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Generic drug

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360:(ANDA) with the Food and Drug Administration, seeking to demonstrate therapeutic equivalence to a previously approved "reference-listed drug" and proving that it can manufacture the drug safely and consistently. For an ANDA to be approved, the FDA requires that the 90% confidence interval of the geometric mean test/reference ratios for the total drug exposure (represented by the area under the curve or AUC) and the maximum plasma concentration (Cmax) should fall within limits of 80–125%. (This range is part of a statistical calculation, and does not mean that generic drugs are allowed to differ from their brand-name counterparts by up to 25 percent.) The FDA evaluated 2,070 studies conducted between 1996 and 2007 that compared the absorption of brand-name and generic drugs into a person's body. The average difference in absorption between the generic and the brand-name drug was 3.5 percent, comparable to the difference between two batches of a brand-name drug. Non-innovator versions of biologic drugs, or biosimilars, require clinical trials for 241:, in which the company is able to set the price of the drug at a level that maximizes profit. This profit often greatly exceeds the development and production costs of the drug, allowing the company to offset the cost of research and development of other drugs that are not profitable or do not pass clinical trials. The impact of loss of patent exclusivity on pharmaceutical products varies significantly across different product classes (e.g., biologics vs. small molecules), largely due to regulatory, legal and manufacturing hurdles associated with such products. Indeed, the greater degree of 'brand-brand' competitive dynamics seen in the biologics and complex generics space allows manufacturers of originators to better protect market share following loss of patent exclusivity. 1331:"Global Generic Drugs Market by Type (Simple Generic Drugs, super Generic drugs, Biosimilar), Application (Anti-infective, Cardiovascular, Central Nervous System, Diabetes, Oncology, Respiratory, Rheumatology), and Region (North America (U.S., Canada, Mexico), Europe (Germany, France, U.K., Russia, Spain, Italy, Benelux, Rest of Europe), Asia Pacific (China, Japan, India, South Korea, Australia, ASEAN, Rest of Asia Pacific), Latin America (Brazil, Argentina, Chile, and Rest of Latin America), and Middle East and Africa (GCC, Turkey, and South America) Growth, Trends, Covid-19 Impact, And Forecasts (2022-2028)" 368: 280:
a "scalloped" curve, which usually starts at the brand-name price on the day of generic launch and then falls as competition intensifies. After some years, the graph typically flattens out at approximately 20% of the original brand price. In about 20% of cases, the price "bounces": Some license holders withdraw from the market when the selling price dips below their cost of goods, and the price then rises for a while until the license holders re-enter the market with new stock. The NHS spent about £4.3 billion on generic medicines in 2016–17.
1691: 31: 410:. The right of individuals or organizations to petition the federal government is guaranteed by the First Amendment to the United States Constitution. For this reason, the FDA has promulgated regulations that provide, among other things, that at any time, any "interested person" can request that the FDA "issue, amend, or revoke a regulation or order," and set forth a procedure for doing so. 353:, informally known as the Hatch–Waxman Act, standardized procedures for recognition of generic drugs. In 2007, the FDA launched the Generic Initiative for Value and Efficiency (GIVE): an effort to modernize and streamline the generic drug approval process, and to increase the number and variety of generic products available. 466:
Problems with the quality of generic drugs – especially those produced outside the United States – are widespread as of 2019. The FDA does infrequent – less than annual – inspections of production sites outside the United States. The FDA normally gives advance notice of inspections, which can lead to
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When faced with patent litigation from the drug innovator or patent holder, generic companies will often counter-sue, challenging the validity of the patent. Like any litigation between private parties, the innovator and generic companies may choose to settle the litigation. Some of these settlement
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In the United Kingdom, generic drug pricing is controlled by the government's reimbursement rate. The price paid by pharmacists and doctors is determined mainly by the number of license holders, the sales value of the original brand, and the ease of manufacture. A typical price decay graph will show
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Generic drug companies may also receive the benefit of the previous marketing efforts of the brand-name company, including advertising, presentations by drug representatives, and distribution of free samples. Many drugs introduced by generic manufacturers have already been on the market for a decade
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A series of scandals around the approval of generic drugs in the late 1980s shook public confidence in generic drugs; there were several instances in which companies obtained bioequivalence data fraudulently, by using the branded drug in their tests instead of their own product, and a congressional
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India is a leading country in the world's generic drugs market, exporting US$ 20.0 billion worth of drugs in the 2019–20 (April–March) year. India exports generic drugs to the United States and the European Union. also the according to market research community the Global Generic Drugs Market was
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Large pharmaceutical companies often spend millions protecting their patents from generic competition. Apart from litigation, they may reformulate a drug or license a subsidiary (or another company) to sell generics under the original patent. Generics sold under license from the patent holder are
62:. Generic drugs are allowed for sale after the patents on the original drugs expire. Because the active chemical substance is the same, the medical profile of generics is equivalent in performance compared to their performance at the time when they were patented drugs. A generic drug has the same 501:
began encouraging more drug manufacturing by Indian companies in the early 1960s, and with the Patents Act in 1970. The Patents Act removed composition patents for foods and drugs, and though it kept process patents, these were shortened to a period of five to seven years. The resulting lack of
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In order to start selling a drug promptly after the patent on innovator drug expires, a generic company has to file its ANDA well before the patent expires. This puts the generic company at risk of being sued for patent infringement, since the act of filing the ANDA is considered "constructive
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showed that replacing Coumadin with generic warfarin was safe, but many physicians are not comfortable with their patients taking branded generic equivalents. In some countries (for example, Australia) where a drug is prescribed under more than one brand name, doctors may choose not to allow
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protections afforded to the drug's original developer expire. Once generic drugs enter the market, competition often leads to substantially lower prices for both the original brand-name product and its generic equivalents. In most countries, patents give 20 years of protection. However, many
309: may be used, for instance. Different inactive ingredients means that the generic may look different from the originator brand. However, the therapeutic effect of the drug must be the same ("pharmaceutical alternative"). Most small molecule drugs are accepted as bioequivalent if their 2240: 170:
as "products that are (a) either novel dosage forms of off-patent products produced by a manufacturer that is not the originator of the molecule, or (b) a molecule copy of an off-patent product with a trade name." Since the company making branded generics can spend little on
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list and annotates the list to show the equivalence between the reference-listed drug and the generic. The FDA also recognizes drugs that use the same ingredients with different bioavailability and divides them into therapeutic equivalence groups. For example, as of 2006,
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have active pharmaceutical ingredients that are almost identical to the original product and are typically regulated under an extended set of rules, but they are not the same as generic drugs as the active ingredients are not the same as those of their reference products.
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in the pharmaceutical industry; patented drugs with sales of around US$ 28 billion were set to come off patent in 2018, but in 2019 only about US$ 10 billion in revenue was set to open for competition, and less the next year. Companies in the industry have responded with
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Although they may not be associated with a particular company, generic drugs are usually subject to government regulations in the countries in which they are dispensed. They are labeled with the name of the manufacturer and a generic non-proprietary name such as the
1386: 1496:"WHO Expert Committee on Specifications for Pharmaceutical Preparations, Fortieth Report (WHO Technical Report Series No. 937): Annex 7 – Multisource (generic) pharmaceutical products: guidelines on registration requirements to establish interchangeability" 2084: 256:. One reason for this is that competition increases among producers when a drug is no longer protected by patents. Generic companies incur fewer costs in creating generic drugs—only the cost of manufacturing, without the costs of 388:
infringement" of the patent. In order to incentivize generic companies to take that risk the Hatch-Waxman act granted a 180-day administrative exclusivity period to generic drug manufacturers who are the first to file an ANDA.
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In 1945–2017, bioequivalence studies were only required for generics of drugs that are less than four years old. Since 2017, all generic drugs of certain classes, irrespective of age, require bioequivalence to be approved.
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cover-ups of problems before inspectors arrive; inspections performed with little or no advance notice have produced evidence of serious problems at a majority of generic drug manufacturing sites in India and China.
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patent protection created a niche in both the Indian and global markets that Indian companies filled by reverse-engineering new processes for manufacturing low-cost drugs. The code of ethics issued by the
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in addition to tests establishing bioequivalency. These products cannot be entirely identical because of batch-to-batch variability and their biological nature, and they are subject to extra rules.
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agreements, in which the generic company basically accepts a payment to drop the litigation, delaying the introduction of the generic product and frustrating the purpose of the Hatch–Waxman Act.
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Generic drug production is a large part of the pharmaceutical industry in China. Western observers have said that China lacks administrative protection for patents. However, entry to the
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dissolution behavior is required to match. Since 2018, 44 classes of drugs are exempt from testing (requiring only a dissolution check), and 13 classes only require simplified testing.
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In 2012, 84 percent of prescriptions in the US were filled with generic drugs, and in 2014, the use of generic drugs in the United States led to US$ 254 billion in health care savings.
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In 2014, according to an analysis by the Generic Pharmaceutical Association, generic drugs accounted for 88 percent of the 4.3 billion prescriptions filled in the United States.
403:; a 2011 FTC report found that consumers benefitted from lower costs when an authorized generic was introduced during the 180 day exclusivity period, as it created competition. 237:" by critics, but at some point there is no patent protection available. For as long as a drug patent lasts, a brand-name company enjoys a period of market exclusivity, or 301:
Bioequivalence does not mean generic drugs must be exactly the same as the brand-name product ("pharmaceutical equivalent"). Chemical differences may exist; a different
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investigation found corruption at the FDA, where employees were accepting bribes to approve some generic companies' applications and delaying or denying others.
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Every physician should, as far as possible, prescribe drugs with generic names and he / she shall ensure that there is a rational prescription and use of drugs.
217:. Pharmaceutical companies that develop new drugs generally only invest in drug candidates with strong patent protection as a strategy to recoup their costs of 3072: 1210: 742: 2412: 1477: 2918:["Species that can be exempted or simplified from human bioequivalence testing (BE)": 44 exempted BE varieties, 13 simplified BE varieties list]. 510:
being the largest pharmaceutical company in India. Indian generics companies exported US$ 17.3 billion worth of drugs in the 2017–18 (April–March) year.
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in 2002 calls for physicians to prescribe drugs by their generic names only. India is a leading country in the world's generic drugs market, with
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Most developed nations require generic drug manufacturers to prove that their formulations are bioequivalent to their brand-name counterparts.
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Innovator companies sometimes try to maintain some of the revenue from their drug after patents expire by allowing another company to sell an
2080: 1180: 2550: 2486: 1524: 681: 145:, may grant up to five years of additional protection ("patent term restoration") if manufacturers meet specific goals, such as conducting 1905:"Comparing generic and innovator drugs: a review of 12 years of bioequivalence data from the United States Food and Drug Administration" 1706:"Comparing Generic and Innovator Drugs: A Review of 12 Years of Bioequivalence Data from the United States Food and Drug Administration" 605: 2281: 2215: 2017:"Guidance for Industry: 180-Day Generic Drug Exclusivity Under the Hatch-Waxman Amendments to the Federal Food, Drug, and Cosmetic Act" 2978: 2016: 787: 621: 483:, the court held that generic companies cannot be held liable for information, or the lack of information, on the originator's label. 1662:
Page A, Etherton-Beer C (January 2018). "Choosing a medication brand: Excipients, food intolerance and prescribing in older people".
2241:"Authorized Generic Drugs: Short-Term Effects and Long-Term ImpactAuthorized Generic Drugs: Short-Term Effects and Long-Term Impact" 803: 691: 626: 393: 91: 83: 2630: 2105: 2001: 175:, it is able to spend on marketing alone, thus earning higher profits and driving costs down. For example, the largest revenues of 3089: 2321: 2130: 533: 523: 492: 357: 63: 2682: 2372: 2062: 1034: 3104: 3094: 156:
Manufacturers, wholesalers, insurers, and drugstores can all increase prices at various stages of production and distribution.
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Bioequivalence studies are required for new generic drugs starting from 2016, with older drugs planned as well. In addition,
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evaluated US$ 465.96 million in 2021 and is expected to rise with a CAGR of 5.5% from 2022- 2028 during the forecast period.
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and requires frequent blood tests to make sure patients do not have a subtherapeutic or a toxic level. A study performed in
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had four equivalence groups, all using the same active ingredient, but considered equivalent only within each group.
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Innovator companies may also present arguments to the FDA that the ANDA should not be accepted by filing an
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of 80–125%; most approved generics in the US are well within this limit. For more complex products—such as
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or more and may already be well known to patients and providers, although often under their branded name.
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Generic drugs are usually sold for significantly lower prices than their branded equivalents and at lower
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strategies they use to extend their exclusivity, some of which are seen as gaming the system and labeled "
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at a lower price. The prices are often low enough for users in less-prosperous countries to afford them.
3049: 636: 117: 463:, were withdrawn from the US market after the FDA determined in 2012 that they were not bioequivalent. 2824: 1860: 564: 431:
pharmacists to substitute a brand different from the one prescribed unless the consumer requests it.
407: 2466: 1588: 1214: 66:(API) as the original, but it may differ in some characteristics such as the manufacturing process, 2322:"Are brand-name and generic warfarin interchangeable? Multiple n-of-1 randomized, crossover trials" 631: 498: 326: 318: 246: 222: 214: 121: 55: 2605: 2551:"FDA Update: Budeprion XL 300 mg Not Therapeutically Equivalent to Wellbutrin XL 300 mg" 2373:"Are brand-name and generic warfarin interchangeable? A survey of Ontario patients and physicians" 2066: 1330: 2584: 2470: 2349: 2161: 1932: 1733: 1532: 1158: 651: 646: 576: 475:
Two women, each claiming to have suffered severe medical complications from a generic version of
456: 400: 341:, or biosimilar drugs—demonstrating pharmacodynamic or clinical equivalence is more challenging. 265: 611: 1531:. 1 April 2008. Code of Federal Regulations 320 Title 21, Volume 5 CFR 320 21/5. Archived from 551:
As of 2021, several major companies traditionally dominate the generic drugs market, including
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Pereira JA, Holbrook AM, Dolovich L, Goldsmith C, Thabane L, Douketis JD, et al. (2005).
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Davit BM, Nwakama PE, Buehler GJ, Conner DP, Haidar SH, Patel DT, et al. (October 2009).
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Pharmaceutical Society of Australia Competency Standards for Pharmacists in Australia 2003
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In the mid-2010s the generics industry began transitioning to the end of an era of giant
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that, until it expires, the company can use to exclude competitors by suing them for
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that contains the same chemical substance as a drug that was originally protected by
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Approved Drug Products with Therapeutic Equivalence Evaluations 29th Edition
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has brought a stronger patent system. China remains the largest exporter of
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that distinguish drugs between and within classes and suggest their action.
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U.S. Food and Drug Administration, Department of Health and Human Services
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When a pharmaceutical company first markets a drug, it is usually under a
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Some generic drugs are viewed with suspicion by doctors. For example,
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agreements have been struck down by courts when they took the form of
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When an application is approved, the FDA adds the generic drug to its
1861:"Orange Book Annual Preface, Statistical Criteria for Bioequivalence" 1637:"National Institute for Health Sciences, Division of Drugs Guidances" 588: 560: 225:, was estimated to be as much as US$ 800 million in 2003 and US$ 2.6 210: 133: 39: 35: 1904: 1705: 1097:
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Anti-Counterfeiting Trade Agreement#Criminalising generic medicine
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began reporting on consumers' complaints that generic versions of
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Before a company can market a generic drug, it needs to file an
3041: 2815:"China's Pharmaceutical Industry Lacks Innovation, Lags Behind" 1704:
Davit BM, Nwakama PE, Buehler GJ, Conner DP, Haidar SH (2009).
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Approved Drug Products with Therapeutic Equivalence Evaluations
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in 2014. Drug companies that bring new products have several
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In most cases, generic products become available after the
2683:"Generic Pharmaceutical Liability: Challenges And Changes" 1267:"What it takes to be called 'big pharma' – Market Realist" 2436:
by ticking the relevant box on the PBS prescription form"
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properties. (The FDA's use of the word "identical" is a
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range of their brand-name counterparts, with respect to
86:(INN) of the drug. A generic drug must contain the same 2246:. U.S. Federal Trade Administration (FTC). August 2011. 1950:
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Drug Price Competition and Patent Term Restoration Act
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Generic drug names are constructed using standardized
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Archived from 1211:Food and Drug Administration 812:Food and Drug Administration 743:Food and Drug Administration 2779:National Medical Commission 2681:Casey S (24 October 2012). 2485:Andrews EL (31 July 1989). 1886:"Facts about Generic Drugs" 1611:"European Medicines Agency" 1449:Acta Pharmaceutica Sinica B 1054:Journal of Health Economics 445:North Carolina Public Radio 120:, differ biologically from 34:In some countries, such as 3121: 2795:Reddy P (April 12, 2017). 2432:"Prescribers may disallow 1751:Warren JB (January 2013). 1462:10.1016/j.apsb.2013.07.004 1356:Joynson C (4 April 2012). 1146:10.1007/s40290-020-00348-7 587:, as well as Canada-based 521: 490: 190: 80:United States Adopted Name 2895:Lane EJ (16 March 2016). 2662:Liptak A (23 June 2011). 2295:: 249–293. Archived from 1835:Food and Drug Law Journal 1710:Annals of Pharmacotherapy 1335:Market Research Community 2606:"PLIVA, Inc. v. Mensing" 2187:Wyatt E (17 June 2013). 1911:(Submitted manuscript). 1712:(Submitted manuscript). 585:Dr. Reddy's Laboratories 530:World Trade Organization 504:Medical Council of India 422:(Coumadin) has a narrow 173:research and development 3090:Pharmaceutical industry 1826:Mossinghoff GJ (1999). 1639:. Japan. Archived from 1133:Pharmaceutical Medicine 1001:10.4103/0975-7406.62694 382:diltiazem hydrochloride 168:National Health Service 3105:Life sciences industry 3095:Pharmaceuticals policy 2726:"The Patent Act, 1970" 2700:Mears B (2011-06-23). 2644:. 2011. Archived from 2633:PLIVA, Inc. v. Mensing 2578:Eban K (11 May 2019). 2525:Healy M (2012-10-05). 1803:. FDA. October 4, 2007 880:"FAQ on generic drugs" 481:PLIVA, Inc. v. Mensing 372: 371:Generic Drugs Research 339:liposomal preparations 335:patch delivery systems 231:product line extension 43: 2467:"Exposing the F.D.A." 1177:"Authorized Generics" 637:Medicines Patent Pool 569:Novartis' Sandoz 449:The People's Pharmacy 370: 349:Enacted in 1984, the 319:maximum concentration 118:monoclonal antibodies 33: 2831:on December 26, 2018 2825:Worldwatch Institute 2158:10.2139/ssrn.2125456 408:FDA citizen petition 315:area under the curve 122:small-molecule drugs 108:legal interpretation 2914:Ye W (2017-11-13). 2730:www.ircc.iitb.ac.in 1364:on 31 January 2013. 719:Scientific American 632:Inverse benefit law 508:Sun Pharmaceuticals 327:confidence interval 325:) are within a 90% 247:authorized generics 223:new chemical entity 215:patent infringement 56:pharmaceutical drug 2736:on April 30, 2010. 2585:The New York Times 2491:The New York Times 2471:The New York Times 2452:The New York Times 2332:(7–8): 1188–1193. 2289:Cardozo Law Review 2137:on August 7, 2007. 1385:: 10. 8 Sep 2006. 1246:on 18 October 2020 1240:www.clihouston.com 1039:The New York Times 745:. January 12, 2010 683:Generic Drug Facts 652:Research exemption 647:Prescription costs 457:Impax Laboratories 424:therapeutic window 401:authorized generic 373: 114:Biopharmaceuticals 88:active ingredients 44: 2999:. 16 August 2023. 2531:Los Angeles Times 2338:10.1345/aph.1G003 2270:21 C.F.R. Part 10 2258:"First Amendment" 1969:10.3390/ph5121393 1962:(12): 1393–1408. 1921:10.1345/aph.1m141 1915:(10): 1583–1597. 1722:10.1345/aph.1m141 1716:(10): 1583–1597. 1405:Generics Bulletin 1383:Generics Bulletin 840:. March 25, 2013. 837:Los Angeles Times 499:Indian government 193:Drug nomenclature 16:(Redirected from 3112: 3076: 3068: 3066: 3065: 3056:. Archived from 3045: 3037: 3032:. Archived from 3025: 3023: 3022: 3013:. Archived from 3000: 2984: 2953: 2952: 2950: 2948: 2938: 2930: 2924: 2923: 2920:贤集网 (Xianji.com) 2911: 2905: 2904: 2892: 2886: 2885: 2883: 2882: 2871: 2865: 2864: 2862: 2861: 2846: 2840: 2839: 2838: 2836: 2811: 2805: 2804: 2792: 2786: 2785: 2771: 2765: 2764: 2744: 2738: 2737: 2732:. Archived from 2722: 2716: 2715: 2713: 2712: 2697: 2691: 2690: 2678: 2672: 2671: 2659: 2653: 2652: 2650: 2639: 2627: 2621: 2620: 2618: 2616: 2602: 2596: 2595: 2593: 2592: 2575: 2566: 2565: 2563: 2562: 2547: 2541: 2540: 2538: 2537: 2522: 2516: 2515: 2513: 2512: 2501: 2495: 2494: 2482: 2476: 2475: 2462: 2456: 2455: 2443: 2437: 2431: 2429: 2428: 2409: 2403: 2402: 2400: 2394:. Archived from 2386:(3): e229–e239. 2377: 2368: 2362: 2361: 2356:. Archived from 2317: 2311: 2310: 2308: 2307: 2301: 2286: 2277: 2271: 2268: 2262: 2261: 2254: 2248: 2247: 2245: 2237: 2231: 2230: 2228: 2227: 2212: 2206: 2205: 2203: 2201: 2184: 2178: 2177: 2150:Texas Law Review 2145: 2139: 2138: 2133:. Archived from 2127: 2121: 2120: 2118: 2117: 2108:. Archived from 2102: 2096: 2095: 2093: 2092: 2083:. Archived from 2077: 2071: 2070: 2065:. Archived from 2059: 2053: 2052: 2050: 2049: 2038: 2032: 2031: 2029: 2027: 2021: 2013: 2007: 2005: 1998: 1992: 1991: 1981: 1971: 1947: 1941: 1940: 1900: 1894: 1893: 1892:. 26 April 2019. 1882: 1876: 1875: 1873: 1872: 1857: 1851: 1850: 1832: 1823: 1812: 1811: 1809: 1808: 1797: 1791: 1790: 1780: 1748: 1742: 1741: 1701: 1695: 1694: 1693: 1687: 1659: 1653: 1652: 1650: 1648: 1633: 1627: 1626: 1624: 1622: 1613:. Archived from 1607: 1601: 1600: 1598: 1596: 1587:. Archived from 1577: 1571: 1570: 1568: 1566: 1551: 1545: 1544: 1542: 1540: 1521: 1515: 1514: 1512: 1510: 1500: 1492: 1486: 1485: 1473: 1467: 1466: 1464: 1440: 1431: 1430: 1428: 1426: 1415: 1409: 1408: 1400: 1394: 1393: 1391: 1380: 1372: 1366: 1365: 1353: 1347: 1346: 1344: 1342: 1327: 1321: 1320: 1307: 1301: 1300: 1298: 1296: 1281: 1275: 1274: 1262: 1256: 1255: 1253: 1251: 1242:. 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November 2021 2941:The Pharma 1000 2936: 2932: 2931: 2927: 2913: 2912: 2908: 2894: 2893: 2889: 2880: 2878: 2873: 2872: 2868: 2859: 2857: 2848: 2847: 2843: 2834: 2832: 2813: 2812: 2808: 2794: 2793: 2789: 2773: 2772: 2768: 2746: 2745: 2741: 2724: 2723: 2719: 2710: 2708: 2699: 2698: 2694: 2680: 2679: 2675: 2661: 2660: 2656: 2648: 2637: 2629: 2628: 2624: 2614: 2612: 2604: 2603: 2599: 2590: 2588: 2577: 2576: 2569: 2560: 2558: 2549: 2548: 2544: 2535: 2533: 2524: 2523: 2519: 2510: 2508: 2503: 2502: 2498: 2484: 2483: 2479: 2464: 2463: 2459: 2445: 2444: 2440: 2434:brand switching 2426: 2424: 2411: 2410: 2406: 2398: 2375: 2370: 2369: 2365: 2319: 2318: 2314: 2305: 2303: 2299: 2284: 2279: 2278: 2274: 2269: 2265: 2256: 2255: 2251: 2243: 2239: 2238: 2234: 2225: 2223: 2214: 2213: 2209: 2199: 2197: 2186: 2185: 2181: 2147: 2146: 2142: 2129: 2128: 2124: 2115: 2113: 2104: 2103: 2099: 2090: 2088: 2079: 2078: 2074: 2061: 2060: 2056: 2047: 2045: 2040: 2039: 2035: 2025: 2023: 2019: 2015: 2014: 2010: 2000: 1999: 1995: 1956:Pharmaceuticals 1949: 1948: 1944: 1902: 1901: 1897: 1884: 1883: 1879: 1870: 1868: 1859: 1858: 1854: 1830: 1825: 1824: 1815: 1806: 1804: 1799: 1798: 1794: 1750: 1749: 1745: 1703: 1702: 1698: 1688: 1661: 1660: 1656: 1646: 1644: 1635: 1634: 1630: 1620: 1618: 1609: 1608: 1604: 1594: 1592: 1579: 1578: 1574: 1564: 1562: 1553: 1552: 1548: 1538: 1536: 1523: 1522: 1518: 1508: 1506: 1498: 1494: 1493: 1489: 1475: 1474: 1470: 1442: 1441: 1434: 1424: 1422: 1417: 1416: 1412: 1402: 1401: 1397: 1389: 1378: 1374: 1373: 1369: 1355: 1354: 1350: 1340: 1338: 1329: 1328: 1324: 1319:. 6 March 2020. 1309: 1308: 1304: 1294: 1292: 1283: 1282: 1278: 1264: 1263: 1259: 1249: 1247: 1234: 1233: 1229: 1220: 1218: 1205: 1204: 1195: 1186: 1184: 1175: 1174: 1170: 1126: 1125: 1121: 1112: 1110: 1096: 1095: 1091: 1051: 1050: 1046: 1032: 1031: 1027: 981: 980: 973: 963: 961: 952: 951: 947: 937: 935: 930: 929: 925: 915: 913: 904: 903: 899: 889: 887: 878: 877: 873: 863: 861: 857: 853: 852: 845: 830: 829: 820: 806: 802: 801: 797: 786: 782: 772: 770: 762: 761: 757: 748: 746: 737: 736: 732: 723: 721: 713: 712: 705: 697: 695: 680: 679: 675: 671: 666: 642:Me-too compound 601: 549: 526: 520: 495: 489: 473: 437: 416: 347: 324: 311:pharmacokinetic 207: 195: 189: 179:, now owned by 147:clinical trials 104:pharmacodynamic 100:pharmacokinetic 28: 23: 22: 15: 12: 11: 5: 3118: 3116: 3108: 3107: 3102: 3097: 3092: 3082: 3081: 3078: 3077: 3069: 3046: 3038: 3036:on 2007-03-01. 3026: 3001: 2991: 2990:External links 2988: 2986: 2985: 2980:978-1421414935 2979: 2962: 2960: 2957: 2955: 2954: 2925: 2906: 2887: 2866: 2854:Cato Institute 2841: 2806: 2787: 2766: 2755:(4): 607–619. 2739: 2717: 2692: 2673: 2668:New York Times 2654: 2651:on 2013-05-12. 2622: 2597: 2567: 2542: 2517: 2496: 2477: 2457: 2438: 2404: 2401:on 2007-11-29. 2363: 2360:on 2011-06-16. 2312: 2272: 2263: 2249: 2232: 2207: 2194:New York Times 2179: 2140: 2122: 2097: 2072: 2069:on 2007-07-04. 2054: 2033: 2008: 1993: 1942: 1895: 1877: 1852: 1841:(2): 187–194. 1813: 1792: 1743: 1696: 1654: 1628: 1602: 1572: 1546: 1516: 1487: 1468: 1455:(5): 297–311. 1432: 1410: 1407:. 16 Feb 2007. 1395: 1367: 1348: 1322: 1302: 1276: 1271:Market Realist 1257: 1227: 1193: 1168: 1139:(4): 271–278. 1119: 1089: 1060:(2): 151–185. 1044: 1025: 971: 945: 923: 897: 871: 843: 818: 795: 788:35 U.S.C. 780: 755: 730: 703: 672: 670: 667: 665: 664: 659: 654: 649: 644: 639: 634: 629: 624: 619: 614: 609: 602: 600: 597: 548: 545: 522:Main article: 519: 516: 491:Main article: 488: 485: 477:metoclopramide 472: 469: 436: 433: 415: 412: 362:immunogenicity 346: 343: 322: 313:parameters of 258:drug discovery 254:profit margins 206: 203: 188: 185: 139:European Union 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3117: 3106: 3103: 3101: 3100:Public domain 3098: 3096: 3093: 3091: 3088: 3087: 3085: 3075:. 2 May 2018. 3074: 3070: 3060:on 2021-04-22 3059: 3055: 3053: 3047: 3043: 3039: 3035: 3031: 3027: 3017:on 2009-05-28 3016: 3012: 3011: 3006: 3002: 2998: 2994: 2993: 2989: 2982: 2976: 2973:. JHU Press. 2972: 2968: 2964: 2963: 2958: 2942: 2935: 2929: 2926: 2922:(in Chinese). 2921: 2917: 2910: 2907: 2902: 2898: 2891: 2888: 2876: 2870: 2867: 2855: 2851: 2845: 2842: 2830: 2826: 2822: 2821: 2816: 2810: 2807: 2802: 2798: 2791: 2788: 2784: 2780: 2776: 2770: 2767: 2762: 2758: 2754: 2750: 2743: 2740: 2735: 2731: 2727: 2721: 2718: 2707: 2703: 2696: 2693: 2688: 2684: 2677: 2674: 2669: 2665: 2658: 2655: 2647: 2643: 2636: 2634: 2626: 2623: 2611: 2607: 2601: 2598: 2587: 2586: 2581: 2574: 2572: 2568: 2556: 2552: 2546: 2543: 2532: 2528: 2521: 2518: 2506: 2500: 2497: 2492: 2488: 2481: 2478: 2473: 2472: 2468: 2461: 2458: 2453: 2449: 2442: 2439: 2435: 2423:on 2009-10-20 2422: 2418: 2414: 2408: 2405: 2397: 2393: 2389: 2385: 2381: 2374: 2367: 2364: 2359: 2355: 2351: 2347: 2343: 2339: 2335: 2331: 2327: 2323: 2316: 2313: 2302:on 2016-08-03 2298: 2294: 2290: 2283: 2276: 2273: 2267: 2264: 2259: 2253: 2250: 2242: 2236: 2233: 2222:on 2017-05-16 2221: 2217: 2211: 2208: 2196: 2195: 2190: 2183: 2180: 2175: 2171: 2167: 2163: 2159: 2155: 2151: 2144: 2141: 2136: 2132: 2126: 2123: 2112:on 2018-03-19 2111: 2107: 2101: 2098: 2087:on 2007-10-16 2086: 2082: 2076: 2073: 2068: 2064: 2058: 2055: 2043: 2037: 2034: 2018: 2012: 2009: 2003: 1997: 1994: 1989: 1985: 1980: 1975: 1970: 1965: 1961: 1957: 1953: 1946: 1943: 1938: 1934: 1930: 1926: 1922: 1918: 1914: 1910: 1906: 1899: 1896: 1891: 1887: 1881: 1878: 1866: 1862: 1856: 1853: 1848: 1844: 1840: 1836: 1829: 1822: 1820: 1818: 1814: 1802: 1796: 1793: 1788: 1784: 1779: 1774: 1770: 1766: 1762: 1758: 1754: 1747: 1744: 1739: 1735: 1731: 1727: 1723: 1719: 1715: 1711: 1707: 1700: 1697: 1692: 1685: 1681: 1677: 1673: 1669: 1665: 1658: 1655: 1643:on 2019-05-15 1642: 1638: 1632: 1629: 1617:on 2009-12-22 1616: 1612: 1606: 1603: 1591:on 2010-05-28 1590: 1586: 1582: 1576: 1573: 1560: 1556: 1550: 1547: 1535:on 2008-10-08 1534: 1530: 1526: 1520: 1517: 1504: 1497: 1491: 1488: 1483: 1479: 1472: 1469: 1463: 1458: 1454: 1450: 1446: 1439: 1437: 1433: 1420: 1414: 1411: 1406: 1399: 1396: 1388: 1384: 1377: 1371: 1368: 1363: 1359: 1352: 1349: 1336: 1332: 1326: 1323: 1318: 1317: 1312: 1306: 1303: 1291: 1287: 1280: 1277: 1272: 1268: 1261: 1258: 1245: 1241: 1237: 1231: 1228: 1217:on 2008-02-23 1216: 1212: 1208: 1202: 1200: 1198: 1194: 1183:on 2008-05-29 1182: 1178: 1172: 1169: 1164: 1160: 1156: 1152: 1147: 1142: 1138: 1134: 1130: 1123: 1120: 1109:on 2014-11-21 1108: 1104: 1100: 1093: 1090: 1085: 1081: 1076: 1071: 1067: 1063: 1059: 1055: 1048: 1045: 1040: 1036: 1029: 1026: 1021: 1017: 1012: 1007: 1002: 997: 993: 989: 985: 978: 976: 972: 959: 958:Seeking Alpha 955: 949: 946: 933: 927: 924: 911: 907: 901: 898: 885: 881: 875: 872: 856: 850: 848: 844: 839: 838: 833: 827: 825: 823: 819: 814: 813: 805: 799: 796: 793: 789: 784: 781: 769: 765: 759: 756: 744: 740: 734: 731: 720: 716: 710: 708: 704: 693: 689: 685: 684: 677: 674: 668: 663: 660: 658: 655: 653: 650: 648: 645: 643: 640: 638: 635: 633: 630: 628: 625: 623: 620: 618: 617:Generic brand 615: 613: 612:Bayh–Dole Act 610: 607: 604: 603: 598: 596: 594: 590: 586: 582: 578: 574: 570: 566: 562: 558: 554: 546: 544: 542: 537: 535: 531: 525: 517: 515: 511: 509: 505: 500: 494: 486: 484: 482: 478: 470: 468: 464: 462: 458: 454: 450: 446: 441: 434: 432: 429: 425: 421: 413: 411: 409: 404: 402: 397: 395: 389: 385: 383: 378: 369: 365: 363: 359: 354: 352: 345:United States 344: 342: 340: 336: 332: 328: 320: 316: 312: 308: 304: 299: 296: 294: 293:consolidation 289: 288:patent cliffs 284: 281: 277: 273: 269: 267: 266:profitability 263: 259: 255: 250: 248: 242: 240: 236: 232: 228: 224: 220: 216: 212: 204: 202: 200: 194: 186: 184: 182: 178: 174: 169: 165: 160: 157: 154: 152: 148: 144: 143:United States 140: 135: 130: 127: 123: 119: 115: 111: 109: 105: 101: 97: 96:bioequivalent 93: 89: 85: 81: 75: 73: 69: 65: 61: 57: 53: 49: 41: 37: 32: 19: 3062:. 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Index

Generic medicine

Brazil
France
pharmaceutical drug
chemical patents
active pharmaceutical ingredient
formulation
excipients
United States Adopted Name
International Nonproprietary Name
active ingredients
U.S. Food and Drug Administration
bioequivalent
pharmacokinetic
pharmacodynamic
legal interpretation
Biopharmaceuticals
monoclonal antibodies
small-molecule drugs
Biosimilars
patent
European Union
United States
clinical trials
pediatric
FDA
National Health Service
research and development
Ranbaxy

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