In a series of recent actions, the US Food and Drug Administration has shown that there are still cases of hidden, substandard facilities manufacturing adulterated drug products for the US market and it will go to great lengths to prosecute such operations. It also is pressing Congress for new authorities that will give it a greater ability to identify such facilities and protect patients from them.
Historically, there have been issues in Asia with spotless “show” factories presented for inspection, with the actual manufacturing occurring in less compliant “shadow” factories, in one case triggering a pair...