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24 Cards in this Set

  • Front
  • Back
What's the oldest federal agency dedicated to consumer protection?
The Food and Drug Administration (FDA)
What's the enforcement branch of the FDA?
The Office of Regulatory Affairs
What's the mission of CDER?
To assure that safe and effective drugs are available to the American people
What's the mission of the CDER Office of Compliance?
To promote and protect public health through strategies and actions that minimize consumer exposure to unsafe, ineffective, and poor quality drugs.
Is CDER involved in the drug approval process?
NO!
Which act:
1.) Prohibited the importantion of adulterated drugs

2.) Established drug quality standards

3.) And was ineffective because of enforcement challenges?
1848 Drug Importation Act
Which act:

1.) Prohibited interstate commerce of misbranded and adulterated drugs?

2.) Identified official standards for drugs

3.) Has minimal labeling requirements

4.) No requirement for testing drug safety or efficacy
1906 Pure Food and Drug Act
Which act:

1.) Began the modern, scientifically based drug industry

2.) Required proof of safety prior to marketing

3.) Authorized inspections

4.) Outlawed false claims
The Federal Food, Drug, and Cosmetic Act of 1938 (made no distinction between OTCs and Rx drugs)
Which act:

1.) Defines a prescription drug

2.) Separated prescription drugs from Over-the-counter (OTC) products
1951 Durham-Humphrey Amendment
Which act:

1.) Required drugs to be both safe and effective

2.) Established Good Manufacturing Practices

3.) Applications required "substantial evidence" consisting of adequate and well controlled trials conducted by experts qualifed by scientific training and experience
1962 Federal Food, Drug, and Cosmetic Act
Roughly 2 percent of the 3.6 billion prescriptions filled in the US annually are ______
are unapproved drugs
The absence of proof of a problem is not proof ___
of the absence of a problem
What's E-ferol?
E-ferol is Vitamin E. It killed 45 children because the manufacturer changed the route of administration of the drug (didn't change the active ingredient)
True or False: all drugs in the PDR are safe and effective
False
What are the 3 Categories of Marketed Unapproved Drugs?
1.) Drug Efficacy Study Implementation (DESI) Drugs

2.) Prescription "Wrap Up"

3.) Post '62 drugs
Are DESI drugs:

a.) grandfathered drugs?

b.) generally recognized as safe and effective (GRAS/E)?
a.) NO!

b.) NO!
Describe prescription wrap-up
Drugs not covered by DESI review because there was no pre-62 application

These drugs are on the market based on a claim of being a pre-38 or pre-62 product or IRS to such a product
What are post '62 drugs?
Drugs initally marketed after 1962
All drugs must have FDA approval or comply with an OTC monograph unless (x 3)
1.) DESI pending

2.) OTC monograph pending

3.) GRAS/E
How can a firm market a grandfathered drug?
A firm must document that its product is identical in formulation, strength, dosage form, route of administration, indications, intended patient population, and other conditions of use to a drug marketed on the relevant date
Name 2 internal federal reporting programs
DOD and VA reporting program
Name some examples of voluntary reporting programs
1.) JCAHO Sentinel Events Reporting Program

2.) Medication Error Reporting Program (MERP)

3.) MEDMARX
The public has the right to every man's evidence except if:
1.) Attorney-Client Privilege

2.) Peer Review Privilege

3.) Self-Critical Analysis Privilege
What's the purpose of the patient safety act?
1.) To provide for the improvement of patient safety

2.) To reduce the incidence of events that adversely affect patient safety

3.) To encourage reporting of patient safety events