FDA

The Food and Drug Administration regulates medicines, biologics, medical devices, most food, cosmetics, tobacco and radiation-emitting products in the United States. For medicines its statutory standard is that a product be shown safe and effective for its intended use; unusually among major regulators, the agency both conducts the scientific review and takes the decision itself.

We report the FDA as an institution rather than a verdict. Its clearance and approval routes mean different things, its user-fee funding and its device pathway are the subject of long-running argument, and its decisions bind only the United States.

Drug Approvals

What Is Drug Approval? How FDA and EMA Decide

How drug approval works: what regulators assess, how FDA and EMA review differ, expedited pathways, conditional approvals, and what happens after authorisation.

Drug Regulation

FDA Explained: What the U.S. FDA Does

What the FDA does: regulating medicines, biologics, medical devices, food and tobacco, how review and inspection work, its centres, powers and known criticisms.

Medical Device Regulation

Medical Device Regulation Explained: Route to Market

How medical device regulation works: risk classification, FDA pathways, EU MDR and notified bodies, clinical evidence, software rules and post-market surveillance.