Description
This guidance sets forth the FDA’s policy regarding compounding and repackaging ofradiopharmaceuticals for human use by entities that are registered with FDA as outsourcingfacilities under section 503B of the Federal Food, Drug, and Cosmetic Act (FD&C Act or the Act).This guidance describes how FDA generally intends to apply section 503B of the FD&C Act toradiopharmaceuticals compounded by outsourcing facilities. It also describes the conditions underwhich FDA generally does not intend to take action for violations of sections 505 and 502(f)(1) ofthe FD&C Act when an outsourcing facility repackages radiopharmaceuticals.
Scope & Applicability
Product Classes
4Radioactive sterile and non-sterile drugs; Drugs with short half-lives requiring administration soon after production.
Excluded from the scope of this guidance
Subject to licensure under section 351 of the PHS Act
Drug products containing radioactive isotopes
Stakeholders
4Facilities registered under section 503B; Entities reporting adverse events under Section 503B.
Entities operating under section 503B of the FD&C Act; entity responsible for compounding under Section 503B; Entities compounding drug products under section 503B; Entity responsible for compounding drug products under section 503B.; entity responsible for compounding and labeling; Entity subject to release testing requirements under Section 503B.; entities compounding drugs under Section 503B
Pharmacists with specific credentials for handling radioactive drugs.
Individual supervising the repackaging of radiopharmaceuticals
Regulatory Context
Attributes
3Changes in radioactivity, volume, or procedure that do not adversely affect quality.
A list published by FDA of drugs that present specific challenges.
Default BUD assigned to compounded products; Assigned date for compounded drug products
Related CFR Sections (3)
- 21CFR310.3§ 310.3 Definitions and interpretations.
As used in this part:Read full regulation →
- 21CFR600.3§ 600.3 Definitions.
As used in this subchapter:Read full regulation →
- 21CFR216.24§ 216.24 Drug products withdrawn or removed from the market for reasons of safety or effectiveness.
The following drug products were withdrawn or removed from the market because such drug products or components of such drug products have been found to be unsafe or not effective. The following drug products may not be compounded under the exemptions provided by section 503A(a) or section 503B(a) ofRead full regulation →
Related Warning Letters (10)
- 2025-12-23
CGMP/Active Pharmaceutical Ingredient (API)/Adulterated/Misbranded
Darmerica, LLC
- 2025-12-23
CGMP/Finished Pharmaceuticals/Adulterated
SV Labs Corporation
- 2025-12-23
CGMP/Finished Pharmaceuticals/Adulterated
Guangdong Renhe Guozhuang Biotechnology Co., Ltd.
- 2025-12-23
CGMP/Finished Pharmaceuticals/Adulterated
Medinatura New Mexico, Inc.
- 2025-12-16
CGMP/Finished Pharmaceuticals/Adulterated
Sklar Personal Care Inc.
- 2025-12-16
CGMP/Deviations/Biologics License Application (BLA)
Microvascular Tissue, Inc.
- 2025-12-11
CGMP/Finished Pharmaceuticals/Adulterated
Catalent Indiana, LLC
- 2025-12-09
CGMP/Finished Pharmaceuticals/Adulterated
DeVere Manufacturing Inc.
- 2025-12-09
CGMP/Finished Pharmaceuticals/Adulterated
CDL Services, Inc. DBA Technichem
- 2025-12-09
CGMP/Finished Pharmaceuticals/Adulterated
Seaway Pharma Inc.
See Also (8)
- Chapter 48 7348.809A Radioactive Drug Research Committee (Status: Final)
- Developing Medical Imaging Drug and Biological Products Part 3: Design, Analysis, and Interpretation of Clinical Studies (Status: Final)
- Developing Medical Imaging Drug and Biological Products Part 2: Clinical Indications (Status: Final)
- Developing Medical Imaging Drug and Biological Products Part 1: Conducting Safety Assessments (Status: Final)
- Radioactive Drug Research Committee: Human Research Without An Investigational New Drug Application (Status: Final)
- Compounding and Repackaging of Radiopharmaceuticals by State-Licensed Nuclear Pharmacies and Federal Facilities Guidance for Industry (Status: Final)
- Product Identifiers under the Drug Supply Chain Security Act - Questions and Answers: Guidance for Industry (Status: Final)
- Oncology Therapeutic Radiopharmaceuticals: Dosage Optimization During Clinical Development: Draft Guidance for Industry (Status: Draft)