80_FR_12549 80 FR 12504 - Compounding of Human Drug Products Under the Federal Food, Drug, and Cosmetic Act; Establishment of a Public Docket

80 FR 12504 - Compounding of Human Drug Products Under the Federal Food, Drug, and Cosmetic Act; Establishment of a Public Docket

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 45 (March 9, 2015)

Page Range12504-12505
FR Document2015-05376

The Food and Drug Administration (FDA or Agency) is establishing a public docket to receive information, recommendations, and comments on matters related to the Agency's regulation of compounding of human drug products under sections 503A and 503B of the Federal Food, Drug, and Cosmetic Act (FD&C Act). This docket is intended for general comments related to human drug compounding that are not specific to documents or issues that are the subject of other dockets.

Federal Register, Volume 80 Issue 45 (Monday, March 9, 2015)
[Federal Register Volume 80, Number 45 (Monday, March 9, 2015)]
[Notices]
[Pages 12504-12505]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-05376]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-N-0030]


Compounding of Human Drug Products Under the Federal Food, Drug, 
and Cosmetic Act; Establishment of a Public Docket

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice; establishment of public docket.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA or Agency) is 
establishing a public docket to receive information, recommendations, 
and comments on matters related to the Agency's regulation of 
compounding of human drug products under sections 503A and 503B of the 
Federal Food, Drug, and Cosmetic Act (FD&C Act). This docket is 
intended for general comments related to human drug compounding that 
are not specific to documents or issues that are the subject of other 
dockets.

DATES: Comments may be submitted to this docket at any time.

ADDRESSES: You may submit comments, identified by Docket No. [FDA-2015-
N-0030], by any of the following methods.

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.

Written Submissions

    Submit written comments in the following ways:
     Mail/Hand delivery/Courier (for paper submissions): 
Division of Dockets Management (HFA-305), Food and Drug Administration, 
5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
    Instructions: All submissions received must include the Agency name 
and Docket No. [FDA-2015-N-0030]. All comments received may be posted 
without change to http://www.regulations.gov, including any personal 
information provided.
    Docket: For access to the docket to read background documents or 
comments received, go to http://www.regulations.gov and insert the 
docket number found in brackets in the heading of this document, into 
the ``Search'' box and follow the prompts and/or go to the Division of 
Dockets Management (HFA-305), Food and Drug Administration, 5630 
Fishers Lane, Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Philantha Bowen, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg.51, Rm. 5175, Silver Spring, MD 20993-0002, 301-
796-2466.

SUPPLEMENTARY INFORMATION:

I. Background

    Section 503A of the FD&C Act (21 U.S.C. 353a) describes the 
conditions that must be satisfied for human drug products compounded by 
a licensed pharmacist or licensed physician to be exempt from the 
following three sections of the FD&C Act: (1) Section 501(a)(2)(B) (21 
U.S.C. 351(a)(2)(B)) (concerning current good manufacturing practice); 
(2) section 502(f)(1) (21 U.S.C. 352(f)(1)) (concerning the labeling of 
drugs with adequate directions for use); and (3) section 505 (21 U.S.C. 
355) (concerning the approval of drugs under new drug applications or 
abbreviated new drug applications). Previously, the conditions of 
section 503A of the FD&C Act also included restrictions on the 
advertising or promotion of the compounding of any particular drug, 
class of drug, or type of drug and the solicitation of prescriptions 
for compounded drugs. These provisions were challenged in court and 
held unconstitutional by the U.S. Supreme Court in 2002.\1\
---------------------------------------------------------------------------

    \1\ See Thompson v. Western States Med. Ctr., 535 U.S. 357 
(2002).
---------------------------------------------------------------------------

    On November 27, 2013, President Obama signed the Drug Quality and 
Security Act (DQSA) (Pub. L. 113-54), which contains important 
provisions relating to the oversight of human drug compounding. This 
new law removes from section 503A of the FD&C Act the provisions that 
had been held unconstitutional by the U.S. Supreme Court in 2002. By 
removing these provisions, the new law clarifies that section 503A of 
the FD&C Act applies nationwide. In addition, the DQSA adds a new 
section, 503B, to the FD&C Act (21 U.S.C. 353b) that creates a new 
category of ``outsourcing facilities''. Outsourcing facilities, as 
defined in section 503B of the FD&C Act, are facilities that meet 
certain conditions described in section 503B, including registration 
with FDA as an outsourcing facility. If these conditions are satisfied, 
a drug compounded for human use by or under the direct supervision of a 
licensed pharmacist in an outsourcing facility is exempt from three 
sections of the FD&C Act: (1) Section 502(f)(1), (2) section 505, and 
(3) section 582 (21 U.S.C. 360eee), but not section 501(a)(2)(B).
    Since enactment of the DQSA, FDA has sought public comment on a 
number of specific human drug compounding issues and has published 
several Federal Register notices seeking public input. These have 
included notices inviting comment on the registration process and 
product reporting requirements for human drug compounding outsourcing 
facilities (78 FR 72899 and 78 FR 72897), requesting nominations for 
the list of drugs that present demonstrable difficulties for 
compounding (78 FR 72840), and seeking input on other specific matters. 
A complete list of the human drug compounding policy documents issued 
by the Agency for public comment can be found at http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/PharmacyCompounding/ucm166743.htm. The Agency will continue to seek public comment on 
specific documents and issues through future Federal Register notices. 
The Agency recognizes, however, that it would be useful to have a 
docket available for submissions of any information related to human 
drug compounding that may be unrelated to the specific issues and 
documents published for public comment.

II. Establishment of a Docket

    FDA is establishing a public docket so that anyone can share 
information, research, and ideas on any matters related to human drug 
compounding that are not specific to the documents or issues addressed 
in other dockets. This information will give the Agency insight into 
stakeholders' experiences and views regarding human drug compounding as 
the Agency works to implement sections 503A and 503B of the FD&C Act.
    This docket will be open for comment simultaneously with a number 
of other dockets that are specific to particular human drug compounding 
documents or issues (see http://www.fda.gov/drugs/

[[Page 12505]]

guidancecomplianceregulatoryinformation/pharmacycompounding/default.htm 
for a list of specific human drug compounding policy documents open for 
public comment). Please do not submit comments to this general docket 
that have already been submitted to specific dockets. Such submissions 
are duplicative and not helpful to the Agency. If comments on 
particular documents or issues are submitted to this docket rather than 
the docket specifically opened for the particular document or issue, 
the comment might not be considered as the specific documents are being 
finalized and issues considered. FDA will not respond to questions or 
requests submitted to this docket but will consider any information 
submitted in its work to implement the law.
    Information in the docket will be publicly available. Therefore, we 
remind commenters not to submit personal or confidential information.
    Interested persons may submit either electronic comments to http://www.regulations.gov or written comments to the Division of Dockets 
Management (see ADDRESSES). It is only necessary to send one set of 
comments. Identify comments with the docket number found in the 
brackets in the heading of this document. Received comments may be seen 
in the Division of Dockets Management between 9 a.m. and 4 p.m., Monday 
through Friday, and will be posted to the docket at http://www.regulations.gov.

    Dated: March 3, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-05376 Filed 3-6-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                  12504                          Federal Register / Vol. 80, No. 45 / Monday, March 9, 2015 / Notices

                                                  will be posted to the docket at http://                    Instructions: All submissions received             nationwide. In addition, the DQSA adds
                                                  www.regulations.gov.                                    must include the Agency name and                      a new section, 503B, to the FD&C Act
                                                                                                          Docket No. [FDA–2015–N–0030]. All                     (21 U.S.C. 353b) that creates a new
                                                  V. Electronic Access
                                                                                                          comments received may be posted                       category of ‘‘outsourcing facilities’’.
                                                    Persons with access to the Internet                   without change to http://                             Outsourcing facilities, as defined in
                                                  may obtain the document at either                       www.regulations.gov, including any                    section 503B of the FD&C Act, are
                                                  http://www.fda.gov/Drugs/Guidance                       personal information provided.                        facilities that meet certain conditions
                                                  ComplianceRegulatoryInformation/                           Docket: For access to the docket to                described in section 503B, including
                                                  Guidances/default.htm or http://                        read background documents or                          registration with FDA as an outsourcing
                                                  www.regulations.gov.                                    comments received, go to http://                      facility. If these conditions are satisfied,
                                                    Dated: March 3, 2015.                                 www.regulations.gov and insert the                    a drug compounded for human use by
                                                                                                          docket number found in brackets in the                or under the direct supervision of a
                                                  Leslie Kux,
                                                                                                          heading of this document, into the                    licensed pharmacist in an outsourcing
                                                  Associate Commissioner for Policy.                      ‘‘Search’’ box and follow the prompts                 facility is exempt from three sections of
                                                  [FR Doc. 2015–05347 Filed 3–6–15; 8:45 am]              and/or go to the Division of Dockets                  the FD&C Act: (1) Section 502(f)(1), (2)
                                                  BILLING CODE 4164–01–P                                  Management (HFA–305), Food and Drug                   section 505, and (3) section 582 (21
                                                                                                          Administration, 5630 Fishers Lane, Rm.                U.S.C. 360eee), but not section
                                                                                                          1061, Rockville, MD 20852.                            501(a)(2)(B).
                                                  DEPARTMENT OF HEALTH AND                                                                                         Since enactment of the DQSA, FDA
                                                                                                          FOR FURTHER INFORMATION CONTACT:
                                                  HUMAN SERVICES                                          Philantha Bowen, Center for Drug                      has sought public comment on a
                                                                                                          Evaluation and Research, Food and                     number of specific human drug
                                                  Food and Drug Administration
                                                                                                          Drug Administration, 10903 New                        compounding issues and has published
                                                  [Docket No. FDA–2015–N–0030]                            Hampshire Ave., Bldg.51, Rm. 5175,                    several Federal Register notices seeking
                                                                                                          Silver Spring, MD 20993–0002, 301–                    public input. These have included
                                                  Compounding of Human Drug                               796–2466.                                             notices inviting comment on the
                                                  Products Under the Federal Food,                                                                              registration process and product
                                                                                                          SUPPLEMENTARY INFORMATION:
                                                  Drug, and Cosmetic Act;                                                                                       reporting requirements for human drug
                                                  Establishment of a Public Docket                        I. Background                                         compounding outsourcing facilities (78
                                                  AGENCY:    Food and Drug Administration,                   Section 503A of the FD&C Act (21                   FR 72899 and 78 FR 72897), requesting
                                                  HHS.                                                    U.S.C. 353a) describes the conditions                 nominations for the list of drugs that
                                                                                                          that must be satisfied for human drug                 present demonstrable difficulties for
                                                  ACTION:   Notice; establishment of public               products compounded by a licensed                     compounding (78 FR 72840), and
                                                  docket.                                                 pharmacist or licensed physician to be                seeking input on other specific matters.
                                                  SUMMARY:   The Food and Drug                            exempt from the following three                       A complete list of the human drug
                                                  Administration (FDA or Agency) is                       sections of the FD&C Act: (1) Section                 compounding policy documents issued
                                                  establishing a public docket to receive                 501(a)(2)(B) (21 U.S.C. 351(a)(2)(B))                 by the Agency for public comment can
                                                  information, recommendations, and                       (concerning current good manufacturing                be found at http://www.fda.gov/Drugs/
                                                  comments on matters related to the                      practice); (2) section 502(f)(1) (21 U.S.C.           GuidanceCompliance
                                                                                                          352(f)(1)) (concerning the labeling of                RegulatoryInformation/Pharmacy
                                                  Agency’s regulation of compounding of
                                                                                                          drugs with adequate directions for use);              Compounding/ucm166743.htm. The
                                                  human drug products under sections
                                                                                                          and (3) section 505 (21 U.S.C. 355)                   Agency will continue to seek public
                                                  503A and 503B of the Federal Food,
                                                                                                          (concerning the approval of drugs under               comment on specific documents and
                                                  Drug, and Cosmetic Act (FD&C Act).
                                                                                                          new drug applications or abbreviated                  issues through future Federal Register
                                                  This docket is intended for general
                                                                                                          new drug applications). Previously, the               notices. The Agency recognizes,
                                                  comments related to human drug
                                                                                                          conditions of section 503A of the FD&C                however, that it would be useful to have
                                                  compounding that are not specific to
                                                                                                          Act also included restrictions on the                 a docket available for submissions of
                                                  documents or issues that are the subject
                                                                                                          advertising or promotion of the                       any information related to human drug
                                                  of other dockets.
                                                                                                          compounding of any particular drug,                   compounding that may be unrelated to
                                                  DATES: Comments may be submitted to                     class of drug, or type of drug and the                the specific issues and documents
                                                  this docket at any time.                                solicitation of prescriptions for                     published for public comment.
                                                  ADDRESSES: You may submit comments,                     compounded drugs. These provisions
                                                  identified by Docket No. [FDA–2015–N–                                                                         II. Establishment of a Docket
                                                                                                          were challenged in court and held
                                                  0030], by any of the following methods.                 unconstitutional by the U.S. Supreme                     FDA is establishing a public docket so
                                                                                                          Court in 2002.1                                       that anyone can share information,
                                                  Electronic Submissions                                                                                        research, and ideas on any matters
                                                                                                             On November 27, 2013, President
                                                    Submit electronic comments in the                     Obama signed the Drug Quality and                     related to human drug compounding
                                                  following way:                                          Security Act (DQSA) (Pub. L. 113–54),                 that are not specific to the documents or
                                                    • Federal eRulemaking Portal: http://                 which contains important provisions                   issues addressed in other dockets. This
                                                  www.regulations.gov. Follow the                         relating to the oversight of human drug               information will give the Agency insight
                                                  instructions for submitting comments.                   compounding. This new law removes                     into stakeholders’ experiences and
                                                                                                          from section 503A of the FD&C Act the                 views regarding human drug
                                                  Written Submissions
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                                                                                                          provisions that had been held                         compounding as the Agency works to
                                                    Submit written comments in the                        unconstitutional by the U.S. Supreme                  implement sections 503A and 503B of
                                                  following ways:                                         Court in 2002. By removing these                      the FD&C Act.
                                                    • Mail/Hand delivery/Courier (for                     provisions, the new law clarifies that                   This docket will be open for comment
                                                  paper submissions): Division of Dockets                 section 503A of the FD&C Act applies                  simultaneously with a number of other
                                                  Management (HFA–305), Food and Drug                                                                           dockets that are specific to particular
                                                  Administration, 5630 Fishers Lane, Rm.                    1 See Thompson v. Western States Med. Ctr., 535     human drug compounding documents
                                                  1061, Rockville, MD 20852.                              U.S. 357 (2002).                                      or issues (see http://www.fda.gov/drugs/


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                                                                                 Federal Register / Vol. 80, No. 45 / Monday, March 9, 2015 / Notices                                             12505

                                                  guidancecompliance                                      and recreational navigation with a focus              searchable online (see the Federal
                                                  regulatoryinformation/pharmacy                          on the existing aids to navigation in                 Register Privacy Act notice regarding
                                                  compounding/default.htm for a list of                   Missouri River system from Sioux City,                our public dockets, 73 FR 3316, Jan. 17,
                                                  specific human drug compounding                         IA to St. Louis, MO. This listening                   2008).
                                                  policy documents open for public                        session will be open to the public.                      Mailed or hand-delivered comments
                                                  comment). Please do not submit                          DATES: This listening session will be                 should be in an unbound 81⁄2 x 11 inch
                                                  comments to this general docket that                    held in Smithville, MO on February 25,                format suitable for reproduction. The
                                                  have already been submitted to specific                 2015, from 10:00 a.m. to 12:00 p.m. If                Docket Management Facility will
                                                  dockets. Such submissions are                           all interested participants have had an               acknowledge receipt of mailed
                                                  duplicative and not helpful to the                      opportunity to comment, the session                   comments if you enclose a stamped,
                                                  Agency. If comments on particular                       may conclude early. Written comments                  self-addressed postcard or envelope
                                                  documents or issues are submitted to                    and related material may also be                      with your submission.
                                                  this docket rather than the docket                      presented to Coast Guard personnel                       Documents mentioned in this notice,
                                                  specifically opened for the particular                  specified at that meeting. Comments                   and all public comments, may be found
                                                  document or issue, the comment might                    and related materials submitted after the             in our online docket at http://
                                                  not be considered as the specific                       meeting must be received by the Coast                 www.regulations.gov and can be viewed
                                                  documents are being finalized and                       Guard on or before April 10, 2015.                    by following the Web site’s instructions.
                                                  issues considered. FDA will not respond                 ADDRESSES: The listening session will
                                                                                                                                                                You can also view the docket at the
                                                  to questions or requests submitted to                   be held at the Jerry Litton Visitors                  Docket Management Facility (see the
                                                  this docket but will consider any                       Center, (Smithville Lake) 16311 DD                    mailing address under ADDRESSES)
                                                  information submitted in its work to                    Hwy., Smithville, MO 64089.                           between 9 a.m. and 5 p.m., Monday
                                                  implement the law.                                         Submit written comments identified                 through Friday, except Federal holidays.
                                                     Information in the docket will be                                                                             For information on facilities or
                                                                                                          by docket number USCG–2015–0031
                                                  publicly available. Therefore, we                                                                             services for individuals with disabilities
                                                                                                          using one of the listed methods, and see
                                                  remind commenters not to submit                                                                               or to request special assistance at the
                                                                                                          SUPPLEMENTARY INFORMATION for more
                                                  personal or confidential information.                                                                         listening session, contact Kevin
                                                                                                          information on public comments. To
                                                     Interested persons may submit either                                                                       Brensinger at the telephone number or
                                                                                                          avoid duplication, please use only one
                                                  electronic comments to http://                                                                                email address indicated under the FOR
                                                                                                          of these methods.
                                                  www.regulations.gov or written                                                                                FURTHER INFORMATION CONTACT section of
                                                                                                             • Online—http://www.regulations.gov
                                                  comments to the Division of Dockets                     following Web site instructions.                      this notice.
                                                  Management (see ADDRESSES). It is only                     • Fax—202–493–2251.                                Basis and Purpose
                                                  necessary to send one set of comments.                     • Mail or hand deliver—Docket
                                                  Identify comments with the docket                                                                                The Waterways Analysis and
                                                                                                          Management Facility (M–30), U.S.
                                                  number found in the brackets in the                                                                           Management System was implemented
                                                                                                          Department of Transportation, West
                                                  heading of this document. Received                                                                            to ensure a complete and organized
                                                                                                          Building Ground Floor, Room W12–140,
                                                  comments may be seen in the Division                                                                          process for matching waterway
                                                                                                          1200 New Jersey Avenue SE.,
                                                  of Dockets Management between 9 a.m.                                                                          attributes and services, most
                                                                                                          Washington, DC 20590–0001. Hours for
                                                  and 4 p.m., Monday through Friday, and                                                                        significantly the aids to navigation
                                                                                                          hand delivery are 9 a.m. to 5 p.m.,
                                                  will be posted to the docket at http://                                                                       system, with user needs. The Missouri
                                                                                                          Monday through Friday, except Federal
                                                  www.regulations.gov.                                                                                          River study includes navigable waters
                                                                                                          holidays (telephone 202–366–9329).
                                                                                                                                                                from Sioux City, IA to St. Louis, MO
                                                    Dated: March 3, 2015.                                 FOR FURTHER INFORMATION CONTACT: For                  and specifically targets the navigation
                                                  Leslie Kux,                                             information about this document call or               channel, marking of the navigation
                                                  Associate Commissioner for Policy.                      email Kevin Brensinger, Coast Guard;                  channel, movement of commerce and
                                                  [FR Doc. 2015–05376 Filed 3–6–15; 8:45 am]              telephone 314–269–2548, email                         navigation support for the diverse uses
                                                  BILLING CODE 4164–01–P
                                                                                                          SUMRWaterways@uscg.mil. For                           of the river. WAMS studies are
                                                                                                          information about viewing or submitting               conducted periodically to better
                                                                                                          material to the docket, call Cheryl                   understand users’ needs and facilitate
                                                                                                          Collins, Program Manager, Docket                      safe and effective waterways. Some of
                                                  DEPARTMENT OF HOMELAND
                                                                                                          Operations, telephone 202–366–9826,                   the aspects addressed by WAMS are:
                                                  SECURITY
                                                                                                          toll free 1–800–647–5527.                                • Are all the aids necessary?
                                                  Coast Guard                                             SUPPLEMENTARY INFORMATION:                               • Should aids be added, changed or
                                                                                                          Public Participation and Comments                     removed?
                                                  [Docket No. USCG–2015–0031]
                                                                                                                                                                   • Is the right aid being used for the
                                                                                                             We encourage you to participate in                 job?
                                                  Missouri River Waterways Analysis
                                                  and Management System
                                                                                                          this listening session by submitting                     • Are the aids marked in a correct
                                                                                                          comments (or related material) on                     and visible manner?
                                                  AGENCY: Coast Guard, DHS.                               Missouri River Waterways Analysis and                    • Are these aids being used properly
                                                  ACTION:Notice of meeting and request                    Management System study.                              by both the Coast Guard and the
                                                  for comments.                                              We recommend using the user survey                 waterway users?
                                                                                                          document under docket number USCG–                       It is the intent of Coast Guard Sector
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                                                  SUMMARY:   Coast Guard Sector Upper                     2015–0031 to provide comments. You                    Upper Mississippi River to collect
                                                  Mississippi River will hold a public                    should provide personal contact                       comments and materials from this
                                                  listening session to present, and receive               information so that we can contact you                listening session, along with navigation
                                                  feedback on, the Missouri River                         if we have questions regarding your                   surveys and other information, to
                                                  Waterways Analysis and Management                       comments; but please note that all                    establish and preserve the reasonable
                                                  System (WAMS) study. The WAMS                           comments will be posted to the online                 needs of navigation on this river.
                                                  study will review and assess waterborne                 docket without change and that any                       This notice is issued under authority
                                                  commerce as well as safe commercial                     personal information you include can be               of 5 U.S.C. 552(a).


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Document Created: 2015-12-18 12:06:02
Document Modified: 2015-12-18 12:06:02
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice; establishment of public docket.
DatesComments may be submitted to this docket at any time.
ContactPhilantha Bowen, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg.51, Rm. 5175, Silver Spring, MD 20993-0002, 301- 796-2466.
FR Citation80 FR 12504 

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