80_FR_8917 80 FR 8884 - Repackaging of Certain Human Drug Products by Pharmacies and Outsourcing Facilities; Draft Guidance for Industry; Availability

80 FR 8884 - Repackaging of Certain Human Drug Products by Pharmacies and Outsourcing Facilities; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 33 (February 19, 2015)

Page Range8884-8886
FR Document2015-03417

The Food and Drug Administration (FDA or the Agency) is announcing the availability of a draft guidance for industry entitled ``Repackaging of Certain Human Drug Products by Pharmacies and Outsourcing Facilities.'' This guidance describes the conditions under which FDA does not intend to take action for violations of the Federal Food, Drug, and Cosmetic Act (the FD&C Act), when a state-licensed pharmacy, a Federal facility, or an outsourcing facility repackages human drug products. When this guidance becomes final, the Agency may also consider withdrawing or revising other guidance documents that address human drug repackaging, including section 446.100 of the Compliance Program Guidance (CPG) Manual, entitled ``Regulatory Action Regarding Approved New Drugs and Antibiotic Drug Products Subjected to Additional Processing or other Manipulations,'' which was issued in January 1991, and section 460.100 of the CPG Manual, entitled ``Hospital Pharmacies-- Status as Drug Manufacturer,'' which was issued in October 1980.

Federal Register, Volume 80 Issue 33 (Thursday, February 19, 2015)
[Federal Register Volume 80, Number 33 (Thursday, February 19, 2015)]
[Notices]
[Pages 8884-8886]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-03417]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-D-1524]


Repackaging of Certain Human Drug Products by Pharmacies and 
Outsourcing Facilities; Draft Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or the Agency) is 
announcing the availability of a draft guidance for industry entitled 
``Repackaging of Certain Human Drug Products by Pharmacies and 
Outsourcing Facilities.'' This guidance describes the conditions under 
which FDA does not intend to take action for violations of the Federal 
Food, Drug, and Cosmetic Act (the FD&C Act), when a state-licensed 
pharmacy, a Federal facility, or an outsourcing facility repackages 
human drug products.
    When this guidance becomes final, the Agency may also consider 
withdrawing or revising other guidance documents that address human 
drug repackaging, including section 446.100 of the Compliance Program 
Guidance (CPG) Manual, entitled ``Regulatory Action Regarding Approved 
New Drugs and Antibiotic Drug Products Subjected to Additional 
Processing or other Manipulations,'' which was issued in January 1991, 
and section 460.100 of the CPG Manual, entitled ``Hospital Pharmacies--
Status as Drug Manufacturer,'' which was issued in October 1980.

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on this 
draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance by May 20, 2015.

ADDRESSES: Submit written requests for single copies of this guidance 
to the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
51, Rm. 2201, Silver Spring, MD 20993-0002. Send one self-addressed 
adhesive label to assist that office in processing your requests. See 
the SUPPLEMENTARY INFORMATION section for electronic access to the 
guidance document.
    Submit electronic comments on the guidance to http://www.regulations.gov. Submit written comments to the Division of Dockets 
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Gail Bormel, Food and Drug 
Administration, 10001 New Hampshire Ave., Silver Spring, MD 20903, 301-
796-3110.

SUPPLEMENTARY INFORMATION: 

I. Announcement of Draft Guidance

    FDA is announcing the availability of a draft guidance for industry 
entitled

[[Page 8885]]

``Repackaging of Certain Human Drug Products by Pharmacies and 
Outsourcing Facilities.'' FDA regards repackaging as the act of taking 
a finished drug product from the container in which it was distributed 
by the original manufacturer and placing it into a different container 
without further manipulation of the drug. If a drug is manipulated in 
any other way, including if the drug is reconstituted, diluted, mixed, 
or combined with another ingredient, that act is not considered 
repackaging.
    Repackaged drugs are generally not exempt from any of the 
provisions of the FD&C Act related to the production of drugs. For 
example, repackaged drugs are generally subject to the premarket 
approval, misbranding, and adulteration provisions of the FD&C Act, 
including section 505 (concerning new drug applications), section 
502(f)(1) (concerning labeling with adequate directions for use), and 
section 501(a)(2)(B) (concerning current good manufacturing practice 
(CGMP) (21 U.S.C. 355, 352(f)(1), and 351(a)(2)(B) of the FD&C Act).
    Further, drugs that are repackaged are not subject to sections 503A 
and 503B of the FD&C Act (21 U.S.C. 353a and 353b). Therefore, drugs 
repackaged by state-licensed pharmacies, Federal facilities, or 
outsourcing facilities are not eligible for the exemptions provided 
under those sections.
    This draft guidance describes the conditions under which FDA does 
not intend to take action for violations of sections 505, 502(f)(1), 
and, where specified in the guidance, section 501(a)(2)(B) of the FD&C 
Act, when a state-licensed pharmacy, Federal facility, or registered 
outsourcing facility repackages drug products. The guidance does not 
address repackaging of nonprescription drugs; drugs that are intended 
for use in animals; biological products subject to licensure under 
section 351 of the Public Health Services Act (42 U.S.C. 262); 
repackaging by entities that are not state-licensed pharmacies, Federal 
facilities, or registered outsourcing facilities; removing a drug 
product from the original container at the point of care for immediate 
administration to a single patient after receipt of a patient-specific 
prescription or order for that patient; or repackaging a solid oral 
dosage form drug product by a state-licensed pharmacy for purposes of 
dispensing the drug to a patient upon receipt of an individual patient-
specific prescription.
    Elsewhere in this issue of the Federal Register, the Agency is 
making available for comment a draft guidance entitled ``Mixing, 
Diluting, or Repackaging of Biological Products Outside the Scope of an 
Approved Biologics License Application.'' When these two guidances 
become final, they will address and clarify the Agency's policy 
regarding hospital pharmacies repackaging and safely transferring 
repackaged drugs to other hospitals within the same health system 
during a drug shortage. Therefore, under section 506F(d) of the FD&C 
Act, when FDA issues these as final guidances, section 506F will no 
longer apply.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). This guidance, when 
finalized, will represent FDA's current thinking on repackaging human 
drug products by pharmacies, Federal facilities, and outsourcing 
facilities. It does not create or confer any rights for or on any 
person and does not operate to bind FDA or the public. An alternative 
approach may be used if such approach satisfies the requirements of the 
applicable statutes and regulations.

II. Amendment or Withdrawal of Repackaging Guidance Documents

    When this guidance becomes final, the Agency may also consider 
withdrawing or revising other guidance documents that address human 
drug repackaging. These may include section 446.100 of the CPG Manual, 
entitled ``Regulatory Action Regarding Approved New Drugs and 
Antibiotic Drug Products Subjected to Additional Processing or other 
Manipulations,'' which was issued in January 1991, and section 460.100 
of the CPG Manual, entitled ``Hospital Pharmacies--Status as Drug 
Manufacturer,'' which was issued in October 1980.

III. Comments

    Interested persons may submit either electronic comments regarding 
this document 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 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.

IV. Paperwork Reduction Act of 1995

    This draft guidance contains information collection provisions that 
are subject to review by the Office of Management and Budget under the 
Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). The title, 
description, and respondent description of the information collection 
are given under this section with an estimate of the annual reporting 
and recordkeeping burdens. Included in the estimate is the time for 
reviewing instructions, searching existing data sources, gathering and 
maintaining the data needed, and completing and reviewing the 
collection of information.
    We invite comments on these topics: (1) Whether the proposed 
collection of information is necessary for the proper performance of 
FDA's functions, including whether the information will have practical 
utility; (2) the accuracy of FDA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (3) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (4) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques, when 
appropriate, and other forms of information technology.
    Title: Repackaging of Certain Human Drug Products by Pharmacies and 
Outsourcing Facilities; Guidance for Industry.
    Description: The draft guidance describes repackaging by state-
licensed pharmacies, Federal facilities, and outsourcing facilities 
under section 503B of the FD&C Act, and it describes the conditions 
under which FDA does not intend to take action for violations of 
sections 505, 502(f)(1), and where specified, section 501(a)(2)(B) of 
the FD&C Act, when a state-licensed pharmacy, or Federal facility, or 
an outsourcing facility repackages drug products. The draft guidance 
includes the following collection of information under the PRA:
    One condition in the draft guidance is that if a drug is repackaged 
by an outsourcing facility, the label on the immediate container 
(primary packaging, e.g., the syringe) of the repackaged product 
includes the following information:
     The statement ``This drug product was repackaged by [name 
of outsourcing facility].''
     The address and phone number of the outsourcing facility 
that repackaged the drug product.
     The established name of the original, approved drug 
product that was repackaged.
     The lot or batch number of the repackaged drug product.
     The dosage form and strength of the repackaged drug 
product.

[[Page 8886]]

     A statement of either the quantity or volume of the 
repackaged drug product, whichever is appropriate.
     The date the drug product was repackaged.
     The beyond-use-date of the repackaged drug product.
     Storage and handling instructions for the repackaged drug 
product.
     The National Drug Code (NDC) number of the repackaged drug 
product, if available.\1\
---------------------------------------------------------------------------

    \1\ The NDC number of the original approved drug product should 
not be placed on the repackaged drug product.
---------------------------------------------------------------------------

     The statement ``Not for resale,'' and, if the drug is 
distributed by an outsourcing facility other than pursuant to a 
prescription for an individual identified patient, the statement 
``Office Use Only.''
     If included on the label of the FDA-approved drug product 
from which the drug product is being repackaged, a list of the active 
and inactive ingredients, unless such information is included on the 
label for the container from which the individual units are removed, as 
described in this document.
    In addition, a condition in the draft guidance is that the label on 
the container from which the individual units are removed for 
administration (secondary packaging, e.g., the bag, box, or other 
package in which the repackaged products are distributed) includes the 
active and inactive ingredients, if the immediate product label is too 
small to include this information, and directions for use, including, 
as appropriate, dosage and administration, and the following 
information to facilitate adverse event reporting: http://www.fda.gov/medwatch and 1-800-FDA-1088.
    Another condition in the draft guidance is that each repackaged 
drug product is accompanied by a copy of the prescribing information 
that accompanied the original drug product that was repackaged.
    We estimate that annually a total of approximately 10 outsourcing 
facilities (``Number of Respondents'' in table 1, row 1) will each 
design, test, and produce approximately 10 different labels 
(``Frequency per Disclosure'' in table 1, row 1) for a total of 100 
labels that include the information set forth in section III.A.11 of 
the draft guidance (including directions for use) (``Total 
Disclosures'' in table 1, row 1). We also estimate that designing, 
testing, and producing each label will take approximately 0.5 hours for 
each repackaged drug product (``Hours per Disclosure'' in table 1, row 
1). The provision to add the statement http://www.fda.gov/medwatch and 
1-800-FDA-1088 is not included in this burden estimate because it is 
not considered a collection of information under the PRA because the 
information is ``originally supplied by the Federal Government to the 
recipient for the purpose of disclosure to the public'' (5 CFR 
1320.3(c)(2)).
    We also estimate that annually a total of approximately 10 
outsourcing facilities (``Number of Respondents'' in table 1, row 2) 
will each produce a copy of prescribing information as set forth in 
section III.A.11 of the draft guidance for approximately 10 repackaged 
drug products (``Frequency per Disclosure'' in table 1, row 1) for a 
total of 100 disclosures (``total disclosures'' in table 1, row 2). We 
also estimate that providing prescribing information labeling will take 
approximately 1 hour for each repackaged drug product (``Hours per 
Disclosure'' in table 1, row 2). The provision to add http://www.fda.gov/medwatch and 1-800-FDA-1088 is not included in this burden 
estimate because it is not considered a collection of information under 
the PRA because the information is ``originally supplied by the Federal 
Government to the recipient for the purpose of disclosure to the 
public'' (5 CFR 1320.3(c)(2)).
    The total estimated third-party disclosure burden resulting from 
the draft guidance is as follows:

                             Table 1--Estimated Annual Third-Party Disclosure Burden
----------------------------------------------------------------------------------------------------------------
   Repackaging by outsourcing        Number of     Frequency per       Total         Hours per
           facilities               respondents     disclosure      disclosures     disclosure      Total hours
----------------------------------------------------------------------------------------------------------------
Designing, testing, and                       10              10             100              .5              50
 producing each label on
 immediate containers, packages
 and/or outer containers........
Prescribing information labeling              10              10             100               1             100
 produced for each repackaged
 drug product...................
                                 -------------------------------------------------------------------------------
    Total.......................  ..............  ..............  ..............  ..............             150
----------------------------------------------------------------------------------------------------------------
There are no capital costs or operating and maintenance costs associated with this collection of information.
*(30 minutes)

    The draft guidance also references registration, product reporting, 
and CGMP requirements for outsourcing facilities. In the Federal 
Register of December 4, 2013 (78 FR 72899), FDA estimated the burden 
resulting from outsourcing facility registration. In the Federal 
Register of December 4, 2013 (78 FR 72897), FDA estimated the burden 
resulting from outsourcing facility interim product reporting. In the 
Federal Register of July 2, 2014 (79 FR 37743), FDA estimated the 
burden resulting from outsourcing facility compliance with CGMP 
requirements.

V. Electronic Access

    Persons with access to the Internet can obtain the document at 
either http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or http://www.regulations.gov.

    Dated: February 11, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-03417 Filed 2-18-15; 8:45 am]
BILLING CODE 4164-01-P



                                                8884                                Federal Register / Vol. 80, No. 33 / Thursday, February 19, 2015 / Notices

                                                                                               TABLE 1—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
                                                                                                                                             Number of                Frequency per                   Total                    Hours per
                                                   Biological product mixing, diluting, and repackaging                                                                                                                                                Total hours
                                                                                                                                            respondents                 disclosure                 disclosures                 disclosure

                                                Designing, testing, and producing the label, container,
                                                  packages, and/or outer containers for each mixed, di-
                                                  luted, or repackaged biological product .........................                                              5                          5                        25                        0.5              12.5
                                                Prescribing information labeling accompanying each
                                                  mixed, diluted, or repackaged drug product ..................                                                 5                           5                        25                           1             25

                                                     Total ............................................................................    ........................   ........................   ........................   ........................            37.5
                                                   1 There   are no capital costs or operating and maintenance costs associated with this collection of information.
                                                   *(30   minutes)

                                                                                               TABLE 2—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
                                                                                                                                             Number of                Frequency per                   Total                    Hours per
                                                                  Preparation of prescription sets                                                                                                                                                     Total hours
                                                                                                                                            respondents                 disclosure                 disclosures                 disclosure

                                                Designing, testing, and producing each label on imme-
                                                  diate containers, packages, and/or outer containers .....                                                     5                      300                       1500                         0.5             750
                                                Including instructions for use labeling and the original
                                                  package insert(s) for each prescription set ....................                                               5                      300                      1500                             1          1500

                                                     Total ............................................................................    ........................   ........................   ........................   ........................         2250
                                                   1 There are no capital costs or operating and maintenance costs associated with this collection of information.
                                                   *(30 minutes)




                                                  The draft guidance also references                                      DEPARTMENT OF HEALTH AND                                                     CPG Manual, entitled ‘‘Hospital
                                                registration, product reporting, current                                  HUMAN SERVICES                                                               Pharmacies—Status as Drug
                                                good manufacturing practice (CGMP)                                                                                                                     Manufacturer,’’ which was issued in
                                                requirements, and the payment of                                          Food and Drug Administration                                                 October 1980.
                                                certain fees by human drug                                                [Docket No. FDA–2014–D–1524]                                                 DATES: Although you can comment on
                                                compounding outsourcing facilities. In                                                                                                                 any guidance at any time (see 21 CFR
                                                the Federal Register of December 4,                                       Repackaging of Certain Human Drug                                            10.115(g)(5)), to ensure that the Agency
                                                2013 (78 FR 72899), FDA estimated the                                     Products by Pharmacies and                                                   considers your comment on this draft
                                                burden resulting from outsourcing                                         Outsourcing Facilities; Draft Guidance                                       guidance before it begins work on the
                                                facility registration. In the Federal                                     for Industry; Availability                                                   final version of the guidance, submit
                                                Register of December 4, 2013 (78 FR                                                                                                                    either electronic or written comments
                                                                                                                          AGENCY:         Food and Drug Administration,
                                                72897), FDA estimated the burden                                                                                                                       on the draft guidance by May 20, 2015.
                                                                                                                          HHS.
                                                resulting from outsourcing facility                                                                                                                    ADDRESSES: Submit written requests for
                                                                                                                          ACTION:         Notice of availability.
                                                interim product reporting. In the                                                                                                                      single copies of this guidance to the
                                                Federal Register of April 1, 2014 (79 FR                                  SUMMARY:    The Food and Drug                                                Division of Drug Information, Center for
                                                18297), FDA estimated the burden                                          Administration (FDA or the Agency) is                                        Drug Evaluation and Research, Food
                                                resulting from the payment of certain                                     announcing the availability of a draft                                       and Drug Administration, 10903 New
                                                fees by outsourcing facilities. In the                                    guidance for industry entitled                                               Hampshire Ave., Bldg. 51, Rm. 2201,
                                                Federal Register of July 2, 2014 (79 FR                                   ‘‘Repackaging of Certain Human Drug                                          Silver Spring, MD 20993–0002. Send
                                                37743), FDA estimated the burden                                          Products by Pharmacies and                                                   one self-addressed adhesive label to
                                                resulting from outsourcing facility                                       Outsourcing Facilities.’’ This guidance                                      assist that office in processing your
                                                compliance with CGMP requirements.                                        describes the conditions under which                                         requests. See the SUPPLEMENTARY
                                                                                                                          FDA does not intend to take action for                                       INFORMATION section for electronic
                                                IV. Electronic Access                                                     violations of the Federal Food, Drug,                                        access to the guidance document.
                                                                                                                          and Cosmetic Act (the FD&C Act), when                                           Submit electronic comments on the
                                                  Persons with access to the Internet                                     a state-licensed pharmacy, a Federal                                         guidance to http://www.regulations.gov.
                                                can obtain the document at either                                         facility, or an outsourcing facility                                         Submit written comments to the
                                                http://www.fda.gov/Drugs/Guidance                                         repackages human drug products.                                              Division of Dockets Management (HFA–
                                                ComplianceRegulatoryInformation/                                             When this guidance becomes final,                                         305), Food and Drug Administration,
                                                Guidances/default.htm, http://                                            the Agency may also consider                                                 5630 Fishers Lane, Rm. 1061, Rockville,
                                                www.fda.gov/BiologicsBloodVaccines/                                       withdrawing or revising other guidance                                       MD 20852.
                                                GuidanceComplianceRegulatory                                              documents that address human drug                                            FOR FURTHER INFORMATION CONTACT: Gail
emcdonald on DSK67QTVN1PROD with NOTICES




                                                Information/default.htm or http://                                        repackaging, including section 446.100                                       Bormel, Food and Drug Administration,
                                                www.regulations.gov.                                                      of the Compliance Program Guidance                                           10001 New Hampshire Ave., Silver
                                                  Dated: February 11, 2015.                                               (CPG) Manual, entitled ‘‘Regulatory                                          Spring, MD 20903, 301–796–3110.
                                                                                                                          Action Regarding Approved New Drugs                                          SUPPLEMENTARY INFORMATION:
                                                Leslie Kux,
                                                                                                                          and Antibiotic Drug Products Subjected
                                                Associate Commissioner for Policy.                                        to Additional Processing or other                                            I. Announcement of Draft Guidance
                                                [FR Doc. 2015–03418 Filed 2–18–15; 8:45 am]                               Manipulations,’’ which was issued in                                            FDA is announcing the availability of
                                                BILLING CODE 4164–01–P                                                    January 1991, and section 460.100 of the                                     a draft guidance for industry entitled


                                           VerDate Sep<11>2014       16:58 Feb 18, 2015          Jkt 235001      PO 00000        Frm 00042        Fmt 4703       Sfmt 4703       E:\FR\FM\19FEN1.SGM               19FEN1


                                                                            Federal Register / Vol. 80, No. 33 / Thursday, February 19, 2015 / Notices                                            8885

                                                ‘‘Repackaging of Certain Human Drug                     ‘‘Mixing, Diluting, or Repackaging of                 U.S.C. 3501–3520). The title,
                                                Products by Pharmacies and                              Biological Products Outside the Scope                 description, and respondent description
                                                Outsourcing Facilities.’’ FDA regards                   of an Approved Biologics License                      of the information collection are given
                                                repackaging as the act of taking a                      Application.’’ When these two                         under this section with an estimate of
                                                finished drug product from the                          guidances become final, they will                     the annual reporting and recordkeeping
                                                container in which it was distributed by                address and clarify the Agency’s policy               burdens. Included in the estimate is the
                                                the original manufacturer and placing it                regarding hospital pharmacies                         time for reviewing instructions,
                                                into a different container without                      repackaging and safely transferring                   searching existing data sources,
                                                further manipulation of the drug. If a                  repackaged drugs to other hospitals                   gathering and maintaining the data
                                                drug is manipulated in any other way,                   within the same health system during a                needed, and completing and reviewing
                                                including if the drug is reconstituted,                 drug shortage. Therefore, under section               the collection of information.
                                                diluted, mixed, or combined with                        506F(d) of the FD&C Act, when FDA                       We invite comments on these topics:
                                                another ingredient, that act is not                     issues these as final guidances, section              (1) Whether the proposed collection of
                                                considered repackaging.                                 506F will no longer apply.                            information is necessary for the proper
                                                   Repackaged drugs are generally not                      This draft guidance is being issued                performance of FDA’s functions,
                                                exempt from any of the provisions of the                consistent with FDA’s good guidance                   including whether the information will
                                                FD&C Act related to the production of                   practices regulation (21 CFR 10.115).                 have practical utility; (2) the accuracy of
                                                drugs. For example, repackaged drugs                    This guidance, when finalized, will                   FDA’s estimate of the burden of the
                                                are generally subject to the premarket                  represent FDA’s current thinking on                   proposed collection of information,
                                                approval, misbranding, and adulteration                 repackaging human drug products by                    including the validity of the
                                                provisions of the FD&C Act, including                   pharmacies, Federal facilities, and                   methodology and assumptions used; (3)
                                                section 505 (concerning new drug                        outsourcing facilities. It does not create            ways to enhance the quality, utility, and
                                                applications), section 502(f)(1)                        or confer any rights for or on any person             clarity of the information to be
                                                (concerning labeling with adequate                      and does not operate to bind FDA or the               collected; and (4) ways to minimize the
                                                directions for use), and section                        public. An alternative approach may be                burden of the collection of information
                                                501(a)(2)(B) (concerning current good                   used if such approach satisfies the                   on respondents, including through the
                                                manufacturing practice (CGMP) (21                       requirements of the applicable statutes               use of automated collection techniques,
                                                U.S.C. 355, 352(f)(1), and 351(a)(2)(B) of              and regulations.                                      when appropriate, and other forms of
                                                the FD&C Act).                                                                                                information technology.
                                                   Further, drugs that are repackaged are               II. Amendment or Withdrawal of
                                                                                                        Repackaging Guidance Documents                          Title: Repackaging of Certain Human
                                                not subject to sections 503A and 503B
                                                                                                                                                              Drug Products by Pharmacies and
                                                of the FD&C Act (21 U.S.C. 353a and                        When this guidance becomes final,
                                                                                                                                                              Outsourcing Facilities; Guidance for
                                                353b). Therefore, drugs repackaged by                   the Agency may also consider
                                                                                                                                                              Industry.
                                                state-licensed pharmacies, Federal                      withdrawing or revising other guidance
                                                facilities, or outsourcing facilities are                                                                       Description: The draft guidance
                                                                                                        documents that address human drug
                                                not eligible for the exemptions provided                                                                      describes repackaging by state-licensed
                                                                                                        repackaging. These may include section
                                                under those sections.                                                                                         pharmacies, Federal facilities, and
                                                                                                        446.100 of the CPG Manual, entitled
                                                   This draft guidance describes the                                                                          outsourcing facilities under section
                                                                                                        ‘‘Regulatory Action Regarding Approved
                                                conditions under which FDA does not                                                                           503B of the FD&C Act, and it describes
                                                                                                        New Drugs and Antibiotic Drug
                                                intend to take action for violations of                                                                       the conditions under which FDA does
                                                                                                        Products Subjected to Additional
                                                sections 505, 502(f)(1), and, where                                                                           not intend to take action for violations
                                                                                                        Processing or other Manipulations,’’
                                                specified in the guidance, section                                                                            of sections 505, 502(f)(1), and where
                                                                                                        which was issued in January 1991, and
                                                501(a)(2)(B) of the FD&C Act, when a                                                                          specified, section 501(a)(2)(B) of the
                                                                                                        section 460.100 of the CPG Manual,
                                                state-licensed pharmacy, Federal                                                                              FD&C Act, when a state-licensed
                                                                                                        entitled ‘‘Hospital Pharmacies—Status
                                                facility, or registered outsourcing                                                                           pharmacy, or Federal facility, or an
                                                                                                        as Drug Manufacturer,’’ which was
                                                facility repackages drug products. The                                                                        outsourcing facility repackages drug
                                                                                                        issued in October 1980.
                                                guidance does not address repackaging                                                                         products. The draft guidance includes
                                                of nonprescription drugs; drugs that are                III. Comments                                         the following collection of information
                                                intended for use in animals; biological                    Interested persons may submit either               under the PRA:
                                                products subject to licensure under                     electronic comments regarding this                      One condition in the draft guidance is
                                                section 351 of the Public Health                        document to http://www.regulations.gov                that if a drug is repackaged by an
                                                Services Act (42 U.S.C. 262);                           or written comments to the Division of                outsourcing facility, the label on the
                                                repackaging by entities that are not                    Dockets Management (see ADDRESSES). It                immediate container (primary
                                                state-licensed pharmacies, Federal                      is only necessary to send one set of                  packaging, e.g., the syringe) of the
                                                facilities, or registered outsourcing                   comments. Identify comments with the                  repackaged product includes the
                                                facilities; removing a drug product from                docket number found in brackets in the                following information:
                                                the original container at the point of                  heading of this document. Received                      • The statement ‘‘This drug product
                                                care for immediate administration to a                  comments may be seen in the Division                  was repackaged by [name of outsourcing
                                                single patient after receipt of a patient-              of Dockets Management between 9 a.m.                  facility].’’
                                                specific prescription or order for that                 and 4 p.m., Monday through Friday, and                  • The address and phone number of
                                                patient; or repackaging a solid oral                    will be posted to the docket at http://               the outsourcing facility that repackaged
emcdonald on DSK67QTVN1PROD with NOTICES




                                                dosage form drug product by a state-                    www.regulations.gov.                                  the drug product.
                                                licensed pharmacy for purposes of                                                                               • The established name of the
                                                dispensing the drug to a patient upon                   IV. Paperwork Reduction Act of 1995                   original, approved drug product that
                                                receipt of an individual patient-specific                 This draft guidance contains                        was repackaged.
                                                prescription.                                           information collection provisions that                  • The lot or batch number of the
                                                   Elsewhere in this issue of the Federal               are subject to review by the Office of                repackaged drug product.
                                                Register, the Agency is making available                Management and Budget under the                         • The dosage form and strength of the
                                                for comment a draft guidance entitled                   Paperwork Reduction Act of 1995 (44                   repackaged drug product.


                                           VerDate Sep<11>2014   16:58 Feb 18, 2015   Jkt 235001   PO 00000   Frm 00043   Fmt 4703   Sfmt 4703   E:\FR\FM\19FEN1.SGM   19FEN1


                                                8886                                 Federal Register / Vol. 80, No. 33 / Thursday, February 19, 2015 / Notices

                                                   • A statement of either the quantity or                                 ingredients, if the immediate product                                       considered a collection of information
                                                volume of the repackaged drug product,                                     label is too small to include this                                          under the PRA because the information
                                                whichever is appropriate.                                                  information, and directions for use,                                        is ‘‘originally supplied by the Federal
                                                   • The date the drug product was                                         including, as appropriate, dosage and                                       Government to the recipient for the
                                                repackaged.                                                                administration, and the following                                           purpose of disclosure to the public’’ (5
                                                   • The beyond-use-date of the                                            information to facilitate adverse event                                     CFR 1320.3(c)(2)).
                                                repackaged drug product.                                                   reporting: http://www.fda.gov/                                                 We also estimate that annually a total
                                                   • Storage and handling instructions                                     medwatch and 1–800–FDA–1088.                                                of approximately 10 outsourcing
                                                for the repackaged drug product.                                              Another condition in the draft                                           facilities (‘‘Number of Respondents’’ in
                                                   • The National Drug Code (NDC)                                          guidance is that each repackaged drug                                       table 1, row 2) will each produce a copy
                                                number of the repackaged drug product,                                     product is accompanied by a copy of the                                     of prescribing information as set forth in
                                                if available.1                                                             prescribing information that                                                section III.A.11 of the draft guidance for
                                                   • The statement ‘‘Not for resale,’’ and,                                accompanied the original drug product                                       approximately 10 repackaged drug
                                                if the drug is distributed by an                                           that was repackaged.                                                        products (‘‘Frequency per Disclosure’’
                                                outsourcing facility other than pursuant                                      We estimate that annually a total of                                     in table 1, row 1) for a total of 100
                                                to a prescription for an individual                                        approximately 10 outsourcing facilities                                     disclosures (‘‘total disclosures’’ in table
                                                identified patient, the statement ‘‘Office                                 (‘‘Number of Respondents’’ in table 1,                                      1, row 2). We also estimate that
                                                Use Only.’’                                                                row 1) will each design, test, and                                          providing prescribing information
                                                   • If included on the label of the FDA-                                  produce approximately 10 different                                          labeling will take approximately 1 hour
                                                approved drug product from which the                                       labels (‘‘Frequency per Disclosure’’ in                                     for each repackaged drug product
                                                drug product is being repackaged, a list                                   table 1, row 1) for a total of 100 labels                                   (‘‘Hours per Disclosure’’ in table 1, row
                                                of the active and inactive ingredients,                                    that include the information set forth in                                   2). The provision to add http://
                                                unless such information is included on                                     section III.A.11 of the draft guidance                                      www.fda.gov/medwatch and 1–800–
                                                the label for the container from which                                     (including directions for use) (‘‘Total                                     FDA–1088 is not included in this
                                                the individual units are removed, as                                       Disclosures’’ in table 1, row 1). We also                                   burden estimate because it is not
                                                described in this document.                                                estimate that designing, testing, and                                       considered a collection of information
                                                   In addition, a condition in the draft                                   producing each label will take                                              under the PRA because the information
                                                guidance is that the label on the                                          approximately 0.5 hours for each                                            is ‘‘originally supplied by the Federal
                                                container from which the individual                                        repackaged drug product (‘‘Hours per                                        Government to the recipient for the
                                                units are removed for administration                                       Disclosure’’ in table 1, row 1). The                                        purpose of disclosure to the public’’ (5
                                                (secondary packaging, e.g., the bag, box,                                  provision to add the statement http://                                      CFR 1320.3(c)(2)).
                                                or other package in which the                                              www.fda.gov/medwatch and 1–800–                                                The total estimated third-party
                                                repackaged products are distributed)                                       FDA–1088 is not included in this                                            disclosure burden resulting from the
                                                includes the active and inactive                                           burden estimate because it is not                                           draft guidance is as follows:

                                                                                                 TABLE 1—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN
                                                                                                                                               Number of                Frequency per                   Total                    Hours per
                                                               Repackaging by outsourcing facilities                                                                                                                                                     Total hours
                                                                                                                                              respondents                 disclosure                 disclosures                 disclosure

                                                Designing, testing, and producing each label on immediate
                                                  containers, packages and/or outer containers .................                                                 10                        10                       100                           .5               50
                                                Prescribing information labeling produced for each repack-
                                                  aged drug product ............................................................                                 10                         10                      100                             1             100

                                                      Total ..............................................................................   ........................   ........................   ........................   ........................            150
                                                   There are no capital costs or operating and maintenance costs associated with this collection of information.
                                                   *(30 minutes)




                                                  The draft guidance also references                                       V. Electronic Access                                                        DEPARTMENT OF HEALTH AND
                                                registration, product reporting, and                                                                                                                   HUMAN SERVICES
                                                CGMP requirements for outsourcing                                            Persons with access to the Internet
                                                facilities. In the Federal Register of                                     can obtain the document at either http://                                   National Institutes of Health
                                                December 4, 2013 (78 FR 72899), FDA                                        www.fda.gov/Drugs/Guidance
                                                estimated the burden resulting from                                        ComplianceRegulatoryInformation/                                            Submission for OMB Review; 30-Day
                                                outsourcing facility registration. In the                                  Guidances/default.htm or http://                                            Comment Request; Health Information
                                                Federal Register of December 4, 2013                                       www.regulations.gov.                                                        National Trends Survey (HINTS) (NCI)
                                                (78 FR 72897), FDA estimated the                                             Dated: February 11, 2015.
                                                                                                                                                                                                       SUMMARY:   Under the provisions of
                                                burden resulting from outsourcing                                          Leslie Kux,
                                                                                                                                                                                                       Section 3507(a)(1)(D) of the Paperwork
                                                facility interim product reporting. In the                                 Associate Commissioner for Policy.                                          Reduction Act of 1995, the National
emcdonald on DSK67QTVN1PROD with NOTICES




                                                Federal Register of July 2, 2014 (79 FR                                    [FR Doc. 2015–03417 Filed 2–18–15; 8:45 am]                                 Institutes of Health (NIH), has submitted
                                                37743), FDA estimated the burden
                                                                                                                           BILLING CODE 4164–01–P                                                      to the Office of Management and Budget
                                                resulting from outsourcing facility
                                                                                                                                                                                                       (OMB) a request for review and
                                                compliance with CGMP requirements.
                                                                                                                                                                                                       approval of the information collection


                                                  1 The NDC number of the original approved drug

                                                product should not be placed on the repackaged
                                                drug product.

                                           VerDate Sep<11>2014        16:58 Feb 18, 2015          Jkt 235001      PO 00000        Frm 00044       Fmt 4703       Sfmt 4703       E:\FR\FM\19FEN1.SGM               19FEN1



Document Created: 2018-02-16 11:12:41
Document Modified: 2018-02-16 11:12:41
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 of availability.
DatesAlthough you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance, submit either electronic or written comments on the draft guidance by May 20, 2015.
ContactGail Bormel, Food and Drug Administration, 10001 New Hampshire Ave., Silver Spring, MD 20903, 301- 796-3110.
FR Citation80 FR 8884 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR