Right Now — for your business and the lives of millions. Roxane.29 April 2013
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At Roxane Laboratories, patient and community safety is our highest priority. We support the work of physicians, pharmacists, and other healthcare providers nationwide through our participation in Risk Evaluation and Mitigation Strategies (REMS) programs. Above all, Roxane is committed to ensuring appropriate and safe use of all our products.

Important safety information: Please click on links below to U.S. full prescribing information for each product to see indications for use and additional important safety information, including boxed warnings.

What are Risk Evaluation and Mitigation Strategies?

Risk Evaluation and Mitigation Strategies (REMS) are U.S. Food and Drug Administration (FDA) regulated safety programs. All prescription medications carry risks, particularly if they are not prescribed or used appropriately. The Food and Drug Administration Amendments Act of 2007 (FDAAA) authorized the FDA to require a REMS for prescription drugs or biologics with significant known or potential risks. REMS are designed to ensure that the benefits of a drug continue to outweigh the risks of the drug. 

What does a REMS consist of?

A REMS program may include different educational components, such as a medication guide or a patient package insert, elements to assure safe use (ETASU), or a communication plan. The specific components a REMS program employs may vary based on the severity of the risks, the population likely to be exposed, and other factors specific to the covered drug. These components may apply to a variety of stakeholders, from the healthcare providers to the pharmacists, the patients, or even the distributors, in order to support the safe use of the product. A REMS also includes assessments to determine if it is meeting its intended goals.

What is a medication guide?

A medication guide is a written document containing FDA-approved information relative to the proper and safe use of a specific drug. A goal of the medication guide is to educate patients on how to avoid serious adverse events associated with the drug. Medication guides can be used as a component of a REMS. In addition, they can be used to provide information on drugs that are not covered under a REMS.

What drugs manufactured by Roxane are subject to a REMS?

Several of Roxane’s prescription medications are currently subject to a REMS, listed in the adjacent “Products with REMS program” tab.

REMS related material available on this website consists of a medication guide, which is appended to the full prescribing information.

What does this mean for patients using Roxane products?

If you use a Roxane product that is subject to a REMS, it is important for you to discuss with your healthcare provider the safe use, storage, and disposal of this drug. It is also important to review all the documents for patients such as the medication guide that you receive with your prescription at the pharmacy and any other information your prescriber may give you. Roxane’s participation in these various REMS programs is representative of our commitment to promote the appropriate and safe use of all our products. Above all, we consider patient and community safety as a highest priority.

  • Dolophine® (methadone hydrochloride) Tablets CII

    Dolophine® (methadone hydrochloride) Tablets 5mg CII
    NDC# 0054-4218-25: Bottles of 100 tablets


    Dolophine® (methadone hydrochloride) Tablets 10mg CII
    NDC# 0054-4219-25: Bottles of 100 tablets

    Please click the product name for full prescribing information which includes indications for use, additional important safety information and boxed warning

    Rx only

    Dolophine® and methadone products manufactured by Roxane that are indicated for use as analgesics are subject to the Extended-Release/Long-Acting Opioid Analgesics Risk Evaluation and Mitigation Strategy (REMS) program. REMS related material available on this website consists of a medication guide, which is appended to the full prescribing information. If you want to know more about the ER/LA opioid analgesics REMS program, you can consult the official website at www.ER-LA-opioidREMS.com or call 1-800-503-0784 to contact the ER/LA Opioid REMS Program call center.

                WARNING: ABUSE POTENTIAL, LIFE-THREATENING RESPIRATORY DEPRESSION,
          LIFE-THREATENING QT PROLONGATION, ACCIDENTAL EXPOSURE, and TREATMENT
                                                              FOR OPIOID ADDICTION


    Abuse Potential
    DOLOPHINE contains methadone, an opioid agonist and Schedule II controlled substance with an abuse liability similar to other opioid agonists, legal or illicit [see Warnings and Precautions (5.1)]. Assess each patient’s risk for opioid abuse or addiction prior to prescribing DOLOPHINE. The risk for opioid abuse is increased in patients with a personal or family history of substance abuse (including drug or alcohol abuse or addiction) or mental illness (e.g., major depressive disorder). Routinely monitor all patients receiving DOLOPHINE for signs of misuse, abuse, and addiction during treatment [see Drug Abuse and Dependence (9)].

    Life-threatening Respiratory Depression
    Respiratory depression, including fatal cases, have been reported during initiation and conversion of patients to DOLOPHINE, and even when the drug has been used as recommended and not misused or abused [see Warnings and Precautions (5.2)]. Proper dosing and titration are essential and DOLOPHINE should only be prescribed by healthcare professionals who are knowledgeable in the use of potent opioids for the management of chronic pain. Monitor for respiratory depression, especially during initiation of DOLOPHINE or following a dose increase. The peak respiratory depressant effect of DOLOPHINE occurs later, and persists longer than the peak analgesic effect, especially during the initial dosing period.

    Life-threatening QT Prolongation
    QT interval prolongation and serious arrhythmia (torsades de pointes) have occurred during treatment with methadone. Most cases involve patients being treated for pain with large, multiple daily doses of methadone, although cases have been reported in patients receiving doses commonly used for maintenance treatment of opioid addiction. Closely monitor patients for changes in cardiac rhythm during initiation and titration of DOLOPHINE.

    Accidental Exposure
    Accidental ingestion of DOLOPHINE, especially in children, can result in a fatal overdose of methadone [see Warnings and Precautions (5.4)].

    Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction
    For detoxification and maintenance of opioid dependence, methadone should be administered in accordance with the treatment standards cited in 42 CFR Section 8, including limitations on unsupervised administration.

    Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction
    Code of Federal Regulations, Title 42, Sec 8

    Methadone products when used for the treatment of opioid addiction in detoxification or maintenance programs, shall be dispensed only by opioid treatment programs (and agencies, practitioners or institutions by formal agreement with the program sponsor) certified by the Substance Abuse and Mental Health Services Administration and approved by the designated state authority. Certified treatment programs shall dispense and use methadone in oral form only and according to the treatment requirements stipulated in the Federal Opioid Treatment Standards (42 CFR 8.12). See below for important regulatory exceptions to the general requirement for certification to provide opioid agonist treatment.

    Failure to abide by the requirements in these regulations may result in criminal prosecution, seizure of the drug supply, revocation of the program approval, and injunction precluding operation of the program.

    Regulatory Exceptions To The General Requirement For Certification To Provide Opioid Agonist Treatment: During inpatient care, when the patient was admitted for any condition other than concurrent opioid addiction (pursuant to 21CFR 1306.07(c)), to facilitate the treatment of the primary admitting diagnosis).

    During an emergency period of no longer than 3 days while definitive care for the addiction is being sought in an appropriately licensed facility (pursuant to 21CFR 1306.07(b)).

    Revised July 2012

  • Methadone Hydrochloride Tablets USP, CII

    Methadone Hydrochloride Tablets USP, 5mg
    NDC# 0054-4570-25: Bottles of 100 tablets


    Methadone Hydrochloride Tablets USP, 5mg
    NDC# 0054-8553-24: Unit dose, 25 tablets per card (reverse numbered), 4 cards per shipper


    Methadone Hydrochloride Tablets USP, 10mg
    NDC# 0054-4571-25: Bottles of 100 tablets


    Methadone Hydrochloride Tablets USP, 10mg
    NDC# 0054-8554-24: Unit dose, 25 tablets per card (reverse numbered), 4 cards per shipper

    Please click the product name for full prescribing information which includes indications for use, additional important safety information and boxed warning

    Rx only

    Dolophine® and methadone products manufactured by Roxane that are indicated for use as analgesics are subject to the Extended-Release/Long-Acting Opioid Analgesics Risk Evaluation and Mitigation Strategy (REMS) program. REMS related material available on this website consists of a medication guide, which is appended to the full prescribing information. If you want to know more about the ER/LA opioid analgesics REMS program, you can consult the official website at www.ER-LA-opioidREMS.com or call 1-800-503-0784 to contact the ER/LA Opioid REMS Program call center.

                WARNING: ABUSE POTENTIAL, LIFE-THREATENING RESPIRATORY DEPRESSION,
          LIFE-THREATENING QT PROLONGATION, ACCIDENTAL EXPOSURE, and TREATMENT
                                                              FOR OPIOID ADDICTION


    Abuse Potential
    Methadone Hydrochloride Tablets USP contain methadone, an opioid agonist and Schedule II controlled substance with an abuse liability similar to other opioid agonists, legal or illicit [see Warnings and Precautions (5.1)]. Assess each patient’s risk for opioid abuse or addiction prior to prescribing Methadone Hydrochloride Tablets USP. The risk for opioid abuse is increased in patients with a personal or family history of substance abuse (including drug or alcohol abuse or addiction) or mental illness (e.g., major depressive disorder). Routinely monitor all patients receiving Methadone Hydrochloride Tablets USP for signs of misuse, abuse, and addiction during treatment [see Drug Abuse and Dependence 9)].

    Life-threatening Respiratory Depression
    Respiratory depression, including fatal cases, have been reported during initiation and conversion of patients to Methadone Hydrochloride Tablets USP, and even when the drug has been used as recommended and not misused or abused [see Warnings and Precautions (5.2)]. Proper dosing and titration are essential and Methadone Hydrochloride Tablets USP should only be prescribed by healthcare professionals who are knowledgeable in the use of potent opioids for the management of chronic pain. Monitor for respiratory depression, especially during initiation of Methadone Hydrochloride Tablets USP or following a dose increase. The peak respiratory depressant effect of Methadone Hydrochloride Tablets USP occurs later, and persists longer than the peak analgesic effect, especially during the initial dosing period.

    Life-threatening QT Prolongation
    QT interval prolongation and serious arrhythmia (torsades de pointes) have occurred during treatment with methadone. Most cases involve patients being treated for pain with large, multiple daily doses of methadone, although cases have been reported in patients receiving doses commonly used for maintenance treatment of opioid addiction. Closely monitor patients for changes in cardiac rhythm during initiation and titration of Methadone Hydrochloride Tablets USP.

    Accidental Exposure
    Accidental ingestion of Methadone Hydrochloride Tablets USP, especially in children, can result in a fatal overdose of methadone [see Warnings and Precautions (5.4)].

    Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction
    For detoxification and maintenance of opioid dependence, methadone should be administered in accordance with the treatment standards cited in 42 CFR Section 8, including limitations on unsupervised administration [see Indications and Usage (1)].

    Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction
    Code of Federal Regulations, Title 42, Sec 8

    Methadone products when used for the treatment of opioid addiction in detoxification or maintenance programs, shall be dispensed only by opioid treatment programs (and agencies, practitioners or institutions by formal agreement with the program sponsor) certified by the Substance Abuse and Mental Health Services Administration and approved by the designated state authority. Certified treatment programs shall dispense and use methadone in oral form only and according to the treatment requirements stipulated in the Federal Opioid Treatment Standards (42 CFR 8.12). See below for important regulatory exceptions to the general requirement for certification to provide opioid agonist treatment.

    Failure to abide by the requirements in these regulations may result in criminal prosecution, seizure of the drug supply, revocation of the program approval, and injunction precluding operation of the program.

    Regulatory Exceptions To The General Requirement For Certification To Provide Opioid Agonist Treatment: During inpatient care, when the patient was admitted for any condition other than concurrent opioid addiction (pursuant to 21CFR 1306.07(c)), to facilitate the treatment of the primary admitting diagnosis).

    During an emergency period of no longer than 3 days while definitive care for the addiction is being sought in an appropriately licensed facility (pursuant to 21CFR 1306.07(b)).

    Revised July 2012

  • Methadone Hydrochloride CII INTENSOL™ Oral Concentrate USP

    Methadone Hydrochloride Intensol™ Oral Concentrate USP, 10mg per mL
    NDC# 0054-3553-44: Bottles of 30mL with calibrated dropper

    Please click the product name for full prescribing information which includes indications for use, additional important safety information and boxed warning

    Rx only

    FOR ORAL USE ONLY

    Dolophine® and methadone products manufactured by Roxane that are indicated for use as analgesics are subject to the Extended-Release/Long-Acting Opioid Analgesics Risk Evaluation and Mitigation Strategy (REMS) program. REMS related material available on this website consists of a medication guide, which is appended to the full prescribing information. If you want to know more about the ER/LA opioid analgesics REMS program, you can consult the official website at www.ER-LA-opioidREMS.com or call 1-800-503-0784 to contact the ER/LA Opioid REMS Program call center.

                WARNING: ABUSE POTENTIAL, LIFE-THREATENING RESPIRATORY DEPRESSION,
          LIFE-THREATENING QT PROLONGATION, ACCIDENTAL EXPOSURE, and TREATMENT
                                                              FOR OPIOID ADDICTION


    Abuse Potential
    Methadone is an opioid agonist and Schedule II controlled substance with an abuse liability similar to other opioid agonists, legal or illicit [see Warnings and Precautions (5.1)]. Assess each patient’s risk for opioid abuse or addiction prior to prescribing methadone. The risk for opioid abuse is increased in patients with a personal or family history of substance abuse (including drug or alcohol abuse or addiction) or mental illness (e.g., major depressive disorder). Routinely monitor all patients receiving methadone for signs of misuse, abuse, and addiction during treatment [see Drug Abuse and Dependence 9)].

    Life-threatening Respiratory Depression
    Respiratory depression, including fatal cases, have been reported during initiation and conversion of patients to methadone, and even when the drug has been used as recommended and not misused or abused [see Warnings and Precautions (5.2)]. Proper dosing and titration are essential and methadone should only be prescribed by healthcare professionals who are knowledgeable in the use of potent opioids for the management of chronic pain. Monitor for respiratory depression, especially during initiation of methadone or following a dose increase. The peak respiratory depressant effect of methadone occurs later, and persists longer than the peak analgesic effect, especially during the initial dosing period.

    Life-threatening QT Prolongation
    QT interval prolongation and serious arrhythmia (torsades de pointes) have occurred during treatment with methadone. Most cases involve patients being treated for pain with large, multiple daily doses of methadone, although cases have been reported in patients receiving doses commonly used for maintenance treatment of opioid addiction. Closely monitor patients for changes in cardiac rhythm during initiation and titration of methadone.

    Accidental Exposure
    Accidental ingestion of Methadone Hydrochloride Tablets USP, especially in children, can result in a fatal overdose of methadone [see Warnings and Precautions (5.4)].

    Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction
    For detoxification and maintenance of opioid dependence, methadone should be administered in accordance with the treatment standards cited in 42 CFR Section 8, including limitations on unsupervised administration [see Indications and Usage (1)].

    Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction
    Code of Federal Regulations, Title 42, Sec 8

    Methadone products when used for the treatment of opioid addiction in detoxification or maintenance programs, shall be dispensed only by opioid treatment programs (and agencies, practitioners or institutions by formal agreement with the program sponsor) certified by the Substance Abuse and Mental Health Services Administration and approved by the designated state authority. Certified treatment programs shall dispense and use methadone in oral form only and according to the treatment requirements stipulated in the Federal Opioid Treatment Standards (42 CFR 8.12). See below for important regulatory exceptions to the general requirement for certification to provide opioid agonist treatment.

    Failure to abide by the requirements in these regulations may result in criminal prosecution, seizure of the drug supply, revocation of the program approval, and injunction precluding operation of the program.

    Regulatory Exceptions To The General Requirement For Certification To Provide Opioid Agonist Treatment: During inpatient care, when the patient was admitted for any condition other than concurrent opioid addiction (pursuant to 21CFR 1306.07(c)), to facilitate the treatment of the primary admitting diagnosis).

    During an emergency period of no longer than 3 days while definitive care for the addiction is being sought in an appropriately licensed facility (pursuant to 21CFR 1306.07(b)).

    Revised July 2012

  • Methadone Hydrochloride CII Oral Solution USP

    Methadone Hydrochloride Oral Solution USP, 5mg per 5mL
    NDC# 0054-3555-63: Bottles of 500mL


    Methadone Hydrochloride Oral Solution USP, 10mg per 5mL
    NDC# 0054-3556-63: Bottles of 500mL

    Please click the product name for full prescribing information which includes indications for use, additional important safety information and boxed warning

    Rx only

    FOR ORAL USE ONLY

    Dolophine® and methadone products manufactured by Roxane that are indicated for use as analgesics are subject to the Extended-Release/Long-Acting Opioid Analgesics Risk Evaluation and Mitigation Strategy (REMS) program. REMS related material available on this website consists of a medication guide, which is appended to the full prescribing information. If you want to know more about the ER/LA opioid analgesics REMS program, you can consult the official website at www.ER-LA-opioidREMS.com or call 1-800-503-0784 to contact the ER/LA Opioid REMS Program call center.

                WARNING: ABUSE POTENTIAL, LIFE-THREATENING RESPIRATORY DEPRESSION,
          LIFE-THREATENING QT PROLONGATION, ACCIDENTAL EXPOSURE, and TREATMENT
                                                              FOR OPIOID ADDICTION


    Abuse Potential
    Methadone is an opioid agonist and Schedule II controlled substance with an abuse liability similar to other opioid agonists, legal or illicit [see Warnings and Precautions (5.1)]. Assess each patient’s risk for opioid abuse or addiction prior to prescribing methadone. The risk for opioid abuse is increased in patients with a personal or family history of substance abuse (including drug or alcohol abuse or addiction) or mental illness (e.g., major depressive disorder). Routinely monitor all patients receiving methadone for signs of misuse, abuse, and addiction during treatment [see Drug Abuse and Dependence 9)].

    Life-threatening Respiratory Depression
    Respiratory depression, including fatal cases, have been reported during initiation and conversion of patients to methadone, and even when the drug has been used as recommended and not misused or abused [see Warnings and Precautions (5.2)]. Proper dosing and titration are essential and methadone should only be prescribed by healthcare professionals who are knowledgeable in the use of potent opioids for the management of chronic pain. Monitor for respiratory depression, especially during initiation of methadone or following a dose increase. The peak respiratory depressant effect of methadone occurs later, and persists longer than the peak analgesic effect, especially during the initial dosing period.

    Life-threatening QT Prolongation
    QT interval prolongation and serious arrhythmia (torsades de pointes) have occurred during treatment with methadone. Most cases involve patients being treated for pain with large, multiple daily doses of methadone, although cases have been reported in patients receiving doses commonly used for maintenance treatment of opioid addiction. Closely monitor patients for changes in cardiac rhythm during initiation and titration of methadone.

    Accidental Exposure
    Accidental ingestion of Methadone Hydrochloride Tablets USP, especially in children, can result in a fatal overdose of methadone [see Warnings and Precautions (5.4)].

    Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction
    For detoxification and maintenance of opioid dependence, methadone should be administered in accordance with the treatment standards cited in 42 CFR Section 8, including limitations on unsupervised administration [see Indications and Usage (1)].

    Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction
    Code of Federal Regulations, Title 42, Sec 8

    Methadone products when used for the treatment of opioid addiction in detoxification or maintenance programs, shall be dispensed only by opioid treatment programs (and agencies, practitioners or institutions by formal agreement with the program sponsor) certified by the Substance Abuse and Mental Health Services Administration and approved by the designated state authority. Certified treatment programs shall dispense and use methadone in oral form only and according to the treatment requirements stipulated in the Federal Opioid Treatment Standards (42 CFR 8.12). See below for important regulatory exceptions to the general requirement for certification to provide opioid agonist treatment.

    Failure to abide by the requirements in these regulations may result in criminal prosecution, seizure of the drug supply, revocation of the program approval, and injunction precluding operation of the program.

    Regulatory Exceptions To The General Requirement For Certification To Provide Opioid Agonist Treatment: During inpatient care, when the patient was admitted for any condition other than concurrent opioid addiction (pursuant to 21CFR 1306.07(c)), to facilitate the treatment of the primary admitting diagnosis).

    During an emergency period of no longer than 3 days while definitive care for the addiction is being sought in an appropriately licensed facility (pursuant to 21CFR 1306.07(b)).

    Revised July 2012

  • MYCOPHENOLATE MOFETIL Capsules USP and Tablets USP


    Mycophenolate Mofetil Capsules USP, 250 mg
    NDC# 0054-0163-25 250 mg, caramel opaque/blue opaque capsules, bottle of 100
     

    Mycophenolate Mofetil Capsules USP, 250 mg
    NDC# 0054-0163-29 250 mg, caramel opaque/blue opaque capsules, bottle of 500


    Mycophenolate Mofetil Tablets USP, 500 mg
    NDC# 0054-0166-25 500 mg, white tablets, bottle of 100


    Mycophenolate Mofetil Tablets USP, 500 mg
    NDC# 0054-0166-29 500 mg, white tablets, bottle of 500


    Please click the product name for full prescribing information which includes indications for use, additional important safety information and boxed warning

    Rx only

    Mycophenolate mofetil capsules and tablets manufactured by Roxane are subject to the Mycophenolate Risk Evaluation and Mitigation Strategy (REMS) program. REMS related material available on this website consists of a medication guide, which is appended to the full prescribing information. If you want to know more about the Mycophenolate REMS and have access to additional material, you can consult the official website at www.MycophenolateREMS.com or call 1-800-617-8191 to contact the Mycophenolate REMS Program call center. In addition, more information about the pregnancy registry is available at www.MycophenolatePregnancyRegistry.com.

                    WARNING: EMBRYOFETAL TOXICITY, MALIGNANCIES AND SERIOUS INFECTIONS

    Use during pregnancy is associated with increased risks of first trimester pregnancy loss and congenital malformations. Females of reproductive potential (FRP) must be counseled regarding pregnancy prevention and planning (see WARNINGS and PRECAUTIONS).

    Immunosuppression may lead to increased susceptibility to infection and the possible development of lymphoma. Only physicians experienced in immunosuppressive therapy and management of renal, cardiac or hepatic transplant patients should prescribe mycophenolate mofetil USP. Patients receiving the drug should be managed in facilities equipped and staffed with adequate laboratory and supportive medical resources. The physician responsible for maintenance therapy should have complete information requisite for the follow-up of the patient (see WARNINGS and PRECAUTIONS).

    Revised June 2012

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