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Missouri, Kansas and Idaho Sue to Block FDA’s New Generic Mifepristone Approval, Curb Mail-Order Access

The filing escalates a state-led effort to roll back FDA decisions that expanded remote access to medication abortion.

Overview

  • Missouri Attorney General Catherine Hanaway filed the expanded complaint with Kansas and Idaho targeting the FDA’s Sept. 30 approval of Evita Solutions’ generic mifepristone.
  • The states ask the Eastern District of Missouri to void the Evita approval, reinstate pre-2016 safeguards such as in‑person exams, and bar mailing of the pills.
  • The lawsuit, transferred from Texas, is now before U.S. District Judge Cristian Stevens in St. Louis with no rulings or hearing dates announced.
  • State filings argue loosened rules increased risks and cite emergency-room visit data, while FDA materials note rare serious complications across millions of uses.
  • The FDA and Evita did not respond to requests for comment, and HHS Secretary Robert F. Kennedy Jr. has said generics must be approved when shown identical to the brand.