Alerts & Corrections

FDA Revokes EUA for Chloroquine and Hydroxychloroquine

On June 15, 2020, the U.S. Food and Drug Administration (FDA) revoked the emergency use authorization (EUA) that allowed for chloroquine phosphate and hydroxychloroquine sulfate donated to the Strategic National Stockpile to be used to treat certain hospitalized patients with COVID-19 when a clinical trial was unavailable, or participation in a clinical trial was not feasible. The agency determined that the legal criteria for issuing an EUA are no longer met. Based on its ongoing analysis of the EUA and emerging scientific data, the FDA determined that chloroquine and hydroxychloroquine are unlikely to be effective in treating COVID-19 for the authorized uses in the EUA. Additionally, in light of ongoing serious cardiac adverse events and other potential serious side effects, the known and potential benefits of chloroquine and hydroxychloroquine no longer outweigh the known and potential risks for the authorized use. This is the statutory standard for issuance of an EUA. The Biomedical Advanced Research and Development Authority (BARDA) within the U.S. Department of Health and Human Services originally requested the EUA covering chloroquine and hydroxychloroquine, and the FDA granted the EUA on March 28, 2020 based on the science and data available at the time. Today, in consultation with the FDA, BARDA sent a letter to the FDA requesting revocation of the EUA based on up to date science and data.

Read the full press release on the FDA’s website.

Pharmacists Authorized to Order and Administer COVID-19 Tests, Regardless of State Law

The Office of the General Counsel at the Department of Health and Human Services (HHS) has issued an advisory opinion stating that HHS’s guidance authorizing pharmacists to order and administer COVID-19 tests pursuant to the Public Readiness and Emergency Preparedness Act supersedes any state law that would prohibit pharmacists from ordering tests.

Specifically, the advisory opinion refers to utilizing a “qualified person” for COVID-19 response. HHS Secretary Alex Azar declared pharmacists to be a “qualified person” for the purposes of ordering and administering COVID-19 tests on April 8.

ASHP has actively advocated for the ability for pharmacists to order and administer tests in response to COVID-19. We will continue to work with our state affiliates on implementation of emergency orders and seek information on reimbursement for services from the Centers for Medicare & Medicaid Services. We are following up with HHS to determine whether this nationwide authority to conduct testing applies to influenza in addition to COVID-19.

Emergency Use Authorization (EUA) for Propoven

On May 8, 2020, FDA issued an Emergency Use Authorization (EUA) permitting the emergency use of the unapproved product, Fresenius Propoven 2% (propofol 20 mg/mL) Emulsion 100 mL, to maintain sedation via continuous infusion in patients older than 16 years of age who require mechanical ventilation in an intensive care unit (ICU) setting during the COVID-19 pandemic.

Because Fresenius Propoven 2% (propofol 20 mg/mL) Emulsion has a concentration twice that of the FDA-approved propofol product, there is a risk of unintentional overdose. There are also important differences in the formulation and labeling between the two products. Healthcare providers should review the EUA and the differences between the two products prior to administering Propoven. Documents related to the EUA can be found here, including the most recent letter of authorization, a fact sheet on the EUA for healthcare providers, and a wall chart outlining the key differences between the two products.

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