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ITB HOLDINGS LLC | 390 North Orange Avenue, Suite 2300 | Orlando, FL 32801 | United States


Prescription & OTC Drugs, Active Pharmaceutical Ingredient (API)


The top five countries by number of drug manufacturing sites are the United States, India, China, Germany, and Canada.

FDA conducts routine surveillance sampling and testing of drugs on the market as well as targeted sampling and testing of drugs with potential risks, based on information and data collected from inspections, manufacturers, distributors, wholesalers, and consumer complaints.

Companies selling products that fraudulently claim to prevent, treat or cure COVID-19 may be subject to legal action, including but not limited to seizure or injunction.


In a controversial decision, FDA approved the first new Alzheimer’s disease drug in nearly 20 years.

The FDA can also issue emergency use authorizations (EUAs) to allow healthcare providers to use products that are not yet approved, or that are approved for other uses, to treat patients if certain legal requirements are met.


Any establishment engaged in the manufacture, repacking, relabeling, or salvaging of drugs for commercial distribution in the United States, is required to register with the FDA, and list its products.


Expect to pay these annual Service Fees, when seeking and requesting the assistance of ITB HOLDINGS LLC.

A foreign company or registrant must provide the name, address, and phone number of its U.S. Agent such as ITB HOLDINGS LLC.

The U.S. Food and Drug Administration will not confirm a registration, provide an FDA Establishment Identification (FEI) Number, or provide confirmation of a registration renewal until ITB HOLDINGS LLC confirms it has agreed to serve as U.S. Agent.

Our service includes:

  • Labeler Code
  • National Drug Code (NDC)
  • Establishment Registration
  • FDA Establishment Identification (FEI) Number
  • Product Listing.
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  • Company Registration
  • Product Listing
  • U.S. Agent Service

User Fee is not included.


User Fees are paid to the U.S. Treasury.

When an application is submitted, a fee is due.

The Federal Food, Drug, and Cosmetic Act (FD&C Act), as amended, authorizes the Food and Drug Administration to assess and collect fees for:

  • Abbreviated New Drug Application (ANDA)
  • Drug Master File (DMF)
  • Active Pharmaceutical Ingredient (API)
  • Finished Dosage Form (FDF)
  • Contract Manufacturing Organization (CMO)
  • Monograph Drug Facility (MDF)


On March 27, 2020, the Over-the-Counter Monograph Safety, Innovation, and Reform Act was signed into law, and created new User Fees.

MDF Facility Fees:

CMO Facility Fees:

Manufacturers of hand sanitizers and alcohol wipes are no longer exempt.


Prescription drug product program fees are assessed annually for eligible products.

Prescription Drug User Fee Rates for Fiscal Year 2024

Requiring clinical data $4,048,695
Not requiring clinical data $2,024,348
Program $416,734


Generic Drug User Fee Rates for Fiscal Year 2024

  • ANDA: $252,453
  • DMF: $94,682
  • Domestic API Facility: $40,464
  • Foreign API Facility: $55,464
  • Domestic FDF Facility: $220,427
  • Foreign FDF Facility: $235,427
  • Domestic CMO Facility: $52,902
  • Foreign CMO Facility: $67,902
  • Large Size Operation Generic Drug Applicant program: $1,729,629
  • Medium Size Operation Generic Drug Applicant Program: $691,852
  • Small Business Generic Drug Applicant Program: $172,963.

These fees are effective on October 1, 2023, and will remain in effect through September 30, 2024.

Recent New and Generic Drug Approvals

The U.S. FDA’s Center for Drug Evaluation and Research (CDER) provides assistance to developers on the necessary study design elements and other data needed in the drug application, to support a full and comprehensive assessment.

Here are the main types of drug applications:

  • Investigational New Drug (IND)
  • New Drug Application (NDA)
  • Abbreviated New Drug Application (ANDA)
  • Over-the-Counter Drugs (OTC)
  • Biologic License Application (BLA)

FDA’s role in the development of a new drug begins when the drug’s sponsor (usually the manufacturer or potential marketer), having screened the new molecule for pharmacological activity and acute toxicity potential in animals, wants to test its diagnostic or therapeutic potential in humans.

The Investigational New Drug (IND) Application is the means through which the sponsor technically obtains the exemption from the FDA, to ship the drug to clinical investigators. CDER’s Pre-Investigational New Drug Application (IND) Consultation is strongly recommended. Once the IND is submitted, the sponsor must wait 30 calendar days before initiating any clinical trials.

When the sponsor of a new drug believes that enough evidence on the drug’s safety and effectiveness has been obtained to meet FDA’s requirements for marketing approval, the sponsor submits a New Drug Application (NDA). The drug sponsor formally requests that the FDA approve a new pharmaceutical for sale and marketing in the U.S.  The data gathered during the animal studies and human clinical trials of an Investigational New Drug (IND) become part of the NDA.

If the person signing an NDA does not reside or have a place of business within the United States, it must be countersigned by an attorney, agent, or other authorized official who resides or maintains a place of business within the United States.

Generic drug applications are called Abbreviated New Drug Application (ANDA) because they are generally not required to include preclinical (animal) and clinical (human) data to establish safety and effectiveness.  Instead, a generic applicant must scientifically demonstrate that its product is bioequivalent or performs in the same manner as the innovator drug.

Registration is required within five days of introducing drugs into commercial distribution.