FDCA 501(a)(2)(A) citations
FDA investigators cited FDCA 501(a)(2)(A) 450 times at 115 facilities in the inspection citations FDA publishes, most recently in an inspection that ended Nov 14, 2025. A citation is an observation listed on Form FDA 483 at the end of an inspection; it is not a final agency decision.
Citations by fiscal year
| FDA fiscal year | Citations |
|---|---|
| 2026 | 6 |
| 2025 | 47 |
| 2024 | 17 |
| 2023 | 77 |
| 2022 | 57 |
| 2021 | 24 |
| 2020 | 51 |
| 2019 | 98 |
| 2018 | 73 |
Recent citations
The latest inspections that cited this section. Facility names link to each facility's FDA record.
| Inspection ended | Facility | Country | Observation |
|---|---|---|---|
| Nov 14, 2025 | Empower Clinic Services, LLC | United States | Failure to conduct media fills that closely simulate aseptic production operations under the worst-case, most-challenging, and stressful conditions. |
| Nov 14, 2025 | Empower Clinic Services, LLC | United States | Personnel were observed moving quickly in a critical area or in an area immediately adjacent to a critical area likely causing disruption of unidirectional airflow. |
| Nov 14, 2025 | Empower Clinic Services, LLC | United States | Smoke studies were inadequately performed under dynamic conditions. |
| Nov 14, 2025 | Empower Clinic Services, LLC | United States | Failure to appropriately and regularly clean and disinfect or sterilize equipment located in the ISO 5 area. |
| Nov 14, 2025 | Empower Clinic Services, LLC | United States | Microbial contamination was present in the ISO 5 area. |
| Nov 14, 2025 | Empower Clinic Services, LLC | United States | Personnel were observed conducting aseptic manipulations where the movement of "first air" in the ISO 5 area is blocked or disrupted. |
| Sep 5, 2025 | North American Custom Laboratories, LLC | United States | Production areas have difficult to clean or contain porous, particle generating, or visibly dirty equipment or surfaces. |
| Jul 31, 2025 | Cardinal Health 414, LLC | United States | Personnel were observed conducting aseptic manipulations where the movement of "first air" in the ISO 5 area is blocked or disrupted. |
| Jul 31, 2025 | Cardinal Health 414, LLC | United States | Lack of disinfection of supplies at each transition from areas of lower quality air to areas of higher quality air. |
| Jun 13, 2025 | Pharmcore Inc. | United States | Materials were exposed to lower than ISO 5 quality air. |
| Jun 13, 2025 | Pharmcore Inc. | United States | Smoke studies were inadequately performed under dynamic conditions. |
| Mar 6, 2025 | SKNV | United States | Hazardous drugs were produced without providing adequate containment, segregation, and/or cleaning of work surfaces, utensils, and/or personnel to prevent cross-contamination. |
| Feb 28, 2025 | PALMETTO ISOTOPES, LLC | United States | Use of a sporicidal agent in the facility's classified areas was improper. |
| Feb 28, 2025 | PALMETTO ISOTOPES, LLC | United States | Failure to conduct media fills that closely simulate aseptic production operations under the worst-case, most-challenging, and stressful conditions. |
| Feb 28, 2025 | PALMETTO ISOTOPES, LLC | United States | Smoke studies were not performed under dynamic conditions. |
| Feb 28, 2025 | PALMETTO ISOTOPES, LLC | United States | Personnel engaged in aseptic processing were observed wearing non-sterile gloves. |
| Feb 28, 2025 | PALMETTO ISOTOPES, LLC | United States | Production areas have difficult to clean or contain porous, particle generating, or visibly dirty equipment or surfaces. |
| Feb 28, 2025 | PALMETTO ISOTOPES, LLC | United States | Inadequate routine environmental monitoring in the ISO 5 area. |
| Feb 7, 2025 | Revive Rx LLC | United States | Use of lyophilizers that are not sterilized by routine sterilization cycles and protected from contamination by sterilizing filters on vacuum break air lines/vents. |
| Feb 7, 2025 | Revive Rx LLC | United States | Smoke studies were not performed under dynamic conditions. |
| Feb 7, 2025 | Revive Rx LLC | United States | Failure to conduct media fills that closely simulate aseptic production operations under the worst-case, most-challenging, and stressful conditions. |
| Feb 7, 2025 | Revive Rx LLC | United States | Failure to appropriately and regularly clean and disinfect or sterilize equipment located in the ISO 5 area. |
| Feb 7, 2025 | Revive Rx LLC | United States | Microbial contamination was present in the ISO 5 area and areas adjacent to production areas. |
| Feb 7, 2025 | Revive Rx LLC | United States | Lack of and Inadequate routine environmental monitoring in the ISO 5 area and classified areas. |
| Feb 7, 2025 | Revive Rx LLC | United States | Sterile drugs and Materials were exposed to lower than ISO 5 quality air. |
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