Continue OTC Monograph Reform: Health Groups
Eight public health advocacy organizations are asking FDA acting commissioner Norman Sharpless to continue to reform the monograph system for over-the-counter (OTC) drugs. In a 4/24 letter, the groups (American Academy of Allergy, Asthma, and Immunology; American Academy of Pediatrics; American Public Health Association; Consumer Healthcare Products Association; March of Dimes; National Association of County and City Health Officials; the Pew Charitable Trusts; and Society for Maternal-Fetal Medicine) say that CDER director Janet Woodcock and former commissioner Scott Gottlieb “worked successfully with both chambers of Congress to develop policy to modernize this system and to address this urgent public health need through the bipartisan, bicameral Over the Counter Drug Safety, Innovation, and Reform Act.”
The groups urge FDA to continue working with congressional leaders toward final passage and implementation of the legislation. Reform of the monograph system is long overdue, the groups write, and the legislation would streamline regulation for these drugs, transitioning away from the current rulemaking process and authorizing use of administrative orders.
The letter says that through a “modest user fee,” the agency would have resources to oversee the market and to clear the substantial backlog of unfinished monographs, providing patients and consumers with greater confidence in the safety of OTC products and more choice among products that might best meet their health needs.