Deprecated: Creation of dynamic property ECFG_template_functions::$calender_id is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/includes/class-ecfg-template-functions.php on line 27

Deprecated: Creation of dynamic property ECFG_template_functions::$client_key is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/includes/class-ecfg-template-functions.php on line 28

Deprecated: Creation of dynamic property ECFG_events_calendar_google_Public::$template_function is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/public/class-events-calendar-for-google-public.php on line 61

Deprecated: Creation of dynamic property ECFG_template_functions::$calender_id is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/includes/class-ecfg-template-functions.php on line 27

Deprecated: Creation of dynamic property ECFG_template_functions::$client_key is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/includes/class-ecfg-template-functions.php on line 28

Deprecated: Creation of dynamic property ECFG_Define_Custom_Hooks::$template_function is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/includes/class-ecfg-custom-hooks.php on line 27

Deprecated: Creation of dynamic property ECFG_events_calendar_google_Public::$custom_hooks is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/public/class-events-calendar-for-google-public.php on line 62

Deprecated: Creation of dynamic property ECFG_events_calendar_google_Public::$layout is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/public/class-events-calendar-for-google-public.php on line 63

Deprecated: Creation of dynamic property ECFG_template_functions::$calender_id is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/includes/class-ecfg-template-functions.php on line 27

Deprecated: Creation of dynamic property ECFG_template_functions::$client_key is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/includes/class-ecfg-template-functions.php on line 28

Deprecated: Creation of dynamic property ECFG_Define_Custom_Hooks::$template_function is deprecated in /home/u559076271/domains/jjccgroup.org/public_html/wp-content/plugins/events-calendar-for-google/includes/class-ecfg-custom-hooks.php on line 27

WordPress database error: [Table 'u559076271_grucjoo.ahc_visitors' doesn't exist]
show index from ahc_visitors where column_name='vst_date'

WordPress database error: [Table 'u559076271_grucjoo.ahc_visitors' doesn't exist]
alter table ahc_visitors add index idx_vst_date(vst_date)

WordPress database error: [Table 'u559076271_grucjoo.ahc_browsers' doesn't exist]
ALTER TABLE `ahc_browsers` CHANGE `bsr_id` `bsr_id` INT(3) UNSIGNED NOT NULL AUTO_INCREMENT

PMTA Application Requirements: The Ultimate Guide |

PMTA Application Requirements: The Ultimate Guide

The Premarket Tobacco Product Application (PMTA) process is one of the most demanding regulatory hurdles in any industry. It represents a massive investment of time, resources, and scientific effort, with the future of your product hanging in the balance. A single misstep, from an incomplete data set to a misinterpreted guideline, can lead to significant delays or even a marketing denial order. For any company in the e-cigarette or modern nicotine space, success hinges on a deep and practical understanding of the entire process. This article is designed to be your guide, breaking down the complex pmta application requirements into clear, actionable steps. We’ll cover the essential evidence you need, the common roadblocks to avoid, and how to build a submission that stands up to the FDA’s intense scrutiny.

Key Takeaways

  • Build a Compelling Scientific Case: Your application’s success depends on proving your product is “appropriate for the protection of public health.” This requires robust scientific evidence from toxicological, behavioral, and clinical studies that clearly demonstrates your product’s overall impact on both users and non-users.
  • Plan for a Multi-Stage Process: The PMTA journey is a long-term project that requires significant resources. Avoid common roadblocks like data gaps and budget issues by creating a detailed project plan with realistic timelines that account for each phase of the FDA’s review.
  • Proactive Preparation Prevents Problems: A well-organized application makes the review process smoother for everyone. Use FDA resources like pre-submission meetings to clarify requirements early, and ensure all your documentation is thorough, consistent, and logically structured.

What is a PMTA (and Why Does It Matter)?

So, what exactly is a PMTA? At its core, a Premarket Tobacco Product Application (PMTA) is the comprehensive submission you must provide to the FDA before you can legally market a new tobacco product in the United States. Think of it as the primary gateway to the U.S. market, and getting through it requires a thorough and well-supported application. It’s not just about filling out forms; it’s about building a scientific case for your product.

The entire point of this rigorous process is to prove that your product is “appropriate for the protection of public health.” This is the FDA’s key standard, and it means you have to provide solid scientific evidence showing that the benefits of your product to the public—like helping adult smokers switch from more harmful products—outweigh the potential risks, such as the possibility of attracting young people or non-users. The FDA will look at your product’s impact on the population as a whole, not just individual users.

This isn’t a suggestion; it’s a firm requirement. The FDA’s rule of thumb is that almost any new tobacco product not commercially available in the U.S. before February 15, 2007, needs an approved PMTA to be sold. For manufacturers of e-cigarettes, vapes, and other modern nicotine products, understanding the entire PMTA process is the first and most critical step toward market entry. Without a marketing granted order from the FDA, your product cannot be legally sold.

What Goes Into a PMTA Submission?

Think of your Premarket Tobacco Product Application (PMTA) as the complete biography of your product. It’s a comprehensive portfolio that tells the FDA everything it needs to know, from the chemical composition of your e-liquid to the materials in your device and the processes on your manufacturing line. This isn’t just a formality; it’s the foundation of the FDA’s entire review. The agency’s primary goal is to determine if marketing your product is “appropriate for the protection of the public health” (APPH). This standard requires a careful evaluation of the risks and benefits to the population as a whole, including both users and non-users of tobacco products.

Your PMTA submission is your one chance to make the case. Each section works together to build a cohesive and compelling argument. A strong application demonstrates not only that your product is well-understood and consistently produced, but also that you have thoroughly investigated its potential health effects. Gaps or inconsistencies in one area can undermine the credibility of your entire submission. That’s why it’s so important to approach the PMTA not as a series of disconnected forms, but as a single, unified story about your product. Let’s walk through the core components you’ll need to assemble to tell that story effectively.

Product Description and Formulation

Think of this as your product’s formal introduction. You need to provide a complete list of all ingredients, additives, and components, leaving nothing out. The FDA requires a full breakdown of your product’s formulation and a clear explanation of how it functions. This section must also include a comprehensive report on the product’s potential health risks. Being meticulous here is key, as this information forms the basis of the FDA’s initial evaluation. The agency offers detailed guidance on preparing and submitting a Premarket Tobacco Product Application that can help you get this right.

Manufacturing Process

Next, you’ll need to pull back the curtain on how your product is made. The FDA requires a detailed account of your entire manufacturing process, from sourcing raw materials to packaging the final product. This includes outlining all the steps involved, the facilities and equipment used, and the quality control measures you have in place to ensure consistency and safety. Transparency is crucial. The goal is to give regulators a clear and complete picture of your production standards, which is a vital part of the overall PMTA process for new tobacco products. A well-documented process demonstrates control and reliability.

Health Risk Investigations

This section is the scientific core of your application. Here, you must present robust data from studies that assess the health impacts of your product. This isn’t about making claims; it’s about providing evidence. You’ll need to include toxicological data and other scientific investigations that analyze how your product affects users and the general population. These health risk investigations are absolutely critical for the FDA to weigh the potential risks and benefits of allowing your product on the market. Strong, credible data is non-negotiable and forms the backbone of a successful submission.

Environmental Assessment

Your product’s impact doesn’t stop with the consumer, and the FDA takes its environmental responsibilities seriously. As part of your submission, you must include an environmental assessment that evaluates the potential impact of your product’s use and disposal. The FDA reviews this data carefully to ensure compliance with federal environmental laws. If the agency finds any deficiencies or has concerns, it may request additional information. This assessment is a mandatory part of all Premarket Tobacco Product Applications and demonstrates your commitment to broader public health and safety standards.

What Scientific Evidence Does the FDA Require?

The heart of your PMTA submission is the scientific evidence. The FDA’s primary goal is to determine if your product is “appropriate for the protection of the public health.” This isn’t just a box-checking exercise; it’s a comprehensive evaluation of your product’s real-world impact. You’ll need to present a robust scientific case that addresses several key areas, from the chemical makeup of your product to its effect on human behavior. Think of it as building a complete story, backed by data, that demonstrates why your product meets the FDA’s public health standard. This means going beyond simple product specifications and providing a deep, evidence-based analysis of how your product will affect consumers and the public at large. The FDA expects a thorough and scientifically sound argument, so gathering and presenting this evidence correctly is arguably the most critical part of the entire application. The strength of your scientific data will directly influence the FDA’s final decision. Let’s break down the major evidence categories you’ll need to cover.

Toxicological Studies

First, you’ll need to provide detailed toxicological studies. This is where you demonstrate a deep understanding of your product’s chemical and physical properties and their potential health effects. The FDA needs to see data on how your product interacts with biological systems and what risks it might pose to users. Essentially, you need to conduct studies on how your product affects health, from its individual ingredients to the aerosols it produces. This evidence forms the foundation of your product’s risk profile and is a critical component of the PMTA process.

Behavioral and Clinical Studies

Beyond the lab, the FDA wants to understand how people will actually use your product. This requires behavioral and clinical studies that assess the product’s impact on both users and non-users. Your research should explore key questions: Does your product appeal to young people or non-smokers? Does it help current smokers reduce their risk by switching completely from combustible cigarettes? The goal is to show how your product affects the health and habits of the population, providing a clear picture of its potential role in the broader tobacco landscape.

Population Health Impact Assessment

The FDA will use your data to conduct its own population health impact assessment. This is the agency’s big-picture analysis, weighing the potential benefits of your product against its potential harms for the entire population. The FDA looks at the good and bad effects on everyone, including people who might use the product and those who won’t. This assessment considers factors like the likelihood that current smokers will switch to your product and the possibility that non-users will start. Your submission must provide the evidence needed for the FDA to make this critical determination for all premarket tobacco product applications.

Ingredient Analysis and Product Functionality

Finally, your application must include a complete and transparent breakdown of your product. This means providing full reports on all ingredients, components, and parts, as well as a detailed explanation of how the product works. You also need to describe your manufacturing process and submit your proposed packaging and labeling. The FDA requires a thorough account of your product’s health risks and a clear description of its composition and function. When preparing and submitting a PMTA, this level of detail is non-negotiable and proves you have full control over what you’re selling.

What to Expect During the FDA Review

Submitting your PMTA is a huge milestone, but the journey isn’t over yet. The FDA review process is a structured, multi-stage evaluation. Understanding each step can help you prepare for what’s ahead and manage the process with more confidence. Think of it as a series of checkpoints, each with a specific purpose, leading to the final decision on your product. Here’s a breakdown of what you can expect after you hit “submit.”

Pre-Submission Meetings

Before you even send in your application, you have a valuable opportunity to connect with the FDA. Companies can choose to meet with the FDA to discuss their plans and get direct feedback. This isn’t a required step, but it’s a smart one. A pre-submission meeting allows you to clarify any gray areas in the guidance, ask specific questions about your product, and make sure your application strategy aligns with the agency’s expectations. Getting this clarity upfront can save you from making costly mistakes and potentially streamline the entire review process down the road. It’s your chance to start the conversation on the right foot.

Acceptance and Filing Review

Once your application is submitted, the FDA begins a two-part screening process. First is the acceptance review, where the agency confirms your product falls under its authority and that your application meets all the basic requirements. If it doesn’t, you could receive a Refuse to Accept (RTA) letter. If it passes, it moves to the filing review. Here, the FDA determines if your application contains enough substantive information for them to conduct a full scientific evaluation. If the information is deemed insufficient, you may get a Refuse to File (RTF) notice. Passing both of these initial checks is crucial, as it means your application has been officially accepted for a comprehensive review.

Substantive Application Review

This is the core of the PMTA evaluation. During the substantive review, FDA scientists conduct a deep, thorough analysis of all the data and evidence you submitted. They will meticulously examine your toxicological studies, health risk investigations, and manufacturing processes to determine if marketing your product is appropriate for the protection of public health. Don’t be surprised if the FDA reaches out with questions during this phase. They may issue a deficiency letter requesting additional information or clarification on certain points. This is a normal part of the process and your opportunity to provide the necessary details to support your application. This in-depth scientific review is the most critical and time-consuming stage.

The FDA’s Final Decision

After the intensive scientific review is complete, the FDA will make its final decision. This is the moment you’ve been working toward, and it culminates in one of two outcomes. The first is a Marketing Granted Order, which means your application was successful, and you are authorized to legally market your product in the United States. The second is a Marketing Denial Order, which means the FDA determined that your application did not provide sufficient evidence to meet the public health standard, and your product cannot be sold. This final action is based entirely on the comprehensive evaluation of the data you provided. Understanding these potential PMTA outcomes is key to preparing for the end of the review journey.

Understanding the Potential Outcomes

After the FDA completes its substantive review of your PMTA, you’ll receive an official decision that determines the future of your product in the U.S. market. This outcome will fall into one of two main categories: an approval to market your product or a denial. It’s easy to focus solely on getting the application submitted, but it’s just as important to understand what each of these outcomes means for your business long-term. Knowing the potential results from the beginning helps you prepare a more strategic application and sets clear expectations for what comes next. Whether you receive good news or a setback, there will be a clear path forward. Preparing for these scenarios helps you manage your resources, plan for post-market activities, and react quickly and effectively to the FDA’s final word.

Marketing Granted Order

A Marketing Granted Order (MGO) is the best-case scenario. This official notice from the FDA means your Premarket Tobacco Product Application was successful, and the agency has determined that marketing your product is appropriate for the protection of public health. This decision comes after a thorough review of your product’s ingredients, associated health risks, and its potential impact on the entire population. Receiving an MGO allows you to legally sell your product in the United States. However, it also comes with the responsibility to follow specific post-market regulations and reporting requirements to maintain your standing and ensure ongoing compliance.

Marketing Denial Order

On the other end of the spectrum is the Marketing Denial Order (MDO). This means the FDA has reviewed your PMTA and decided it does not meet the necessary criteria for approval. An MDO is typically issued when an application lacks sufficient evidence to prove the product is appropriate for protecting public health, or if there are significant concerns about its safety or manufacturing. If you receive an MDO, you are legally prohibited from marketing your product. While it’s a major setback, it’s not always the end of the line. You may have options to appeal the decision or strengthen your application with additional data for a future submission.

Post-Approval Compliance

Receiving a Marketing Granted Order is a huge milestone, but your work with the FDA isn’t over. Post-approval compliance is a critical, ongoing process. As a manufacturer, you must adhere to strict regulatory requirements to keep your product on the market. This includes maintaining meticulous records, promptly reporting any adverse events, and consistently ensuring your product meets all safety and quality standards. The FDA continues to monitor approved products to confirm they remain appropriate for public health. Keep in mind that any significant changes to your product, its ingredients, or your marketing strategy may require you to submit a new PMTA.

Common PMTA Roadblocks to Avoid

The path to a successful PMTA is filled with potential hurdles that can delay or even derail your application. Knowing what these common challenges are ahead of time is the best way to prepare for them. Think of it as having a map of the tricky terrain before you start your journey. By anticipating these issues, you can build a stronger, more resilient application from the ground up and keep your project moving forward. Let’s walk through some of the most frequent roadblocks applicants face and how you can steer clear of them.

Data Gaps and Inconsistencies

One of the quickest ways to receive a Refuse to File (RTF) letter is by submitting an application with incomplete or inconsistent scientific data. The FDA isn’t just looking for any studies; they need specific, robust evidence demonstrating that your product is appropriate for the protection of public health. Many companies stumble here because their studies don’t directly support their claims or contain conflicting information. You must ensure every piece of data, from toxicological reports to behavioral studies, tells a clear and cohesive story that aligns with the FDA’s public health standard. A thorough PMTA process involves meticulous data collection and review to prevent these critical gaps.

Interpreting Regulatory Guidance

While the FDA provides guidance on what to include in your submission, these documents can be dense and complex. In 2021, the agency issued a final rule detailing the required content and format for Premarket Tobacco Product Applications, but interpreting these requirements correctly is a major challenge. The language is highly technical, and misinterpreting a single requirement can lead to significant setbacks. It’s not just about checking boxes; it’s about understanding the why behind each rule. This is where having an expert eye on your application can make all the difference, ensuring your interpretation aligns with the FDA’s expectations and preventing easily avoidable mistakes.

Managing Costs and Resources

There’s no way around it: the PMTA process is a significant financial and operational investment. The costs can be substantial, with much of the budget allocated to the necessary scientific studies, including chemical analyses, toxicological assessments, and user behavior research. A complete application can easily run into the millions, putting a strain on resources for even well-established companies. Without careful planning, costs can spiral, and internal teams can become overwhelmed. Successful applicants treat the PMTA as a major business project, with dedicated budgets, clear timelines, and efficient resource management from the very beginning.

Keeping Your Timeline on Track

Patience is a virtue in the PMTA process, which can often take several years from start to finish. It’s crucial to set realistic expectations and build a flexible timeline. Delays are common, especially if the FDA has questions or requests additional information during the substantive review phase. Instead of seeing these requests as a setback, prepare for them. Proactive project management, clear communication channels, and having supplementary data ready can help you respond to FDA inquiries quickly and efficiently. This preparedness is key to minimizing downtime and keeping your application moving through the review queue.

How to Prepare a Strong PMTA Submission

A successful PMTA hinges on a meticulously prepared application. It’s about more than just your product; it’s about presenting a clear, comprehensive, and scientifically sound case to the FDA. Focusing on four key areas—thorough documentation, robust science, clear communication, and logical organization—will give your submission the best chance of success. Getting these elements right from the start can make a significant difference in the review process and the final outcome for your product.

Document Everything Thoroughly

The FDA needs a complete picture of your product, and that means leaving no stone unturned. You must document every detail meticulously. Your application should include full reports on all ingredients and components, a breakdown of how the product functions, a detailed account of your manufacturing process, and your proposed labeling. Think of it as creating a comprehensive biography for your product. Being exhaustive here prevents simple information requests that can cause significant delays down the line.

Build a Robust Scientific Case

Your PMTA must be built on a foundation of solid scientific evidence. The FDA’s decision rests on whether your product is appropriate for the protection of public health. You need to provide strong data from studies that assess the product’s health impacts. This includes demonstrating how your product compares to other tobacco products and its potential to affect the health of the population as a whole, including both users and non-users. The PMTA process requires you to prove your product’s net benefit with convincing data.

Communicate Clearly with the FDA

Don’t wait until you submit your application to talk to the FDA. The agency encourages proactive communication, and you should take advantage of it. You can request pre-submission meetings to discuss your plans, ask questions, and get valuable feedback directly from the review team. This is a strategic opportunity to clarify expectations and ensure your application is on the right track before you even submit it. Maintaining a clear and open line of communication can help you address potential issues early and keep the review process moving forward.

Organize Your Application Logically

Even the strongest data can be ineffective if it’s presented in a confusing way. A well-organized application is crucial for a smooth review. Structure your submission into clear, logical sections covering everything from general information and product descriptions to manufacturing details and health risk studies. A clean, organized format makes it easier for FDA reviewers to find what they need and follow your scientific narrative. This simple step shows professionalism and respect for the reviewer’s time, making their job easier and your application stronger.

Following Labeling and Marketing Rules

Your product’s labeling and marketing plans are not just finishing touches; they are a core part of your PMTA submission. The FDA scrutinizes these materials to determine if they are truthful, not misleading, and appropriate for the protection of public health. Every piece of consumer-facing material, from the package itself to your advertising campaigns, must accurately represent the product and its associated risks. This means you can’t make claims about reduced risk or safety without substantial scientific evidence to back them up. The agency’s goal is to ensure that consumers receive clear, factual information, which is why all tobacco product labeling must comply with strict federal rules.

Your PMTA must include comprehensive copies of all proposed labels, labeling, and marketing materials. This includes the product packaging, cartons, inserts, and any planned advertisements. The FDA reviews these submissions in detail to verify that they meet all regulatory requirements, including the correct placement and format of health warnings. It’s also critical to submit a detailed marketing plan that outlines your advertising strategy, the intended audience, and the measures you will take to restrict youth access and exposure. The FDA uses this information to assess the likelihood that your product will introduce new users to tobacco, particularly young people, as part of its premarket review.

Ultimately, every statement on your packaging and in your advertisements must be consistent with the scientific findings presented in your application. Any disconnect between your marketing claims and your data can create significant problems during the review process and may lead to a denial. Before submitting your PMTA, conduct a thorough review of all your proposed materials to ensure they are fully compliant and supported by your scientific evidence. Getting this part right is essential for demonstrating that your product’s marketing will be responsible and aligned with public health goals.

Helpful Resources for Your PMTA Submission

The PMTA process is complex, but you don’t have to go it alone. The FDA provides several key resources to help you prepare a complete and compliant application. Knowing where to find these tools is the first step, so let’s walk through the most valuable ones available to you.

FDA Guidance Documents

Think of these as your official instruction manual. The FDA publishes comprehensive guidance documents that detail exactly what your PMTA needs to include, from required information to final formatting. Following this guidance closely is one of the best ways to streamline your submission and show reviewers you’ve done your homework. It helps you build a strong foundation for your application and demonstrates a commitment to getting things right from the start, which can make a real difference in the review process.

Webinars and Training Sessions

If you’re a visual learner, the FDA’s webinars are an incredible asset. These online sessions often feature the people who will review your application, giving you direct insight into their expectations. They cover key topics, clarify common points of confusion, and provide practical advice for putting together your submission. You can find a list of sessions on the FDA’s website, which is a great way to prepare your application with a deeper understanding of what’s required.

Office of Small Business Assistance

For smaller companies, the FDA’s Center for Tobacco Products (CTP) created the Office of Small Business Assistance for a reason. This office is dedicated to helping small businesses get a handle on regulations without needing a massive internal compliance team. The OSBA provides targeted support and can help you understand the rules that apply to your specific products. It’s a fantastic resource designed to level the playing field and ensure every business has the support it needs to submit a successful PMTA.

Tobacco Product Master Files

You don’t always have to generate every piece of data from scratch. Tobacco Product Master Files (TPMFs) are confidential files submitted to the FDA that can contain non-clinical data or manufacturing information. With permission from the file’s owner, you can reference a TPMF in your own PMTA. This can save you significant time and resources by allowing you to use existing data instead of conducting redundant studies. It’s a smart, efficient strategy for completing your application, especially when working with third-party suppliers or labs.

Related Articles

Frequently Asked Questions

Does my product really need a PMTA? The short answer is almost certainly yes if you’re introducing a new tobacco product to the U.S. market. The FDA’s rule covers any product that wasn’t commercially sold in the U.S. before February 15, 2007. This includes most e-cigarettes, vapes, and other modern nicotine products. Think of the PMTA as the mandatory gateway to legal sales; without an approved application, your product simply can’t be on the market.

What’s the most common reason a PMTA gets rejected? Many applications fail because they don’t present a cohesive scientific story. The FDA isn’t just looking for a collection of studies; they need to see how all your data works together to prove your product is “appropriate for the protection of public health.” A rejection often happens when there are gaps in the evidence, inconsistencies between different sections, or when the data doesn’t fully support the conclusion that the product’s benefits to the whole population outweigh its risks.

How long should I expect the PMTA process to take? You should plan for this to be a multi-year commitment. The process is intentionally thorough, involving extensive scientific review and back-and-forth communication. The timeline includes preparing the application, which itself can take a long time, followed by the FDA’s multi-stage review. Delays can happen, especially if the FDA requests additional information. It’s best to view it as a marathon, not a sprint, and build a realistic project plan from the start.

What happens if the FDA denies my application? Receiving a Marketing Denial Order (MDO) means you cannot legally sell your product. While this is a serious setback, it doesn’t have to be the final word. The FDA’s decision is based on the evidence you provided. This means you may have the opportunity to address the agency’s concerns, gather more robust data, and submit a new, stronger application in the future.

Is a Marketing Granted Order the final step? Receiving approval is a huge achievement, but it’s the start of a new phase: post-market compliance. An approval comes with ongoing responsibilities. You must follow strict rules for manufacturing, record-keeping, and reporting any adverse events to the FDA. The agency continues to monitor your product to ensure it remains appropriate for public health, and any significant changes to the product or its marketing could require a new PMTA.