81_FR_22691 81 FR 22617 - Prescription Requirement Under Section 503A of the Federal Food, Drug, and Cosmetic Act; Draft Guidance for Industry; Availability

81 FR 22617 - Prescription Requirement Under Section 503A of the Federal Food, Drug, and Cosmetic Act; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

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

Page Range22617-22619
FR Document2016-08877

The Food and Drug Administration (FDA or the Agency) is announcing the availability of a draft guidance for industry entitled ``Prescription Requirement Under Section 503A of the Federal Food, Drug, and Cosmetic Act.'' This guidance sets forth FDA's policy concerning certain prescription requirements for compounding human drug products for identified individual patients under section 503A of the Federal Food, Drug, and Cosmetic Act (the FD&C Act). It addresses compounding after the receipt of a prescription for an identified individual patient, compounding before the receipt of a prescription for an identified individual patient (anticipatory compounding), and compounding for office use.

Federal Register, Volume 81 Issue 74 (Monday, April 18, 2016)
[Federal Register Volume 81, Number 74 (Monday, April 18, 2016)]
[Notices]
[Pages 22617-22619]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-08877]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-D-0269]


Prescription Requirement Under Section 503A of the Federal Food, 
Drug, and Cosmetic Act; Draft Guidance for Industry; Availability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announcing the availability of a draft guidance for industry entitled 
``Prescription Requirement Under Section 503A of the Federal Food, 
Drug, and Cosmetic Act.'' This guidance sets forth FDA's policy 
concerning certain prescription requirements for compounding human drug 
products for identified individual patients under section 503A of the 
Federal Food, Drug, and Cosmetic Act (the FD&C Act). It addresses 
compounding after the receipt of a prescription for an identified 
individual patient, compounding before the receipt of a prescription 
for an identified individual patient (anticipatory compounding), and 
compounding for office use.

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 to finalize the guidance, submit 
either electronic or written comments on this draft guidance by July 
18, 2016. Submit comments on information collection issues under the 
Paperwork Reduction Act of 1995 by May 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-0269 for ``Prescription Requirement Under Section 503A of 
the Federal Food, Drug, and Cosmetic Act.'' 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

[[Page 22618]]

and/or go to the Division of Dockets Management, 5630 Fishers Lane, Rm. 
1061, Rockville, MD 20852.
    Submit comments on information collection issues to the Office of 
Management and Budget in the following ways:
     Fax to the Office of Information and Regulatory Affairs, 
OMB, Attn: FDA Desk Officer, FAX: 202-395-7285, or email to 
[email protected]. All comments should be identified with the 
title, ``Prescription Requirement Under Section 503A of the Federal 
Food, Drug, and Cosmetic Act; Collection of Information.''
    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 and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Room 5197, Silver Spring, MD, 301-796-3110.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Prescription Requirement Under Section 503A of the Federal 
Food, Drug, and Cosmetic Act.'' Section 503A (21 U.S.C. 353a), added to 
the FD&C Act by the Food and Drug Administration Modernization Act of 
1997, describes the conditions that must be satisfied for human drug 
products compounded by a licensed pharmacist in a State-licensed 
pharmacy or Federal facility, or by a licensed physician, to be exempt 
from the following three sections of the FD&C Act:
     Section 501(a)(2)(B) (21 U.S.C. 351(a)(2)(B)) (concerning 
current good manufacturing practice requirements);
     section 502(f)(1) (21 U.S.C. 352(f)(1)) (concerning the 
labeling of drugs with adequate directions for use); and
     section 505 (21 U.S.C. 355) (concerning the approval of 
drugs under new drug applications (NDAs) or abbreviated new drug 
applications (ANDAs)).
    A compounded drug product may be eligible for the exemptions under 
section 503A of the FD&C Act only if it is, among other things, 
compounded for an identified individual patient based on the receipt of 
a valid prescription order or a notation, approved by the prescribing 
practitioner, on the prescription order that a compounded product is 
necessary for the identified patient. Among other conditions, to 
qualify for the exemptions under section 503A of the FD&C Act, the drug 
product must be compounded by a licensed pharmacist in a State-licensed 
pharmacy or a Federal facility, or by a licensed physician (section 
503A(a)).
    This guidance sets forth FDA's policy concerning certain 
prescription requirements for compounding human drug products for 
identified individual patients under section 503A of the FD&C Act. It 
addresses compounding after the receipt of a prescription for an 
identified individual patient, compounding before the receipt of a 
prescription for an identified individual patient (anticipatory 
compounding), and compounding for office use.
    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 
prescription requirement under section 503A 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. Paperwork Reduction Act

    Under the Paperwork Reduction Act of 1995 (the PRA) (44 U.S.C. 
3501-3520), Federal Agencies must obtain approval from the Office of 
Management and Budget (OMB) for each collection of information that 
they conduct or sponsor. ``Collection of information'' is defined in 44 
U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes Agency requests or 
requirements that members of the public submit reports, keep records, 
or provide information to a third party. Section 3506(c)(2)(A) of the 
PRA (44 U.S.C. 3506(c)(2)(A)) requires Federal Agencies to provide a 
60-day notice in the Federal Register concerning each proposed 
collection of information before submitting the collection to OMB for 
approval. To comply with this requirement, FDA is publishing notice of 
the proposed collection of information set forth in this document.
    With respect to the collection of information associated with this 
document, FDA invites comments on the following 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.
    Under the draft guidance, if it is not obvious from a prescription 
order that the prescription is for a compounded drug product, a 
compounder may consult with the prescriber to determine whether the 
patient needs a compounded drug and make an appropriate notation on the 
prescription order. To serve as a basis for compounding under section 
503A of the FD&C Act, a notation must document the prescriber's 
determination that a compounded drug is necessary for the identified 
patient. FDA recommends using the following statement:
    Per [type of communication] with [name of prescriber] on [date], 
[name of prescriber] has advised that compounded [name of drug] is 
necessary for the treatment of [name of patient].
    We estimate that annually a total of approximately 3,444 licensed 
pharmacists and licensed physicians (``number of respondents'' in table 
1) will make a notation with this statement on approximately 172,200 
prescription orders (``total annual disclosures'' in table 1). We 
estimate that the consultation between the compounder and the 
prescriber and adding the written statement to each prescription will 
take approximately 5 minutes per prescription order.
    In addition, the licensed pharmacist or licensed physician seeking 
to compound a drug product under section 503A should maintain records 
of valid prescription orders received for compounded drug products to 
demonstrate compliance with the prescription requirement in section 
503A(a)(1) of the FD&C Act. For example, this includes records of valid 
prescription orders and of prescription orders bearing notations that 
the compounded drug product is necessary for the identified individual 
patient as described in section III.A of this guidance and section 
503A(a) of the FD&C Act. Because the time, effort, and financial 
resources necessary to comply with this collection of information would 
be incurred by licensed pharmacists and licensed physicians in the 
normal course of their activities, it is excluded from the definition 
of

[[Page 22619]]

``burden'' under 5 CFR 1320.3(b)(2). FDA understands that maintaining 
records of prescriptions for compounded drug products is part of the 
usual course of the practice of compounding and selling drugs and is 
required by States' pharmacy laws and other State laws governing record 
keeping by health care professionals and health care facilities.
    Under the guidance, licensed pharmacists and licensed physicians 
should also maintain records of the calculations performed to determine 
the limited quantities of drug products compounded before the receipt 
of valid prescription orders under the enforcement policy described in 
section III.B.2 of this guidance and section 503A(a)(2) of the FD&C 
Act. These records should clearly reflect the quantity of a particular 
drug product compounded in advance of receiving prescription orders for 
identified individual patients that the compounder has kept on hand as 
stock for distribution, and the basis for the quantity the compounder 
kept in stock. Under the enforcement policy described in section 
III.B.2 of this guidance, this would include the quantity of the drug 
product distributed under prescription orders for identified individual 
patients during the reference period that the licensed pharmacist or 
licensed physician selected (i.e., a 30-day period within the last 
year).
    We estimate that annually a total of approximately 10,332 licensed 
pharmacists and licensed physicians (``number of recordkeepers'' in 
table 2) will maintain approximately 103,320 records (``total annual 
records'' in table 2). We estimate that maintaining the records will 
take approximately 5 minutes per record.
    FDA estimates the burden of this collection of information as 
follows:

                            Table 1--Estimated Annual Third-Party Disclosure Burden 1
----------------------------------------------------------------------------------------------------------------
                                                  Number of
       Type of reporting           Number of   disclosures per  Total annual   Average burden per    Total hours
                                  respondents     respondent     disclosures       disclosure
----------------------------------------------------------------------------------------------------------------
Consultation between the                3,444               50       172,200  0.083 (5 minutes)...        14,350
 licensed pharmacist or
 licensed physician and the
 prescriber and adding a
 notation to document the
 prescriber's determination
 that a compounded drug is
 necessary for an identified
 patient.
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.


                                Table 2--Estimated Annual Recordkeeping Burden 1
----------------------------------------------------------------------------------------------------------------
                                                  Number of
       Type of reporting          Number of      records per    Total annual   Average burden per    Total hours
                                recordkeepers    recordkeeper      records        recordkeeping
----------------------------------------------------------------------------------------------------------------
Records of calculations                10,332               10       103,320  0.083 (5 minutes)...         8,610
 performed to determine
 ``limited quantities''.
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.

III. 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. 2016-08877 Filed 4-15-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                 Federal Register / Vol. 81, No. 74 / Monday, April 18, 2016 / Notices                                           22617

                                                  IV. Paperwork Reduction Act of 1995                     announcing the availability of a draft                Dockets Management (HFA–305), Food
                                                    This guidance refers to previously                    guidance for industry entitled                        and Drug Administration, 5630 Fishers
                                                  approved collections of information                     ‘‘Prescription Requirement Under                      Lane, Rm. 1061, Rockville, MD 20852.
                                                  found in FDA regulations. These                         Section 503A of the Federal Food, Drug,                  • For written/paper comments
                                                  collections of information are subject to               and Cosmetic Act.’’ This guidance sets                submitted to the Division of Dockets
                                                  review by the Office of Management and                  forth FDA’s policy concerning certain                 Management, FDA will post your
                                                                                                          prescription requirements for                         comment, as well as any attachments,
                                                  Budget (OMB) under the Paperwork
                                                                                                          compounding human drug products for                   except for information submitted,
                                                  Reduction Act of 1995 (44 U.S.C. 3501–
                                                                                                          identified individual patients under                  marked and identified, as confidential,
                                                  3520). The collections of information in
                                                                                                          section 503A of the Federal Food, Drug,               if submitted as detailed in
                                                  21 CFR part 58 have been approved
                                                                                                          and Cosmetic Act (the FD&C Act). It                   ‘‘Instructions.’’
                                                  under OMB control number 0910–0119;                                                                              Instructions: All submissions received
                                                  the collections of information in 21 CFR                addresses compounding after the receipt
                                                                                                          of a prescription for an identified                   must include the Docket No. FDA–
                                                  parts 801 and 809 have been approved                                                                          2016–D–0269 for ‘‘Prescription
                                                  under OMB control number 0910–0485;                     individual patient, compounding before
                                                                                                          the receipt of a prescription for an                  Requirement Under Section 503A of the
                                                  the collections of information in 21 CFR                                                                      Federal Food, Drug, and Cosmetic Act.’’
                                                                                                          identified individual patient
                                                  part 807, subpart E, have been approved                                                                       Received comments will be placed in
                                                                                                          (anticipatory compounding), and
                                                  under OMB control number 0910–0120;                                                                           the docket and, except for those
                                                                                                          compounding for office use.
                                                  the collections of information in 21 CFR                                                                      submitted as ‘‘Confidential
                                                  part 812 have been approved under                       DATES: Although you can comment on
                                                                                                          any guidance at any time (see 21 CFR                  Submissions,’’ publicly viewable at
                                                  OMB control number 0910–0078; the                                                                             http://www.regulations.gov or at the
                                                  collections of information in 21 CFR                    10.115(g)(5)), to ensure that the Agency
                                                                                                          considers your comment on this draft                  Division of Dockets Management
                                                  part 814 have been approved under                                                                             between 9 a.m. and 4 p.m., Monday
                                                  OMB control number 0910–0231; the                       guidance before it begins work to
                                                                                                          finalize the guidance, submit either                  through Friday.
                                                  collections of information in the
                                                                                                          electronic or written comments on this                   • Confidential Submissions—To
                                                  guidance document entitled ‘‘Informed                                                                         submit a comment with confidential
                                                  Consent For In Vitro Diagnostic Device                  draft guidance by July 18, 2016. Submit
                                                                                                          comments on information collection                    information that you do not wish to be
                                                  Studies Using Leftover Human                                                                                  made publicly available, submit your
                                                                                                          issues under the Paperwork Reduction
                                                  Specimens That Are Not Individually                                                                           comments only as a written/paper
                                                                                                          Act of 1995 by May 18, 2016.
                                                  Identifiable’’ have been approved under                                                                       submission. You should submit two
                                                  OMB control number 0910–0582; the                       ADDRESSES: You may submit comments
                                                                                                                                                                copies total. One copy will include the
                                                  collections of information in the                       as follows:
                                                                                                                                                                information you claim to be confidential
                                                  guidance document entitled ‘‘Guidance                   Electronic Submissions                                with a heading or cover note that states
                                                  for Industry and FDA Staff:                               Submit electronic comments in the                   ‘‘THIS DOCUMENT CONTAINS
                                                  Administrative Procedures for CLIA                      following way:                                        CONFIDENTIAL INFORMATION.’’ The
                                                  Categorization’’ have been approved                       • Federal eRulemaking Portal: http://               Agency will review this copy, including
                                                  under OMB control number 0910–0607;                     www.regulations.gov. Follow the                       the claimed confidential information, in
                                                  and the collections of information in the               instructions for submitting comments.                 its consideration of comments. The
                                                  guidance document entitled ‘‘Requests                   Comments submitted electronically,                    second copy, which will have the
                                                  for Feedback on Medical Device                          including attachments, to http://                     claimed confidential information
                                                  Submissions: The Pre-Submission                         www.regulations.gov will be posted to                 redacted/blacked out, will be available
                                                  Program and Meetings with Food and                      the docket unchanged. Because your                    for public viewing and posted on
                                                  Drug Administration Staff’’ have been                   comment will be made public, you are                  http://www.regulations.gov. Submit
                                                  approved under OMB control number                       solely responsible for ensuring that your             both copies to the Division of Dockets
                                                  0910–0756.                                              comment does not include any                          Management. If you do not wish your
                                                    Dated: April 12, 2016.                                confidential information that you or a                name and contact information to be
                                                  Leslie Kux,                                             third party may not wish to be posted,                made publicly available, you can
                                                                                                          such as medical information, your or                  provide this information on the cover
                                                  Associate Commissioner for Policy.
                                                                                                          anyone else’s Social Security number, or              sheet and not in the body of your
                                                  [FR Doc. 2016–08899 Filed 4–15–16; 8:45 am]
                                                                                                          confidential business information, such               comments and you must identify this
                                                  BILLING CODE 4164–01–P                                                                                        information as ‘‘confidential.’’ Any
                                                                                                          as a manufacturing process. Please note
                                                                                                          that if you include your name, contact                information marked as ‘‘confidential’’
                                                                                                          information, or other information that                will not be disclosed except in
                                                  DEPARTMENT OF HEALTH AND                                                                                      accordance with 21 CFR 10.20 and other
                                                  HUMAN SERVICES                                          identifies you in the body of your
                                                                                                          comments, that information will be                    applicable disclosure law. For more
                                                  Food and Drug Administration                            posted on http://www.regulations.gov.                 information about FDA’s posting of
                                                                                                            • If you want to submit a comment                   comments to public dockets, see 80 FR
                                                  [Docket No. FDA–2016–D–0269]                            with confidential information that you                56469, September 18, 2015, or access
                                                                                                          do not wish to be made available to the               the information at: http://www.fda.gov/
                                                  Prescription Requirement Under                                                                                regulatoryinformation/dockets/
                                                  Section 503A of the Federal Food,                       public, submit the comment as a
                                                                                                          written/paper submission and in the                   default.htm.
                                                  Drug, and Cosmetic Act; Draft
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                                                                          manner detailed (see ‘‘Written/Paper                     Docket: For access to the docket to
                                                  Guidance for Industry; Availability                                                                           read background documents or the
                                                                                                          Submissions’’ and ‘‘Instructions’’).
                                                  AGENCY:    Food and Drug Administration,                                                                      electronic and written/paper comments
                                                                                                          Written/Paper Submissions                             received, go to http://
                                                  HHS.
                                                  ACTION:   Notice of availability.                         Submit written/paper submissions as                 www.regulations.gov and insert the
                                                                                                          follows:                                              docket number, found in brackets in the
                                                  SUMMARY: The Food and Drug                                • Mail/Hand delivery/Courier (for                   heading of this document, into the
                                                  Administration (FDA or the Agency) is                   written/paper submissions): Division of               ‘‘Search’’ box and follow the prompts


                                             VerDate Sep<11>2014   17:54 Apr 15, 2016   Jkt 238001   PO 00000   Frm 00051   Fmt 4703   Sfmt 4703   E:\FR\FM\18APN1.SGM   18APN1


                                                  22618                          Federal Register / Vol. 81, No. 74 / Monday, April 18, 2016 / Notices

                                                  and/or go to the Division of Dockets                    an identified individual patient based                (2) the accuracy of FDA’s estimate of the
                                                  Management, 5630 Fishers Lane, Rm.                      on the receipt of a valid prescription                burden of the proposed collection of
                                                  1061, Rockville, MD 20852.                              order or a notation, approved by the                  information, including the validity of
                                                    Submit comments on information                        prescribing practitioner, on the                      the methodology and assumptions used;
                                                  collection issues to the Office of                      prescription order that a compounded                  (3) ways to enhance the quality, utility,
                                                  Management and Budget in the                            product is necessary for the identified               and clarity of the information to be
                                                  following ways:                                         patient. Among other conditions, to                   collected; and (4) ways to minimize the
                                                    • Fax to the Office of Information and                qualify for the exemptions under section              burden of the collection of information
                                                  Regulatory Affairs, OMB, Attn: FDA                      503A of the FD&C Act, the drug product                on respondents, including through the
                                                  Desk Officer, FAX: 202–395–7285, or                     must be compounded by a licensed                      use of automated collection techniques,
                                                  email to oira_submission@omb.eop.gov.                   pharmacist in a State-licensed pharmacy               when appropriate, and other forms of
                                                  All comments should be identified with                  or a Federal facility, or by a licensed               information technology.
                                                  the title, ‘‘Prescription Requirement                   physician (section 503A(a)).                             Under the draft guidance, if it is not
                                                  Under Section 503A of the Federal                          This guidance sets forth FDA’s policy              obvious from a prescription order that
                                                  Food, Drug, and Cosmetic Act;                           concerning certain prescription                       the prescription is for a compounded
                                                  Collection of Information.’’                            requirements for compounding human                    drug product, a compounder may
                                                    Submit written requests for single                    drug products for identified individual               consult with the prescriber to determine
                                                  copies of the draft guidance to the                     patients under section 503A of the                    whether the patient needs a
                                                  Division of Drug Information, Center for                FD&C Act. It addresses compounding                    compounded drug and make an
                                                  Drug Evaluation and Research, Food                      after the receipt of a prescription for an            appropriate notation on the prescription
                                                  and Drug Administration, 10001 New                      identified individual patient,                        order. To serve as a basis for
                                                  Hampshire Ave., Hillandale Building,                    compounding before the receipt of a                   compounding under section 503A of the
                                                  4th Floor, Silver Spring, MD 20993–                     prescription for an identified individual             FD&C Act, a notation must document
                                                  0002. Send one self-addressed adhesive                  patient (anticipatory compounding), and               the prescriber’s determination that a
                                                  label to assist that office in processing               compounding for office use.                           compounded drug is necessary for the
                                                  your requests. See the SUPPLEMENTARY                       This draft guidance is being issued                identified patient. FDA recommends
                                                  INFORMATION section for electronic
                                                                                                          consistent with FDA’s good guidance                   using the following statement:
                                                  access to the draft guidance document.                  practices regulation (21 CFR 10.115).                    Per [type of communication] with
                                                                                                          The draft guidance, when finalized, will              [name of prescriber] on [date], [name of
                                                  FOR FURTHER INFORMATION CONTACT: Sara
                                                                                                          represent the current thinking of FDA                 prescriber] has advised that
                                                  Rothman, Center for Drug Evaluation                     on the prescription requirement under                 compounded [name of drug] is
                                                  and Research, Food and Drug                             section 503A of the FD&C Act. It does                 necessary for the treatment of [name of
                                                  Administration, 10903 New Hampshire                     not establish any rights for any person               patient].
                                                  Ave., Bldg. 51, Room 5197, Silver                       and is not binding on FDA or the public.                 We estimate that annually a total of
                                                  Spring, MD, 301–796–3110.                               You can use an alternative approach if                approximately 3,444 licensed
                                                  SUPPLEMENTARY INFORMATION:                              it satisfies the requirements of the                  pharmacists and licensed physicians
                                                  I. Background                                           applicable statutes and regulations.                  (‘‘number of respondents’’ in table 1)
                                                                                                                                                                will make a notation with this statement
                                                     FDA is announcing the availability of                II. Paperwork Reduction Act                           on approximately 172,200 prescription
                                                  a draft guidance for industry entitled                     Under the Paperwork Reduction Act                  orders (‘‘total annual disclosures’’ in
                                                  ‘‘Prescription Requirement Under                        of 1995 (the PRA) (44 U.S.C. 3501–                    table 1). We estimate that the
                                                  Section 503A of the Federal Food, Drug,                 3520), Federal Agencies must obtain                   consultation between the compounder
                                                  and Cosmetic Act.’’ Section 503A (21                    approval from the Office of Management                and the prescriber and adding the
                                                  U.S.C. 353a), added to the FD&C Act by                  and Budget (OMB) for each collection of               written statement to each prescription
                                                  the Food and Drug Administration                        information that they conduct or                      will take approximately 5 minutes per
                                                  Modernization Act of 1997, describes                    sponsor. ‘‘Collection of information’’ is             prescription order.
                                                  the conditions that must be satisfied for               defined in 44 U.S.C. 3502(3) and 5 CFR                   In addition, the licensed pharmacist
                                                  human drug products compounded by a                     1320.3(c) and includes Agency requests                or licensed physician seeking to
                                                  licensed pharmacist in a State-licensed                 or requirements that members of the                   compound a drug product under section
                                                  pharmacy or Federal facility, or by a                   public submit reports, keep records, or               503A should maintain records of valid
                                                  licensed physician, to be exempt from                   provide information to a third party.                 prescription orders received for
                                                  the following three sections of the FD&C                Section 3506(c)(2)(A) of the PRA (44                  compounded drug products to
                                                  Act:                                                    U.S.C. 3506(c)(2)(A)) requires Federal                demonstrate compliance with the
                                                     • Section 501(a)(2)(B) (21 U.S.C.                    Agencies to provide a 60-day notice in                prescription requirement in section
                                                  351(a)(2)(B)) (concerning current good                  the Federal Register concerning each                  503A(a)(1) of the FD&C Act. For
                                                  manufacturing practice requirements);                   proposed collection of information                    example, this includes records of valid
                                                     • section 502(f)(1) (21 U.S.C.                       before submitting the collection to OMB               prescription orders and of prescription
                                                  352(f)(1)) (concerning the labeling of                  for approval. To comply with this                     orders bearing notations that the
                                                  drugs with adequate directions for use);                requirement, FDA is publishing notice                 compounded drug product is necessary
                                                  and                                                     of the proposed collection of                         for the identified individual patient as
                                                     • section 505 (21 U.S.C. 355)                        information set forth in this document.               described in section III.A of this
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                                                  (concerning the approval of drugs under                    With respect to the collection of                  guidance and section 503A(a) of the
                                                  new drug applications (NDAs) or                         information associated with this                      FD&C Act. Because the time, effort, and
                                                  abbreviated new drug applications                       document, FDA invites comments on                     financial resources necessary to comply
                                                  (ANDAs)).                                               the following topics: (1) Whether the                 with this collection of information
                                                     A compounded drug product may be                     proposed collection of information is                 would be incurred by licensed
                                                  eligible for the exemptions under                       necessary for the proper performance of               pharmacists and licensed physicians in
                                                  section 503A of the FD&C Act only if it                 FDA’s functions, including whether the                the normal course of their activities, it
                                                  is, among other things, compounded for                  information will have practical utility;              is excluded from the definition of


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                                                                                  Federal Register / Vol. 81, No. 74 / Monday, April 18, 2016 / Notices                                               22619

                                                  ‘‘burden’’ under 5 CFR 1320.3(b)(2).                     prescription orders under the                         orders for identified individual patients
                                                  FDA understands that maintaining                         enforcement policy described in section               during the reference period that the
                                                  records of prescriptions for                             III.B.2 of this guidance and section                  licensed pharmacist or licensed
                                                  compounded drug products is part of                      503A(a)(2) of the FD&C Act. These                     physician selected (i.e., a 30-day period
                                                  the usual course of the practice of                      records should clearly reflect the                    within the last year).
                                                  compounding and selling drugs and is                     quantity of a particular drug product                    We estimate that annually a total of
                                                  required by States’ pharmacy laws and                    compounded in advance of receiving                    approximately 10,332 licensed
                                                  other State laws governing record                        prescription orders for identified                    pharmacists and licensed physicians
                                                  keeping by health care professionals and                 individual patients that the compounder               (‘‘number of recordkeepers’’ in table 2)
                                                  health care facilities.                                  has kept on hand as stock for                         will maintain approximately 103,320
                                                     Under the guidance, licensed                          distribution, and the basis for the                   records (‘‘total annual records’’ in table
                                                  pharmacists and licensed physicians                      quantity the compounder kept in stock.                2). We estimate that maintaining the
                                                  should also maintain records of the                      Under the enforcement policy described                records will take approximately 5
                                                  calculations performed to determine the                  in section III.B.2 of this guidance, this             minutes per record.
                                                  limited quantities of drug products                      would include the quantity of the drug                   FDA estimates the burden of this
                                                  compounded before the receipt of valid                   product distributed under prescription                collection of information as follows:

                                                                                         TABLE 1—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
                                                                                                                                                 Number of                            Average
                                                                                                                              Number of                           Total annual
                                                                           Type of reporting                                                  disclosures per                        burden per    Total hours
                                                                                                                             respondents                          disclosures
                                                                                                                                                respondent                           disclosure

                                                  Consultation between the licensed pharmacist or licensed                          3,444                   50        172,200      0.083 (5 min-        14,350
                                                    physician and the prescriber and adding a notation to doc-                                                                       utes).
                                                    ument the prescriber’s determination that a compounded
                                                    drug is necessary for an identified patient.
                                                     1 There   are no capital costs or operating and maintenance costs associated with this collection of information.

                                                                                              TABLE 2—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1
                                                                                                                             Number of           Number of                            Average
                                                                                                                                                                  Total annual
                                                                           Type of reporting                                  record-           records per                          burden per    Total hours
                                                                                                                                                                    records
                                                                                                                              keepers          recordkeeper                        recordkeeping

                                                  Records of calculations performed to determine ‘‘limited                         10,332                   10        103,320      0.083 (5 min-         8,610
                                                    quantities’’.                                                                                                                    utes).
                                                     1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                  III. Electronic Access                                   ACTION:   Notice.                                     Spring, MD 20993–0002, PRAStaff@
                                                    Persons with access to the Internet                                                                          fda.hhs.gov.
                                                                                                           SUMMARY:   The Food and Drug
                                                  may obtain the draft guidance at either                  Administration (FDA) is announcing                    SUPPLEMENTARY INFORMATION:    In
                                                  http://www.fda.gov/Drugs/Guidance                        that a proposed collection of                         compliance with 44 U.S.C. 3507, FDA
                                                  ComplianceRegulatoryInformation/                         information has been submitted to the                 has submitted the following proposed
                                                  Guidances/default.htm or http://                         Office of Management and Budget                       collection of information to OMB for
                                                  www.regulations.gov.                                     (OMB) for review and clearance under                  review and clearance.
                                                    Dated: April 12, 2016.                                 the Paperwork Reduction Act of 1995.                  Inspection by Accredited Persons
                                                  Leslie Kux,                                              DATES: Fax written comments on the                    Program Under the Medical Device
                                                  Associate Commissioner for Policy.                       collection of information by May 18,                  User Fee and Modernization Act of
                                                  [FR Doc. 2016–08877 Filed 4–15–16; 8:45 am]              2016.                                                 2002—OMB Control Number 0910–
                                                  BILLING CODE 4164–01–P                                   ADDRESSES:   To ensure that comments on               0510—Extension
                                                                                                           the information collection are received,                 The Medical Device User Fee and
                                                                                                           OMB recommends that written                           Modernization Act of 2002 (MDUFMA)
                                                  DEPARTMENT OF HEALTH AND                                 comments be faxed to the Office of
                                                  HUMAN SERVICES                                                                                                 (Pub. L. 107–250) was signed into law
                                                                                                           Information and Regulatory Affairs,                   on October 26, 2002. Section 201 of
                                                                                                           OMB, Attn: FDA Desk Officer, FAX:                     MDUFMA added a new paragraph (g) to
                                                  Food and Drug Administration
                                                                                                           202–395–7285, or emailed to oira_                     section 704 of the Federal, Food, Drug,
                                                  [Docket No. FDA–2012–N–0427]                             submission@omb.eop.gov. All                           and Cosmetic Act (21 U.S.C. 374),
                                                                                                           comments should be identified with the                directing FDA to accredit third parties
                                                  Agency Information Collection                            OMB control number 0910–0510. Also
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                                                  Activities; Submission for Office of                                                                           (accredited persons) to conduct
                                                                                                           include the FDA docket number found                   inspections of eligible manufacturers of
                                                  Management and Budget Review;                            in brackets in the heading of this
                                                  Comment Request; Medical Devices;                                                                              class II or class III devices. FDA’s
                                                                                                           document.                                             guidance document entitled
                                                  Inspection by Accredited Persons
                                                  Program                                                  FOR FURTHER INFORMATION CONTACT:    FDA               ‘‘Implementation of the Inspection by
                                                                                                           PRA Staff, Office of Operations, Food                 Accredited Persons Program Under the
                                                  AGENCY:      Food and Drug Administration,               and Drug Administration, 8455                         Medical Device User Fee and
                                                  HHS.                                                     Colesville Rd., COLE–14526, Silver                    Modernization Act of 2002;


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Document Created: 2016-04-16 01:46:16
Document Modified: 2016-04-16 01:46:16
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 to finalize the guidance, submit either electronic or written comments on this draft guidance by July 18, 2016. Submit comments on information collection issues under the Paperwork Reduction Act of 1995 by May 18, 2016.
ContactSara Rothman, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Room 5197, Silver Spring, MD, 301-796-3110.
FR Citation81 FR 22617 

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