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Sulfate (Protamine Sulfate) Intravenous; Solution, 50 Milligrams/5 Milliliters, and Other Drug Products Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness
The Food and Drug Administration (FDA or Agency) has determined that the drug products listed in this document were not withdrawn from sale for reasons of safety or effectivenes...
The Food and Drug Administration (FDA or Agency) has determined that the drug products listed in this document were not withdrawn from sale for reasons of safety or effectiveness.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,
Stacy.Kane@fda.hhs.gov.
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of the drug's NDA or ANDA for reasons of safety or effectiveness, or if FDA determines that the listed drug was withdrawn from sale for reasons of safety or effectiveness (21 CFR 314.162).
Under § 314.161(a) (21 CFR 314.161(a)), the Agency must determine whether a listed drug was withdrawn from sale for reasons of safety or effectiveness: (1) before an ANDA that refers to that listed drug may be approved, (2) whenever a listed drug is voluntarily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
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.
Use this for formal legal and research references to the published document.
91 FR 34634
Web Citation
Suggested Web Citation
Use this when citing the archival web version of the 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,” 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.