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FDA to facilitate veterinary telemedicine during pandemic

Agency to temporarily suspend enforcement of portions of federal VCPR requirements relevant to certain FDA regulations, including extra-label drug use and VFDs.

As part of the U.S. Food & Drug Administration's ongoing commitment to combatting the COVID-19 pandemic and providing flexibility across FDA-regulated industries, the agency announced March 24 that it intends to temporarily not enforce certain requirements in order to allow veterinarians to better utilize telemedicine to address animal health needs during the pandemic.

"FDA recognizes the vital role veterinarians play in protecting public health. This pandemic has had impacts on many of our everyday lives and professions, and during this time, we need to provide veterinarians with the latitude to expand the use of telemedicine in the care of animals, not only pets but also the animals that produce our food," FDA commissioner Stephen M. Hahn said. "FDA is providing flexibility that will help veterinarians maintain the health of animals during the pandemic while allowing for the social distancing that is so important in limiting the further spread of coronavirus disease across the country and the world."

FDA said it intends to temporarily suspend enforcement of portions of the federal veterinarian/client/patient relationship (VCPR) requirements relevant to certain FDA regulations. VCPR is the professional relationship between the veterinarian, the client (e.g., animal owner or caretaker) and the animal patient(s). The federal VCPR definition requires that veterinarians physically examine animal patients and/or make medically appropriate and timely visits to the location where the animal(s) are kept. Therefore, the federal VCPR definition cannot be met solely through telemedicine, FDA noted.

In order to help veterinarians utilize telemedicine to address animal health needs during the COVID-19 pandemic, FDA generally does not intend to enforce the animal examination and premises visit portion of the VCPR requirements relevant to the FDA regulations governing Extra-label Drug Use in Animals and Veterinary Feed Directive (VFD) drugs. This will allow veterinarians to prescribe drugs in an extra-label manner or authorize the use of VFD drugs without direct examination of or making visits to their patients, which will limit human-to-human interaction and potential spread of COVID-19 in the community, FDA said.

For example, FDA said the owner of a sick dog could share a video with a veterinarian. If necessary, the veterinarian could then prescribe a drug not approved for use in dogs or for that illness (extra-label use). As another example, a veterinarian could remotely examine and diagnose a group of food-producing animals with a skin disease and then authorize the use of certain drugs in the animals' feed, the agency suggested.

Although FDA intends to temporarily suspend certain federal VCPR requirements, the agency said veterinarians still need to consider state VCPR requirements that may exist in their practice area.

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