Generic drugs can be approved through an Abbreviated New Drug Application (ANDA) which relies on the safety and efficacy data of the branded drug. The ANDA process requires generic manufacturers to show bioequivalence to the branded drug through bioavailability and bioequivalence studies rather than completing full clinical trials. If bioequivalence is established, it demonstrates that the generic drug delivers the same amount of active ingredients into a patient's bloodstream in the same amount of time as the branded drug. The Hatch-Waxman Act established the modern ANDA approval process and aims to balance promoting generic drugs to reduce costs while also compensating branded manufacturers for regulatory time lost from patents.