First Generic Drug Approvals
Each year, FDA’s Center for Drug Evaluation and Research (CDER) approves a wide range of new drug products. FDA provides the scientific and regulatory advice needed to bring safe, effective, high-quality generic alternatives to market, which in turn creates more affordable treatment options for patients.
“First generics” are just what they sound like—the first approval by FDA which permits a manufacturer to market a generic drug product in the United States. FDA considers first generics to be important to public health, and prioritizes review of these submissions.
Note: Approved drugs are not always available on or after the listed approval date. Please contact the listed ANDA applicant for more information about a drug product’s availability.
First-Time Generic Drug Approvals 2023*
| ANDA Number | Generic Name | ANDA Applicant | Brand Name | ANDA Approval Date | ANDA Indication+ | |
|---|---|---|---|---|---|---|
| 18 | 213267 | Thalidomide Capsules USP, 50 mg, 100 mg, 150 mg, 200 mg | Natco Pharma Limited | Thalomid (Thalidomide) Capsules | 4/27/2023 | For the treatment of patients with newly diagnosed multiple myeloma; for the acute treatment of the cutaneous manifestations of moderate to severe erythema nodosum leprosum (ENL); as maintenance therapy for prevention and suppression of the cutaneous manifestations of ENL recurrence |
| 17 | 216159 | Midazolam in 0.9% Sodium Chloride Injection, 50 mg/50 mL (1mg/mL) and 100 mg/100 mL (1 mg/mL) Single-Dose Bags | Hikma Pharmaceuticals USA Inc. | Midazolam in 0.9% Sodium Chloride Injection | 4/17/2023 | Continuous intravenous infusion for sedation of intubated and mechanically ventilated adult, pediatric, and neonatal patients as a component of anesthesia or during treatment in a critical care setting |
| 16 | 204379 | Estradiol Transdermal System USP, 0.014 mg/day | Zydus Noveltech, Inc | Menostar (Estradiol) Transdermal System | 4/17/2023 | For the prevention of postmenopausal osteoporosis |
| 15 | 215933 | Loteprednol Etabonate Ophthalmic Suspension, 0.2% | Akorn Operating Company LLC | Alrex (Loteprednol Etabonate) Ophthalmic Suspension | 4/12/2023 | For the temporary relief of the signs and symptoms of seasonal allergic conjunctivitis |
| 14 | 215328 | Budesonide Rectal Foam, 2 mg/dose | Padagis Israel Pharmaceuticals Ltd. | Uceris (Budesonide) Rectal Foam | 4/12/2023 | For the induction of remission in patients with active mild to moderate distal ulcerative colitis extending up to 40 cm from the anal verge |
| 13 | 214226 | Tenofovir Alafenamide Tablets, 25 mg | Lupin Limited | Vemlidy (Tenofovir Alafenamide) Tablets | 3/30/203 | For the treatment of chronic hepatitis B virus (HBV) infection in adults with compensated liver disease |
| 12 | 214688 | Calcipotriene and Betamethasone Dipropionate Foam, 0.005%/0.064% | Glenmark Pharmaceuticals LimitedGlenmark Pharmaceuticals Limited | Enstilar (Calcipotriene and Betamethasone Dipropionate) Foam | 3/21/2023 | For the topical treatment of plaque psoriasis in patients 12 years and older |
| 11 | 209738 | Tofacitinib Tablets, 5 mg and 10 mg | Micro Labs Limited | Xeljanz (Tofacitinib) Tablets | 3/13/2023 | For the treatment of adult patients with moderately to severely active rheumatoid arthritis; active psoriatic arthritis; moderately to severely active ulcerative colitis |
| 10 | 205770 | Bismuth Subcitrate Potassium, Metronidazole and Tetracycline Hydrochloride Capsules, 140 mg/125 mg/125 mg | Par Pharmaceutical, Inc. | Pylera (Bismuth Subcitrate Potassium, Metronidazole and Tetracycline Hydrochloride) Capsules | 3/6/2023 | For the treatment of patients with Helicobacter pylori infection and duodenal ulcer disease (active or history of within the past 5 years) to eradicate H. pylori |
| 9 | 214836 | Acetaminophen and Ibuprofen Tablets, 250 mg/125 mg (OTC) | L. Perrigo Company | Advil Dual Action with Acetaminophen (Acetaminophen and Ibuprofen) Tablets (OTC) | 2/28/2023 | Temporarily relieves minor aches and pains due to headache, toothache, backache, menstrual cramps, muscular aches, minor pain of arthritis |
| 8 | 217219 | Tiopronin Delayed-Release Tablets, 100 mg and 300 mg | Par Pharmaceutical, Inc. | Thiola (Tiopronin) EC Tablets | 2/24/2023 | For the prevention of cystine stone formation in adults and pediatric patients 9 years of age and older with severe homozygous cystinuria, who are not responsive to these measures alone |
| 7 | 215408 | Doxepin Hydrochloride Cream, 5% | Teva Pharmaceuticals Development, Inc. | Zonalon (Doxepin Hydrochloride) Cream | 2/17/2023 | For the short-term (up to 8 days) management of moderate pruritus in adult patients with atopic dermatitis or lichen simplex chronicus |
| 6 | 216167 | Topiramate Extended-Release Capsules, 200 mg | Zydus Pharmaceuticals (USA) Inc. | Trokendi XR (Topiramate) Extended-Release Capsules | 2/9/2023 | Initial monotherapy for the treatment of partial-onset or primary generalized tonic-clonic seizures in patients 6 years of age and older; adjunctive therapy for the treatment of partial-onset, primary generalized tonic-clonic seizures or seizures associated with Lennox-Gastaut syndrome (LGS) in patients 6 years of age and older; preventive treatment of migraine in patients 12 years of age and older |
| 5 | 213947 | Tirofiban Hydrochloride Injection, 5 mg/100 mL (50 mcg/mL), Single-Dose Containers | Nexus Pharmaceuticals, Inc. | Aggrastat (Tirofiban Hydrochloride) Injection | 2/7/2023 | To reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with non-ST elevation acute coronary syndrome |
| 4 | 213073 | Cysteine Hydrochloride Injection USP, 725 mg/10 mL (72.5 mg/mL) | Nivagen Pharmaceuticals, Inc. | Cysteine Hydrochloride Injection | 1/26/2023 | For use as an additive to amino acids solutions to meet nutritional requirements of newborn infants requiring total parenteral nutrition (TPN) and of adult and pediatric patients with severe liver disease who may have impaired enzymatic processes and require TPN |
| 3 | 211452 | Morphine Sulfate Injection USP, 2 mg/mL, 4 mg/mL, 8 mg/mL, 10 mg/mL, 15 mg/mL | Hikma Pharmaceuticals International Limited | Morphine Sulfate Injection | 1/12/2023 | For the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate |
| 2 | 216496 | Phenylephrine Hydrochloride Ophthalmic Solution USP, 10 % | Mankind Pharma Limited | Phenylephrine Hydrochloride Ophthalmic Solution | 1/11/2023 | For the purpose of dilating the pupils |
| 1 | 215908 | Nitisinone Capsules, 2 mg, 5 mg, 10 mg, and 20 mg | Torrent Pharma Inc. | Orfadin (Nitisinone) Capsules | 1/9/2023 | For the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine |
Note: As outlined in the Proposed Criteria for First Generic Submissions for Purposes of ANDA, certain ANDAs are deemed “first generic” for the purposes of review prioritization. In this context, a first generic application is any received ANDA: (1) That is a first-to-file ANDA eligible for 180-day exclusivity, or for which there are no blocking patents or exclusivities; and (2) for which there is no previously-approved ANDA for the drug product.
*This table reflects current data as of the date the listed approval was made. Post-approval status changes, including approved use or indications, approval date, approval status, etc. are not reflected here. To view the most current information on any ANDA listed, please check its Drugs@FDA listing.
+Due to space limitations, abbreviated indications are listed. For full indication information, please check Drugs@FDA.
To view all Generic Drug Approvals and Tentative Approvals, use the "Drug Approval Reports by Month" feature on Drugs@FDA and select "Original Abbreviated New Drug Approvals (ANDAs) by Month" for Generic Approvals or "Tentative Approvals by Month" for Tentative Approvals. The database is updated daily.