Dr Sankunni’s Ayurvedic Research Foundation Private Ltd.

This letter concerns your firm’s drug listing information provided to FDA’s electronic Drug Registration and Listing System (eDRLS) for the following drug products: Relief Balm, NDC 70146-000; Womens Relief Balm, NDC 70146-001; Sports Balm, NDC 70146-002; Womens Sports Balm, NDC 70146-003; Relief Balm, NDC 70146-004; Sports Balm, NDC 70146-005; Womens Relief Balm, NDC 70146-006; Womens Sports Balm, NDC 70146-007; Relief Balm, NDC 70146-008; Sports Balm, NDC 70146-009; Womens Relief Balm NDC, 70146-010; Womens Sports Balm, NDC 70146-011and Hand Sanitizer NDC 70146-012.1 Your firm has not fulfilled its listing obligations under section 510(j) of the Federal Food Drug and Cosmetic Act (FD&C Act), 21 U.S.C. 360(j), which is a prohibited act under section 301(p) of the FD&C Act, 21 U.S.C. 331(p). In addition, the drugs stated above are not properly listed with FDA, causing them to be misbranded drugs under section 502(o) of the FD&C Act, 21 U.S.C. 352(o). Introduction or delivery for introduction of such misbranded drugs into interstate commerce is prohibited under section 301(a) of the FD&C Act, 21 U.S.C. 331(a). These violations are described in more detail below.

Section 510(j) of the FD&C Act, 21 U.S.C. 360(j), and 21 CFR Part 207 outline the requirements for registration and listing of drug products. Drug listing submissions must include the name and Unique Facility Identifier of the establishment where the registrant who lists the drug manufactures it and the type of operation performed on the drug at that establishment as required under section 510(j)(1)(c) of the FD&C Act, 21 U.S.C. 360(j)(1)(c), and 21 CFR 207.49(a)(12)(i). Furthermore, in accordance with 21 CFR 207.49(a)(12)(ii), the listing file must include the name and Unique Facility Identifier of every other establishment where manufacturing is performed for the drug and the type of operation performed at each such establishment. In the listing files submitted to FDA for the previously mentioned drugs, the manufacturer referenced is identified as Dr. Sankunni’s Ayurvedic Research Foundation Private Ltd., (DUNS 650517704). However, in accordance with the response provided December 15, 2022, to the Office of Quality Surveillance (OQS) in the Office of Pharmaceutical Quality (OPQ) to their 704(a)(4) records request, it was confirmed that Dr. Sankunni’s Ayurvedic Research Foundation Private Ltd. is not involved in manufacturing of the drugs mentioned above, and therefore, this firm should not be registered with FDA as a manufacturer. On March 6, 2023, OQS/OPQ requested that Dr. Sankunni’s Ayurvedic Research Foundation Private Ltd. deregister their establishment and delist all drug listings which reference Dr. Sankunni’s Ayurvedic Research Foundation Private Ltd. as the manufacturer. However, to date, no updates have been made to the listing files to correct the manufacturer’s name and the firm remains registered as a manufacturer. In addition, many of the listings mentioned above include other listing errors such as an incorrect dosage form, mismatched strength of an active ingredient, missing active ingredient, and incorrect label images. Therefore, these products are in violation of the following additional regulations under section 510(j)(1)(c) and 21 CFR 207.49(a)(6), 21 CFR 207.49 (a)(4) and 21 CFR 207.49(a)(15)(ii)(B). The table below includes products with associated listing errors.

NDC Proprietary Name Error(s) Found

70146-000 Relief Balm 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. Mismatched strength of menthol in the listing SPL. 3.The labeling also includes a carton label image of another product which is not listed.

70146-001 Womens Relief Balm 1. Incorrect manufacturer included under the establishment section of the listing SPL. 2. Mismatched strength of menthol in the listing SPL.

70146-002 Sports Balm 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. Mismatched strength of menthol in the listing SPL.

70146-003 Womens Sports Balm 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. Mismatched strength of menthol in the listing SPL.

70146-004 Relief Balm 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. There is a mismatched dosage form between the labeling and the listing SPL.

70146-005 Sports Balm, 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. There is a mismatched dosage form between the labeling and the listing SPL.

70146-006 Womens Relief Balm 1. Incorrect manufacturer included under the establishment section of listing SPL.

70146-007 Womens Sports Balm 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. The listing SPL does not include the active ingredient methyl salicylate which is found in the labeling. 3. There is a mismatched dosage form between the labeling and the listing SPL.

70146-008 Relief Balm 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. There is a mismatched dosage form between the labeling and the listing SPL.

70146-009 Sports Balm 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. There is a mismatched dosage form between the labeling and the listing SPL.

70146-010 Womens Relief Balm 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. There is a mismatched dosage form between the labeling and the listing SPL.

70146-011 Womens Sports Balm 1. Incorrect manufacturer included under the establishment section of listing SPL. 2. There is a mismatched dosage form between the labeling and the listing SPL.

70146-012 Hand Sanitizer 1. Incorrect manufacturer included under the establishment section of listing SPL.

Therefore, your firm has not fulfilled its listing obligations under section 510(j) of the FD&C Act, 21 U.S.C. 360(j), which is a prohibited act under section 301(p) of the FD&C Act, 21 U.S.C. 331(p). In addition, the drugs: Relief Balm, NDC 70146-000; Womens Relief Balm, NDC 70146-001; Sports Balm, NDC 70146-002; Womens Sports Balm, NDC 70146-003; Relief Balm, NDC 70146-004; Sports Balm, NDC 70146-005; Womens Relief Balm, NDC 70146-006; Womens Sports Balm, NDC 70146-007; Relief Balm, NDC 70146-008; Sports Balm, NDC 70146-009; Womens Relief Balm, NDC 70146-010; Womens Sports Balm, NDC 70146-011; and Hand Sanitizer NDC 70146-012 are not properly listed with FDA causing them to be misbranded drugs under section 502(o) of the FD&C Act, 21 U.S.C. 352(o). Introduction or delivery for introduction of such products into interstate commerce is prohibited under section 301(a) of the FD&C Act, 21 U.S.C. 331(a).

Complete, accurate and up-to-date establishment registration and drug listing information is essential to promote and protect patient safety. FDA relies on establishment registration and drug listing information for several key programs, including drug establishment inspections, supply chain security, and post-market surveillance. Drug registration and listing information is also widely used outside FDA for purposes such as electronic prescribing and electronic health records, insurance reimbursement, and patient education.

We note that this warning letter only addresses registration and listing issues associated with your products included in the table above. It is not intended to be an all-inclusive statement of violations that may exist in connection with your products. Your firm should investigate and determine the causes of any violations and take prompt actions to correct the violations and bring the products into compliance. It is also your responsibility to correct any listing deficiencies with all other products distributed by your firm.

This letter notifies you of our concerns and provides you an opportunity to address them. Failure to adequately address this matter may result in legal action including, without limitation, seizure, and injunction.

Please notify FDA in writing, within 15 working days of receipt of this letter, of the specific steps you have taken to address any violations. Include an explanation of each step being taken to prevent the recurrence of violations, as well as copies of related documentation. If you cannot complete corrective actions within 15 working days, state the reason for the delay and the time within which you will do so. In absence of a corrective action, the deficient listing data will not be available for certification under 21 CFR 207.57(b)(2) requirements and will be ultimately inactivated by FDA. If you believe that your products are not in violation of the FD&C Act, include your reasoning and any supporting information for our consideration.

Your response should be sent to U.S. Food and Drug Administration, Center for Drug Evaluation and Research/Office of Compliance/Office of Unapproved Drugs and Labeling Compliance by e-mail to eDRLS@fda.hhs.gov. Please be aware that a manual override may be required for certain types of revisions made to an existing drug listing file. If you receive a validation error or have any questions regarding the contents of this letter, please contact us at eDRLS@fda.hhs.gov. for further assistance. Include the case identification number 2643 on all correspondence.