Drug Importation Act
-the first federal statue to protect citizens from harmful drugs, and it prohibited the importation of adulterated drugs
-(only for drugs that were imported from different countries)
Pure Food & Drug Act (wiley-heyburn act)
-prohibited interstate commerce of misbranded and adulterated food, drinks, and drugs
-(did not require manufacturers to list ingredients or directions for use on the label, and it did not refer to false health claims.)
Sherley Adment
-prohibited false and 'fraudulent' label claims of therapeutic effectiveness
Food, drug, and Cosmetic Act
-prohibited marketing of a new drug until proven safe for use under the conditions described on the label and approved by the FDA.
-marked the beginning of the approval process
- "nucleus of today's laws"
Food, drug, and Cosmetic Act
Which act authorized: factory inspections, cosmetics, medical devices?
(hint: it exempted the drugs marketed before 1938 from drug approval process)
Durham-Humphrey Amendment
-required that drugs that cannot be safely used without medical supervision be dispensed only be prescription of a licensed practitioner.
Thalidomide Disaster
-drug marketed in West Germany as sleep-inducing agent
-became marked as anti-nauseant for pregnancy
-never marketed in US because of Federal Food, Drug, and Cosmetics Act of 1938
*Dr. Frances Kelsey
Kefauver-Harris Amendment
-drugs had to be safe & effective
rare disease
disease that affects fewer than 200,000 people
Orphan Drug Act
-this act passed to provide a 50% tax off human trials for manufacturers to develop and market drugs or biologicals for the treatment of 'rare diseases'
Hatch-Waxman Act
-generic drug companies did not have to perform clinical trials, but rather perform bioequivalence studies
OBRA
-pharmaceutical manufacturers required to provide rebates (best price) to Medicaid
-government sponsored demonstration projects relating to the provision of pharmaceutical services
-mandatory DUR (prospective and retrospective), including patient counseling, for Medicaid recipients
MMA
led to the creation of Medicare part D