SITCSection 5
U.S. imports of other antibiotic medicaments, dosage form or retail packings (SITC 54219) totaled $117.5M in July 2026, traded with 29 countries.
Last updated: July 2026 dataFinished medicaments containing antibiotics other than penicillins and streptomycins — including macrolides, fluoroquinolones, tetracyclines, and cephalosporins — in measured doses or retail packaging are classified here, making this one of the broadest finished-antibiotic headings in the SITC schedule. FDA admissibility review governs all such imports, with particular scrutiny on generic drug manufacturers' cGMP compliance and bioequivalence data. The NES scope means classification disputes can arise when a product contains multiple antibiotic classes; the primary active ingredient typically governs. These finished products serve hospital, retail pharmacy, and veterinary distribution channels.
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708 shipments/mo
Basic heading 31 of 465 in section 5
Basic heading 54219 · $117.5M of $28.9B
FDA may place a foreign drug manufacturer on an import alert, which subjects all shipments from that establishment to detention without physical examination. Importers should verify the manufacturer's compliance status in FDA's import alert database before placing orders, as detained shipments can result in significant delays and re-exportation costs.
Classification of combination antibiotic products can be complex and depends on which active ingredient is considered primary under the applicable classification rules. This is a genuine edge case where a licensed customs broker or trade attorney should be consulted, as misclassification can result in duty underpayment or overpayment and potential CBP penalties.
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Imports · July 2026
origin
India and Italy together supply 51% of it.
customs district
Census does not publish district detail for this classification system.
destination
Census does not publish state detail for this classification system.
entry
Census does not publish port detail for this classification system.
ImportsExports
Imports
$117.5MYoY · Pro
Exports
$73.4MYoY · Pro
12-mo low · imports
YoY · ProThrough July 2026. Source: U.S. Census Bureau.