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Approved Risk Evaluation and Mitigation Strategies (REMS)

Ambrisentan Shared System
Shared System REMS
REMS last update: 06/08/2021

What medicines are included in the REMS?

Product Name Application Number Application Holder Added to REMS DailyMed Link FDA Link
Letairis (ambrisentan) (Info at Drugs@FDA) NDA 022081 GILEAD 03/28/2019
ambrisentan (Info at Drugs@FDA) ANDA 210784 SUN PHARM 03/28/2019
ambrisentan (Info at Drugs@FDA) ANDA 208252 WATSON LABS INC 03/28/2019
ambrisentan (Info at Drugs@FDA) ANDA 208441 MYLAN 03/28/2019
ambrisentan (Info at Drugs@FDA) ANDA 209509 PAR PHARM INC 04/10/2019
ambrisentan (Info at Drugs@FDA) ANDA 208354 SIGMAPHARM LABS LLC 04/10/2019
ambrisentan (Info at Drugs@FDA) ANDA 210058 ZYDUS PHARMS 04/20/2020
ambrisentan (Info at Drugs@FDA) ANDA 210715 CIPLA 04/20/2020
ambrisentan (Info at Drugs@FDA) ANDA 210701 APOTEX 05/19/2022
ambrisentan (Info at Drugs@FDA) ANDA 216531 AUROBINDO PHARMA 07/21/2022

What is the purpose of the REMS?

The goal of the Ambrisentan REMS Program is to mitigate the risk of embryo-fetal toxicity associated with ambrisentan by:
  1. Ensuring prescribers are educated on the following:
    • the risk of embryo-fetal toxicity
  2. Ensuring prescribers are educated on and adhere to the following:
    • counseling patients about the risk and the need for monthly monitoring
    • enrolling patients in the Ambrisentan REMS Program
    • monitoring patients at baseline and monthly
  3. Ensuring that pharmacies are educated on the following:
    • the risk of embryo-fetal toxicity
  4. Ensuring that pharmacies are educated on and adhere to the following:
    • confirming that the appropriate patient monitoring and counseling has occurred before dispensing ambrisentan
  5. Ensuring that patients are informed about:
    • the risk of embryo-fetal toxicity
    • appropriate baseline and monthly patient monitoring
    • appropriate contraception

What do participants need to know?

Below is a general overview of the REMS for all REMS participants (e.g., patients, pharmacies, and healthcare providers). See the application holder(s) REMS Website or the approved REMS materials for more information.

View application holder(s) REMS Website See Disclaimer page regarding links to external sites

What assessment is available to the REMS?

Assessment Plan
REMS assessment plan unavailable for posting at this time.

What updates have been made to the REMS?

Date Summary of change
06/08/2021 Modified to:
  1. Remove the pop-up on the Ambrisentan REMS website home page.
  2. Align the inpatient and outpatient pharmacy requirements within the Prescriber and Pharmacy guide and the REMS website with the REMS document.
  3. Remove the term "for approval" from the Outpatient Pharmacy requirement regarding the authorization to dispense a greater than 30-day supply in the Prescriber and Pharmacy Guide and REMS Website.
12/22/2020 Modified the Prescriber and Pharmacy Guide and on the REMS website changes were made to: Clarify inpatient pharmacy requirements for when an enrolled patient is continuing ambrisentan in the inpatient setting and is already under the supervision and care of a certified prescriber to align with the existing inpatient pharmacy requirements in the approved REMS document. Include a provision for prescribers to authorize a greater than 30-day supply for females of reproductive potential due to travel or personal extenuating circumstances at the prescriber’s medical discretion. Addition of certified outpatient pharmacy listings and links to Spanish language REMS materials on the REMS website. A new office contact portal.
03/28/2019 Approval of Shared System REMS

Disclaimer: This webpage provides general information about REMS programs to various REMS participants (e.g., patients, pharmacies, and healthcare providers). The summary information provided herein is not comprehensive and may not include all of the information relevant to REMS participants. This webpage does not constitute a replacement, modification, or revision of the approved REMS document, including any appended REMS materials. Refer to the approved REMS document for complete information on the REMS requirements for each approved application.

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