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4. How does the provision in section 3 of the BPCA providing for a recommendation for a formulation change relate to the pediatric rule provision stating that in certain cases a sponsor may be required to develop a pediatric formulation? Should pediatric formulations be required in certain cases?
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Yes. Lack of pediatric formulations renders some drugs impossible to administer despite efficacy in children. In my opinion, it is unethical to exclude children from the potential benefits of a drug that is otherwise approved for use and that has been demonstrated to be safe and effective in children.
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