Generic manufacturers have long worried that brand companies could use Risk Evaluation and Mitigation Strategies to thwart generic competition, with controversy focusing on the ability of ANDA sponsors to access an innovator product for bioequivalence testing when a REMS restricts its distribution. But as FDA settles into the REMS era and the number of products subject to the programs continues to grow, there are a host of other factors that may impede generic entry.
Former Apotex Inc. attorney Shashank Upadhye rattled off numerous legal questions surrounding REMS at the American Conference Institute’s annual...