Xyrem REMS Grudgingly Approved; FDA Worries About Blocked Generics

FDA approves a Risk Evaluation & Mitigation Strategy for Jazz Pharmaceutical’s Xyrem under protest; the agency says the single-pharmacy distribution plan for the narcolepsy treatment has the potential to block generic competitors from the market. FDA and Jazz had been working for seven years to agree to a REMS that confirms to the requirements under the FDA Amendments Act of 2007.

The Food & Drug Administration approved a Risk Evaluation & Mitigation Strategy for Jazz Pharmaceuticals PLC’s narcolepsy drug Xyrem, but not without making clear it is unhappy that the risk management plan – which includes a single-pharmacy distribution plan – has the potential to block generic competitors.

The seven-year negotiating process ended February 27 when FDA approved

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