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Pure Food and Drug Act of 1906 (Wiley Act) Prevents adulteration and misbranding Drugs met standard of strength/quality/purity according to USP/NF Food, Drug, and Cosmetic Act of 1938 Required manufacturer to prove drug safety prior to marketing it Also

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Pure Food and Drug Act of 1906 (Wiley Act) Prevents adulteration and misbranding Drugs met standard of strength/quality/purity according to USP/NF Food, Drug, and Cosmetic Act of 1938 Required manufacturer to prove drug safety prior to marketing it Also defined/regulated: adulteration, misbranding, interstate commerce Durham Humphrey Amendment of 1951 Divided medications into OTC and prescription (legend) drugs Kefauver-Harris Amendment of 1962 Manufacturer's must prove that a drug is both safe and effective Poison Prevention and Packaging Act of 1970 Required child-resistant (C-R) packaging for drugs and dangerous household substances

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Florida MPJE Questions and Answers
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Food, Drug, and Cosmetic Act of 1938 ✔✔Due to sulfanilamide elixir deaths




New drugs must be SAFE before marketing




Established the FDA




Durham-Humphrey Amendment of 1951 ✔✔Created OTC vs. Legend drugs




Verbal prescriptions




Prescription refills




Kefauver-Harris Amendment of 1962 ✔✔"Drug Efficacy Amendment"




New drugs must be SAFE and EFFICACIOUS

,Established GMPs




FDA oversees prescription drug advertising




Prescription Drug Marketing Act of 1987 ✔✔Prevents re-importation of a drug into US


Prohibited hospital and healthcare entities from reselling their pharmaceuticals




Bans sale, trade, or purchase of prescription drug samples




Storage, handling, and record-keeping requirements for prescription drug samples




Prohibits re-sale of prescription drugs purchased from hospitals or healthcare facilities




Drug Compounding Quality Act ✔✔Maintains traditional compounding regulations but

establishes new section to FDCA that allows facilities that are compounding sterile

pharmaceuticals to register with FDA as outsourcing facility (503B)




These facilities are exempt from new drug provisions, adequate directions for use, and drug

track/trace provisions

,What is a 503A pharmacy? ✔✔traditional pharmacy that compounds for specific patients

pursuant to prescriptions (no cGMP required)




****Follow USP 797***




What are requirements for outsourcing facilities? ✔✔Have a licensed pharmacist




Register as an outsourcing facility




Report to the Secretary of HHS on registering and every 6 months




Be inspected by the FDA




Report serious adverse events within 15 days




Label products with identifying statement as compounded products

, Only compound drugs that have a clinical need a and/or on shortage




Drug Supply Chain Security Act (DSCSA) ✔✔"Track and Trace Amendment"




FDA Form 3911 ✔✔Track and trace form to report illegitimate products to the FDA




***Must also notify trading partners within 24 hours***




What license must pharmacies that are "distributing" have? ✔✔Wholesale distribution license




What is adulteration? ✔✔- filthy, putrid, decomposed substance




- prepped or stored in unsanitary conditions




- does not meet gmp's




- includes unapproved color additive

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