NDA 21318, held by Lilly. Teriparatide.
As of Nov 15, 2026, NDA 21318 (Forteo), held by Lilly, was first approved by FDA on Nov 26, 2002, with 25 approved supplements and 0 published complete response letters.
FORTEO is indicated: For the treatment of postmenopausal women with osteoporosis at high risk for fracture (defined herein as having a history of osteoporotic fracture or multiple risk factors for fracture) or who have failed or are intolerant to other available osteoporosis therapy. In postmenopausal women with osteoporosis, FORTEO reduces the risk of vertebral and nonvertebral fractures. To increase bone mass in men with primary or hypogonadal osteoporosis at high risk for fracture or who have failed or are intolerant to other available osteoporosis therapy.
| Nov 16, 2020 | Supplement 54Efficacy (new indication or use) · Standard review | Approved | |
| Jul 22, 2009 | Supplement 12Efficacy (new indication or use) · Standard review | Approved | |
| Nov 26, 2002 | Original applicationNew dosage form · Standard review | Approved |
| Forteo0.75MG/3ML (0.25MG/ML) · solution;subcutaneous | Teriparatide | Discontinued |
| Forteo0.56MG/2.24ML (0.25MG/ML) · solution;subcutaneous | Teriparatide | RxReference drug |
| Aug 3, 2026 | Supplement 59Labeling · Standard review | Approved | |
| Jul 24, 2024 | Supplement 57Labeling · Standard review | Approved | |
| Sep 7, 2021 | Supplement 56Labeling · Standard review | Approved | |
| Nov 16, 2020 | Supplement 54Efficacy (new indication or use) · Standard review | Approved | |
| Apr 6, 2020 | Supplement 53Labeling · Standard review | Approved | |
| Oct 3, 2019 | Supplement 52Labeling · Standard review | Approved | |
| Apr 28, 2017 | Supplement 51REMS | Approved | |
| Nov 23, 2015 | Supplement 44Manufacturing · Standard review | Approved | None posted |
| Sep 12, 2014 | Supplement 41Manufacturing · Standard review | Approved | None posted |
| Aug 13, 2014 | Supplement 40Manufacturing · Standard review | Approved | None posted |
| Apr 11, 2014 | Supplement 39Manufacturing · Standard review | Approved | None posted |
| Mar 5, 2014 | Supplement 37Manufacturing · Standard review | Approved | None posted |
| Jan 24, 2014 | Supplement 38Manufacturing · Standard review | Approved | None posted |
| Aug 30, 2013 | Supplement 36REMS | Approved | |
| Aug 2, 2013 | Supplement 35Manufacturing · Standard review | Approved | None posted |
| Mar 13, 2013 | Supplement 33Manufacturing · Standard review | Approved | None posted |
| Feb 15, 2013 | Supplement 32Manufacturing · Standard review | Approved | None posted |
| Mar 13, 2012 | Supplement 27Labeling · Standard review | Approved | |
| Aug 10, 2011 | Supplement 26Labeling | Approved | |
| Jul 22, 2009 | Supplement 12Efficacy (new indication or use) · Standard review | Approved | |
| Jun 25, 2008 | Supplement 16Manufacturing | Approved | |
| Feb 28, 2008 | Supplement 15Labeling · Standard review | Approved | |
| May 19, 2007 | Supplement 9Labeling · Standard review | Approved | |
| Sep 3, 2004 | Supplement 4Labeling · Standard review | Approved | |
| Jun 2, 2004 | Supplement 2Labeling · Standard review | Approved | |
| Nov 26, 2002 | Original applicationNew dosage form · Standard review | Approved |
Approvals, supplements, products and documents come from FDA's Drugs@FDA data files, refreshed daily; Drugs@FDA lists approved applications only. Complete response letters are FDA's published letters. Drugs@FDA and FDA complete response letters