Orange Book
Also called FDA Orange Book, Approved Drug Products with Therapeutic Equivalence Evaluations, Orange Book patent listing, Orange Book patents, therapeutic equivalence codes
Orange Book is the common name of the FDA publication Approved Drug Products with Therapeutic Equivalence Evaluations. It identifies drug products approved on the basis of safety and effectiveness under the Federal Food, Drug, and Cosmetic Act, and includes related patent and exclusivity information1,2.
Section 505(j)(7)(A) of that Act requires FDA to publish a list of approved drugs and to include in it the patent information submitted under section 505 and any applicable exclusivity period3. FDA-licensed biological products have their own database, the Purple Book7.
What the Orange Book contains
FDA's Orange Book preface says the publication is composed of four parts2:
- the Prescription Drug Product List2;
- the OTC Drug Product List2;
- the list of drug products with approval under section 505 of the FD&C Act administered by the Center for Biologics Evaluation and Research2;
- and the Discontinued Drug Product List2.
The preface describes an Addendum that contains patent and exclusivity information for the listed products2. FDA says the Orange Book data files are updated monthly1. The statute separately requires FDA to revise the list every 30 days to include newly approved drugs, and to specify each applicable exclusivity period that has not yet expired3. For how generic exclusivities such as 180-day exclusivity are recorded, see Paragraph IV certification.
Therapeutic equivalence codes
The preface says approved drug products are considered therapeutic equivalents if they are pharmaceutical equivalents for which bioequivalence has been demonstrated, and they can be expected to have the same clinical effect and safety profile when administered to patients under the conditions specified in the labeling2. Generally, prescription drug products that FDA considers multisource have been assigned a therapeutic equivalence code2.
| Code starts with | What the preface says |
|---|---|
| A | Drug products that FDA considers to be therapeutically equivalent to other pharmaceutically equivalent products2. |
| B | Drug products that FDA, at this time, considers not to be therapeutically equivalent. The preface notes these often have a problem with specific dosage forms rather than with the active ingredients2. |
The preface also says the Orange Book does not mandate which drug products are purchased, prescribed, dispensed, or substituted for one another2. A product that reached the market through the 505(b)(2) route is not necessarily rated therapeutically equivalent to the listed drug it references8. See Abbreviated New Drug Application.
Which patents are listed
Patent information comes from the sponsor of a new drug application, not from FDA. The statute requires the application to include the patent number and expiration date of each patent for which a claim of patent infringement could reasonably be asserted if a person not licensed by the owner engaged in the manufacture, use, or sale of the drug, and that claims the drug as a drug substance or drug product patent, or claims a method of using the drug for which approval is sought or has been granted (21 U.S.C. 355(b)(1)(A)(viii))3.
| Patent type | Listed? | What 21 CFR 314.53(b)(1) says |
|---|---|---|
| Drug substance (active ingredient) | Yes4 | Only patents that claim the drug substance that is the subject of the NDA, or a drug substance that is the same as its active ingredient. For a patent that claims only a polymorph, the applicant must certify that it has test data showing the polymorph product will perform the same as the product in the NDA4. |
| Drug product (formulation and composition) | Yes4 | Only patents that claim the drug product described in the pending or approved NDA4. The Federal Circuit has held that, to qualify for listing, a patent must claim at least the active ingredient; patents claiming only device components of a drug-device product do not qualify9. |
| Method of use | Yes4 | Only patents that claim indications or other conditions of use for which approval is sought or has been granted in the NDA4. |
| Process, packaging, metabolite or intermediate | No4 | Not covered by the section, and information on these patents must not be submitted to FDA4. |
- Timing. Within 30 days after the date of approval of its NDA or supplement, the applicant must submit Form FDA 3542 for each qualifying patent. FDA will not list or publish patent information that is not provided on that form (21 CFR 314.53(c)(2)(ii))4. For a patent issued after approval, the statute requires the holder to file the information not later than 30 days after the patent is issued, and it requires FDA to publish it on submission (21 U.S.C. 355(c)(2))3.
- What FDA publishes. FDA publishes the patent number and expiration date, and for a method-of-use patent the description of the method of use claimed (21 CFR 314.53(e))4.
- Extended terms. If the term of a listed patent is extended under 35 U.S.C. 156(e), the NDA holder must submit a correction of the expiration date within 30 days of receiving the certificate of extension (21 CFR 314.53(f)(2)(ii))4. See Patent term extension.
- FDA's role. FDA says its patent listing role is ministerial5.
Challenging a listed patent and disputing a listing
These are two different things. A patent challenge goes to whether a listed patent is invalid or not infringed. A listing dispute goes to whether a patent should be listed, or listed with that description of use3,4.
- Challenge the patentA generic applicant must certify, for each listed patent that claims the reference drug or a use of it for which approval is sought, that patent information has not been filed, that the patent has expired, the date it will expire, or that it is invalid or will not be infringed. That last option is a paragraph IV certification (21 U.S.C. 355(j)(2)(A)(vii))3. FDA says the first applicant or applicants to submit an application that FDA determines to be substantially complete and that contains a paragraph IV certification to at least one patent listed in the Orange Book are generally eligible for 180-day exclusivity6. See Paragraph IV certification.
- Dispute the listing with FDAA person who disputes the accuracy or relevance of listed patent information, or who believes the NDA holder failed to submit required patent information, must first notify FDA in a communication titled 314.53(f) Patent Listing Dispute4. FDA sends the statement of dispute to the NDA holder, who has 30 days from the date FDA sends it to confirm the correctness of the information, with a signed verification, or to withdraw or amend it. Unless the NDA holder withdraws or amends the information in response to a dispute about a drug substance or drug product claim, FDA will not change the Orange Book entry4.
- Counterclaim in an infringement suitIf the patent owner or brand holder sues the applicant for infringement, the applicant may assert a counterclaim seeking an order requiring the holder to correct or delete the patent information, on the ground that the patent claims neither the approved drug nor an approved method of using it. The statute does not allow that claim in any other civil action or proceeding, and no damages are available (21 U.S.C. 355(j)(5)(C)(ii))3.
- Delisting by the NDA holderIf the NDA holder determines that a patent no longer meets the listing requirements, including after a final judicial finding of invalidity, it must promptly notify FDA to amend or withdraw the patent information. FDA removes a patent from the list only if no first applicant is eligible for 180-day exclusivity based on a paragraph IV certification to that patent, or after that first applicant's 180-day period has expired or been extinguished (21 CFR 314.53(f)(2)(i))4.
FDA's Orange Book page also hosts a Patent Listing Dispute List with the relevant drug product information and the disputed patent1. A 505(b)(2) application or ANDA must contain an appropriate certification or statement for each listed patent, including a disputed one, during and after a listing dispute4. For the effect of a challenge on market entry, see Patent cliff.
Questions people ask
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Run FTO SearchWhat is the Orange Book?
It is FDA's publication Approved Drug Products with Therapeutic Equivalence Evaluations. It identifies drug products approved on the basis of safety and effectiveness and includes related patent and exclusivity information1,2.
Does the Orange Book list every patent on a drug?
No. Only drug substance, drug product and method-of-use patents that meet the listing rules may be submitted, and process, packaging, metabolite and intermediate patents must not be submitted to FDA3,4. A drug can therefore be covered by patents that are not in the Orange Book.
Does FDA decide whether a listed patent is valid?
No. FDA describes its patent listing role as ministerial5. Validity and infringement are decided by courts. FDA does run the listing dispute process in 21 CFR 314.53(f), but unless the NDA holder withdraws or amends a drug substance or drug product patent in response, FDA will not change the Orange Book entry4.
What does an A or B therapeutic equivalence code mean?
An A code marks drug products FDA considers therapeutically equivalent to other pharmaceutically equivalent products. A B code marks products FDA, at this time, does not consider therapeutically equivalent2. The Orange Book does not mandate which products are purchased, prescribed, dispensed, or substituted2.
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