Slide 6 Labeling Requirements

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The document discusses the FDA labeling administrative order and specific guidelines for labeling of various drug products including requirements for labels of biological products, physician samples, and reproductive health products.

Drug labels must provide accurate product information and instructions for safe use. They must include active ingredients, dosage, expiration dates, and manufacturer details. Warnings and additional labeling may be required for certain products.

Biological product labels must state the animal or organism source and any adjuvants in the product. They must also provide information on the immune response modified by the product.

CHAPTER

Proper
Labeling
CHAPTER

6
 Description of proper labels for
pharmaceutical products as required by
the Food and Drug Administration
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Subject:
Revised Rule and Regulations Governing
the Generic Labelling Requirements of
Drug Products for Human Use
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Labels and labeling materials are the


primary sources of information for
consumers.

They provide useful information such as


those dealing with the safe and effective
use of a drug product (e.g. indication(s),
pharmacologic class and dosage), and
information dealing with quality (e.g.
manufacturing and expiration dates,
registration number, and manufacturer).
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Food and Drug Administration (FDA)


as the regulatory authority of the
Philippines responsible for all matters
pertaining to drug products, has issued
several guidelines to ensure that drug
establishments provide the most accurate
information relating to their product

Hence, this Administrative Order is


issued to rationalize the regulations on
labeling of drug products for human use,
as well as to address the gaps and issues
raised for the effective implementation of
the declared policy.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Scope

This Administrative Order shall apply to all


manufacturers and distributors (i.e.
exporters, importers and wholesalers) of
drug products for human use, including
herbal medicines and traditionally-used
herbal products.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms

1. Active Moiety -the molecule or ion,


excluding those appended portions of the
molecule that cause the drug to be an
ester, salt (including a salt with hydrogen
or coordination bonds), or other non
covalent derivative (such as complex,
chelate, or clathrate) of the molecule,
responsible for the physiological or
pharmacological action of the drug
substance.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms

2. Active Pharmaceutical Ingredient


(API) - a substance or compound that is
intended to be used in the manufacture of
a pharmaceutical product as a
therapeutically active compound
(ingredient).

3. Adverse Drug Reaction (ADR) - a


response to a medicine that is noxious and
unintended, and which occurs at doses
normally used in man.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms

4. Batch - a defined quantity of starting


material, packaging material or product
manufactured in a single or series of
processes so that it can be expected to be
homogeneous. (In the case of continuous
manufacture, the batch must correspond
to a defined fraction of production,
characterized by its intended homogeneity;
it may sometimes be
necessary to divide a batch into a number
of sub-batches, which are later brought
together to form a final homogeneous
batch).
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
5. Batch Number - a distinctive
combination of numbers and/or letters
which specifically identifies a batch on the
labels, the batch records, and the
certificates of analysis, etc.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
5. Biological Product - any product of
biological origin, prepared with
biological processes, derived from human
blood and plasma, or manufactured by
biotechnology, consisting of substances of
higher molecular weight whose purity,
potency, and composition cannot readily
and reliably be determined by chemical or
physicochemical analysis.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
7. Brand Name - the proprietary name
assigned to the product by the
Marketing Authorization Holder (MAH)

8. Contraindication - a statement
regarding the conditions wherein the use
of the drug product may cause harm to the
patient.

9. Date of Manufacture - refers to the


date (month and year) during which
processing of the bulk product, from which
the goods are to be filled, is completed.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
10. Dosage - the quantity of a medicine
given per administration.

11. Dosage Form - the drug product type


(e.g. tablet, capsule, solution, cream) that
contains a drug substance generally, but
not necessarily, in association with
excipient(s).
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
12. Dosage Strength - may refer to:
(a) the concentration of the known API or active
moiety in a given formulation stated in metric units
(b) the potency of the known API or active moiety
expressed in terms of, for example, units by
reference to a standard (potency is the specific
ability or capacity of the product as indicated by
the appropriate laboratory tests or by adequately
controlled clinical data obtained through the
administration of the product in the manner
intended to effect a given result(s). This shall be
stated in accordance with the potency
requirements of the monograph of the product, as
officially listed in USP, BP and EP, or any other
official compendia recognized by FDA.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
13. Excipient - an ingredient, added
intentionally to the drug substance which
should not have pharmacological
properties in the quantity used.

14. Formulation - the name, strength,


and reference monograph of all APIs
and/or excipients present in the drug
product.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
15. Expiration Date - the date (i.e.
month and year) placed on the label of a
drug product designating the time prior to
which a batch of the product is expected to
remain within the approved shelf life
specification if stored under defined
conditions. After the expiration date, there
is no guarantee that the product will
remain within the approved specifications
and, therefore, it may be unsuitable for
use and should not be used.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
16. Generic Class Name - the
identification of a drug product containing
three or more APIs by its scientifically and
internationally recognized name or by its
official generic name as determined by
FDA.

17. Generic Name - the identification of a


drug product by its scientifically and
internationally recognized API or by its
official generic name as determined by
FDA.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
18. Indication - the FDA-approved clinical
use of a drug product based on
substantial, scientifically supported
evidence of its safety and efficacy in the
given dosage form.

19. Precautions - the instruction and the


special care required in the use of
the drug product to avoid undesired effects
and to ensure its safe and
effective use.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
20. Warnings - statements regarding the
occurrence of potential hazards
and undesirable effects associated with the
use of the drug product and
the limitation of its use.

21. Storage Condition(s) - the


acceptable specified temperature range,
humidity, and other environmental factors
within which optimal stability of the drug
product is ensured based on laboratory
data.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
22. Lot Number - any distinctive
combination of letters and/or numbers
assigned to a particular lot, herein defined
as a portion of a batch.

23. Net Content - the total


amount/quantity/number of the dosage
form in a certain container of a drug
product expressed in metric system.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
24. Investigational Product - a
pharmaceutical form of an active
ingredient or placebo being tested or used
as a reference in a clinical trial,
including a product with a marketing
authorization when used or assembled
(formulated or packaged) in a way
different from the approved form, or when
used for an unapproved indication, or
when used to gain further information
about an approved use.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
25. Label - the written, printed or graphic
matter on any drug product, its immediate
container, tag, literature or other suitable
material affixed there to for the purpose of
giving information as to the identity,
components, ingredients, attributes,
directions for use, specifications and such
other information as may be required by
law or regulation.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
26. Labeling Materials - label on the
immediate container, and the other
printed materials that are made available
with the drug product at the time of
purchase and/or when the product is used,
such as the outer wrapper cartons,
package insert and leaflet accompanying
the product, which provide the accurate
and necessary detailed information for the
identification and proper use of the
product.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
27. Marketing Authorization Holder
(MAH) - the company or corporate or
legal entity in the field of pharmaceuticals
in whose name the MA for a drug product
has been granted. This party is responsible
for all aspects of the product, including
quality and compliance with the conditions
of the MA. The authorized holder must be
subjected to legislation in the country that
issued the MA, which normally means
being physically located in that country. In
the Philippines, the MAH may either be a
manufacturer or distributor (exporter,
importer or wholesaler).
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
32. Package Insert (PI) - the document
defining information that is supplied with
prescription drug products by the MAH.
The PI is intended for use by healthcare
professionals.

33. Patient Information Leaflet (PL) -


the document defining information that is
supplied with non-prescription drug
products by the MAH. The PIL is intended
for use by patients and is written in
layman's language.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
34. Primary Label - refers to the label on
the primary packaging material of a drug
product.

35. Product Name - the name (i.e.


generic name and brand name, if any) of
the drug product as registered in FDA.

36. Product Description - refers to the


complete organoleptic description of
the finished drug product.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
37. Pharmacologic Category - refers to
the classification of the drug product based
on its therapeutic action as specified in the
product registration.

38. Registration Number - a


combination of letters and/or numbers
assigned to a particular drug product by
FDA as proof of registration.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Definition of Terms
49. Small containers - are drug
packaging materials that hold less than or
equal to 5 mL volume or 5 g weight, which
include:
(a) ampoules, vials, and nebules of small
volume parenterals;
(b) packaging materials for ophthalmic,
otic, and nasal liquid preparations;
(c) jars and tubes for semi-solid
preparations; and
(d) any other packaging material of the
same capacity.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

General Guidelines
1. The following are the minimum mandatory
information that shall appear in the labeling
materials accompanying a drug product:
(a) Product Name (k) Storage Condition(s)
(b) Dosage Form and (l) Net Content or Pack Size
Strength (m)Name and Address of MAH
(c) Pharmacologic Category (n) Name and Address of
(d) Formulation/Composition Manufacturer
(e) Indication(s) (o) For prescription drug
(f) Dosage and Mode of products, Rx Symbol and
Administration Caution Statement
(g) Contraindication(s), (p) ADR Reporting Statement
Precaution(s), Warning(s) (if (q) Registration Number
applicable) (r) Batch Number and Lot
(h) Interactions Number (if any)
(i) Adverse Drug Reaction(s) (s) Expiration Date and Date
(f) Overdose and Treatment of Manufacture
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

General Guidelines
2. All information required to appear on the label
shall be (a) written in English and/or Filipino and
(b) readable with normal vision without straining.
The color contrast, position and spacing of the
printed matter on the label must be taken into
consideration in complying with labeling
requirements.

3. For all NCEs, biological products, and


prescription generic products and herbal medicines,
a PI shall be submitted; for all household remedies,
over-the-counter drug and herbal medicines, and
traditionally-used herbal products, a PIL shall be
submitted. The SPC shall be the basis of the
submitted PI for NCEs and biological products.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

General Guidelines
4. In lieu of PI or PIL, the foregoing information
shall be printed directly on the reverse side or inner
panel of the outer packaging material or inner
carton; provided, that the product is intended to be
sold or dispensed together with such packaging
material or inner carton.

5. For products intended to be sold without any


product information sheet and unit carton, the
minimum mandatory information shall be required
to be reflected on the primary label.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

General Guidelines

6. The revised labeling materials compliant with


this Administrative Order shall be submitted upon
renewal of the MA of a registered drug product. The
labeling materials of products due for renewal
registration within the first year of implementation
of this Administrative Order shall be granted
reasonable exhaustion period.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

1. Product Name
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

2. Dosage Strength
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

5. Indication(s)
The indication(s) stated in the labeling materials
shall include only the FDA-approved clinical use(s)
of the drug product.

6. Dosage and Mode of Administration


(a) The label shall contain full information on the
product's recommended dosage, including the (i)
initial or loading dose, (ii) optimal use or usual
dose, (iii) frequency interval, (iv) duration of
treatment, (v) dosage adjustment, and other
pertinent aspects of drug therapy, if applicable.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

3. Formulation Composition
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

3. Pharmacologic category
The pharmacologic category shall be as determined
by FDA, taking into consideration current
acceptable standards for therapeutic categories

4. Indication(s)
The indication(s) stated in the labeling materials
shall include only the FDA-approved clinical use(s)
of the drug product.

5. Dosage and Mode of Administration


-shall contain the recommended dosage
-shall contain information regarding dilution
-separate directions for use by special populations,
adults, and children shall be stated
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

6. Contraindication(s), Precaution(s),
Warning(s)
-shall contain full information regarding the
contraindications of the drug product, as well as
precaution(s) to be observed in administration and
use
-shall include warning statements such as
“flammable” ”for external use only” “keep out of
reach of children”
-where contents of a container are to be used I one
occasion only, the label must contain “single use
only” “use only once” “discard any remaining
portion”
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

7. Adverse Drug Reaction(s)


The label shall include detailed information on
adverse drug reaction(s) for a drug product
arranged by system organ class.

8. Overdose and Treatment


The label shall include signs and symptoms of
overdose, as well as possible treatment

9. Pack Size or Net Content


-shall indicate the pack size of the drug product
expressed in terms of the number of units in that
pack or the volume of each unit. Provided, that in
case of drug products for reconstitution for oral
administration, the pack size shall reflect the
volume of the product as reconstituted.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

10. Name and Address of Marketing


Authorization Holder
The label shall state the name and full address of
the MAH of the drug

11. Rx Symbol and Caution Statement


-the Rx symbol shall be prominently, legibly printed
-the caution statement. “Food, Drugs, Devices and
Cosmetics Act prohibits dispensing without
prescription” shall always be included in the
package insert, unit carton, primary label except
for blister pack, foil strip, and small containers
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

11. ADR Reporting Statement


The product information sheet and the unit carton
or primary label except blister pack, foil strip and
small containers of products intended to be sold
without a unit carton, the statement “For suspected
adverse drug reaction, report to the FDA:
www.fda.gov.ph” shall appear

12. Expiration Date and Date Manufacture


-if expressed in numbers alone, the year shall be
stated completely in order to distinguish it from the
month; and if the day is specified, the month shall
be spelled out
• June 2007 or Jun 2007
• 06/2007
• 03 June 2007 or 03 Jun 2007
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines

-unless a certain day of the month is specified, the


last day of the stated month shall be deemed as
the date of the product’s expiration/ manufacturing
date
-for products reconstitution prior to use and those
which can be administered multiple times (e.g.
suspension), the label shall include the period of
guaranteed safety, efficacy and the quality of
reconstituted preparation/ after first opening at a
given storage condition
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines
Special labeling Instructions

Parenterals
-a statement of the recommended mode of
administration such as “IV” “IM” or “SC”, as the
case maybe
-where the product consists of a concentrated
solution for injection, a direction not to administer
the solution undiluted and a direction to dilute the
solution with the specified diluent to the
appropriate volume before use shall be stated
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines
Special labeling Instructions

Fluid Replacement Products


-directly below the generic class name but still
inside the generic outline box are the individual
components (including excipients) with the
corresponding mEq/L or mmol/L enumerated in the
order of decreasing pharmacologic activity
-where one or more substances are amino acids
and/or proteins, the total amount of nitrogen in the
volume of fluid in the container shall be reflected
-the osmolality, such as “hypotonic” or “hypertonic”
and the pH value or range (where applicable) of the
solution shall be indicated
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines
Special labeling Instructions

Fluid Replacement Products


-directly below the generic class name but still
inside the generic outline box are the individual
components (including excipients) with the
corresponding mEq/L or mmol/L enumerated in the
order of decreasing pharmacologic activity
-where one or more substances are amino acids
and/or proteins, the total amount of nitrogen in the
volume of fluid in the container shall be reflected
-the osmolality, such as “hypotonic” or “hypertonic”
and the pH value or range (where applicable) of the
solution shall be indicated
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines
Special labeling Instructions

Products for external use


-shall contain the statement “For external use
only”, rendered in capital letters against a red
background or printed in red font

Biological Products
-the following additional information shall be
reflected on the formulation:
a. The name of the species of animal or organism
form which the product has been prepared
b. The name of any adjuvant in the product or any
substance which, when administered with an
antigen, modifies the immune response to that
antigen
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines
Special labeling Instructions

Multivitamins/Mineral/Herbal Products with


Non-vitamin/Mineral/Herbal Components
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines
Special labeling Instructions

Physician’s Sample
-on each of the labelling material(s), the following
statement, shall appear in red background or red
font:
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

Specific Guidelines
Special labeling Instructions

Reproductive Health Products


-the product information for reproductive health
(RH) products that are drugs shall include both PU
and PIL. The PIL shall be written in English or
Filipino, and/or local dialect.
FDA Labeling CHAPTER

6
Administrative Order 2016-0008

SANCTIONS

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