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. 2021 Mar 29;181(7):995–997. doi: 10.1001/jamainternmed.2021.0484

Table. Characteristics of Brand-Name Drugs With Full-Label and “Skinny-Label” First Generic Approvals, 2015-2019.

Drug characteristic Brand-name drugs, No. (%)
Susceptible to skinny labeling With full-label generic drug With skinny-label generic drug
Total No. of brand-name drugs 56 32 24
Year of first generic approval
2015 19 (34) 14 (44) 5 (21)
2016 10 (18) 6 (19) 4 (17)
2017 12 (21) 9 (28) 3 (13)
2018 7 (13) 2 (6) 5 (21)
2019 8 (14) 1 (3) 7 (29)
Brand-name label includes:
Pediatric population 23 (41) 8 (25) 15 (63)
Supplemental indicationa 34 (61) 14 (44) 20 (83)
>2 Indications/populations 28 (50) 14 (44) 14 (58)
Net salesb in 1 y prior to first generic approval, in millions, US $
<500 19 (34) 10 (31) 9 (38)
500-2000 15 (27) 10 (31) 5 (21)
>2000 5 (9) 0 5 (21)
Not available 17 (30) 12 (38) 5 (21)
a

Supplemental indication is a new use approved by the US Food and Drug Administration that was not included in the original brand-name drug approval.

b

Calculated by summing net sales for the 4 quarters before brand-name drug approval, using data from SSR Health. Two brand-name drugs in the cohort were referenced by both skinny-label and full-label generic drugs, and we categorized these as full labels only.