81_FR_22685 81 FR 22611 - Facility Definition Under Section 503B of the Federal Food, Drug, and Cosmetic Act; Availability

81 FR 22611 - Facility Definition Under Section 503B of the Federal Food, Drug, and Cosmetic Act; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 74 (April 18, 2016)

Page Range22611-22612
FR Document2016-08878

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Facility Definition Under Section 503B of the Federal Food, Drug, and Cosmetic Act.'' Section 503B defines an outsourcing facility, in part, as ``a facility at one geographic location or address.'' FDA has received questions from outsourcing facilities and other stakeholders about the meaning of this term, such as whether multiple suites used for compounding human drugs at a single street address constitute one or multiple facilities, or whether a single location where human drugs are compounded can be subdivided into separate operations compounding under different standards. FDA is issuing this draft guidance to answer these questions.

Federal Register, Volume 81 Issue 74 (Monday, April 18, 2016)
[Federal Register Volume 81, Number 74 (Monday, April 18, 2016)]
[Notices]
[Pages 22611-22612]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-08878]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-D-0238]


Facility Definition Under Section 503B of the Federal Food, Drug, 
and Cosmetic Act; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance for industry entitled ``Facility 
Definition Under Section 503B of the Federal Food, Drug, and Cosmetic 
Act.'' Section 503B defines an outsourcing facility, in part, as ``a 
facility at one geographic location or address.'' FDA has received 
questions from outsourcing facilities and other stakeholders about the 
meaning of this term, such as whether multiple suites used for 
compounding human drugs at a single street address constitute one or 
multiple facilities, or whether a single location where human drugs are 
compounded can be subdivided into separate operations compounding under 
different standards. FDA is issuing this draft guidance to answer these 
questions.

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 July 18, 2016.

ADDRESSES: You may submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to http://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on http://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2016-D-0238 for ``Facility Definition Under Section 503B of the 
Federal Food, Drug, and Cosmetic Act; Availability.'' Received comments 
will be placed in the docket and, except for those submitted as 
``Confidential Submissions,'' publicly viewable at http://www.regulations.gov or at the Division of Dockets Management between 9 
a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION''. The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper 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, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.
    Submit written requests for single copies of the draft guidance to 
the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10001 New Hampshire Ave., 
Hillandale Building, 4th Floor, 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 draft guidance document.

FOR FURTHER INFORMATION CONTACT: Sara Rothman, Center for Drug 
Evaluation

[[Page 22612]]

and Research, Food and Drug Administration, 10903 New Hampshire Ave., 
Bldg. 51, Rm. 5197, Silver Spring, MD 20993, 301-796-3110.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Facility Definition Under Section 503B of the Federal Food, 
Drug, and Cosmetic Act.''
    Section 503B, added to the Federal Food, Drug, and Cosmetic Act 
(the FD&C Act) by the Drug Quality and Security Act in 2013, created a 
new category of compounders called outsourcing facilities. Section 503B 
describes the conditions that must be satisfied for human drug products 
compounded by or under the direct supervision of a licensed pharmacist 
in an outsourcing facility to qualify for exemptions from three 
sections of the FD&C Act:
     Section 502(f)(1) (concerning labeling requirements);
     Section 505 (concerning drug approval requirements); and
     Section 582 (concerning Drug Supply Chain Security Act 
requirements).
    Section 503B(d)(4) of the FD&C Act defines an outsourcing facility 
as a facility at one geographic location or address that: (1) Is 
engaged in the compounding of sterile drugs; (2) has elected to 
register as an outsourcing facility; and (3) complies with all of the 
requirements of this section. In addition, an outsourcing facility is 
not required to be a licensed pharmacy, and it may or may not obtain 
prescriptions for identified individual patients. Because drugs 
compounded by outsourcing facilities are not exempt from section 
501(a)(2)(B) of the FD&C Act, outsourcing facilities are subject to 
current good manufacturing practice (CGMP) requirements.
    FDA has received questions from outsourcing facilities and other 
stakeholders about the meaning of the term ``facility at one geographic 
location or address,'' such as whether multiple suites used for 
compounding human drugs at a single street address constitute one or 
multiple facilities, or whether a single location where human drugs are 
compounded can be subdivided into separate operations compounding under 
different standards. FDA is issuing this draft guidance to answer these 
questions.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on the meaning of 
the term ``facility at one geographic location or address'' under 
section 503B of the FD&C Act. It does not establish any rights for any 
person and is not binding on FDA or the public. You can use an 
alternative approach if it satisfies the requirements of the applicable 
statutes and regulations.

II. Electronic Access

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

    Dated: April 12, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-08878 Filed 4-15-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                 Federal Register / Vol. 81, No. 74 / Monday, April 18, 2016 / Notices                                           22611

                                                  new drug applications (NDAs) or                         draft guidance to answer these                        those submitted as ‘‘Confidential
                                                  abbreviated new drug applications                       questions.                                            Submissions,’’ publicly viewable at
                                                  (ANDAs)).                                               DATES:  Although you can comment on                   http://www.regulations.gov or at the
                                                     The guidance describes how FDA                                                                             Division of Dockets Management
                                                                                                          any guidance at any time (see 21 CFR
                                                  intends to apply section 503A of the                                                                          between 9 a.m. and 4 p.m., Monday
                                                                                                          10.115(g)(5)), to ensure that the Agency
                                                  FD&C Act to drugs compounded by                                                                               through Friday.
                                                                                                          considers your comment on this draft
                                                  licensed pharmacists or physicians in
                                                                                                          guidance before it begins work on the                    • Confidential Submissions—To
                                                  State-licensed hospital or health system                                                                      submit a comment with confidential
                                                                                                          final version of the guidance, submit
                                                  pharmacies.                                                                                                   information that you do not wish to be
                                                     This draft guidance is being issued                  either electronic or written comments
                                                                                                          on the draft guidance by July 18, 2016.               made publicly available, submit your
                                                  consistent with FDA’s good guidance                                                                           comments only as a written/paper
                                                  practices regulation (21 CFR 10.115).                   ADDRESSES: You may submit comments
                                                                                                                                                                submission. You should submit two
                                                  The draft guidance, when finalized, will                as follows:
                                                                                                                                                                copies total. One copy will include the
                                                  represent the current thinking of FDA                   Electronic Submissions                                information you claim to be confidential
                                                  on this topic. It does not establish any                                                                      with a heading or cover note that states
                                                  rights for any person and is not binding                  Submit electronic comments in the
                                                                                                          following way:                                        ‘‘THIS DOCUMENT CONTAINS
                                                  on FDA or the public. You can use an                                                                          CONFIDENTIAL INFORMATION’’. The
                                                  alternative approach if it satisfies the                  • Federal eRulemaking Portal: http://
                                                                                                          www.regulations.gov. Follow the                       Agency will review this copy, including
                                                  requirements of the applicable statutes                                                                       the claimed confidential information, in
                                                  and regulations.                                        instructions for submitting comments.
                                                                                                          Comments submitted electronically,                    its consideration of comments. The
                                                  II. Electronic Access                                   including attachments, to http://                     second copy, which will have the
                                                                                                          www.regulations.gov will be posted to                 claimed confidential information
                                                     Persons with access to the Internet
                                                                                                          the docket unchanged. Because your                    redacted/blacked out, will be available
                                                  may obtain the draft guidance at either
                                                                                                          comment will be made public, you are                  for public viewing and posted on http://
                                                  http://www.fda.gov/Drugs/Guidance
                                                                                                          solely responsible for ensuring that your             www.regulations.gov. Submit both
                                                  ComplianceRegulatoryInformation/
                                                                                                          comment does not include any                          copies to the Division of Dockets
                                                  Guidances/default.htm or http://
                                                                                                          confidential information that you or a                Management. If you do not wish your
                                                  www.regulations.gov.
                                                                                                          third party may not wish to be posted,                name and contact information to be
                                                    Dated: April 12, 2016.                                                                                      made publicly available, you can
                                                                                                          such as medical information, your or
                                                  Leslie Kux,                                                                                                   provide this information on the cover
                                                                                                          anyone else’s Social Security number, or
                                                  Associate Commissioner for Policy.
                                                                                                          confidential business information, such               sheet and not in the body of your
                                                  [FR Doc. 2016–08879 Filed 4–15–16; 8:45 am]
                                                                                                          as a manufacturing process. Please note               comments and you must identify this
                                                  BILLING CODE 4164–01–P                                  that if you include your name, contact                information as ‘‘confidential.’’ Any
                                                                                                          information, or other information that                information marked as ‘‘confidential’’
                                                                                                          identifies you in the body of your                    will not be disclosed except in
                                                  DEPARTMENT OF HEALTH AND                                                                                      accordance with 21 CFR 10.20 and other
                                                                                                          comments, that information will be
                                                  HUMAN SERVICES                                                                                                applicable disclosure law. For more
                                                                                                          posted on http://www.regulations.gov.
                                                                                                            • If you want to submit a comment                   information about FDA’s posting of
                                                  Food and Drug Administration                                                                                  comments to public dockets, see 80 FR
                                                                                                          with confidential information that you
                                                  [Docket No. FDA–2016–D–0238]                            do not wish to be made available to the               56469, September 18, 2015, or access
                                                                                                          public, submit the comment as a                       the information at: http://www.fda.gov/
                                                  Facility Definition Under Section 503B                  written/paper submission and in the                   regulatoryinformation/dockets/
                                                  of the Federal Food, Drug, and                          manner detailed (see ‘‘Written/Paper                  default.htm.
                                                  Cosmetic Act; Availability                              Submissions’’ and ‘‘Instructions’’).                     Docket: For access to the docket to
                                                                                                                                                                read background documents or the
                                                  AGENCY:    Food and Drug Administration,                Written/Paper Submissions                             electronic and written/paper comments
                                                  HHS.
                                                                                                             Submit written/paper submissions as                received, go to http://
                                                  ACTION:   Notice.                                                                                             www.regulations.gov and insert the
                                                                                                          follows:
                                                  SUMMARY:    The Food and Drug                              • Mail/Hand delivery/Courier (for                  docket number, found in brackets in the
                                                  Administration (FDA or Agency) is                       written/paper submissions): Division of               heading of this document, into the
                                                  announcing the availability of a draft                  Dockets Management (HFA–305), Food                    ‘‘Search’’ box and follow the prompts
                                                  guidance for industry entitled ‘‘Facility               and Drug Administration, 5630 Fishers                 and/or go to the Division of Dockets
                                                  Definition Under Section 503B of the                    Lane, Rm. 1061, Rockville, MD 20852.                  Management, 5630 Fishers Lane, Rm.
                                                  Federal Food, Drug, and Cosmetic Act.’’                    • For written/paper comments                       1061, Rockville, MD 20852.
                                                  Section 503B defines an outsourcing                     submitted to the Division of Dockets                     Submit written requests for single
                                                  facility, in part, as ‘‘a facility at one               Management, FDA will post your                        copies of the draft guidance to the
                                                  geographic location or address.’’ FDA                   comment, as well as any attachments,                  Division of Drug Information, Center for
                                                  has received questions from outsourcing                 except for information submitted,                     Drug Evaluation and Research, Food
                                                  facilities and other stakeholders about                 marked and identified, as confidential,               and Drug Administration, 10001 New
                                                  the meaning of this term, such as                       if submitted as detailed in                           Hampshire Ave., Hillandale Building,
                                                                                                                                                                4th Floor, Silver Spring, MD 20993–
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                                                  whether multiple suites used for                        ‘‘Instructions.’’
                                                  compounding human drugs at a single                        Instructions: All submissions received             0002. Send one self-addressed adhesive
                                                  street address constitute one or multiple               must include the Docket No. FDA–                      label to assist that office in processing
                                                  facilities, or whether a single location                2016–D–0238 for ‘‘Facility Definition                 your requests. See the SUPPLEMENTARY
                                                  where human drugs are compounded                        Under Section 503B of the Federal                     INFORMATION section for electronic
                                                  can be subdivided into separate                         Food, Drug, and Cosmetic Act;                         access to the draft guidance document.
                                                  operations compounding under                            Availability.’’ Received comments will                FOR FURTHER INFORMATION CONTACT: Sara
                                                  different standards. FDA is issuing this                be placed in the docket and, except for               Rothman, Center for Drug Evaluation


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                                                  22612                          Federal Register / Vol. 81, No. 74 / Monday, April 18, 2016 / Notices

                                                  and Research, Food and Drug                               This draft guidance is being issued                 DATES:    The effective date is April 18,
                                                  Administration, 10903 New Hampshire                     consistent with FDA’s good guidance                   2016.
                                                  Ave., Bldg. 51, Rm. 5197, Silver Spring,                practices regulation (21 CFR 10.115).                 ADDRESSES:   For access to the docket to
                                                  MD 20993, 301–796–3110.                                 The draft guidance, when finalized, will              read background documents, go to
                                                  SUPPLEMENTARY INFORMATION:                              represent the current thinking of FDA                 http://www.regulations.gov and insert
                                                                                                          on the meaning of the term ‘‘facility at              the docket number, found in brackets in
                                                  I. Background                                           one geographic location or address’’                  the heading of this document, into the
                                                     FDA is announcing the availability of                under section 503B of the FD&C Act. It                ‘‘Search’’ box and follow the prompts
                                                  a draft guidance for industry entitled                  does not establish any rights for any                 and/or go to the Division of Dockets
                                                  ‘‘Facility Definition Under Section 503B                person and is not binding on FDA or the               Management (HFA–305), 5630 Fishers
                                                  of the Federal Food, Drug, and Cosmetic                 public. You can use an alternative                    Lane, Rm. 1061, Rockville, MD 20852.
                                                  Act.’’                                                  approach if it satisfies the requirements
                                                     Section 503B, added to the Federal                   of the applicable statutes and                        FOR FURTHER INFORMATION CONTACT: Jay
                                                  Food, Drug, and Cosmetic Act (the                       regulations.                                          Sitlani, Center for Drug Evaluation and
                                                  FD&C Act) by the Drug Quality and                                                                             Research, Food and Drug
                                                  Security Act in 2013, created a new                     II. Electronic Access                                 Administration, 10903 New Hampshire
                                                  category of compounders called                            Persons with access to the Internet                 Ave., Bldg. 51, Rm. 6282, Silver Spring,
                                                  outsourcing facilities. Section 503B                    may obtain the draft guidance at either               MD 20993–0002, 301–796–5202.
                                                  describes the conditions that must be                   http://www.fda.gov/Drugs/Guidance                     SUPPLEMENTARY INFORMATION:
                                                  satisfied for human drug products                       ComplianceRegulatoryInformation/
                                                                                                                                                                I. Background
                                                  compounded by or under the direct                       Guidances/default.htm or http://
                                                  supervision of a licensed pharmacist in                 www.regulations.gov.                                  A. Applications for Niacin ER Tablets
                                                  an outsourcing facility to qualify for                    Dated: April 12, 2016.                                 FDA first approved NDA 020381 for
                                                  exemptions from three sections of the                   Leslie Kux,                                           Niaspan (niacin extended-release)
                                                  FD&C Act:
                                                                                                          Associate Commissioner for Policy.                    tablets for several indications on July
                                                     • Section 502(f)(1) (concerning
                                                                                                          [FR Doc. 2016–08878 Filed 4–15–16; 8:45 am]           28, 1997. On March 26, 2009, FDA
                                                  labeling requirements);
                                                     • Section 505 (concerning drug                       BILLING CODE 4164–01–P                                approved a revised indication that read
                                                  approval requirements); and                                                                                   as follows:
                                                     • Section 582 (concerning Drug                                                                                • Niaspan in combination with
                                                  Supply Chain Security Act                               DEPARTMENT OF HEALTH AND                              simvastatin or lovastatin is indicated for
                                                  requirements).                                          HUMAN SERVICES                                        the treatment of primary hyperlipidemia
                                                     Section 503B(d)(4) of the FD&C Act                                                                         (heterozygous familial and nonfamilial)
                                                  defines an outsourcing facility as a                    Food and Drug Administration                          and mixed dyslipidemia (Fredrickson
                                                  facility at one geographic location or                                                                        Types IIa and IIb) when treatment with
                                                  address that: (1) Is engaged in the                     [Docket No. FDA–2016–N–1127]                          Niaspan, simvastatin, or lovastatin
                                                  compounding of sterile drugs; (2) has                                                                         monotherapy is considered inadequate.
                                                                                                          AbbVie Inc. et al; Withdrawal of                         In addition, the following Limitation
                                                  elected to register as an outsourcing                   Approval of Indications Related to the
                                                  facility; and (3) complies with all of the                                                                    of Use was added to the Indications and
                                                                                                          Coadministration With Statins in                      Usage section of the labeling:
                                                  requirements of this section. In                        Applications for Niacin Extended-
                                                  addition, an outsourcing facility is not                                                                         • No incremental benefit of Niaspan
                                                                                                          Release Tablets and Fenofibric Acid                   coadministered with simvastatin or
                                                  required to be a licensed pharmacy, and                 Delayed-Release Capsules
                                                  it may or may not obtain prescriptions                                                                        lovastatin on cardiovascular morbidity
                                                  for identified individual patients.                     AGENCY:    Food and Drug Administration,              and mortality over and above that
                                                  Because drugs compounded by                             HHS.                                                  demonstrated for niacin, simvastatin, or
                                                  outsourcing facilities are not exempt                   ACTION:   Notice.                                     lovastatin monotherapy has been
                                                  from section 501(a)(2)(B) of the FD&C                                                                         established. Niaspan has not been
                                                  Act, outsourcing facilities are subject to              SUMMARY:    The Food and Drug                         studied in Fredrickson Type I and III
                                                  current good manufacturing practice                     Administration (FDA or Agency) is                     dyslipidemias.
                                                  (CGMP) requirements.                                    withdrawing approval of the indications                  This indication was revised between
                                                     FDA has received questions from                      related to the coadministration with a                March 26, 2009, and April 27, 2015, at
                                                  outsourcing facilities and other                        statin for niacin extended-release (ER)               which time it was removed from the
                                                  stakeholders about the meaning of the                   tablets and fenofibric acid delayed-                  approved labeling. The Limitation of
                                                  term ‘‘facility at one geographic location              release (DR) capsules. Affected                       Use currently reads:
                                                  or address,’’ such as whether multiple                  applications include one new drug                        • Addition of Niaspan did not reduce
                                                  suites used for compounding human                       application (NDA) and seven                           cardiovascular morbidity or mortality
                                                  drugs at a single street address                        abbreviated new drug applications                     among patients treated with simvastatin
                                                  constitute one or multiple facilities, or               (ANDAs) for niacin ER tablets, and one                in a large, randomized controlled trial
                                                  whether a single location where human                   NDA and three ANDAs for fenofibric                    (AIM–HIGH).
                                                  drugs are compounded can be                             acid DR capsules. The holders of these                   There are seven approved ANDAs that
                                                  subdivided into separate operations                     applications have requested that FDA                  cited Niaspan as the reference listed
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                                                  compounding under different standards.                  withdraw approval of the indications                  drug (RLD) and that are approved for the
                                                  FDA is issuing this draft guidance to                   and have waived their opportunities for               same indications as Niaspan (see table
                                                  answer these questions.                                 a hearing.                                            1).




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Document Created: 2016-04-16 01:45:43
Document Modified: 2016-04-16 01:45:43
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.
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 July 18, 2016.
ContactSara Rothman, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 5197, Silver Spring, MD 20993, 301-796-3110.
FR Citation81 FR 22611 

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