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[Code of Federal Regulations]
[Title 21, Volume 4]
[Revised as of April 1, 2007]
From the U.S. Government Printing Office via GPO Access
[CITE: 21CFR200.50]

[Page 6-7]
 
                        TITLE 21--FOOD AND DRUGS
 
CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN 
                          SERVICES (CONTINUED)
 
PART 200 GENERAL--Table of Contents
 
          Subpart C Requirements for Specific Classes of Drugs
 
Sec.  200.50  Ophthalmic preparations and dispensers.


    (a)(1) Informed medical opinion is in agreement that all 
preparations offered

[[Page 7]]

or intended for ophthalmic use, including preparations for cleansing the 
eyes, should be sterile. It is further evident that such preparations 
purport to be of such purity and quality as to be suitable for safe use 
in the eye.
    (2) The Food and Drug Administration concludes that all such 
preparations, if they are not sterile, fall below their professed 
standard of purity or quality and may be unsafe. In a statement of 
policy issued on September 1, 1964, the Food and Drug Administration 
ruled that liquid preparations offered or intended for ophthalmic use 
that are not sterile may be regarded as adulterated within the meaning 
of section 501(c) of the Federal Food, Drug, and Cosmetic Act (the act), 
and, further, may be deemed misbranded within the meaning of section 
502(j) of the act. This ruling is extended to affect all preparations 
for ophthalmic use. By this regulation, this ruling is applicable to 
ophthalmic preparations that are regulated as drugs. By the regulation 
in Sec.  800.10 of this chapter, this ruling is applicable to ophthalmic 
preparations that are regulated as medical devices.
    (3) The containers of ophthalmic preparations shall be sterile at 
the time of filling and closing, and the container or individual carton 
shall be so sealed that the contents cannot be used without destroying 
the seal. The packaging and labeling of ophthalmic preparations that are 
over-the-counter drugs shall also comply with Sec.  211.132 of this 
chapter on tamper-resistant packaging requirements.
    (b) Liquid ophthalmic preparations packed in multiple-dose 
containers should:
    (1) Contain one or more suitable and harmless substances that will 
inhibit the growth of microorganisms; or
    (2) Be so packaged as to volume and type of container and so labeled 
as to duration of use and with such necessary warnings as to afford 
adequate protection and minimize the hazard of injury resulting from 
contamination during use.
    (c) Eye cups, eye droppers, and other dispensers intended for 
ophthalmic use should be sterile, and may be regarded as falling below 
their professed standard of purity or quality if they are not sterile. 
These articles, which are regulated as drugs if packaged with the drugs 
with which they are to be used, should be packaged so as to maintain 
sterility until the package is opened and be labeled, on or within the 
retail package, so as to afford adequate directions and necessary 
warnings to minimize the hazard of injury resulting from contamination 
during use.

[40 FR 13996, Mar. 27, 1975, as amended at 47 FR 50455, Nov. 5, 1982]




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