This electronic document was downloaded from the GPO web site, September 2002, and is provided for information purposes only. The Code of Federal Regulations, Title 21, is updated each year in early summer. The most current version of the regulations may be found at the GPO web site or from the current printed version.

 [Code of Federal Regulations]
 [Title 21, Volume 2]
 [Revised as of April 1 , 2002]
 From the U.S. Government Printing Office via GPO Access
 [CITE: 21CFR106.1]
 
 [Page 183]
 
                         TITLE 21--FOOD AND DRUGS
 
 CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN
                           SERVICES (CONTINUED)
 
 PART 106--INFANT FORMULA QUALITY CONTROL PROCEDURES--Table of Contents
 
                       Subpart A--General Provisions
 
 Sec. 106.1  Status and applicability of the quality control procedures regulation.
 
     (a) The criteria set forth in Secs. 106.20, 106.25, 106.30, 106.90,
 and 106.100 shall apply in determining whether an infant formula meets
 the safety, quality, and nutrient requirements of section 412 of the act
 and the requirements of regulations promulgated under section 412(a)(2)
 of the act.
     (b) The failure to comply with any regulation set forth in
 Secs. 106.20, 106.25, 106.30, 106.90, and 106.100 applicable to the
 manufacturing, processing, and packaging of an infant formula shall
 render such formula adulterated under section 412(a)( 1 )(C) of the act.
     (c) References in this part to regulatory sections of the Code of
 Federal Regulations are to chapter I of title 21 unless otherwise noted.
 
 [[Page 184]]
 
 
 
 [Code of Federal Regulations]
 [Title 21, Volume 2]
 [Revised as of April 1, 2002]
 From the U.S. Government Printing Office via GPO Access
 [CITE: 21CFR106.3]
 
 [Page 184]
 
                         TITLE 21--FOOD AND DRUGS
 
 CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN
                           SERVICES (CONTINUED)
 
 PART 106--INFANT FORMULA QUALITY CONTROL PROCEDURES--Table of Contents
 
                       Subpart A--General Provisions
 
 Sec. 106.3  Definitions.
 
     The definitions and interpretations contained in section 201 of the
 act are applicable to such terms when used in this part. The following
 definitions shall also apply:
     (a) Indicator nutrient. An indicator nutrient is a nutrient whose
 concentration is measured during the manufacture of an infant formula to
 confirm complete addition and/or uniform distribution of a premix or
 other substance of which the indicator nutrient is a part.
     (b) In-process batch. An in-process batch is a combination of
 ingredients at any point in the manufacturing process before packaging.
     (c) Manufacturer. A manufacturer is a person who prepares,
 reconstitutes, or otherwise changes the physical or chemical
 characteristics of an infant formula and/or packages the product in a
 container for distribution.
     (d) Nutrient. A nutrient is any vitamin, mineral, or other substance
 required in accordance with the table set out in section 412(g) of the
 act or by regulations promulgated under section 412(a)(2)(A) of the act.
     (e) Nutrient premix. A nutrient premix is a combination of
 ingredients containing two or more nutrients. A nutrient premix either
 may be received from a supplier or be prepared by an infant formula
 manufacturer.
 
 
 
 [Code of Federal Regulations]
 [Title 21, Volume 2]
 [Revised as of April 1, 2002]
 From the U.S. Government Printing Office via GPO Access
 [CITE: 21CFR106.20]
 
 [Page 184]
 
                         TITLE 21--FOOD AND DRUGS
 
 CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN
                           SERVICES (CONTINUED)
 
 PART 106--INFANT FORMULA QUALITY CONTROL PROCEDURES--Table of Contents
 
  Subpart B--Quality Control Procedures for Assuring Nutrient Content of
                              Infant Formulas
 
 Sec. 106.20  Ingredient control.
 
     (a) Except as provided in Sec. 106. 20 (b), no analysis before use in
 manufacturing is needed for ingredients that are generally stable in
 shipping and storage, and that either are received under a supplier's
 guarantee or certification that the mixture has been analyzed as to
 nutrient composition or are labeled as having nutrient compositions
 complying with specifications in the U.S. Pharmacopeia, the National
 Formulary, the Food Chemicals Codex, or other similar recognized
 standards.
     (b) Unless each batch of finished product is analyzed as specified
 in Sec. 106.30(b)(1) before release of product for commercial or
 charitable distribution, the following shall apply:
     (1) When an ingredient is relied upon as a source of a nutrient(s)
 and when evidence indicates that such nutrient(s) in that ingredient is
 likely to be affected adversely by shipping or storage conditions, the
 manufacturer shall analyze that ingredient for each relied-upon nutrient
 that may be affected, using validated analytical methods.
     (2) Ingredients, including nutrient premixes, that are either
 without a supplier's guarantee or certification, or not labeled as
 complying with prescribed standards, shall be sampled and analyzed for
 each relied-upon nutrient by the manufacturer, except that ingredients
 used as a major source of protein or fat need not be analyzed for each
 relied-upon nutrient if the manufacturer has records to show that each
 relied-upon nutrient is present at a reasonably constant level. Nutrient
 premixes prepared by the infant formula manufacturer shall be sampled
 and analyzed for each relied-upon nutrient. Nutrient premixes which are
 received from suppliers shall be sampled and analyzed for each relied-
 upon nutrient unless the supplier has sampled and analyzed each batch of
 premix for each relied-upon nutrient and has so certified in writing.
 
 
 
 [Code of Federal Regulations]
 [Title 21, Volume 2]
 [Revised as of April 1, 2002]
 From the U.S. Government Printing Office via GPO Access
 [CITE: 21CFR106.25]
 
 [Page 184-185]
 
                         TITLE 21--FOOD AND DRUGS
 
 CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN
                           SERVICES (CONTINUED)
 
 PART 106--INFANT FORMULA QUALITY CONTROL PROCEDURES--Table of Contents
 
  Subpart B--Quality Control Procedures for Assuring Nutrient Content of
                              Infant Formulas
 
 Sec. 106.25  In-process control.
 
     (a) For each infant formula, a master manufacturing order shall be
 prepared and approved by a responsible official of the manufacturer. The
 manufacturer shall establish a quality control system that assures and
 verifies the addition of each ingredient specified in the manufacturing
 order.
     (b) Unless each batch of finished product is analyzed as specified
 in Sec. 106.30(b)(1), the manufacturer shall analyze each in-process
 batch for:
     (1) Solids;
     (2) Protein, fat, and carbohydrates (carbohydrates either by
 analysis or by mathematical difference);
     (3) The indicator nutrient(s) in each nutrient premix;
     (4) Each nutrient added independently of nutrient premixes during
 formulation of the product, except for linoleic acid, vitamin D, vitamin
 K, choline, inositol, and biotin; and
 
 [[Page 185]]
 
     (5) Solids or an appropriate nutrient to confirm proper dilution
 when final dilution is made after performance of the analyses in
 paragraph (b) (1) through (4) of this section.
 
 
 
 [Code of Federal Regulations]
 [Title 21, Volume 2]
 [Revised as of April 1, 2002]
 From the U.S. Government Printing Office via GPO Access
 [CITE: 21CFR106.30]
 
 [Page 185-186]
 
                         TITLE 21--FOOD AND DRUGS
 
 CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN
                           SERVICES (CONTINUED)
 
 PART 106--INFANT FORMULA QUALITY CONTROL PROCEDURES--Table of Contents
 
  Subpart B--Quality Control Procedures for Assuring Nutrient Content of
                              Infant Formulas
 
 Sec. 106.30  Finished product evaluation.
 
     (a) The manufacturer shall establish criteria for sampling and
 testing to ensure that each batch of infant formula meets the nutrient
 requirements of section 412(g) of the act or of regulations promulgated
 under section 412(a)(2) of the act before release of product for
 commercial or charitable distribution.
     (b)(1) Immediate analysis. Before release of product for commercial
 or charitable distribution, the manufacturer shall analyze
 representative samples of each batch of finished product for:
     (i) Specific nutrient(s) to assess process degradation; and
     (ii) All nutrients not previously analyzed for by the manufacturers,
 unless each in-process batch is analyzed for nutrients as specified in
 Sec. 106.25(b) and the ingredients are analyzed as specified in
 Sec. 106.20(b). No analyses are needed for linoleic acid, vitamin D,
 vitamin K, choline, inositol, and biotin; and for nutrients that are
 added as a part of a nutrient premix analyzed by the manufacturer or
 having a supplier's guarantee or certification and for which an
 indicator nutrient(s) was analyzed by the manufacturer.
     (2) Periodic analysis. The manufacturer shall sample at least one
 newly processed finished product batch every 3 months and shall analyze
 representative samples for all nutrients except those that the
 manufacturers measured in the immediate analysis of that product batch.
     (3) Stability analysis. Using representative samples collected from
 finished product batches, the manufacturer shall conduct stability
 analysis for selected nutrients with sufficient frequency to
 substantiate the maintenance of nutrient content throughout the shelf
 life of the product.
     (c) The manufacturer shall evaluate new formulations and the effect
 of changes in ingredients or processing conditions that could affect the
 level of nutrients by means of a testing program designed to confirm
 uniformity of batches and to determine the effects of such changes. The
 following shall apply:
     (1) A minor change is a minor reduction in nutrient levels, a minor
 increase in levels of nutrients that are subject to maximum limits
 established under section 412(g) of the act or in regulations
 established under section 412(a)(2) of the act, or any other change
 where experience or theory would not predict a possible significant
 adverse impact on nutrient levels or nutrient availability. After a
 minor change the manufacturer shall analyze representative samples for
 all nutrients so changed and those possibly affected by the change.
     (2) A major change is any new formulation, or any change of
 ingredients or processes where experience or theory would predict a
 possible significant adverse impact on levels of nutrients or
 availability of nutrients. After a major change the manufacturer shall
 analyze representative samples for osmolality, all nutrients, and the
 biological quality of the protein. A protein biological quality analysis
 is not necessary for a formulation change that is not expected to have
 an adverse effect on the biological quality of the protein. Vitamin D
 shall be determined by the rat bioassay method as prescribed in
 ``Official Methods of Analysis of the Association of Official Analytical
 Chemists'' (AOAC), 13th Ed. (1980), sections 43.195-43.208, ``Vitamin D
 ( 30 )--Official Final Action,'' which is incorporated by reference.
 Copies are available from the Association of Official Analytical
 Chemists International, 481 North Frederick Ave., suite 500,
 Gaithersburg, MD 20877-2504, or available for inspection at the Office
 of the Federal Register, 800 North Capitol Street, NW., suite 700,
 Washington, DC. Before release of the product for commercial or
 charitable distribution, the manufacturer shall have completed all
 appropriate analyses except that shipment of the product need not be
 delayed until results of the vitamin D bioassay and, if required, a
 protein biological quality bioassay are complete, provided such
 bioassays have been initiated, and if another analysis for the vitamin D
 has been run and the protein content has
 
 [[Page 186]]
 
 been determined by a suitable method. The biological quality of the
 protein shall be determined by an appropriate modification of the AOAC
 bioassay method of analysis. The manufacturer shall analyze additional
 samples from the same batch for vitamin D, by any suitable method, and
 for the biological quality of the protein. The manufacturer shall
 perform such analyses at least annually for a period not to exceed the
 expected shelf life of the product.
     (d) A simple adjustment in the level of an ingredient to accommodate
 inconsistencies in processing is considered to be neither a minor nor a
 major change.
 
 [47 FR 17025, Apr. 20, 1982, as amended at 54 FR 24891, June 12, 1989;
 63 FR 14035, Mar. 24, 1998]
 [Code of Federal Regulations]
 [Title 21, Volume 2]
 [Revised as of April 1, 2002]
 From the U.S. Government Printing Office via GPO Access
 [CITE: 21CFR106.90]
 
 [Page 186]
 
                         TITLE 21--FOOD AND DRUGS
 
 CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN
                           SERVICES (CONTINUED)
 
 PART 106--INFANT FORMULA QUALITY CONTROL PROCEDURES--Table of Contents
 
  Subpart B--Quality Control Procedures for Assuring Nutrient Content of
                              Infant Formulas
 
 Sec. 106.90  Coding.
 
     The manufacturer shall code all infant formulas in conformity with
 the coding requirements that are applicable to thermally processed low-
 acid foods packaged in hermetically sealed containers as prescribed in
 Sec. 113.60(c).
 
 
 [Code of Federal Regulations]
 [Title 21, Volume 2]
 [Revised as of April 1, 2002]
 From the U.S. Government Printing Office via GPO Access
 [ CITE: 21CFR106.100]
 
 [Page 186-188]
 
                         TITLE 21--FOOD AND DRUGS
 
 CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN
                           SERVICES (CONTINUED)
 
 PART 106--INFANT FORMULA QUALITY CONTROL PROCEDURES--Table of Contents
 
                      Subpart C--Records and Reports
 
 Sec. 106.100  Records.
 
     (a) Every manufacturer of infant formula shall maintain the records
 specified in this regulation in order to permit the Food and Drug
 Administration to determine whether each manufacturer is in compliance
 with section 412 of the Federal Food, Drug, and Cosmetic Act (the act).
     (b) The manufacturer shall maintain all records that pertain to
 food-packaging materials subject to Sec. 174.5 of this chapter and that
 bear on whether such materials would cause an infant formula to be
 adulterated within the meaning of section 402(a)(2)(C) of the act.
     (c) The manufacturer shall maintain all records that pertain to
 nutrient premix testing that it generates or receives. Such records
 shall include, but are not limited to:
     (1) Any results of testing conducted to ensure that each nutrient
 premix is in compliance with the premix certificate and guarantee and
 specifications that have been provided to the manufacturer by the premix
 supplier, including tests conducted when nutrients exceed their
 expiration date or shelf life (retest date).
     (2) All certificates and guarantees given by premix suppliers
 concerning the nutrients required by section 412(i) of the act and
 Sec. 107. 100 of this chapter.
     (d) The premix supplier shall maintain the results of all testing
 conducted to provide all certificates and guarantees concerning nutrient
 premixes for infant formulas. Such records shall include but are not
 limited to:
     (1) The results of tests conducted to determine the purity of each
 nutrient required by section 412(i) of the act or Sec. 107. 100 of this
 chapter and any other nutrient listed in the certificate and guarantee;
     (2) The weight of each nutrient added;
     (3) The results of any quantitative tests conducted to determine the
 amount of each nutrient certified or guaranteed; and
     (4) The results of any quantitative tests conducted to identify the
 nutrient levels present when nutrient premixes exceed their expiration
 date or shelf life (retest date).
     (e) The manufacturer shall maintain all records necessary to ensure
 proper nutrient quality control in the manufacture of infant formula
 products. Such records shall include the results of any testing
 conducted to verify that each nutrient required by section 412(i) of the
 act or Sec. 107. 100 of this chapter is present in each batch of infant
 formula at the appropriate concentration. This requirement pertains to
 ingredients, in process batch and finished product from the time of
 manufacture through its expiration date.
     (f) The manufacturer shall maintain all records necessary to ensure
 required nutrient content at the final product stage. Such records shall
 include, but are not limited to, testing results for vitamins A,
 B<INF>1</INF> (thiamine), C, and E for each batch of infant formula.
 ``Final product stage'' means the point in the manufacturing process
 prior to distribution at which the infant formula is homogenous and not
 subject to further degradation from the manufacturing process.
 
 [[Page 187]]
 
     (g) The manufacturer shall maintain all records pertaining to
 distribution of the infant formula. Such records shall include, but not
 be limited to, all information and data necessary to effect and monitor
 recalls of the manufacturer's infant formula products in accordance with
 subpart E of part 107 of this chapter.
     (h) The manufacturer shall maintain all records pertaining to the
 microbiological quality and purity of raw materials and finished
 powdered infant formula.
     (i) [Reserved]
     (j) The manufacturer shall maintain all records pertaining to
 regularly scheduled audits, including audit plans and procedures. Audit
 plans identify the specific manufacturing and quality control procedures
 to be reviewed. Audit procedures are the methods used to review the
 manufacturing and quality control procedures. Records of audits shall
 include the information and data necessary for a determination as to
 whether the manufacturer complies with the current good manufacturing
 practices and quality procedures identified in parts 106, 107, 109, 110,
 and 113 of this chapter. The records shall include written assurances
 from the manufacturer that regularly scheduled audits are being
 conducted by appropriately trained individuals who do not have any
 direct responsibility for the manufacture or production of infant
 formula, and that the complete audit plans and procedures for the firm
 have been followed. The actual written reports of the audits need not be
 made available.
     (k) The manufacturer shall maintain procedures describing how all
 written and oral complaints regarding infant formula will be handled.
 The manufacturer shall follow these procedures and shall include in them
 provisions for the review of any complaint involving an infant formula
 and for determining the need for an investigation of the possible
 existence of a hazard to health.
     (1) For purposes of this section, every manufacturer shall interpret
 a ``complaint'' as any communication that contains any allegation,
 written or oral, expressing dissatisfaction with a product for any
 reason, including concerns about the possible existence of a hazard to
 health and about appearance, taste, odor, and quality. Correspondence
 about prices, package size or shape, or other matters that could not
 possibly reveal the existence of a hazard to health shall not, for
 compliance purposes, be considered a complaint and therefore need not be
 made available to an FDA investigator.
     (2) When a complaint shows that a hazard to health possibly exists,
 the manufacturer shall conduct an investigation into the validity of the
 complaint. Where such an investigation is conducted, the manufacturer
 shall include in its file on the complaint the determination as to
 whether a hazard to health exists and the basis for that determination.
 No investigation is necessary when the manufacturer determines that
 there is no possibility of a hazard to health. When no investigation is
 necessary, the manufacturer shall include in the record the reason that
 an investigation was found to be unnecessary and the name of the
 responsible person making that determination.
     (3) When there is a reasonable possibility of a causal relationship
 between the consumption of an infant formula and an infant's death, the
 manufacturer shall, within 15 days of receiving such information,
 conduct an investigation and notify the agency as required in
 Sec. 106.120(b).
     (4) The manufacturer shall maintain in designated files all records
 pertaining to the complaints it receives. The manufacturer shall
 separate the files into two classes:
     (i) Those complaints that allege that the infant became ill from
 consuming the product or required treatment by a physician or health-
 care provider.
     (ii) Those complaints that may involve a possible existence of a
 hazard to health but do not refer to an infant becoming ill or the need
 for treatment by physician or a health care provider.
     (5) The manufacturer shall include in a complaint file the following
 information concerning the complaint:
     (i) The name of the infant formula;
     (ii) The batch number;
     (iii) The name of complainant;
     (iv) A copy of the complaint or a memo of the telephone conversation
 or
 
 [[Page 188]]
 
 meeting and all correspondence with the complainant;
     (v) By reference or copy, all the associated manufacturing records
 and complaint investigation records needed to evaluate the complaint.
 When copies of such records are not maintained in the complaint file,
 they must be available within 24 hours when requested by an FDA
 official.
     (vi) All actions taken to follow up on the complaint; and
     (vii) All findings and evaluations of the complaint.
     (6) The manufacturer should maintain the files regarding infant
 formula complaints at the establishment where the infant formula was
 manufactured, processed, or packed. When the manufacturer wishes to
 maintain all consumer complaints for the entire firm at one location
 other than at the facility where an infant formula was manufactured,
 processed, or packed, the manufacturer may do so as long as all records
 required by this section are available within 24 hours of request for
 inspection at that facility. However, all records of consumer
 complaints, including summaries, any reports, and any files, maintained
 at the manufacturing facility or at any other facility shall be made
 available to investigators for review and copying upon request.
     (l) The manufacturer shall make readily available for authorized
 inspection all records required under this part or copies of such
 records. Records shall be available at any reasonable time at the
 establishment where the activities described in such records occurred.
 (Infant formula complaint files may be maintained at one facility, as
 provided in Sec. 106. 100 (k)(6), if all required records are readily
 available at that facility.) These records or copies thereof shall be
 subject to photocopying or other means of reproduction as part of such
 inspection. Records that can be immediately retrieved from another
 location by electronic means shall be considered as meeting the
 requirements of this paragraph.
     (m) Records required under this part may be retained either as
 original records or as true copies such as photocopies, microfilm,
 microfiche, or other accurate reproductions of the original records.
 Where reduction techniques, such as microfilming are used, suitable
 reader and photocopying equipment shall be readily available.
     (n) Production control, product testing, testing results,
 complaints, and distribution records necessary to verify compliance with
 parts 106, 107, 109, 110, and 113 of this chapter, or with other
 appropriate regulations, shall be retained for 1 year after the
 expiration of the shelf life of the infant formula or 3 years from the
 date of manufacture, whichever is greater.
     (o) The manufacturer shall maintain quality control records that
 contain sufficient information to permit a public health evaluation of
 any batch of infant formula.
 
 [56 FR 66571, Dec. 24, 1991; 57 FR 7435, Mar. 2, 1992]
 
 
 
 [Code of Federal Regulations]
 [Title 21, Volume 2]
 [Revised as of April 1, 2002]
 From the U.S. Government Printing Office via GPO Access
 [CITE: 21CFR106.120]
 
 [Page 188-189]
 
                         TITLE 21--FOOD AND DRUGS
 
 CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN
                           SERVICES (CONTINUED)
 
 PART 106--INFANT FORMULA QUALITY CONTROL PROCEDURES--Table of Contents
 
                   Subpart D--Notification Requirements
 
 Sec. 106.120  New formulations and reformulations.
 
     (a) Information required by section 412(b)(2) and (3) of the act
 shall be submitted to Center for Food Safety and Applied Nutrition (HFS-
 830), Food and Drug Administration, 5100 Paint Branch Pkwy., College
 Park, MD 20740.
     (b) The manufacturer shall promptly notify the Food and Drug
 Administration when the manufacturer has knowledge (as defined in
 section 412(c)(2) of the act) that reasonably supports the conclusion
 that an infant formula that has been processed by the manufacturer and
 that has left an establishment subject to the control of the
 manufacturer may not provide the nutrients required by section 412(g) of
 the act and by regulations promulgated under section 412(a)(2) of the
 act, or when there is an infant formula that is otherwise adulterated or
 misbranded and that may present risk to human health. This notification
 shall be made, by telephone, to the Director of the appropriate Food and
 Drug Administration district office specified in Sec. 5.215 of this
 chapter. After normal business hours (8 a.m. to 4:30 p.m.) the FDA
 emergency number, 301-443-1240, shall be used. The manufacturer shall
 send a followup written confirmation to the
 
 [[Page 189]]
 
 Center for Food Safety and Applied Nutrition (HFS-605), Food and Drug
 Administration, 5100 Paint Branch Pkwy., College Park, MD 20740, and to
 the appropriate Food and Drug Administration district office specified
 in Sec. 5.215.
 
 [47 FR 17025, Apr. 20, 1982, as amended at 54 FR 24891, June 12, 1989;
 61 FR 14479, Apr. 2, 1996; 66 FR 17358, Mar. 30, 2001; 66 FR 56035, Nov.
 6, 2001]


Infant Formula
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