Metro Drugs Sterile Drug Deficiencies Noted
A 3/14/19-4/5/19 FDA inspection at Metro Drugs 3rd Avenue Corp., New York, NY, found deficiencies in the company practices for producing sterile drug products, putting patients at risk. A just-released 1/8 Notice of Violation says specific violations were:
- drug products intended or expected to be sterile were prepared, packed, or held under insanitary conditions where they may have become contaminated with filth or rendered injurious to health, causing the products to be adulterated;
- analysis showed that the firm’s Tri-Mix Quad (alprostadil 10mcg/papaverine 12 mg/phentolamine 1mg/atropine 0.15mg/mL) contained 134.5% of the labeled concentration of atropine sulfate monohydrate, rendering it misbranded.
The letter says some of the firm’s proposed corrective actions for the insanitary conditions appear adequate. However, the agency says it cannot evaluate other proposed corrective actions described in the company’s response because it did not include sufficient information or supporting documentation.
Metro was told to respond with a list of specific steps taken to correct the violations and prevent their recurrence, with related documentation and a timetable for completing the work.