Document

Determination That Protamine Sulfate (Protamine Sulfate) Intravenous; Solution, 50 Milligrams/5 Milliliters, and Other Drug Products Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness

The Food and Drug Administration (FDA or Agency) has determined that the drug products listed in this document were not withdrawn from sale for reasons of safety or effectivenes...

Department of Health and Human Services
Food and Drug Administration
  1. [Docket No. FDA-2026-N-5817]
( printed page 34634)

AGENCY:

Food and Drug Administration, HHS.

ACTION:

Notice.

SUMMARY:

The Food and Drug Administration (FDA or Agency) has determined that the drug products listed in this document were not withdrawn from sale for reasons of safety or effectiveness. This determination means that FDA will not begin procedures to withdraw approval of abbreviated new drug applications (ANDAs) that refer to these drug products, and it will allow FDA to continue to approve ANDAs that refer to the products as long as they meet relevant legal and regulatory requirements.

FOR FURTHER INFORMATION CONTACT:

Stacy Kane, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6236, Silver Spring, MD 20993-0002, 301-796-8363, .

SUPPLEMENTARY INFORMATION:

Section 505(j) of the Federal Food, Drug, and Cosmetic Act (FD&C Act) (21 U.S.C. 355(j)) allows the submission of an ANDA to market a generic version of a previously approved drug product. To obtain approval, the ANDA applicant must show, among other things, that the generic drug product: (1) has the same active ingredient(s), dosage form, route of administration, strength, conditions of use, and (with certain exceptions) labeling as the listed drug, which is a version of the drug that was previously approved, and (2) is bioequivalent to the listed drug. ANDA applicants do not have to repeat the extensive clinical testing otherwise necessary to gain approval of a new drug application (NDA).

Section 505(j)(7) of the FD&C Act requires FDA to publish a list of all approved drugs. FDA publishes this list as part of the “Approved Drug Products With Therapeutic Equivalence Evaluations,” which is generally known as the “Orange Book.” Under FDA regulations, a drug is removed from the list if the Agency withdraws or suspends approval of the drug's NDA or ANDA for reasons of safety or effectiveness, or if FDA determines that the listed drug was withdrawn from sale for reasons of safety or effectiveness (21 CFR 314.162).

Under § 314.161(a) (21 CFR 314.161(a)), the Agency must determine whether a listed drug was withdrawn from sale for reasons of safety or effectiveness: (1) before an ANDA that refers to that listed drug may be approved, (2) whenever a listed drug is voluntarily withdrawn from sale and ANDAs that refer to the listed drug have been approved, and (3) when a person petitions for such a determination under 21 CFR 10.25(a) and 10.30. Section 314.161(d) provides that if FDA determines that a listed drug was withdrawn from sale for safety or effectiveness reasons, the Agency will initiate proceedings that could result in the withdrawal of approval of the ANDAs that refer to the listed drug.

FDA has become aware that the drug products listed in table 1 are no longer being marketed.

Table 1—Drug Products Not Withdrawn From Sale for Reasons of Safety or Effectiveness

Application No. Drug name Active ingredient(s) Strength(s) Dosage form/route Applicant
NDA 006460 PROTAMINE SULFATE Protamine Sulfate 50 Milligrams (mg)/5 Milliliters (mL) (10 mg/mL) Solution; Intravenous Eli Lilly and Co.
NDA 011719 METHOTREXATE SODIUM; METHOTREXTATE LPF AND METHOTREXATE PRESERVATIVE FREE Methotrexate Sodium Equal to (EQ) 2.5 mg Base/mL; EQ 20 mg Base/2 mL (EQ 10 mg Base/mL); EQ 20 mg Base/Vial; EQ 25 mg Base/mL; EQ 25 mg Base/mL; EQ 2.5 grams (g) Base/100 mL (EQ 25 mg Base/mL); EQ 50 mg Base/Vial; EQ 100 mg Base/Vial; EQ 1g Base/Vial Injectable; Injection Hospira, Inc.
NDA 012250 CARBOCAINE Mepivacaine Hydrochloride 1%; 1.5%; 2% Injectable; Injection Hospira, Inc.
NDA 016909 LIDEX Fluocinonide 0.05% Ointment; Topical Alvogen, Inc.
NDA 017010 DESONIDE Desonide 0.05% Cream; Topical Padagis LLC.
NDA 017735 MODICON 28 Ethinyl Estradiol; Norethindrone 0.035 mg; 0.5 mg Tablet; Oral-28 Janssen Pharmaceuticals, Inc.
NDA 018337 ACETAMINOPHEN Acetaminophen 650 mg Suppository; Rectal Taro Pharmaceutical Industries Ltd.
NDA 019260 PSORCON Diflorasone Diacetate 0.05% Ointment; Topical Pfizer Inc.
NDA 019487 P001 IMODIUM A-D Loperamide Hydrochloride 1 mg/5 mL Solution; Oral Kenvue Brands LLC.
NDA 020021 SUDAFED 24 HOUR Pseudoephedrine Hydrochloride 240 mg Tablet, Extended Release; Oral Kenvue Brands LLC.
NDA 020449 TAXOTERE Docetaxel 20 mg/mL (20 mg/mL); 80 mg/4 mL (20 mg/mL) Injectable; Injection Sanofi-Aventis U.S. LLC.
NDA 020497 FARESTON Toremifene Citrate EQ 60 mg Base Tablet; Oral Kyowa Kirin.
NDA 020657 SPORANOX Itraconazole 10 mg/mL Solution; Oral Janssen Pharmaceuticals.
NDA 020710 PAXIL Paroxetine Hydrochloride EQ 10 mg Base/5 mL Suspension; Oral Apotex Inc.
NDA 020747 ACTIQ Fentanyl Citrate EQ 0.2 mg Base; EQ 0.4 mg Base; EQ 0.6 mg Base; eq 0.8 mg Base; EQ 1.2 mg Base; EQ 1.6 mg Base Troche/Lozenge; Transmucosal Cephalon, LLC.
NDA 020757 AVAPRO Irbesartan 75 mg Tablet; Oral Sanofi-Aventis U.S. LLC.
NDA 021065 FEMHRT Ethinyl Estradiol; Norethindrone Acetate 0.0025 mg; 0.5 mg Tablet; Oral Allergan Pharmaceuticals International Ltd.
NDA 021087 TAMIFLU Oseltamivir Phosphate EQ 30 mg Base; EQ 45 mg Base Capsule; Oral Roche.
( printed page 34635)
NDA 021227 CANCIDAS Caspofungin Acetate 50 mg/Vial; 70 mg/Vial Powder; Intravenous Merck Sharp & Dohme.
NDA 021506 MYCAMINE Micafungin Sodium EQ 50 mg Base/Vial; EQ 100 mg Base/Vial Injectable; Intravenous Astellas Pharma US Inc.
NDA 021520 SYMBYAX Fluoxetine Hydrochloride; Olanzapine EQ 25 mg Base; EQ 3 mg Base; EQ 25 mg Base; EQ 6 mg Base; EQ 25 mg Base; EQ 12 mg Base; EQ 50 mg Base; EQ 6 mg Base; EQ 50 mg Base; EQ 12 mg Base Capsule; Oral Eli Lilly and Co.
NDA 021947 FENTORA Fentanyl Citrate EQ 0.1 mg Base; EQ 0.2 mg Base; EQ 0.4 mg Base; EQ 0.6 mg Base; EQ 0.8 mg Base Tablet; Buccal, Sublingual Cephalon, LLC.
NDA 022076 LOCOID Hydrocortisone Butyrate 0.1% Lotion; Topical Bausch Health.
NDA 022116 LEXIVA Fosamprenavir Calcium EQ 50 mg Base/mL Suspension; Oral ViiV Healthcare.
NDA 022224 TRILIPIX Choline Fenofibrate EQ 45 mg Fenofibric Acid; EQ 135 mg Fenofibric Acid Capsule, Delayed Release; Oral AbbVie Inc.
NDA 022525 NAMENDA XR Memantine Hydrochloride 14 mg; 21 mg; 28 mg Capsule, Extended Release; Oral AbbVie Inc.
NDA 022573 NORETHINDRONE AND ETHINYL ESTRADIOL AND FERROUS FUMARATE Ethinyl Estradiol; Norethindrone 0.025 mg; 0.8 mg Tablet, Chewable; Oral Teva Branded Pharmaceutical Products R&D, Inc.
NDA 050007 VIBRAMYCIN Doxycycline Hyclate EQ 100 mg Base Capsule; Oral Pfizer, Inc.
NDA 050537 CLEOCIN Clindamycin Phosphate EQ 1% Base Swab; Topical Pfizer, Inc.
ANDA 080615 DIMENHYDRINATE Dimenhydrinate 50 mg/mL Injectable; Injection
ANDA 084499 ESTRACE Estradiol 1 mg Tablet; Oral Bristol Myers Squibb.
ANDA 084500 ESTRACE Estradiol 2 mg Tablet; Oral Bristol Myers Squibb.
ANDA 088023 ADIPEX-P Phentermine Hydrochloride 37.5 mg Capsule; Oral Teva USA.
NDA 204300 VAZCULEP Phenylephrine Hydrochloride 10 mg/mL (10 mg/mL); 50 mg/5 mL; 100 mg/10 mL Solution; Intravenous Exela Pharma Sciences.
NDA 204412 DELZICOL Mesalamine 400 mg Capsule, Delayed Release; Oral AbbVie Inc.
NDA 208418 CALCIUM GLUCONATE Calcium Gluconate 1 g/50 mL; 2 g/100mL Solution; Intravenous Fresenius Kabi USA, LLC.
NDA 209091 QTERN Dapagliflozin; Saxagliptin Hydrochloride 5 mg; EQ 5 mg Base 10 mg; EQ 5 mg Base Tablet; Oral AstraZeneca AB.

FDA has reviewed its records and, under § 314.161, has determined that the drug products listed were not withdrawn from sale for reasons of safety or effectiveness. Accordingly, the Agency will continue to list the drug products in the “Discontinued Drug Product List” section of the Orange Book. The “Discontinued Drug Product List” identifies, among other items, drug products that have been discontinued from marketing for reasons other than safety or effectiveness.

Approved ANDAs that refer to the drug products listed are unaffected by the discontinued marketing of the products subject to these applications. Additional ANDAs that refer to these products may also be approved by the Agency if they comply with relevant legal and regulatory requirements. If FDA determines that labeling for these drug products should be revised to meet current standards, the Agency will advise ANDA applicants to submit such labeling.

Grace R. Graham,

Deputy Commissioner for Policy, Legislation, and International Affairs.

[FR Doc. 2026-11429 Filed 6-5-26; 8:45 am]

BILLING CODE 4164-01-P

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91 FR 34634

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“Determination That Protamine Sulfate (Protamine Sulfate) Intravenous; Solution, 50 Milligrams/5 Milliliters, and Other Drug Products Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness,” thefederalregister.org (June 8, 2026), https://thefederalregister.org/documents/2026-11429/determination-that-protamine-sulfate-protamine-sulfate-intravenous-solution-50-milligrams-5-milliliters-and-other-drug-p.