lower health care costs through competition.
A provision in the BPCI Act also requires that, on March 23, 2020 (10 years after enactment), an approved marketing application for a biological product under section 505 of the FD&C Act shall be deemed to be a license for the biological product (i.e., an approved biologics license application or BLA) under section 351 of the PHS Act.
Outsourcing facilities have recently reported using four bulk drug substances that are affected by the transition: human chorionic gonadotropin, hyaluronidase, follicle stimulating hormone (FSH or urofollitropin) and menotropins. One of these products – hyaluronidase – was on category 1 of the list of substances under our 503B bulks interim policy. As stated in the 503 bulks interim policy, biological products subject to approval under section 351 of the PHS Act are not eligible for the 503B bulks list because such products are not eligible for the exemptions in section 503B of the FD&C Act. Accordingly, as of March 23, hyaluronidase will be removed from category 1.
1Under the Biologics Price Competition and Innovation Act of 2009 (BPCI Act), on March 23, 2020, an approved application for a biological product under section 505 of the FD&C Act shall be deemed to be a license for the biological product under section 351 of the PHS Act (see section 7002(e)(4) of the BPCI Act).
2As discussed in FDA’s January 2018 guidance for industry, titled “Mixing, Diluting, or Repackaging Biological Products Outside the Scope of an Approved Biologics License Application,” biological products subject to licensure under section 351 of the PHS Act are not eligible for the exemptions for compounded drugs under sections 503A and 503B of the FD&C Act. Beginning on March 23, 2020, biological products subject to licensure under section 351 of the PHS Act will include biological products with deemed biologics license applications.