Stakeholders Hit Generic Drug Labeling Rule

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Some 15 healthcare stakeholders led by the Generic Pharmaceutical Association and including managed care companies, pharmaceutical benefits managers, and leading drug companies have told FDA that a proposed rule to change generic drug labeling requirements could permit multiple, potentially conflicting labels for therapeutically equivalent products that would create provider and prescriber confusion. A 4/12 letter calls on the agency to “use a science-based alternative that relies on FDA to review new safety information for multi-source products. FDA is the only organization in the multi-source environment with full access to complete product safety information from the numerous manufacturers. Therefore, the agency is best positioned to serve as the centralized authority for labeling changes.”

The letter cites a 2014 survey of physicians, physician assistants, and pharmacists co-released by the Generic Pharmaceutical Association and the National Coalition on Healthcare that found that:
         81% of respondents said that FDA approval should be required before any safety label information is changed;         75% said that patients would be confused by multiple labels for the same medicine;         nearly 80% said that multiple labels would be confusing for themselves; and         60% of prescribers said their willingness to prescribe generic drugs would change.

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