P97-26 FOOD AND DRUG ADMINISTRATION FOR IMMEDIATE RELEASE Bradford Stone (301) 827-6242 August 8, 1997 FDA TO REVIEW STANDARDS FOR ALL DIRECT-TO-CONSUMER RX DRUG PROMOTION New Guidance for Prescription Drug TV and Radio Ads First Step The Food and Drug Administration today issued a proposed guidance that will clarify the requirements for prescription drug advertisements for television and radio, and should result in making the advertisements more understandable to consumers. As the first step in a comprehensive review of all policies on direct-to-consumer promotion for prescription medicines, today's notice lays out a framework for TV and radio ads promoting prescription drugs. The ads will be required to include information about any major risks, as well as instructions for how consumers can easily obtain more detailed information about the drug's approved uses and risks. "Today's action can help promote greater consumer awareness about prescription drugs," said FDA Lead Deputy Commissioner Michael J. Friedman, M.D. "By describing realistic standards for television advertising of prescription drugs, we hope to end the uncertainty which has plagued both consumers and industry about the use of this medium. The FDA is committed to making sure that accurate and complete information is available to consumers." Under the Federal Food, Drug and Cosmetic Act, advertisements promoting the medical use of prescription drugs must contain a "brief summary" of all important information about the advertised drug, including its side effects, contraindications and effectiveness. In addition, advertisements broadcast over radio, TV or through telephone communications systems must include a "major statement" prominently disclosing all of the major risks associated with the drug. In practice, print advertisements for prescription drugs have been able to meet the "brief summary" requirement by including the risk-related sections of drug labeling together with the advertising copy. However, providing this amount of information in television and radio advertising is far more difficult, because of time and space constraints. As a result, most broadcast prescription drug ads today only mention the drug's name, but do not make any drug claims. Such "reminder" ads are exempt from the "brief summary" requirement. At the same time, existing FDA regulations allow TV and radio advertisers to forego inclusion of the "brief summary" in ads which make product claims if an ad makes "adequate provision" for dissemination of the product's approved labeling. In today's notice, FDA has developed a draft guidance describing a practical approach for broadcast advertisers. This new approach presumes that the broadcast ad is truthful, not misleading, and contains information about the major health risks associated with the drug. In lieu of providing a "brief summary," the advertiser would have to provide a mechanism to ensure that consumers can easily obtain full product labeling. The draft guidance outlines one possible mechanism for doing so, which includes the following components: -- providing a toll-free telephone number for consumers to access detailed product information in a timely fashion -- either by mail, fax or phone. -- referring to direct-to-consumer print ads which contain a brief summary of the product labeling. Reference to brochures containing similar information would also be acceptable if the brochures were distributed in a variety of publicly available sites such as doctors' offices, libraries and stores. -- providing an Internet web page (URL) address with full access to the approved product labeling. -- containing a statement that pharmacists, and/or physicians/and or veterinarians (in the case of animal drugs) may provide additional information about the product. In addition to providing this information, the broadcast advertisers are also being encouraged by FDA to provide consumers with ready access to non-promotional, consumer-friendly information about their advertised product. FDA will continuously collect information on the broadcast advertising that occurs as described in the draft guidance. FDA is also urging broadcast advertisers and others to collect data on the effect of such advertising and provide it to the agency. The agency plans to evaluate the effects of this guidance within the next two years to determine whether further refinements are needed. Those interested in commenting on the draft guidance may contact FDA at the following address: Dockets Management Branch (HFD-305) Food and Drug Administration 12420 Parklawn Drive, Room 1-23 Rockville, MD 20857 In the meantime, the agency is developing a comprehensive set of regulations for ensuring that consumers get accurate and balanced information from all forms of prescription drug advertising -- including broadcast, print, and other emerging media. ####