Title: ABBRIVIATED NEW DRUG PPLICATION
1SEMINAR ON
ABBRIVIATED NEW DRUG PPLICATION (ANDA)
Presented by Nagori Stavan Arunkumar Department
of Pharmaceutics L.M.College of Pharamcy
2Pool of topics
ANDA
- Introduction
- History of ANDA
- Guidelines available for ANDA
- Filling of ANDA
- Manufacturing and control requirements of the
ANDA - 180 days exclusitivity under Hatch Waxman
amendment - Concept of Paragraph I to IV
- Substantially complete ANDA
- House keeping regulation
- Patent expiration regulation
- Triggering period
- Waivers of exclusitivity
- 505(b)(2) application
- Supplemental new drug applications
- Case studies
- List of ANDA approved
- 2006 pending ANDA
- ANDA filed by or with Indian Pharmaceutical
company - List of references
31. Introduction
ANDA
- ANDA contains data submitted to FDA's Center for
Drug evaluation and Research, Office of Generic
Drugs, for review and ultimate approval of a
generic drug product. - Once ANDA is approved, an applicant may
manufacture and market the generic drug product
to provide a safe, effective, low cost
alternative to the American public. - A generic drug product is the one that is
comparable to an innovator drug product in dosage
form, strength, route of administration, quality,
performance characteristics and intended use.
4ANDA
- All approved products, both innovator and
generic, are listed in FDA's Approved Drug
Products with Therapeutic Equivalence Evaluations
(Orange Book). - Generic drug applications are termed
"abbreviated" - Use of bioequivalence as the base for approving
generic drug products was established by the
"Drug Price Competition and Patent Term
Restoration Act of 1984," also known as the
WAXMAN-HATCH ACT.
52. HISTORY OF ANDA
ANDA
- In 1938, proof of safety
- In 1962, THE KEFAUVER HARIS AMENDMENTS
- THE KEFAUVER HARIS AMENDMENTS led to DRUG
EFFICACY STUDY IMPLEMENTATION (DESI). - FDAs realization
- Mid 1966 notice in federal Register
- DESI review ultimately led to evolution of ANDA
concept.
6ANDA
- On April 24th 1970, the ANDA policy was published
with exception of DESI pending list drugs and
exempt as per court order - In November 1984, The Drug Price Competition and
Patent Term Restoration Act. - Title 1 ANDA regardless of time before or after
1962 - Title 2 Patent extension for life lost
- Title 3 Textile and wood products
- In April, 1992 FDA finalized the regulations
outlining the requirements for ANDAs.
7ANDA
- On November 21, 1997 Modernization Act was
signed. - Section 506A-Changes for approved ANDA/NDA
- Hatch-Waxman Amendments
83. GUIDELINES AVAILABLE FOR ANDA
ANDA
- Guidelines describe format content for the
following sections. - Application summary
- Chemistry, Manufacturing and controls section
- Non clinical pharmacology and toxicology section
- Human pharmacokinetics bioavailability section
- Clinical and statically section
- Microbiology section
9ANDA
- Guidelines available for ANDA includes
- Organization of ANDA
- Electronic submission of data for ANDA
- Submission of archival copy of application in
Microfiche - Guideline for impurities in drug substances
- Guideline for submitting supporting documentation
for the Manufacture of Drug substance. - Guideline for submitting supporting documentation
for the Manufacture of finished dosage forms.
10ANDA
- Guideline for submitting supporting documentation
for stability studies of Human drugs and
Biologics. - Guideline for packaging
- Guidelines for changes in approved ANDA and NDA
- Variations in Drug Products that may be included
in a single ANDA - 180 days exclusivity under Hatch Waxman amendment
- Guidelines for alternate source of API in pending
ANDAs - Post marketing reporting of Adverse Drug
reactions - Guidelines for changes in approved ANDA and NDA
114. FILING OF ANDA
ANDA
12ANDA
- Proper organization
- Proper format, clear table of contents, correct
folders (jackets), correct tabulation and
pagination - Details under 21 CFR 314.50, 21 CFR 314.94 and
21 CFR 314.440 - OGDs recommendation of bioequivalence, chemistry
and labeling portions of an application
13Paper based filing of ANDA
ANDA
- Application copies and general format
- Submit Archival (reference, retained and official
approved copy) and filed copy (duplicate, used by
FDA investigators) in english - Translation copy with original reference copy
14ANDA
- Review copy (duplicate, FDA viewer, destroyed) in
2 sets of binders (jackets) - In first binder CMC
- In another BE data
- Remaining data (table of contents, labeling) in
both - Consistency in color coding binders, volume size
and specifications, size and quality of paper
15ANDA
16ANDA
17ANDA
- II. Cover letter
- Purpose of submission
- Type of submission (ANDA, amendment, supplement,
annual report, or resubmission of a previously
withdrawn application) - Name, title, address and signature of applicant
- Proprietary name (if any) and name of drug
product - Number of volumes submitted
- Commitment to resolution of any issues identified
in the methods validation process after approval - Statement that the application or a portion of
the submission is in electronic process after
approval - Clearly identify submissions that contain
sterility assurance data
18ANDA
- III. Table of content(21 CFR 314509B)
19(No Transcript)
20(No Transcript)
21(No Transcript)
22ANDA
23ANDA
- IV. Tabs
- Contents Section
Tabs - E.g. Section VI - Bioavailability/Bioequivalence)
- Pagination
- Centre bottom of the page.
- VI. Field copy -additional information
- Foreign applicants should submit the field copy
to the Office of Generic Drugs -
24Electronic submission
ANDA
- ADVANTAGES
- Consistent submission
- Rapid review
- Reduction in archiving and storage space
- Establishment of structured database of technical
information associated with generic drug
applications. - OGD archiving capability
no guidelines - OGD has process for some in hard and some in soft
copy.
25ANDA
- Electronic submissions separated into 2 parts
- To address bioequivalence information
- To address information related to chemistry,
manufacturing, and controls (CMC) - Applicant may choose to submit either or both
parts - Each part consist three electronic files
- An electronic submission document (ESD)
- A set of data files
- A companion document.
26ANDA
- Key element for entering information in
electronic submission - Entry and Validation
Application (EVA). - First step in submission getting unique 3 digit
number - Electronic submission along with hard copy to OGD
- 30 days
- Cover letter-CMC and/or bioequivalence ESD will
be submitted as electronic version as new
correspondence within 30 days.
27Difference between submission of NDA and ANDA
NDA requirements ANDA requirements
Well-controlled clinical studies to demonstrate effectiveness Detailed descriptions of the components
Preclinical and clinical data to show safety Manufacturing, controls, packaging, and labeling data sufficient to assure the bioavailability or bioequivalence of the drug to be marketed.
Detailed descriptions of manufacturing and packaging procedures
Proposed annotated labeling referencing all studies from which statement s contained in the package insert has been derived.
285. MANUFACTURING AND CONTROL
REQUIREMENTS OF THE ANDA-
- Very important
- From 1977-1992, 105 Non approval letter issued by
FDA
29- FDA Manufacturing and Controls guidelines-
- Guideline for the format and content of an
application summary. - Guideline for the format and content of the
chemistry, manufacturing, and controls section of
an application. - Guideline for stability studies for Human drugs
and Biologics - Guideline for packaging of Human Drugs and
Biologics. - Guideline for submitting supporting
documentations in drug applications for the
manufacture of drug substances. - Guideline for submitting supporting documentation
for the manufacture of finished dosage forms. - Guidelines for drug master files.
30ANDA
- Requirements for Drug substances sources
- Copy of potential suppliers most recent
establishment inspection repot describing FDAs
findings - Supplier should have a DMF available at FDA for
reference purposes - Specifications for drug substances-
- Assay methodology is not specified into the
monograph for older drugs or method described is
not specific FOIs requests to FDA-copy of
pertinent assay - Check impurity peaks
31ANDA
- -Drug product requirements-
- Validation studies - to verify the accuracy,
precision, specificity, recovery and sensitivity
of the method (s) conducted by the sponsors
product with those obtained with the original
brand name product using the same methodology. - -ANDA expiration dates-
- Tentative approval of two year expiration date
for a product if satisfactory data reflecting at
least three months storage under accelerated
conditions - Final approval for the expiration date is
obtained when acceptable shelf life data for two
years on more than one production lot is made
available
326. 180-Day Generic Drug Exclusivity under the
Hatch-Waxman Amendments to the Federal Food,
Drug, and Cosmetic Act
ANDA
33After Hatch-Waxman Amendment resulted into
ANDA
- Increased availability of generics
- 1984 12 prescription were generics
- 2000 44
- 2003 51
- 10,357 FDA approved branded drugs vs. 7,602
generic counterparts - Savings of 8 10 billions every year
- Average saving per prescription approximately 53
- 1 rise in Generic prescription 1.3 billions
saving
34ANDA
- 10,357 FDA approved branded drugs vs. 7,602
generic counterparts - Savings of 8 10 billions every year
- Average saving per prescription approximately 53
- 1 rise in Generic prescription 1.3 billions
saving
35Generic Pharmaceuticals Facts Figures at a
glance
ANDA
36Generic Pharmaceuticals Facts Figures at a
glance (contd.)
ANDA
37Generic Pharmaceuticals Facts Figures at a
glance (contd.)
ANDA
387. Concept of paragraph I to IV
ANDA
- For filing ANDA, generic company must include a
patent certification as per section 505(j) (2)
(A) (vii) of the Hatch Waxman Act. - The certificate has to make one of the following
statements - No patent information on the drug product that is
the subject of the ANDA has been submitted to FDA - That such patent has expired
- The date on which such patent expires
- That such patent is invalid or will not be
infringed by the manufacture, use, or sale of the
drug product which the ANDA is submitted.
39ANDA
- The first three paragraphs (I, II, III) results
in no generic drug being sold during the term of
the innovators patent protection. - In case paragraph IV certification generic drugs
can be sold during the term of the innovators
patent protection. with rule of 45days suit and
30 months ban. - Bann approved unless
- The court decides that such patent is invalid or
not infringed. In this case ANDA approval is
made effective on the date of the court decision - The court decides that such patent has been
infringed and sets a date for approval of the
ANDA as provided. - The court grants a preliminary injuction
prohibiting the ANDA applicant from engaging in
the commercial manufacture or sale of the drug
until the court decides the issues of patent
validity and infringement.
408. SUBSTANTIALLY COMPLETE ANDA
ANDA
- Substantially complete means application with
all required information like bioequivalence,
etc. - If a new bioequivalence study required for ANDA
approval- not substantially complete and the
applicant would not be eligible for exclusivity. - Withdrawal of paragraph IV certification
voluntarily/ settlement/ defeat in patent
litigation by first applicant-looses
exclusitivity. - Again first applicant submit paragraph IV
certificate for 180 days exclusivity and there
are no subsequent applicants then first applicant
would be eligible for exclusivity.
419. HOUSE KEEPING REGULATIONS
ANDA
- First generic loses patent litigation
Para IV to III -
(loses exclusivity) - Same day submission first applicant
- Happens if patent expires on that day or generic
wants to challenge innovators ANDA for 5 years
exclusivity and submits at end of 4 year - For 6 months pediatric exclusitivity happens if
patent expires on that day or generic wants to
challenge innovators ANDA for 5(1/2) years
exclusivity and submits at end of 4(1/2) year
4210. PATENT EXPIRATION REGULATION
ANDA
- Patent for which Para IV filed expires
first generic loses exclusitivity -
Subsequent generics gets
exclusitivity
4311. TRIGGER PERIOD
ANDA
- Unnecessary delay or settlement
Trigger period concept - Commencement of the 180-day exclusivity period
for the first applicant is either the first
commercial marketing of the first applicants
product, or a decision of a court holding the
patent invalid, not infringed, or unenforceable,
whichever is earlier. - For exercising exclusitivity 180-day
triggering period -
- court decision regarding the patent
favorable to the first applicant or the first
applicant must begin commercial marketing of its
product - if not first generic would lose its
eligibility for exclusivity and subsequent
generic filers for ANDA would be eligible for
immediate approval.
44ANDA
- There is new triggering period which is
separate and distinct from the 180-day
exclusivity period. The triggering period would
begin upon the - Tentative approval of a subsequent ANDA with a
paragraph iv certification for the same drug
product - Expiration of a 30 month stay of ANDA approval
due to patent litigation - Expiration of a preliminary injunction
prohibiting marketing of an ANDA product - Expiration of the statutorily described
exclusivity periods for the listed drug
45ANDA
- Delay of ANDA into market
- Mean while subsequent generics gets
tentative approval - FDA proposes 60 days trigger period for first
generic to launch product into the market else
lose exclusitivity
46ANDA
- First generic sued Para IV certification and is
facing patent litigation by innovator -
- Triggering period would not begin at least until
the 30 month period has lapsed -
- At the end of the 30 month period, the triggering
period would begin on the date a subsequent
applicant receives tentative approval, or if a
subsequent applicant had previously received
tentative approval then on the date the 30 month
period expired.
47 12. WAIVER OF EXCLUSIVITY
ANDA
- No regulations
- Can waive to all subsequent and not single
generic applicant
4813. 505(b)(2) APPLICATION-
ANDA
- Section 505 of the FDC Act describes 3 types of
new drug application - An application that contains full reports of
investigations of safety and effectiveness
(Section 505 (b)(1)) - An application that contains full reports of
investigations of safety and effectiveness but
where at least some of the information required
for approval comes from studies not conducted by
or for the applicant and for which the applicant
has not obtained a right of reference (Section
505(b)(2)) - An application that contains information to show
that the proposed product is identical in active
ingredient, dosage form, strength, route of
administration, labeling, quality, performance
characteristics, and intended use, among other
things, to a previously approved product (Section
505(j))
49What kind of information can be used for 505(b)
(2) application?
ANDA
- Published literature
- The FDAs findings of safety and efficacy for a
previously approved drug product without
requiring the sponsor to obtain a right of
reference from the original applicant.
50What kind of application can be submitted as a
505(b) (2) application?
ANDA
- New chemical entity (NCE)/new molecular entity
(NME) - Changes to previously approved drugs
51SOME EXAMPLES OF 505(B) (2) APPLICATIONS
ANDA
- Change in dosage form
- Change in route of administration
- Change in strength
- Change in dosage regimen
- Change in formulation (excipient)
- Change in active ingredient like use of different
salt of same drug - New molecular entity i.e. is prodrug of
previously approved drug product - Substitution of an active ingredient in a
combination product - Combination product An application for a new
combination product in which the active
ingredients have been previously approved
individually. - Rx/OTC switch
- OTC monograph.
- Naturally derived or recombinant active
ingredient. - Bioinequivalence
52WHAT CAN'T BE SUBMITTED AS 505(B) (2)
APPLICATIONS?
ANDA
- An application that is a duplicate of a listed
drug and eligible for approval under section
505(j). - An application in which the only difference from
the reference listed drug is that the extent to
which the active ingredient(s) is absorbed or
otherwise made available to the site of action is
less than the listed drug. - An application in which the only difference from
the reference listed drug is that the rate at
which its active ingredient(s) is absorbed or
otherwise made available to the site of action is
unintentionally less than that of the listed drug
53What type of patent and/or exclusivity protection
is a 505(b) (2) application eligible for?
ANDA
- Granted 3 years of Waxman-Hatch exclusivity if
one or more of the clinical investigations other
than BA/BE studies was essential to approval of
the application and was conducted or sponsored by
the applicant (21 CFR 314.50(j) 314.108(b)(4)
and (5)). - Granted 5 years of exclusivity if it is for a new
chemical entity (21 CFR 314.50(j) 314.108(b)
(2)). - Eligible for orphan drug exclusivity (21 CFR
314.20-316.36) or pediatric exclusivity (section
505A of the Act).
54BENEFIT OF 505(b) (2) APPLICATION
ANDA
- Filing of ANDA in form of NDA
- 3 or 5 years of Hatch-Waxman marketing
exclusivity . - An approved 505(b) (2) product, may receive an
AB substitutability rating in the Orange Book.
55CURRENT CHALLENGE TO THE 505(b) (2) MECHANISM
ANDA
- 505(b)(2) does to not allow FDA to unauthorizing
rely on or use of an Innovators proprietary data
to approve 505(b)(2) NDAs or to give rating A
in orange book. - A petition was filed with the FDA on behalf of
two pharmaceutical industry giants
(Pfizer/Pharmacia) to curtail the FDAs approval
of 505(b) (2) applications. The Pfizer/Pharmacia
petition requested the FDA to - Cease approval of all 505(b)(2) NDAs
- Refuse to grant A substitutability ratings to
such products in orange book...
5614. SUPPLEMENTAL NEW DRUG APPLICATIONS
ANDA
- Once an ANDA as an NDA has been approved, any
significant changes in the conditions described
in the application must first be approved via a
supplemental NDA/ANDA. - Any substantive modifications proposed for the
formulation may require the submission of
additional data assuring the bioavailability of
the drug. - Certain minor changes, however, as permitted by
specific regulations, may be made without the
filing of supplemental applications.
57ANDA
- Supplemental application I is filed for any the
changes occurs in chemistry, manufacture of drug,
use, labeling, safety, effectiveness, identity,
strength, quality or purity of the drug or the
adequacy of the manufacturing methods,
facilitation, and controls to preserve these
elements.
58Supplements to new drug applications requiring
FDA approval before the change is made for the
drug substance.
ANDA
- Relaxation of specification limits
- The establishment of new regulatory limits
- The deletion of a specification or analytical
method. - A revision in the method of synthesis, including
the use of different solvents or alterations in
the approved route. - The use of different facility or establishment
for the drug substances manufacture, where the
process used to produce the drug substance
differs materially from that approved in the
NDA/ANDA and/or the facility has not received a
current satisfactory, good manufacturing practice
inspection within the last two years covering the
manufacturing process.
59Supplements to new drug applications requiring
FDA approval before the change is made for the
drug product.
- The addition or deletion of an ingredient or
alteration of the composition (except for
deletion of colorant.) - The relaxation of specification limits.
- The establishment of a new regulations analytical
method. - The deletion of a specification as regulatory
analytical method. - A revision in the method of manufacture,
including changing or relaxing and in process
control. - The use of a different facility or establishment,
including a different of contract, laboratory, on
labels, to manufacture, process, test, or pack
the drug. - The use of new container/closure system or a
revision of a relevant specification (s) and
regulatory analytical method(s). - A change in container size ( except for solid
forms) - An extension of the expiration date based on data
obtained using a new or an unapproved revised
stability testing protocol. - The establishment of a new processing procedure
for batches failing to meet quality assurance
specifications. - All labeling changes except for those
specifically exempted.
60Supplements for changes that may be made before
FDA approval
ANDA
- Full explanation of the basis for the such
changes is required - The cover letter and the supplement should be
plainly marked, Special supplement changes
being effected. - Includes for
- The addition of a new specification (s) or test
method. - Revisions in methods, facilities( Except for a
new facility or controls to provide increase
assurance of product, identity, quality, purity,
and strength). - Revisions in labeling to add or strengthen
- A contraindication, warning, precaution or
adverse reaction. - An instruction about dosage and administration to
further assure the safe use of the product. - A statement about drug abuse, dependence, or over
dosage. - Revisions in labeling to delete false, misleading
, or unsupported indications of use or claims for
effectiveness. - Use of a different facilities or establishment to
manufacture the drug substance, where the method
of manufacture does not differ materially form
that in the former facility and the new facility
has received a satisfactory cGMP inspection
within the last two year.
61Changes described in the Annual report
ANDA
- Revisions made to comply with an official
compendium e.g. USP,NF. - Revisions in the package insert concerning the
description section, or the how supplied section,
that do not involve a change in dosage strength
and / or form, or minor editorial changes in
these and/or other sections. - Deletion of a colorant from the drug product.
- Extension of expiration dating based on data
obtained using a protocol approved in the
application. - A switch to another container/closure system,
where the material (s) used is the same general
type as previously approved.(e.g. a change from
one high-density polyethylene to another). - In the case of solid dosage forms a change in
container size without a change in the
container/closure system. - The deletion or addition of an alternate
analytical method.
62Supplemental new drug application checklist
ANDA
- Make all submissions in duplicate, including
cover letters. - Include a brief description in the cover letter
of what the supplement contains, including its
objective and the headings , supplemental
expedited review requested or special
supplement changes being effected when
appropriate. - Whenever possible make a side by side comparison
of current versus proposed conditions. - Use reference numbers for the NDA and the
supplement if it is an additional submission. - Describe in detail all aspects of the change
- Use dates when referring to previous submissions
of FDA letters, particularly if the
correspondence goes back more than several years.
- When submitting photocopies make sure that all
copies are clear and legible. - To assure legibility also type the name of the
person signing the document. - When referring to drug master files (DMFs),
confirm that they are up-to-date. Any changes
submitted to a DMF must be relevant to the
application (s) they affect. - Address all submissions concerning supplemental
NDAs to the appropriate office and division of
the FDA.
6315. CASE STUDIES
ANDA
- Patent of PAXIL (Paroxetine HCL hemihydrate)
- SmithKline Backhem (SKB) obtained patent of Paxil
as NDA. - In 1998 Apotex filed Para IV certificate for
getting ANDA - SKB filed legal suit for patent infringement
- 30-months stay on Apotex approval
- SKB filed patent extension 1 for use as liquid
oral - 3 more patents in 1999 2000 for anhydrous form
- 5th patent for Paroxetine methanosulfate in 2000
- Serial Patent submission tactics, with newer
30-month stay every time - Result The patent of litigation expired, but
Apotex could not enter due to the newer (later)
patents
64ANDA
- Patent of BUSPAR (BMS Pharmaceuticals)
- Mylan pharmaceuticals filed Para III ANDA in 98
(launch after the patent expiry). Got
Tentative approval from US FDA - BMS Patent was to expire on 1159 at midnight of
21st Nov. 00 - Mylan pharmaceuticals loaded the trucks at
midnight with generic versions of BUSPAR to
launch in US on 22nd Nov.00 - 12 hours before patent expiry, BMS was granted a
new patent by US Patent Trademark office - BMS immediately submitted new patent to US FDA
- FDA updated the orange book and issued letter of
incompleteness in ANDA to Mylan - Mylans consignments remained on shipping dock
- In end net result was BMS ruled for 15 years
without competition from 1986 for Buspar
6516. List of NDA/ANDA approved by FDA from 2004
ANDA
66ANDA
67ANDA
68ANDA
69ANDA
70ANDA
71ANDA
72ANDA
73ANDA
74ANDA
75ANDA
76ANDA
77ANDA
78ANDA
79ANDA
80ANDA
81ANDA
82ANDA
83ANDA
84ANDA
85ANDA
86ANDA
87ANDA
88ANDA
89ANDA
90ANDA
91ANDA
92ANDA
93ANDA
94ANDA
95ANDA
96ANDA
97ANDA
98ANDA
99ANDA
100ANDA
101ANDA
102ANDA
103ANDA
104ANDA
105ANDA
106ANDA
107ANDA
108ANDA
109ANDA
110ANDA
111ANDA
112ANDA approved in October 2005
ANDA
113ANDA
114ANDA
115Tentative ANDA approval (July2005)
ANDA
116ANDA
11717. List of ANDA patents pending this year (from
Jan 2006)
ANDA
Date Filed Docket Name of Petitioner/Subject Matter
02/09/2006 2006P-0070 Pfizer Inc./Misbranding of generic azithromycin products marketed by Teva Pharmaceuticals USA and Sandoz Inc.
02/10/2006 2006P-0072 Olsson,Frank and Weeda, P.C./ANDA for prednisolone sodium phosophate, USP,oral solution, 10 mg prednisolone base/5mL
11818. ANDA filed by or with Indian Pharmaceutical
company
119(No Transcript)
120Ranbaxys ANDA which are in pipeline for filing
patent
ANDA
121ANDA
122ANDA
123Generics with DR. Reddies Limited
ANDA
Type Name
ANDA Ranitidine tab 75 mg (OTC)
ANDA Ranitidine Cap (150, 300 mg)
ANDA Famotidine tablet (10, 20,40 mg)
ANDA Oxaprozin tablet (600mg)
ANDA Fluxetine Capsule (40mg)
ANDA Enalpril maleate with hydrochlorthiazide tablet (5-12.5,10-25 mg)
ANDA Ibuprofen tablet (400, 600 and 800 mg)
ANDA Ibuprofen tablet (200 mg-OTC)
124ANDA
Type Name
Tentative ANDA Ciprofloxacin tablet (100, 250, 500, 750 mg)
Tentative ANDA Omeprazole capsule (40mg)
Tentative ANDA Fluxetine tablet (10 mg)
Tentative ANDA Fluxetine Capsule (10, 20 mg)
125ANDAs with Zydus Cadila
ANDA
- Atenolol tablet
- Methformin HCl
- Promethazine tablet
126Tentative ANDAs with Zydus cadila
ANDA
- Divalproex Na DR tablet
- Gatifloxain tablet
- Ribavirin capsule and tablet
127List of generic products available with Cipla
Pharmaceuticals
ANDA
12819. List of references
- www.fda.gov
- www.phorum.com
- www.morganfinnegan.com
- www.drugdeliverytech.com
- Richard A., Guarino M. D., New drug approval
process second edition, Marcel dekker, 56,
325-356/427-446.
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