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IA#66-14 --- 07/18/88

Effective Date:  July 22, 1988

Type of Alert:  Automatic detention

Product:  All human prescription drugs

Country:  United States

Reference:  IA#99-01, Surveillance of American Goods Returned

Charge:

         "The article is subject to refusal of admission pursuant to Section
         801(d)(1) in that it is a prescription drug manufactured in the U.S.
         offered for import by other than the person who manufactured the drug
         and reimportation has not been authorized by the Secretary for use in
         a medical emergency as provided under Section 801(d)(2)."

Reason for Alert:

         Section 3 of the Prescription Drug Marketing Act of 1987 amends
         Section 801 of the Federal Food, Drug, and Cosmetic Act by creating
         new subsections 801(d)(1) and (2).  New subsection 801(d)(1)
         prohibits the reimportation of human prescription drugs manufactured
         in a State (including the District of Columbia and Puerto Rico)
         except when the product is returned to the person who manufactured
         it.  New Subsection 801(d)(2) provides an exception for the
         reimportation of prescription drugs when authorized by the Secretary
         in the case of a medical emergency.

Instructions:

         Automatically detain all human prescription drugs with the United
         States as the country of origin (American Goods Returned) except
         when:

         801(d)(1): the drug products are returned to the person who
         manufactured them (the manufacturer).

                                       or


         801(d)(2): the reimportation is authorized by the Secretary (or a
         delegated authority) in the case of a medical emergency.

Guidance:
              (a) Subsections 801(d)(1) and (2) should be applied to finished
                  human prescription drugs, and to bulk active ingredients as
                  well. Therefore, active ingredients manufactured in the U.S.
                  and offered for reimportation are covered by these
                  provisions.  If, however, a U.S. manufactured active
                  ingredient is used to make a finished product in another
                  country, that finished product is a different drug from that
                  which was exported and it would not be subject to the
                  provisions of subsection 801(d)(1).

              (b) Under the provisions of subsection 801(d)(1), no one except
                  "the person who manufactured the drug" may reimport an
                  American-made prescription human drug.  In determining an
                  importer's status as a "manufacturer," bear in mind that
                  manufacturing can include various activities, such as:
                  mixing, labeling, and packaging, or other steps involved in
                  a drug's preparation, depending on the nature of the product
                  and its formulation.  Refer any questions regarding whether
                  an importer is the "person who manufactured the drug" (for
                  example, if a repacker or relabeler claims to be the
                  manufacturer) to the appropriate Center Office of Compliance:

                  Drugs - Center for Drug Evaluation and Research,  HFD-300
                  Biologics - Center for Biologics Evaluation and Research,
                  HFB-100

              (c) If there is reason to believe that the importer is not the
                  manufacturer, districts may request additional documentation
                  or perform follow-up investigations to confirm the facts.


              (d) When and if the district concludes that the drug is being
                  returned to the manufacturer, the district should also
                  perform its usual review of the entry to determine whether
                  the product appears to be adulterated or misbranded.  The
                  new legislation does not exempt the original manufacturer
                  from the provisions of 801(a) to allow the import of
                  products that appear to violate the Act.  (As usual,
                  however, FDA could use its discretion in appropriate
                  situations to allow the return of certain violative
                  merchandise, i.e., a recall situation.)  When performing the
                  usual import review of reimported human prescription drugs
                  be guided by Import Alert #99-01, "Surveillance of American
                  Goods Returned."


              (e) When human prescription drugs are offered for entry for use
                  in a medical emergency, district offices should obtain from
                  the importer such information as:  (1) the reason this
                  situation should be considered an emergency, (2)
                  availability, during the relevant treatment period, of the
                  product and of alternative products on the domestic market,
                  (3) data supporting the expected duration of the emergency
                  situation and the number of expected users of the
                  re-imported drug, and (4) accountability for product that
                  may not be consumed during the emergency, including a plan
                  for disposition of any remaining product at the end of the
                  emergency situation.  The district will forward the
                  information supporting the emergency use claim to the
                  appropriate Office of Compliance:

                  Drugs - Center for Drug Evaluation and Research,  HFD-300
                  Biologics - Center for Biologics Evaluation and Research,
                  HFB-100


NOTE:    Drugs found in personal baggage will be subject to FDA's personal
         baggage policy as described in Chapter 9-72 of the Regulatory
         Procedures Manual.

Copies of this Import Alert may be provided to local Customs officials and to
import brokers as the district deems appropriate.

FOI:  No purging required.