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Compounding and Repackaging of Radiopharmaceuticals by State-Licensed Nuclear Pharmacies and Federal Facilities Guidance for Industry

FinalCenter for Drug Evaluation and Research09/26/2018

Description

The Food and Drug Administration (FDA or the Agency) is announcing the availability of a guidance for industry entitled “Compounding and Repackaging of Radiopharmaceuticals by State-Licensed Nuclear Pharmacies, Federal Facilities, and Certain Other Entities.” This guidance sets forth FDA's policy regarding compounding and repackaging of radiopharmaceuticals for human use by State-licensed nuclear pharmacies, Federal facilities, and other entities that hold a radioactive materials (RAM) license for medical use issued by the Nuclear Regulatory Commission (NRC) or by an Agreement State. Because such radiopharmaceuticals are not eligible for exemptions from provisions of the Federal Food, Drug, and Cosmetic Act (FD&C Act) related to the production of drugs, FDA is issuing this guidance to describe the conditions under which it generally does not intend to take action for violations of certain provisions of the FD&C Act when these entities compound or repackage radiopharmaceuticals.

Scope & Applicability

Product Classes

4
Radiopharmaceuticals

Guidance does not specifically provide recommendations addressing dosage optimization for radiopharmaceuticals

Positron emission tomography (PET) drugs

Excluded from the scope of this guidance

Radioactive biological products

Subject to licensure under section 351 of the PHS Act

Compounded radiopharmaceutical

FDA considers these essentially a copy of marketed drugs under certain conditions

Stakeholders

4
State-licensed nuclear pharmacies

Entities compounding and repackaging radiopharmaceuticals

Outsourcing facilities

Facilities compounding drug products pursuant to section 503B.

Authorized nuclear pharmacist

Individual permitted to compound or supervise compounding of radiopharmaceuticals.; Individual who compounds or supervises the compounding

Prescribing practitioner

Determines clinical difference for an identified individual patient

Regulatory Context

Attributes

2
BUD

Beyond-use date restricted to the last time point at which data remained within specifications

Beyond use date

The date after which a compounded drug should not be used.

Related CFR Sections (3)

Related Warning Letters (1)

  • Compounding Pharmacy/Adulterated Drug Products

    The Compounding Pharmacy

    2020-06-16

See Also (8)