The U.S. Federal Drug Administration (FDA) recently decided
to try to “shame” some pharmaceutical and biotechnology companies for failing
to provide samples to companies who wish to produce generic versions of their
pharmaceuticals. The FDA states:
In passing the 1984 Hatch-Waxman Amendments to the Federal
Food, Drug & Cosmetic Act, Congress created a system that balances
encouraging and rewarding medical innovation with facilitating robust and
timely market competition. One of the primary ways that FDA facilitates a competitive
marketplace is through the efficient approval of generic drugs, which are often
lower-cost than brand drugs.
Unfortunately, the process established by Congress may not
always function as intended. At times, certain “gaming” tactics have been used
to delay generic competition. One example of such gaming is when potential
generic applicants are prevented from obtaining samples of certain brand
products necessary to support approval of a generic drug. The inability of
generic companies to purchase the samples they need slows down, or entirely
impedes, the generic drug development process – leading to delays in bringing
affordable generic alternatives to patients in need.
As described in further detail below, these kinds of problems
with generic access to necessary samples may occur when brand products are
subject to limited distribution – whether the company has voluntarily adopted
limitations on distribution, or the limitations have been imposed in connection
with a Risk Evaluation and Mitigation Strategy (or REMS), a program that FDA
implements for certain drugs to help ensure that their benefits outweigh their
risks. In some cases, brand drug sponsors may use these limited distribution
arrangements, whether or not they are REMS-related, as a basis for blocking
potential generic applicants from accessing the samples they need.
As part of the FDA’s Drug Competition Action Plan (DCAP), FDA
is committed – among other things – to addressing and improving transparency
about this and other gaming tactics that delay the generic competition Congress
intended.
There are around 50 drugs listed, including about 40
different pharmaceutical and biotechnology companies. Do you think this tactic will work? Interestingly, a New York Times article
describes Celgene’s response, here.
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