New PMI Form Explained
FDA’s new Patient Medication Information (PMI), proposed in 5/2023, will eventually replace Medication Guides and Patient Package Inserts, according to CDER Office of Medical Policy regulatory counsel Christopher Diamant. Interviewed for a CDER Conversation, Diamant says PMI was developed after research showed that the existing Consumer Medication Information does not consistently provide patients with clear, easily understood information about their prescription medications.
The researchers found that Patient Package Inserts, Medication Guides, and Consumer Medication Information contain information that can be difficult to understand, repetitive, incomplete, or conflicting, which could cause some patients to take their medications incorrectly.
The new PMI was developed based on research, Diamant says, involving input from interested parties including consumers and consumer groups, industry, healthcare professional groups, physicians, pharmacists, and pharmacy organizations. Prototypes were developed and then tested, focusing on the key elements that a patient would find relevant and useful.
“CDER ultimately decided the PMI format would be a one-page document, highlighting the most important information for patients,” he says. “PMI would be organized by the following sections: drug name, important safety information, common side effects, and directions for use.”
PMI would be distributed to patients who receive prescription drugs in an outpatient setting such as retail pharmacies and hospital outpatient care pharmacies. Patients will be able to choose whether to receive PMI in paper or an electronic format, he says.