NuCare Pharmaceuticals Inc

WARNING LETTER NuCare Pharmaceuticals Inc MARCS-CMS 588096 — September 26, 2019 More Warning Letters Warning Letters About Warning and Close-Out Letters Delivery Method: VIA UNITED PARCEL SERVICE Product: Drugs Recipient: Recipient Name Jasmine Contreras NuCare Pharmaceuticals Inc 622 W Katella Ave Orange , CA 92867 United States Issuing Office: Center for Drug Evaluation and Research 10903 New Hampshire Avenue Silver Spring , MD 20993 United States WARNING LETTER September 26, 2019 WL #1280 Dear Jasmine Contreras: The United States Food and Drug Administration (FDA) has manually reviewed over 200 of your firm’s listing files from August 2017 to the present and has identified many instances where the listing information failed to comply with the applicable requirements. You have failed to address many of the listing deficiencies detailed in multiple deficiency letters addressed to your company dated August 10, 2017, August 14, 2017, and May 14, 2018. Forty-five days after these FDA letters were sent, emails of data removal notifications were sent to your company and at that time, the listing data associated with these deficiencies were removed from the on-line NDC Directory.  Prompt action must be taken to correct the remaining deficiencies. Section 510 of the Federal Food, Drug, and Cosmetic Act (“FD&C Act” or the “Act”) outlines the requirements for registration and listing of drug products. Under section 510 of the Act, and 21 CFR Part 207, with some limited exceptions, firms that manufacture [1] drugs in the United States or that are offered for import into the United States must be registered with the FDA. [2] Every person who is required to register must, at the time of initial registration, list all drugs that are manufactured for commercial distribution. [3] Drug listing information also must be updated in June and December of each year. [4] Drug listing updates must include listing information for each drug manufactured for commercial distribution not previously listed with FDA, information regarding drugs for which manufacturing for commercial distribution has been discontinued and any material changes to previously submitted drug listing information. Although your firm has made some corrections in response to FDA’s deficiency letters, NuCare continues to be in non-compliance with its listing obligations under section 510(j) of the FD&C Act (specifically 510(j)(2) of the Act and various provisions of 21 CFR Part 207. Continued analysis of your firm’s current drug listing files confirms that since FDA first contacted NuCare in August 2017, some of the incorrect listings outlined in the above-mentioned deficiency letters have been addressed and corrected, but many incorrect listings remain unresolved. Also, several drug listings submitted recently by your firm do not meet the listing requirements and include erroneous data. The chart below details examples of existing violations included in deficiency letters, as well as examples of errors found in more recent drug listing submissions. Drug Name NDC Violation Date of most recent incorrect submission Permethrin 68071-3294 Incorrect carton label image: the carton label is of Rosuvastatin Calcium while the listed drug is Permethrin (deficiency letter sent on Aug. 14, 2017) March 22, 2019 Fluconazole 68071-4002 Mismatched strength in carton label and listing SPL: the carton label strength is 150 mg while the SPL is 50 mg (deficiency letter sent on Aug. 10, 2017) March 19, 2019 Dr. Sheffield Muscle Rub Cream 68071-1624 Missing active ingredient names and strengths on the carton label: Menthol 10% and Methyl Salicylate 15% (deficiency letter sent on May 14, 2018) March 7, 2019 Nystatin Cream 66267-952 Strength of active ingredient, Nystatin, missing from carton label (deficiency letter sent on May 14, 2018) August 24, 2017 Magnesium Citrate 68071-4060 Strength of active ingredient, Magnesium Citrate, 1.745 gm in 29.6 mL is missing from carton label August 18, 2017 Magnesium Citrate 68071-4128 Strength of active ingredient, Magnesium citrate, 1.745 gm in 29.6 mL is missing from the carton label October 25, 2017 Bisoprolol Fumarate 68071-1582 Incorrect carton label: the carton label is an image of Gemfibrozil while the listed drug is Bisoprolol fumarate March 15, 2019 Carisoprodol 68071-4263 DEA Schedule of this Schedule IV controlled substance is not listed in the SPL Feb. 2, 2018 Doxycycline 68071-4883 Incorrect carton label: the carton label includes an image of Montelukast Sodium 5 mg, while the listed drug is Doxycycline hyclate May 3, 2019 Ear Wax Removal Drops 66267-976 Incorrect carton label: the carton label image is of Hydrocortisone cream, while the listed drug is Ear Wax Removal Drops May 6, 2019 Losartan Potassium 68071-4943 Incorrect carton label: the carton label is an image of Amoxicillin, while the listed drug is Losartan Potassium June 25, 2019 Your firm failed to fulfill its listing obligations under Section 510(j) of the FD&C Act, which is a prohibited act under section 301(p) (21 U.S.C. 360[j] and 331[p]). In addition, your firm’s failure to fulfill its listing obligations misbrands the product under section 502(o) of the FD&C Act.  Introduction or delivery for introduction into interstate commerce of a misbranded product is a prohibited act under section 301(a) (21 U.S.C. 352[o] and 331[a]). Within seven working days of receipt of this letter please notify this office, in writing, of the specific steps you have and will take to promptly identify and correct each violation, to bring all your products into compliance. Your response also should include an explanation of the specific steps you have and will take to prevent the recurrence of violations. For any steps not completed before submitting this notice, please provide the dates when such steps will be completed. Your response should include enough information to allow us to evaluate whether the steps you have and will take are enough to correct each violation and prevent the recurrence of violations.  Such responses typically would include, at a minimum, a discussion of: How your firm reviewed, or plans to review, all current drug listings to identify those listings that need to be updated; How your firm corrected, or plans to correct, the identified errors (e.g., submit corrected SPL files for existing listings, delist NDCs no longer in use by submitting end marketing dates and changing marketing status to complete); and The plan or process your firm has implemented, or plans to implement, to prevent the recurrence of the violations. Your reply should be sent to: Tasneem Hussain, Pharm. D. eDRLS Staff Food and Drug Administration 10903 New Hampshire Avenue Building 51, Room 2261 Silver Spring, MD 20993-0002 Please be aware that a manual override may be required for certain types of revisions made to an existing drug listing file. If you receive a validation error or have any questions regarding the contents of this letter, please contact us at edrls@fda.hhs.gov for further assistance. Include the case identification number of 1280 on all correspondence. Finally, you should know that this letter is not intended to be an all-inclusive list of the violations of your firm’s registration and product listing obligations or other obligations. It is your firm’s responsibility to ensure compliance with all applicable laws and regulations administered by FDA. Sincerely, /S/ Maria Rossana R Cook cc: drugs@registrarcorp.com cc:       Los Angeles District Office Attn:   FDA Correspondence [1] The term “manufacture” includes each step in the manufacture, preparation, propagation, compounding, or processing of a drug, including relabeling, repackaging, and salvaging activities. 21 CFR. 207.1. [2] FD&C Act § 510(b), (c), (d), & (i) (21 U.S.C. § 360(b), (c), (d), & (i)). [3] FD&C Act § 510(j)(1) (21 U.S.C. § 360(j)(1)); see also 21 C.F.R. 207.41. [4] FD&C Act § 510(j)(2) (21 U.S.C. § 360(j)(2)); see also 21 C.F.R. 207.57. Content current as of: 10/08/2019 Regulated Product(s) Drugs