Federal Food, Drug, and Cosmetic Act
|Enacted by the||
75th United States Congress
|Stat.||52 Stat. 1040|
|Act(s) repealed||Pure Food and Drug Act|
|Title(s) amended||21 U.S.C.: Food and Drugs|
|U.S.C. sections created||Chapter 9 § 301 et seq.|
The United States Federal Food, Drug, and Cosmetic Act (abbreviated as FFDCA, FDCA, or FD&C), is a set of laws passed by Congress in 1938 giving authority to the U.S. Food and Drug Administration (FDA) to oversee the safety of food, drugs, and cosmetics. A principal author of this law was Royal S. Copeland, a three-term U.S. Senator from New York. In 1968, the Electronic Product Radiation Control provisions were added to the FD&C. Also in that year the FDA formed the Drug Efficacy Study Implementation (DESI) to incorporate into FD&C regulations the recommendations from a National Academy of Sciences investigation of effectiveness of previously marketed drugs. The act has been amended many times, most recently to add requirements about bioterrorism preparations.
The introduction of this act was influenced by the death of more than 100 patients due to a sulfanilamide medication where diethylene glycol was used to dissolve the drug and make a liquid form. See Elixir Sulfanilamide disaster. It replaced the earlier Pure Food and Drug Act of 1906.
The FDC Act has ten chapters:
- I. Short Title
- II. Definitions
- III. Prohibited Acts and Penalties
- This section contains both civil law and criminal law clauses. Most violations under the act are civil, though repeated, intentional, and fraudulent violations are covered as criminal law. All violations of the FD&C Act require interstate commerce because of the commerce clause, but this is often interpreted broadly and few products other than raw produce are considered outside of the scope of the act.
- Notably, the FD&C Act uses strict liability due to the Dotterweich and Park  Supreme Court cases. It is one of a very small number of criminal statutes that does.
- IV. Food
- There is a distinction in food adulteration between those that are added and those that are naturally present. Substances that are added are held to a stricter "may render (it) injurious to health" standard, whereas substances that are naturally present need only be at a level that "does not ordinarily render it injurious to health"
- V. Drugs and Devices
- 505 is the description of the drug approval process
- 510(k) is the section that allows for clearance of class II medical devices
- 515 is the description of the (class III) device approval process
- VI. Cosmetics
- VII. General Authority
- 704 allows inspections of regulated entities. Inspection results are reported on Form 483.
- VIII. Imports and Exports
- IX. Tobacco Products
- X. Miscellaneous
Food coloring 
The FD&C is perhaps best known by the consumer because of its use in the naming of food coloring additives, such as "FD&C Yellow No. 6." The Act made the certification of some food color additives mandatory. Some food colorings are generally recognized as safe (GRAS) by the FDA and do not require certification.
The FDA lists nine FD&C (Food, Drugs & Cosmetics) certified color additives for use in foods in the United States, and numerous D&C (Drugs & Cosmetics) colorings allowed only in drugs for external application or cosmetics. Color additives derived from natural sources, such as vegetables, minerals or animals, and artificial counterparts of natural derivatives, are exempt from certification. Both artificial and natural color additives are subject to rigorous standards of safety before their approval for use in foods.
Certifiable colors 
|FD&C Blue No. 1||Brilliant Blue FCF||bright blue|
|FD&C Blue No. 2||Indigotine||royal blue|
|FD&C Green No. 3||Fast Green FCF||sea green|
|FD&C Red No. 3||Erythrosine||cherry red|
|FD&C Red No. 40||Allura Red AC||orange-red|
|FD&C Yellow No. 5||Tartrazine||lemon yellow|
|FD&C Yellow No. 6||Sunset Yellow FCF||orange|
|Orange B||Restricted to specific uses|
|Citrus Red No.2||Restricted to specific uses|
There are also "D&C" colors that are only approved for use in pharmaceuticals for external application and cosmetics.
Food additives 
The FFDCA requires producers of food additives to demonstrate to a reasonable certainty that no harm will result from the intended use of an additive. If the FDA finds an additive to be safe the agency issues a regulation specifying the conditions under which the additive may be safely used.
Definition of food additive 
The definition of "food additive" is "any substance, the intended use of which results directly or indirectly, in its becoming a component or otherwise affecting the characteristics of food". A food additive requires a premarket approval by the FDA unless excluded from this requirement as a substance that is generally recognized, among experts qualified by scientific training and experience to evaluate its safety, as having been adequately shown through scientific procedures (or, in the case of a substance used in food before January 1, 1958, through either scientific procedures or through experience based on common use in food) to be safe under the conditions of its intended use. This is the so-called generally recognized as safe (GRAS) exemption.
Genetically modified foods are regarded as containing food additives 
These regulations apply to foods produced by genetic engineering and natural sources, if the protein added to the food by the genetic engineering process is not "generally recognized as safe" then genetically modified food is regarded as containing a "food additive" and is subject to pre-market approval by the FDA. All genetically modified foods sold in the USA have been subject to this FDA pre-market approval process.
Homeopathic medications 
Homeopathic preparations are regulated and protected under Sections 201(g) and 201(j), provided that such medications are formulated from substances listed in the Homeopathic Pharmacopoeia of the United States, which the Act recognizes as an official drug compendium.
Bottled water 
Bottled water is regulated by the FDA as a food. The Agency has published identity standards for types of water (mineral water, spring water), and regulations covering water processing and bottling, water quality and product labeling. 
This Act defines cosmetics as products for "cleansing, beautifying, promoting attractiveness, or altering the appearance." In this sense the FDA can classify cosmetics without actually regulating them. This allows a manufacturer the ability to use ingredients or raw materials and market the final product without government approval.
Medical devices 
- Class I: Devices that do not require premarket approval or clearance but must follow general controls. Dental floss is a class I device.
- Class II: Devices that are cleared using the 510(k) process. Diagnostic tests, cardiac catheters, hearing aids, and amalgam alloys used to fill cavities are examples of class II devices. Hearing aids are class II devices.
- Class III: Devices that are approved by the Premarket Approval (PMA) process, analogous to a New Drug Application. These tend to be devices that are permanently implanted into a human body or may be necessary to sustain life. An artificial heart meets both criteria. The most commonly recognized class III device is an Automated External Defibrillator. Devices that do not meet either criterion are generally cleared as class II devices.
For devices that were marketed prior to the amendment (Preamendment devices) and were classified as Class III, the amendment obligated the FDA to review the device to either reclassify it as a Class II device subject to premarket notification, or to require the device manufacturer to undergo the premarket authorization process and prove the safety and efficacy of the device in order to continue marketing it. Notable examples of such preamendment devices are those used for electroconvulsive therapy, which the FDA started reviewing in 2011.
Premarket notification (510(k)) 
Section 510(k) of the Federal Food, Drug, and Cosmetic Act requires those device manufacturers who must register to notify FDA, at least 90 days in advance, of their intent to market a medical device.
This is known as Premarket Notification - also called PMN or 510(k). It allows FDA to determine whether the device is equivalent to a device already placed into one of the three classification categories. Thus, "new" devices (not in commercial distribution prior to May 28, 1976) that have not been classified can be properly identified.
Any device that reaches market via a 510(k) notification must be "substantially equivalent" to a device on the market prior to May 28, 1976 (a "predicate device"). If a device being submitted is significantly different, relative to a pre-1976 device, in terms of design, material, chemical composition, energy source, manufacturing process, or intended use, the device nominally must go through a premarket approval, or PMA. This does not always happen.
A device that reaches market via the 510(k) process is not considered to be "approved" by the FDA. Nevertheless, it can be marketed and sold in the United States. They are generally referred to as "cleared" or "510(k) cleared" devices.
A 2011 study by Dr. Diana Zuckerman and Paul Brown of the National Research Center for Women and Families, and Dr. Steven Nissen of the Cleveland Clinic, published in the Archives of Internal Medicine, showed that most medical devices recalled in the last five years for “serious health problems or death” had been previously approved by the FDA using the less stringent, and cheaper, 510(k) process. In a few cases the devices had been deemed so low-risk that they did not need FDA regulation. Of the 113 devices recalled, 35 were for cardiovascular issues. This may lead to a reevaluation of FDA procedures and better oversight.
Premarket approval (PMA) 
Premarket approval (PMA) is the most stringent type of device marketing application required by FDA. Unlike the 510(k) pathway, the maker of the medical device must submit an application to the FDA and must receive approval prior to marketing the device.
The PMA application contains information about how the medical device was designed and how it is manufactured, as well as preclinical and clinical studies of the device, demonstrating that it is safe and effective for its intended use. Because the PMA requires a clinical trial it is significantly more expensive than a 510(k).:7
Related legislation 
Descriptions of these can be found at the FDCA's web site.
- Drug Efficacy Amendment ("Kefauver Harris Amendment") PL 87-781 (October 10, 1962)
- Medical Device Amendments of 1976 PL 94-295 (May 28, 1976)
- Infant Formula Act of 1980, Public Law (PL) 96-359 (October 26, 1980)
- Orphan Drug Act, PL 97-414 (January 4, 1983)
- Drug Price Competition and Patent Term Restoration Act of 1984, PL 98-417 (aka Hatch-Waxman) (September 24, 1984)
- Prescription Drug Marketing Act of 1987, PL 100-293 (August 18, 1988)
- Generic Animal Drug and Patent Term Restoration Act of 1988, PL 100-670 (November 16, 1988)
- Nutrition Labeling and Education Act of 1990, PL 101-535 (November 8, 1990)
- Safe Medical Device Amendments of 1990, PL 101-629 (November 28, 1990)
- Medical Device Amendments of 1992, PL 102-300 (June 16, 1992)
- Prescription Drug User Fee Act (PDUFA) of 1992, PL 102-571 (October 29, 1992)
- Animal Medicinal Drug Use Clarification Act (AMDUCA) of 1994, PL 103-396 (October 22, 1994)
- Dietary Supplement Health And Education Act of 1994, PL 103-417 (October 25, 1994)
- Food Quality Protection Act of 1996, PL 104-170 (August 3, 1996)
- Animal Drug Availability Act of 1996, PL 104-250 (October 9, 1996)
- Food and Drug Administration Modernization Act (FDAMA) of 1997, PL 105-115 (November 21, 1997)
- Best Pharmaceuticals for Children Act, PL 107-109 (January 4, 2002)
- Medical Device User Fee and Modernization Act (MDUFMA) of 2002, PL 107-250 (October 26, 2002)
- Animal Drug User Fee Act of 2003, PL 108-130 (February 20, 2003)
- Pediatric Research Equity Act of 2003, PL 108-155 (December 3, 2003)
- Minor Use and Minor Species Animal Health Act of 2004
- Food Allergen Labeling and Consumer Protection Act of 2004, PL 108-282 (August 2, 2004)
- Generic Drug User Fee Amendment of 2012
- Federal Food and Drugs Act of 1906 (repealed; for historical reference)
- Federal Meat Inspection Act (March 4, 1907)
- Federal Trade Commission Act (September 26, 1914)
- Filled Milk Act (March 4, 1923)
- Import Milk Act (February 15, 1927)
- Public Health Service Act (July 1, 1944)
- Trademark Act of 1946 (July 5, 1946)
- Reorganization Plan 1 of 1953 (March 12, 1953)
- Poultry Products Inspection Act (August 28, 1957)
- Fair Packaging and Labeling Act (November 3, 1966)
- The National Environmental Policy Act of 1969 (January 1, 1970)
- Controlled Substances Act (October 27, 1970)
- Controlled Substances Import and Export Act (October 27, 1970)
- Egg Products Inspection Act (December 29, 1970)
- Lead-Based Paint Poisoning Prevention Act (January 13, 1971)
- Federal Advisory Committee Act (October 6, 1972)
- Government in the Sunshine Act (September 13, 1976)
- Government Patent Policy Act of 1980 (December 12, 1980)
- Federal Anti-Tampering Act (October 13, 1983)
- Sanitary Food Transportation Act (November 3, 1990)
- Mammography Quality Standards Act (MQSA) (October 27, 1992)
- Bioterrorism Act of 2002 (June 12, 2002)
- Project BioShield Act of 2004 (July 21, 2004)
- Food and Drug Administration Amendments Act of 2007
- Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (H.R. 307; 113th Congress)Pub.L. 113–5 (March 13, 2013)
Comparison to state laws 
|This section requires expansion. (December 2007)|
Some US states have adopted the FD&C Act as an equivalent state law and will by default adopt any changes to the Federal law as changes to the state law as well.
See also 
- Drugs in the United States
- Food Administration
- Food Quality Protection Act
- Kefauver Harris Amendment
- List of food additives
- Office of Criminal Investigations
- Pure Food and Drug Act
- Regulation of therapeutic goods
- 100,000,000 Guinea Pigs (c. 1933 book which influenced passage of this Act)
- "Food, Drug, and Cosmetic Law Research Guide," Georgetown Law Library
- Homeopathic Drugs, Royal Copeland, and Federal Drug Regulation
- CDER - Time Line
- ASHP Website : News Article
- Federal Food, Drug, and Cosmetics Act Table of Contents
- United States v. Dotterweich, 320 U.S. 277 (1943)
- UNITED STATES V. PARK, 421 U. S. 658 (1975) - US Supreme Court Cases from Justia & Oyez
- FD&C Act Chapter IV
- US FDA/CFSAN: Color Additive Status List
-  FDA website "Determining the Regulatory Status of a Food Ingredient" Page Last Updated: 01/10/2011
- Federal Register Volume 62, Number 74 (Thursday, April 17, 1997)
- FDA/USDA US Food Safety System Country Report Annex II: Precaution in US Food Safety Decisionmaking
- Posnick, Lauren M. and Kim, Henry (2002). "Bottled Water Regulation and the FDA." Food Safety. August/September 2002. ISSN 1084-5984.
- FDA. "21 CFR Part 129 - Processing and Bottling of Bottled Drinking Water." Code of Federal Regulations.
- FDA. "21 CFR 165.110 - Requirements for Specific Standardized Beverages: Bottled Water." Code of Federal Regulations.
- Staff, FDA. PMA Historical Background Last updated April 26, 2009
- Duff Wilson for the New York Times. January 28, 2011 F.D.A. Panel Is Split on Electroshock Risks
- "FDA Executive Summary Prepared for the January 27-28, 2011 meeting of the Neurological Devices Panel Meeting to Discuss the Classification of Electroconvulsive Therapy Devices (ECT)". United States Food and Drug Administration. Archived from the original on 2012-10-25. Retrieved 2012-10-25.
- US FDA/CDRH: Information on Releasable 510(k)s
- Zuckerman, Diana (2011). "Medical Device Recalls and the FDA Approval Process". Archives of Internal Medicine.
- Staff, FDA Premarket Approval (PMA), last updated January 24, 2012
- 21 U.S.C. §360e. Premarket approval
- Josh Makower, Aabed Meer, lyn Denend. November 2010 ￼￼￼￼￼￼￼￼￼￼￼￼FDA Impact on US Medical Device Innovation - A Survey of Over 200 Medical Technology Companies
- Laws Enforced by the FDA and Related Statutes
- Staff, FDA. Updated April 18, 2013 Generic Drug User Fee Amendments of 2012
- Food and Drug Administration Amendment Act of 2007