Our Issues Share page: Learn more about the issues CHPA addresses in the OTC medicine, dietary supplement, and consumer medical device industries. OTC Medicines Acetaminophen Acetaminophen is the most common drug ingredient in the United States. It’s found in more than 600 different medicines. Explore Children's Cough and Cold Medicines Explore DXM (dextromethorphan) Dextromethorphan (DXM) is a safe and effective ingredient found in more than 100 over-the-counter (OTC) cough and cold medicines. Explore Fluoride Explore Monograph Reform The system that regulates most OTC medicines, the OTC Monograph System, was established in 1972. Explore User Fees Explore NSAIDS Explore OTC Distribution Explore Phenylephrine Explore Rx-to-OTC Switch Rx-to-OTC switch is the transfer of proven prescription drugs to nonprescription, OTC status. It is a scientifically rigorous and highly regulated process that allows consumers to have OTC access to a growing range of medicines. Explore /our-issues/otc-medicines/pse-pseudoephedrine Pseudoephedrine (PSE) is a safe and effective active ingredient found in leading cold, allergy, and sinus medicines to provide congestion relief. Explore Sunscreen Explore Take Back/Drug Disposal CHPA recommends following the guidance developed by the U.S. Food and Drug Administration (FDA) together with the White House Office of National Drug Control Policy for the proper disposal of unused medication in the consumer’s home. Explore Pediatrics Medicine Explore View all OTC Medicine Content Dietary Supplements CBD and Hemp Oil Explore DSHEA Passed in 1994, the Dietary Supplement Health & Education Act (DSHEA) established a strong, comprehensive regulatory framework for dietary supplements where none existed before. Explore Immunity Consumers across the country are turning to dietary supplements as a way to boost their immunity. Explore New Dietary Ingredients As the industry grows, New Dietary Ingredient Notifications are key to ensuring dietary supplement products entering the market only include legal and safe ingredients. Explore Probiotics Explore Vitamins and Minerals With nearly 90 percent of Americans not consuming the daily recommended intake of vegetables, and over 90 percent of people deficient in Vitamin D, supplements like vitamins and minerals can help improve overall health and fill critical nutritional gaps. Explore View all Dietary Supplement Content Consumer Medical Devices 510(K) Modifications Explore All Consumer Medical Device Content Explore Other Issues Branding Brands are the principal repository of goodwill that enables a company to distinguish its products. Explore COVID-19 Explore Digital Health Explore FSA/HSA Explore Good Manufacturing Practices Explore Health Literacy Explore Ingredient Safety Explore Labeling Explore NPLEx (National Precursor Log Exchange) Explore Packaging Explore PFAS Though rising PFAS levels prompt important health questions that must be monitored, restrictions should remain grounded in conclusive toxicology to avoid reactionary bans on safe modern alternatives. Explore Proposition 65 CHPA monitors Proposition 65 activities to ensure its members who manufacture, distribute, and sell over-the-counter (OTC) medicines in California remain compliant with all applicable regulations. Explore Quality CHPA supports the U.S. Food and Drug Administration's (FDA) federal regulations ensuring and enforcing product quality for over-the-counter (OTC) medicine and dietary supplement manufacturers. Explore Research Explore Safe Storage Explore Sales Tax Exemption Many states have already acknowledged the therapeutic value and cost-effectiveness of OTC medicines and allow a retail sales tax exemption for the purchase of these products. Explore Supply Chain Explore Sustainability Explore Titanium Dioxide Explore View All Other Content