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September 9, 2014 
The Honorable Barbara Mikulski 
Chairwoman 
Committee on Appropriations 
United States Senate 
S128, US Capitol 
Washington, DC 20510 
The Honorable Richard Shelby 
Ranking Member 
Committee on Appropriations 
United States Senate 
S-146A US Capitol 
Washington DC 20510 
Dear Chairwoman Mikulski and Ranking Member Shelby: 
In November 2013, the Food and Drug Administration (FDA) proposed to revise its regulations to allow generic drug manufacturers to initiate safety updates to their products’ labeling.1 We strongly support the FDA’s proposal. 
Generic manufacturers currently are barred from providing new warning information, except in response to a brand-name update or FDA order. Yet most prescription drugs sold in the United States are generic versions, and the brand-name manufacturer often stops selling the drug after generic versions come on the market. 
Allowing the generic manufacturers to initiate safety updates, as brand-name companies have done for 30 years, is essential to patients and consumers, as promptly updated warnings can provide informed consent to patients and physicians and prevent serious harm to patients. 
Recently, the House Committee on Appropriations included a few sentences in its report of the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Bill for fiscal year 2015 that would unnecessarily delay the FDA’s ability to finalize the proposed rule and leave patients and consumers exposed to the current inadequate safegurds. 
Patients and consumers deserve up-to-date information about the prescription drugs they use, including the most up-to-date safety warnings. Allowing generic drug manufacturers the flexibility to update safety labeling as soon as they become aware of new information is important to protect the health of all Americans and maintain the public’s trust in generic drugs. The FDA’s proposal deserves the strong support of Congress and all those who care about public health in the United States. 
We strongly oppose the inclusion of the House Language and ask for your support in making sure that it is not included in any final appropriations report for the Food and Drug Administration, or any other legislation. 
Thank you for your consideration.
Alliance for Justice 
Alpha-1 Foundation 
American Autoimmune Related Diseases Association 
American Medical Student Association 
American Medical Women’s Association 
Annie Appleseed Project 
Brain Injury Association of America 
Breast Cancer Action 
Center for Justice & Democracy at New York Law School 
Center for Medical Consumers 
Center for Science and Democracy at the Union of Concerned Scientists 
Connecticut Center for Patient Safety 
Consumers Union 
COPD Foundation 
Jacobs Institute of Women's Health 
Lupus Foundation of America 
Mothers Against Medical Error 
National Center for Health Research 
National Consumers League 
National Eczema Association 
National Latina Institute for Reproductive Health 
National Physicians Alliance 
National Women’s Health Network 
New Yorkers for Patient & Family Empowerment 
Our Bodies Ourselves 
Prevent Blindness America 
Public Citizen 
Public Justice 
Reproductive Health Technologies Project 
Sjogren's Syndrome Foundation 
The TMJ Association 
U.S. PIRG 
WARS 
WoodyMatters 
The organizations listed above can be reached through Paul Brown at (202) 223-4000 or at pb@center4research.org 
1 Supplemental Applications Proposing Labeling Changes for Approved Drugs and Biological Products (78 Fed. Reg. 67985).

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Consumer organizations support FDA proposal to reform labeling rules for generic drugs

  • 1. September 9, 2014 The Honorable Barbara Mikulski Chairwoman Committee on Appropriations United States Senate S128, US Capitol Washington, DC 20510 The Honorable Richard Shelby Ranking Member Committee on Appropriations United States Senate S-146A US Capitol Washington DC 20510 Dear Chairwoman Mikulski and Ranking Member Shelby: In November 2013, the Food and Drug Administration (FDA) proposed to revise its regulations to allow generic drug manufacturers to initiate safety updates to their products’ labeling.1 We strongly support the FDA’s proposal. Generic manufacturers currently are barred from providing new warning information, except in response to a brand-name update or FDA order. Yet most prescription drugs sold in the United States are generic versions, and the brand-name manufacturer often stops selling the drug after generic versions come on the market. Allowing the generic manufacturers to initiate safety updates, as brand-name companies have done for 30 years, is essential to patients and consumers, as promptly updated warnings can provide informed consent to patients and physicians and prevent serious harm to patients. Recently, the House Committee on Appropriations included a few sentences in its report of the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Bill for fiscal year 2015 that would unnecessarily delay the FDA’s ability to finalize the proposed rule and leave patients and consumers exposed to the current inadequate safegurds. Patients and consumers deserve up-to-date information about the prescription drugs they use, including the most up-to-date safety warnings. Allowing generic drug manufacturers the flexibility to update safety labeling as soon as they become aware of new information is important to protect the health of all Americans and maintain the public’s trust in generic drugs. The FDA’s proposal deserves the strong support of Congress and all those who care about public health in the United States. We strongly oppose the inclusion of the House Language and ask for your support in making sure that it is not included in any final appropriations report for the Food and Drug Administration, or any other legislation. Thank you for your consideration.
  • 2. Alliance for Justice Alpha-1 Foundation American Autoimmune Related Diseases Association American Medical Student Association American Medical Women’s Association Annie Appleseed Project Brain Injury Association of America Breast Cancer Action Center for Justice & Democracy at New York Law School Center for Medical Consumers Center for Science and Democracy at the Union of Concerned Scientists Connecticut Center for Patient Safety Consumers Union COPD Foundation Jacobs Institute of Women's Health Lupus Foundation of America Mothers Against Medical Error National Center for Health Research National Consumers League National Eczema Association National Latina Institute for Reproductive Health National Physicians Alliance National Women’s Health Network New Yorkers for Patient & Family Empowerment Our Bodies Ourselves Prevent Blindness America Public Citizen Public Justice Reproductive Health Technologies Project Sjogren's Syndrome Foundation The TMJ Association U.S. PIRG WARS WoodyMatters The organizations listed above can be reached through Paul Brown at (202) 223-4000 or at pb@center4research.org 1 Supplemental Applications Proposing Labeling Changes for Approved Drugs and Biological Products (78 Fed. Reg. 67985).