Hard for States to Meet Import Rules: Califf

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In a wide-ranging interview with the NTD global television network, FDA commissioner Robert Califf said that it is very difficult for states to meet the criteria established by Congress to permit bulk drug importation from Canada. Asked whether he expected importation to gain traction now that the agency has approved Florida’s plan, Califf noted that the approval criteria are very strict and difficult to meet. He said states have trouble ensuring supply chain security and also establishing an adverse event reporting system that can meet FDA requirements. He also noted that once FDA approves a proposal, it is up to Canada to respond, and FDA has no control over what Canada will or will not permit.

On other topics, Califf:

  • said the agency’s top priorities for 2024 at the level of the Office of the Commissioner are misinformation, evidence-generation, the market failure that can accompany low prices for generic drugs, and rare diseases;
  • discussed issues with the Internet availability of compounded obesity drugs that may not meet the standards of branded drugs, creating an enforcement issue;
  • suggested FDA could use more authority to regulate compounded drugs that are sold online;
  • indicated that more drug shortages are caused by low prices rather than high prices;
  • said the problem of counterfeit drugs is much greater worldwide than anyone knows because it’s very difficult to obtain statistics on counterfeit drugs;
  • highlighted the need for more research into treatments for mental health and chronic lung disease; and
  • said that as FDA increases its inspections, more drug manufacturing issues are found that can lead to supply chain issues.

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