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These Patient Package Inserts are developed by the drug company and reviewed and approved by FDA. Patient Package Inserts for these specific products must be given to each patient or their caregiver whenever the medicine is dispensed.
Section 1: Indications and Usage. Section 2: Dosage and Administration. Section 3: Dosage Forms and Strengths. Section 4: Contraindications.
One type of moderate change requires the submission of a supplement to FDA at least 30 days before the distribution of the drug product made using the change. This type of supplement is called, and should be clearly labeled, a Supplement - Changes Being Effected in 30 Days ( 314.70(c)(3)).
Dictionary: Licensed manufacturers must submit a Changes Being Effected (CBE) or CBE-30 supplement to FDA for any change to a product that has a moderate potential to have an adverse effect on identity, strength, quality, purity or potency of the product as they may relate to the safety or effectiveness of the product.
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