21 USC 355h - Regulation of certain nonprescription drugs that are marketed without an approved drug application

U.S Code last checked for updates: Nov 22, 2024

§ 355h.

Regulation of certain nonprescription drugs that are marketed without an approved drug application

(a)

Nonprescription drugs marketed without an approved application

Nonprescription drugs marketed without an approved drug application under section 355 of this title, as of March 27, 2020, shall be treated in accordance with this subsection.

(1)

Drugs subject to a final monograph; category I drugs subject to a tentative final monograph

A drug is deemed to be generally recognized as safe and effective under section 321(p)(1) of this title, not a new drug under section 321(p) of this title, and not subject to section 353(b)(1) of this title, if—

(A)

the drug is—

(i)

in conformity with the requirements for nonprescription use of a final monograph issued under part 330 of title 21, Code of Federal Regulations (except as provided in paragraph (2)), the general requirements for nonprescription drugs, and conditions or requirements under subsections (b), (c), and (k); and

(ii)

except as permitted by an order issued under subsection (b) or, in the case of a minor change in the drug, in conformity with an order issued under subsection (c), in a dosage form that, immediately prior to March 27, 2020, has been used to a material extent and for a material time under section 321(p)(2) of this title; or

(B)

the drug is—

(i)

classified in category I for safety and effectiveness under a tentative final monograph that is the most recently applicable proposal or determination issued under part 330 of title 21, Code of Federal Regulations;

(ii)

in conformity with the proposed requirements for nonprescription use of such tentative final monograph, any applicable subsequent determination by the Secretary, the general requirements for nonprescription drugs, and conditions or requirements under subsections (b), (c), and (k); and

(iii)

(2)

Treatment of sunscreen drugs

(3)

Category III drugs subject to a tentative final monograph; category I drugs subject to proposed monograph or advance notice of proposed rulemaking

A drug that is not described in paragraph (1), (2), or (4) is not required to be the subject of an application approved under section 355 of this title, and is not subject to section 353(b)(1) of this title, if—

(A)

the drug is—

(i)

classified in category III for safety or effectiveness in the preamble of a proposed rule establishing a tentative final monograph that is the most recently applicable proposal or determination for such drug issued under part 330 of title 21, Code of Federal Regulations;

(ii)

in conformity with—

(I)

the conditions of use, including indication and dosage strength, if any, described for such category III drug in such preamble or in an applicable subsequent proposed rule;

(II)

the proposed requirements for drugs classified in such tentative final monograph in category I in the most recently proposed rule establishing requirements related to such tentative final monograph and in any final rule establishing requirements that are applicable to the drug; and

(III)

the general requirements for nonprescription drugs and conditions or requirements under subsection (b) or (k); and

(iii)

in a dosage form that, immediately prior to March 27, 2020, had been used to a material extent and for a material time under section 321(p)(2) of this title; or

(B)

the drug is—

(i)

classified in category I for safety and effectiveness under a proposed monograph or advance notice of proposed rulemaking that is the most recently applicable proposal or determination for such drug issued under part 330 of title 21, Code of Federal Regulations;

(ii)

in conformity with the requirements for nonprescription use of such proposed monograph or advance notice of proposed rulemaking, any applicable subsequent determination by the Secretary, the general requirements for nonprescription drugs, and conditions or requirements under subsection (b) or (k); and

(iii)

in a dosage form that, immediately prior to March 27, 2020, has been used to a material extent and for a material time under section 321(p)(2) of this title.

(4)

Category II drugs deemed new drugs

(5)

Drugs not GRASE deemed new drugs

(6)

Other drugs deemed new drugs

Except as provided in subsection (m), a drug is deemed to be a new drug under section 321(p) of this title and misbranded under section 352(ee) of this title if the drug—

(A)

is not subject to section 353(b)(1) of this title; and

(B)

is not described in paragraph (1), (2), (3), (4), or (5), or subsection (b)(1)(B).

(b)

Administrative orders

(1)

In general

(A)

Determination

The Secretary may, on the initiative of the Secretary or at the request of one or more requestors, issue an administrative order determining whether there are conditions under which a specific drug, a class of drugs, or a combination of drugs, is determined to be—

(i)

not subject to section 353(b)(1) of this title; and

(ii)

generally recognized as safe and effective under section 321(p)(1) of this title.

(B)

Effect

A drug or combination of drugs shall be deemed to not require approval under section 355 of this title if such drug or combination of drugs—

(i)

is determined by the Secretary to meet the conditions specified in clauses (i) and (ii) of subparagraph (A);

(ii)

is marketed in conformity with an administrative order under this subsection;

(iii)

meets the general requirements for nonprescription drugs; and

(iv)

meets the requirements under subsections (c) and (k).

(C)

Standard

The Secretary shall find that a drug is not generally recognized as safe and effective under section 321(p)(1) of this title if—

(i)

the evidence shows that the drug is not generally recognized as safe and effective under section 321(p)(1) of this title; or

(ii)

the evidence is inadequate to show that the drug is generally recognized as safe and effective under section 321(p)(1) of this title.

(2)

Administrative orders initiated by the Secretary

(A)

In general

In issuing an administrative order under paragraph (1) upon the Secretary’s initiative, the Secretary shall—

(i)

make reasonable efforts to notify informally, not later than 2 business days before the issuance of the proposed order, the sponsors of drugs who have a listing in effect under section 360(j) of this title for the drugs or combination of drugs that will be subject to the administrative order;

(ii)

after any such reasonable efforts of notification—

(I)

issue a proposed administrative order by publishing it on the website of the Food and Drug Administration and include in such order the reasons for the issuance of such order; and

(II)

publish a notice of availability of such proposed order in the Federal Register;

(iii)

except as provided in subparagraph (B), provide for a public comment period with respect to such proposed order of not less than 45 calendar days; and

(iv)

if, after completion of the proceedings specified in clauses (i) through (iii), the Secretary determines that it is appropriate to issue a final administrative order—

(I)

issue the final administrative order, together with a detailed statement of reasons, which order shall not take effect until the time for requesting judicial review under paragraph (3)(D)(ii) has expired;

(II)

publish a notice of such final administrative order in the Federal Register;

(III)

afford requestors of drugs that will be subject to such order the opportunity for formal dispute resolution up to the level of the Director of the Center for Drug Evaluation and Research, which initially must be requested within 45 calendar days of the issuance of the order, and, for subsequent levels of appeal, within 30 calendar days of the prior decision; and

(IV)

except with respect to drugs described in paragraph (3)(B), upon completion of the formal dispute resolution procedure, inform the persons which sought such dispute resolution of their right to request a hearing.

(B)

Exceptions

When issuing an administrative order under paragraph (1) on the Secretary’s initiative proposing to determine that a drug described in subsection (a)(3) is not generally recognized as safe and effective under section 321(p)(1) of this title, the Secretary shall follow the procedures in subparagraph (A), except that—

(i)

the proposed order shall include notice of—

(I)

the general categories of data the Secretary has determined necessary to establish that the drug is generally recognized as safe and effective under section 321(p)(1) of this title; and

(II)

the format for submissions by interested persons;

(ii)

the Secretary shall provide for a public comment period of no less than 180 calendar days with respect to such proposed order, except when the Secretary determines, for good cause, that a shorter period is in the interest of public health; and

(iii)

any person who submits data in such comment period shall include a certification that the person has submitted all evidence created, obtained, or received by that person that is both within the categories of data identified in the proposed order and relevant to a determination as to whether the drug is generally recognized as safe and effective under section 321(p)(1) of this title.

(3)

Hearings; judicial review

(A)

In general

(B)

No hearing required with respect to orders relating to certain drugs

(i)

In general

The Secretary shall not be required to provide notice and an opportunity for a hearing pursuant to paragraph (2)(A)(iv) if the final administrative order involved relates to a drug—

(I)

that is described in subsection (a)(3)(A); and

(II)

with respect to which no human or non-human data studies relevant to the safety or effectiveness of such drug have been submitted to the administrative record since the issuance of the most recent tentative final monograph relating to such drug.

(ii)

Human data studies and non-human data defined

In this subparagraph:

(I)

The term “human data studies” means clinical trials of safety or effectiveness (including actual use studies), pharmacokinetics studies, or bioavailability studies.

(II)

The term “non-human data” means data from testing other than with human subjects which provides information concerning safety or effectiveness.

(C)

Hearing procedures

(i)

Denial of request for hearing

(ii)

Single hearing for multiple related requests

(iii)

Presiding officer

The presiding officer of a hearing requested under subparagraph (A) shall—

(I)

be designated by the Secretary;

(II)

not be an employee of the Center for Drug Evaluation and Research; and

(III)

not have been previously involved in the development of the administrative order involved or proceedings relating to that administrative order.

(iv)

Rights of parties to hearing

(v)

Final decision

(I)

At the conclusion of a hearing requested under subparagraph (A), the presiding officer of the hearing shall issue a decision containing findings of fact and conclusions of law. The decision of the presiding officer shall be final.

(II)

The final decision may not take effect until the period under subparagraph (D)(ii) for submitting a request for judicial review of such decision expires.

(D)

Judicial review of final administrative order

(i)

In general

(ii)

Period to submit a request for judicial review

A person eligible to request a hearing under this paragraph and seeking judicial review of a final administrative order issued under this subsection shall file such request for judicial review not later than 60 calendar days after the latest of—

(I)

the date on which notice of such order is published;

(II)

the date on which a hearing with respect to such order is denied under subparagraph (B) or (C)(i);

(III)

the date on which a final decision is made following a hearing under subparagraph (C)(v); or

(IV)

if no hearing is requested, the date on which the time for requesting a hearing expires.

(4)

Expedited procedure with respect to administrative orders initiated by the Secretary

(A)

Imminent hazard to the public health

(i)

In general

In the case of a determination by the Secretary that a drug, class of drugs, or combination of drugs subject to this section poses an imminent hazard to the public health, the Secretary, after first making reasonable efforts to notify, not later than 48 hours before issuance of such order under this subparagraph, sponsors who have a listing in effect under section 360(j) of this title for such drug or combination of drugs—

(I)

may issue an interim final administrative order for such drug, class of drugs, or combination of drugs under paragraph (1), together with a detailed statement of the reasons for such order;

(II)

shall publish in the Federal Register a notice of availability of any such order; and

(III)

shall provide for a public comment period of at least 45 calendar days with respect to such interim final order.

(ii)

Nondelegation

(B)

Safety labeling changes

(i)

In general

In the case of a determination by the Secretary that a change in the labeling of a drug, class of drugs, or combination of drugs subject to this section is reasonably expected to mitigate a significant or unreasonable risk of a serious adverse event associated with use of the drug, the Secretary may—

(I)

make reasonable efforts to notify informally, not later than 48 hours before the issuance of the interim final order, the sponsors of drugs who have a listing in effect under section 360(j) of this title for such drug or combination of drugs;

(II)

after reasonable efforts of notification, issue an interim final administrative order in accordance with paragraph (1) to require such change, together with a detailed statement of the reasons for such order;

(III)

publish in the Federal Register a notice of availability of such order; and

(IV)

provide for a public comment period of at least 45 calendar days with respect to such interim final order.

(ii)

Content of order

(C)

Effective date

(D)

Final order

After the completion of the proceedings in subparagraph (A) or (B), the Secretary shall—

(i)

issue a final order in accordance with paragraph (1);

(ii)

publish a notice of availability of such final administrative order in the Federal Register; and

(iii)

afford sponsors of such drugs that will be subject to such an order the opportunity for formal dispute resolution up to the level of the Director of the Center for Drug Evaluation and Research, which must initially be within 45 calendar days of the issuance of the order, and for subsequent levels of appeal, within 30 calendar days of the prior decision.

(E)

Hearings

(F)

Timing

(i)

Final order and hearing

The Secretary shall—

(I)

not later than 6 months after the date on which the comment period closes under subparagraph (A) or (B), issue a final order in accordance with paragraph (1); and

(II)

not later than 12 months after the date on which such final order is issued, complete any hearing under subparagraph (E).

(ii)

Dispute resolution request

(G)

Judicial review

(5)

Administrative order initiated at the request of a requestor

(A)

In general

In issuing an administrative order under paragraph (1) at the request of a requestor with respect to certain drugs, classes of drugs, or combinations of drugs—

(i)

the Secretary shall, after receiving a request under this subparagraph, determine whether the request is sufficiently complete and formatted to permit a substantive review;

(ii)

if the Secretary determines that the request is sufficiently complete and formatted to permit a substantive review, the Secretary shall—

(I)

file the request; and

(II)

initiate proceedings with respect to issuing an administrative order in accordance with paragraphs (2) and (3); and

(iii)

except as provided in paragraph (6), if the Secretary determines that a request does not meet the requirements for filing or is not sufficiently complete and formatted to permit a substantive review, the requestor may demand that the request be filed over protest, and the Secretary shall initiate proceedings to review the request in accordance with paragraph (2)(A).

(B)

Request to initiate proceedings

(i)

In general

A requestor seeking an administrative order under paragraph (1) with respect to certain drugs, classes of drugs, or combinations of drugs, shall submit to the Secretary a request to initiate proceedings for such order in the form and manner as specified by the Secretary. Such requestor may submit a request under this subparagraph for the issuance of an administrative order—

(I)

determining whether a drug is generally recognized as safe and effective under section 321(p)(1) of this title, exempt from section 353(b)(1) of this title, and not required to be the subject of an approved application under section 355 of this title; or

(II)

determining whether a change to a condition of use of a drug is generally recognized as safe and effective under section 321(p)(1) of this title, exempt from section 353(b)(1) of this title, and not required to be the subject of an approved application under section 355 of this title, if, absent such a changed condition of use, such drug is—

(aa)

generally recognized as safe and effective under section 321(p)(1) of this title in accordance with subsection (a)(1), (a)(2), or an order under this subsection; or

(bb)

subject to subsection (a)(3), but only if such requestor initiates such request in conjunction with a request for the Secretary to determine whether such drug is generally recognized as safe and effective under section 321(p)(1) of this title, which is filed by the Secretary under subparagraph (A)(ii).

(ii)

Exception

(iii)

Withdrawal

(C)

Exclusivity

(i)

In general

A final administrative order issued in response to a request under this section shall have the effect of authorizing solely the order requestor (or the licensees, assignees, or successors in interest of such requestor with respect to the subject of such order), for a period of 18 months following the effective date of such final order and beginning on the date the requestor may lawfully market such drugs pursuant to the order, to market drugs—

(I)

incorporating changes described in clause (ii); and

(II)

subject to the limitations under clause (iv).

(ii)

Changes described

A change described in this clause is a change subject to an order specified in clause (i), which—

(I)

provides for a drug to contain an active ingredient (including any ester or salt of the active ingredient) not previously incorporated in a drug described in clause (iii); or

(II)

provides for a change in the conditions of use of a drug, for which new human data studies conducted or sponsored by the requestor (or for which the requestor has an exclusive right of reference) were essential to the issuance of such order.

(iii)

Drugs described

The drugs described in this clause are drugs—

(I)

specified in subsection (a)(1), (a)(2), or (a)(3);

(II)

subject to a final order issued under this section;

(III)

subject to a final sunscreen order (as defined in section 360fff(2)(A) of this title); or

(IV)

described in subsection (m)(1), other than drugs subject to an active enforcement action under subchapter III of this chapter.

(iv)

Limitations on exclusivity

(I)

In general

Only one 18-month period under this subparagraph shall be granted, under each order described in clause (i), with respect to changes (to the drug subject to such order) which are either—

(aa)

changes described in clause (ii)(I), relating to active ingredients; or

(bb)

changes described in clause (ii)(II), relating to conditions of use.

(II)

No exclusivity allowed

No exclusivity shall apply to changes to a drug which are—

(aa)

the subject of a Tier 2 OTC monograph order request (as defined in section 379j–71 of this title);

(bb)

safety-related changes, as defined by the Secretary, or any other changes the Secretary considers necessary to assure safe use; or

(cc)

changes related to methods of testing safety or efficacy.

(v)

New human data studies defined

In this subparagraph, the term “new human data studies” means clinical trials of safety or effectiveness (including actual use studies), pharmacokinetics studies, or bioavailability studies, the results of which—

(I)

have not been relied on by the Secretary to support—

(aa)

a proposed or final determination that a drug described in subclause (I), (II), or (III) of clause (iii) is generally recognized as safe and effective under section 321(p)(1) of this title; or

(bb)

approval of a drug that was approved under section 355 of this title; and

(II)

do not duplicate the results of another study that was relied on by the Secretary to support—

(aa)

a proposed or final determination that a drug described in subclause (I), (II), or (III) of clause (iii) is generally recognized as safe and effective under section 321(p)(1) of this title; or

(bb)

approval of a drug that was approved under section 355 of this title.

(vi)

Notification of drug not available for sale

A requestor that is granted exclusivity with respect to a drug under this subparagraph shall notify the Secretary in writing within 1 year of the issuance of the final administrative order if the drug that is the subject of such order will not be available for sale within 1 year of the date of issuance of such order. The requestor shall include with such notice the—

(I)

identity of the drug by established name and by proprietary name, if any;

(II)

strength of the drug;

(III)

date on which the drug will be available for sale, if known; and

(IV)

reason for not marketing the drug after issuance of the order.

(6)

Information regarding safe nonprescription marketing and use as condition for filing a generally recognized as safe and effective request

(A)

In general

In response to a request under this section that a drug described in subparagraph (B) be generally recognized as safe and effective, the Secretary—

(i)

may file such request, if the request includes information specified under subparagraph (C) with respect to safe nonprescription marketing and use of such drug; or

(ii)

if the request fails to include information specified under subparagraph (C), shall refuse to file such request and require that nonprescription marketing of the drug be pursuant to a new drug application as described in subparagraph (D).

(B)

Drug described

A drug described in this subparagraph is a nonprescription drug which contains an active ingredient not previously incorporated in a drug—

(i)

specified in subsection (a)(1), (a)(2), or (a)(3);

(ii)

subject to a final order under this section; or

(iii)

subject to a final sunscreen order (as defined in section 360fff(2)(A) of this title).

(C)

Information demonstrating prima facie safe nonprescription marketing and use

Information specified in this subparagraph, with respect to a request described in subparagraph (A)(i), is—

(i)

information sufficient for a prima facie demonstration that the drug subject to such request has a verifiable history of being marketed and safely used by consumers in the United States as a nonprescription drug under comparable conditions of use;

(ii)

if the drug has not been previously marketed in the United States as a nonprescription drug, information sufficient for a prima facie demonstration that the drug was marketed and safely used under comparable conditions of marketing and use in a country listed in section 382(b)(1)(A) of this title or designated by the Secretary in accordance with section 382(b)(1)(B) of this title—

(I)

for such period as needed to provide reasonable assurances concerning the safe nonprescription use of the drug; and

(II)

during such time was subject to sufficient monitoring by a regulatory body considered acceptable by the Secretary for such monitoring purposes, including for adverse events associated with nonprescription use of the drug; or

(iii)

if the Secretary determines that information described in clause (i) or (ii) is not needed to provide a prima facie demonstration that the drug can be safely marketed and used as a nonprescription drug, such other information the Secretary determines is sufficient for such purposes.

(D)

Marketing pursuant to new drug application

In the case of a request described in subparagraph (A)(ii), the drug subject to such request may be resubmitted for filing only if—

(i)

the drug is marketed as a nonprescription drug, under conditions of use comparable to the conditions specified in the request, for such period as the Secretary determines appropriate (not to exceed 5 consecutive years) pursuant to an application approved under section 355 of this title; and

(ii)

during such period, 1,000,000 retail packages of the drug, or an equivalent quantity as determined by the Secretary, were distributed for retail sale, as determined in such manner as the Secretary finds appropriate.

(E)

Rule of application

(7)

Packaging

(8)

Final and tentative final monographs for category I drugs deemed final administrative orders

(A)

In general

(B)

Monographs described

For purposes of subparagraph (A), a final monograph or tentative final monograph is described in this subparagraph if it—

(i)

establishes conditions of use for a drug described in paragraph (1) or (2) of subsection (a); and

(ii)

represents the most recently promulgated version of such conditions, including as modified, in whole or in part, by any proposed or final rule.

(C)

Deemed orders include harmonizing technical amendments

(c)

Procedure for minor changes

(1)

In general

Minor changes in the dosage form of a drug that is described in paragraph (1) or (2) of subsection (a) or the subject of an order issued under subsection (b) may be made by a requestor without the issuance of an order under subsection (b) if—

(A)

the requestor maintains such information as is necessary to demonstrate that the change—

(i)

will not affect the safety or effectiveness of the drug; and

(ii)

will not materially affect the extent of absorption or other exposure to the active ingredient in comparison to a suitable reference product; and

(B)

the change is in conformity with the requirements of an applicable administrative order issued by the Secretary under paragraph (3).

(2)

Additional information

(A)

Access to records

(B)

Insufficient information

If the Secretary determines that the information contained in such records is not sufficient to demonstrate that the change does not affect the safety or effectiveness of the drug or materially affect the extent of absorption or other exposure to the active ingredient, the Secretary—

(i)

may so inform the sponsor of the drug in writing; and

(ii)

if the Secretary so informs the sponsor, shall provide the sponsor of the drug with a reasonable opportunity to provide additional information.

(C)

Failure to submit sufficient information

If the sponsor fails to provide such additional information within a time prescribed by the Secretary, or if the Secretary determines that such additional information does not demonstrate that the change does not—

(i)

affect the safety or effectiveness of the drug; or

(ii)

materially affect the extent of absorption or other exposure to the active ingredient in comparison to a suitable reference product,

the drug as modified is a new drug under section 321(p) of this title and shall be deemed to be misbranded under section 352(ee) of this title.

(3)

Determining whether a change will affect safety or effectiveness

(A)

In general

(B)

Standard practices

(d)

Confidentiality of information submitted to the Secretary

(1)

In general

(2)

Public availability

(A)

In general

Except as provided in subparagraph (B), the Secretary shall—

(i)

make any information submitted by a requestor in support of a request under subsection (b)(5)(A) available to the public not later than the date on which the proposed order is issued; and

(ii)

make any information submitted by any other person with respect to an order requested (or initiated by the Secretary) under subsection (b), available to the public upon such submission.

(B)

Limitations on public availability

Information described in subparagraph (A) shall not be made public if—

(i)

the information pertains to pharmaceutical quality information, unless such information is necessary to establish standards under which a drug is generally recognized as safe and effective under section 321(p)(1) of this title;

(ii)

the information is submitted in a requestor-initiated request, but the requestor withdraws such request, in accordance with withdrawal procedures established by the Secretary, before the Secretary issues the proposed order;

(iii)

the Secretary requests and obtains the information under subsection (c) and such information is not submitted in relation to an order under subsection (b); or

(iv)

the information is of the type contained in raw datasets.

(e)

Updates to drug listing information

(f)

Approvals under section 355 of this title

(g)

Public availability of administrative orders

The Secretary shall establish, maintain, update (as determined necessary by the Secretary but no less frequently than annually), and make publicly available, with respect to orders issued under this section—

(1)

a repository of each final order and interim final order in effect, including the complete text of the order; and

(2)

a listing of all orders proposed and under development under subsection (b)(2), including—

(A)

a brief description of each such order; and

(B)

the Secretary’s expectations, if resources permit, for issuance of proposed orders over a 3-year period.

(h)

Development advice to sponsors or requestors

(i)

Participation of multiple sponsors or requestors

(j)

Electronic format

(k)

Effect on existing regulations governing nonprescription drugs

(1)

Regulations of general applicability to nonprescription drugs

(2)

Regulations establishing requirements for specific nonprescription drugs

(A)

The provisions of section 310.545 of title 21, Code of Federal Regulations, as in effect on the day before March 27, 2020, shall be deemed to be a final order under subsection (b).

(B)

Regulations in effect on the day before March 27, 2020, establishing requirements for specific nonprescription drugs marketed pursuant to this section (including such requirements in parts 201 and 250 of title 21, Code of Federal Regulations), shall be deemed to be final orders under subsection (b), only as they apply to drugs—

(i)

subject to paragraph (1), (2), (3), or (4) of subsection (a); or

(ii)

otherwise subject to an order under this section.

(3)

Withdrawal of regulations

(l)

Guidance

The Secretary shall issue guidance that specifies—

(1)

the procedures and principles for formal meetings between the Secretary and sponsors or requestors for drugs subject to this section;

(2)

the format and content of data submissions to the Secretary under this section;

(3)

the format of electronic submissions to the Secretary under this section;

(4)

consolidated proceedings for appeal and the procedures for such proceedings where appropriate; and

(5)

for minor changes in drugs, recommendations on how to comply with the requirements in orders issued under subsection (c)(3).

(m)

Rule of construction

(1)

In general

This section shall not affect the treatment or status of a nonprescription drug—

(A)

that is marketed without an application approved under section 355 of this title as of March 27, 2020;

(B)

that is not subject to an order issued under this section; and

(C)

to which paragraph (1), (2), (3), (4), or (5) of subsection (a) do not apply.

(2)

Treatment of products previously found to be subject to time and extent requirements

(A)

Notwithstanding subsection (a), a drug described in subparagraph (B) may only be lawfully marketed, without an application approved under section 355 of this title, pursuant to an order issued under this section.

(B)

A drug described in this subparagraph is a drug which, prior to March 27, 2020, the Secretary determined in a proposed or final rule to be ineligible for review under the OTC drug review (as such phrase “OTC drug review” was used in section 330.14 of title 21, Code of Federal Regulations, as in effect on the day before March 27, 2020).

(3)

Preservation of authority

(A)

Nothing in paragraph (1) shall be construed to preclude or limit the applicability of any provision of this chapter other than this section.

(B)

Nothing in subsection (a) shall be construed to prohibit the Secretary from issuing an order under this section finding a drug to be not generally recognized as safe and effective under section 321(p)(1) of this title, as the Secretary determines appropriate.

(n)

Investigational new drugs

(o)

Inapplicability of Paperwork Reduction Act

(p)

Inapplicability of notice and comment rulemaking and other requirements

(q)

Definitions

In this section:

(1)

The term “nonprescription drug” refers to a drug not subject to the requirements of section 353(b)(1) of this title.

(2)

The term “sponsor” refers to any person marketing, manufacturing, or processing a drug that—

(A)

is listed pursuant to section 360(j) of this title; and

(B)

is or will be subject to an administrative order under this section of the Food and Drug Administration.

(3)

The term “requestor” refers to any person or group of persons marketing, manufacturing, processing, or developing a drug.

(June 25, 1938, ch. 675, § 505G, as added Pub. L. 116–136, div. A, title III, § 3851(a), Mar. 27, 2020, 134 Stat. 435.)

cite as: 21 USC 355h

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