83_FR_5142 83 FR 5118 - Notice of Issuance of Final Determinations Concerning Certain Pharmaceutical Products

83 FR 5118 - Notice of Issuance of Final Determinations Concerning Certain Pharmaceutical Products

DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection

Federal Register Volume 83, Issue 24 (February 5, 2018)

Page Range5118-5139
FR Document2018-02245

This document provides notice that U.S. Customs and Border Protection (``CBP'') has issued 11 final determinations concerning the country of origin of certain pharmaceutical products. Based upon the facts presented, CBP has concluded that the country of origin of the Rosuvastatin Calcium Tablets, Levofloxacin Tablets, Levetiracetam Tablets, Metoprolol Tartrate Tablets, Gabapentin Capsules, Carvedilol Tablets, Paroxetine Hydrochloride Tablets, Entecavir Tablets, Montelukast Sodium Tablets, Simvastatin Tablets, Donepezil Hydrochloride Tablets is India for purposes of U.S. Government procurement.

Federal Register, Volume 83 Issue 24 (Monday, February 5, 2018)
[Federal Register Volume 83, Number 24 (Monday, February 5, 2018)]
[Notices]
[Pages 5118-5139]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-02245]


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DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection


Notice of Issuance of Final Determinations Concerning Certain 
Pharmaceutical Products

AGENCY: U.S. Customs and Border Protection, Department of Homeland 
Security.

ACTION: Notice of final determinations.

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

SUMMARY: This document provides notice that U.S. Customs and Border 
Protection (``CBP'') has issued 11 final determinations concerning the 
country of origin of certain pharmaceutical products. Based upon the 
facts presented, CBP has concluded that the country of origin of the 
Rosuvastatin Calcium Tablets, Levofloxacin Tablets, Levetiracetam 
Tablets, Metoprolol Tartrate Tablets, Gabapentin Capsules, Carvedilol 
Tablets, Paroxetine Hydrochloride Tablets, Entecavir Tablets, 
Montelukast Sodium Tablets, Simvastatin Tablets, Donepezil 
Hydrochloride Tablets is India for purposes of U.S. Government 
procurement.

DATES: These final determinations were issued on January 30, 2018. 
Copies of the final determinations are attached. Any party-at-interest, 
as defined in 19 CFR 177.22(d), may seek judicial review of these final 
determinations within March 7, 2018.

FOR FURTHER INFORMATION CONTACT: Elif Eroglu, Valuation and Special 
Programs Branch, Regulations and Rulings, Office of Trade, (202) 325-
0277.

SUPPLEMENTARY INFORMATION: Notice is hereby given that on January 30, 
2018 CBP issued 11 final determinations concerning the country of 
origin of certain pharmaceutical products, which may be offered to the 
U.S. Government under an undesignated government procurement contract 
pursuant to subpart B of part 177, CBP Regulations (19 CFR part 177, 
subpart B). These final determinations (H289700, H289701, H289702, 
H289704, H289706, H289710, H289711, H289712, H289713, H289714, and 
H289715), were issued under procedures set forth at 19 CFR part 177, 
subpart B, which implements Title III of the Trade Agreements Act of 
1979, as amended (19 U.S.C. 2511-18). In the final determinations, CBP 
concluded that the processing in the United States does not result in a 
substantial transformation. Therefore, the country of origin for 
purposes of U.S. Government procurement of the pharmaceutical products 
is India, the country where the active pharmaceutical ingredient was 
produced.
    Section 177.29, CBP Regulations (19 CFR 177.29), provides that a 
notice of final determination shall be published in the Federal 
Register within 60 days of the date the final determination is issued. 
Section 177.30, CBP Regulations (19 CFR 177.30), provides that any 
party-at-interest, as defined in 19 CFR 177.22(d), may seek judicial 
review of a final determination within 30 days of publication of such 
determination in the Federal Register.

    Dated: January 30, 2018.
Alice A. Kipel,
Executive Director, Regulations and Rulings, Office of Trade.

HQ H289700

January 30, 2018

OT:RR:CTF: VS H289700 EE

CATEGORY: Origin

Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004

RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Rosuvastatin Calcium tablets

Dear Mr. Ruscus:

    This is in response to your correspondence of July 7, 2017, 
requesting a final determination on behalf of Acetris Health, 
(``Acetris'') \1\, pursuant to subpart B of Part 177, U.S. Customs 
and Border Protection (``CBP'') Regulations (19 C.F.R. 177.21 et 
seq.). A meeting was held with the counsel for Acetris on August 8, 
2017.
---------------------------------------------------------------------------

    \1\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Rosuvastatin Calcium tablets. We note that Acetris is a party-at-
interest within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is 
entitled to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Rosuvastatin Calcium tablets. You 
state that Acetris is a generic pharmaceutical distributor 
specializing in providing cost effective products to the U.S. 
Government. Acetris has its principal place of business in 
Allendale, NJ. Among the products Acetris sells to the U.S. 
Government are Rosuvastatin Calcium tablets, members of a family of 
statin drugs prescribed for the reduction of cholesterol and 
triglyceride levels and prevention of heart attacks and strokes.
    You state that Acetris procures the Rosuvastatin Calcium tablets 
from Aurolife Pharma LLC (``Aurolife''), located in Dayton, NJ. 
Aurolife, which is a wholly-owned subsidiary of company X in India, 
is a generic pharmaceutical product manufacturer in the specialty 
and niche areas. Aurolife manufactures the Rosuvastatin Calcium 
tablets supplied to Acetris in a U.S. Food & Drug Administration 
(``FDA'') approved cGMP compliant manufacturing facility, located in 
Dayton, NJ, from several active and inactive ingredients procured 
domestically and abroad. The active pharmaceutical ingredient 
(``API'') of the Rosuvastatin Calcium tablets is Rosuvastatin 
Calcium, which Aurolife sources from company X in India.
    You state that the Rosuvastatin Calcium tablets supplied to 
Acetris are the result of a complex production process that occurs 
in Aurolife's New Jersey facility involving the combination of the 
API with several inactive ingredients, including some intermediates 
that are mixed in order to aid the conversion of the multiple 
ingredients. The production of Rosuvastatin employs processes that 
convert these ingredients into finished, medically effective dosage 
tablets (5 mg, 10 mg, 20 mg, and 40 mg tablets). You state that this 
processing changes the properties and characteristics of the API, 
materially enhancing the pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Rosuvastatin Calcium tablets occurs entirely 
within the United States. The ingredients processed in the United 
States are sourced from a variety of suppliers, both United States 
and foreign, as follows:

[[Page 5119]]



------------------------------------------------------------------------
             Material                             Country
------------------------------------------------------------------------
Rosuvastatin Calcium.............  India
Lactose Monohydrate (Super Tab     Country A
 30GR) USP-NF.
Dibasic Calcium Phosphate,         Country B
 Anhydrous USP (Fujicalin SG).
Microcrystalline Cellulose USNF    United States/Country C
 (Avicel PH-102)/Microcrystalline
 Cellulose USNF (Pharmel 102).
Crospovidone USNF (Polyplasdone    United States
 XL-10).
Magnesium Stearate NF Hyqual Veg   United States
 Source #2257.
Opadry II Pink 31K84972..........  United States
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     Microcrystalline cellulose, lactose monohydrate, and 
dibasic calcium phosphate anhydrous are added to the Rosuvastatin 
Calcium API as adjuvant to improve the bioavailability/absorption, 
leading to pharmacokinetic profiles equivalent to the brand product 
(Crestor[supreg]) for therapeutic equivalency. These four excipients 
are blended according to a set protocol and blending times to ensure 
proper mixing. Dibasic Calcium Phosphate anhydrous is a key 
ingredient, addition of which results in a drug product with a 
higher pH than the API, preventing the instability, variable potency 
and formation of hazardous degradation byproducts that otherwise are 
present in the API, significantly enhancing the stability of the 
finished product.
     Magnesium stearate is added to create a hydrophobic 
environment around particles which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Finally, different coloring agents and film coating are 
added to give each strength a distinct name and character. Film 
coating is performed using polymers which imparts a protective 
barrier for each strength of the drug and to mask the taste.
    You submitted product labels for the Rosuvastatin Calcium 
tablets. You also submitted a shipping label and the Materials 
Safety Data Sheet (``MSDS'') for the API, Rosuvastatin Calcium. 
Additionally, you provided a manufacturing flow chart depicting the 
various steps which occur in the United States to make the final 
Rosuvastatin Calcium tablets.

ISSUE:

    What is the country of origin of the Rosuvastatin Calcium 
tablets for purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

. . .an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.
    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Rosuvastatin 
Calcium tablets, but prohibits

[[Page 5120]]

that same NDC from being associated with any API, such as 
Rosuvastatin Calcium, that has not been demonstrated to be safe and 
effective and cannot be sold for the treatment of any human disease 
condition. You also state that the FDA requires the name of the drug 
product (Rosuvastatin Calcium tablet) to appear on every drug 
product label and prohibits use of that name on the label for the 
API. Further, you state that Rosuvastatin Calcium is intended only 
for use by producers for further processing or for research since it 
is unstable and not fit for medical use and may not be sold to 
consumers. Additionally, you state that Rosuvastatin Calcium 
degrades so as to both reduce potency and create hazardous 
byproducts. For these reasons, you claim that extensive additional 
processing of the API, sourced in India, with other ingredients must 
occur to change the API's properties and make it into a stable drug 
with established potency, that meets all requirements for levels of 
impurity, including those produced as harmful degradation 
byproducts, and can be safely administered for the treatment of a 
human disease or condition.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Rosuvastatin Calcium, retains its chemical 
and physical properties upon processing in the United States. 
Increasing the stability of the API and standardizing its 
concentration do not change the API. Further, the processing 
performed in the United States does not affect the medicinal use of 
the API. Based on the information presented, the API does not 
undergo a change in name, character or use. Therefore, in accordance 
with the rulings cited, we find that no substantial transformation 
occurs in United States, and the Rosuvastatin Calcium tablets would 
be considered a product of India, where the API was produced, for 
purposes of U.S. government procurement.
    In addition, you asked whether the Rosuvastatin Calcium tablets 
are ``manufactured in the United States'' within the meaning of the 
term ``U.S.-made end products'', as set forth in Section 25.003 of 
the Federal Acquisition Regulations System, Title 48, Code of 
Federal Regulations (48 C.F.R. Sec.  25.003), and implemented in 48 
C.F.R. Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, subpart 
B is intended to be applied consistent with the Federal Acquisition 
Regulations (48 C.F.R. chapter 1). The definition of country of 
origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two rules (see 
above) as does 48 C.F.R. Sec.  25.003. The term ``manufactured in 
the United States'' in 48 C.F.R. Sec.  25.003 correlates to the 
first rule of 19 C.F.R. Sec.  177.22(a) which provides that an 
article is a product of a country or instrumentality if ``it is 
wholly the growth, product, or manufacture of that country or 
instrumentality''. Since the production of Rosuvastatin Calcium 
tablets partially occurs in India, we do not find that they are 
manufactured in the United States.

HOLDING:

    The country of origin of the Rosuvastatin Calcium tablets for 
U.S. Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30 days after publication of the Federal Register notice 
referenced above, seek judicial review of this final determination 
before the Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

HQ H289701

January 30, 2018

OT:RR:CTF:VS H289701 EE

CATEGORY: Origin

Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue NW
Washington, DC 20004

RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Levofloxacin tablets

Dear Mr. Ruscus:

    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \2\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et seq.). A 
meeting was held with the counsel for Acetris on August 8, 2017.
---------------------------------------------------------------------------

    \2\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Levofloxacin tablets. We note that Acetris is a party-at-interest 
within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is entitled 
to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Levofloxacin tablets. You state 
that Acetris is a generic pharmaceutical distributor specializing in 
providing cost effective products to the U.S. Government. Acetris 
has its principal place of business in Allendale, NJ. Among the 
products Acetris sells to the U.S. Government are Levofloxacin 
tablets, which are a fluoroquinolone antibacterial used to treat 
mild, moderate, and severe infections.
    You state that Acetris procures the Levofloxacin tablets from 
Aurolife Pharma LLC (``Aurolife''), located in Dayton, NJ. Aurolife, 
which is a wholly-owned subsidiary of company X in India, is a 
generic pharmaceutical product manufacturer in the specialty and 
niche areas. Aurolife manufactures the Levofloxacin tablets supplied 
to Acetris in a U.S. Food & Drug Administration (``FDA'') approved 
cGMP compliant manufacturing facility, located in Dayton, NJ, from 
several active and inactive ingredients procured domestically and 
abroad. The active pharmaceutical ingredient (``API'') of the 
Levofloxacin tablets is Levofloxacin, which Aurolife sources from 
company X in India.
    You state that the Levofloxacin tablets supplied to Acetris are 
the result of a complex production process that occurs in Aurolife's 
New Jersey facility involving the combination of the API with 
multiple inactive ingredients, including some intermediates that are 
mixed in order to aid the conversion of the multiple ingredients. 
The production of Levofloxacin tablets employs processes that 
convert these ingredients into finished, medically effective dosage 
tablets (250 mg, 500 mg, and 750 mg tablets). You state that this 
processing changes the properties and characteristics of the API, 
materially enhancing the pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Levofloxacin tablets occurs entirely within the 
United States. The ingredients processed in the United States are 
sourced from a variety of suppliers, both United States and foreign, 
as follows:

------------------------------------------------------------------------
                Material                              Country
------------------------------------------------------------------------
Levofloxacin USP........................  India
Croscarmellose Sodium USNF..............  USA
Microcrystalline Cellulose USNF (Avicel   USA
 PH 101).
Hypromellose USP........................  USA
Magnesium Stearate USNF.................  USA
Opadry White 13B58802 IH................  USA

[[Page 5121]]

 
Opadry Orange 13B53926 IH...............  USA
Opadry Pink 13B84503 IH.................  USA
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     Croscarmellose sodium is added as a disintegrant to 
provide easy dispersion of the tablet when engulfed by the patient 
which indirectly enhances the drug release process and 
bioavailability/absorption leading to pharmacokinetic profiles 
equivalent to the brand product (Levaquin[supreg]) for therapeutic 
equivalency.
     Microcrystalline cellulose is added as a bulking agent 
for better manufacturability and to have suitable tablet weight so 
that the patient can easily take the medication.
     Hypromellose is added as a binder to aid formation of 
flowable granules during manufacturing thereby achieving the 
uniformity of the drug leading to therapeutic efficacy.
     Magnesium stearate is added to create a hydrophobic 
environment around particles which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Film coating is performed using polymers which imparts 
a protective barrier for the drug and to mask the taste.
     Finally, the tablets are packed into suitable 
containers which are capable of maintaining the overall integrity of 
the quality attributes and minimizing the formation of impurities 
thereby transforming it into a more stable drug product whose 
therapeutic effectiveness as a drug is sustainable.
    You submitted product labels for the Levofloxacin tablets. You 
also submitted a shipping label and the Materials Safety Data Sheet 
(``MSDS'') for the API, Levofloxacin. Additionally, you provided a 
manufacturing flow chart depicting the various steps which occur in 
the United States to make the final Levofloxacin tablets.

ISSUE:

    What is the country of origin of the Levofloxacin tablets for 
purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).
    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

. . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.
    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Levofloxacin 
tablets, but prohibits that same NDC from being associated with any 
API, such as Levofloxacin, that has not been demonstrated to be safe 
and effective and cannot be sold for the treatment of any human 
disease condition. You also state that the FDA requires the name of 
the drug product (Levofloxacin tablet) to appear on every drug 
product label and prohibits use of that name on the label for the 
API. Further, you state that Levofloxacin is intended only for use 
by producers for further processing or for research since it is 
unstable and not fit

[[Page 5122]]

for medical use and may not be sold to consumers. Additionally, you 
state that Levofloxacin exhibits poor flow properties, undergoes 
oxidative degradation, and has a bitter taste. For these reasons, 
you claim that extensive additional processing of the API, sourced 
in India, with other ingredients must occur to change the API's 
properties and make it into a stable drug whose medical 
effectiveness as a drug is sustainable.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Levofloxacin, retains its chemical and 
physical properties upon processing in the United States. Increasing 
the stability of the API and standardizing its concentration do not 
change the API. Further, the processing performed in the United 
States does not affect the medicinal use of the API. Based on the 
information presented, the API does not undergo a change in name, 
character or use. Therefore, in accordance with the rulings cited, 
we find that no substantial transformation occurs in United States, 
and the Levofloxacin tablets would be considered a product of India, 
where the API was produced, for purposes of U.S. government 
procurement.
    In addition, you asked whether the Levofloxacin tablets are 
``manufactured in the United States'' within the meaning of the term 
``U.S.-made end products'', as set forth in Section 25.003 of the 
Federal Acquisition Regulations System, Title 48, Code of Federal 
Regulations (48 C.F.R. Sec.  25.003), and implemented in 48 C.F.R. 
Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, subpart B is 
intended to be applied consistent with the Federal Acquisition 
Regulations (48 C.F.R. chapter 1). The definition of country of 
origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two rules (see 
above) as does 48 C.F.R. Sec.  25.003. The term ``manufactured in 
the United States'' in 48 C.F.R. Sec.  25.003 correlates to the 
first rule of 19 C.F.R. Sec.  177.22(a) which provides that an 
article is a product of a country or instrumentality if ``it is 
wholly the growth, product, or manufacture of that country or 
instrumentality''. Since the production of Levofloxacin tablets 
partially occurs in India, we do not find that they are manufactured 
in the United States.

HOLDING:

    The country of origin of the Levofloxacin tablets for U.S. 
Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30 days after publication of the Federal Register notice 
referenced above, seek judicial review of this final determination 
before the Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

HQ H289702

January 30, 2018

OT:RR:CTF:VS H289702 EE

CATEGORY: Origin

Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004

RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Levetiracetam tablets

Dear Mr. Ruscus:

    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \3\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et seq.). A 
meeting was held with the counsel for Acetris on August 8, 2017.
---------------------------------------------------------------------------

    \3\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Levetiracetam tablets. We note that Acetris is a party-at-interest 
within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is entitled 
to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Levetiracetam tablets. You state 
that Acetris is a generic pharmaceutical distributor specializing in 
providing cost effective products to the U.S. Government. Acetris 
has its principal place of business in Allendale, NJ. Among the 
products Acetris sells to the U.S. Government are Levetiracetam 
tablets which are anti-epileptic medications indicated in treatment 
of partial onset seizures, myoclonic seizures in patients with 
juvenile myoclonic epilepsy, and primary generalized tonic-clonic 
seizures.
    You state that Acetris procures the Levetiracetam tablets from 
Aurolife Pharma LLC (``Aurolife''), located in Dayton, NJ. Aurolife, 
which is a wholly-owned subsidiary of company X in India, is a 
generic pharmaceutical product manufacturer in the specialty and 
niche areas. Aurolife manufactures the Levetiracetam tablets 
supplied to Acetris in a U.S. Food & Drug Administration (``FDA'') 
approved cGMP compliant manufacturing facility, located in Dayton, 
NJ, from several active and inactive ingredients procured 
domestically and abroad. The active pharmaceutical ingredient 
(``API'') of the Levetiracetam tablets is Levetiracetam, which 
Aurolife sources from company X in India.
    You state that the Levetiracetam tablets supplied to Acetris are 
the result of a complex production process that occurs in Aurolife's 
New Jersey facility involving the combination of the API with 
multiple inactive ingredients, including some intermediates that are 
mixed in order to aid the conversion of the multiple ingredients. 
The production of Levetiracetam tablets employs processes that 
convert these ingredients into finished, medically effective dosage 
tablets (250 mg, 500 mg, 750 mg, and 1000 mg tablets). You state 
that this processing changes the properties and characteristics of 
the API, materially enhancing the pharmacokinetics of the resulting 
drug.
    You state that the process of converting these multiple 
ingredients into the Levetiracetam tablets occurs entirely within 
the United States. The ingredients processed in the United States 
are sourced from a variety of suppliers, both United States and 
foreign, as follows:

------------------------------------------------------------------------
                Material                              Country
------------------------------------------------------------------------
Levetiracetam USP.......................  India
Corn Starch USNF (Maize Starch B).......  Country A
Povidone USP (Kollidon 30)..............  USA
Colloidal Silicon Dioxide USNF..........  USA
Talc USP................................  USA
Magnesium Stearate USNF.................  USA
Opadry Blue OY-S-30913..................  USA
Opadry Yellow 05F82840..................  USA
Opadry Orange OY-S-33016................  USA
Opadry White Y-1-7000...................  USA
------------------------------------------------------------------------


[[Page 5123]]

    The processing that occurs in the United States includes the 
following:
     Corn starch is added as a bulking agent for better 
manufacturability and to have a suitable tablet weight so that the 
patient can easily take the medication. Corn starch is mixed with 
the API, enhancing that the compressibility of the API, so that the 
product can be easily administered.
     Povidone is added as a binder to aid formation of 
flowable granules during manufacturing, thereby achieving the 
uniformity of the drug leading to therapeutic efficacy.
     Talc and Colloidal silicon dioxide are added to create 
a gliding property in the blend particles and to provide a 
lubrication effect during the manufacturing process.
     Magnesium stearate is added to create a hydrophobic 
environment around particles which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Coloring agents and film coating are added to give each 
tablet strength a distinct name and character. Film coating is 
performed, using polymers, which imparts a protective barrier to 
each strength of the drug and to mask the taste.
     Finally, the tablets are packed into suitable 
containers which maintain the overall integrity of the quality 
attributes, thereby producing a more stable drug product whose 
therapeutic effectiveness is sustainable.
    You submitted product labels for the Levetiracetam tablets. You 
also submitted a shipping label and the Materials Safety Data Sheet 
(``MSDS'') for the API, Levetiracetam. Additionally, you provided a 
manufacturing flow chart depicting the various steps which occur in 
the United States to make final Levetiracetam tablets.

ISSUE:

    What is the country of origin of the Levetiracetam tablets for 
purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

    . . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.

    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Levetiracetam 
tablets, but prohibits that same NDC from being associated with any 
API, such as Levetiracetam, that has not been demonstrated to be 
safe and effective and cannot be sold for the treatment of any human 
disease condition. You also state that the FDA requires the name of 
the drug product (Levetiracetam tablet) to appear on every drug 
product label and prohibits use of that name on the label for the 
API. Further, you state that API is intended only for use by 
producers for further processing or for research since it is 
unstable and not fit for medical use and may not be sold to 
consumers. Additionally, you state that the API has a bitter taste 
and poor compressibility properties. For these reasons, you claim 
that extensive additional processing of the API, sourced in India, 
with other ingredients must occur to change the API's properties and 
make it into a stable drug product that achieves the targeted 
disintegration and dissolution, is more suitable and stable, and 
possesses the desired physicochemical properties.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Levetiracetam, retains its chemical and 
physical properties upon processing in the United States. Increasing 
the stability of the API and standardizing its concentration do

[[Page 5124]]

not change the API. Further, the processing performed in the United 
States does not affect the medicinal use of the API. Based on the 
information presented, the API does not undergo a change in name, 
character or use. Therefore, in accordance with the rulings cited, 
we find that no substantial transformation occurs in United States, 
and the Levetiracetam tablets would be considered a product of 
India, where the API was produced, for purposes of U.S. government 
procurement.
    In addition, you asked whether the Levetiracetam tablets are 
``manufactured in the United States'' within the meaning of the term 
``U.S.-made end products'', as set forth in Section 25.003 of the 
Federal Acquisition Regulations System, Title 48, Code of Federal 
Regulations (48 C.F.R. Sec.  25.003), and implemented in 48 C.F.R. 
Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, subpart B is 
intended to be applied consistent with the Federal Acquisition 
Regulations (48 C.F.R. chapter 1). The definition of country of 
origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two rules (see 
above) as does 48 C.F.R. Sec.  25.003. The term ``manufactured in 
the United States'' in 48 C.F.R. Sec.  25.003 correlates to the 
first rule of 19 C.F.R. Sec.  177.22(a) which provides that an 
article is a product of a country or instrumentality if ``it is 
wholly the growth, product, or manufacture of that country or 
instrumentality''. Since the production of Levetiracetam tablets 
partially occurs in India, we do not find that they are manufactured 
in the United States.

HOLDING:

    The country of origin of the Levetiracetam tablets for U.S. 
Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30 days after publication of the Federal Register notice 
referenced above, seek judicial review of this final determination 
before the Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade
HQ H289704

January 30, 2018

OT:RR:CTF:VS H289704 EE
CATEGORY: Origin

Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004

RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. 2511); Subpart B, Part 177, CBP Regulations; 
Metoprolol Tartrate tablets

Dear Mr. Ruscus:

    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \4\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et seq.). A 
meeting was held with the counsel for Acetris on August 8, 2017.
---------------------------------------------------------------------------

    \4\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Metoprolol Tartrate tablets. We note that Acetris is a party-at-
interest within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is 
entitled to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Metoprolol Tartrate tablets. You 
state that Acetris is a generic pharmaceutical distributor 
specializing in providing cost effective products to the U.S. 
Government. Acetris has its principal place of business in 
Allendale, NJ. Among the products Acetris sells to the U.S. 
Government are Metoprolol Tartrate tablets, which are used in the 
treatment of hypertension, angina pectoris and myocardial 
infarction.
    You state that Acetris procures the Metoprolol Tartrate tablets 
from Aurolife Pharma LLC (``Aurolife''), located in Dayton, NJ. 
Aurolife, which is a wholly-owned subsidiary of company X in India, 
is a generic pharmaceutical product manufacturer in the specialty 
and niche areas. Aurolife manufactures the Metoprolol Tartrate 
tablets supplied to Acetris in a U.S. Food & Drug Administration 
(``FDA'') approved cGMP compliant manufacturing facility, located in 
Dayton, NJ, from several active and inactive ingredients procured 
domestically and abroad. The active pharmaceutical ingredient 
(``API'') of the Metoprolol Tartrate tablets is Metoprolol Tartrate, 
which Aurolife sources from company X in India.
    You state that the Metoprolol Tartrate tablets supplied to 
Acetris are the result of a complex production process that occurs 
in Aurolife's New Jersey facility involving the combination of the 
API with multiple inactive ingredients, including some intermediates 
that are mixed in order to aid the conversion of the multiple 
ingredients. The production of Metoprolol Tartrate tablets employs 
processes that convert these ingredients into finished, medically 
effective dosage tablets (25 mg, 50 mg, and 100 mg tablets). You 
state that this processing changes the properties and 
characteristics of the API, materially enhancing the 
pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Metoprolol Tartrate tablets occurs entirely 
within the United States. The ingredients processed in the United 
States are sourced from a variety of suppliers, both United States 
and foreign, as follows:

------------------------------------------------------------------------
                Material                              Country
------------------------------------------------------------------------
Metoprolol Tartrate USP.................  India
Microcrystalline Cellulose USNF.........  Country A/USA
Corn Starch USNF (Maize Starch B).......  Country B
Sodium Starch Glycolate USNF............  Country C
Colloidal Silicon Dioxide USNF..........  USA
Sodium Lauryl Sulfate USNF..............  Country D
Talc USNF...............................  USA
Magnesium Stearate USNF.................  USA
Opadry White 13B58867...................  USA
Opadry Pink 13B54175....................  USA
Opadry Blue 13B50500....................  USA
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     Microcrystalline cellulose and corn starch are added as 
bulking agents for better manufacturability and to have suitable 
tablet weight so that the patient can easily take the medication. 
The API is mixed with these diluents which alters the physical form 
of the API such that the compressibility of the API is enhanced and 
the product can be easily administered.

[[Page 5125]]

     Sodium starch glycolate is added as a disintegrant to 
provide easy dispersion of the tablet when ingested by the patient, 
which indirectly enhances the drug release process and 
bioavailability/absorption, leading to pharmacokinetic profiles 
equivalent to the brand product (Lopressor[supreg]) for therapeutic 
equivalency.
     Talc and colloidal silicon dioxide are added to create 
a gliding property in the blend particles, contributing to the unit-
to-unit uniformity of the drug during the manufacturing process.
     Magnesium stearate is added to create a hydrophobic 
environment around particles which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Sodium Lauryl Sulfate is added as a wetting agent to 
enhance the solubilization process and bioavailability/absorption, 
leading to pharmacokinetic profiles equivalent to the brand product 
for therapeutic equivalency.
     Coloring agents and film coating are added to give each 
tablet strength a distinct name and character. Film coating is 
performed using polymers which imparts a protective barrier for each 
tablet strength and to mask the taste.
     Finally, the tablets are packed into suitable 
containers which are capable of retaining the overall integrity of 
the quality attributes and minimizing the formation of impurity, 
transforming it into a more stable product whose therapeutic 
effectiveness as a drug is sustainable.
    You submitted product labels for the Metoprolol Tartrate 
tablets. You also submitted a shipping label and the Materials 
Safety Data Sheet (``MSDS'') for the API, Metoprolol Tartrate. 
Additionally, you provided a manufacturing flow chart depicting the 
various steps which occur in the United States to make the final 
Metoprolol Tartrate tablets.

ISSUE:

    What is the country of origin of the Metoprolol Tartrate tablets 
for purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

. . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.

    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Metoprolol 
Tartrate tablets, but prohibits that same NDC from being associated 
with any API, such as Metoprolol Tartrate, that has not been 
demonstrated to be safe and effective and cannot be sold for the 
treatment of any human disease condition. You also state that the 
FDA requires the name of the drug product (Metoprolol Tartrate 
tablet) to appear on every drug product label and prohibits use of 
that name on the label for the API. Further, you state that 
Metoprolol Tartrate is intended only for use by producers for 
further processing or for research since it is unstable and not fit 
for medical use and may not be sold to consumers. Additionally, you 
state that the Metoprolol Tartrate degrades under hydrolysis and has 
poor flow properties. For these reasons, you claim that extensive 
additional processing of the API, sourced in India, with other 
ingredients must occur to change the API's properties and make it 
into a stable drug product with the desired pharmacokinetics, 
therapeutic efficacy and physicochemical properties.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Metoprolol Tartrate, retains its chemical and 
physical properties upon processing in the

[[Page 5126]]

United States. Increasing the stability of the API and standardizing 
its concentration do not change the API. Further, the processing 
performed in the United States does not affect the medicinal use of 
the API. Based on the information presented, the API does not 
undergo a change in name, character or use. Therefore, in accordance 
with the rulings cited, we find that no substantial transformation 
occurs in United States, and the Metoprolol Tartrate tablets would 
be considered a product of India, where the API was produced, for 
purposes of U.S. government procurement.
    In addition, you asked whether the Metoprolol Tartrate tablets 
are ``manufactured in the United States'' within the meaning of the 
term ``U.S.-made end products'', as set forth in Section 25.003 of 
the Federal Acquisition Regulations System, Title 48, Code of 
Federal Regulations (48 C.F.R. Sec.  25.003), and implemented in 48 
C.F.R. Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, subpart 
B is intended to be applied consistent with the Federal Acquisition 
Regulations (48 C.F.R. chapter 1). The definition of country of 
origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two rules (see 
above) as does 48 C.F.R. Sec.  25.003. The term ``manufactured in 
the United States'' in 48 C.F.R. Sec.  25.003 correlates to the 
first rule of 19 C.F.R. Sec.  177.22(a) which provides that an 
article is a product of a country or instrumentality if ``it is 
wholly the growth, product, or manufacture of that country or 
instrumentality''. Since the production of Metoprolol Tartrate 
tablets partially occurs in India, we do not find that they are 
manufactured in the United States.

HOLDING:

    The country of origin of the Metoprolol Tartrate tablets for 
U.S. Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30 days after publication of the Federal Register notice 
referenced above, seek judicial review of this final determination 
before the Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

HQ H289706

January 30, 2018

OT:RR:CTF:VS H289706 EE
CATEGORY: Origin


Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004

RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Gabapentin Capsules

Dear Mr. Ruscus:

    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \5\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et seq.). A 
meeting was held with the counsel for Acetris on August 8, 2017.
---------------------------------------------------------------------------

    \5\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Gabapentin capsules. We note that Acetris is a party-at-interest 
within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is entitled 
to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Gabapentin capsules. You state that 
Acetris is a generic pharmaceutical distributor specializing in 
providing cost effective products to the U.S. Government. Acetris 
has its principal place of business in Allendale, NJ. Among the 
products Acetris sells to the U.S. Government are Gabapentin 
capsules, which are used for the management and/or treatment of 
postherpetic neuralgia in adults and partial onset seizures.
    You state that Acetris procures the Gabapentin capsules from 
Aurolife Pharma LLC (``Aurolife''), located in Dayton, NJ. Aurolife, 
which is a wholly-owned subsidiary of company X in India, is a 
generic pharmaceutical product manufacturer in the specialty and 
niche areas. Aurolife manufactures the Gabapentin capsules supplied 
to Acetris in a U.S. Food & Drug Administration (``FDA'') approved 
cGMP compliant manufacturing facility, located in Dayton, NJ, from 
several active and inactive ingredients procured domestically and 
abroad. The active pharmaceutical ingredient (``API'') of the 
Gabapentin capsules is Gabapentin, which Aurolife sources from 
company X in India.
    You state that the Gabapentin capsules supplied to Acetris are 
the result of a complex production process that occurs in Aurolife's 
New Jersey facility involving the combination of the API with 
multiple inactive ingredients, including some intermediates that are 
mixed in order to aid the conversion of the multiple ingredients. 
The production of Gabapentin capsules employs processes that convert 
these ingredients into finished, medically effective dosage capsules 
(100 mg, 300 mg, and 400 mg capsules). You state that this 
processing changes the properties and characteristics of the API, 
materially enhancing the pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Gabapentin capsules occurs entirely within the 
United States. The ingredients processed in the United States are 
sourced from a variety of suppliers, both United States and foreign, 
as follows:

------------------------------------------------------------------------
             Material                             Country
------------------------------------------------------------------------
Gabapentin USP...................  India
Corn Starch USNF.................  Country A
Talc USP.........................  USA
White/White size `3' Capsule       Country B/USA/USA
 shell imprinted with `D' on
 white cap and `02' on white body.
Yellow/Yellow size `1' Capsule     Country C/USA/USA
 shell imprinted with `D' on
 yellow cap and `03' on yellow
 body.
Orange/Orange size `0' Capsule     Country D/USA/USA
 shell imprinted with `D' on
 Orange cap and `04' on Orange
 body.
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     The API exhibits poor flow property whereby it will 
affect the manufacturability. Hence, the particle size is tailored 
to have good flowability during the manufacturing process so that 
there is no unit-to-unit variability in the labeled quantity in each 
capsule.
     Corn starch is added as a bulking agent for better 
manufacturability and to have suitable fill weight so that the 
patient can easily take the medication. Corn starch is mixed with 
the gabapentin where the drug particles get coated with the said 
excipient, enhancing stability.
     Talc is added to create a gliding property in the blend 
particles and also provides a lubrication effect during the 
production process. Lubricant mixing is carefully done to ensure 
that the drug releasing profile and

[[Page 5127]]

pharmacokinetics are not influenced by this hydrophobic environment.
     Finally, the blend is filled into hard gelatin shells 
to give each strength a distinct name and character. Encapsulation 
of the blend gives a protective barrier for each strength of the 
drug and masks the metallic taste of the drug particles.
    You submitted product labels for the Gabapentin capsules. You 
also submitted a shipping label and the Materials Safety Data Sheet 
(``MSDS'') for the API, Gabapentin. Additionally, you provided a 
manufacturing flow chart depicting the various steps which occur in 
the United States to make the final the final Gabapentin capsules.

ISSUE:

    What is the country of origin of the Gabapentin capsules for 
purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part C.F.R. Sec.  177 consistent with Federal 
Acquisition Regulations. See 19 C.F.R. Sec.  177.21. In this regard, 
CBP recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

. . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.

    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Gabapentin 
capsules, but prohibits that same NDC from being associated with any 
API, such as Gabapentin, that has not been demonstrated to be safe 
and effective and cannot be sold for the treatment of any human 
disease condition. You also state that the FDA requires the name of 
the drug product (Gabapentin capsule) to appear on every drug 
product label and prohibits use of that name on the label for the 
API. Further, you state that Gabapentin is intended only for use by 
producers for further processing or for research since it is 
unstable and not fit for medical use and may not be sold to 
consumers. Additionally, you state that Gabapentin has a tendency to 
degrade and has poor flow properties. For these reasons, you claim 
that extensive additional processing of the API, sourced in India, 
with other ingredients must occur to change the API's properties and 
make it into a stable drug product.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Gabapentin, retains its chemical and physical 
properties upon processing in the United States. Increasing the 
stability of the API and standardizing its concentration do not 
change the API. Further, the processing performed in the United 
States does not affect the medicinal use of the API. Based on the 
information presented, the API does not undergo a change in name, 
character or use. Therefore, in accordance with the rulings cited, 
we find that no substantial transformation occurs in United States, 
and the Gabapentin capsules would be considered a product of India, 
where the API was produced, for purposes of U.S. government 
procurement.
    In addition, you asked whether the Gabapentin capsules are 
``manufactured in the United States'' within the meaning of the term 
``U.S.-made end products'', as set forth in Section 25.003 of the 
Federal Acquisition Regulations System, Title 48, Code of Federal 
Regulations (48 C.F.R. Sec.  25.003), and implemented in 48 C.F.R. 
Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, subpart B is 
intended to be applied consistent with the Federal Acquisition 
Regulations (48 C.F.R. chapter 1). The definition of country of 
origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two rules (see 
above) as does 48 C.F.R. Sec.  25.003. The term ``manufactured in 
the United States'' in 48 C.F.R. Sec.  25.003 correlates to the 
first rule of 19 C.F.R. Sec.  177.22(a) which provides that an 
article is a product of a country or instrumentality if ``it is 
wholly the growth, product, or manufacture of that country or 
instrumentality''. Since the

[[Page 5128]]

production of Gabapentin capsules partially occurs in India, we do 
not find that they are manufactured in the United States.

HOLDING:

    The country of origin of the Gabapentin capsules for U.S. 
Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. 177.30, any party-at-interest may, within 30 
days after publication of the Federal Register notice referenced 
above, seek judicial review of this final determination before the 
Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

HQ H289710

January 30, 2018

OT:RR:CTF:VS H289710 EE
CATEGORY: Origin

Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004
RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Carvedilol tablets

Dear Mr. Ruscus:
    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \6\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et seq.). A 
meeting was held with the counsel for Acetris on August 8, 2017.
---------------------------------------------------------------------------

    \6\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Carvedilol tablets. We note that Acetris is a party-at-interest 
within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is entitled 
to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Carvedilol tablets. You state that 
Acetris is a generic pharmaceutical distributor specializing in 
providing cost effective products to the U.S. Government. Acetris 
has its principal place of business in Allendale, NJ. Among the 
products Acetris sells to the U.S. Government are Carvedilol 
tablets, members of a family of drugs prescribed for treating mild 
to severe chronic heart failure, left ventricular dysfunction 
following myocardial infarction, and hypertension.
    You state that Acetris procures the Carvedilol tablets from 
Aurolife Pharma LLC (``Aurolife''), located in Dayton, NJ. Aurolife, 
which is a wholly-owned subsidiary of company X in India, is a 
generic pharmaceutical product manufacturer in the specialty and 
niche areas. Aurolife manufactures the Carvedilol tablets supplied 
to Acetris in a U.S. Food & Drug Administration (``FDA'') approved 
cGMP compliant manufacturing facility, located in Dayton, NJ, from 
several active and inactive ingredients procured domestically and 
abroad. The active pharmaceutical ingredient (``API'') of the 
Carvedilol tablets is Carvedilol, which Aurolife sources from 
company X in India.
    You state that the Carvedilol tablets supplied to Acetris are 
the result of a complex production process that occurs in Aurolife's 
New Jersey facility involving the combination of the API with 
multiple inactive ingredients, including some intermediates that are 
mixed in order to aid the conversion of the multiple ingredients. 
The production of Carvedilol tablets employs processes that convert 
these ingredients into finished, medically effective dosage tablets 
(3.125 mg, 6.25 mg, 12.5 mg, and 25 mg tablets). You state that this 
processing changes the properties and characteristics of the API, 
materially enhancing the pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Carvedilol tablets occurs entirely within the 
United States. The ingredients processed in the United States are 
sourced from a variety of suppliers, both United States and foreign, 
as follows:

------------------------------------------------------------------------
                Material                              Country
------------------------------------------------------------------------
Carvedilol USP..........................  India
Lactose Monohydrate USNF................  Country A
Colloidal Silicon Dioxide USNF..........  USA
Crospovidone USNF.......................  USA
Povidone USP............................  USA
Sucrose USNF............................  USA
Magnesium Stearate USNF.................  USA
Opadry White 12B18631...................  USA
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     Lactose monohydrate is added as a bulking agent for 
better manufacturability and to have suitable tablet weight so that 
the patient can easily take the medication. The API is mixed with 
these diluents to achieve uniformity of the API, so that the product 
can be easily administered.
     Crospovidone is added as a disintegrant to provide easy 
dispersion of the tablet when ingested by the patient which enhances 
the drug release process, bioavailability and absorption leading to 
pharmacokinetic profiles equivalent to the brand product 
(Coreg[supreg]) for therapeutic equivalency.
     Povidone and sucrose are added as binders to aid 
formation of flowable granules during production, thereby achieving 
the uniformity of the drug leading to therapeutic efficacy.
     Colloidal silicon dioxide is added to create a gliding 
property in the blend particles, thereby contributing to the unit-
to-unit uniformity of the drug during the manufacturing process.
     Magnesium stearate is added to create a hydrophobic 
environment around particles which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Coloring and film coating agents are added. Film 
coating is performed using polymers which imparts a protective 
barrier for each tablet strength and to mask the taste.
     Finally, the tablets are packed into suitable 
containers which are capable of retaining the overall integrity of 
the quality attributes and minimizing the formation of impurities 
thereby producing a more stable drug product whose therapeutic 
effectiveness as a drug is sustainable.
    You submitted product labels for the Carvedilol tablets. You 
also submitted a shipping label and the Materials Safety Data Sheet 
(``MSDS'') for the API, Carvedilol. Additionally, you provided a 
manufacturing flow chart depicting the various steps which occur in 
the United States to make the final Carvedilol tablets.

[[Page 5129]]

ISSUE:

    What is the country of origin of the Carvedilol tablets for 
purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

. . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.

    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Carvedilol 
tablets, but prohibits that same NDC from being associated with any 
API, such as Carvedilol, that has not been demonstrated to be safe 
and effective and cannot be sold for the treatment of any human 
disease condition. You also state that the FDA requires the name of 
the drug product (Carvedilol tablet) to appear on every drug product 
label and prohibits use of that name on the label for the API. 
Further, you state that API is intended only for use by producers 
for further processing or for research since it is unstable and not 
fit for medical use and may not be sold to consumers. Additionally, 
you state that the API has poor flow quality and is susceptible to 
inadequate content uniformity. For these reasons, you claim that 
extensive additional processing of the API, sourced in India, with 
other ingredients must occur to change the API's properties and make 
it into a stable drug product.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Carvedilol, retains its chemical and physical 
properties upon processing in the United States. Increasing the 
stability of the API and standardizing its concentration do not 
change the API. Further, the processing performed in the United 
States does not affect the medicinal use of the API. Based on the 
information presented, the API does not undergo a change in name, 
character or use. Therefore, in accordance with the rulings cited, 
we find that no substantial transformation occurs in United States, 
and the Carvedilol tablets would be considered a product of India, 
where the API was produced, for purposes of U.S. government 
procurement.
    In addition, you asked whether the Carvedilol tablets are 
``manufactured in the United States'' within the meaning of the term 
``U.S.-made end products'', as set forth in Section 25.003 of the 
Federal Acquisition Regulations System, Title 48, Code of Federal 
Regulations (48 C.F.R. Sec.  25.003), and implemented in 48 C.F.R. 
Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, subpart B is 
intended to be applied consistent with the Federal Acquisition 
Regulations (48 C.F.R. chapter 1). The definition of country of 
origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two rules (see 
above) as does 48 C.F.R. Sec.  25.003. The term ``manufactured in 
the United States'' in 48 C.F.R. Sec.  25.003 correlates to the 
first rule of 19 C.F.R. Sec.  177.22(a) which provides that an 
article is a product of a country or instrumentality if ``it is 
wholly the growth, product, or manufacture of that country or 
instrumentality''. Since the production of Carvedilol tablets 
partially occurs in India, we do not find that they are manufactured 
in the United States.

HOLDING:

    The country of origin of the Carvedilol tablets for U.S. 
Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30

[[Page 5130]]

days after publication of the Federal Register notice referenced 
above, seek judicial review of this final determination before the 
Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

HQ H289711

January 30, 2018

OT:RR:CTF:VS H289711 EE
CATEGORY: Origin
Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004
RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Paroxetine Hydrochloride tablets

Dear Mr. Ruscus:

    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \7\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et seq.). A 
meeting was held with the counsel for Acetris on August 8, 2017.
---------------------------------------------------------------------------

    \7\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Paroxetine Hydrochloride tablets. We note that Acetris is a party-
at-interest within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and 
is entitled to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Paroxetine Hydrochloride tablets. 
You state that Acetris is a generic pharmaceutical distributor 
specializing in providing cost effective products to the U.S. 
Government. Acetris has its principal place of business in 
Allendale, NJ. Among the products Acetris sells to the U.S. 
Government are Paroxetine Hydrochloride tablets, which are 
psychotropic drugs used in the treatment of major depressive 
disorder, obsessive compulsive disorder, pain disorder, social 
anxiety disorder, generalized anxiety disorder, and post-traumatic 
stress disorder.
    You state that Acetris procures the Paroxetine Hydrochloride 
tablets from Aurolife Pharma LLC (``Aurolife''), located in Dayton, 
NJ. Aurolife, which is a wholly-owned subsidiary of company X in 
India, is a generic pharmaceutical product manufacturer in the 
specialty and niche areas. Aurolife manufactures the Paroxetine 
Hydrochloride tablets supplied to Acetris in a U.S. Food & Drug 
Administration (``FDA'') approved cGMP compliant manufacturing 
facility, located in Dayton, NJ, from several active and inactive 
ingredients procured domestically and abroad. The active 
pharmaceutical ingredient (``API'') of the Paroxetine Hydrochloride 
tablets is Paroxetine Hydrochloride, which Aurolife sources from 
company X in India.
    You state that the Paroxetine Hydrochloride tablets supplied to 
Acetris are the result of a complex production process that occurs 
in Aurolife's New Jersey facility involving the combination of the 
API with multiple inactive ingredients, including some intermediates 
that are mixed in order to aid the conversion of the multiple 
ingredients. The production of Paroxetine Hydrochloride tablets 
employs processes that convert these ingredients into finished, 
medically effective dosage tablets (10mg, 20mg, 30mg, and 40mg 
tablets). You state that this processing changes the properties and 
characteristics of the API, materially enhancing the 
pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Paroxetine Hydrochloride tablets occurs 
entirely within the United States. The ingredients processed in the 
United States are sourced from a variety of suppliers, both United 
States and foreign, as follows:

------------------------------------------------------------------------
                Material                              Country
------------------------------------------------------------------------
Paroxetine Hydrochloride USP............  India
Dibasic Calcium Phosphate Dihydrate.....  USA
Dibasic Calcium Phosphate Anhydrous.....  Country A
Lactose Monohydrate USNF................  Country B
Sodium Starch Glycolate USNF............  Country C
Magnesium Stearate USNF.................  USA
Opadry yellow 13F52249 IH...............  USA
Opadry Pink 15B54027 IH.................  USA
Opadry Blue 12B50610 IH.................  USA
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     Dibasic calcium phosphate dihydrate and dibasic calcium 
phosphate anhydrous are non-hygroscopic hydrophobic diluents added 
to the paroxetine hydrochloride to improve drug stability.
     Lactose monohydrate is added as a bulking agent for 
better manufacturability and to have suitable tablet weight so that 
the patient can easily take the medication.
     Sodium starch glycolate is added as a disintegrant to 
provide easy dispersion of the tablet when ingested by the patient, 
which enhances the drug release process, bioavailability and 
absorption leading to pharmacokinetic profiles equivalent to the 
brand product (Paxil[supreg]) for therapeutic equivalency.
     Magnesium stearate is added to create a hydrophobic 
environment around particles which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Coloring agents and film coating are added to give each 
strength a distinct name and character. Film coating is performed 
using polymers which imparts a protective barrier for each strength 
of the drug and to mask the taste.
     Finally, the tablets are packed into suitable 
containers which are capable of retaining the overall integrity of 
the quality attributes and minimizing discoloration, thereby 
permitting a more stable product whose therapeutic effectiveness as 
a drug is sustainable.
    You submitted product labels for the Paroxetine Hydrochloride 
tablets. You also submitted a shipping label and the Materials 
Safety Data Sheet (``MSDS'') for the API, Paroxetine Hydrochloride. 
Additionally, you provided a manufacturing flow chart depicting the 
various steps which occur in the United States to make the API and 
other ingredients into the final Paroxetine Hydrochloride tablets.

ISSUE:

    What is the country of origin of the Paroxetine Hydrochloride 
tablets for purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the

[[Page 5131]]

U.S. Government, pursuant to subpart B of Part 177, 19 C.F.R. Sec.  
177.21 et seq., which implements Title III of the Trade Agreements 
Act of 1979, as amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

. . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.

    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Paroxetine 
Hydrochloride tablets, but prohibits that same NDC from being 
associated with any API, such as Paroxetine Hydrochloride, that has 
not been demonstrated to be safe and effective and cannot be sold 
for the treatment of any human disease condition. You also state 
that the FDA requires the name of the drug product (Paroxetine 
Hydrochloride tablet) to appear on every drug product label and 
prohibits use of that name on the label for the API. Further, you 
state that Paroxetine Hydrochloride is intended only for use by 
producers for further processing or for research since it is 
unstable and not fit for medical use and may not be sold to 
consumers. Additionally, you state that Paroxetine Hydrochloride 
experiences degradation. For these reasons, you claim that extensive 
additional processing of the API, sourced in India, with other 
ingredients must occur to change the API's properties and make it 
into a stable drug product whose medical effectiveness as a drug is 
sustainable.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Paroxetine Hydrochloride, retains its 
chemical and physical properties upon processing in the United 
States. Increasing the stability of the API and standardizing its 
concentration do not change the API. Further, the processing 
performed in the United States does not affect the medicinal use of 
the API. Based on the information presented, the API does not 
undergo a change in name, character or use. Therefore, in accordance 
with the rulings cited, we find that no substantial transformation 
occurs in United States, and the Paroxetine Hydrochloride tablets 
would be considered a product of India, where the API was produced, 
for purposes of U.S. government procurement.
    In addition, you asked whether the Paroxetine Hydrochloride 
tablets are ``manufactured in the United States'' within the meaning 
of the term ``U.S.-made end products'', as set forth in Section 
25.003 of the Federal Acquisition Regulations System, Title 48, Code 
of Federal Regulations (48 C.F.R. Sec.  25.003), and implemented in 
48 C.F.R. Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, 
subpart B is intended to be applied consistent with the Federal 
Acquisition Regulations (48 C.F.R. chapter 1). The definition of 
country of origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two 
rules (see above) as does 48 C.F.R. Sec.  25.003. The term 
``manufactured in the United States'' in 48 C.F.R. Sec.  25.003 
correlates to the first rule of 19 C.F.R. Sec.  177.22(a) which 
provides that an article is a product of a country or 
instrumentality if ``it is wholly the growth, product, or 
manufacture of that country or instrumentality''. Since the 
production of Paroxetine Hydrochloride tablets partially occurs in 
India, we do not find that they are manufactured in the United 
States.

HOLDING:

    The country of origin of the Paroxetine Hydrochloride tablets 
for U.S. Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30 days after publication of the Federal Register notice 
referenced above, seek judicial review of this final determination 
before the Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

[[Page 5132]]

HQ H289712

January 30, 2018

OT:RR:CTF:VS H289712 EE

CATEGORY: Origin

Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004

RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Entecavir tablets

Dear Mr. Ruscus:

    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \8\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et seq.). A 
meeting was held with the counsel for Acetris on August 8, 2017.
---------------------------------------------------------------------------

    \8\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Entecavir tablets. We note that Acetris is a party-at-interest 
within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is entitled 
to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Entecavir tablets. You state that 
Acetris is a generic pharmaceutical distributor specializing in 
providing cost effective products to the U.S. Government. Acetris 
has its principal place of business in Allendale, NJ. Among the 
products Acetris sells to the U.S. Government are Entecavir tablets 
for treating the Hepatitis B virus (HBV).
    You state that Acetris procures the Entecavir tablets from 
Aurolife Pharma LLC (``Aurolife''), located in Dayton, NJ. Aurolife, 
which is a wholly-owned subsidiary of company X in India, is a 
generic pharmaceutical product manufacturer in the specialty and 
niche areas. Aurolife manufactures the Entecavir tablets supplied to 
Acetris in a U.S. Food & Drug Administration (``FDA'') approved cGMP 
compliant manufacturing facility, located in Dayton, NJ, from 
several active and inactive ingredients procured domestically and 
abroad. The active pharmaceutical ingredient (``API'') of the 
Entecavir tablets is Entecavir, which Aurolife sources from company 
X in India.
    You state that the Entecavir tablets supplied to Acetris are the 
result of a complex production process that occurs in Aurolife's New 
Jersey facility involving the combination of the API with multiple 
inactive ingredients, including some intermediates that are mixed in 
order to aid the conversion of the multiple ingredients. The 
production of Entecavir tablets employs processes that convert these 
ingredients into finished, medically effective dosage tablets (0.5 
mg and 1 mg tablets). You state that this processing changes the 
properties and characteristics of the API, materially enhancing the 
pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Entecavir tablets occurs entirely within the 
United States. The ingredients processed in the United States are 
sourced from a variety of suppliers, both United States and foreign, 
as follows:

------------------------------------------------------------------------
                Material                              Country
------------------------------------------------------------------------
Entecavir USP...........................  India
Lactose Monohydrate USNF................  Country A
Microcrystalline Cellulose PH 101 USNF..  USA/Country B
Crospovidone USNF (Kollidon CL).........  Country C
Microcrystalline Cellulose PH 101 USNF..  USA/Country D
Magnesium Stearate USNF.................  USA
Aquarius BP18257 cool Vanilla IH........  USA
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     Lactose monohydrate and microcrystalline cellulose are 
added as bulking agents for better manufacturability and to have 
suitable tablet weight so that the patient can easily take the 
medication. These diluents also aid in achieving the desired 
uniformity with the help of processing steps like co-sifting.
     Crospovidone is added as a disintegrant to provide easy 
dispersion of the tablet when ingested by the patient which enhances 
the drug release process, bioavailability and absorption leading to 
pharmacokinetic profiles equivalent to the brand product 
(Baraclude[supreg]) for therapeutic equivalency.
     Magnesium stearate is added to create a hydrophobic 
environment around particles, which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Film coating agent is added to give each strength a 
distinct character. Film coating is performed using polymers which 
imparts a protective barrier for each strength of the drug, making 
it appropriate for patient use.
     Finally, the tablets are packed into suitable 
containers which are capable of retaining the overall integrity of 
the quality attributes, thereby producing a more stable drug product 
whose therapeutic effectiveness as a drug is sustainable.
    You submitted product labels for the Entecavir tablets. You also 
submitted a shipping label and the Materials Safety Data Sheet 
(``MSDS'') for the API, Entecavir. Additionally, you provided a 
manufacturing flow chart depicting the various steps which occur in 
the United States to make the final Entecavir tablets.

ISSUE:

    What is the country of origin of the Entecavir tablets for 
purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.
See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or

[[Page 5133]]

designated country end products for acquisitions subject to the TAA. 
See 48 C.F.R. Sec.  25.403(c)(1). The Federal Acquisition 
Regulations define ``U.S.-made end product'' as:

. . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.

    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Entecavir 
tablets, but prohibits that same NDC from being associated with any 
API, such as Entecavir, that has not been demonstrated to be safe 
and effective and cannot be sold for the treatment of any human 
disease condition. You also state that the FDA requires the name of 
the drug product (Entecavir tablet) to appear on every drug product 
label and prohibits use of that name on the label for the API. 
Further, you state that API is intended only for use by producers 
for further processing or for research since it is unstable and not 
fit for medical use and may not be sold to consumers. Additionally, 
you state that the API is susceptible to inadequate content 
uniformity and undergoes oxidative degradation. For these reasons, 
you claim that extensive additional processing of the API, sourced 
in India, with other ingredients must occur to change the API's 
properties and make it into a stable drug product that achieves the 
targeted disintegration and dissolution and exhibits appropriate 
physicochemical properties, the desired pharmacokinetics and 
therapeutic efficacy.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Entecavir, retains its chemical and physical 
properties upon processing in the United States. Increasing the 
stability of the API and standardizing its concentration do not 
change the API. Further, the processing performed in the United 
States does not affect the medicinal use of the API. Based on the 
information presented, the API does not undergo a change in name, 
character or use. Therefore, in accordance with the rulings cited, 
we find that no substantial transformation occurs in United States, 
and the Entecavir tablets would be considered a product of India, 
where the API was produced, for purposes of U.S. government 
procurement.
    In addition, you asked whether the Entecavir tablets are 
``manufactured in the United States'' within the meaning of the term 
``U.S.-made end products'', as set forth in Section 25.003 of the 
Federal Acquisition Regulations System, Title 48, Code of Federal 
Regulations (48 C.F.R. Sec.  25.003), and implemented in 48 C.F.R. 
Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, subpart B is 
intended to be applied consistent with the Federal Acquisition 
Regulations (48 C.F.R. chapter 1). The definition of country of 
origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two rules (see 
above) as does 48 C.F.R. Sec.  25.003. The term ``manufactured in 
the United States'' in 48 C.F.R. Sec.  25.003 correlates to the 
first rule of 19 C.F.R. Sec.  177.22(a) which provides that an 
article is a product of a country or instrumentality if ``it is 
wholly the growth, product, or manufacture of that country or 
instrumentality''. Since the production of Entecavir tablets 
partially occurs in India, we do not find that they are manufactured 
in the United States.

HOLDING:

    The country of origin of the Entecavir tablets for U.S. 
Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30 days after publication of the Federal Register notice 
referenced above, seek judicial review of this final determination 
before the Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

HQ H289713

January 30, 2018

OT:RR:CTF:VS H289713 EE

CATEGORY: Origin

Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004

RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Montelukast Sodium tablets

Dear Mr. Ruscus:

    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \9\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et

[[Page 5134]]

seq.). A meeting was held with the counsel for Acetris on August 8, 
2017.
---------------------------------------------------------------------------

    \9\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Montelukast Sodium tablets. We note that Acetris is a party-at-
interest within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is 
entitled to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Montelukast Sodium tablets. You 
state that Acetris is a generic pharmaceutical distributor 
specializing in providing cost effective products to the U.S. 
Government. Acetris has its principal place of business in 
Allendale, NJ. Among the products Acetris sells to the U.S. 
Government are Montelukast Sodium tablets, which are drugs 
prescribed for the prevention and/or treatment of asthma, 
bronchoconstriction and allergic rhinitis.
    You state that Acetris procures the Montelukast Sodium tablets 
from Aurolife Pharma LLC (``Aurolife''), located in Dayton, NJ. 
Aurolife, which is a wholly-owned subsidiary of company X in India, 
is a generic pharmaceutical product manufacturer in the specialty 
and niche areas. Aurolife manufactures the Montelukast Sodium 
tablets supplied to Acetris in a U.S. Food & Drug Administration 
(``FDA'') approved cGMP compliant manufacturing facility, located in 
Dayton, NJ, from several active and inactive ingredients procured 
domestically and abroad. The active pharmaceutical ingredient 
(``API'') of the Montelukast Sodium tablets is Montelukast Sodium, 
which Aurolife sources from company Y in India.
    You state that the Montelukast Sodium tablets supplied to 
Acetris are the result of a complex production process that occurs 
in Aurolife's New Jersey facility involving the combination of the 
API with multiple inactive ingredients, including some intermediates 
that are mixed in order to aid the conversion of the multiple 
ingredients. The production of Montelukast Sodium tablets employs 
processes that convert these ingredients into finished, medically 
effective dosage tablets (10 mg tablets). You state that this 
processing changes the properties and characteristics of the API, 
materially enhancing the pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Montelukast Sodium tablets occurs entirely 
within the United States. The ingredients processed in the United 
States are sourced from a variety of suppliers, both United States 
and foreign, as follows:

------------------------------------------------------------------------
                Material                              Country
------------------------------------------------------------------------
Montelukast Sodium IH...................  India
Lactose MonohydrateUSNF.................  Country A
Microcrystalline Cellulose USNF (AVICEL   USA
 PH101).
Croscaramellose Sodium USNF.............  USA
Hydroxypropyl Cellulose USNF............  USA
Magnesium Stearate USNF.................  USA
Opadry Yellow 20A82539 IH...............  USA
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     Lactose monohydrate, microcrystalline cellulose are 
added as bulking agents for better manufacturability so that the 
patient can easily take the medication.
     Hydroxyproyl cellulose is added as a binder to aid 
formation of flowable granules during manufacturing, thereby 
achieving the uniformity of the drug leading to therapeutic 
efficacy.
     Croscarmellose sodium is added as a disintegrant to 
provide easy dispersion of the tablet when ingested by the patient, 
which enhances the drug release process, bioavailability and 
absorption leading to pharmacokinetic profiles equivalent to the 
brand product (Singular[supreg]) for therapeutic equivalency.
     Colloidal silicon dioxide is added to create a gliding 
property in the blend particles, thereby contributing to the unit-
to-unit uniformity of the drug during the manufacturing process.
     Magnesium stearate is added to create a hydrophobic 
environment around particles which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Coloring agent and film coating are added to give an 
aesthetic appearance. Film coating is performed using polymers which 
imparts a protective barrier for the drug and to mask the taste.
     Finally, the tablets are packed into suitable 
containers which are capable of retaining the overall integrity of 
the quality attributes and minimizing the formation of sulfoxide 
impurity, thereby transform it into a more stable product whose 
therapeutic effectiveness as a drug is sustainable.
    You submitted product labels for the Montelukast Sodium tablets. 
You also submitted a shipping label and the Materials Safety Data 
Sheet (``MSDS'') for the API, Montelukast Sodium. Additionally, you 
provided a manufacturing flow chart depicting the various steps 
which occur in the United States to make the final Montelukast 
Sodium tablets.

ISSUE:

    What is the country of origin of the Montelukast Sodium tablets 
for purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

. . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.

    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen

[[Page 5135]]

Co., 27 C.C.P.A. 267 (1940); and, National Juice Products 
Association v. United States, 628 F. Supp. 978 (Ct. Int'l Trade 
1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Montelukast 
Sodium tablets, but prohibits that same NDC from being associated 
with any API, such as Montelukast Sodium, that has not been 
demonstrated to be safe and effective and cannot be sold for the 
treatment of any human disease condition. You also state that the 
FDA requires the name of the drug product (Montelukast Sodium 
tablet) to appear on every drug product label and prohibits use of 
that name on the label for the API. Further, you state that API is 
intended only for use by producers for further processing or for 
research since it is unstable and not fit for medical use and may 
not be sold to consumers. Additionally, you state that the API 
degrades in potency, has poor flow qualities, and has a bitter 
taste. For these reasons, you claim that extensive additional 
processing of the API, sourced in India, with other ingredients must 
occur to change the API's properties and make it into a stable drug 
product whose medical effectiveness as a drug is sustainable.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Montelukast Sodium, retains its chemical and 
physical properties upon processing in the United States. Increasing 
the stability of the API and standardizing its concentration do not 
change the API. Further, the processing performed in the United 
States does not affect the medicinal use of the API. Based on the 
information presented, the API does not undergo a change in name, 
character or use. Therefore, in accordance with the rulings cited, 
we find that no substantial transformation occurs in United States, 
and the Montelukast Sodium tablets would be considered a product of 
India, where the API was produced, for purposes of U.S. government 
procurement.
    In addition, you asked whether the Montelukast Sodium tablets 
are ``manufactured in the United States'' within the meaning of the 
term ``U.S.-made end products'', as set forth in Section 25.003 of 
the Federal Acquisition Regulations System, Title 48, Code of 
Federal Regulations (48 C.F.R. Sec.  25.003), and implemented in 48 
C.F.R. Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, subpart 
B is intended to be applied consistent with the Federal Acquisition 
Regulations (48 C.F.R. chapter 1). The definition of country of 
origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two rules (see 
above) as does 48 C.F.R. Sec.  25.003. The term ``manufactured in 
the United States'' in 48 C.F.R. Sec.  25.003 correlates to the 
first rule of 19 C.F.R. Sec.  177.22(a) which provides that an 
article is a product of a country or instrumentality if ``it is 
wholly the growth, product, or manufacture of that country or 
instrumentality''. Since the production of Montelukast Sodium 
tablets partially occurs in India, we do not find that they are 
manufactured in the United States.

HOLDING:

    The country of origin of the Montelukast Sodium tablets for U.S. 
Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. 177.31, that CBP 
reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30 days after publication of the Federal Register notice 
referenced above, seek judicial review of this final determination 
before the Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

HQ H289714

January 30,2018

OT:RR:CTF:VS H289714 EE
CATEGORY: Origin
Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004

RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Simvastatin tablets

Dear Mr. Ruscus:


    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \10\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et seq.). A 
meeting was held with the counsel for Acetris on August 8, 2017.
---------------------------------------------------------------------------

    \10\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Simvastatin tablets. We note that Acetris is a party-at-interest 
within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is entitled 
to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Simvastatin tablets. You state that 
Acetris is a generic pharmaceutical distributor specializing in 
providing cost effective products to the U.S.

[[Page 5136]]

Government. Acetris has its principal place of business in 
Allendale, NJ. Among the products Acetris sells to the U.S. 
Government are Simvastatin tablets, members of a family of statin 
drugs prescribed for lowering cholesterol and triglyceride levels 
and prevention of heart attacks and strokes.
    You state that Acetris procures the Simvastatin tablets from 
Aurolife Pharma LLC (``Aurolife''), located in Dayton, NJ. Aurolife, 
which is a wholly-owned subsidiary of company X in India, is a 
generic pharmaceutical product manufacturer in the specialty and 
niche areas. Aurolife manufactures the Simvastatin tablets supplied 
to Acetris in a U.S. Food & Drug Administration (``FDA'') approved 
cGMP compliant manufacturing facility, located in Dayton, NJ, from 
several active and inactive ingredients procured domestically and 
abroad. The active pharmaceutical ingredient (``API'') of the 
Simvastatin tablets is Simvastatin, which Aurolife sources from 
company X in India.
    You state that the Simvastatin tablets supplied to Acetris are 
the result of a complex production process that occurs in Aurolife's 
New Jersey facility involving the combination of the API with 
multiple inactive ingredients, including some intermediates that are 
mixed in order to aid the conversion of the multiple ingredients. 
The production of Simvastatin tablets employs processes that convert 
these ingredients into finished, medically effective dosage tablets 
(5 mg, 10 mg, 20 mg, 40 mg, and 80 mg tablets). You state that this 
processing changes the properties and characteristics of the API, 
materially enhancing the pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Simvastatin tablets occurs entirely within the 
United States. The ingredients processed in the United States are 
sourced from a variety of suppliers, both United States and foreign, 
as follows:

------------------------------------------------------------------------
                Material                              Country
------------------------------------------------------------------------
Simvastatin USP.........................  India
Ascorbic Acid USP (Micro powder)........  Country A
Lactose Monohydrate USNF................  Country B
Microcrystalline Cellulose PH 101 USNF..  USA/Country C
Pregelatinized Starch USNF..............  USA
Citric Acid Monohydrate USP (Extra Pure   Country D
 powder).
Butylated Hydroxy anisole USNF..........  USA
Microcrystalline Cellulose PH 112 USNF..  Country E
Magnesium Stearate USNF.................  USA
Opadry yellow 20A52229 IH...............  USA
Opadry Pink 20A54239 IH.................  USA
Opadry Pink 20A54211 IH.................  USA
Isopropyl Alcohol USP...................  USA
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     Butylated hydroxyanisole, ascorbic acid, and citric 
acid are added to the Simvastatin API to improve drug stability. BHA 
and ascorbic acid are included in the tablets as antioxidants. 
Citric acid is added because it has chelation properties with metal 
ions, which, in the absence of the citric acid, could catalyze the 
oxidation process and make the drug unstable. These three excipients 
are added according to a proprietary set of protocols with specified 
blending times to ensure proper mixing throughout the blend. 
Butylated hydroxyanisole, ascorbic acid, and citric acid are the key 
ingredients which create a protective environment for enhancing the 
stability of the finished product.
     Lactose monohydrate, microcrystalline cellulose are 
added as bulking agents for better manufacturability and to have 
suitable tablet weight so that the patient can easily take the 
medication.
     Pregelatinized starch is added as a disintegrant to 
provide easy dispersion of the tablet when engulfed by the patient 
which indirectly enhances the drug release process.
     Magnesium stearate is added to create a hydrophobic 
environment around particles which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Finally, different coloring agents and film coating are 
added to give each tablet strength a distinct name and character. 
Film coating is performed using polymers which imparts a protective 
barrier for each strength of the drug and to mask the taste.
    You submitted product labels for the Simvastatin tablets. You 
also submitted a shipping label and the Materials Safety Data Sheet 
(``MSDS'') for the API, Simvastatin. Additionally, you provided a 
manufacturing flow chart depicting the various steps which occur in 
the United States to make the final Simvastatin tablets.

ISSUE:

    What is the country of origin of the Simvastatin tablets for 
purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

    . . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.

    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products,

[[Page 5137]]

CBP has considered whether the API retained its chemical and 
physical properties as a result of the processing performed and 
whether the processing changed the medicinal use of the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in the United States did not result in a change in the 
medicinal use of the finished product and the active ingredient. The 
active ingredient retained its chemical and physical properties and 
was merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Simvastatin 
tablets, but prohibits that same NDC from being associated with any 
API, such as Simvastatin, that has not been demonstrated to be safe 
and effective and cannot be sold for the treatment of any human 
disease condition. You also state that the FDA requires the name of 
the drug product (Simvastatin tablet) to appear on every drug 
product label and prohibits use of that name on the label for the 
API. Further, you state that Simvastatin is intended only for use by 
producers for further processing or for research since it is 
unstable and not fit for medical use and may not be sold to 
consumers. For these reasons, you claim that extensive additional 
processing of the API, sourced in India, with other ingredients must 
occur to change the API's properties and make it into a stable drug 
product whose medical effectiveness as a drug is sustainable.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Simvastatin, retains its chemical and 
physical properties upon processing in the United States. Increasing 
the stability of the API and standardizing its concentration do not 
change the API. Further, the processing performed in the United 
States does not affect the medicinal use of the API. Based on the 
information presented, the API does not undergo a change in name, 
character or use. Therefore, in accordance with the rulings cited, 
we find that no substantial transformation occurs in United States, 
and the Simvastatin tablets would be considered a product of India, 
where the API was produced, for purposes of U.S. government 
procurement.
    In addition, you asked whether the Simvastatin tablets are 
``manufactured in the United States'' within the meaning of the term 
``U.S.-made end products'', as set forth in Section 25.003 of the 
Federal Acquisition Regulations System, Title 48, Code of Federal 
Regulations (48 C.F.R. Sec.  25.003), and implemented in 48 C.F.R. 
Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, subpart B is 
intended to be applied consistent with the Federal Acquisition 
Regulations (48 C.F.R. chapter 1). The definition of country of 
origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two rules (see 
above) as does 48 C.F.R. Sec.  25.003. The term ``manufactured in 
the United States'' in 48 C.F.R. Sec.  25.003 correlates to the 
first rule of 19 C.F.R. Sec.  177.22(a) which provides that an 
article is a product of a country or instrumentality if ``it is 
wholly the growth, product, or manufacture of that country or 
instrumentality''. Since the production of Simvastatin tablets 
partially occurs in India, we do not find that they are manufactured 
in the United States.

HOLDING:

    The country of origin of the Simvastatin tablets for U.S. 
Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30 days after publication of the Federal Register notice 
referenced above, seek judicial review of this final determination 
before the Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

HQ H289715

January 30, 2018

OT:RR:CTF:VS H289715 EE
CATEGORY: Origin
Stephen E. Ruscus
Morgan, Lewis & Bockius LLP
1111 Pennsylvania Avenue, NW
Washington, DC 20004

RE: U.S. Government Procurement; Title III, Trade Agreements Act of 
1979 (19 U.S.C. Sec.  2511); Subpart B, Part 177, CBP Regulations; 
Donepezil Hydrochloride tablets
Dear Mr. Ruscus:
    This is in response to your correspondence of July 7, 2017 and 
supplemental submission of August 7, 2017, requesting a final 
determination on behalf of Acetris Health, (``Acetris'') \11\, 
pursuant to subpart B of Part 177, U.S. Customs and Border 
Protection (``CBP'') Regulations (19 C.F.R. Sec.  177.21 et seq.). A 
meeting was held with the counsel for Acetris on August 8, 2017.
---------------------------------------------------------------------------

    \11\ Counsel for Acetris states that on May 19, 2017, Acetris 
executed a novation with Lucid Pharma LLC and the Department of 
Veterans Affairs whereby the VA recognized Acetris as the successor 
in interest to Department of Veterans Affairs Contract No. VA 797P-
16-C-0034, the subject contract of the underlying request.
---------------------------------------------------------------------------

    This final determination concerns the country of origin of the 
Donepezil Hydrochloride tablets. We note that Acetris is a party-at-
interest within the meaning of 19 C.F.R. Sec.  177.22(d)(1) and is 
entitled to request this final determination.
    You have asked that certain information submitted in connection 
with this ruling request be treated as confidential. Inasmuch as 
this request conforms to the requirements of 19 C.F.R. Sec.  
177.2(b)(7), the request for confidentiality is approved. The 
information contained within brackets in your request will not be 
released to the public and will be withheld from published versions 
of this ruling.

FACTS:

    The merchandise at issue are Donepezil Hydrochloride tablets. 
You state that Acetris is a generic pharmaceutical distributor 
specializing in providing cost effective products to the U.S. 
Government. Acetris has its principal place of business in 
Allendale, NJ. Among the products Acetris sells to the U.S. 
Government are Donepezil Hydrochloride tablets, members of a family 
of drugs prescribed for the treatment of dementia of the Alzheimer's 
type.
    You state that Acetris procures the Donepezil Hydrochloride 
tablets from Aurolife Pharma LLC (``Aurolife''), located in Dayton, 
NJ. Aurolife, which is a wholly-owned subsidiary of company X in 
India, is a generic pharmaceutical product manufacturer in the 
specialty and niche

[[Page 5138]]

areas. Aurolife manufactures the Donepezil Hydrochloride tablets 
supplied to Acetris in a U.S. Food & Drug Administration (``FDA'') 
approved cGMP compliant manufacturing facility, located in Dayton, 
NJ, from several active and inactive ingredients procured 
domestically and abroad. The active pharmaceutical ingredient 
(``API'') of the Donepezil Hydrochloride tablets is Donepezil 
Hydrochloride, which Aurolife sources from company X in India.
    You state that the Donepezil Hydrochloride tablets supplied to 
Acetris are the result of a complex production process that occurs 
in Aurolife's New Jersey facility involving the combination of the 
API with multiple inactive ingredients, including some intermediates 
that are mixed in order to aid the conversion of the multiple 
ingredients. The production of Donepezil Hydrochloride tablets 
employs processes that convert these ingredients into finished, 
medically effective dosage tablets (5 mg and 10 mg tablets). You 
state that this processing changes the properties and 
characteristics of the API, materially enhancing the 
pharmacokinetics of the resulting drug.
    You state that the process of converting these multiple 
ingredients into the Donepezil Hydrochloride tablets occurs entirely 
within the United States. The ingredients processed in the United 
States are sourced from a variety of suppliers, both United States 
and foreign, as follows:

------------------------------------------------------------------------
                Material                              Country
------------------------------------------------------------------------
Donepezil hydrochloride Hydrochloride     India
 monohydrate USP.
Lactose Monohydrate USNF................  Country A
Microcrystalline Cellulose USNF (UNITAB   USA
 102).
Pregelatinized Starch...................  USA
Low substituted Hydroxypropyl Cellulose   Country B
 USNF.
Magnesium Stearate USNF.................  USA
Opadry Yellow 03F82726 IH...............  USA
Opadry White 03F180009..................  USA
------------------------------------------------------------------------

    The processing that occurs in the United States includes the 
following:
     The particle size of the API is tailored to have a good 
flowability during the production process so that there is no unit-
to-unit variability in the labeled quantity in each tablet.
     Lactose monohydrate and microcrystalline cellulose 
directly compressible grades are added as bulking agents for better 
flowability, manufacturability and to have suitable tablet weight so 
that the patient can easily take the medication.
     Pregelatinized starch and low substituted hydroxyproyl 
cellulose are added as disintegrants to provide easy dispersion of 
the tablet when ingested by the patient, which enhances the release 
process, bioavailability and absorption leading to pharmacokinetic 
profiles equivalent to the brand product (Aricept[supreg]) for 
therapeutic equivalency.
     Magnesium stearate is added to create a hydrophobic 
environment around particles which provides a lubrication effect 
during the production process. Lubricant mixing is carefully done to 
ensure that the drug releasing profile and pharmacokinetics are not 
influenced by this hydrophobic environment.
     Coloring agents and film coating are added to give an 
aesthetic appearance. Film coating is performed using polymers which 
imparts a protective barrier for the drug.
     Finally the tablets are packed into suitable containers 
which are capable of retaining the overall integrity of the quality 
attributes and minimizing the formation of oxidative impurity, 
thereby transforming it into a more stable product whose therapeutic 
effectiveness as a drug is sustainable.
    You submitted product labels for the Donepezil Hydrochloride 
tablets. You also submitted a shipping label and the Materials 
Safety Data Sheet (``MSDS'') for the API, Donepezil Hydrochloride. 
Additionally, you provided a manufacturing flow chart depicting the 
various steps which occur in the United States to make the final 
Donepezil Hydrochloride tablets.

ISSUE:

    What is the country of origin of the Donepezil Hydrochloride 
tablets for purposes of U.S. Government procurement?

LAW AND ANALYSIS:

    CBP issues country of origin advisory rulings and final 
determinations as to whether an article is or would be a product of 
a designated country or instrumentality for the purposes of granting 
waivers of certain ``Buy American'' restrictions in U.S. law or 
practice for products offered for sale to the U.S. Government, 
pursuant to subpart B of Part 177, 19 C.F.R. Sec.  177.21 et seq., 
which implements Title III of the Trade Agreements Act of 1979, as 
amended (19 U.S.C. Sec.  2511 et seq.).
    Under the rule of origin set forth under 19 U.S.C. Sec.  
2518(4)(B):

An article is a product of a country or instrumentality only if (i) 
it is wholly the growth, product, or manufacture of that country or 
instrumentality, or (ii) in the case of an article which consists in 
whole or in part of materials from another country or 
instrumentality, it has been substantially transformed into a new 
and different article of commerce with a name, character, or use 
distinct from that of the article or articles from which it was so 
transformed.

See also 19 C.F.R. Sec.  177.22(a).

    In rendering advisory rulings and final determinations for 
purposes of U.S. Government procurement, CBP applies the provisions 
of subpart B of Part 177 consistent with Federal Acquisition 
Regulations. See 19 C.F.R. Sec.  177.21. In this regard, CBP 
recognizes that the Federal Acquisition Regulations restrict the 
U.S. Government's purchase of products to U.S.-made or designated 
country end products for acquisitions subject to the TAA. See 48 
C.F.R. Sec.  25.403(c)(1). The Federal Acquisition Regulations 
define ``U.S.-made end product'' as:

. . . an article that is mined, produced, or manufactured in the 
United States or that is substantially transformed in the United 
States into a new and different article of commerce with a name, 
character, or use distinct from that of the article or articles from 
which it was transformed.

48 C.F.R. Sec.  25.003.

    A substantial transformation occurs when an article emerges from 
a process with a new name, character or use different from that 
possessed by the article prior to processing. A substantial 
transformation will not result from a minor manufacturing or 
combining process that leaves the identity of the article intact. 
See United States v. Gibson-Thomsen Co., 27 C.C.P.A. 267 (1940); 
and, National Juice Products Association v. United States, 628 F. 
Supp. 978 (Ct. Int'l Trade 1986).
    In determining whether a substantial transformation occurs in 
the manufacture of chemical products such as pharmaceuticals, CBP 
has consistently examined the complexity of the processing and 
whether the final article retains the essential identity and 
character of the raw material. To that end, in cases concerning 
pharmaceutical products, CBP has considered whether the API retained 
its chemical and physical properties as a result of the processing 
performed and whether the processing changed the medicinal use of 
the API.
    In HQ H240193, dated July 29, 2013, which concerned the country 
of origin marking of the brand-name Crestor[supreg] (Rosuvastatin 
Calcium salt) tablets, CBP found that the API imported from two 
different countries was not substantially transformed when combined 
with stabilizers and excipients, and manufactured into tablet form 
in the United States.
    HQ H267177, dated November 5, 2015, concerned Acyclovir, a 
pharmaceutical product used as a synthetic nucleoside analogue 
active against herpes viruses. The API was manufactured in China and 
India and shipped to the United States where it underwent five 
manufacturing steps including the sizing of the active and inactive 
ingredients, preparation of Acyclovir granules, preparation of the 
tablet blend, tablet compression, and packaging in high density 
polyethylene plastic bottles. CBP determined that the processing 
performed in

[[Page 5139]]

the United States did not result in a change in the medicinal use of 
the finished product and the active ingredient. The active 
ingredient retained its chemical and physical properties and was 
merely put into dosage form and packaged for sale. The active 
ingredient did not undergo a change in name, character or use. 
Therefore, CBP held that no substantial transformation occurred in 
United States, and Acyclovir tablets were considered a product of 
the country in which the active ingredient was produced.
    HQ H215656, dated January 11, 2013, concerned the country of 
origin of Rybix ODT, a pharmaceutical product used for the 
management of moderate to moderately severe pain in adults. The API, 
tramadol hydrochloride, manufactured in India, was shipped to France 
where it underwent four processes of manufacturing consisting of the 
preparation of the API, preparation of the tablet blend, tablet 
compression, and packaging in blister packs. CBP determined that the 
processing in France did not result in a change in the medicinal use 
of the finished product, and the API retained its chemical and 
physical properties and was merely put into dosage form and 
packaged. Accordingly, CBP held that no substantial transformation 
occurred in France.
    HQ H233356, dated December 26, 2012, concerned the country of 
origin of Ponstel, a pharmaceutical product used for the relief of 
mild to moderate pain caused by primary dysmenorrhea. Mefenamic 
acid, which is the API in Ponstel, was manufactured in India, and 
imported into the United States, where it was blended with inactive 
ingredients and packaged into dosage form. CBP determined that this 
process did not substantially transform the mefenamic acid because 
its chemical character remained the same and, therefore, CBP found 
that the country of origin of the Ponstel capsules was India.
    You state that the FDA requires that a unique National Drug Code 
(``NDC'') be assigned to every drug product such as Donepezil 
Hydrochloride tablets, but prohibits that same NDC from being 
associated with any API, such as Donepezil Hydrochloride, that has 
not been demonstrated to be safe and effective and cannot be sold 
for the treatment of any human disease condition. You also state 
that the FDA requires the name of the drug product (Donepezil 
Hydrochloride tablet) to appear on every drug product label and 
prohibits use of that name on the label for the API. Further, you 
state that Donepezil Hydrochloride is intended only for use by 
producers for further processing or for research since it is 
unstable and not fit for medical use and may not be sold to 
consumers. Additionally, you state that the API is poisonous and has 
poor flow properties. For these reasons, you claim that extensive 
additional processing of the API, sourced in India, with other 
ingredients must occur to change the API's properties and make it 
into a stable drug product.
    This office consulted with CBP's Laboratories and Scientific 
Services Directorate concerning the instant case, which informed us 
that the imported API, Donepezil Hydrochloride, retains its chemical 
and physical properties upon processing in the United States. 
Increasing the stability of the API and standardizing its 
concentration do not change the API. Further, the processing 
performed in the United States does not affect the medicinal use of 
the API. Based on the information presented, the API does not 
undergo a change in name, character or use. Therefore, in accordance 
with the rulings cited, we find that no substantial transformation 
occurs in United States, and the Donepezil Hydrochloride tablets 
would be considered a product of India, where the API was produced, 
for purposes of U.S. government procurement.
    In addition, you asked whether the Donepezil Hydrochloride 
tablets are ``manufactured in the United States'' within the meaning 
of the term ``U.S.-made end products'', as set forth in Section 
25.003 of the Federal Acquisition Regulations System, Title 48, Code 
of Federal Regulations (48 C.F.R. Sec.  25.003), and implemented in 
48 C.F.R. Sec.  52.225-5. As stated in 19 C.F.R. Sec.  177.21, 
subpart B is intended to be applied consistent with the Federal 
Acquisition Regulations (48 C.F.R. chapter 1). The definition of 
country of origin in subpart B, 19 C.F.R. Sec.  177.22(a) has two 
rules (see above) as does 48 C.F.R. Sec.  25.003. The term 
``manufactured in the United States'' in 48 C.F.R. Sec.  25.003 
correlates to the first rule of 19 C.F.R. Sec.  177.22(a) which 
provides that an article is a product of a country or 
instrumentality if ``it is wholly the growth, product, or 
manufacture of that country or instrumentality''. Since the 
production of Donepezil Hydrochloride tablets partially occurs in 
India, we do not find that they are manufactured in the United 
States.

HOLDING:

    The country of origin of the Donepezil Hydrochloride tablets for 
U.S. Government procurement purposes is India.
    Notice of this final determination will be given in the Federal 
Register, as required by 19 C.F.R. Sec.  177.29. Any party-at-
interest other than the party which requested this final 
determination may request, pursuant to 19 C.F.R. Sec.  177.31, that 
CBP reexamine the matter anew and issue a new final determination. 
Pursuant to 19 C.F.R. Sec.  177.30, any party-at-interest may, 
within 30 days after publication of the Federal Register notice 
referenced above, seek judicial review of this final determination 
before the Court of International Trade.

Sincerely,

Alice A. Kipel
Executive Director
Regulations and Rulings
Office of Trade

[FR Doc. 2018-02245 Filed 2-2-18; 8:45 am]
 BILLING CODE 9111-14-P



                                                5118                         Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                18E77A, 5600 Fishers Lane, Rockville,                   determinations (H289700, H289701,                      tablets. We note that Acetris is a party-at-
                                                Maryland 20857 (mail), Telephone:                       H289702, H289704, H289706, H289710,                    interest within the meaning of 19 C.F.R.
                                                (240) 276–2787, Email: carlos.castillo@                 H289711, H289712, H289713, H289714,                    § 177.22(d)(1) and is entitled to request this
                                                samhsa.hhs.gov.                                         and H289715), were issued under                        final determination.
                                                                                                        procedures set forth at 19 CFR part 177,                  You have asked that certain information
                                                Carlos Castillo,                                                                                               submitted in connection with this ruling
                                                                                                        subpart B, which implements Title III of
                                                Committee Management Officer, SAMHSA.                                                                          request be treated as confidential. Inasmuch
                                                                                                        the Trade Agreements Act of 1979, as                   as this request conforms to the requirements
                                                [FR Doc. 2018–02173 Filed 2–2–18; 8:45 am]              amended (19 U.S.C. 2511–18). In the                    of 19 C.F.R. § 177.2(b)(7), the request for
                                                BILLING CODE 4162–20–P                                  final determinations, CBP concluded                    confidentiality is approved. The information
                                                                                                        that the processing in the United States               contained within brackets in your request
                                                                                                        does not result in a substantial                       will not be released to the public and will be
                                                DEPARTMENT OF HOMELAND                                  transformation. Therefore, the country                 withheld from published versions of this
                                                SECURITY                                                of origin for purposes of U.S.                         ruling.
                                                                                                        Government procurement of the                          FACTS:
                                                U.S. Customs and Border Protection                      pharmaceutical products is India, the
                                                                                                        country where the active                                  The merchandise at issue are Rosuvastatin
                                                Notice of Issuance of Final                                                                                    Calcium tablets. You state that Acetris is a
                                                                                                        pharmaceutical ingredient was
                                                Determinations Concerning Certain                                                                              generic pharmaceutical distributor
                                                                                                        produced.                                              specializing in providing cost effective
                                                Pharmaceutical Products                                    Section 177.29, CBP Regulations (19                 products to the U.S. Government. Acetris has
                                                AGENCY:  U.S. Customs and Border                        CFR 177.29), provides that a notice of                 its principal place of business in Allendale,
                                                Protection, Department of Homeland                      final determination shall be published                 NJ. Among the products Acetris sells to the
                                                Security.                                               in the Federal Register within 60 days                 U.S. Government are Rosuvastatin Calcium
                                                ACTION: Notice of final determinations.
                                                                                                        of the date the final determination is                 tablets, members of a family of statin drugs
                                                                                                        issued. Section 177.30, CBP Regulations                prescribed for the reduction of cholesterol
                                                SUMMARY:   This document provides                       (19 CFR 177.30), provides that any                     and triglyceride levels and prevention of
                                                notice that U.S. Customs and Border                     party-at-interest, as defined in 19 CFR                heart attacks and strokes.
                                                Protection (‘‘CBP’’) has issued 11 final                177.22(d), may seek judicial review of a                  You state that Acetris procures the
                                                determinations concerning the country                   final determination within 30 days of                  Rosuvastatin Calcium tablets from Aurolife
                                                of origin of certain pharmaceutical                     publication of such determination in the               Pharma LLC (‘‘Aurolife’’), located in Dayton,
                                                                                                                                                               NJ. Aurolife, which is a wholly-owned
                                                products. Based upon the facts                          Federal Register.
                                                                                                                                                               subsidiary of company X in India, is a
                                                presented, CBP has concluded that the                     Dated: January 30, 2018.                             generic pharmaceutical product
                                                country of origin of the Rosuvastatin                   Alice A. Kipel,                                        manufacturer in the specialty and niche
                                                Calcium Tablets, Levofloxacin Tablets,                  Executive Director, Regulations and Rulings,           areas. Aurolife manufactures the
                                                Levetiracetam Tablets, Metoprolol                       Office of Trade.                                       Rosuvastatin Calcium tablets supplied to
                                                Tartrate Tablets, Gabapentin Capsules,                                                                         Acetris in a U.S. Food & Drug Administration
                                                Carvedilol Tablets, Paroxetine                          HQ H289700                                             (‘‘FDA’’) approved cGMP compliant
                                                Hydrochloride Tablets, Entecavir                        January 30, 2018                                       manufacturing facility, located in Dayton, NJ,
                                                Tablets, Montelukast Sodium Tablets,                                                                           from several active and inactive ingredients
                                                                                                        OT:RR:CTF: VS H289700 EE
                                                Simvastatin Tablets, Donepezil                                                                                 procured domestically and abroad. The
                                                                                                        CATEGORY: Origin                                       active pharmaceutical ingredient (‘‘API’’) of
                                                Hydrochloride Tablets is India for                      Stephen E. Ruscus                                      the Rosuvastatin Calcium tablets is
                                                purposes of U.S. Government                             Morgan, Lewis & Bockius LLP                            Rosuvastatin Calcium, which Aurolife
                                                procurement.                                            1111 Pennsylvania Avenue, NW                           sources from company X in India.
                                                DATES: These final determinations were                  Washington, DC 20004                                      You state that the Rosuvastatin Calcium
                                                issued on January 30, 2018. Copies of                   RE: U.S. Government Procurement; Title III,            tablets supplied to Acetris are the result of
                                                the final determinations are attached.                  Trade Agreements Act of 1979 (19 U.S.C.                a complex production process that occurs in
                                                                                                        § 2511); Subpart B, Part 177, CBP                      Aurolife’s New Jersey facility involving the
                                                Any party-at-interest, as defined in 19                 Regulations; Rosuvastatin Calcium tablets
                                                CFR 177.22(d), may seek judicial review                                                                        combination of the API with several inactive
                                                                                                        Dear Mr. Ruscus:                                       ingredients, including some intermediates
                                                of these final determinations within
                                                                                                           This is in response to your correspondence          that are mixed in order to aid the conversion
                                                March 7, 2018.                                                                                                 of the multiple ingredients. The production
                                                                                                        of July 7, 2017, requesting a final
                                                FOR FURTHER INFORMATION CONTACT: Elif                   determination on behalf of Acetris Health,             of Rosuvastatin employs processes that
                                                Eroglu, Valuation and Special Programs                  (‘‘Acetris’’) 1, pursuant to subpart B of Part         convert these ingredients into finished,
                                                Branch, Regulations and Rulings, Office                 177, U.S. Customs and Border Protection                medically effective dosage tablets (5 mg, 10
                                                of Trade, (202) 325–0277.                               (‘‘CBP’’) Regulations (19 C.F.R. 177.21 et             mg, 20 mg, and 40 mg tablets). You state that
                                                SUPPLEMENTARY INFORMATION: Notice is
                                                                                                        seq.). A meeting was held with the counsel             this processing changes the properties and
                                                                                                        for Acetris on August 8, 2017.                         characteristics of the API, materially
                                                hereby given that on January 30, 2018                      This final determination concerns the               enhancing the pharmacokinetics of the
                                                CBP issued 11 final determinations                      country of origin of the Rosuvastatin Calcium          resulting drug.
                                                concerning the country of origin of                                                                               You state that the process of converting
                                                certain pharmaceutical products, which                    1 Counsel for Acetris states that on May 19, 2017,
                                                                                                                                                               these multiple ingredients into the
                                                may be offered to the U.S. Government                   Acetris executed a novation with Lucid Pharma          Rosuvastatin Calcium tablets occurs entirely
                                                under an undesignated government                        LLC and the Department of Veterans Affairs             within the United States. The ingredients
                                                                                                        whereby the VA recognized Acetris as the successor
sradovich on DSK3GMQ082PROD with NOTICES




                                                procurement contract pursuant to                        in interest to Department of Veterans Affairs
                                                                                                                                                               processed in the United States are sourced
                                                subpart B of part 177, CBP Regulations                  Contract No. VA 797P–16–C–0034, the subject            from a variety of suppliers, both United
                                                (19 CFR part 177, subpart B). These final               contract of the underlying request.                    States and foreign, as follows:




                                           VerDate Sep<11>2014   18:08 Feb 02, 2018   Jkt 244001   PO 00000   Frm 00061   Fmt 4703   Sfmt 4703   E:\FR\FM\05FEN1.SGM   05FEN1


                                                                                       Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                                                   5119

                                                Material                                                                                                                                                                     Country

                                                Rosuvastatin Calcium .....................................................................................................................................................   India
                                                Lactose Monohydrate (Super Tab 30GR) USP–NF .......................................................................................................                          Country A
                                                Dibasic Calcium Phosphate, Anhydrous USP (Fujicalin SG) ........................................................................................                             Country B
                                                Microcrystalline Cellulose USNF (Avicel PH–102)/Microcrystalline Cellulose USNF (Pharmel 102) ............................                                                   United States/Country C
                                                Crospovidone USNF (Polyplasdone XL–10) ..................................................................................................................                    United States
                                                Magnesium Stearate NF Hyqual Veg Source #2257 .....................................................................................................                          United States
                                                Opadry II Pink 31K84972 ...............................................................................................................................................      United States



                                                   The processing that occurs in the United                             An article is a product of a country or                                  combined with stabilizers and excipients,
                                                States includes the following:                                          instrumentality only if (i) it is wholly the                             and manufactured into tablet form in the
                                                   • Microcrystalline cellulose, lactose                                growth, product, or manufacture of that                                  United States.
                                                monohydrate, and dibasic calcium phosphate                              country or instrumentality, or (ii) in the case                             HQ H267177, dated November 5, 2015,
                                                anhydrous are added to the Rosuvastatin                                 of an article which consists in whole or in                              concerned Acyclovir, a pharmaceutical
                                                Calcium API as adjuvant to improve the                                  part of materials from another country or                                product used as a synthetic nucleoside
                                                bioavailability/absorption, leading to                                  instrumentality, it has been substantially                               analogue active against herpes viruses. The
                                                pharmacokinetic profiles equivalent to the                              transformed into a new and different article                             API was manufactured in China and India
                                                brand product (Crestor®) for therapeutic                                of commerce with a name, character, or use                               and shipped to the United States where it
                                                equivalency. These four excipients are                                  distinct from that of the article or articles                            underwent five manufacturing steps
                                                blended according to a set protocol and                                 from which it was so transformed.                                        including the sizing of the active and inactive
                                                blending times to ensure proper mixing.                                 See also 19 C.F.R. § 177.22(a).                                          ingredients, preparation of Acyclovir
                                                Dibasic Calcium Phosphate anhydrous is a                                   In rendering advisory rulings and final                               granules, preparation of the tablet blend,
                                                key ingredient, addition of which results in                            determinations for purposes of U.S.                                      tablet compression, and packaging in high
                                                a drug product with a higher pH than the                                Government procurement, CBP applies the                                  density polyethylene plastic bottles. CBP
                                                API, preventing the instability, variable                               provisions of subpart B of Part 177 consistent                           determined that the processing performed in
                                                potency and formation of hazardous                                      with Federal Acquisition Regulations. See 19                             the United States did not result in a change
                                                degradation byproducts that otherwise are                               C.F.R. § 177.21. In this regard, CBP                                     in the medicinal use of the finished product
                                                present in the API, significantly enhancing                             recognizes that the Federal Acquisition                                  and the active ingredient. The active
                                                the stability of the finished product.                                  Regulations restrict the U.S. Government’s                               ingredient retained its chemical and physical
                                                   • Magnesium stearate is added to create a                            purchase of products to U.S.-made or                                     properties and was merely put into dosage
                                                hydrophobic environment around particles                                designated country end products for                                      form and packaged for sale. The active
                                                which provides a lubrication effect during                              acquisitions subject to the TAA. See 48                                  ingredient did not undergo a change in name,
                                                the production process. Lubricant mixing is                             C.F.R. § 25.403(c)(1). The Federal Acquisition                           character or use. Therefore, CBP held that no
                                                carefully done to ensure that the drug                                  Regulations define ‘‘U.S.-made end product’’                             substantial transformation occurred in
                                                releasing profile and pharmacokinetics are                              as:                                                                      United States, and Acyclovir tablets were
                                                not influenced by this hydrophobic                                      . . .an article that is mined, produced, or                              considered a product of the country in which
                                                environment.                                                            manufactured in the United States or that is                             the active ingredient was produced.
                                                   • Finally, different coloring agents and                             substantially transformed in the United                                     HQ H215656, dated January 11, 2013,
                                                film coating are added to give each strength                            States into a new and different article of                               concerned the country of origin of Rybix
                                                a distinct name and character. Film coating                             commerce with a name, character, or use                                  ODT, a pharmaceutical product used for the
                                                is performed using polymers which imparts                               distinct from that of the article or articles                            management of moderate to moderately
                                                a protective barrier for each strength of the                           from which it was transformed.                                           severe pain in adults. The API, tramadol
                                                drug and to mask the taste.                                             48 C.F.R. § 25.003.                                                      hydrochloride, manufactured in India, was
                                                   You submitted product labels for the                                    A substantial transformation occurs when                              shipped to France where it underwent four
                                                Rosuvastatin Calcium tablets. You also                                  an article emerges from a process with a new                             processes of manufacturing consisting of the
                                                submitted a shipping label and the Materials                            name, character or use different from that                               preparation of the API, preparation of the
                                                Safety Data Sheet (‘‘MSDS’’) for the API,                               possessed by the article prior to processing.                            tablet blend, tablet compression, and
                                                Rosuvastatin Calcium. Additionally, you                                 A substantial transformation will not result                             packaging in blister packs. CBP determined
                                                provided a manufacturing flow chart                                     from a minor manufacturing or combining                                  that the processing in France did not result
                                                depicting the various steps which occur in                              process that leaves the identity of the article                          in a change in the medicinal use of the
                                                the United States to make the final                                     intact. See United States v. Gibson-Thomsen                              finished product, and the API retained its
                                                Rosuvastatin Calcium tablets.                                           Co., 27 C.C.P.A. 267 (1940); and, National                               chemical and physical properties and was
                                                                                                                        Juice Products Association v. United States,                             merely put into dosage form and packaged.
                                                ISSUE:                                                                  628 F. Supp. 978 (Ct. Int’l Trade 1986).                                 Accordingly, CBP held that no substantial
                                                  What is the country of origin of the                                     In determining whether a substantial                                  transformation occurred in France.
                                                Rosuvastatin Calcium tablets for purposes of                            transformation occurs in the manufacture of                                 HQ H233356, dated December 26, 2012,
                                                U.S. Government procurement?                                            chemical products such as pharmaceuticals,                               concerned the country of origin of Ponstel, a
                                                                                                                        CBP has consistently examined the                                        pharmaceutical product used for the relief of
                                                LAW AND ANALYSIS:                                                                                                                                mild to moderate pain caused by primary
                                                                                                                        complexity of the processing and whether the
                                                   CBP issues country of origin advisory                                final article retains the essential identity and                         dysmenorrhea. Mefenamic acid, which is the
                                                rulings and final determinations as to                                  character of the raw material. To that end, in                           API in Ponstel, was manufactured in India,
                                                whether an article is or would be a product                             cases concerning pharmaceutical products,                                and imported into the United States, where
                                                of a designated country or instrumentality for                          CBP has considered whether the API retained                              it was blended with inactive ingredients and
                                                the purposes of granting waivers of certain                             its chemical and physical properties as a                                packaged into dosage form. CBP determined
                                                ‘‘Buy American’’ restrictions in U.S. law or                            result of the processing performed and                                   that this process did not substantially
sradovich on DSK3GMQ082PROD with NOTICES




                                                practice for products offered for sale to the                           whether the processing changed the                                       transform the mefenamic acid because its
                                                U.S. Government, pursuant to subpart B of                               medicinal use of the API.                                                chemical character remained the same and,
                                                Part 177, 19 C.F.R. § 177.21 et seq., which                                In HQ H240193, dated July 29, 2013, which                             therefore, CBP found that the country of
                                                implements Title III of the Trade Agreements                            concerned the country of origin marking of                               origin of the Ponstel capsules was India.
                                                Act of 1979, as amended (19 U.S.C. § 2511 et                            the brand-name Crestor® (Rosuvastatin                                       You state that the FDA requires that a
                                                seq.).                                                                  Calcium salt) tablets, CBP found that the API                            unique National Drug Code (‘‘NDC’’) be
                                                   Under the rule of origin set forth under 19                          imported from two different countries was                                assigned to every drug product such as
                                                U.S.C. § 2518(4)(B):                                                    not substantially transformed when                                       Rosuvastatin Calcium tablets, but prohibits



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                                                5120                                    Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                that same NDC from being associated with                                  C.F.R. § 25.003 correlates to the first rule of                             You have asked that certain information
                                                any API, such as Rosuvastatin Calcium, that                               19 C.F.R. § 177.22(a) which provides that an                              submitted in connection with this ruling
                                                has not been demonstrated to be safe and                                  article is a product of a country or                                      request be treated as confidential. Inasmuch
                                                effective and cannot be sold for the treatment                            instrumentality if ‘‘it is wholly the growth,                             as this request conforms to the requirements
                                                of any human disease condition. You also                                  product, or manufacture of that country or                                of 19 C.F.R. § 177.2(b)(7), the request for
                                                state that the FDA requires the name of the                               instrumentality’’. Since the production of                                confidentiality is approved. The information
                                                drug product (Rosuvastatin Calcium tablet) to                             Rosuvastatin Calcium tablets partially occurs                             contained within brackets in your request
                                                appear on every drug product label and                                    in India, we do not find that they are                                    will not be released to the public and will be
                                                prohibits use of that name on the label for the                           manufactured in the United States.                                        withheld from published versions of this
                                                API. Further, you state that Rosuvastatin                                                                                                           ruling.
                                                                                                                          HOLDING:
                                                Calcium is intended only for use by
                                                producers for further processing or for                                      The country of origin of the Rosuvastatin                              FACTS:
                                                research since it is unstable and not fit for                             Calcium tablets for U.S. Government                                          The merchandise at issue are Levofloxacin
                                                medical use and may not be sold to                                        procurement purposes is India.                                            tablets. You state that Acetris is a generic
                                                consumers. Additionally, you state that                                      Notice of this final determination will be                             pharmaceutical distributor specializing in
                                                Rosuvastatin Calcium degrades so as to both                               given in the Federal Register, as required by                             providing cost effective products to the U.S.
                                                reduce potency and create hazardous                                       19 C.F.R. § 177.29. Any party-at-interest other                           Government. Acetris has its principal place
                                                byproducts. For these reasons, you claim that                             than the party which requested this final                                 of business in Allendale, NJ. Among the
                                                extensive additional processing of the API,                               determination may request, pursuant to 19                                 products Acetris sells to the U.S. Government
                                                sourced in India, with other ingredients must                             C.F.R. § 177.31, that CBP reexamine the                                   are Levofloxacin tablets, which are a
                                                occur to change the API’s properties and                                  matter anew and issue a new final
                                                                                                                                                                                                    fluoroquinolone antibacterial used to treat
                                                make it into a stable drug with established                               determination. Pursuant to 19 C.F.R.
                                                                                                                                                                                                    mild, moderate, and severe infections.
                                                potency, that meets all requirements for                                  § 177.30, any party-at-interest may, within 30
                                                                                                                                                                                                       You state that Acetris procures the
                                                levels of impurity, including those produced                              days after publication of the Federal Register
                                                                                                                                                                                                    Levofloxacin tablets from Aurolife Pharma
                                                as harmful degradation byproducts, and can                                notice referenced above, seek judicial review
                                                                                                                                                                                                    LLC (‘‘Aurolife’’), located in Dayton, NJ.
                                                be safely administered for the treatment of a                             of this final determination before the Court
                                                                                                                          of International Trade.                                                   Aurolife, which is a wholly-owned
                                                human disease or condition.
                                                                                                                                                                                                    subsidiary of company X in India, is a
                                                   This office consulted with CBP’s                                       Sincerely,                                                                generic pharmaceutical product
                                                Laboratories and Scientific Services                                      Alice A. Kipel                                                            manufacturer in the specialty and niche
                                                Directorate concerning the instant case,                                  Executive Director                                                        areas. Aurolife manufactures the
                                                which informed us that the imported API,                                  Regulations and Rulings
                                                Rosuvastatin Calcium, retains its chemical                                                                                                          Levofloxacin tablets supplied to Acetris in a
                                                                                                                          Office of Trade                                                           U.S. Food & Drug Administration (‘‘FDA’’)
                                                and physical properties upon processing in
                                                the United States. Increasing the stability of                            HQ H289701                                                                approved cGMP compliant manufacturing
                                                the API and standardizing its concentration                                                                                                         facility, located in Dayton, NJ, from several
                                                                                                                          January 30, 2018                                                          active and inactive ingredients procured
                                                do not change the API. Further, the
                                                processing performed in the United States                                 OT:RR:CTF:VS H289701 EE                                                   domestically and abroad. The active
                                                does not affect the medicinal use of the API.                             CATEGORY: Origin                                                          pharmaceutical ingredient (‘‘API’’) of the
                                                Based on the information presented, the API                                                                                                         Levofloxacin tablets is Levofloxacin, which
                                                                                                                          Stephen E. Ruscus
                                                does not undergo a change in name, character                                                                                                        Aurolife sources from company X in India.
                                                                                                                          Morgan, Lewis & Bockius LLP
                                                or use. Therefore, in accordance with the                                                                                                              You state that the Levofloxacin tablets
                                                                                                                          1111 Pennsylvania Avenue NW
                                                rulings cited, we find that no substantial                                                                                                          supplied to Acetris are the result of a
                                                                                                                          Washington, DC 20004
                                                transformation occurs in United States, and                                                                                                         complex production process that occurs in
                                                                                                                          RE: U.S. Government Procurement; Title III,                               Aurolife’s New Jersey facility involving the
                                                the Rosuvastatin Calcium tablets would be
                                                                                                                          Trade Agreements Act of 1979 (19 U.S.C.                                   combination of the API with multiple
                                                considered a product of India, where the API
                                                                                                                          § 2511); Subpart B, Part 177, CBP                                         inactive ingredients, including some
                                                was produced, for purposes of U.S.
                                                                                                                          Regulations; Levofloxacin tablets                                         intermediates that are mixed in order to aid
                                                government procurement.
                                                   In addition, you asked whether the                                     Dear Mr. Ruscus:                                                          the conversion of the multiple ingredients.
                                                Rosuvastatin Calcium tablets are                                             This is in response to your correspondence                             The production of Levofloxacin tablets
                                                ‘‘manufactured in the United States’’ within                              of July 7, 2017 and supplemental submission                               employs processes that convert these
                                                the meaning of the term ‘‘U.S.-made end                                   of August 7, 2017, requesting a final                                     ingredients into finished, medically effective
                                                products’’, as set forth in Section 25.003 of                             determination on behalf of Acetris Health,                                dosage tablets (250 mg, 500 mg, and 750 mg
                                                the Federal Acquisition Regulations System,                               (‘‘Acetris’’) 2, pursuant to subpart B of Part                            tablets). You state that this processing
                                                Title 48, Code of Federal Regulations (48                                 177, U.S. Customs and Border Protection                                   changes the properties and characteristics of
                                                C.F.R. § 25.003), and implemented in 48                                   (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et                              the API, materially enhancing the
                                                C.F.R. § 52.225–5. As stated in 19 C.F.R.                                 seq.). A meeting was held with the counsel                                pharmacokinetics of the resulting drug.
                                                § 177.21, subpart B is intended to be applied                             for Acetris on August 8, 2017.                                               You state that the process of converting
                                                consistent with the Federal Acquisition                                      This final determination concerns the                                  these multiple ingredients into the
                                                Regulations (48 C.F.R. chapter 1). The                                    country of origin of the Levofloxacin tablets.                            Levofloxacin tablets occurs entirely within
                                                definition of country of origin in subpart B,                             We note that Acetris is a party-at-interest                               the United States. The ingredients processed
                                                19 C.F.R. § 177.22(a) has two rules (see                                  within the meaning of 19 C.F.R.                                           in the United States are sourced from a
                                                above) as does 48 C.F.R. § 25.003. The term                               § 177.22(d)(1) and is entitled to request this                            variety of suppliers, both United States and
                                                ‘‘manufactured in the United States’’ in 48                               final determination.                                                      foreign, as follows:

                                                Material                                                                                                                                                                                         Country

                                                Levofloxacin USP .............................................................................................................................................................................   India
                                                Croscarmellose Sodium USNF .........................................................................................................................................................             USA
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                                                Microcrystalline Cellulose USNF (Avicel PH 101) ............................................................................................................................                     USA
                                                Hypromellose USP ...........................................................................................................................................................................     USA
                                                Magnesium Stearate USNF ..............................................................................................................................................................           USA
                                                Opadry White 13B58802 IH .............................................................................................................................................................           USA

                                                  2 Counsel for Acetris states that on May 19, 2017,                      whereby the VA recognized Acetris as the successor                        Contract No. VA 797P–16–C–0034, the subject
                                                Acetris executed a novation with Lucid Pharma                             in interest to Department of Veterans Affairs                             contract of the underlying request.
                                                LLC and the Department of Veterans Affairs



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                                                                                      Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                                                        5121

                                                Material                                                                                                                                                                                   Country

                                                Opadry Orange 13B53926 IH ...........................................................................................................................................................      USA
                                                Opadry Pink 13B84503 IH ................................................................................................................................................................   USA



                                                   The processing that occurs in the United                            growth, product, or manufacture of that                                 API was manufactured in China and India
                                                States includes the following:                                         country or instrumentality, or (ii) in the case                         and shipped to the United States where it
                                                   • Croscarmellose sodium is added as a                               of an article which consists in whole or in                             underwent five manufacturing steps
                                                disintegrant to provide easy dispersion of the                         part of materials from another country or                               including the sizing of the active and inactive
                                                tablet when engulfed by the patient which                              instrumentality, it has been substantially                              ingredients, preparation of Acyclovir
                                                indirectly enhances the drug release process                           transformed into a new and different article                            granules, preparation of the tablet blend,
                                                and bioavailability/absorption leading to                              of commerce with a name, character, or use                              tablet compression, and packaging in high
                                                pharmacokinetic profiles equivalent to the                             distinct from that of the article or articles                           density polyethylene plastic bottles. CBP
                                                brand product (Levaquin®) for therapeutic                              from which it was so transformed.                                       determined that the processing performed in
                                                equivalency.                                                           See also 19 C.F.R. § 177.22(a).                                         the United States did not result in a change
                                                   • Microcrystalline cellulose is added as a                             In rendering advisory rulings and final                              in the medicinal use of the finished product
                                                bulking agent for better manufacturability                             determinations for purposes of U.S.                                     and the active ingredient. The active
                                                and to have suitable tablet weight so that the                         Government procurement, CBP applies the                                 ingredient retained its chemical and physical
                                                patient can easily take the medication.                                provisions of subpart B of Part 177 consistent                          properties and was merely put into dosage
                                                   • Hypromellose is added as a binder to aid                          with Federal Acquisition Regulations. See 19                            form and packaged for sale. The active
                                                formation of flowable granules during                                  C.F.R. § 177.21. In this regard, CBP                                    ingredient did not undergo a change in name,
                                                manufacturing thereby achieving the                                    recognizes that the Federal Acquisition                                 character or use. Therefore, CBP held that no
                                                uniformity of the drug leading to therapeutic                          Regulations restrict the U.S. Government’s                              substantial transformation occurred in
                                                efficacy.                                                              purchase of products to U.S.-made or                                    United States, and Acyclovir tablets were
                                                   • Magnesium stearate is added to create a                           designated country end products for                                     considered a product of the country in which
                                                hydrophobic environment around particles                               acquisitions subject to the TAA. See 48                                 the active ingredient was produced.
                                                which provides a lubrication effect during                             C.F.R. § 25.403(c)(1). The Federal Acquisition                             HQ H215656, dated January 11, 2013,
                                                the production process. Lubricant mixing is                            Regulations define ‘‘U.S.-made end product’’                            concerned the country of origin of Rybix
                                                carefully done to ensure that the drug                                 as:                                                                     ODT, a pharmaceutical product used for the
                                                releasing profile and pharmacokinetics are                             . . . an article that is mined, produced, or                            management of moderate to moderately
                                                not influenced by this hydrophobic                                     manufactured in the United States or that is                            severe pain in adults. The API, tramadol
                                                environment.                                                           substantially transformed in the United                                 hydrochloride, manufactured in India, was
                                                   • Film coating is performed using                                   States into a new and different article of                              shipped to France where it underwent four
                                                polymers which imparts a protective barrier                            commerce with a name, character, or use                                 processes of manufacturing consisting of the
                                                for the drug and to mask the taste.                                    distinct from that of the article or articles                           preparation of the API, preparation of the
                                                   • Finally, the tablets are packed into                              from which it was transformed.                                          tablet blend, tablet compression, and
                                                suitable containers which are capable of                               48 C.F.R. § 25.003.                                                     packaging in blister packs. CBP determined
                                                maintaining the overall integrity of the                                  A substantial transformation occurs when                             that the processing in France did not result
                                                quality attributes and minimizing the                                  an article emerges from a process with a new                            in a change in the medicinal use of the
                                                formation of impurities thereby transforming                           name, character or use different from that                              finished product, and the API retained its
                                                it into a more stable drug product whose                               possessed by the article prior to processing.                           chemical and physical properties and was
                                                therapeutic effectiveness as a drug is                                 A substantial transformation will not result                            merely put into dosage form and packaged.
                                                sustainable.                                                           from a minor manufacturing or combining                                 Accordingly, CBP held that no substantial
                                                   You submitted product labels for the                                process that leaves the identity of the article                         transformation occurred in France.
                                                Levofloxacin tablets. You also submitted a                             intact. See United States v. Gibson-Thomsen                                HQ H233356, dated December 26, 2012,
                                                shipping label and the Materials Safety Data                           Co., 27 C.C.P.A. 267 (1940); and, National                              concerned the country of origin of Ponstel, a
                                                Sheet (‘‘MSDS’’) for the API, Levofloxacin.                            Juice Products Association v. United States,                            pharmaceutical product used for the relief of
                                                Additionally, you provided a manufacturing                             628 F. Supp. 978 (Ct. Int’l Trade 1986).                                mild to moderate pain caused by primary
                                                flow chart depicting the various steps which                              In determining whether a substantial                                 dysmenorrhea. Mefenamic acid, which is the
                                                occur in the United States to make the final                           transformation occurs in the manufacture of                             API in Ponstel, was manufactured in India,
                                                Levofloxacin tablets.                                                  chemical products such as pharmaceuticals,                              and imported into the United States, where
                                                                                                                       CBP has consistently examined the                                       it was blended with inactive ingredients and
                                                ISSUE:                                                                                                                                         packaged into dosage form. CBP determined
                                                                                                                       complexity of the processing and whether the
                                                  What is the country of origin of the                                 final article retains the essential identity and                        that this process did not substantially
                                                Levofloxacin tablets for purposes of U.S.                              character of the raw material. To that end, in                          transform the mefenamic acid because its
                                                Government procurement?                                                cases concerning pharmaceutical products,                               chemical character remained the same and,
                                                                                                                       CBP has considered whether the API retained                             therefore, CBP found that the country of
                                                LAW AND ANALYSIS:
                                                                                                                       its chemical and physical properties as a                               origin of the Ponstel capsules was India.
                                                   CBP issues country of origin advisory                               result of the processing performed and                                     You state that the FDA requires that a
                                                rulings and final determinations as to                                 whether the processing changed the                                      unique National Drug Code (‘‘NDC’’) be
                                                whether an article is or would be a product                            medicinal use of the API.                                               assigned to every drug product such as
                                                of a designated country or instrumentality for                            In HQ H240193, dated July 29, 2013, which                            Levofloxacin tablets, but prohibits that same
                                                the purposes of granting waivers of certain                            concerned the country of origin marking of                              NDC from being associated with any API,
                                                ‘‘Buy American’’ restrictions in U.S. law or                           the brand-name Crestor® (Rosuvastatin                                   such as Levofloxacin, that has not been
                                                practice for products offered for sale to the                          Calcium salt) tablets, CBP found that the API                           demonstrated to be safe and effective and
                                                U.S. Government, pursuant to subpart B of                              imported from two different countries was                               cannot be sold for the treatment of any
sradovich on DSK3GMQ082PROD with NOTICES




                                                Part 177, 19 C.F.R. § 177.21 et seq., which                            not substantially transformed when                                      human disease condition. You also state that
                                                implements Title III of the Trade Agreements                           combined with stabilizers and excipients,                               the FDA requires the name of the drug
                                                Act of 1979, as amended (19 U.S.C. § 2511 et                           and manufactured into tablet form in the                                product (Levofloxacin tablet) to appear on
                                                seq.).                                                                 United States.                                                          every drug product label and prohibits use of
                                                   Under the rule of origin set forth under 19                            HQ H267177, dated November 5, 2015,                                  that name on the label for the API. Further,
                                                U.S.C. § 2518(4)(B):                                                   concerned Acyclovir, a pharmaceutical                                   you state that Levofloxacin is intended only
                                                An article is a product of a country or                                product used as a synthetic nucleoside                                  for use by producers for further processing or
                                                instrumentality only if (i) it is wholly the                           analogue active against herpes viruses. The                             for research since it is unstable and not fit



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                                                5122                                     Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                for medical use and may not be sold to                                         Notice of this final determination will be                                FACTS:
                                                consumers. Additionally, you state that                                     given in the Federal Register, as required by                                   The merchandise at issue are
                                                Levofloxacin exhibits poor flow properties,                                 19 C.F.R. § 177.29. Any party-at-interest other
                                                                                                                                                                                                         Levetiracetam tablets. You state that Acetris
                                                undergoes oxidative degradation, and has a                                  than the party which requested this final
                                                bitter taste. For these reasons, you claim that                             determination may request, pursuant to 19                                    is a generic pharmaceutical distributor
                                                extensive additional processing of the API,                                 C.F.R. § 177.31, that CBP reexamine the                                      specializing in providing cost effective
                                                sourced in India, with other ingredients must                               matter anew and issue a new final                                            products to the U.S. Government. Acetris has
                                                occur to change the API’s properties and                                    determination. Pursuant to 19 C.F.R.                                         its principal place of business in Allendale,
                                                make it into a stable drug whose medical                                    § 177.30, any party-at-interest may, within 30                               NJ. Among the products Acetris sells to the
                                                effectiveness as a drug is sustainable.                                     days after publication of the Federal Register                               U.S. Government are Levetiracetam tablets
                                                   This office consulted with CBP’s                                         notice referenced above, seek judicial review                                which are anti-epileptic medications
                                                Laboratories and Scientific Services                                        of this final determination before the Court                                 indicated in treatment of partial onset
                                                Directorate concerning the instant case,                                    of International Trade.                                                      seizures, myoclonic seizures in patients with
                                                which informed us that the imported API,                                    Sincerely,                                                                   juvenile myoclonic epilepsy, and primary
                                                Levofloxacin, retains its chemical and                                      Alice A. Kipel                                                               generalized tonic-clonic seizures.
                                                physical properties upon processing in the                                  Executive Director                                                              You state that Acetris procures the
                                                United States. Increasing the stability of the                              Regulations and Rulings                                                      Levetiracetam tablets from Aurolife Pharma
                                                API and standardizing its concentration do                                  Office of Trade                                                              LLC (‘‘Aurolife’’), located in Dayton, NJ.
                                                not change the API. Further, the processing
                                                performed in the United States does not                                     HQ H289702                                                                   Aurolife, which is a wholly-owned
                                                affect the medicinal use of the API. Based on                                                                                                            subsidiary of company X in India, is a
                                                the information presented, the API does not                                 January 30, 2018                                                             generic pharmaceutical product
                                                undergo a change in name, character or use.                                 OT:RR:CTF:VS H289702 EE                                                      manufacturer in the specialty and niche
                                                Therefore, in accordance with the rulings                                   CATEGORY: Origin                                                             areas. Aurolife manufactures the
                                                cited, we find that no substantial                                          Stephen E. Ruscus                                                            Levetiracetam tablets supplied to Acetris in
                                                transformation occurs in United States, and                                 Morgan, Lewis & Bockius LLP                                                  a U.S. Food & Drug Administration (‘‘FDA’’)
                                                the Levofloxacin tablets would be considered                                1111 Pennsylvania Avenue, NW                                                 approved cGMP compliant manufacturing
                                                a product of India, where the API was                                       Washington, DC 20004                                                         facility, located in Dayton, NJ, from several
                                                produced, for purposes of U.S. government                                                                                                                active and inactive ingredients procured
                                                procurement.                                                                RE: U.S. Government Procurement; Title III,
                                                                                                                            Trade Agreements Act of 1979 (19 U.S.C.                                      domestically and abroad. The active
                                                   In addition, you asked whether the                                                                                                                    pharmaceutical ingredient (‘‘API’’) of the
                                                Levofloxacin tablets are ‘‘manufactured in                                  § 2511); Subpart B, Part 177, CBP
                                                                                                                            Regulations; Levetiracetam tablets                                           Levetiracetam tablets is Levetiracetam, which
                                                the United States’’ within the meaning of the
                                                                                                                            Dear Mr. Ruscus:                                                             Aurolife sources from company X in India.
                                                term ‘‘U.S.-made end products’’, as set forth
                                                in Section 25.003 of the Federal Acquisition                                                                                                                You state that the Levetiracetam tablets
                                                                                                                               This is in response to your correspondence
                                                Regulations System, Title 48, Code of Federal                               of July 7, 2017 and supplemental submission                                  supplied to Acetris are the result of a
                                                Regulations (48 C.F.R. § 25.003), and                                       of August 7, 2017, requesting a final                                        complex production process that occurs in
                                                implemented in 48 C.F.R. § 52.225–5. As                                     determination on behalf of Acetris Health,                                   Aurolife’s New Jersey facility involving the
                                                stated in 19 C.F.R. § 177.21, subpart B is                                  (‘‘Acetris’’) 3, pursuant to subpart B of Part                               combination of the API with multiple
                                                intended to be applied consistent with the                                  177, U.S. Customs and Border Protection                                      inactive ingredients, including some
                                                Federal Acquisition Regulations (48 C.F.R.                                  (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et                                 intermediates that are mixed in order to aid
                                                chapter 1). The definition of country of origin                             seq.). A meeting was held with the counsel                                   the conversion of the multiple ingredients.
                                                in subpart B, 19 C.F.R. § 177.22(a) has two                                 for Acetris on August 8, 2017.                                               The production of Levetiracetam tablets
                                                rules (see above) as does 48 C.F.R. § 25.003.                                  This final determination concerns the                                     employs processes that convert these
                                                The term ‘‘manufactured in the United                                       country of origin of the Levetiracetam tablets.                              ingredients into finished, medically effective
                                                States’’ in 48 C.F.R. § 25.003 correlates to the                            We note that Acetris is a party-at-interest                                  dosage tablets (250 mg, 500 mg, 750 mg, and
                                                first rule of 19 C.F.R. § 177.22(a) which                                   within the meaning of 19 C.F.R.                                              1000 mg tablets). You state that this
                                                provides that an article is a product of a                                  § 177.22(d)(1) and is entitled to request this                               processing changes the properties and
                                                country or instrumentality if ‘‘it is wholly the                            final determination.                                                         characteristics of the API, materially
                                                growth, product, or manufacture of that                                        You have asked that certain information
                                                                                                                                                                                                         enhancing the pharmacokinetics of the
                                                country or instrumentality’’. Since the                                     submitted in connection with this ruling
                                                                                                                            request be treated as confidential. Inasmuch                                 resulting drug.
                                                production of Levofloxacin tablets partially
                                                occurs in India, we do not find that they are                               as this request conforms to the requirements                                    You state that the process of converting
                                                manufactured in the United States.                                          of 19 C.F.R. § 177.2(b)(7), the request for                                  these multiple ingredients into the
                                                                                                                            confidentiality is approved. The information                                 Levetiracetam tablets occurs entirely within
                                                HOLDING:                                                                    contained within brackets in your request                                    the United States. The ingredients processed
                                                  The country of origin of the Levofloxacin                                 will not be released to the public and will be                               in the United States are sourced from a
                                                tablets for U.S. Government procurement                                     withheld from published versions of this                                     variety of suppliers, both United States and
                                                purposes is India.                                                          ruling.                                                                      foreign, as follows:

                                                Material                                                                                                                                                                                               Country

                                                Levetiracetam USP ...........................................................................................................................................................................          India
                                                Corn Starch USNF (Maize Starch B) ...............................................................................................................................................                      Country A
                                                Povidone USP (Kollidon 30) .............................................................................................................................................................               USA
                                                Colloidal Silicon Dioxide USNF ........................................................................................................................................................                USA
                                                Talc USP ...........................................................................................................................................................................................   USA
                                                Magnesium Stearate USNF ..............................................................................................................................................................                 USA
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                                                Opadry Blue OY–S–30913 ...............................................................................................................................................................                 USA
                                                Opadry Yellow 05F82840 .................................................................................................................................................................               USA
                                                Opadry Orange OY–S–33016 ..........................................................................................................................................................                    USA
                                                Opadry White Y–1–7000 ..................................................................................................................................................................               USA

                                                  3 Counsel for Acetris states that on May 19, 2017,                        whereby the VA recognized Acetris as the successor                           Contract No. VA 797P–16–C–0034, the subject
                                                Acetris executed a novation with Lucid Pharma                               in interest to Department of Veterans Affairs                                contract of the underlying request.
                                                LLC and the Department of Veterans Affairs



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                                                                             Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                 5123

                                                   The processing that occurs in the United             distinct from that of the article or articles         properties and was merely put into dosage
                                                States includes the following:                          from which it was so transformed.                     form and packaged for sale. The active
                                                   • Corn starch is added as a bulking agent            See also 19 C.F.R. § 177.22(a).                       ingredient did not undergo a change in name,
                                                for better manufacturability and to have a                 In rendering advisory rulings and final            character or use. Therefore, CBP held that no
                                                suitable tablet weight so that the patient can          determinations for purposes of U.S.                   substantial transformation occurred in
                                                easily take the medication. Corn starch is              Government procurement, CBP applies the               United States, and Acyclovir tablets were
                                                mixed with the API, enhancing that the                  provisions of subpart B of Part 177 consistent        considered a product of the country in which
                                                compressibility of the API, so that the                 with Federal Acquisition Regulations. See 19          the active ingredient was produced.
                                                product can be easily administered.                     C.F.R. § 177.21. In this regard, CBP                     HQ H215656, dated January 11, 2013,
                                                   • Povidone is added as a binder to aid               recognizes that the Federal Acquisition               concerned the country of origin of Rybix
                                                formation of flowable granules during                   Regulations restrict the U.S. Government’s            ODT, a pharmaceutical product used for the
                                                manufacturing, thereby achieving the                    purchase of products to U.S.-made or                  management of moderate to moderately
                                                uniformity of the drug leading to therapeutic           designated country end products for                   severe pain in adults. The API, tramadol
                                                efficacy.                                               acquisitions subject to the TAA. See 48               hydrochloride, manufactured in India, was
                                                   • Talc and Colloidal silicon dioxide are             C.F.R. § 25.403(c)(1). The Federal Acquisition        shipped to France where it underwent four
                                                added to create a gliding property in the               Regulations define ‘‘U.S.-made end product’’          processes of manufacturing consisting of the
                                                blend particles and to provide a lubrication            as:                                                   preparation of the API, preparation of the
                                                effect during the manufacturing process.                                                                      tablet blend, tablet compression, and
                                                   • Magnesium stearate is added to create a               . . . an article that is mined, produced, or       packaging in blister packs. CBP determined
                                                hydrophobic environment around particles                manufactured in the United States or that is          that the processing in France did not result
                                                which provides a lubrication effect during              substantially transformed in the United               in a change in the medicinal use of the
                                                the production process. Lubricant mixing is             States into a new and different article of            finished product, and the API retained its
                                                carefully done to ensure that the drug                  commerce with a name, character, or use               chemical and physical properties and was
                                                releasing profile and pharmacokinetics are              distinct from that of the article or articles         merely put into dosage form and packaged.
                                                not influenced by this hydrophobic                      from which it was transformed.                        Accordingly, CBP held that no substantial
                                                environment.                                            48 C.F.R. § 25.003.                                   transformation occurred in France.
                                                   • Coloring agents and film coating are                  A substantial transformation occurs when              HQ H233356, dated December 26, 2012,
                                                added to give each tablet strength a distinct           an article emerges from a process with a new          concerned the country of origin of Ponstel, a
                                                name and character. Film coating is                     name, character or use different from that            pharmaceutical product used for the relief of
                                                performed, using polymers, which imparts a              possessed by the article prior to processing.         mild to moderate pain caused by primary
                                                protective barrier to each strength of the drug         A substantial transformation will not result          dysmenorrhea. Mefenamic acid, which is the
                                                and to mask the taste.                                  from a minor manufacturing or combining               API in Ponstel, was manufactured in India,
                                                   • Finally, the tablets are packed into               process that leaves the identity of the article       and imported into the United States, where
                                                suitable containers which maintain the                  intact. See United States v. Gibson-Thomsen           it was blended with inactive ingredients and
                                                overall integrity of the quality attributes,            Co., 27 C.C.P.A. 267 (1940); and, National            packaged into dosage form. CBP determined
                                                thereby producing a more stable drug                    Juice Products Association v. United States,          that this process did not substantially
                                                product whose therapeutic effectiveness is              628 F. Supp. 978 (Ct. Int’l Trade 1986).              transform the mefenamic acid because its
                                                sustainable.                                               In determining whether a substantial               chemical character remained the same and,
                                                   You submitted product labels for the                 transformation occurs in the manufacture of           therefore, CBP found that the country of
                                                Levetiracetam tablets. You also submitted a             chemical products such as pharmaceuticals,            origin of the Ponstel capsules was India.
                                                shipping label and the Materials Safety Data            CBP has consistently examined the                        You state that the FDA requires that a
                                                Sheet (‘‘MSDS’’) for the API, Levetiracetam.            complexity of the processing and whether the          unique National Drug Code (‘‘NDC’’) be
                                                Additionally, you provided a manufacturing              final article retains the essential identity and      assigned to every drug product such as
                                                flow chart depicting the various steps which            character of the raw material. To that end, in        Levetiracetam tablets, but prohibits that same
                                                occur in the United States to make final                cases concerning pharmaceutical products,             NDC from being associated with any API,
                                                Levetiracetam tablets.                                  CBP has considered whether the API retained           such as Levetiracetam, that has not been
                                                                                                        its chemical and physical properties as a             demonstrated to be safe and effective and
                                                ISSUE:                                                  result of the processing performed and                cannot be sold for the treatment of any
                                                  What is the country of origin of the                  whether the processing changed the                    human disease condition. You also state that
                                                Levetiracetam tablets for purposes of U.S.              medicinal use of the API.                             the FDA requires the name of the drug
                                                Government procurement?                                    In HQ H240193, dated July 29, 2013, which          product (Levetiracetam tablet) to appear on
                                                                                                        concerned the country of origin marking of            every drug product label and prohibits use of
                                                LAW AND ANALYSIS:
                                                                                                        the brand-name Crestor® (Rosuvastatin                 that name on the label for the API. Further,
                                                   CBP issues country of origin advisory                Calcium salt) tablets, CBP found that the API         you state that API is intended only for use
                                                rulings and final determinations as to                  imported from two different countries was             by producers for further processing or for
                                                whether an article is or would be a product             not substantially transformed when                    research since it is unstable and not fit for
                                                of a designated country or instrumentality for          combined with stabilizers and excipients,             medical use and may not be sold to
                                                the purposes of granting waivers of certain             and manufactured into tablet form in the              consumers. Additionally, you state that the
                                                ‘‘Buy American’’ restrictions in U.S. law or            United States.                                        API has a bitter taste and poor
                                                practice for products offered for sale to the              HQ H267177, dated November 5, 2015,                compressibility properties. For these reasons,
                                                U.S. Government, pursuant to subpart B of               concerned Acyclovir, a pharmaceutical                 you claim that extensive additional
                                                Part 177, 19 C.F.R. § 177.21 et seq., which             product used as a synthetic nucleoside                processing of the API, sourced in India, with
                                                implements Title III of the Trade Agreements            analogue active against herpes viruses. The           other ingredients must occur to change the
                                                Act of 1979, as amended (19 U.S.C. § 2511 et            API was manufactured in China and India               API’s properties and make it into a stable
                                                seq.).                                                  and shipped to the United States where it             drug product that achieves the targeted
                                                   Under the rule of origin set forth under 19          underwent five manufacturing steps                    disintegration and dissolution, is more
                                                U.S.C. § 2518(4)(B):                                    including the sizing of the active and inactive       suitable and stable, and possesses the desired
                                                An article is a product of a country or                 ingredients, preparation of Acyclovir                 physicochemical properties.
sradovich on DSK3GMQ082PROD with NOTICES




                                                instrumentality only if (i) it is wholly the            granules, preparation of the tablet blend,               This office consulted with CBP’s
                                                growth, product, or manufacture of that                 tablet compression, and packaging in high             Laboratories and Scientific Services
                                                country or instrumentality, or (ii) in the case         density polyethylene plastic bottles. CBP             Directorate concerning the instant case,
                                                of an article which consists in whole or in             determined that the processing performed in           which informed us that the imported API,
                                                part of materials from another country or               the United States did not result in a change          Levetiracetam, retains its chemical and
                                                instrumentality, it has been substantially              in the medicinal use of the finished product          physical properties upon processing in the
                                                transformed into a new and different article            and the active ingredient. The active                 United States. Increasing the stability of the
                                                of commerce with a name, character, or use              ingredient retained its chemical and physical         API and standardizing its concentration do



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                                                5124                                    Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                not change the API. Further, the processing                                of this final determination before the Court                                generic pharmaceutical distributor
                                                performed in the United States does not                                    of International Trade.                                                     specializing in providing cost effective
                                                affect the medicinal use of the API. Based on                              Sincerely,                                                                  products to the U.S. Government. Acetris has
                                                the information presented, the API does not                                                                                                            its principal place of business in Allendale,
                                                                                                                           Alice A. Kipel
                                                undergo a change in name, character or use.                                                                                                            NJ. Among the products Acetris sells to the
                                                                                                                           Executive Director
                                                Therefore, in accordance with the rulings                                                                                                              U.S. Government are Metoprolol Tartrate
                                                                                                                           Regulations and Rulings
                                                cited, we find that no substantial                                                                                                                     tablets, which are used in the treatment of
                                                                                                                           Office of Trade
                                                transformation occurs in United States, and                                                                                                            hypertension, angina pectoris and
                                                                                                                           HQ H289704
                                                the Levetiracetam tablets would be                                                                                                                     myocardial infarction.
                                                considered a product of India, where the API                               January 30, 2018                                                               You state that Acetris procures the
                                                was produced, for purposes of U.S.                                                                                                                     Metoprolol Tartrate tablets from Aurolife
                                                                                                                           OT:RR:CTF:VS H289704 EE
                                                government procurement.
                                                                                                                           CATEGORY: Origin                                                            Pharma LLC (‘‘Aurolife’’), located in Dayton,
                                                   In addition, you asked whether the
                                                                                                                           Stephen E. Ruscus                                                           NJ. Aurolife, which is a wholly-owned
                                                Levetiracetam tablets are ‘‘manufactured in
                                                the United States’’ within the meaning of the                              Morgan, Lewis & Bockius LLP                                                 subsidiary of company X in India, is a
                                                term ‘‘U.S.-made end products’’, as set forth                              1111 Pennsylvania Avenue, NW                                                generic pharmaceutical product
                                                in Section 25.003 of the Federal Acquisition                               Washington, DC 20004                                                        manufacturer in the specialty and niche
                                                Regulations System, Title 48, Code of Federal                              RE: U.S. Government Procurement; Title III,                                 areas. Aurolife manufactures the Metoprolol
                                                Regulations (48 C.F.R. § 25.003), and                                      Trade Agreements Act of 1979 (19 U.S.C.                                     Tartrate tablets supplied to Acetris in a U.S.
                                                implemented in 48 C.F.R. § 52.225–5. As                                    2511); Subpart B, Part 177, CBP Regulations;                                Food & Drug Administration (‘‘FDA’’)
                                                stated in 19 C.F.R. § 177.21, subpart B is                                 Metoprolol Tartrate tablets                                                 approved cGMP compliant manufacturing
                                                intended to be applied consistent with the                                 Dear Mr. Ruscus:                                                            facility, located in Dayton, NJ, from several
                                                Federal Acquisition Regulations (48 C.F.R.                                                                                                             active and inactive ingredients procured
                                                                                                                              This is in response to your correspondence
                                                chapter 1). The definition of country of origin                                                                                                        domestically and abroad. The active
                                                                                                                           of July 7, 2017 and supplemental submission
                                                in subpart B, 19 C.F.R. § 177.22(a) has two                                                                                                            pharmaceutical ingredient (‘‘API’’) of the
                                                rules (see above) as does 48 C.F.R. § 25.003.                              of August 7, 2017, requesting a final
                                                                                                                                                                                                       Metoprolol Tartrate tablets is Metoprolol
                                                The term ‘‘manufactured in the United                                      determination on behalf of Acetris Health,
                                                                                                                                                                                                       Tartrate, which Aurolife sources from
                                                States’’ in 48 C.F.R. § 25.003 correlates to the                           (‘‘Acetris’’) 4, pursuant to subpart B of Part
                                                                                                                                                                                                       company X in India.
                                                first rule of 19 C.F.R. § 177.22(a) which                                  177, U.S. Customs and Border Protection
                                                                                                                           (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et                                   You state that the Metoprolol Tartrate
                                                provides that an article is a product of a                                                                                                             tablets supplied to Acetris are the result of
                                                country or instrumentality if ‘‘it is wholly the                           seq.). A meeting was held with the counsel
                                                                                                                           for Acetris on August 8, 2017.                                              a complex production process that occurs in
                                                growth, product, or manufacture of that                                                                                                                Aurolife’s New Jersey facility involving the
                                                country or instrumentality’’. Since the                                       This final determination concerns the
                                                                                                                           country of origin of the Metoprolol Tartrate                                combination of the API with multiple
                                                production of Levetiracetam tablets partially                                                                                                          inactive ingredients, including some
                                                occurs in India, we do not find that they are                              tablets. We note that Acetris is a party-at-
                                                                                                                           interest within the meaning of 19 C.F.R.                                    intermediates that are mixed in order to aid
                                                manufactured in the United States.
                                                                                                                           § 177.22(d)(1) and is entitled to request this                              the conversion of the multiple ingredients.
                                                HOLDING:                                                                   final determination.                                                        The production of Metoprolol Tartrate tablets
                                                   The country of origin of the Levetiracetam                                 You have asked that certain information                                  employs processes that convert these
                                                tablets for U.S. Government procurement                                    submitted in connection with this ruling                                    ingredients into finished, medically effective
                                                purposes is India.                                                         request be treated as confidential. Inasmuch                                dosage tablets (25 mg, 50 mg, and 100 mg
                                                   Notice of this final determination will be                              as this request conforms to the requirements                                tablets). You state that this processing
                                                given in the Federal Register, as required by                              of 19 C.F.R. § 177.2(b)(7), the request for                                 changes the properties and characteristics of
                                                19 C.F.R. § 177.29. Any party-at-interest other                            confidentiality is approved. The information                                the API, materially enhancing the
                                                than the party which requested this final                                  contained within brackets in your request                                   pharmacokinetics of the resulting drug.
                                                determination may request, pursuant to 19                                  will not be released to the public and will be                                 You state that the process of converting
                                                C.F.R. § 177.31, that CBP reexamine the                                    withheld from published versions of this                                    these multiple ingredients into the
                                                matter anew and issue a new final                                          ruling.                                                                     Metoprolol Tartrate tablets occurs entirely
                                                determination. Pursuant to 19 C.F.R.                                                                                                                   within the United States. The ingredients
                                                § 177.30, any party-at-interest may, within 30                             FACTS:                                                                      processed in the United States are sourced
                                                days after publication of the Federal Register                               The merchandise at issue are Metoprolol                                   from a variety of suppliers, both United
                                                notice referenced above, seek judicial review                              Tartrate tablets. You state that Acetris is a                               States and foreign, as follows:

                                                Material                                                                                                                                                                                             Country

                                                Metoprolol Tartrate USP ...................................................................................................................................................................          India
                                                Microcrystalline Cellulose USNF ......................................................................................................................................................               Country   A/USA
                                                Corn Starch USNF (Maize Starch B) ...............................................................................................................................................                    Country   B
                                                Sodium Starch Glycolate USNF .......................................................................................................................................................                 Country   C
                                                Colloidal Silicon Dioxide USNF ........................................................................................................................................................              USA
                                                Sodium Lauryl Sulfate USNF ...........................................................................................................................................................               Country   D
                                                Talc USNF ........................................................................................................................................................................................   USA
                                                Magnesium Stearate USNF ..............................................................................................................................................................               USA
                                                Opadry White 13B58867 ..................................................................................................................................................................             USA
                                                Opadry Pink 13B54175 ....................................................................................................................................................................            USA
                                                Opadry Blue 13B50500 ....................................................................................................................................................................            USA
sradovich on DSK3GMQ082PROD with NOTICES




                                                  The processing that occurs in the United                                 manufacturability and to have suitable tablet                               API such that the compressibility of the API
                                                States includes the following:                                             weight so that the patient can easily take the                              is enhanced and the product can be easily
                                                  • Microcrystalline cellulose and corn                                    medication. The API is mixed with these                                     administered.
                                                starch are added as bulking agents for better                              diluents which alters the physical form of the

                                                  4 Counsel for Acetris states that on May 19, 2017,                       whereby the VA recognized Acetris as the successor                          Contract No. VA 797P–16–C–0034, the subject
                                                Acetris executed a novation with Lucid Pharma                              in interest to Department of Veterans Affairs                               contract of the underlying request.
                                                LLC and the Department of Veterans Affairs



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                                                                             Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                  5125

                                                   • Sodium starch glycolate is added as a              instrumentality, it has been substantially            in the medicinal use of the finished product
                                                disintegrant to provide easy dispersion of the          transformed into a new and different article          and the active ingredient. The active
                                                tablet when ingested by the patient, which              of commerce with a name, character, or use            ingredient retained its chemical and physical
                                                indirectly enhances the drug release process            distinct from that of the article or articles         properties and was merely put into dosage
                                                and bioavailability/absorption, leading to              from which it was so transformed.                     form and packaged for sale. The active
                                                pharmacokinetic profiles equivalent to the              See also 19 C.F.R. § 177.22(a).                       ingredient did not undergo a change in name,
                                                brand product (Lopressor®) for therapeutic                  In rendering advisory rulings and final           character or use. Therefore, CBP held that no
                                                equivalency.                                            determinations for purposes of U.S.                   substantial transformation occurred in
                                                   • Talc and colloidal silicon dioxide are             Government procurement, CBP applies the               United States, and Acyclovir tablets were
                                                added to create a gliding property in the               provisions of subpart B of Part 177 consistent        considered a product of the country in which
                                                blend particles, contributing to the unit-to-           with Federal Acquisition Regulations. See 19          the active ingredient was produced.
                                                unit uniformity of the drug during the                  C.F.R. § 177.21. In this regard, CBP                     HQ H215656, dated January 11, 2013,
                                                manufacturing process.                                  recognizes that the Federal Acquisition               concerned the country of origin of Rybix
                                                   • Magnesium stearate is added to create a            Regulations restrict the U.S. Government’s            ODT, a pharmaceutical product used for the
                                                hydrophobic environment around particles                purchase of products to U.S.-made or                  management of moderate to moderately
                                                which provides a lubrication effect during              designated country end products for                   severe pain in adults. The API, tramadol
                                                the production process. Lubricant mixing is             acquisitions subject to the TAA. See 48               hydrochloride, manufactured in India, was
                                                carefully done to ensure that the drug                  C.F.R. § 25.403(c)(1). The Federal Acquisition        shipped to France where it underwent four
                                                releasing profile and pharmacokinetics are              Regulations define ‘‘U.S.-made end product’’          processes of manufacturing consisting of the
                                                not influenced by this hydrophobic                      as:                                                   preparation of the API, preparation of the
                                                environment.                                                                                                  tablet blend, tablet compression, and
                                                   • Sodium Lauryl Sulfate is added as a                . . . an article that is mined, produced, or          packaging in blister packs. CBP determined
                                                wetting agent to enhance the solubilization             manufactured in the United States or that is          that the processing in France did not result
                                                process and bioavailability/absorption,                 substantially transformed in the United               in a change in the medicinal use of the
                                                leading to pharmacokinetic profiles                     States into a new and different article of            finished product, and the API retained its
                                                equivalent to the brand product for                     commerce with a name, character, or use               chemical and physical properties and was
                                                therapeutic equivalency.                                distinct from that of the article or articles         merely put into dosage form and packaged.
                                                   • Coloring agents and film coating are               from which it was transformed.                        Accordingly, CBP held that no substantial
                                                added to give each tablet strength a distinct           48 C.F.R. § 25.003.                                   transformation occurred in France.
                                                name and character. Film coating is                         A substantial transformation occurs when             HQ H233356, dated December 26, 2012,
                                                performed using polymers which imparts a                an article emerges from a process with a new          concerned the country of origin of Ponstel, a
                                                protective barrier for each tablet strength and         name, character or use different from that            pharmaceutical product used for the relief of
                                                to mask the taste.                                      possessed by the article prior to processing.         mild to moderate pain caused by primary
                                                   • Finally, the tablets are packed into               A substantial transformation will not result          dysmenorrhea. Mefenamic acid, which is the
                                                suitable containers which are capable of                from a minor manufacturing or combining               API in Ponstel, was manufactured in India,
                                                retaining the overall integrity of the quality          process that leaves the identity of the article       and imported into the United States, where
                                                attributes and minimizing the formation of              intact. See United States v. Gibson-Thomsen           it was blended with inactive ingredients and
                                                impurity, transforming it into a more stable            Co., 27 C.C.P.A. 267 (1940); and, National            packaged into dosage form. CBP determined
                                                product whose therapeutic effectiveness as a            Juice Products Association v. United States,          that this process did not substantially
                                                drug is sustainable.                                    628 F. Supp. 978 (Ct. Int’l Trade 1986).              transform the mefenamic acid because its
                                                   You submitted product labels for the                     In determining whether a substantial              chemical character remained the same and,
                                                Metoprolol Tartrate tablets. You also                   transformation occurs in the manufacture of           therefore, CBP found that the country of
                                                submitted a shipping label and the Materials            chemical products such as pharmaceuticals,            origin of the Ponstel capsules was India.
                                                Safety Data Sheet (‘‘MSDS’’) for the API,               CBP has consistently examined the                        You state that the FDA requires that a
                                                Metoprolol Tartrate. Additionally, you                  complexity of the processing and whether the          unique National Drug Code (‘‘NDC’’) be
                                                provided a manufacturing flow chart                     final article retains the essential identity and      assigned to every drug product such as
                                                depicting the various steps which occur in              character of the raw material. To that end, in        Metoprolol Tartrate tablets, but prohibits that
                                                the United States to make the final                     cases concerning pharmaceutical products,             same NDC from being associated with any
                                                Metoprolol Tartrate tablets.                            CBP has considered whether the API retained           API, such as Metoprolol Tartrate, that has not
                                                                                                        its chemical and physical properties as a             been demonstrated to be safe and effective
                                                ISSUE:                                                  result of the processing performed and                and cannot be sold for the treatment of any
                                                  What is the country of origin of the                  whether the processing changed the                    human disease condition. You also state that
                                                Metoprolol Tartrate tablets for purposes of             medicinal use of the API.                             the FDA requires the name of the drug
                                                U.S. Government procurement?                                In HQ H240193, dated July 29, 2013, which         product (Metoprolol Tartrate tablet) to appear
                                                                                                        concerned the country of origin marking of            on every drug product label and prohibits use
                                                LAW AND ANALYSIS:
                                                                                                        the brand-name Crestor® (Rosuvastatin                 of that name on the label for the API. Further,
                                                   CBP issues country of origin advisory                Calcium salt) tablets, CBP found that the API         you state that Metoprolol Tartrate is intended
                                                rulings and final determinations as to                  imported from two different countries was             only for use by producers for further
                                                whether an article is or would be a product             not substantially transformed when                    processing or for research since it is unstable
                                                of a designated country or instrumentality for          combined with stabilizers and excipients,             and not fit for medical use and may not be
                                                the purposes of granting waivers of certain             and manufactured into tablet form in the              sold to consumers. Additionally, you state
                                                ‘‘Buy American’’ restrictions in U.S. law or            United States.                                        that the Metoprolol Tartrate degrades under
                                                practice for products offered for sale to the               HQ H267177, dated November 5, 2015,               hydrolysis and has poor flow properties. For
                                                U.S. Government, pursuant to subpart B of               concerned Acyclovir, a pharmaceutical                 these reasons, you claim that extensive
                                                Part 177, 19 C.F.R. § 177.21 et seq., which             product used as a synthetic nucleoside                additional processing of the API, sourced in
                                                implements Title III of the Trade Agreements            analogue active against herpes viruses. The           India, with other ingredients must occur to
                                                Act of 1979, as amended (19 U.S.C. § 2511 et            API was manufactured in China and India               change the API’s properties and make it into
                                                seq.).                                                  and shipped to the United States where it             a stable drug product with the desired
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                                                   Under the rule of origin set forth under 19          underwent five manufacturing steps                    pharmacokinetics, therapeutic efficacy and
                                                U.S.C. § 2518(4)(B):                                    including the sizing of the active and inactive       physicochemical properties.
                                                An article is a product of a country or                 ingredients, preparation of Acyclovir                    This office consulted with CBP’s
                                                instrumentality only if (i) it is wholly the            granules, preparation of the tablet blend,            Laboratories and Scientific Services
                                                growth, product, or manufacture of that                 tablet compression, and packaging in high             Directorate concerning the instant case,
                                                country or instrumentality, or (ii) in the case         density polyethylene plastic bottles. CBP             which informed us that the imported API,
                                                of an article which consists in whole or in             determined that the processing performed in           Metoprolol Tartrate, retains its chemical and
                                                part of materials from another country or               the United States did not result in a change          physical properties upon processing in the



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                                                5126                                     Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                United States. Increasing the stability of the                              days after publication of the Federal Register                              FACTS:
                                                API and standardizing its concentration do                                  notice referenced above, seek judicial review                                 The merchandise at issue are Gabapentin
                                                not change the API. Further, the processing                                 of this final determination before the Court                                capsules. You state that Acetris is a generic
                                                performed in the United States does not                                     of International Trade.                                                     pharmaceutical distributor specializing in
                                                affect the medicinal use of the API. Based on                                                                                                           providing cost effective products to the U.S.
                                                                                                                            Sincerely,
                                                the information presented, the API does not                                                                                                             Government. Acetris has its principal place
                                                undergo a change in name, character or use.                                 Alice A. Kipel
                                                                                                                            Executive Director                                                          of business in Allendale, NJ. Among the
                                                Therefore, in accordance with the rulings
                                                                                                                            Regulations and Rulings                                                     products Acetris sells to the U.S. Government
                                                cited, we find that no substantial
                                                                                                                                                                                                        are Gabapentin capsules, which are used for
                                                transformation occurs in United States, and                                 Office of Trade
                                                                                                                                                                                                        the management and/or treatment of
                                                the Metoprolol Tartrate tablets would be
                                                                                                                            HQ H289706                                                                  postherpetic neuralgia in adults and partial
                                                considered a product of India, where the API
                                                                                                                                                                                                        onset seizures.
                                                was produced, for purposes of U.S.                                          January 30, 2018                                                              You state that Acetris procures the
                                                government procurement.
                                                   In addition, you asked whether the                                       OT:RR:CTF:VS H289706 EE                                                     Gabapentin capsules from Aurolife Pharma
                                                Metoprolol Tartrate tablets are                                             CATEGORY: Origin                                                            LLC (‘‘Aurolife’’), located in Dayton, NJ.
                                                ‘‘manufactured in the United States’’ within                                                                                                            Aurolife, which is a wholly-owned
                                                                                                                            Stephen E. Ruscus                                                           subsidiary of company X in India, is a
                                                the meaning of the term ‘‘U.S.-made end                                     Morgan, Lewis & Bockius LLP
                                                products’’, as set forth in Section 25.003 of                                                                                                           generic pharmaceutical product
                                                                                                                            1111 Pennsylvania Avenue, NW                                                manufacturer in the specialty and niche
                                                the Federal Acquisition Regulations System,                                 Washington, DC 20004
                                                Title 48, Code of Federal Regulations (48                                                                                                               areas. Aurolife manufactures the Gabapentin
                                                C.F.R. § 25.003), and implemented in 48                                     RE: U.S. Government Procurement; Title III,                                 capsules supplied to Acetris in a U.S. Food
                                                C.F.R. § 52.225–5. As stated in 19 C.F.R.                                   Trade Agreements Act of 1979 (19 U.S.C.                                     & Drug Administration (‘‘FDA’’) approved
                                                § 177.21, subpart B is intended to be applied                               § 2511); Subpart B, Part 177, CBP                                           cGMP compliant manufacturing facility,
                                                consistent with the Federal Acquisition                                     Regulations; Gabapentin Capsules                                            located in Dayton, NJ, from several active and
                                                Regulations (48 C.F.R. chapter 1). The                                                                                                                  inactive ingredients procured domestically
                                                                                                                            Dear Mr. Ruscus:
                                                definition of country of origin in subpart B,                                                                                                           and abroad. The active pharmaceutical
                                                                                                                               This is in response to your correspondence                               ingredient (‘‘API’’) of the Gabapentin
                                                19 C.F.R. § 177.22(a) has two rules (see
                                                above) as does 48 C.F.R. § 25.003. The term                                 of July 7, 2017 and supplemental submission                                 capsules is Gabapentin, which Aurolife
                                                ‘‘manufactured in the United States’’ in 48                                 of August 7, 2017, requesting a final                                       sources from company X in India.
                                                C.F.R. § 25.003 correlates to the first rule of                             determination on behalf of Acetris Health,                                    You state that the Gabapentin capsules
                                                19 C.F.R. § 177.22(a) which provides that an                                (‘‘Acetris’’) 5, pursuant to subpart B of Part                              supplied to Acetris are the result of a
                                                article is a product of a country or                                        177, U.S. Customs and Border Protection                                     complex production process that occurs in
                                                instrumentality if ‘‘it is wholly the growth,                               (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et                                Aurolife’s New Jersey facility involving the
                                                product, or manufacture of that country or                                  seq.). A meeting was held with the counsel                                  combination of the API with multiple
                                                instrumentality’’. Since the production of                                  for Acetris on August 8, 2017.                                              inactive ingredients, including some
                                                Metoprolol Tartrate tablets partially occurs in                                This final determination concerns the                                    intermediates that are mixed in order to aid
                                                India, we do not find that they are                                         country of origin of the Gabapentin capsules.                               the conversion of the multiple ingredients.
                                                manufactured in the United States.                                          We note that Acetris is a party-at-interest                                 The production of Gabapentin capsules
                                                                                                                                                                                                        employs processes that convert these
                                                HOLDING:                                                                    within the meaning of 19 C.F.R.
                                                                                                                                                                                                        ingredients into finished, medically effective
                                                                                                                            § 177.22(d)(1) and is entitled to request this
                                                   The country of origin of the Metoprolol                                                                                                              dosage capsules (100 mg, 300 mg, and 400
                                                                                                                            final determination.                                                        mg capsules). You state that this processing
                                                Tartrate tablets for U.S. Government
                                                procurement purposes is India.                                                 You have asked that certain information                                  changes the properties and characteristics of
                                                   Notice of this final determination will be                               submitted in connection with this ruling                                    the API, materially enhancing the
                                                given in the Federal Register, as required by                               request be treated as confidential. Inasmuch                                pharmacokinetics of the resulting drug.
                                                19 C.F.R. § 177.29. Any party-at-interest other                             as this request conforms to the requirements                                  You state that the process of converting
                                                than the party which requested this final                                   of 19 C.F.R. § 177.2(b)(7), the request for                                 these multiple ingredients into the
                                                determination may request, pursuant to 19                                   confidentiality is approved. The information                                Gabapentin capsules occurs entirely within
                                                C.F.R. § 177.31, that CBP reexamine the                                     contained within brackets in your request                                   the United States. The ingredients processed
                                                matter anew and issue a new final                                           will not be released to the public and will be                              in the United States are sourced from a
                                                determination. Pursuant to 19 C.F.R.                                        withheld from published versions of this                                    variety of suppliers, both United States and
                                                § 177.30, any party-at-interest may, within 30                              ruling.                                                                     foreign, as follows:

                                                Material                                                                                                                                                                             Country

                                                Gabapentin USP .............................................................................................................................................................         India
                                                Corn Starch USNF ..........................................................................................................................................................          Country   A
                                                Talc USP .........................................................................................................................................................................   USA
                                                White/White size ‘3’ Capsule shell imprinted with ‘D’ on white cap and ‘02’ on white body .........................................                                                  Country   B/USA/USA
                                                Yellow/Yellow size ‘1’ Capsule shell imprinted with ‘D’ on yellow cap and ‘03’ on yellow body ...................................                                                    Country   C/USA/USA
                                                Orange/Orange size ‘0’ Capsule shell imprinted with ‘D’ on Orange cap and ‘04’ on Orange body ............................                                                           Country   D/USA/USA



                                                  The processing that occurs in the United                                  variability in the labeled quantity in each                                 particles get coated with the said excipient,
                                                States includes the following:                                              capsule.                                                                    enhancing stability.
                                                  • The API exhibits poor flow property                                       • Corn starch is added as a bulking agent                                   • Talc is added to create a gliding property
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                                                whereby it will affect the manufacturability.                               for better manufacturability and to have                                    in the blend particles and also provides a
                                                Hence, the particle size is tailored to have                                suitable fill weight so that the patient can                                lubrication effect during the production
                                                good flowability during the manufacturing                                   easily take the medication. Corn starch is                                  process. Lubricant mixing is carefully done
                                                process so that there is no unit-to-unit                                    mixed with the gabapentin where the drug                                    to ensure that the drug releasing profile and

                                                  5 Counsel for Acetris states that on May 19, 2017,                        whereby the VA recognized Acetris as the successor                          Contract No. VA 797P–16–C–0034, the subject
                                                Acetris executed a novation with Lucid Pharma                               in interest to Department of Veterans Affairs                               contract of the underlying request.
                                                LLC and the Department of Veterans Affairs



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                                                                             Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                   5127

                                                pharmacokinetics are not influenced by this             A substantial transformation will not result          dysmenorrhea. Mefenamic acid, which is the
                                                hydrophobic environment.                                from a minor manufacturing or combining               API in Ponstel, was manufactured in India,
                                                   • Finally, the blend is filled into hard             process that leaves the identity of the article       and imported into the United States, where
                                                gelatin shells to give each strength a distinct         intact. See United States v. Gibson-Thomsen           it was blended with inactive ingredients and
                                                name and character. Encapsulation of the                Co., 27 C.C.P.A. 267 (1940); and, National            packaged into dosage form. CBP determined
                                                blend gives a protective barrier for each               Juice Products Association v. United States,          that this process did not substantially
                                                strength of the drug and masks the metallic             628 F. Supp. 978 (Ct. Int’l Trade 1986).              transform the mefenamic acid because its
                                                taste of the drug particles.                               In determining whether a substantial               chemical character remained the same and,
                                                   You submitted product labels for the                 transformation occurs in the manufacture of           therefore, CBP found that the country of
                                                Gabapentin capsules. You also submitted a               chemical products such as pharmaceuticals,            origin of the Ponstel capsules was India.
                                                shipping label and the Materials Safety Data            CBP has consistently examined the                        You state that the FDA requires that a
                                                Sheet (‘‘MSDS’’) for the API, Gabapentin.               complexity of the processing and whether the          unique National Drug Code (‘‘NDC’’) be
                                                Additionally, you provided a manufacturing              final article retains the essential identity and      assigned to every drug product such as
                                                flow chart depicting the various steps which            character of the raw material. To that end, in        Gabapentin capsules, but prohibits that same
                                                occur in the United States to make the final            cases concerning pharmaceutical products,             NDC from being associated with any API,
                                                the final Gabapentin capsules.                          CBP has considered whether the API retained           such as Gabapentin, that has not been
                                                                                                        its chemical and physical properties as a             demonstrated to be safe and effective and
                                                ISSUE:                                                  result of the processing performed and                cannot be sold for the treatment of any
                                                  What is the country of origin of the                  whether the processing changed the                    human disease condition. You also state that
                                                Gabapentin capsules for purposes of U.S.                medicinal use of the API.                             the FDA requires the name of the drug
                                                Government procurement?                                    In HQ H240193, dated July 29, 2013, which          product (Gabapentin capsule) to appear on
                                                                                                        concerned the country of origin marking of            every drug product label and prohibits use of
                                                LAW AND ANALYSIS:
                                                                                                        the brand-name Crestor® (Rosuvastatin                 that name on the label for the API. Further,
                                                   CBP issues country of origin advisory                Calcium salt) tablets, CBP found that the API         you state that Gabapentin is intended only
                                                rulings and final determinations as to                  imported from two different countries was             for use by producers for further processing or
                                                whether an article is or would be a product             not substantially transformed when                    for research since it is unstable and not fit
                                                of a designated country or instrumentality for          combined with stabilizers and excipients,             for medical use and may not be sold to
                                                the purposes of granting waivers of certain             and manufactured into tablet form in the              consumers. Additionally, you state that
                                                ‘‘Buy American’’ restrictions in U.S. law or            United States.                                        Gabapentin has a tendency to degrade and
                                                practice for products offered for sale to the              HQ H267177, dated November 5, 2015,                has poor flow properties. For these reasons,
                                                U.S. Government, pursuant to subpart B of               concerned Acyclovir, a pharmaceutical                 you claim that extensive additional
                                                Part 177, 19 C.F.R. § 177.21 et seq., which             product used as a synthetic nucleoside                processing of the API, sourced in India, with
                                                implements Title III of the Trade Agreements            analogue active against herpes viruses. The           other ingredients must occur to change the
                                                Act of 1979, as amended (19 U.S.C. § 2511 et            API was manufactured in China and India               API’s properties and make it into a stable
                                                seq.).                                                  and shipped to the United States where it             drug product.
                                                   Under the rule of origin set forth under 19          underwent five manufacturing steps                       This office consulted with CBP’s
                                                U.S.C. § 2518(4)(B):                                    including the sizing of the active and inactive       Laboratories and Scientific Services
                                                An article is a product of a country or                 ingredients, preparation of Acyclovir                 Directorate concerning the instant case,
                                                instrumentality only if (i) it is wholly the            granules, preparation of the tablet blend,            which informed us that the imported API,
                                                growth, product, or manufacture of that                 tablet compression, and packaging in high             Gabapentin, retains its chemical and physical
                                                country or instrumentality, or (ii) in the case         density polyethylene plastic bottles. CBP             properties upon processing in the United
                                                of an article which consists in whole or in             determined that the processing performed in           States. Increasing the stability of the API and
                                                part of materials from another country or               the United States did not result in a change          standardizing its concentration do not change
                                                instrumentality, it has been substantially              in the medicinal use of the finished product          the API. Further, the processing performed in
                                                transformed into a new and different article            and the active ingredient. The active                 the United States does not affect the
                                                of commerce with a name, character, or use              ingredient retained its chemical and physical         medicinal use of the API. Based on the
                                                distinct from that of the article or articles           properties and was merely put into dosage             information presented, the API does not
                                                from which it was so transformed.                       form and packaged for sale. The active                undergo a change in name, character or use.
                                                See also 19 C.F.R. § 177.22(a).                         ingredient did not undergo a change in name,          Therefore, in accordance with the rulings
                                                   In rendering advisory rulings and final              character or use. Therefore, CBP held that no         cited, we find that no substantial
                                                determinations for purposes of U.S.                     substantial transformation occurred in                transformation occurs in United States, and
                                                Government procurement, CBP applies the                 United States, and Acyclovir tablets were             the Gabapentin capsules would be
                                                provisions of subpart B of Part C.F.R. § 177            considered a product of the country in which          considered a product of India, where the API
                                                consistent with Federal Acquisition                     the active ingredient was produced.                   was produced, for purposes of U.S.
                                                Regulations. See 19 C.F.R. § 177.21. In this               HQ H215656, dated January 11, 2013,                government procurement.
                                                regard, CBP recognizes that the Federal                 concerned the country of origin of Rybix                 In addition, you asked whether the
                                                Acquisition Regulations restrict the U.S.               ODT, a pharmaceutical product used for the            Gabapentin capsules are ‘‘manufactured in
                                                Government’s purchase of products to U.S.-              management of moderate to moderately                  the United States’’ within the meaning of the
                                                made or designated country end products for             severe pain in adults. The API, tramadol              term ‘‘U.S.-made end products’’, as set forth
                                                acquisitions subject to the TAA. See 48                 hydrochloride, manufactured in India, was             in Section 25.003 of the Federal Acquisition
                                                C.F.R. § 25.403(c)(1). The Federal Acquisition          shipped to France where it underwent four             Regulations System, Title 48, Code of Federal
                                                Regulations define ‘‘U.S.-made end product’’            processes of manufacturing consisting of the          Regulations (48 C.F.R. § 25.003), and
                                                as:                                                     preparation of the API, preparation of the            implemented in 48 C.F.R. § 52.225–5. As
                                                                                                        tablet blend, tablet compression, and                 stated in 19 C.F.R. § 177.21, subpart B is
                                                . . . an article that is mined, produced, or
                                                                                                        packaging in blister packs. CBP determined            intended to be applied consistent with the
                                                manufactured in the United States or that is
                                                                                                        that the processing in France did not result          Federal Acquisition Regulations (48 C.F.R.
                                                substantially transformed in the United
                                                                                                        in a change in the medicinal use of the               chapter 1). The definition of country of origin
                                                States into a new and different article of
                                                                                                        finished product, and the API retained its            in subpart B, 19 C.F.R. § 177.22(a) has two
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                                                commerce with a name, character, or use
                                                                                                        chemical and physical properties and was              rules (see above) as does 48 C.F.R. § 25.003.
                                                distinct from that of the article or articles
                                                                                                        merely put into dosage form and packaged.             The term ‘‘manufactured in the United
                                                from which it was transformed.
                                                                                                        Accordingly, CBP held that no substantial             States’’ in 48 C.F.R. § 25.003 correlates to the
                                                48 C.F.R. § 25.003.                                     transformation occurred in France.                    first rule of 19 C.F.R. § 177.22(a) which
                                                   A substantial transformation occurs when                HQ H233356, dated December 26, 2012,               provides that an article is a product of a
                                                an article emerges from a process with a new            concerned the country of origin of Ponstel, a         country or instrumentality if ‘‘it is wholly the
                                                name, character or use different from that              pharmaceutical product used for the relief of         growth, product, or manufacture of that
                                                possessed by the article prior to processing.           mild to moderate pain caused by primary               country or instrumentality’’. Since the



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                                                5128                                    Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                production of Gabapentin capsules partially                               Dear Mr. Ruscus:                                                           (‘‘Aurolife’’), located in Dayton, NJ. Aurolife,
                                                occurs in India, we do not find that they are                                This is in response to your correspondence                              which is a wholly-owned subsidiary of
                                                manufactured in the United States.                                        of July 7, 2017 and supplemental submission                                company X in India, is a generic
                                                                                                                          of August 7, 2017, requesting a final                                      pharmaceutical product manufacturer in the
                                                HOLDING:                                                                  determination on behalf of Acetris Health,                                 specialty and niche areas. Aurolife
                                                   The country of origin of the Gabapentin                                (‘‘Acetris’’) 6, pursuant to subpart B of Part                             manufactures the Carvedilol tablets supplied
                                                capsules for U.S. Government procurement                                  177, U.S. Customs and Border Protection
                                                                                                                                                                                                     to Acetris in a U.S. Food & Drug
                                                purposes is India.                                                        (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et
                                                                                                                          seq.). A meeting was held with the counsel                                 Administration (‘‘FDA’’) approved cGMP
                                                   Notice of this final determination will be
                                                                                                                          for Acetris on August 8, 2017.                                             compliant manufacturing facility, located in
                                                given in the Federal Register, as required by
                                                                                                                             This final determination concerns the                                   Dayton, NJ, from several active and inactive
                                                19 C.F.R. § 177.29. Any party-at-interest other
                                                than the party which requested this final                                 country of origin of the Carvedilol tablets. We                            ingredients procured domestically and
                                                determination may request, pursuant to 19                                 note that Acetris is a party-at-interest within                            abroad. The active pharmaceutical ingredient
                                                C.F.R. § 177.31, that CBP reexamine the                                   the meaning of 19 C.F.R. § 177.22(d)(1) and                                (‘‘API’’) of the Carvedilol tablets is
                                                matter anew and issue a new final                                         is entitled to request this final determination.                           Carvedilol, which Aurolife sources from
                                                determination. Pursuant to 19 C.F.R. 177.30,                                 You have asked that certain information                                 company X in India.
                                                any party-at-interest may, within 30 days                                 submitted in connection with this ruling                                      You state that the Carvedilol tablets
                                                after publication of the Federal Register                                 request be treated as confidential. Inasmuch                               supplied to Acetris are the result of a
                                                notice referenced above, seek judicial review                             as this request conforms to the requirements                               complex production process that occurs in
                                                of this final determination before the Court                              of 19 C.F.R. § 177.2(b)(7), the request for                                Aurolife’s New Jersey facility involving the
                                                of International Trade.                                                   confidentiality is approved. The information
                                                                                                                                                                                                     combination of the API with multiple
                                                                                                                          contained within brackets in your request
                                                Sincerely,                                                                will not be released to the public and will be                             inactive ingredients, including some
                                                Alice A. Kipel                                                            withheld from published versions of this                                   intermediates that are mixed in order to aid
                                                Executive Director                                                        ruling.                                                                    the conversion of the multiple ingredients.
                                                Regulations and Rulings                                                                                                                              The production of Carvedilol tablets employs
                                                Office of Trade                                                           FACTS:                                                                     processes that convert these ingredients into
                                                                                                                            The merchandise at issue are Carvedilol                                  finished, medically effective dosage tablets
                                                HQ H289710                                                                tablets. You state that Acetris is a generic                               (3.125 mg, 6.25 mg, 12.5 mg, and 25 mg
                                                January 30, 2018                                                          pharmaceutical distributor specializing in                                 tablets). You state that this processing
                                                                                                                          providing cost effective products to the U.S.                              changes the properties and characteristics of
                                                OT:RR:CTF:VS H289710 EE                                                   Government. Acetris has its principal place
                                                CATEGORY: Origin                                                                                                                                     the API, materially enhancing the
                                                                                                                          of business in Allendale, NJ. Among the
                                                Stephen E. Ruscus                                                                                                                                    pharmacokinetics of the resulting drug.
                                                                                                                          products Acetris sells to the U.S. Government
                                                Morgan, Lewis & Bockius LLP                                               are Carvedilol tablets, members of a family of                                You state that the process of converting
                                                1111 Pennsylvania Avenue, NW                                              drugs prescribed for treating mild to severe                               these multiple ingredients into the Carvedilol
                                                Washington, DC 20004                                                      chronic heart failure, left ventricular                                    tablets occurs entirely within the United
                                                RE: U.S. Government Procurement; Title III,                               dysfunction following myocardial infarction,                               States. The ingredients processed in the
                                                Trade Agreements Act of 1979 (19 U.S.C.                                   and hypertension.                                                          United States are sourced from a variety of
                                                § 2511); Subpart B, Part 177, CBP                                           You state that Acetris procures the                                      suppliers, both United States and foreign, as
                                                Regulations; Carvedilol tablets                                           Carvedilol tablets from Aurolife Pharma LLC                                follows:

                                                Material                                                                                                                                                                                           Country

                                                Carvedilol USP .................................................................................................................................................................................   India
                                                Lactose Monohydrate USNF ............................................................................................................................................................              Country A
                                                Colloidal Silicon Dioxide USNF ........................................................................................................................................................            USA
                                                Crospovidone USNF .........................................................................................................................................................................        USA
                                                Povidone USP ..................................................................................................................................................................................    USA
                                                Sucrose USNF ..................................................................................................................................................................................    USA
                                                Magnesium Stearate USNF ..............................................................................................................................................................             USA
                                                Opadry White 12B18631 ..................................................................................................................................................................           USA



                                                  The processing that occurs in the United                                during production, thereby achieving the                                   polymers which imparts a protective barrier
                                                States includes the following:                                            uniformity of the drug leading to therapeutic                              for each tablet strength and to mask the taste.
                                                  • Lactose monohydrate is added as a                                     efficacy.                                                                     • Finally, the tablets are packed into
                                                bulking agent for better manufacturability                                   • Colloidal silicon dioxide is added to                                 suitable containers which are capable of
                                                and to have suitable tablet weight so that the                            create a gliding property in the blend                                     retaining the overall integrity of the quality
                                                patient can easily take the medication. The                               particles, thereby contributing to the unit-to-                            attributes and minimizing the formation of
                                                API is mixed with these diluents to achieve                               unit uniformity of the drug during the                                     impurities thereby producing a more stable
                                                uniformity of the API, so that the product can                            manufacturing process.                                                     drug product whose therapeutic effectiveness
                                                be easily administered.                                                      • Magnesium stearate is added to create a
                                                                                                                                                                                                     as a drug is sustainable.
                                                  • Crospovidone is added as a disintegrant                               hydrophobic environment around particles
                                                                                                                                                                                                        You submitted product labels for the
                                                to provide easy dispersion of the tablet when                             which provides a lubrication effect during
                                                ingested by the patient which enhances the                                the production process. Lubricant mixing is                                Carvedilol tablets. You also submitted a
                                                drug release process, bioavailability and                                 carefully done to ensure that the drug                                     shipping label and the Materials Safety Data
                                                absorption leading to pharmacokinetic                                     releasing profile and pharmacokinetics are                                 Sheet (‘‘MSDS’’) for the API, Carvedilol.
sradovich on DSK3GMQ082PROD with NOTICES




                                                profiles equivalent to the brand product                                  not influenced by this hydrophobic                                         Additionally, you provided a manufacturing
                                                (Coreg®) for therapeutic equivalency.                                     environment.                                                               flow chart depicting the various steps which
                                                  • Povidone and sucrose are added as                                        • Coloring and film coating agents are                                  occur in the United States to make the final
                                                binders to aid formation of flowable granules                             added. Film coating is performed using                                     Carvedilol tablets.

                                                  6 Counsel for Acetris states that on May 19, 2017,                      whereby the VA recognized Acetris as the successor                         Contract No. VA 797P–16–C–0034, the subject
                                                Acetris executed a novation with Lucid Pharma                             in interest to Department of Veterans Affairs                              contract of the underlying request.
                                                LLC and the Department of Veterans Affairs



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                                                                             Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                   5129

                                                ISSUE:                                                  result of the processing performed and                cannot be sold for the treatment of any
                                                  What is the country of origin of the                  whether the processing changed the                    human disease condition. You also state that
                                                Carvedilol tablets for purposes of U.S.                 medicinal use of the API.                             the FDA requires the name of the drug
                                                Government procurement?                                    In HQ H240193, dated July 29, 2013, which          product (Carvedilol tablet) to appear on every
                                                                                                        concerned the country of origin marking of            drug product label and prohibits use of that
                                                LAW AND ANALYSIS:                                       the brand-name Crestor® (Rosuvastatin                 name on the label for the API. Further, you
                                                    CBP issues country of origin advisory               Calcium salt) tablets, CBP found that the API         state that API is intended only for use by
                                                rulings and final determinations as to                  imported from two different countries was             producers for further processing or for
                                                whether an article is or would be a product             not substantially transformed when                    research since it is unstable and not fit for
                                                of a designated country or instrumentality for          combined with stabilizers and excipients,             medical use and may not be sold to
                                                the purposes of granting waivers of certain             and manufactured into tablet form in the              consumers. Additionally, you state that the
                                                ‘‘Buy American’’ restrictions in U.S. law or            United States.                                        API has poor flow quality and is susceptible
                                                practice for products offered for sale to the              HQ H267177, dated November 5, 2015,                to inadequate content uniformity. For these
                                                U.S. Government, pursuant to subpart B of               concerned Acyclovir, a pharmaceutical                 reasons, you claim that extensive additional
                                                Part 177, 19 C.F.R. § 177.21 et seq., which             product used as a synthetic nucleoside                processing of the API, sourced in India, with
                                                implements Title III of the Trade Agreements            analogue active against herpes viruses. The           other ingredients must occur to change the
                                                Act of 1979, as amended (19 U.S.C. § 2511 et            API was manufactured in China and India               API’s properties and make it into a stable
                                                seq.).                                                  and shipped to the United States where it             drug product.
                                                    Under the rule of origin set forth under 19         underwent five manufacturing steps                       This office consulted with CBP’s
                                                U.S.C. § 2518(4)(B):                                    including the sizing of the active and inactive       Laboratories and Scientific Services
                                                                                                        ingredients, preparation of Acyclovir                 Directorate concerning the instant case,
                                                An article is a product of a country or
                                                instrumentality only if (i) it is wholly the            granules, preparation of the tablet blend,            which informed us that the imported API,
                                                growth, product, or manufacture of that                 tablet compression, and packaging in high             Carvedilol, retains its chemical and physical
                                                country or instrumentality, or (ii) in the case         density polyethylene plastic bottles. CBP             properties upon processing in the United
                                                of an article which consists in whole or in             determined that the processing performed in           States. Increasing the stability of the API and
                                                part of materials from another country or               the United States did not result in a change          standardizing its concentration do not change
                                                instrumentality, it has been substantially              in the medicinal use of the finished product          the API. Further, the processing performed in
                                                transformed into a new and different article            and the active ingredient. The active                 the United States does not affect the
                                                of commerce with a name, character, or use              ingredient retained its chemical and physical         medicinal use of the API. Based on the
                                                distinct from that of the article or articles           properties and was merely put into dosage             information presented, the API does not
                                                from which it was so transformed.                       form and packaged for sale. The active                undergo a change in name, character or use.
                                                                                                        ingredient did not undergo a change in name,          Therefore, in accordance with the rulings
                                                See also 19 C.F.R. § 177.22(a).
                                                                                                        character or use. Therefore, CBP held that no         cited, we find that no substantial
                                                    In rendering advisory rulings and final             substantial transformation occurred in                transformation occurs in United States, and
                                                determinations for purposes of U.S.                     United States, and Acyclovir tablets were             the Carvedilol tablets would be considered a
                                                Government procurement, CBP applies the                 considered a product of the country in which          product of India, where the API was
                                                provisions of subpart B of Part 177 consistent          the active ingredient was produced.                   produced, for purposes of U.S. government
                                                with Federal Acquisition Regulations. See 19               HQ H215656, dated January 11, 2013,                procurement.
                                                C.F.R. § 177.21. In this regard, CBP                    concerned the country of origin of Rybix                 In addition, you asked whether the
                                                recognizes that the Federal Acquisition                 ODT, a pharmaceutical product used for the            Carvedilol tablets are ‘‘manufactured in the
                                                Regulations restrict the U.S. Government’s              management of moderate to moderately                  United States’’ within the meaning of the
                                                purchase of products to U.S.-made or                    severe pain in adults. The API, tramadol              term ‘‘U.S.-made end products’’, as set forth
                                                designated country end products for                     hydrochloride, manufactured in India, was             in Section 25.003 of the Federal Acquisition
                                                acquisitions subject to the TAA. See 48                 shipped to France where it underwent four             Regulations System, Title 48, Code of Federal
                                                C.F.R. § 25.403(c)(1). The Federal Acquisition          processes of manufacturing consisting of the          Regulations (48 C.F.R. § 25.003), and
                                                Regulations define ‘‘U.S.-made end product’’            preparation of the API, preparation of the            implemented in 48 C.F.R. § 52.225–5. As
                                                as:                                                     tablet blend, tablet compression, and                 stated in 19 C.F.R. § 177.21, subpart B is
                                                . . . an article that is mined, produced, or            packaging in blister packs. CBP determined            intended to be applied consistent with the
                                                manufactured in the United States or that is            that the processing in France did not result          Federal Acquisition Regulations (48 C.F.R.
                                                substantially transformed in the United                 in a change in the medicinal use of the               chapter 1). The definition of country of origin
                                                States into a new and different article of              finished product, and the API retained its            in subpart B, 19 C.F.R. § 177.22(a) has two
                                                commerce with a name, character, or use                 chemical and physical properties and was              rules (see above) as does 48 C.F.R. § 25.003.
                                                distinct from that of the article or articles           merely put into dosage form and packaged.             The term ‘‘manufactured in the United
                                                from which it was transformed.                          Accordingly, CBP held that no substantial             States’’ in 48 C.F.R. § 25.003 correlates to the
                                                48 C.F.R. § 25.003.                                     transformation occurred in France.                    first rule of 19 C.F.R. § 177.22(a) which
                                                    A substantial transformation occurs when               HQ H233356, dated December 26, 2012,               provides that an article is a product of a
                                                an article emerges from a process with a new            concerned the country of origin of Ponstel, a         country or instrumentality if ‘‘it is wholly the
                                                name, character or use different from that              pharmaceutical product used for the relief of         growth, product, or manufacture of that
                                                possessed by the article prior to processing.           mild to moderate pain caused by primary               country or instrumentality’’. Since the
                                                A substantial transformation will not result            dysmenorrhea. Mefenamic acid, which is the            production of Carvedilol tablets partially
                                                from a minor manufacturing or combining                 API in Ponstel, was manufactured in India,            occurs in India, we do not find that they are
                                                process that leaves the identity of the article         and imported into the United States, where            manufactured in the United States.
                                                intact. See United States v. Gibson-Thomsen             it was blended with inactive ingredients and
                                                Co., 27 C.C.P.A. 267 (1940); and, National              packaged into dosage form. CBP determined             HOLDING:
                                                Juice Products Association v. United States,            that this process did not substantially                  The country of origin of the Carvedilol
                                                628 F. Supp. 978 (Ct. Int’l Trade 1986).                transform the mefenamic acid because its              tablets for U.S. Government procurement
                                                    In determining whether a substantial                chemical character remained the same and,             purposes is India.
                                                transformation occurs in the manufacture of             therefore, CBP found that the country of                 Notice of this final determination will be
sradovich on DSK3GMQ082PROD with NOTICES




                                                chemical products such as pharmaceuticals,              origin of the Ponstel capsules was India.             given in the Federal Register, as required by
                                                CBP has consistently examined the                          You state that the FDA requires that a             19 C.F.R. § 177.29. Any party-at-interest other
                                                complexity of the processing and whether the            unique National Drug Code (‘‘NDC’’) be                than the party which requested this final
                                                final article retains the essential identity and        assigned to every drug product such as                determination may request, pursuant to 19
                                                character of the raw material. To that end, in          Carvedilol tablets, but prohibits that same           C.F.R. § 177.31, that CBP reexamine the
                                                cases concerning pharmaceutical products,               NDC from being associated with any API,               matter anew and issue a new final
                                                CBP has considered whether the API retained             such as Carvedilol, that has not been                 determination. Pursuant to 19 C.F.R.
                                                its chemical and physical properties as a               demonstrated to be safe and effective and             § 177.30, any party-at-interest may, within 30



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                                                5130                                  Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                days after publication of the Federal Register                         Hydrochloride tablets. We note that Acetris                             manufacturer in the specialty and niche
                                                notice referenced above, seek judicial review                          is a party-at-interest within the meaning of 19                         areas. Aurolife manufactures the Paroxetine
                                                of this final determination before the Court                           C.F.R. § 177.22(d)(1) and is entitled to request                        Hydrochloride tablets supplied to Acetris in
                                                of International Trade.                                                this final determination.                                               a U.S. Food & Drug Administration (‘‘FDA’’)
                                                Sincerely,                                                                You have asked that certain information                              approved cGMP compliant manufacturing
                                                Alice A. Kipel                                                         submitted in connection with this ruling                                facility, located in Dayton, NJ, from several
                                                Executive Director                                                     request be treated as confidential. Inasmuch                            active and inactive ingredients procured
                                                Regulations and Rulings                                                as this request conforms to the requirements                            domestically and abroad. The active
                                                Office of Trade                                                        of 19 C.F.R. § 177.2(b)(7), the request for                             pharmaceutical ingredient (‘‘API’’) of the
                                                                                                                       confidentiality is approved. The information                            Paroxetine Hydrochloride tablets is
                                                HQ H289711                                                             contained within brackets in your request                               Paroxetine Hydrochloride, which Aurolife
                                                                                                                       will not be released to the public and will be                          sources from company X in India.
                                                January 30, 2018
                                                                                                                       withheld from published versions of this                                  You state that the Paroxetine
                                                OT:RR:CTF:VS H289711 EE                                                ruling.
                                                CATEGORY: Origin                                                                                                                               Hydrochloride tablets supplied to Acetris are
                                                Stephen E. Ruscus                                                      FACTS:                                                                  the result of a complex production process
                                                Morgan, Lewis & Bockius LLP                                               The merchandise at issue are Paroxetine                              that occurs in Aurolife’s New Jersey facility
                                                1111 Pennsylvania Avenue, NW                                           Hydrochloride tablets. You state that Acetris                           involving the combination of the API with
                                                Washington, DC 20004                                                   is a generic pharmaceutical distributor                                 multiple inactive ingredients, including some
                                                RE: U.S. Government Procurement; Title III,                            specializing in providing cost effective                                intermediates that are mixed in order to aid
                                                Trade Agreements Act of 1979 (19 U.S.C.                                products to the U.S. Government. Acetris has                            the conversion of the multiple ingredients.
                                                § 2511); Subpart B, Part 177, CBP                                      its principal place of business in Allendale,                           The production of Paroxetine Hydrochloride
                                                Regulations; Paroxetine Hydrochloride                                  NJ. Among the products Acetris sells to the                             tablets employs processes that convert these
                                                tablets                                                                U.S. Government are Paroxetine                                          ingredients into finished, medically effective
                                                Dear Mr. Ruscus:                                                       Hydrochloride tablets, which are                                        dosage tablets (10mg, 20mg, 30mg, and 40mg
                                                   This is in response to your correspondence                          psychotropic drugs used in the treatment of                             tablets). You state that this processing
                                                of July 7, 2017 and supplemental submission                            major depressive disorder, obsessive                                    changes the properties and characteristics of
                                                of August 7, 2017, requesting a final                                  compulsive disorder, pain disorder, social                              the API, materially enhancing the
                                                determination on behalf of Acetris Health,                             anxiety disorder, generalized anxiety                                   pharmacokinetics of the resulting drug.
                                                (‘‘Acetris’’) 7, pursuant to subpart B of Part                         disorder, and post-traumatic stress disorder.                             You state that the process of converting
                                                177, U.S. Customs and Border Protection                                   You state that Acetris procures the                                  these multiple ingredients into the
                                                (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et                           Paroxetine Hydrochloride tablets from                                   Paroxetine Hydrochloride tablets occurs
                                                seq.). A meeting was held with the counsel                             Aurolife Pharma LLC (‘‘Aurolife’’), located in                          entirely within the United States. The
                                                for Acetris on August 8, 2017.                                         Dayton, NJ. Aurolife, which is a wholly-                                ingredients processed in the United States
                                                   This final determination concerns the                               owned subsidiary of company X in India, is                              are sourced from a variety of suppliers, both
                                                country of origin of the Paroxetine                                    a generic pharmaceutical product                                        United States and foreign, as follows:

                                                Material                                                                                                                                                                                   Country

                                                Paroxetine Hydrochloride USP .........................................................................................................................................................     India
                                                Dibasic Calcium Phosphate Dihydrate .............................................................................................................................................          USA
                                                Dibasic Calcium Phosphate Anhydrous ...........................................................................................................................................            Country A
                                                Lactose Monohydrate USNF ............................................................................................................................................................      Country B
                                                Sodium Starch Glycolate USNF .......................................................................................................................................................       Country C
                                                Magnesium Stearate USNF ..............................................................................................................................................................     USA
                                                Opadry yellow 13F52249 IH .............................................................................................................................................................    USA
                                                Opadry Pink 15B54027 IH ................................................................................................................................................................   USA
                                                Opadry Blue 12B50610 IH ...............................................................................................................................................................    USA



                                                  The processing that occurs in the United                             which provides a lubrication effect during                              submitted a shipping label and the Materials
                                                States includes the following:                                         the production process. Lubricant mixing is                             Safety Data Sheet (‘‘MSDS’’) for the API,
                                                  • Dibasic calcium phosphate dihydrate                                carefully done to ensure that the drug                                  Paroxetine Hydrochloride. Additionally, you
                                                and dibasic calcium phosphate anhydrous                                releasing profile and pharmacokinetics are                              provided a manufacturing flow chart
                                                are non-hygroscopic hydrophobic diluents                               not influenced by this hydrophobic                                      depicting the various steps which occur in
                                                added to the paroxetine hydrochloride to                               environment.                                                            the United States to make the API and other
                                                improve drug stability.                                                   • Coloring agents and film coating are                               ingredients into the final Paroxetine
                                                  • Lactose monohydrate is added as a                                  added to give each strength a distinct name                             Hydrochloride tablets.
                                                bulking agent for better manufacturability                             and character. Film coating is performed                                ISSUE:
                                                and to have suitable tablet weight so that the                         using polymers which imparts a protective
                                                                                                                                                                                                 What is the country of origin of the
                                                patient can easily take the medication.                                barrier for each strength of the drug and to                            Paroxetine Hydrochloride tablets for
                                                  • Sodium starch glycolate is added as a                              mask the taste.                                                         purposes of U.S. Government procurement?
                                                disintegrant to provide easy dispersion of the                            • Finally, the tablets are packed into
                                                tablet when ingested by the patient, which                             suitable containers which are capable of                                LAW AND ANALYSIS:
                                                enhances the drug release process,                                     retaining the overall integrity of the quality                             CBP issues country of origin advisory
                                                bioavailability and absorption leading to                              attributes and minimizing discoloration,                                rulings and final determinations as to
                                                pharmacokinetic profiles equivalent to the                             thereby permitting a more stable product                                whether an article is or would be a product
sradovich on DSK3GMQ082PROD with NOTICES




                                                brand product (Paxil®) for therapeutic                                 whose therapeutic effectiveness as a drug is                            of a designated country or instrumentality for
                                                equivalency.                                                           sustainable.                                                            the purposes of granting waivers of certain
                                                  • Magnesium stearate is added to create a                               You submitted product labels for the                                 ‘‘Buy American’’ restrictions in U.S. law or
                                                hydrophobic environment around particles                               Paroxetine Hydrochloride tablets. You also                              practice for products offered for sale to the

                                                  7 Counsel for Acetris states that on May 19, 2017,                   whereby the VA recognized Acetris as the successor                      Contract No. VA 797P-16-C-0034, the subject
                                                Acetris executed a novation with Lucid Pharma                          in interest to Department of Veterans Affairs                           contract of the underlying request.
                                                LLC and the Department of Veterans Affairs



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                                                                             Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                  5131

                                                U.S. Government, pursuant to subpart B of               product used as a synthetic nucleoside                degradation. For these reasons, you claim
                                                Part 177, 19 C.F.R. § 177.21 et seq., which             analogue active against herpes viruses. The           that extensive additional processing of the
                                                implements Title III of the Trade Agreements            API was manufactured in China and India               API, sourced in India, with other ingredients
                                                Act of 1979, as amended (19 U.S.C. § 2511 et            and shipped to the United States where it             must occur to change the API’s properties
                                                seq.).                                                  underwent five manufacturing steps                    and make it into a stable drug product whose
                                                    Under the rule of origin set forth under 19         including the sizing of the active and inactive       medical effectiveness as a drug is sustainable.
                                                U.S.C. § 2518(4)(B):                                    ingredients, preparation of Acyclovir                    This office consulted with CBP’s
                                                An article is a product of a country or                 granules, preparation of the tablet blend,            Laboratories and Scientific Services
                                                instrumentality only if (i) it is wholly the            tablet compression, and packaging in high             Directorate concerning the instant case,
                                                growth, product, or manufacture of that                 density polyethylene plastic bottles. CBP             which informed us that the imported API,
                                                country or instrumentality, or (ii) in the case         determined that the processing performed in           Paroxetine Hydrochloride, retains its
                                                of an article which consists in whole or in             the United States did not result in a change          chemical and physical properties upon
                                                part of materials from another country or               in the medicinal use of the finished product          processing in the United States. Increasing
                                                instrumentality, it has been substantially              and the active ingredient. The active                 the stability of the API and standardizing its
                                                transformed into a new and different article            ingredient retained its chemical and physical         concentration do not change the API.
                                                of commerce with a name, character, or use              properties and was merely put into dosage             Further, the processing performed in the
                                                distinct from that of the article or articles           form and packaged for sale. The active                United States does not affect the medicinal
                                                from which it was so transformed.                       ingredient did not undergo a change in name,          use of the API. Based on the information
                                                See also 19 C.F.R. § 177.22(a).                         character or use. Therefore, CBP held that no         presented, the API does not undergo a change
                                                                                                        substantial transformation occurred in                in name, character or use. Therefore, in
                                                    In rendering advisory rulings and final
                                                                                                        United States, and Acyclovir tablets were             accordance with the rulings cited, we find
                                                determinations for purposes of U.S.
                                                Government procurement, CBP applies the                 considered a product of the country in which
                                                                                                                                                              that no substantial transformation occurs in
                                                provisions of subpart B of Part 177 consistent          the active ingredient was produced.
                                                                                                                                                              United States, and the Paroxetine
                                                with Federal Acquisition Regulations. See 19               HQ H215656, dated January 11, 2013,
                                                                                                                                                              Hydrochloride tablets would be considered a
                                                C.F.R. § 177.21. In this regard, CBP                    concerned the country of origin of Rybix
                                                                                                                                                              product of India, where the API was
                                                recognizes that the Federal Acquisition                 ODT, a pharmaceutical product used for the
                                                                                                                                                              produced, for purposes of U.S. government
                                                Regulations restrict the U.S. Government’s              management of moderate to moderately
                                                                                                                                                              procurement.
                                                purchase of products to U.S.-made or                    severe pain in adults. The API, tramadol
                                                                                                                                                                 In addition, you asked whether the
                                                designated country end products for                     hydrochloride, manufactured in India, was
                                                                                                                                                              Paroxetine Hydrochloride tablets are
                                                acquisitions subject to the TAA. See 48                 shipped to France where it underwent four
                                                                                                                                                              ‘‘manufactured in the United States’’ within
                                                C.F.R. § 25.403(c)(1). The Federal Acquisition          processes of manufacturing consisting of the
                                                                                                                                                              the meaning of the term ‘‘U.S.-made end
                                                Regulations define ‘‘U.S.-made end product’’            preparation of the API, preparation of the
                                                                                                                                                              products’’, as set forth in Section 25.003 of
                                                as:                                                     tablet blend, tablet compression, and
                                                                                                        packaging in blister packs. CBP determined            the Federal Acquisition Regulations System,
                                                . . . an article that is mined, produced, or                                                                  Title 48, Code of Federal Regulations (48
                                                manufactured in the United States or that is            that the processing in France did not result
                                                                                                        in a change in the medicinal use of the               C.F.R. § 25.003), and implemented in 48
                                                substantially transformed in the United                                                                       C.F.R. § 52.225–5. As stated in 19 C.F.R.
                                                States into a new and different article of              finished product, and the API retained its
                                                                                                        chemical and physical properties and was              § 177.21, subpart B is intended to be applied
                                                commerce with a name, character, or use                                                                       consistent with the Federal Acquisition
                                                distinct from that of the article or articles           merely put into dosage form and packaged.
                                                                                                        Accordingly, CBP held that no substantial             Regulations (48 C.F.R. chapter 1). The
                                                from which it was transformed.                                                                                definition of country of origin in subpart B,
                                                                                                        transformation occurred in France.
                                                48 C.F.R. § 25.003.                                                                                           19 C.F.R. § 177.22(a) has two rules (see
                                                                                                           HQ H233356, dated December 26, 2012,
                                                    A substantial transformation occurs when            concerned the country of origin of Ponstel, a         above) as does 48 C.F.R. § 25.003. The term
                                                an article emerges from a process with a new            pharmaceutical product used for the relief of         ‘‘manufactured in the United States’’ in 48
                                                name, character or use different from that              mild to moderate pain caused by primary               C.F.R. § 25.003 correlates to the first rule of
                                                possessed by the article prior to processing.           dysmenorrhea. Mefenamic acid, which is the            19 C.F.R. § 177.22(a) which provides that an
                                                A substantial transformation will not result            API in Ponstel, was manufactured in India,            article is a product of a country or
                                                from a minor manufacturing or combining                                                                       instrumentality if ‘‘it is wholly the growth,
                                                                                                        and imported into the United States, where
                                                process that leaves the identity of the article                                                               product, or manufacture of that country or
                                                                                                        it was blended with inactive ingredients and
                                                intact. See United States v. Gibson-Thomsen                                                                   instrumentality’’. Since the production of
                                                                                                        packaged into dosage form. CBP determined
                                                Co., 27 C.C.P.A. 267 (1940); and, National                                                                    Paroxetine Hydrochloride tablets partially
                                                                                                        that this process did not substantially
                                                Juice Products Association v. United States,                                                                  occurs in India, we do not find that they are
                                                628 F. Supp. 978 (Ct. Int’l Trade 1986).                transform the mefenamic acid because its
                                                                                                        chemical character remained the same and,             manufactured in the United States.
                                                    In determining whether a substantial
                                                transformation occurs in the manufacture of             therefore, CBP found that the country of              HOLDING:
                                                chemical products such as pharmaceuticals,              origin of the Ponstel capsules was India.
                                                                                                                                                                 The country of origin of the Paroxetine
                                                CBP has consistently examined the                          You state that the FDA requires that a
                                                                                                                                                              Hydrochloride tablets for U.S. Government
                                                complexity of the processing and whether the            unique National Drug Code (‘‘NDC’’) be
                                                                                                                                                              procurement purposes is India.
                                                final article retains the essential identity and        assigned to every drug product such as
                                                                                                                                                                 Notice of this final determination will be
                                                character of the raw material. To that end, in          Paroxetine Hydrochloride tablets, but
                                                                                                                                                              given in the Federal Register, as required by
                                                cases concerning pharmaceutical products,               prohibits that same NDC from being
                                                                                                                                                              19 C.F.R. § 177.29. Any party-at-interest other
                                                CBP has considered whether the API retained             associated with any API, such as Paroxetine
                                                                                                                                                              than the party which requested this final
                                                its chemical and physical properties as a               Hydrochloride, that has not been
                                                                                                                                                              determination may request, pursuant to 19
                                                result of the processing performed and                  demonstrated to be safe and effective and
                                                                                                                                                              C.F.R. § 177.31, that CBP reexamine the
                                                whether the processing changed the                      cannot be sold for the treatment of any
                                                                                                                                                              matter anew and issue a new final
                                                medicinal use of the API.                               human disease condition. You also state that
                                                                                                                                                              determination. Pursuant to 19 C.F.R.
                                                    In HQ H240193, dated July 29, 2013, which           the FDA requires the name of the drug
                                                                                                                                                              § 177.30, any party-at-interest may, within 30
                                                concerned the country of origin marking of              product (Paroxetine Hydrochloride tablet) to
                                                                                                                                                              days after publication of the Federal Register
                                                the brand-name Crestor® (Rosuvastatin                   appear on every drug product label and
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                                                                              notice referenced above, seek judicial review
                                                Calcium salt) tablets, CBP found that the API           prohibits use of that name on the label for the
                                                                                                                                                              of this final determination before the Court
                                                imported from two different countries was               API. Further, you state that Paroxetine
                                                                                                                                                              of International Trade.
                                                not substantially transformed when                      Hydrochloride is intended only for use by
                                                combined with stabilizers and excipients,               producers for further processing or for               Sincerely,
                                                and manufactured into tablet form in the                research since it is unstable and not fit for         Alice A. Kipel
                                                United States.                                          medical use and may not be sold to                    Executive Director
                                                    HQ H267177, dated November 5, 2015,                 consumers. Additionally, you state that               Regulations and Rulings
                                                concerned Acyclovir, a pharmaceutical                   Paroxetine Hydrochloride experiences                  Office of Trade



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                                                5132                                    Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                HQ H289712                                                                  You have asked that certain information                                  compliant manufacturing facility, located in
                                                                                                                          submitted in connection with this ruling                                   Dayton, NJ, from several active and inactive
                                                January 30, 2018                                                          request be treated as confidential. Inasmuch                               ingredients procured domestically and
                                                OT:RR:CTF:VS H289712 EE                                                   as this request conforms to the requirements                               abroad. The active pharmaceutical ingredient
                                                CATEGORY: Origin                                                          of 19 C.F.R. § 177.2(b)(7), the request for                                (‘‘API’’) of the Entecavir tablets is Entecavir,
                                                                                                                          confidentiality is approved. The information                               which Aurolife sources from company X in
                                                Stephen E. Ruscus                                                         contained within brackets in your request                                  India.
                                                Morgan, Lewis & Bockius LLP                                               will not be released to the public and will be                                You state that the Entecavir tablets
                                                1111 Pennsylvania Avenue, NW                                              withheld from published versions of this                                   supplied to Acetris are the result of a
                                                Washington, DC 20004                                                      ruling.                                                                    complex production process that occurs in
                                                RE: U.S. Government Procurement; Title III,                               FACTS:                                                                     Aurolife’s New Jersey facility involving the
                                                Trade Agreements Act of 1979 (19 U.S.C.                                                                                                              combination of the API with multiple
                                                                                                                             The merchandise at issue are Entecavir
                                                § 2511); Subpart B, Part 177, CBP                                                                                                                    inactive ingredients, including some
                                                                                                                          tablets. You state that Acetris is a generic
                                                Regulations; Entecavir tablets                                                                                                                       intermediates that are mixed in order to aid
                                                                                                                          pharmaceutical distributor specializing in
                                                Dear Mr. Ruscus:                                                          providing cost effective products to the U.S.                              the conversion of the multiple ingredients.
                                                                                                                          Government. Acetris has its principal place                                The production of Entecavir tablets employs
                                                   This is in response to your correspondence
                                                                                                                          of business in Allendale, NJ. Among the                                    processes that convert these ingredients into
                                                of July 7, 2017 and supplemental submission                                                                                                          finished, medically effective dosage tablets
                                                of August 7, 2017, requesting a final                                     products Acetris sells to the U.S. Government
                                                                                                                          are Entecavir tablets for treating the Hepatitis                           (0.5 mg and 1 mg tablets). You state that this
                                                determination on behalf of Acetris Health,                                                                                                           processing changes the properties and
                                                                                                                          B virus (HBV).
                                                (‘‘Acetris’’) 8, pursuant to subpart B of Part                                                                                                       characteristics of the API, materially
                                                                                                                             You state that Acetris procures the
                                                177, U.S. Customs and Border Protection                                                                                                              enhancing the pharmacokinetics of the
                                                                                                                          Entecavir tablets from Aurolife Pharma LLC
                                                (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et                              (‘‘Aurolife’’), located in Dayton, NJ. Aurolife,                           resulting drug.
                                                seq.). A meeting was held with the counsel                                which is a wholly-owned subsidiary of                                         You state that the process of converting
                                                for Acetris on August 8, 2017.                                            company X in India, is a generic                                           these multiple ingredients into the Entecavir
                                                   This final determination concerns the                                  pharmaceutical product manufacturer in the                                 tablets occurs entirely within the United
                                                country of origin of the Entecavir tablets. We                            specialty and niche areas. Aurolife                                        States. The ingredients processed in the
                                                note that Acetris is a party-at-interest within                           manufactures the Entecavir tablets supplied                                United States are sourced from a variety of
                                                the meaning of 19 C.F.R. § 177.22(d)(1) and                               to Acetris in a U.S. Food & Drug                                           suppliers, both United States and foreign, as
                                                is entitled to request this final determination.                          Administration (‘‘FDA’’) approved cGMP                                     follows:

                                                Material                                                                                                                                                                                           Country

                                                Entecavir USP ..................................................................................................................................................................................   India
                                                Lactose Monohydrate USNF ............................................................................................................................................................              Country A
                                                Microcrystalline Cellulose PH 101 USNF .........................................................................................................................................                   USA/Country B
                                                Crospovidone USNF (Kollidon CL) ...................................................................................................................................................                Country C
                                                Microcrystalline Cellulose PH 101 USNF .........................................................................................................................................                   USA/Country D
                                                Magnesium Stearate USNF ..............................................................................................................................................................             USA
                                                Aquarius BP18257 cool Vanilla IH ...................................................................................................................................................               USA



                                                   The processing that occurs in the United                               protective barrier for each strength of the                                practice for products offered for sale to the
                                                States includes the following:                                            drug, making it appropriate for patient use.                               U.S. Government, pursuant to subpart B of
                                                   • Lactose monohydrate and                                                 • Finally, the tablets are packed into                                  Part 177, 19 C.F.R. § 177.21 et seq., which
                                                microcrystalline cellulose are added as                                   suitable containers which are capable of                                   implements Title III of the Trade Agreements
                                                bulking agents for better manufacturability                               retaining the overall integrity of the quality                             Act of 1979, as amended (19 U.S.C. § 2511 et
                                                and to have suitable tablet weight so that the                            attributes, thereby producing a more stable                                seq.).
                                                patient can easily take the medication. These                             drug product whose therapeutic effectiveness                                  Under the rule of origin set forth under 19
                                                                                                                          as a drug is sustainable.                                                  U.S.C. § 2518(4)(B):
                                                diluents also aid in achieving the desired
                                                uniformity with the help of processing steps                                 You submitted product labels for the                                    An article is a product of a country or
                                                like co-sifting.                                                          Entecavir tablets. You also submitted a                                    instrumentality only if (i) it is wholly the
                                                   • Crospovidone is added as a disintegrant                              shipping label and the Materials Safety Data                               growth, product, or manufacture of that
                                                                                                                          Sheet (‘‘MSDS’’) for the API, Entecavir.                                   country or instrumentality, or (ii) in the case
                                                to provide easy dispersion of the tablet when
                                                                                                                          Additionally, you provided a manufacturing                                 of an article which consists in whole or in
                                                ingested by the patient which enhances the
                                                                                                                          flow chart depicting the various steps which                               part of materials from another country or
                                                drug release process, bioavailability and                                                                                                            instrumentality, it has been substantially
                                                absorption leading to pharmacokinetic                                     occur in the United States to make the final
                                                                                                                          Entecavir tablets.                                                         transformed into a new and different article
                                                profiles equivalent to the brand product                                                                                                             of commerce with a name, character, or use
                                                (Baraclude®) for therapeutic equivalency.                                 ISSUE:                                                                     distinct from that of the article or articles
                                                   • Magnesium stearate is added to create a                                What is the country of origin of the                                     from which it was so transformed.
                                                hydrophobic environment around particles,                                 Entecavir tablets for purposes of U.S.                                     See also 19 C.F.R. § 177.22(a).
                                                which provides a lubrication effect during                                Government procurement?                                                       In rendering advisory rulings and final
                                                the production process. Lubricant mixing is                                                                                                          determinations for purposes of U.S.
                                                carefully done to ensure that the drug                                    LAW AND ANALYSIS:                                                          Government procurement, CBP applies the
                                                releasing profile and pharmacokinetics are                                   CBP issues country of origin advisory                                   provisions of subpart B of Part 177 consistent
                                                not influenced by this hydrophobic                                        rulings and final determinations as to                                     with Federal Acquisition Regulations. See 19
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                                                environment.                                                              whether an article is or would be a product                                C.F.R. § 177.21. In this regard, CBP
                                                   • Film coating agent is added to give each                             of a designated country or instrumentality for                             recognizes that the Federal Acquisition
                                                strength a distinct character. Film coating is                            the purposes of granting waivers of certain                                Regulations restrict the U.S. Government’s
                                                performed using polymers which imparts a                                  ‘‘Buy American’’ restrictions in U.S. law or                               purchase of products to U.S.-made or

                                                  8 Counsel for Acetris states that on May 19, 2017,                      whereby the VA recognized Acetris as the successor                         Contract No. VA 797P–16–C–0034, the subject
                                                Acetris executed a novation with Lucid Pharma                             in interest to Department of Veterans Affairs                              contract of the underlying request.
                                                LLC and the Department of Veterans Affairs



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                                                                             Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                      5133

                                                designated country end products for                     hydrochloride, manufactured in India, was             United States’’ within the meaning of the
                                                acquisitions subject to the TAA. See 48                 shipped to France where it underwent four             term ‘‘U.S.-made end products’’, as set forth
                                                C.F.R. § 25.403(c)(1). The Federal Acquisition          processes of manufacturing consisting of the          in Section 25.003 of the Federal Acquisition
                                                Regulations define ‘‘U.S.-made end product’’            preparation of the API, preparation of the            Regulations System, Title 48, Code of Federal
                                                as:                                                     tablet blend, tablet compression, and                 Regulations (48 C.F.R. § 25.003), and
                                                . . . an article that is mined, produced, or            packaging in blister packs. CBP determined            implemented in 48 C.F.R. § 52.225–5. As
                                                manufactured in the United States or that is            that the processing in France did not result          stated in 19 C.F.R. § 177.21, subpart B is
                                                substantially transformed in the United                 in a change in the medicinal use of the               intended to be applied consistent with the
                                                States into a new and different article of              finished product, and the API retained its            Federal Acquisition Regulations (48 C.F.R.
                                                commerce with a name, character, or use                 chemical and physical properties and was              chapter 1). The definition of country of origin
                                                distinct from that of the article or articles           merely put into dosage form and packaged.             in subpart B, 19 C.F.R. § 177.22(a) has two
                                                from which it was transformed.                          Accordingly, CBP held that no substantial             rules (see above) as does 48 C.F.R. § 25.003.
                                                                                                        transformation occurred in France.                    The term ‘‘manufactured in the United
                                                48 C.F.R. § 25.003.                                        HQ H233356, dated December 26, 2012,
                                                   A substantial transformation occurs when                                                                   States’’ in 48 C.F.R. § 25.003 correlates to the
                                                                                                        concerned the country of origin of Ponstel, a         first rule of 19 C.F.R. § 177.22(a) which
                                                an article emerges from a process with a new            pharmaceutical product used for the relief of
                                                name, character or use different from that                                                                    provides that an article is a product of a
                                                                                                        mild to moderate pain caused by primary
                                                possessed by the article prior to processing.                                                                 country or instrumentality if ‘‘it is wholly the
                                                                                                        dysmenorrhea. Mefenamic acid, which is the
                                                A substantial transformation will not result            API in Ponstel, was manufactured in India,            growth, product, or manufacture of that
                                                from a minor manufacturing or combining                 and imported into the United States, where            country or instrumentality’’. Since the
                                                process that leaves the identity of the article         it was blended with inactive ingredients and          production of Entecavir tablets partially
                                                intact. See United States v. Gibson-Thomsen             packaged into dosage form. CBP determined             occurs in India, we do not find that they are
                                                Co., 27 C.C.P.A. 267 (1940); and, National              that this process did not substantially               manufactured in the United States.
                                                Juice Products Association v. United States,            transform the mefenamic acid because its              HOLDING:
                                                628 F. Supp. 978 (Ct. Int’l Trade 1986).                chemical character remained the same and,
                                                   In determining whether a substantial                 therefore, CBP found that the country of                 The country of origin of the Entecavir
                                                transformation occurs in the manufacture of             origin of the Ponstel capsules was India.             tablets for U.S. Government procurement
                                                chemical products such as pharmaceuticals,                 You state that FDA requires that a unique          purposes is India.
                                                CBP has consistently examined the                       National Drug Code (‘‘NDC’’) be assigned to              Notice of this final determination will be
                                                complexity of the processing and whether the            every drug product such as Entecavir tablets,         given in the Federal Register, as required by
                                                final article retains the essential identity and        but prohibits that same NDC from being                19 C.F.R. § 177.29. Any party-at-interest other
                                                character of the raw material. To that end, in          associated with any API, such as Entecavir,           than the party which requested this final
                                                cases concerning pharmaceutical products,               that has not been demonstrated to be safe and         determination may request, pursuant to 19
                                                CBP has considered whether the API retained             effective and cannot be sold for the treatment        C.F.R. § 177.31, that CBP reexamine the
                                                its chemical and physical properties as a               of any human disease condition. You also              matter anew and issue a new final
                                                result of the processing performed and                  state that the FDA requires the name of the           determination. Pursuant to 19 C.F.R.
                                                whether the processing changed the                      drug product (Entecavir tablet) to appear on          § 177.30, any party-at-interest may, within 30
                                                medicinal use of the API.                               every drug product label and prohibits use of         days after publication of the Federal Register
                                                   In HQ H240193, dated July 29, 2013, which            that name on the label for the API. Further,          notice referenced above, seek judicial review
                                                concerned the country of origin marking of              you state that API is intended only for use           of this final determination before the Court
                                                the brand-name Crestor® (Rosuvastatin                   by producers for further processing or for            of International Trade.
                                                Calcium salt) tablets, CBP found that the API           research since it is unstable and not fit for         Sincerely,
                                                imported from two different countries was               medical use and may not be sold to                    Alice A. Kipel
                                                not substantially transformed when                      consumers. Additionally, you state that the           Executive Director
                                                combined with stabilizers and excipients,               API is susceptible to inadequate content              Regulations and Rulings
                                                and manufactured into tablet form in the                uniformity and undergoes oxidative                    Office of Trade
                                                United States.                                          degradation. For these reasons, you claim
                                                   HQ H267177, dated November 5, 2015,                  that extensive additional processing of the           HQ H289713
                                                concerned Acyclovir, a pharmaceutical                   API, sourced in India, with other ingredients
                                                                                                        must occur to change the API’s properties             January 30, 2018
                                                product used as a synthetic nucleoside
                                                analogue active against herpes viruses. The             and make it into a stable drug product that           OT:RR:CTF:VS H289713 EE
                                                API was manufactured in China and India                 achieves the targeted disintegration and              CATEGORY: Origin
                                                and shipped to the United States where it               dissolution and exhibits appropriate                  Stephen E. Ruscus
                                                underwent five manufacturing steps                      physicochemical properties, the desired               Morgan, Lewis & Bockius LLP
                                                including the sizing of the active and inactive         pharmacokinetics and therapeutic efficacy.            1111 Pennsylvania Avenue, NW
                                                ingredients, preparation of Acyclovir                      This office consulted with CBP’s                   Washington, DC 20004
                                                granules, preparation of the tablet blend,              Laboratories and Scientific Services
                                                tablet compression, and packaging in high               Directorate concerning the instant case,              RE: U.S. Government Procurement; Title III,
                                                density polyethylene plastic bottles. CBP               which informed us that the imported API,              Trade Agreements Act of 1979 (19 U.S.C.
                                                determined that the processing performed in             Entecavir, retains its chemical and physical          § 2511); Subpart B, Part 177, CBP
                                                the United States did not result in a change            properties upon processing in the United              Regulations; Montelukast Sodium tablets
                                                in the medicinal use of the finished product            States. Increasing the stability of the API and       Dear Mr. Ruscus:
                                                and the active ingredient. The active                   standardizing its concentration do not change            This is in response to your correspondence
                                                ingredient retained its chemical and physical           the API. Further, the processing performed in         of July 7, 2017 and supplemental submission
                                                properties and was merely put into dosage               the United States does not affect the                 of August 7, 2017, requesting a final
                                                form and packaged for sale. The active                  medicinal use of the API. Based on the                determination on behalf of Acetris Health,
                                                ingredient did not undergo a change in name,            information presented, the API does not               (‘‘Acetris’’) 9, pursuant to subpart B of Part
                                                character or use. Therefore, CBP held that no           undergo a change in name, character or use.           177, U.S. Customs and Border Protection
                                                substantial transformation occurred in                  Therefore, in accordance with the rulings
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                                                                              (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et
                                                United States, and Acyclovir tablets were               cited, we find that no substantial
                                                considered a product of the country in which            transformation occurs in United States, and             9 Counsel for Acetris states that on May 19, 2017,
                                                the active ingredient was produced.                     the Entecavir tablets would be considered a
                                                                                                                                                              Acetris executed a novation with Lucid Pharma
                                                   HQ H215656, dated January 11, 2013,                  product of India, where the API was                   LLC and the Department of Veterans Affairs
                                                concerned the country of origin of Rybix                produced, for purposes of U.S. government             whereby the VA recognized Acetris as the successor
                                                ODT, a pharmaceutical product used for the              procurement.                                          in interest to Department of Veterans Affairs
                                                management of moderate to moderately                       In addition, you asked whether the                 Contract No. VA 797P–16–C–0034, the subject
                                                severe pain in adults. The API, tramadol                Entecavir tablets are ‘‘manufactured in the           contract of the underlying request.



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                                                5134                                   Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                seq.). A meeting was held with the counsel                              its principal place of business in Allendale,                               You state that the Montelukast Sodium
                                                for Acetris on August 8, 2017.                                          NJ. Among the products Acetris sells to the                              tablets supplied to Acetris are the result of
                                                   This final determination concerns the                                U.S. Government are Montelukast Sodium                                   a complex production process that occurs in
                                                country of origin of the Montelukast Sodium                             tablets, which are drugs prescribed for the                              Aurolife’s New Jersey facility involving the
                                                tablets. We note that Acetris is a party-at-                            prevention and/or treatment of asthma,                                   combination of the API with multiple
                                                interest within the meaning of 19 C.F.R.                                bronchoconstriction and allergic rhinitis.                               inactive ingredients, including some
                                                § 177.22(d)(1) and is entitled to request this                             You state that Acetris procures the
                                                final determination.                                                                                                                             intermediates that are mixed in order to aid
                                                                                                                        Montelukast Sodium tablets from Aurolife                                 the conversion of the multiple ingredients.
                                                   You have asked that certain information                              Pharma LLC (‘‘Aurolife’’), located in Dayton,
                                                submitted in connection with this ruling                                                                                                         The production of Montelukast Sodium
                                                                                                                        NJ. Aurolife, which is a wholly-owned                                    tablets employs processes that convert these
                                                request be treated as confidential. Inasmuch                            subsidiary of company X in India, is a
                                                as this request conforms to the requirements                                                                                                     ingredients into finished, medically effective
                                                                                                                        generic pharmaceutical product
                                                of 19 C.F.R. § 177.2(b)(7), the request for                                                                                                      dosage tablets (10 mg tablets). You state that
                                                                                                                        manufacturer in the specialty and niche
                                                confidentiality is approved. The information                                                                                                     this processing changes the properties and
                                                contained within brackets in your request                               areas. Aurolife manufactures the Montelukast
                                                                                                                        Sodium tablets supplied to Acetris in a U.S.                             characteristics of the API, materially
                                                will not be released to the public and will be                                                                                                   enhancing the pharmacokinetics of the
                                                withheld from published versions of this                                Food & Drug Administration (‘‘FDA’’)
                                                                                                                        approved cGMP compliant manufacturing                                    resulting drug.
                                                ruling.                                                                                                                                             You state that the process of converting
                                                                                                                        facility, located in Dayton, NJ, from several
                                                FACTS:                                                                  active and inactive ingredients procured                                 these multiple ingredients into the
                                                  The merchandise at issue are Montelukast                              domestically and abroad. The active                                      Montelukast Sodium tablets occurs entirely
                                                Sodium tablets. You state that Acetris is a                             pharmaceutical ingredient (‘‘API’’) of the                               within the United States. The ingredients
                                                generic pharmaceutical distributor                                      Montelukast Sodium tablets is Montelukast                                processed in the United States are sourced
                                                specializing in providing cost effective                                Sodium, which Aurolife sources from                                      from a variety of suppliers, both United
                                                products to the U.S. Government. Acetris has                            company Y in India.                                                      States and foreign, as follows:

                                                Material                                                                                                                                                                                     Country

                                                Montelukast Sodium IH ....................................................................................................................................................................   India
                                                Lactose MonohydrateUSNF .............................................................................................................................................................        Country A
                                                Microcrystalline Cellulose USNF (AVICEL PH101) ..........................................................................................................................                    USA
                                                Croscaramellose Sodium USNF .......................................................................................................................................................          USA
                                                Hydroxypropyl Cellulose USNF ........................................................................................................................................................        USA
                                                Magnesium Stearate USNF ..............................................................................................................................................................       USA
                                                Opadry Yellow 20A82539 IH ............................................................................................................................................................       USA



                                                   The processing that occurs in the United                             retaining the overall integrity of the quality                           of an article which consists in whole or in
                                                States includes the following:                                          attributes and minimizing the formation of                               part of materials from another country or
                                                   • Lactose monohydrate, microcrystalline                              sulfoxide impurity, thereby transform it into                            instrumentality, it has been substantially
                                                cellulose are added as bulking agents for                               a more stable product whose therapeutic                                  transformed into a new and different article
                                                better manufacturability so that the patient                            effectiveness as a drug is sustainable.                                  of commerce with a name, character, or use
                                                can easily take the medication.                                            You submitted product labels for the                                  distinct from that of the article or articles
                                                   • Hydroxyproyl cellulose is added as a                               Montelukast Sodium tablets. You also                                     from which it was so transformed.
                                                binder to aid formation of flowable granules                            submitted a shipping label and the Materials                             See also 19 C.F.R. § 177.22(a).
                                                during manufacturing, thereby achieving the                             Safety Data Sheet (‘‘MSDS’’) for the API,                                   In rendering advisory rulings and final
                                                uniformity of the drug leading to therapeutic                           Montelukast Sodium. Additionally, you                                    determinations for purposes of U.S.
                                                efficacy.                                                               provided a manufacturing flow chart                                      Government procurement, CBP applies the
                                                   • Croscarmellose sodium is added as a                                depicting the various steps which occur in                               provisions of subpart B of Part 177 consistent
                                                disintegrant to provide easy dispersion of the                          the United States to make the final                                      with Federal Acquisition Regulations. See 19
                                                tablet when ingested by the patient, which                              Montelukast Sodium tablets.                                              C.F.R. § 177.21. In this regard, CBP
                                                enhances the drug release process,                                                                                                               recognizes that the Federal Acquisition
                                                bioavailability and absorption leading to                               ISSUE:
                                                                                                                                                                                                 Regulations restrict the U.S. Government’s
                                                pharmacokinetic profiles equivalent to the                                What is the country of origin of the
                                                                                                                                                                                                 purchase of products to U.S.-made or
                                                brand product (Singular®) for therapeutic                               Montelukast Sodium tablets for purposes of
                                                                                                                                                                                                 designated country end products for
                                                equivalency.                                                            U.S. Government procurement?
                                                                                                                                                                                                 acquisitions subject to the TAA. See 48
                                                  • Colloidal silicon dioxide is added to                                                                                                        C.F.R. § 25.403(c)(1). The Federal Acquisition
                                                                                                                        LAW AND ANALYSIS:
                                                create a gliding property in the blend                                                                                                           Regulations define ‘‘U.S.-made end product’’
                                                particles, thereby contributing to the unit-to-                            CBP issues country of origin advisory
                                                                                                                        rulings and final determinations as to                                   as:
                                                unit uniformity of the drug during the
                                                manufacturing process.                                                  whether an article is or would be a product                              . . . an article that is mined, produced, or
                                                  • Magnesium stearate is added to create a                             of a designated country or instrumentality for                           manufactured in the United States or that is
                                                hydrophobic environment around particles                                the purposes of granting waivers of certain                              substantially transformed in the United
                                                which provides a lubrication effect during                              ‘‘Buy American’’ restrictions in U.S. law or                             States into a new and different article of
                                                the production process. Lubricant mixing is                             practice for products offered for sale to the                            commerce with a name, character, or use
                                                carefully done to ensure that the drug                                  U.S. Government, pursuant to subpart B of                                distinct from that of the article or articles
                                                releasing profile and pharmacokinetics are                              Part 177, 19 C.F.R. § 177.21 et seq., which                              from which it was transformed.
                                                not influenced by this hydrophobic                                      implements Title III of the Trade Agreements                             48 C.F.R. § 25.003.
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                                                environment.                                                            Act of 1979, as amended (19 U.S.C. § 2511 et                                A substantial transformation occurs when
                                                  • Coloring agent and film coating are                                 seq.).                                                                   an article emerges from a process with a new
                                                added to give an aesthetic appearance. Film                                Under the rule of origin set forth under 19                           name, character or use different from that
                                                coating is performed using polymers which                               U.S.C. § 2518(4)(B):                                                     possessed by the article prior to processing.
                                                imparts a protective barrier for the drug and                           An article is a product of a country or                                  A substantial transformation will not result
                                                to mask the taste.                                                      instrumentality only if (i) it is wholly the                             from a minor manufacturing or combining
                                                  • Finally, the tablets are packed into                                growth, product, or manufacture of that                                  process that leaves the identity of the article
                                                suitable containers which are capable of                                country or instrumentality, or (ii) in the case                          intact. See United States v. Gibson-Thomsen



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                                                                             Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                       5135

                                                Co., 27 C.C.P.A. 267 (1940); and, National              packaged into dosage form. CBP determined             HOLDING:
                                                Juice Products Association v. United States,            that this process did not substantially                 The country of origin of the Montelukast
                                                628 F. Supp. 978 (Ct. Int’l Trade 1986).                transform the mefenamic acid because its              Sodium tablets for U.S. Government
                                                   In determining whether a substantial                 chemical character remained the same and,             procurement purposes is India.
                                                transformation occurs in the manufacture of             therefore, CBP found that the country of                Notice of this final determination will be
                                                chemical products such as pharmaceuticals,              origin of the Ponstel capsules was India.             given in the Federal Register, as required by
                                                CBP has consistently examined the                          You state that the FDA requires that a             19 C.F.R. § 177.29. Any party-at-interest other
                                                complexity of the processing and whether the            unique National Drug Code (‘‘NDC’’) be                than the party which requested this final
                                                final article retains the essential identity and        assigned to every drug product such as                determination may request, pursuant to 19
                                                character of the raw material. To that end, in          Montelukast Sodium tablets, but prohibits             C.F.R. 177.31, that CBP reexamine the matter
                                                cases concerning pharmaceutical products,               that same NDC from being associated with              anew and issue a new final determination.
                                                CBP has considered whether the API retained             any API, such as Montelukast Sodium, that             Pursuant to 19 C.F.R. § 177.30, any party-at-
                                                its chemical and physical properties as a               has not been demonstrated to be safe and              interest may, within 30 days after publication
                                                result of the processing performed and                  effective and cannot be sold for the treatment        of the Federal Register notice referenced
                                                whether the processing changed the                      of any human disease condition. You also
                                                                                                                                                              above, seek judicial review of this final
                                                medicinal use of the API.                               state that the FDA requires the name of the
                                                                                                                                                              determination before the Court of
                                                   In HQ H240193, dated July 29, 2013, which            drug product (Montelukast Sodium tablet) to
                                                                                                                                                              International Trade.
                                                concerned the country of origin marking of              appear on every drug product label and
                                                                                                        prohibits use of that name on the label for the       Sincerely,
                                                the brand-name Crestor® (Rosuvastatin
                                                Calcium salt) tablets, CBP found that the API           API. Further, you state that API is intended          Alice A. Kipel
                                                imported from two different countries was               only for use by producers for further                 Executive Director
                                                not substantially transformed when                      processing or for research since it is unstable       Regulations and Rulings
                                                combined with stabilizers and excipients,               and not fit for medical use and may not be            Office of Trade
                                                and manufactured into tablet form in the                sold to consumers. Additionally, you state
                                                                                                        that the API degrades in potency, has poor            HQ H289714
                                                United States.
                                                   HQ H267177, dated November 5, 2015,                  flow qualities, and has a bitter taste. For           January 30,2018
                                                concerned Acyclovir, a pharmaceutical                   these reasons, you claim that extensive
                                                                                                                                                              OT:RR:CTF:VS H289714 EE
                                                product used as a synthetic nucleoside                  additional processing of the API, sourced in
                                                                                                                                                              CATEGORY: Origin
                                                analogue active against herpes viruses. The             India, with other ingredients must occur to
                                                                                                                                                              Stephen E. Ruscus
                                                API was manufactured in China and India                 change the API’s properties and make it into
                                                                                                                                                              Morgan, Lewis & Bockius LLP
                                                and shipped to the United States where it               a stable drug product whose medical
                                                                                                        effectiveness as a drug is sustainable.               1111 Pennsylvania Avenue, NW
                                                underwent five manufacturing steps                                                                            Washington, DC 20004
                                                                                                           This office consulted with CBP’s
                                                including the sizing of the active and inactive                                                               RE: U.S. Government Procurement; Title III,
                                                                                                        Laboratories and Scientific Services
                                                ingredients, preparation of Acyclovir                                                                         Trade Agreements Act of 1979 (19 U.S.C.
                                                                                                        Directorate concerning the instant case,
                                                granules, preparation of the tablet blend,                                                                    § 2511); Subpart B, Part 177, CBP
                                                                                                        which informed us that the imported API,
                                                tablet compression, and packaging in high               Montelukast Sodium, retains its chemical              Regulations; Simvastatin tablets
                                                density polyethylene plastic bottles. CBP               and physical properties upon processing in            Dear Mr. Ruscus:
                                                determined that the processing performed in             the United States. Increasing the stability of
                                                the United States did not result in a change                                                                     This is in response to your correspondence
                                                                                                        the API and standardizing its concentration
                                                in the medicinal use of the finished product                                                                  of July 7, 2017 and supplemental submission
                                                                                                        do not change the API. Further, the
                                                and the active ingredient. The active                                                                         of August 7, 2017, requesting a final
                                                                                                        processing performed in the United States
                                                ingredient retained its chemical and physical                                                                 determination on behalf of Acetris Health,
                                                                                                        does not affect the medicinal use of the API.
                                                properties and was merely put into dosage                                                                     (‘‘Acetris’’) 10, pursuant to subpart B of Part
                                                                                                        Based on the information presented, the API
                                                form and packaged for sale. The active                                                                        177, U.S. Customs and Border Protection
                                                                                                        does not undergo a change in name, character
                                                ingredient did not undergo a change in name,                                                                  (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et
                                                                                                        or use. Therefore, in accordance with the
                                                character or use. Therefore, CBP held that no                                                                 seq.). A meeting was held with the counsel
                                                                                                        rulings cited, we find that no substantial
                                                substantial transformation occurred in                                                                        for Acetris on August 8, 2017.
                                                                                                        transformation occurs in United States, and
                                                United States, and Acyclovir tablets were                                                                        This final determination concerns the
                                                                                                        the Montelukast Sodium tablets would be
                                                considered a product of the country in which                                                                  country of origin of the Simvastatin tablets.
                                                                                                        considered a product of India, where the API
                                                the active ingredient was produced.                                                                           We note that Acetris is a party-at-interest
                                                                                                        was produced, for purposes of U.S.
                                                   HQ H215656, dated January 11, 2013,                                                                        within the meaning of 19 C.F.R.
                                                                                                        government procurement.
                                                concerned the country of origin of Rybix                                                                      § 177.22(d)(1) and is entitled to request this
                                                                                                           In addition, you asked whether the
                                                ODT, a pharmaceutical product used for the                                                                    final determination.
                                                                                                        Montelukast Sodium tablets are
                                                management of moderate to moderately                                                                             You have asked that certain information
                                                                                                        ‘‘manufactured in the United States’’ within
                                                severe pain in adults. The API, tramadol                                                                      submitted in connection with this ruling
                                                                                                        the meaning of the term ‘‘U.S.-made end
                                                hydrochloride, manufactured in India, was                                                                     request be treated as confidential. Inasmuch
                                                                                                        products’’, as set forth in Section 25.003 of
                                                shipped to France where it underwent four                                                                     as this request conforms to the requirements
                                                                                                        the Federal Acquisition Regulations System,
                                                processes of manufacturing consisting of the                                                                  of 19 C.F.R. § 177.2(b)(7), the request for
                                                                                                        Title 48, Code of Federal Regulations (48
                                                preparation of the API, preparation of the                                                                    confidentiality is approved. The information
                                                                                                        C.F.R. § 25.003), and implemented in 48
                                                tablet blend, tablet compression, and                                                                         contained within brackets in your request
                                                                                                        C.F.R. § 52.225–5. As stated in 19 C.F.R.
                                                packaging in blister packs. CBP determined                                                                    will not be released to the public and will be
                                                                                                        § 177.21, subpart B is intended to be applied
                                                that the processing in France did not result                                                                  withheld from published versions of this
                                                                                                        consistent with the Federal Acquisition
                                                in a change in the medicinal use of the                                                                       ruling.
                                                                                                        Regulations (48 C.F.R. chapter 1). The
                                                finished product, and the API retained its              definition of country of origin in subpart B,         FACTS:
                                                chemical and physical properties and was                19 C.F.R. § 177.22(a) has two rules (see                The merchandise at issue are Simvastatin
                                                merely put into dosage form and packaged.               above) as does 48 C.F.R. § 25.003. The term           tablets. You state that Acetris is a generic
                                                Accordingly, CBP held that no substantial               ‘‘manufactured in the United States’’ in 48           pharmaceutical distributor specializing in
                                                transformation occurred in France.                      C.F.R. § 25.003 correlates to the first rule of
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                                                                              providing cost effective products to the U.S.
                                                   HQ H233356, dated December 26, 2012,                 19 C.F.R. § 177.22(a) which provides that an
                                                concerned the country of origin of Ponstel, a           article is a product of a country or                    10 Counsel for Acetris states that on May 19, 2017,
                                                pharmaceutical product used for the relief of           instrumentality if ‘‘it is wholly the growth,
                                                                                                                                                              Acetris executed a novation with Lucid Pharma
                                                mild to moderate pain caused by primary                 product, or manufacture of that country or            LLC and the Department of Veterans Affairs
                                                dysmenorrhea. Mefenamic acid, which is the              instrumentality’’. Since the production of            whereby the VA recognized Acetris as the successor
                                                API in Ponstel, was manufactured in India,              Montelukast Sodium tablets partially occurs           in interest to Department of Veterans Affairs
                                                and imported into the United States, where              in India, we do not find that they are                Contract No. VA 797P–16–C–0034, the subject
                                                it was blended with inactive ingredients and            manufactured in the United States.                    contract of the underlying request.



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                                                5136                                    Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                Government. Acetris has its principal place                               Drug Administration (‘‘FDA’’) approved                                     The production of Simvastatin tablets
                                                of business in Allendale, NJ. Among the                                   cGMP compliant manufacturing facility,                                     employs processes that convert these
                                                products Acetris sells to the U.S. Government                             located in Dayton, NJ, from several active and                             ingredients into finished, medically effective
                                                are Simvastatin tablets, members of a family                              inactive ingredients procured domestically                                 dosage tablets (5 mg, 10 mg, 20 mg, 40 mg,
                                                of statin drugs prescribed for lowering                                   and abroad. The active pharmaceutical                                      and 80 mg tablets). You state that this
                                                cholesterol and triglyceride levels and                                   ingredient (‘‘API’’) of the Simvastatin tablets                            processing changes the properties and
                                                prevention of heart attacks and strokes.                                  is Simvastatin, which Aurolife sources from                                characteristics of the API, materially
                                                  You state that Acetris procures the                                     company X in India.                                                        enhancing the pharmacokinetics of the
                                                Simvastatin tablets from Aurolife Pharma                                     You state that the Simvastatin tablets                                  resulting drug.
                                                LLC (‘‘Aurolife’’), located in Dayton, NJ.                                supplied to Acetris are the result of a                                      You state that the process of converting
                                                Aurolife, which is a wholly-owned                                         complex production process that occurs in                                  these multiple ingredients into the
                                                subsidiary of company X in India, is a                                    Aurolife’s New Jersey facility involving the                               Simvastatin tablets occurs entirely within the
                                                generic pharmaceutical product                                            combination of the API with multiple                                       United States. The ingredients processed in
                                                manufacturer in the specialty and niche                                   inactive ingredients, including some                                       the United States are sourced from a variety
                                                areas. Aurolife manufactures the Simvastatin                              intermediates that are mixed in order to aid                               of suppliers, both United States and foreign,
                                                tablets supplied to Acetris in a U.S. Food &                              the conversion of the multiple ingredients.                                as follows:

                                                Material                                                                                                                                                                                          Country

                                                Simvastatin USP ...............................................................................................................................................................................   India
                                                Ascorbic Acid USP (Micro powder) ..................................................................................................................................................               Country A
                                                Lactose Monohydrate USNF ............................................................................................................................................................             Country B
                                                Microcrystalline Cellulose PH 101 USNF .........................................................................................................................................                  USA/Country C
                                                Pregelatinized Starch USNF .............................................................................................................................................................          USA
                                                Citric Acid Monohydrate USP (Extra Pure powder) .........................................................................................................................                         Country D
                                                Butylated Hydroxy anisole USNF .....................................................................................................................................................              USA
                                                Microcrystalline Cellulose PH 112 USNF .........................................................................................................................................                  Country E
                                                Magnesium Stearate USNF ..............................................................................................................................................................            USA
                                                Opadry yellow 20A52229 IH .............................................................................................................................................................           USA
                                                Opadry Pink 20A54239 IH ................................................................................................................................................................          USA
                                                Opadry Pink 20A54211 IH ................................................................................................................................................................          USA
                                                Isopropyl Alcohol USP ......................................................................................................................................................................      USA



                                                   The processing that occurs in the United                                  You submitted product labels for the                                       In rendering advisory rulings and final
                                                States includes the following:                                            Simvastatin tablets. You also submitted a                                  determinations for purposes of U.S.
                                                   • Butylated hydroxyanisole, ascorbic acid,                             shipping label and the Materials Safety Data                               Government procurement, CBP applies the
                                                and citric acid are added to the Simvastatin                              Sheet (‘‘MSDS’’) for the API, Simvastatin.                                 provisions of subpart B of Part 177 consistent
                                                API to improve drug stability. BHA and                                    Additionally, you provided a manufacturing                                 with Federal Acquisition Regulations. See 19
                                                ascorbic acid are included in the tablets as                              flow chart depicting the various steps which                               C.F.R. § 177.21. In this regard, CBP
                                                antioxidants. Citric acid is added because it                             occur in the United States to make the final                               recognizes that the Federal Acquisition
                                                has chelation properties with metal ions,                                 Simvastatin tablets.                                                       Regulations restrict the U.S. Government’s
                                                which, in the absence of the citric acid, could                                                                                                      purchase of products to U.S.-made or
                                                catalyze the oxidation process and make the                               ISSUE:                                                                     designated country end products for
                                                drug unstable. These three excipients are                                   What is the country of origin of the                                     acquisitions subject to the TAA. See 48
                                                added according to a proprietary set of                                   Simvastatin tablets for purposes of U.S.                                   C.F.R. § 25.403(c)(1). The Federal Acquisition
                                                protocols with specified blending times to                                Government procurement?                                                    Regulations define ‘‘U.S.-made end product’’
                                                ensure proper mixing throughout the blend.                                                                                                           as:
                                                Butylated hydroxyanisole, ascorbic acid, and                              LAW AND ANALYSIS:
                                                                                                                                                                                                        . . . an article that is mined, produced, or
                                                citric acid are the key ingredients which                                    CBP issues country of origin advisory                                   manufactured in the United States or that is
                                                create a protective environment for                                       rulings and final determinations as to                                     substantially transformed in the United
                                                enhancing the stability of the finished                                   whether an article is or would be a product                                States into a new and different article of
                                                product.                                                                  of a designated country or instrumentality for                             commerce with a name, character, or use
                                                   • Lactose monohydrate, microcrystalline                                the purposes of granting waivers of certain                                distinct from that of the article or articles
                                                cellulose are added as bulking agents for                                 ‘‘Buy American’’ restrictions in U.S. law or                               from which it was transformed.
                                                better manufacturability and to have suitable                             practice for products offered for sale to the
                                                tablet weight so that the patient can easily                                                                                                         48 C.F.R. § 25.003.
                                                                                                                          U.S. Government, pursuant to subpart B of
                                                take the medication.                                                      Part 177, 19 C.F.R. § 177.21 et seq., which                                   A substantial transformation occurs when
                                                   • Pregelatinized starch is added as a                                  implements Title III of the Trade Agreements                               an article emerges from a process with a new
                                                disintegrant to provide easy dispersion of the                            Act of 1979, as amended (19 U.S.C. § 2511 et                               name, character or use different from that
                                                tablet when engulfed by the patient which                                 seq.).                                                                     possessed by the article prior to processing.
                                                indirectly enhances the drug release process.                                Under the rule of origin set forth under 19                             A substantial transformation will not result
                                                   • Magnesium stearate is added to create a                              U.S.C. § 2518(4)(B):                                                       from a minor manufacturing or combining
                                                hydrophobic environment around particles                                                                                                             process that leaves the identity of the article
                                                which provides a lubrication effect during                                An article is a product of a country or                                    intact. See United States v. Gibson-Thomsen
                                                the production process. Lubricant mixing is                               instrumentality only if (i) it is wholly the                               Co., 27 C.C.P.A. 267 (1940); and, National
                                                carefully done to ensure that the drug                                    growth, product, or manufacture of that                                    Juice Products Association v. United States,
                                                releasing profile and pharmacokinetics are                                country or instrumentality, or (ii) in the case                            628 F. Supp. 978 (Ct. Int’l Trade 1986).
sradovich on DSK3GMQ082PROD with NOTICES




                                                not influenced by this hydrophobic                                        of an article which consists in whole or in                                   In determining whether a substantial
                                                environment.                                                              part of materials from another country or                                  transformation occurs in the manufacture of
                                                   • Finally, different coloring agents and                               instrumentality, it has been substantially                                 chemical products such as pharmaceuticals,
                                                film coating are added to give each tablet                                transformed into a new and different article                               CBP has consistently examined the
                                                strength a distinct name and character. Film                              of commerce with a name, character, or use                                 complexity of the processing and whether the
                                                coating is performed using polymers which                                 distinct from that of the article or articles                              final article retains the essential identity and
                                                imparts a protective barrier for each strength                            from which it was so transformed.                                          character of the raw material. To that end, in
                                                of the drug and to mask the taste.                                        See also 19 C.F.R. § 177.22(a).                                            cases concerning pharmaceutical products,



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                                                                             Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                                       5137

                                                CBP has considered whether the API retained             such as Simvastatin, that has not been                days after publication of the Federal Register
                                                its chemical and physical properties as a               demonstrated to be safe and effective and             notice referenced above, seek judicial review
                                                result of the processing performed and                  cannot be sold for the treatment of any               of this final determination before the Court
                                                whether the processing changed the                      human disease condition. You also state that          of International Trade.
                                                medicinal use of the API.                               the FDA requires the name of the drug                 Sincerely,
                                                   In HQ H240193, dated July 29, 2013, which            product (Simvastatin tablet) to appear on             Alice A. Kipel
                                                concerned the country of origin marking of              every drug product label and prohibits use of         Executive Director
                                                the brand-name Crestor® (Rosuvastatin                   that name on the label for the API. Further,          Regulations and Rulings
                                                Calcium salt) tablets, CBP found that the API           you state that Simvastatin is intended only           Office of Trade
                                                imported from two different countries was               for use by producers for further processing or
                                                not substantially transformed when                      for research since it is unstable and not fit         HQ H289715
                                                combined with stabilizers and excipients,               for medical use and may not be sold to
                                                and manufactured into tablet form in the                                                                      January 30, 2018
                                                                                                        consumers. For these reasons, you claim that
                                                United States.                                          extensive additional processing of the API,           OT:RR:CTF:VS H289715 EE
                                                   HQ H267177, dated November 5, 2015,                  sourced in India, with other ingredients must         CATEGORY: Origin
                                                concerned Acyclovir, a pharmaceutical                   occur to change the API’s properties and              Stephen E. Ruscus
                                                product used as a synthetic nucleoside                  make it into a stable drug product whose              Morgan, Lewis & Bockius LLP
                                                analogue active against herpes viruses. The             medical effectiveness as a drug is sustainable.       1111 Pennsylvania Avenue, NW
                                                API was manufactured in China and India                    This office consulted with CBP’s                   Washington, DC 20004
                                                and shipped to the United States where it               Laboratories and Scientific Services                  RE: U.S. Government Procurement; Title III,
                                                underwent five manufacturing steps                      Directorate concerning the instant case,              Trade Agreements Act of 1979 (19 U.S.C.
                                                including the sizing of the active and inactive         which informed us that the imported API,              § 2511); Subpart B, Part 177, CBP
                                                ingredients, preparation of Acyclovir                   Simvastatin, retains its chemical and                 Regulations; Donepezil Hydrochloride tablets
                                                granules, preparation of the tablet blend,              physical properties upon processing in the            Dear Mr. Ruscus:
                                                tablet compression, and packaging in high               United States. Increasing the stability of the           This is in response to your correspondence
                                                density polyethylene plastic bottles. CBP               API and standardizing its concentration do            of July 7, 2017 and supplemental submission
                                                determined that the processing performed in             not change the API. Further, the processing           of August 7, 2017, requesting a final
                                                the United States did not result in a change            performed in the United States does not               determination on behalf of Acetris Health,
                                                in the medicinal use of the finished product            affect the medicinal use of the API. Based on         (‘‘Acetris’’) 11, pursuant to subpart B of Part
                                                and the active ingredient. The active                   the information presented, the API does not           177, U.S. Customs and Border Protection
                                                ingredient retained its chemical and physical           undergo a change in name, character or use.           (‘‘CBP’’) Regulations (19 C.F.R. § 177.21 et
                                                properties and was merely put into dosage               Therefore, in accordance with the rulings             seq.). A meeting was held with the counsel
                                                form and packaged for sale. The active                  cited, we find that no substantial                    for Acetris on August 8, 2017.
                                                ingredient did not undergo a change in name,            transformation occurs in United States, and              This final determination concerns the
                                                character or use. Therefore, CBP held that no           the Simvastatin tablets would be considered           country of origin of the Donepezil
                                                substantial transformation occurred in                  a product of India, where the API was                 Hydrochloride tablets. We note that Acetris
                                                United States, and Acyclovir tablets were               produced, for purposes of U.S. government             is a party-at-interest within the meaning of 19
                                                considered a product of the country in which            procurement.                                          C.F.R. § 177.22(d)(1) and is entitled to request
                                                the active ingredient was produced.                        In addition, you asked whether the                 this final determination.
                                                   HQ H215656, dated January 11, 2013,                  Simvastatin tablets are ‘‘manufactured in the            You have asked that certain information
                                                concerned the country of origin of Rybix                United States’’ within the meaning of the             submitted in connection with this ruling
                                                ODT, a pharmaceutical product used for the              term ‘‘U.S.-made end products’’, as set forth         request be treated as confidential. Inasmuch
                                                management of moderate to moderately                    in Section 25.003 of the Federal Acquisition          as this request conforms to the requirements
                                                severe pain in adults. The API, tramadol                Regulations System, Title 48, Code of Federal         of 19 C.F.R. § 177.2(b)(7), the request for
                                                hydrochloride, manufactured in India, was               Regulations (48 C.F.R. § 25.003), and                 confidentiality is approved. The information
                                                shipped to France where it underwent four               implemented in 48 C.F.R. § 52.225–5. As               contained within brackets in your request
                                                processes of manufacturing consisting of the            stated in 19 C.F.R. § 177.21, subpart B is            will not be released to the public and will be
                                                preparation of the API, preparation of the              intended to be applied consistent with the            withheld from published versions of this
                                                tablet blend, tablet compression, and                   Federal Acquisition Regulations (48 C.F.R.            ruling.
                                                packaging in blister packs. CBP determined              chapter 1). The definition of country of origin       FACTS:
                                                that the processing in France did not result            in subpart B, 19 C.F.R. § 177.22(a) has two
                                                in a change in the medicinal use of the                 rules (see above) as does 48 C.F.R. § 25.003.            The merchandise at issue are Donepezil
                                                finished product, and the API retained its              The term ‘‘manufactured in the United                 Hydrochloride tablets. You state that Acetris
                                                chemical and physical properties and was                                                                      is a generic pharmaceutical distributor
                                                                                                        States’’ in 48 C.F.R. § 25.003 correlates to the
                                                merely put into dosage form and packaged.                                                                     specializing in providing cost effective
                                                                                                        first rule of 19 C.F.R. § 177.22(a) which
                                                Accordingly, CBP held that no substantial                                                                     products to the U.S. Government. Acetris has
                                                                                                        provides that an article is a product of a
                                                transformation occurred in France.                                                                            its principal place of business in Allendale,
                                                                                                        country or instrumentality if ‘‘it is wholly the
                                                   HQ H233356, dated December 26, 2012,                                                                       NJ. Among the products Acetris sells to the
                                                                                                        growth, product, or manufacture of that
                                                concerned the country of origin of Ponstel, a                                                                 U.S. Government are Donepezil
                                                                                                        country or instrumentality’’. Since the
                                                pharmaceutical product used for the relief of                                                                 Hydrochloride tablets, members of a family
                                                                                                        production of Simvastatin tablets partially
                                                mild to moderate pain caused by primary                                                                       of drugs prescribed for the treatment of
                                                                                                        occurs in India, we do not find that they are
                                                dysmenorrhea. Mefenamic acid, which is the                                                                    dementia of the Alzheimer’s type.
                                                                                                        manufactured in the United States.
                                                API in Ponstel, was manufactured in India,                                                                       You state that Acetris procures the
                                                                                                        HOLDING:                                              Donepezil Hydrochloride tablets from
                                                and imported into the United States, where
                                                                                                                                                              Aurolife Pharma LLC (‘‘Aurolife’’), located in
                                                it was blended with inactive ingredients and               The country of origin of the Simvastatin
                                                                                                                                                              Dayton, NJ. Aurolife, which is a wholly-
                                                packaged into dosage form. CBP determined               tablets for U.S. Government procurement
                                                                                                                                                              owned subsidiary of company X in India, is
                                                that this process did not substantially                 purposes is India.
                                                                                                                                                              a generic pharmaceutical product
                                                transform the mefenamic acid because its                   Notice of this final determination will be
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                                                                              manufacturer in the specialty and niche
                                                chemical character remained the same and,               given in the Federal Register, as required by
                                                therefore, CBP found that the country of                19 C.F.R. § 177.29. Any party-at-interest other
                                                                                                                                                                11 Counsel for Acetris states that on May 19, 2017,
                                                origin of the Ponstel capsules was India.               than the party which requested this final
                                                                                                                                                              Acetris executed a novation with Lucid Pharma
                                                   You state that the FDA requires that a               determination may request, pursuant to 19             LLC and the Department of Veterans Affairs
                                                unique National Drug Code (‘‘NDC’’) be                  C.F.R. § 177.31, that CBP reexamine the               whereby the VA recognized Acetris as the successor
                                                assigned to every drug product such as                  matter anew and issue a new final                     in interest to Department of Veterans Affairs
                                                Simvastatin tablets, but prohibits that same            determination. Pursuant to 19 C.F.R.                  Contract No. VA 797P–16–C–0034, the subject
                                                NDC from being associated with any API,                 § 177.30, any party-at-interest may, within 30        contract of the underlying request.



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                                                5138                                    Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices

                                                areas. Aurolife manufactures the Donepezil                                  You state that the Donepezil Hydrochloride                              state that this processing changes the
                                                Hydrochloride tablets supplied to Acetris in                              tablets supplied to Acetris are the result of                             properties and characteristics of the API,
                                                a U.S. Food & Drug Administration (‘‘FDA’’)                               a complex production process that occurs in                               materially enhancing the pharmacokinetics
                                                approved cGMP compliant manufacturing                                     Aurolife’s New Jersey facility involving the                              of the resulting drug.
                                                facility, located in Dayton, NJ, from several                             combination of the API with multiple                                        You state that the process of converting
                                                                                                                          inactive ingredients, including some
                                                active and inactive ingredients procured                                                                                                            these multiple ingredients into the Donepezil
                                                                                                                          intermediates that are mixed in order to aid
                                                domestically and abroad. The active                                       the conversion of the multiple ingredients.                               Hydrochloride tablets occurs entirely within
                                                pharmaceutical ingredient (‘‘API’’) of the                                The production of Donepezil Hydrochloride                                 the United States. The ingredients processed
                                                Donepezil Hydrochloride tablets is Donepezil                              tablets employs processes that convert these                              in the United States are sourced from a
                                                Hydrochloride, which Aurolife sources from                                ingredients into finished, medically effective                            variety of suppliers, both United States and
                                                company X in India.                                                       dosage tablets (5 mg and 10 mg tablets). You                              foreign, as follows:

                                                Material                                                                                                                                                                                         Country

                                                Donepezil hydrochloride Hydrochloride monohydrate USP .............................................................................................................                              India
                                                Lactose Monohydrate USNF ............................................................................................................................................................            Country A
                                                Microcrystalline Cellulose USNF (UNITAB 102) ..............................................................................................................................                      USA
                                                Pregelatinized Starch ........................................................................................................................................................................   USA
                                                Low substituted Hydroxypropyl Cellulose USNF ..............................................................................................................................                      Country B
                                                Magnesium Stearate USNF ..............................................................................................................................................................           USA
                                                Opadry Yellow 03F82726 IH ............................................................................................................................................................           USA
                                                Opadry White 03F180009 ................................................................................................................................................................          USA



                                                   The processing that occurs in the United                               ISSUE:                                                                    commerce with a name, character, or use
                                                States includes the following:                                              What is the country of origin of the                                    distinct from that of the article or articles
                                                   • The particle size of the API is tailored to                          Donepezil Hydrochloride tablets for purposes                              from which it was transformed.
                                                have a good flowability during the                                        of U.S. Government procurement?                                           48 C.F.R. § 25.003.
                                                production process so that there is no unit-
                                                                                                                          LAW AND ANALYSIS:                                                            A substantial transformation occurs when
                                                to-unit variability in the labeled quantity in
                                                                                                                                                                                                    an article emerges from a process with a new
                                                each tablet.                                                                 CBP issues country of origin advisory                                  name, character or use different from that
                                                   • Lactose monohydrate and                                              rulings and final determinations as to                                    possessed by the article prior to processing.
                                                microcrystalline cellulose directly                                       whether an article is or would be a product                               A substantial transformation will not result
                                                compressible grades are added as bulking                                  of a designated country or instrumentality for                            from a minor manufacturing or combining
                                                agents for better flowability,                                            the purposes of granting waivers of certain                               process that leaves the identity of the article
                                                manufacturability and to have suitable tablet                             ‘‘Buy American’’ restrictions in U.S. law or                              intact. See United States v. Gibson-Thomsen
                                                weight so that the patient can easily take the                            practice for products offered for sale to the
                                                medication.                                                                                                                                         Co., 27 C.C.P.A. 267 (1940); and, National
                                                                                                                          U.S. Government, pursuant to subpart B of                                 Juice Products Association v. United States,
                                                   • Pregelatinized starch and low substituted                            Part 177, 19 C.F.R. § 177.21 et seq., which
                                                hydroxyproyl cellulose are added as                                                                                                                 628 F. Supp. 978 (Ct. Int’l Trade 1986).
                                                                                                                          implements Title III of the Trade Agreements                                 In determining whether a substantial
                                                disintegrants to provide easy dispersion of                               Act of 1979, as amended (19 U.S.C. § 2511 et
                                                the tablet when ingested by the patient,                                                                                                            transformation occurs in the manufacture of
                                                                                                                          seq.).
                                                which enhances the release process,                                                                                                                 chemical products such as pharmaceuticals,
                                                                                                                             Under the rule of origin set forth under 19
                                                bioavailability and absorption leading to                                                                                                           CBP has consistently examined the
                                                                                                                          U.S.C. § 2518(4)(B):
                                                pharmacokinetic profiles equivalent to the                                                                                                          complexity of the processing and whether the
                                                                                                                          An article is a product of a country or                                   final article retains the essential identity and
                                                brand product (Aricept®) for therapeutic                                  instrumentality only if (i) it is wholly the
                                                equivalency.                                                                                                                                        character of the raw material. To that end, in
                                                                                                                          growth, product, or manufacture of that                                   cases concerning pharmaceutical products,
                                                   • Magnesium stearate is added to create a                              country or instrumentality, or (ii) in the case
                                                hydrophobic environment around particles                                                                                                            CBP has considered whether the API retained
                                                                                                                          of an article which consists in whole or in                               its chemical and physical properties as a
                                                which provides a lubrication effect during                                part of materials from another country or
                                                the production process. Lubricant mixing is                                                                                                         result of the processing performed and
                                                                                                                          instrumentality, it has been substantially                                whether the processing changed the
                                                carefully done to ensure that the drug                                    transformed into a new and different article
                                                releasing profile and pharmacokinetics are                                                                                                          medicinal use of the API.
                                                                                                                          of commerce with a name, character, or use                                   In HQ H240193, dated July 29, 2013, which
                                                not influenced by this hydrophobic                                        distinct from that of the article or articles
                                                environment.                                                                                                                                        concerned the country of origin marking of
                                                                                                                          from which it was so transformed.                                         the brand-name Crestor® (Rosuvastatin
                                                   • Coloring agents and film coating are
                                                                                                                          See also 19 C.F.R. § 177.22(a).                                           Calcium salt) tablets, CBP found that the API
                                                added to give an aesthetic appearance. Film
                                                coating is performed using polymers which                                    In rendering advisory rulings and final                                imported from two different countries was
                                                imparts a protective barrier for the drug.                                determinations for purposes of U.S.                                       not substantially transformed when
                                                   • Finally the tablets are packed into                                  Government procurement, CBP applies the                                   combined with stabilizers and excipients,
                                                suitable containers which are capable of                                  provisions of subpart B of Part 177 consistent                            and manufactured into tablet form in the
                                                retaining the overall integrity of the quality                            with Federal Acquisition Regulations. See 19                              United States.
                                                attributes and minimizing the formation of                                C.F.R. § 177.21. In this regard, CBP                                         HQ H267177, dated November 5, 2015,
                                                oxidative impurity, thereby transforming it                               recognizes that the Federal Acquisition                                   concerned Acyclovir, a pharmaceutical
                                                into a more stable product whose therapeutic                              Regulations restrict the U.S. Government’s                                product used as a synthetic nucleoside
                                                effectiveness as a drug is sustainable.                                   purchase of products to U.S.-made or                                      analogue active against herpes viruses. The
                                                   You submitted product labels for the                                   designated country end products for                                       API was manufactured in China and India
sradovich on DSK3GMQ082PROD with NOTICES




                                                Donepezil Hydrochloride tablets. You also                                 acquisitions subject to the TAA. See 48                                   and shipped to the United States where it
                                                submitted a shipping label and the Materials                              C.F.R. § 25.403(c)(1). The Federal Acquisition                            underwent five manufacturing steps
                                                Safety Data Sheet (‘‘MSDS’’) for the API,                                 Regulations define ‘‘U.S.-made end product’’                              including the sizing of the active and inactive
                                                Donepezil Hydrochloride. Additionally, you                                as:                                                                       ingredients, preparation of Acyclovir
                                                provided a manufacturing flow chart                                       . . . an article that is mined, produced, or                              granules, preparation of the tablet blend,
                                                depicting the various steps which occur in                                manufactured in the United States or that is                              tablet compression, and packaging in high
                                                the United States to make the final Donepezil                             substantially transformed in the United                                   density polyethylene plastic bottles. CBP
                                                Hydrochloride tablets.                                                    States into a new and different article of                                determined that the processing performed in



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                                                                             Federal Register / Vol. 83, No. 24 / Monday, February 5, 2018 / Notices                                             5139

                                                the United States did not result in a change            processing in the United States. Increasing           DEPARTMENT OF HOMELAND
                                                in the medicinal use of the finished product            the stability of the API and standardizing its        SECURITY
                                                and the active ingredient. The active                   concentration do not change the API.
                                                ingredient retained its chemical and physical           Further, the processing performed in the              U.S. Customs and Border Protection
                                                properties and was merely put into dosage               United States does not affect the medicinal
                                                form and packaged for sale. The active                                                                        Notice of Issuance of Final
                                                                                                        use of the API. Based on the information
                                                ingredient did not undergo a change in name,
                                                                                                        presented, the API does not undergo a change          Determination Concerning Certain
                                                character or use. Therefore, CBP held that no
                                                substantial transformation occurred in                  in name, character or use. Therefore, in              Ethernet Switch Products
                                                United States, and Acyclovir tablets were               accordance with the rulings cited, we find
                                                                                                                                                              AGENCY:  U.S. Customs and Border
                                                considered a product of the country in which            that no substantial transformation occurs in
                                                                                                                                                              Protection, Department of Homeland
                                                the active ingredient was produced.                     United States, and the Donepezil
                                                   HQ H215656, dated January 11, 2013,
                                                                                                                                                              Security.
                                                                                                        Hydrochloride tablets would be considered a
                                                concerned the country of origin of Rybix                product of India, where the API was                   ACTION: Notice of final determination.
                                                ODT, a pharmaceutical product used for the              produced, for purposes of U.S. government
                                                management of moderate to moderately                                                                          SUMMARY:     This document provides
                                                                                                        procurement.                                          notice that U.S. Customs and Border
                                                severe pain in adults. The API, tramadol
                                                                                                           In addition, you asked whether the                 Protection (‘‘CBP’’) has issued a final
                                                hydrochloride, manufactured in India, was
                                                shipped to France where it underwent four               Donepezil Hydrochloride tablets are                   determination concerning the country of
                                                processes of manufacturing consisting of the            ‘‘manufactured in the United States’’ within          origin of certain ethernet switch
                                                preparation of the API, preparation of the              the meaning of the term ‘‘U.S.-made end               products known as Nyquist Ethernet
                                                tablet blend, tablet compression, and                   products’’, as set forth in Section 25.003 of
                                                                                                                                                              Switches. Based upon the facts
                                                packaging in blister packs. CBP determined              the Federal Acquisition Regulations System,
                                                                                                                                                              presented, CBP has concluded that the
                                                that the processing in France did not result            Title 48, Code of Federal Regulations (48
                                                in a change in the medicinal use of the                                                                       country of origin of the Nyquist Ethernet
                                                                                                        C.F.R. § 25.003), and implemented in 48
                                                finished product, and the API retained its                                                                    Switches is Mexico for purposes of U.S.
                                                                                                        C.F.R. § 52.225–5. As stated in 19 C.F.R.
                                                chemical and physical properties and was                                                                      Government procurement.
                                                                                                        § 177.21, subpart B is intended to be applied
                                                merely put into dosage form and packaged.
                                                                                                        consistent with the Federal Acquisition               DATES: The final determination was
                                                Accordingly, CBP held that no substantial                                                                     issued on January 30, 2018. A copy of
                                                                                                        Regulations (48 C.F.R. chapter 1). The
                                                transformation occurred in France.                                                                            the final determination is attached. Any
                                                   HQ H233356, dated December 26, 2012,                 definition of country of origin in subpart B,
                                                                                                        19 C.F.R. § 177.22(a) has two rules (see              party-at-interest, as defined in 19 CFR
                                                concerned the country of origin of Ponstel, a
                                                                                                        above) as does 48 C.F.R. § 25.003. The term           177.22(d), may seek judicial review of
                                                pharmaceutical product used for the relief of
                                                mild to moderate pain caused by primary                 ‘‘manufactured in the United States’’ in 48           this final determination within March 7,
                                                dysmenorrhea. Mefenamic acid, which is the              C.F.R. § 25.003 correlates to the first rule of       2018.
                                                API in Ponstel, was manufactured in India,              19 C.F.R. § 177.22(a) which provides that an          FOR FURTHER INFORMATION CONTACT:
                                                and imported into the United States, where              article is a product of a country or                  Yuliya A. Gulis, Valuation and Special
                                                it was blended with inactive ingredients and            instrumentality if ‘‘it is wholly the growth,         Programs Branch, Regulations and
                                                packaged into dosage form. CBP determined               product, or manufacture of that country or            Rulings, Office of Trade, at (202) 325–
                                                that this process did not substantially                 instrumentality’’. Since the production of            0042.
                                                transform the mefenamic acid because its
                                                                                                        Donepezil Hydrochloride tablets partially             SUPPLEMENTARY INFORMATION: Notice is
                                                chemical character remained the same and,
                                                therefore, CBP found that the country of                occurs in India, we do not find that they are         hereby given that on January 30, 2018
                                                origin of the Ponstel capsules was India.               manufactured in the United States.                    pursuant to subpart B of part 177, U.S.
                                                   You state that the FDA requires that a               HOLDING:                                              Customs and Border Protection
                                                unique National Drug Code (‘‘NDC’’) be                                                                        Regulations (19 CFR part 177, subpart
                                                assigned to every drug product such as                     The country of origin of the Donepezil
                                                                                                                                                              B), CBP issued a final determination
                                                Donepezil Hydrochloride tablets, but                    Hydrochloride tablets for U.S. Government
                                                                                                                                                              concerning the country of origin of
                                                prohibits that same NDC from being                      procurement purposes is India.
                                                                                                                                                              certain ethernet switch products known
                                                associated with any API, such as Donepezil                 Notice of this final determination will be
                                                Hydrochloride, that has not been
                                                                                                                                                              as Nyquist Ethernet Switches, which
                                                                                                        given in the Federal Register, as required by
                                                demonstrated to be safe and effective and                                                                     may be offered to the U.S. Government
                                                                                                        19 C.F.R. § 177.29. Any party-at-interest other
                                                cannot be sold for the treatment of any                                                                       under an undesignated government
                                                                                                        than the party which requested this final
                                                human disease condition. You also state that                                                                  procurement contract. This final
                                                                                                        determination may request, pursuant to 19
                                                the FDA requires the name of the drug
                                                                                                        C.F.R. § 177.31, that CBP reexamine the
                                                                                                                                                              determination, HQ H282390, was issued
                                                product (Donepezil Hydrochloride tablet) to                                                                   under procedures set forth at 19 CFR
                                                appear on every drug product label and                  matter anew and issue a new final
                                                                                                        determination. Pursuant to 19 C.F.R.                  part 177, subpart B, which implements
                                                prohibits use of that name on the label for the                                                               Title III of the Trade Agreements Act of
                                                API. Further, you state that Donepezil                  § 177.30, any party-at-interest may, within 30
                                                                                                        days after publication of the Federal Register        1979, as amended (19 U.S.C. 2511–18).
                                                Hydrochloride is intended only for use by
                                                producers for further processing or for                 notice referenced above, seek judicial review         In the final determination, CBP
                                                research since it is unstable and not fit for           of this final determination before the Court          concluded that the last substantial
                                                medical use and may not be sold to                      of International Trade.                               transformation took place in Mexico.
                                                consumers. Additionally, you state that the                                                                   Therefore, the country of origin of the
                                                                                                        Sincerely,
                                                API is poisonous and has poor flow                                                                            Nyquist Ethernet Switches is Mexico for
                                                properties. For these reasons, you claim that           Alice A. Kipel                                        purposes of U.S. Government
                                                extensive additional processing of the API,             Executive Director                                    procurement.
                                                sourced in India, with other ingredients must           Regulations and Rulings                                  Section 177.29, CBP Regulations (19
sradovich on DSK3GMQ082PROD with NOTICES




                                                occur to change the API’s properties and                Office of Trade                                       CFR 177.29), provides that a notice of
                                                make it into a stable drug product.                     [FR Doc. 2018–02245 Filed 2–2–18; 8:45 am]            final determination shall be published
                                                   This office consulted with CBP’s
                                                Laboratories and Scientific Services                    BILLING CODE 9111–14–P                                in the Federal Register within 60 days
                                                Directorate concerning the instant case,                                                                      of the date the final determination is
                                                which informed us that the imported API,                                                                      issued. Section 177.30, CBP Regulations
                                                Donepezil Hydrochloride, retains its                                                                          (19 CFR 177.30), provides that any
                                                chemical and physical properties upon                                                                         party-at-interest, as defined in 19 CFR


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Document Created: 2018-02-03 01:24:48
Document Modified: 2018-02-03 01:24:48
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 final determinations.
DatesThese final determinations were issued on January 30, 2018. Copies of the final determinations are attached. Any party-at-interest, as defined in 19 CFR 177.22(d), may seek judicial review of these final determinations within March 7, 2018.
ContactElif Eroglu, Valuation and Special Programs Branch, Regulations and Rulings, Office of Trade, (202) 325- 0277.
FR Citation83 FR 5118 

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