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Compliance

OTC monograph

otc drug monograph

TL;DR

FDA framework letting an OTC drug be marketed without an individual NDA, provided it conforms to a published monograph for that class.

An OTC monograph defines the actives, doses, indications, warnings and labeling allowed for a class of over-the-counter drugs — sunscreens, antiseptics, antiperspirants, anti-acne, cough/cold, oral analgesics, antifungals and more. Products that conform to a monograph and meet 21 CFR Part 330 can be marketed without an individual NDA.

Since the 2020 OTC Monograph Reform (CARES Act), FDA can revise monographs via Administrative Order on a faster timeline than full rulemaking. Manufacturers need to track open Administrative Order proceedings against their products so a regulatory change (e.g., on sunscreen actives or hand-sanitizer specifications) drives a planned label and formula revision rather than a fire drill. Monograph drugs remain subject to 21 CFR 211 cGMP in full and pay OMUFA fees annually.

Regulatory anchors
  • 21 CFR 330
  • 21 CFR 201.66
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