ARTG Pathways
Three routes to market
| Factor | AUST L (Listed) | AUST L(A) (Assessed Listed) | AUST R (Registered) |
|---|---|---|---|
| Pre-market efficacy review | ❌ No | ✅ Yes — TGA assesses evidence | ✅ Yes — full assessment |
| Pre-market safety/quality | ❌ Self-certified | ❌ Self-certified | ✅ Full TGA review |
| Ingredients | Permissible Ingredients Determination only | Permissible Ingredients Determination only | Any (incl. scheduled substances) |
| Indications | Low-risk only | Intermediate-level permitted | High-level disease claims |
| Label identifier | AUST L number | AUST L(A) + optional 'TGA Assessed' claim | AUST R number |
| Timeline | ~3–6 months | Longer (evidence assessment adds time) | 12–24+ months |
| Evidence requirement | Hold evidence (not submitted pre-market) | Submit dossier for TGA review | Full CTD-format dossier |
| Post-market compliance | Random + targeted reviews | Random + targeted reviews | Ongoing pharmacovigilance |
AUST L — Listed Medicine
Eligibility & self-certification obligations
A medicine is eligible for AUST L under section 26A of the Therapeutic Goods Act 1989 if it meets all of the following criteria simultaneously.
Eligibility Criteria (s.26A)
- Contains ONLY ingredients specified in the Therapeutic Goods (Permissible Ingredients) Determination
- Complies with all requirements for each ingredient — including dose limits, permitted forms, and mandatory advisory statements
- Uses ONLY indications from the Therapeutic Goods (Permissible Indications) Determination
- Does NOT refer to a serious form of a disease (restricted representation)
- Does NOT contain a substance scheduled in the Poisons Standard
- Manufactured in accordance with GMP (PIC/S Guide PE009-16)
⚠️ Critical: Successful lodgement through TGA Business Services (TBS) portal does NOT equal compliance. TBS cannot capture all checks. Sponsor legal responsibility remains at all times — including post-market.
Sponsor Self-Certification Obligations (s.26A(2))
- (c) Presentation is not unacceptable
- (d) Complies with applicable standards
- (h) All manufacturers are listed on ARTG entry
- Evidence held to support every indication on the product
AUST L(A) — Assessed Listed Medicine
Intermediate pathway for evidence-backed products
Sits between AUST L and AUST R. Allows intermediate-level indications — more definitive disease references than AUST L, but not as high as AUST R.
Key Points
- TGA pre-market assesses efficacy evidence ONLY — safety and quality still self-certified
- Traditional use evidence alone is NOT accepted — must have scientific evidence
- Optional: sponsor may use 'TGA Assessed' label claim once approved
- Data protection available: 2-year exclusivity for new substance applicants under s.26BB(2A)
- Target population restriction: cannot use studies from populations with significant health concerns to support general population indications
ℹ️ Particularly relevant for weight loss products: directly impacts what study populations are valid for efficacy evidence supporting Listed medicine indications.
Permissible Ingredients Determination
The legislative gatekeeper for Listed medicines
The Therapeutic Goods (Permissible Ingredients) Determination is a legislative instrument — not guidance. Non-compliance is a breach of the Act. If an ingredient is not in the Determination, it cannot be in a Listed or Assessed Listed medicine.
Structure — 4 Columns
- Column 1: Row number
- Column 2: Ingredient name (Australian Approved Name / AAN)
- Column 3: Purpose — active or excipient
- Column 4: Specific requirements — dose limits, restricted forms, mandatory label warnings, special conditions
⚠️ Must search by Australian Approved Name (AAN) — not generic names. 'Ashwagandha' will return nothing; must use 'Withania somnifera'. Each ingredient FORM is separately listed — zinc gluconate and zinc picolinate are separate entries. The TGA Ingredients Table (online database) is NOT legislation — always cross-check against the actual Determination PDF.
Every Ingredient Entry Must Be Read For:
- Maximum dose per day
- Permitted forms — not all salt/chelate forms are listed
- Permitted purpose: active vs excipient
- Route of administration
- Mandatory advisory statements
- Any special conditions or restrictions
ℹ️ Market exclusivity: Successful evaluation applications can receive 2-year exclusivity under s.26BB(2A). Other sponsors cannot list a medicine using that protected ingredient until exclusivity expires.
Permissible Indications Determination
Three risk levels — three pathways
The Therapeutic Goods (Permissible Indications) Determination is a legislative instrument. Sponsors must ONLY use indications from this list, and only at the risk level appropriate to their pathway.
| Risk Level | Description | Pathway Required |
|---|---|---|
| Low-risk | General wellness, support claims (e.g. 'helps maintain healthy immune function') | AUST L |
| Intermediate | More definitive, may reference non-serious disease forms (e.g. 'relieves mild joint pain') | AUST L(A) |
| High-risk | Treatment/cure/prevention of serious disease conditions | AUST R |
Common Low-Risk Permitted Indications (AUST L)
- Helps/supports healthy immune function
- Helps/supports healthy energy levels/metabolism
- Helps/supports healthy bones, muscles, joint function
- Helps relieve mild joint pain
- Helps relieve symptoms of mild stress/anxiety
- Helps relieve sleeplessness/mild insomnia
- Supports healthy cardiovascular function
- Helps maintain healthy cholesterol levels within normal range
- Supports healthy cognitive function/mental clarity
- Antioxidant
- Supports healthy weight management / assists appetite control
⚠️ NOT permitted on AUST L: Disease treatment/cure/prevention, 'clinically proven', quantified effect claims, pharmaceutical comparisons, or any restricted representation. TCM/Ayurvedic indications require a mandatory advisory statement on label directing consumers to seek practitioner advice.
Label Requirements
TGO 92 + RASML mandatory requirements
Labels are governed by Therapeutic Goods Order No. 92 (TGO 92) and the Required Advisory Statements for Medicine Labels (RASML). Both are legislative instruments.
Mandatory Label Elements (TGO 92)
- Product name as it appears in ARTG Certificate of Listing — if brand name is included in the ARTG product name, the brand name becomes 'the name of the medicine'
- AUST L / AUST L(A) / AUST R number
- Name and address of sponsor
- Indications (unless 'For Practitioner Dispensing Only')
- Directions for use / dosage
- Batch number and expiry date
- Storage conditions
- All mandatory advisory statements from RASML
ℹ️ How to use RASML: Check Column 1 for your ingredient by AAN or pharmaceutical class → Check Column 2 conditions → If conditions are met, include ALL required statements from Column 3 with any presentation requirements noted in brackets.
Common Supplement Advisory Statements Required
- Kava: specific hepatotoxicity warnings + dose/duration limits
- Black cohosh: hepatotoxicity warning
- St John's Wort: 'may interact with prescription medicines'
- High-dose retinol (Vitamin A): pregnancy warning
- Iron: keep out of reach of children + overdose warning
- Chromium: standard chromium advisory
⚠️ 'TGA Approved' is PROHIBITED in all advertising. 'TGA Assessed' is only permitted for AUST L(A) products that have gone through pre-market efficacy assessment. No exceptions.
GMP Requirements
Manufacturing standards and ARTG obligations
All Listed Medicines Must:
- Comply with PIC/S Guide to GMP (PE009-16)
- Australian manufacturers: hold a TGA manufacturer licence
- Overseas manufacturers: Australian sponsor must hold TGA GMP clearance for each specific site
- Nominate ALL manufacturers for ALL manufacturing steps in the ARTG entry
- Update ARTG entry within 10 days of any manufacturer change — use of unlisted manufacturer = incorrect certification
Manufacturing Steps That Must Be Recorded on ARTG
- Primary manufacture
- Secondary manufacture (blending, encapsulation, tableting)
- Testing
- Packaging/labelling
Post-Market Compliance
TGA review process and enforcement
Two Types of Compliance Reviews
- Random reviews — computer-selected newly listed medicines; any AUST L can be selected
- Targeted reviews — products flagged for potential non-compliance based on advertising complaints, adverse events, or intelligence
Possible Regulatory Actions
- Request for evidence (sponsor must produce and provide evidence held)
- Corrective action required
- Voluntary cancellation
- Mandatory cancellation from ARTG — product cannot be sold in Australia
- Product recall
- Infringement notices and fines
⚠️ Published cancellations: TGA publicly publishes all cancellations from compliance reviews on their website. This creates reputational damage well beyond the regulatory action itself. Evidence must be held at all times — TGA can request it during any review.
TGA's Active Monitoring Areas (2025–2026)
- High-dose curcumin products — collecting market samples, internal safety assessment ongoing
- Weight loss medicines — efficacy evidence quality under scrutiny
- Products making restricted representations
- Social media advertising non-compliance
- Nicotine vaping products
Live Verification Sources
Always check current determinations before filing
This reference was compiled from live TGA.gov.au sources in March 2026 and cross-referenced with consultant-reviewed formulation data. It is intended as a practical reference only — always verify against the current Permissible Ingredients Determination and seek qualified regulatory advice before filing an ARTG application.