MDUFA requires all FDA-registered establishments to pay a user fee during their annual registration renewal. The FY 2019 establishment registration fee for all establishments is $4,884. According to the publication of MDUFA fees, FDA does not recognize an establishment as legally registered until this fee is paid.
Additionally, MDUFA requires fees for the submission of certain medical device applications to FDA. Small businesses, defined by MDUFA as having gross sales or receipts of no more than $100 million during the most recent tax year, may qualify for discounts to application fees. All medical device application fees reflect an approximate 3-4% increase from the previous year.