Notice2025-22681

Determination That DEMEROL (Meperidine Hydrochloride) Tablet, 100 Milligrams, and Other Drug Products Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness

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Published
December 12, 2025

Issuing agencies

Health and Human Services DepartmentFood and Drug Administration

Abstract

The Food and Drug Administration (FDA or Agency) has determined that the drug products listed in this document were not withdrawn from sale for reasons of safety or effectiveness. This determination means that FDA will not begin procedures to withdraw approval of abbreviated new drug applications (ANDAs) that refer to these drug products, and it will allow FDA to continue to approve ANDAs that refer to the products as long as they meet relevant legal and regulatory requirements.

Full Text

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<title>Federal Register, Volume 90 Issue 237 (Friday, December 12, 2025)</title>
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[Federal Register Volume 90, Number 237 (Friday, December 12, 2025)]
[Notices]
[Pages 57768-57770]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-22681]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2025-N-4734]


Determination That DEMEROL (Meperidine Hydrochloride) Tablet, 100 
Milligrams, and Other Drug Products Were Not Withdrawn From Sale for 
Reasons of Safety or Effectiveness

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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SUMMARY: The Food and Drug Administration (FDA or Agency) has 
determined that the drug products listed in this document were not 
withdrawn from sale for reasons of safety or effectiveness. This 
determination means that FDA will not begin procedures to withdraw 
approval of abbreviated new drug applications (ANDAs) that refer to 
these drug products, and it will allow FDA to continue to approve ANDAs 
that refer to the products as long as they meet relevant legal and 
regulatory requirements.

FOR FURTHER INFORMATION CONTACT: Stacy Kane, Center for Drug Evaluation 
and Research, Food and Drug Administration, 10903 New Hampshire Ave., 
Bldg. 51, Rm. 6236, Silver Spring, MD 20993-0002, 301-796-8363, 
<a href="/cdn-cgi/l/email-protection#782b0c191b01563319161d381e1c195610100b561f170e"><span class="__cf_email__" data-cfemail="f6a58297958fd8bd979893b6909297d89e9e85d8919980">[email&#160;protected]</span></a>.

[[Page 57769]]


SUPPLEMENTARY INFORMATION: Section 505(j) of the Federal Food, Drug, 
and Cosmetic Act (FD&C Act) (21 U.S.C. 355(j)) allows the submission of 
an ANDA to market a generic version of a previously approved drug 
product. To obtain approval, the ANDA applicant must show, among other 
things, that the generic drug product: (1) has the same active 
ingredient(s), dosage form, route of administration, strength, 
conditions of use, and (with certain exceptions) labeling as the listed 
drug, which is a version of the drug that was previously approved, and 
(2) is bioequivalent to the listed drug. ANDA applicants do not have to 
repeat the extensive clinical testing otherwise necessary to gain 
approval of a new drug application (NDA).
    Section 505(j)(7) of the FD&C Act requires FDA to publish a list of 
all approved drugs. FDA publishes this list as part of the ``Approved 
Drug Products With Therapeutic Equivalence Evaluations,'' which is 
generally known as the ``Orange Book.'' Under FDA regulations, a drug 
is removed from the list if the Agency withdraws or suspends approval 
of the drug's NDA or ANDA for reasons of safety or effectiveness, or if 
FDA determines that the listed drug was withdrawn from sale for reasons 
of safety or effectiveness (21 CFR 314.162).
    Under Sec.  314.161(a) (21 CFR 314.161(a)), the Agency must 
determine whether a listed drug was withdrawn from sale for reasons of 
safety or effectiveness: (1) before an ANDA that refers to that listed 
drug may be approved, (2) whenever a listed drug is voluntarily 
withdrawn from sale and ANDAs that refer to the listed drug have been 
approved, and (3) when a person petitions for such a determination 
under 21 CFR 10.25(a) and 10.30. Section 314.161(d) provides that if 
FDA determines that a listed drug was withdrawn from sale for safety or 
effectiveness reasons, the Agency will initiate proceedings that could 
result in the withdrawal of approval of the ANDAs that refer to the 
listed drug.
    FDA has become aware that the drug products listed in table 1 are 
no longer being marketed.

              Table 1--Drug Products Not Withdrawn From Sale for Reasons of Safety or Effectiveness
----------------------------------------------------------------------------------------------------------------
                                               Active                           Dosage form/
    Application No.         Drug name       ingredient(s)      Strength(s)          route           Applicant
----------------------------------------------------------------------------------------------------------------
NDA 005010............  DEMEROL.........  Meperidine        100 Milligrams    Tablet; Oral....  Quagen
                                           Hydrochloride.    (mg).                               Pharmaceuticals
                                                                                                 LLC.
NDA 009402............  DELESTROGEN.....  Estradiol         40 mg/Milliliter  Injectable;       Endo Operations
                                           Valerate.         (mL).             Injection.        Ltd.
NDA 011338............  FLUOTHANE.......  Halothane.......  99.99%..........  Liquid;           Wyeth-Ayerst
                                                                               Inhalation.       Laboratories.
NDA 017354............  LOESTRIN FE 1/20  Ethinyl           0.02 mg, 1 mg...  Tablet; Oral....  Teva Branded
                                           Estradiol,                                            Pharmaceutical
                                           Norethindrone                                         Products R&D
                                           Acetate.                                              Inc.
NDA 018063............  CORGARD.........  Nadolol.........  20 mg; 40 mg; 80  Tablet; Oral....  US WorldMeds,
                                                             mg.                                 LLC.
NDA 019429............  FIORINAL W/       Aspirin,          325 mg, 50mg, 40  Capsule; Oral...  Allergan.
                         CODEINE.          Butalbital,       mg, 30mg.
                                           Caffeine,
                                           Codeine
                                           Phosphate.
NDA 019758............  CLOZARIL........  Clozapine.......  50 mg; 200 mg...  Tablet; Oral....  Heritage Life
                                                                                                 Sciences
                                                                                                 Barbados Inc.
NDA 020496............  AMARYL..........  Glimepiride.....  1 mg; 2 mg; 4 mg  Tablet; Oral....  Sanofi-Aventis
                                                                                                 U.S. LLC.
NDA 020768............  ZOMIG...........  Zolmitriptan....  2.5 mg; 5 mg....  Tablet; Oral....  IPR
                                                                                                 Pharmaceuticals
                                                                                                 , Inc.
NDA 020933............  VIRAMUNE........  Nevirapine......  50 mg/5 mL......  Suspension; Oral  Boehringer
                                                                                                 Ingelheim
                                                                                                 Pharmaceuticals
                                                                                                 Inc.
NDA 021123............  ULTRACET........  Acetaminophen,    325 mg, 37.5 mg.  Tablet; Oral....  Janssen
                                           Tramadol                                              Pharmaceuticals
                                           Hydrochloride.                                        Inc.
NDA 021142............  OLUX............  Clobetasol        0.05%...........  Aerosol, Foam;    Norvium
                                           Propionate.                         Topical.          Bioscience,
                                                                                                 LLC.
NDA 021231............  ZOMIG-ZMT.......  Zolmitriptan....  2.5 mg; 5 mg....  Orally            AstraZeneca
                                                                               Disintegrating    Pharmaceuticals
                                                                               Tablet; Oral.     LP.
NDA 021368............  CIALIS..........  Tadalafil.......  2.5 mg..........  Tablet; Oral....  Eli Lilly and
                                                                                                 Co.
NDA 021497............  ALINIA..........  Nitazoxanide....  500 mg..........  Tablet; Oral....  Romark
                                                                                                 Laboratories.
NDA 021636............  ZEGERID.........  Omeprazole,       20 mg/Packet,     For Suspension;   Salix
                                           Sodium            1.68 grams (g)/   Oral.             Pharmaceuticals
                                           Bicarbonate.      Packet; 40 mg/                      Inc.
                                                             Packet, 1.68 g/
                                                             Packet.
NDA 021689............  NEXIUM IV.......  Esomeprazole      EQ 40 mg Base/    Injectable;       AstraZeneca
                                           Sodium.           Vial.             Intravenous.      Pharmaceuticals
                                                                                                 LP.
NDA 021799............  QUALAQUIN.......  Quinine Sulfate.  324 mg..........  Capsule; Oral...  Sun
                                                                                                 Pharmaceutical
                                                                                                 Industries,
                                                                                                 Inc.
NDA 021937............  ATRIPLA.........  Efavirenz,        600 mg, 200 mg,   Tablet; Oral....  Gilead Sciences,
                                           Emtricitabine,    300 mg.                             Inc.
                                           Tenofovir
                                           Disoproxil
                                           Fumarate.
NDA 021963............  ALLEGRA.........  Fexofenadine      30 mg/5 mL......  Suspension; Oral  Chattem Inc.,
                                           Hydrochloride.                                        DBA Sanofi
                                                                                                 Consumer
                                                                                                 Healthcare.
NDA 022331............  KAPVAY..........  Clonidine         0.1 mg..........  Extended-Release  Concordia
                                           Hydrochloride.                      Tablet; Oral.     Pharmaceuticals
                                                                                                 , Inc.
NDA 022352............  COLCRYS.........  Colchicine......  0.6 mg..........  Tablet; Oral....  Takeda
                                                                                                 Pharmaceuticals
                                                                                                 USA, Inc.
NDA 050682............  COSMEGEN........  Dactinomycin....  0.5 mg/Vial.....  Injectable;       Recordati Rare
                                                                               Injection.        Diseases Inc.
NDA 050717............  MONUROL.........  Fosfomycin        EQ 3 g Base/      For Solution;     Zambon Company
                                           Tromethamine.     Packet.           Oral.             S.p.A.
ANDA 086162...........  BUTALBITAL,       Aspirin,          325 mg, 50 mg,    Tablet; Oral....  Hikma
                         ASPIRIN AND       Butalbital,       40 mg.                              International
                         CAFFEINE.         Caffeine.                                             Pharmaceuticals
                                                                                                 LLC.
ANDA 087056...........  CYPROHEPTADINE    Cyproheptadine    4 mg............  Tablet; Oral....  Avet
                         HYDROCHLORIDE.    Hydrochloride.                                        Pharmaceuticals
                                                                                                 .
ANDA 088763...........  PROMETHAZINE      Codeine           10mg/5mL,.......  Syrup; Oral.....  Actavis Mid-
                         HYDROCHLORIDE     Phosphate,       6.25mg/5mL......                     Atlantic, LLC.
                         AND CODEINE       Promethazine
                         PHOSPHATE.        Hydrochloride.
----------------------------------------------------------------------------------------------------------------


[[Page 57770]]

    FDA has reviewed its records and, under Sec.  314.161, has 
determined that the drug products listed were not withdrawn from sale 
for reasons of safety or effectiveness. Accordingly, the Agency will 
continue to list the drug products in the ``Discontinued Drug Product 
List'' section of the Orange Book. The ``Discontinued Drug Product 
List'' identifies, among other items, drug products that have been 
discontinued from marketing for reasons other than safety or 
effectiveness.
    Approved ANDAs that refer to the drug products listed are 
unaffected by the discontinued marketing of the products subject to 
these applications. Additional ANDAs that refer to these products may 
also be approved by the Agency if they comply with relevant legal and 
regulatory requirements. If FDA determines that labeling for these drug 
products should be revised to meet current standards, the Agency will 
advise ANDA applicants to submit such labeling.

Lowell M. Zeta,
Acting Deputy Commissioner for Policy, Legislation, and International 
Affairs.
[FR Doc. 2025-22681 Filed 12-11-25; 8:45 am]
BILLING CODE 4164-01-P


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Indexed from Federal Register on December 12, 2025.

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