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FDA OPDP Untitled Letters

Untitled letters and promotion warning letters from FDA's Office of Prescription Drug Promotion and drug centers, with what each letter cited.

  • Untitled letters: 120, as of Nov 11, 2026
  • Promotion warning letters: 25, as of Nov 11, 2026
  • Newest letter: Oct 26, 2026

Letters

145 letters, newest first
DateCompany and productApplicationWhat FDA citedType and formatClose-out
Oct 26, 2026NDA 220152Omits or minimizes risk, Risk not clear and conspicuous, Broader use than approved, Misleading dosing or convenienceUntitled letter · TV ad · Consumers (DTC)No close-out
Sep 28, 2026BLA 761085Omits or minimizes risk, Risk not clear and conspicuous, Overstated or unsupported efficacy, Misleading dosing or convenienceUntitled letter · Social media post, Online video · Consumers (DTC)No close-out
Aug 21, 2026Omits or minimizes risk, Overstated or unsupported efficacy, Unsupported superiority or comparison, Broader use than approvedUntitled letter · Conference booth or exhibit, Brochure or leave-behind · Healthcare professionalsNo close-out
Aug 12, 2026Omits or minimizes risk, Broader use than approved, Missing required disclosureWarning letter · Online video · Healthcare professionalsNot published
Jul 28, 2026NDA 216403Omits or minimizes risk, Overstated or unsupported efficacyUntitled letter · Sales aid or visual aid · Healthcare professionalsNo close-out
Jul 15, 2026BLA 761328Broader use than approvedUntitled letter · Email · Healthcare professionalsNo close-out
Jul 13, 2026NDA 201688Misleading dosing or convenienceUntitled letter · Online video, Spokesperson or influencer · Consumers (DTC)No close-out
Jun 24, 2026BLA 761119Overstated or unsupported efficacyUntitled letter · Website · Healthcare professionalsNo close-out
Jun 22, 2026NDA 020451Omits or minimizes risk, Risk not clear and conspicuous, Overstated or unsupported efficacy, Missing required disclosureUntitled letter · Online video · Healthcare professionalsNo close-out
May 26, 2026BLA 020772Omits or minimizes risk, Risk not clear and conspicuousUntitled letter · Email · Consumers (DTC)Closed Jul 23, 2026
May 12, 2026NDA 218785Risk not clear and conspicuous, Overstated or unsupported efficacy, Unsupported superiority or comparisonUntitled letter · TV ad · Consumers (DTC)Closed Jun 16, 2026
Apr 28, 2026NDA 212099Omits or minimizes risk, Risk not clear and conspicuousUntitled letter · Online video, TV ad · Consumers (DTC)Closed Jun 9, 2026
Apr 23, 2026NDA 215515Overstated or unsupported efficacyUntitled letter · Website · Consumers (DTC)Closed Aug 24, 2026
Apr 22, 2026BLA 761411Overstated or unsupported efficacy, Misleading dosing or convenienceUntitled letter · Website · Consumers (DTC)Closed May 21, 2026
Apr 8, 2026BLA 125388Omits or minimizes risk, Broader use than approvedUntitled letter · Social media post, Online video · Consumers (DTC)Closed Apr 29, 2026
Mar 31, 2026BLA 761231Omits or minimizes risk, Risk not clear and conspicuous, Unsupported superiority or comparison, Broader use than approvedUntitled letter · Brochure or leave-behind · Consumers (DTC)Closed Apr 24, 2026
Mar 27, 2026NDA 209229Risk not clear and conspicuous, Unsupported superiority or comparison, Not submitted on Form 2253Untitled letter · Website · Consumers (DTC)Closed Jun 29, 2026
Mar 13, 2026Omits or minimizes risk, Risk not clear and conspicuous, Overstated or unsupported efficacy, Broader use than approved, Missing required disclosure, Not submitted on Form 2253Warning letter · TV ad, Online video, Spokesperson or influencer · Consumers (DTC)Not published
Feb 26, 2026NDA 209637Risk not clear and conspicuous, Overstated or unsupported efficacy, Unsupported superiority or comparison, Broader use than approvedUntitled letter · Online video · Consumers (DTC)No close-out
Feb 6, 2026NDA 208712Omits or minimizes risk, Risk not clear and conspicuous, Overstated or unsupported efficacy, Broader use than approvedUntitled letter · TV ad · Consumers (DTC)Closed Mar 5, 2026
Feb 6, 2026BLA 761061Omits or minimizes risk, Overstated or unsupported efficacyUntitled letter · TV ad · Consumers (DTC)Closed Jun 17, 2026
Feb 5, 2026NDA 218316Risk not clear and conspicuous, Overstated or unsupported efficacy, Unsupported superiority or comparisonUntitled letter · TV ad · Consumers (DTC)No close-out
Jan 30, 2026BLA 761304Omits or minimizes risk, Risk not clear and conspicuous, Overstated or unsupported efficacy, Misleading dosing or convenienceUntitled letter · TV ad · Consumers (DTC)Closed Jun 5, 2026
Jan 30, 2026BLA 761304Omits or minimizes risk, Risk not clear and conspicuous, Misleading dosing or convenienceUntitled letter · TV ad · Consumers (DTC)Closed Mar 30, 2026
Jan 23, 2026NDA 214697Overstated or unsupported efficacy, Misleading dosing or convenienceUntitled letter · TV ad · Consumers (DTC)Closed Jun 16, 2026

FDA publishes no API for these letters, so this is a snapshot rather than a live query. The violation categories, formats and summaries are labels this tool adds by reading each letter, and every one links to FDA’s own copy. FDA untitled letters page · Updated Nov 11, 2026

About this data

The OPDP letters database today

Data through 26 October 2026.

OPDP untitled letters
120
Promotion warning letters
25
Untitled letters with a close-out
86
Snapshot rebuilt
11 November 2026

Latest letters

Vanda Pharmaceuticals: Nereus (tradipitant) Untitled letter · Omits or minimizes risk, Risk not clear and conspicuous, Broader use than approved
26 October 2026
Evolus: JEUVEAU (prabotulinumtoxina-xvfs) Untitled letter · Omits or minimizes risk, Risk not clear and conspicuous, Overstated or unsupported efficacy
28 September 2026
Alar Pharmaceuticals: ALA-3000 (ketamine pamoate) Untitled letter · Omits or minimizes risk, Overstated or unsupported efficacy, Unsupported superiority or comparison
21 August 2026
Amgen: Vectibix (panitumumab) Warning letter · Omits or minimizes risk, Broader use than approved, Missing required disclosure
12 August 2026
Travere Therapeutics: FILSPARI (sparsentan) Untitled letter · Omits or minimizes risk, Overstated or unsupported efficacy
28 July 2026
Sanofi: BEYFORTUS (nirsevimab-alip) Untitled letter · Broader use than approved
15 July 2026
Viatris Specialty: TOBI PODHALER (tobramycin inhalation powder) Untitled letter · Misleading dosing or convenience
13 July 2026
Lundbeck: Vyepti (eptinezumab-jjmr) Untitled letter · Overstated or unsupported efficacy
24 June 2026
Pinnacle Biologics: PHOTOFRIN (porfimer sodium) Untitled letter · Omits or minimizes risk, Risk not clear and conspicuous, Overstated or unsupported efficacy
22 June 2026
QOL Medical: Sucraid (sacrosidase) Untitled letter · Omits or minimizes risk, Risk not clear and conspicuous
26 May 2026

Letters by year

2026 (to 26 October 2026)
27
2025
73
2024
5
2023
5
2022
4
2021
6
2020
5
2019
10
2018
7
2017
3

Untitled and warning letters together. 52 untitled letters carry the date 9 September 2025.

Letters by quarter

Q4 2026 (so far)
1 (1 untitled, 0 warning)
Q3 2026
6 (5 untitled, 1 warning)
Q2 2026
8 (8 untitled, 0 warning)
Q1 2026
12 (11 untitled, 1 warning)
Q4 2025
4 (4 untitled, 0 warning)
Q3 2025
64 (56 untitled, 8 warning)

Counted by the date on each letter. The quarterly report, FDA drug promotion letters, Q3 2026, breaks the latest quarter down by format, audience and what FDA cited.

What FDA cited

Overstated or unsupported efficacy
88 letters
Omits or minimizes risk
72 letters
Risk not clear and conspicuous
62 letters
Broader use than approved
29 letters
Unsupported superiority or comparison
24 letters
Misleading dosing or convenience
21 letters
Missing required disclosure
16 letters
Not submitted on Form 2253
15 letters

A letter can carry several categories.

Letters by company

AstraZeneca
7 letters
Bristol Myers Squibb
5 letters
Eli Lilly
5 letters
Novartis
5 letters
AbbVie
4 letters
UCB
4 letters
Amgen
3 letters
BeOne Medicines
3 letters

Source: FDA's untitled letters page and its warning letter pages, read into a snapshot by a script. Violation categories are this tool's labels, assigned by a model reading each letter.

What the database contains

The Office of Prescription Drug Promotion (OPDP) is part of FDA's Center for Drug Evaluation and Research. FDA describes it as the office that regulates prescription drug promotion made by or on behalf of a manufacturer, packer or distributor. That covers TV and radio ads, printed material, websites and social media, speaker programs and sales presentations (FDA's Bad Ad Program page). Companies send promotional pieces to FDA on Form FDA 2253 when they first use them. OPDP reads some of them, and when it finds one false or misleading it writes to the company.

This database holds two kinds of letter. The first is every OPDP untitled letter on FDA's untitled letters page: 120 letters, dated 2017 to 26 October 2026. FDA moved earlier letters, 1997 to 2016, to its archive. The second is the 25warning letters whose subject is a company's promotion of a drug or biologic. FDA files those with all its other warning letters, under different issuing offices from year to year, so we picked them out by reading each one.

It leaves out warning letters to online pharmacies, compounders and sellers of unapproved products. Those are in the warning letter search. It also leaves out the thousands of letters FDA said it sent in September 2025 telling companies to review their advertising. FDA did not publish them.

Fields on each letter

Date
FDA's issued date for an untitled letter, and the letter date for a warning letter.
Company
The company the letter is addressed to, as the letter names it. Where FDA's table says a firm is a subsidiary of another, the letter is grouped under the parent.
Product and application
Brand and generic name, and the NDA, BLA or ANDA number from the letter's reference line.
Matter number
The MA number OPDP puts on its letters. The letter tells the company to quote it in all later correspondence.
Aimed at
Consumers (direct-to-consumer), healthcare professionals, or both.
Format
The kind of piece: TV ad, website, social post, exhibit booth, sales aid and so on. A letter can cover several.
What FDA cited
Up to eight violation categories, each backed by a sentence quoted from the letter. See the category list below.
Form FDA 2253 and Bad Ad Program
Whether the letter says the piece came in on Form FDA 2253, and whether it says FDA also received a complaint through the Bad Ad Program.
Close-out
The date of FDA's close-out letter, the days from the letter to the close-out, and a link to it.

Untitled letter or warning letter

FDA describes a warning letter as its notice that it has found significant violations, one that asks for a response within a set time and may be followed by further action (About Warning and Close-Out Letters). An untitled letter is the same kind of document without the heading “Warning Letter”.

The letters in this database show the difference in what they say:

  • 17 of 25 warning letters say that failing to correct the violations may bring regulatory action, including seizure or injunction. None of the 120 untitled letters says it.
  • 104 of the 120 untitled letters ask for a written response within 15 working days. They ask the company to list every promotional piece with similar claims, with its 2253 submission date, and to explain how it will stop using them.
  • Untitled letters close with the line that the letter “notifies you of our concerns and provides you with an opportunity to address them.”

Both are public, and a second letter about the same product is a pattern the next reader will notice. Several warning letters here open by recalling an earlier untitled letter on the same product.

Reading an OPDP letter

Most OPDP letters follow one order.

  • Opening paragraph.It names the piece FDA reviewed, says whether the company submitted it on Form FDA 2253, and states FDA's conclusion: the piece is false or misleading and so misbrands the drug. Older letters cite the law here: 21 U.S.C. 352(a) and (n), which are sections 502(a) and (n) of the FD&C Act, plus 321(n) and 331(a), and 21 CFR 202.1(e). Newer letters often leave the citations out.
  • Background. The approved indication and the main risks from the prescribing information. This is the yardstick for the rest of the letter.
  • The violations.Each opens with the claims FDA objects to, quoted with timestamps or frame numbers for video. Then comes FDA's reasoning, often in the form “we are not aware of data that would support” the suggestion. FDA routinely adds that a disclaimer such as “individual results may vary” does not fix the impression.
  • Conclusion and requested action. The 15 working day response, the list of similar pieces, and the matter number. Every letter says the concerns are not necessarily a complete list, and that the company is responsible for compliance across its promotion.

The regulation under most of these letters is 21 CFR 202.1. It requires a true statement of side effects, contraindications and effectiveness in every prescription drug advertisement (paragraph (e)(1)). It says untrue or misleading content in one part of an ad is not cured by true content in another part ((e)(3)(i)). Section 502(n) of the Act is the statutory source (21 U.S.C. 352(n)).

The violation categories

These eight labels are ours. A model reads each letter against the list and quotes the sentence that supports each label. The regulation behind each is noted where the letters cite one.

  • Omits or minimizes risk. The piece leaves out or plays down a warning, contraindication or side effect, or leaves a misleading impression of safety. 21 CFR 202.1(e)(1) and (e)(6).
  • Risk not clear and conspicuous. The risk text is there but hard to notice or take in. For consumer TV ads, 202.1(e)(1)(ii) requires the major statement to be in consumer-friendly language, in audio and on-screen text at once, readable, and free of audio or visuals likely to interfere with understanding it. For print and web, 202.1(e)(7)(viii) asks for risk information with prominence and readability reasonably comparable to the benefit claims.
  • Overstated or unsupported efficacy. Study data, endpoints, mechanism or quality-of-life claims that go beyond the evidence. Single-arm study results presented as time-to-event benefit are a recurring example in the 2025 letters.
  • Unsupported superiority or comparison. Better, safer or faster than another drug without adequate head-to-head evidence.
  • Broader use than approved. Suggests an indication, population, setting or dose the label does not support, or promotes a drug that is not yet approved. Letters about investigational drugs cite 21 CFR 312.7(a).
  • Misleading dosing or convenience. Onset, ease of use, adherence or administration claims the label does not back.
  • Missing required disclosure. No indication, no established name, no brief summary or adequate provision, or no boxed warning statement where the format needs one.
  • Not submitted on Form 2253. The piece was not sent to FDA at first use. The rule is 21 CFR 314.81(b)(3)(i), applied to biologics by 601.12(f)(4).

Close-out letters

A close-out letter is FDA's statement that it has evaluated the company's response. For untitled letters it says the evaluation is complete and that it appears the company addressed the violations. Then it adds that the letter does not relieve the company of responsibility for sustained compliance and does not rule out later action.

FDA's published close-out program describes warning letters, not untitled letters. It says a close-out issues only after FDA has verified the corrective actions, usually by follow-up inspection. Promotion letters rarely involve an inspection, so read this program text as background only.

FDA's table shows no close-out for any untitled letter dated before 8 March 2021, so for the 16 older letters we show the status as not published, not as never closed. Of the 104 untitled letters since then, 86 (83%) have a close-out letter, and the median wait from letter to close-out is 76 days. Letters from the last few months have not had time to be closed out, so the share understates what FDA will finish. A missing close-out does not mean FDA found the response unsatisfactory. FDA does not say.

Limits of the data

  • The categories are labels, not FDA findings. A model assigned them. We checked 22 letters by hand against the text: of 48 labels, 46 were right, and we found 3 the model missed. A second model agreed with the first on most labels. Treat the filters as a fast way to find letters, then read the letter.
  • Only published letters are here. FDA said it sent thousands of letters in September 2025. The published untitled letters are a small share of them.
  • Dates follow FDA's table. A few close-out letters cite a different date for the letter they close than the table does. We use the table date.
  • Warning letters are selected by rule. A warning letter is included when OPDP issued it, or when it opens by saying FDA reviewed a promotional communication and cites the advertising provisions. An unusual letter could be missed.
  • Scanned PDFs. Two close-out letters and one untitled letter have no usable text layer, so we read them with optical character recognition.

Getting the data

FDA offers the untitled letters as a web table and the PDFs behind it. It has no API. The dataset behind this page is public as JSON and as a spreadsheet (CSV). The scripts that build it, including the labeling prompt and the hand check, are in the scripts/opdp folder of this site's repository. For the analysis, see what OPDP cited in 2025 and 2026. For how few submitted pieces end in a letter, see promotional materials submitted against letters published. For the review process that sits upstream of these letters, see the MLR review guide and the glossary entries on untitled letters, the Office of Prescription Drug Promotion and Form FDA 2253. Many of the letters are about TV ads. One of the rules behind them is explained in FDA's plan to end adequate provision in TV and radio drug ads and in the glossary entry on adequate provision.

Frequently asked questions

What is an FDA OPDP untitled letter?
A letter from the Office of Prescription Drug Promotion in FDA's drug center telling a company that a promotional piece for a prescription drug or biologic is false or misleading. It does not carry the heading "Warning Letter". It names the piece, the claims, and the rule it breaks, and it asks the company to stop using it and respond.
How is an untitled letter different from a warning letter?
FDA describes a warning letter as notice of significant violations. Many warning letters in this database end with a sentence saying failure to correct may bring regulatory action such as seizure or injunction (17 of 25). None of the 120 untitled letters contains it. 104 of the 120 ask for a written response within 15 working days.
How many OPDP untitled letters has FDA published?
120 on FDA's untitled letters page as of 11 November 2026, dated 2017 to 26 October 2026. FDA lists 5 for 2024 and 63 for 2025. FDA's page says earlier years are in its archive.
Why are there so many letters in 2025?
On 9 September 2025 FDA announced a crackdown on direct-to-consumer drug advertising and said it was sending thousands of letters to drug companies and about 100 cease-and-desist letters. 52 of the published untitled letters carry the date 9 September 2025. Most of the thousands of letters FDA mentioned are not public, so this database cannot show them.
Does this database include warning letters?
It includes 25 warning letters whose subject is a company's promotion of a drug or biologic. They come from FDA's warning letter pages. It leaves out warning letters to online pharmacies, compounders and sellers of unapproved products, which the warning letter search covers.
What does a close-out letter mean?
FDA's close-out letter says it evaluated the company's response and it appears the company addressed the violations. It also says the letter does not relieve the company of responsibility for compliance and does not stop later action. It is not a clearance of the piece.
How fast does FDA close out untitled letters?
86 of 104 untitled letters have a published close-out letter, counting untitled letters dated since 8 March 2021, when FDA's table starts listing them. The median gap from letter to close-out is 76 days. Recent letters have had less time to be closed out, so the share will rise.
How were the violation categories assigned?
A language model read each letter against a fixed list of eight categories and quoted the sentence that supports each one. A script checks that every quote appears in the letter. We then checked 22 letters by hand: of 48 category labels, 46 were right, and we found 3 that should have been added. The labels are ours, not FDA's, and the method is in the scripts/opdp folder of this site's repository.
How often is the database updated?
It is rebuilt from FDA's pages when new letters appear, and the data block shows when it last ran. The newest letter in it is dated 26 October 2026. A letter FDA posted in the last few days may not be in yet.
Can I search for a phrase in the letters themselves?
Yes. Tick "Search the full text of every letter" and type a word or a phrase. Put the phrase in quotes, for example "individual results may vary" or "major statement", to find it as written in one sentence. Every word and phrase you enter must appear in the same letter, and each result shows the sentence that matched. The search runs in your browser on a text index that downloads when you tick the box.
Is there an API or a download?
FDA publishes no API or data file for these letters, only a table. The dataset behind this tool is public as JSON at arca.inc/data/opdp-letters.json and as a spreadsheet at arca.inc/data/opdp-letters.csv.
How do I report a promotional piece to FDA?
Through FDA's Bad Ad Program, run by OPDP: email BadAd@fda.gov or call 855-RX-BADAD. Anyone can report, and reports can be anonymous. Several letters in this database say FDA received a complaint through the program.

All letters, newest first

The full list without filters, for readers who prefer a page to a search box. Each entry opens the letter's own page.

Check your claims against what FDA cites

Arca's MLR / Promotional Review playbook takes each claim in a promotional piece, matches it to the approved label and your claims library, and checks fair balance, on-label consistency and Form FDA 2253 readiness. It cites the source for every flag and leaves the decision to your reviewers. See Arca for MLR review.

Logos are each company's own site icon, matched by name through Wikidata.Company names and logos identify the companies in public FDA and registry records and do not imply endorsement.