FDA Legislation and Drug Substitution
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Questions and Answers

What was the major outcome of the 1938 Federal Food, Drug and Cosmetic Act?

  • Products must be safe and effective, and patents are restored
  • Products must be safe and effective, and patents are terminated
  • Products must be safe and pure, and required to submit NDA (correct)
  • Products must be safe and pure, and required to conduct clinical trials
  • What is the primary purpose of the Hatch-Waxman Act of 1984?

  • To establish the FDA
  • To ensure drug price competition and patent term restoration (correct)
  • To require clinical trials for new drugs
  • To prohibit generic drug substitutions
  • What is the term for drugs that have the same dosage form, route of administration, strength, and meet FDA's bioequivalence range of 80-125%?

  • Bioequivalence
  • Generic equivalence
  • Therapeutic equivalence
  • Pharmaceutical equivalence (correct)
  • According to Iowa state law, what must a pharmacy obtain prior to requesting a substitution of a lower priced generic drug?

    <p>Approval of the provider</p> Signup and view all the answers

    Why are generic prescription drugs substituted?

    <p>Because they are cheaper</p> Signup and view all the answers

    What is the term for the FDA's range for bioequivalence, which is between 80% and 125% of the Cmax and AUC values?

    <p>Bioequivalence range</p> Signup and view all the answers

    What is the main difference between brand-name and generic products?

    <p>Their prices</p> Signup and view all the answers

    What is the purpose of pharmaceutical equivalence?

    <p>To ensure that generics work the same as brand-name drugs</p> Signup and view all the answers

    What is the primary reason for considering generic substitutes?

    <p>To reduce the cost of drugs</p> Signup and view all the answers

    What type of drugs are not suitable for generic substitution?

    <p>Drugs with critical dose and narrow therapeutic ratio</p> Signup and view all the answers

    What is the purpose of the Orange Book?

    <p>To list approved drug products with therapeutic equivalence evaluations</p> Signup and view all the answers

    What does the 'AB' code signify in the Orange Book?

    <p>Drugs that are therapeutically equivalent</p> Signup and view all the answers

    What does the 'BC' code signify in the Orange Book?

    <p>Extended release oral products</p> Signup and view all the answers

    What is the significance of 'TE' in the context of the Orange Book?

    <p>Therapeutic equivalence</p> Signup and view all the answers

    What is the purpose of assigning TE codes to drugs?

    <p>To identify multisource products</p> Signup and view all the answers

    What is the significance of the 'RLD' abbreviation in the context of the Orange Book?

    <p>Reference Listed Drug</p> Signup and view all the answers

    What is the primary benefit of generic substitution?

    <p>Reduced cost of drugs</p> Signup and view all the answers

    The 1962 Kefauver-Harris Amendments required products to be only safe, but not effective.

    <p>False</p> Signup and view all the answers

    A pharmacy in Iowa can substitute a higher priced prescribed drug with a lower priced generic drug without the provider's approval.

    <p>False</p> Signup and view all the answers

    Generic drugs cost more than brand-name drugs.

    <p>False</p> Signup and view all the answers

    The Hatch-Waxman Act of 1984 aimed to increase drug prices and patent terms.

    <p>False</p> Signup and view all the answers

    Bioequivalence refers to the same drug, dosage form, route of administration, and strength.

    <p>True</p> Signup and view all the answers

    The FDA sets a bioequivalence range of 50-150% for generic drugs.

    <p>False</p> Signup and view all the answers

    Pharmaceutical equivalence is only achieved if a drug has the same dosage form and route of administration.

    <p>False</p> Signup and view all the answers

    The 1906 Pure Food and Drug Act only established the FDA, but did not ensure drug purity and safety.

    <p>False</p> Signup and view all the answers

    Hormones are suitable for generic substitution.

    <p>False</p> Signup and view all the answers

    The Orange Book lists only brand-name drugs.

    <p>False</p> Signup and view all the answers

    A generic company can identify reference products using TE codes.

    <p>True</p> Signup and view all the answers

    AB codes are assigned to drugs that are not therapeutically equivalent.

    <p>False</p> Signup and view all the answers

    Generic substitution is only justified for economic reasons.

    <p>False</p> Signup and view all the answers

    The 'B' codes are assigned to drugs that are therapeutically equivalent.

    <p>False</p> Signup and view all the answers

    Therapeutic equivalence is determined by the cost of the drug.

    <p>False</p> Signup and view all the answers

    All multisource products have a single reference listed drug.

    <p>False</p> Signup and view all the answers

    The purpose of assigning TE codes is to identify brand-name drugs.

    <p>False</p> Signup and view all the answers

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