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. 2022 Nov 29;58(1):38–48. doi: 10.1177/00185787221138007

Table 3.

FDA Approval Pathways for Chemical Drugs, Generics, Biologics, and Biosimilars.

Chemical drugs Generics Biologics Biosimilars
Application New drug application (NDA) Abbreviated NDA (ANDA) Biologics License Application (BLA) Abbreviated application
Pathway 505 (b) 505 (j) 351 (a) 351 (k)
Law Federal Food, Drug, and Cosmetic Act Hatch-Waxman Amendment 1984 Public Health Service Act BCPI Act
Evidence Full safety and effectiveness data* Bioequivalence and Pharmacokinetic (PK) studies Full safety and effectiveness* and purity Full safety and effectiveness*, analytical data, comparative studies to demonstrate safety, efficacy, and purity
Designation Reference Standard (RS) “Patent” Exclusive marketing Therapeutic Equivalent to RLS. Many generics can be produced for an original product Original or Reference listed drug which is “Patent” for 10–15 years with exclusive marketing Interchangeability to be determined. Many biosimilars can be produced for a reference product
Indexed FDA approval list Orange book Purple book Purple book
*

Full safety and effectiveness data include preclinical, pharmacokinetics /pharmacodynamics, and human clinical studies.

Orange book includes approved drug products with therapeutic equivalence evaluations by FDA.

Purple book includes lists of licensed biological products with reference product exclusivity and bio-similarity or interchangeability evaluations.