Wedgewood Village Pharmacy; Revocation of Registration, 16593-16597 [E6-4771]
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burden and associated response time,
should be directed to the Office of
Management and Budget, Office of
Information and Regulatory Affairs,
Attention Department of Justice Desk
Officer, Washington, DC 20503.
Additionally, comments may be
submitted to OMB via facsimile to (202)
395–5806. Written comments and
suggestions from the public and affected
agencies concerning the proposed
collection of information are
encouraged. Your comments should
address one or more of the following
four points:
—Evaluate whether the proposed
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for the proper performance of the
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whether the information will have
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—Evaluate the accuracy of the agencies
estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
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collected; and
—Minimize the burden of the collection
of information on those who are to
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collection techniques or other forms
of information technology, e.g.,
permitting electronic submission of
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Overview of This Information
Collection
(1) Type of Information Collection:
Extension of a currently approved
collection.
(2) Title of the Form/Collection:
Procedures for the Administration of
Section 5 of the Voting Rights Act of
1965.
(3) None. Civil Rights Division.
(4) Affected Public: State, Local, or
Tribal Governments
Brief Abstract: Jurisdictions covered
under the Voting Rights Act may request
preclearance from the Attorney General
(AG) before instituting changes affecting
voting. They must convince the
Attorney General that voting changes
are not racially discriminatory.
(5) An estimate of the total number of
respondents and the amount of time
estimated for an average respondent to
respond/reply: It is estimated that it will
take 10,103 respondents under the
Procedures for the Administration of
Section 5 of the Voting Rights Act of
1965 approximately 47,365 burden
hours to complete the submission of
voting changes.
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(6) An estimate of the total public
burden (in hours) associated with the
collection: The total estimated annual
burden hours to complete the
submission of voting changes is 47,365
hours.
If additional information is required
contact: Robert B. Briggs, Clearance
Officer, United States Department of
Justice, Justice Management Division,
Policy and Planning Staff, Patrick Henry
Building, Suite 1600, D Street NW.,
Washington, DC 20530.
Dated: February 27, 2006.
Robert B. Briggs,
Clearance Officer, Department of Justice.
[FR Doc. 06–1937 Filed 3–31–06 8:45am]
BILLING CODE 4410–18–M
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. 04–8]
Wedgewood Village Pharmacy;
Revocation of Registration
On September 8, 2003, the Deputy
Assistant Administrator of the Drug
Enforcement Administration (DEA)
issued an Order to Show Cause to
Wedgewood Village Pharmacy in
Sewell, New Jersey. The Order to Show
Cause proposed to revoke the DEA
Certificate of Registration AW1289126,
issued to Wedgewood Village Pharmacy
as a retail pharmacy and deny any
pending applications for renewal of
such registration. The Order alleged that
the continued registration of the
pharmacy would be inconsistent with
the public interest as that term is
defined in 21 U.S.C. 823(f).
The Order to Show Cause specifically
alleged that Wedgewood Village
Pharmacy was not acting as a traditional
retail pharmacy but, was holding itself
out as a compounding pharmacy that
manufactured controlled substances
without a DEA registration, in violation
of the Controlled Substances Act (CSA)
and provisions of the Federal Food Drug
and Cosmetic Act (FD&C). It also alleged
that the pharmacy was distributing
controlled substances and listed
chemicals without being registered with
DEA to conduct those activities. The
Order to Show Cause further alleged
that a DEA investigation of the
pharmacy determined that the
pharmacy was not maintaining
complete and accurate records and
inventories of the controlled substances
that it handled, and was unable to
accurately account for the bulk
controlled substances and listed
chemicals it had received.
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By letter dated October 16, 2003, the
pharmacy, through counsel, requested a
hearing in the matter. On October 21,
2003, the pharmacy submitted a written
request to the DEA requesting a
modification of its registration to a new
location in Swedesboro, New Jersey.
DEA responded to the pharmacy’s
request via letter dated October 27,
2003, informing the pharmacy that their
requested address change constituted a
modification of the registration and
would be considered as part of the
matters considered at the hearing on the
Order to Show Cause.
On November 5, 2003, Wedgewood
Village Pharmacy filed a motion for a
temporary restraining order (TRO) in the
United States District Court for the
District of New Jersey seeking to enjoin
DEA from denying its request to change
location pending the hearing on the
Order to Show Cause. The District Court
denied the TRO on November 7, 2003,
and further denied a Motion for
Preliminary Injunction on December 15,
2003, concluding that Wedgewood did
not meet its burden of proving all the
elements required for a preliminary
injunction including that, ‘‘Wedgewood
is unlikely to succeed on the merits of
the case.’’ Wedgewood Village
Pharmacy v. Ashcroft, 293 F.Supp.2d
462, 474 (D.N.J. 2003).
The hearing on the Order to Show
Cause was held at the DEA
Headquarters in Arlington, Virginia, on
January 26–28, 2004, before a DEA
Administrative Law Judge (ALJ). No
witnesses were called to testify at the
hearing by either party. However,
documentary evidence was submitted
by both the Agency and Respondent and
admitted into the record by the ALJ.
The ALJ issued her Recommended
Rulings, Findings of Fact, Conclusions
of Law, and Decision of the
Administrative Law Judge on March 4,
2005. The Respondent filed exceptions
to the ALJ’s Recommended Rulings on
April 29, 2005. The record was
transmitted by the ALJ to the DEA
Deputy Administrator on May 18, 2005.
The Deputy Administrator has
reviewed the Recommended Rulings,
Findings of Fact, Conclusions of Law,
and Decision of the Administrative Law
Judge, the Respondent’s Exceptions to
the Recommended Rulings, and the
record in this matter. The Deputy
Administrator hereby adopts the
Findings of Fact and Conclusions of
Law of the Administrative Law Judge.
The ALJ concluded that the agency had
clearly met its burden of proof,
demonstrating that Respondent’s
continued registration with DEA is
inconsistent with the public interest.
The Deputy Administrator concurs with
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that Recommendation and finds as
follows.
Respondent, Wegdewood Village
Pharmacy, is registered by the DEA as
a retail pharmacy. The registration was
last renewed on May 18, 2000. They
have submitted a form to renew the
registration. The pharmacy was
registered at that time, and is still
registered with DEA at an address in
Sewell, New Jersey. The Respondent is
not, nor has it been, registered with DEA
as a distributor or manufacturer of
controlled substances or listed
chemicals.
Respondent holds itself out as a
compounding pharmacy, both through
advertising in various medical
publications and on its Web site,
www.wedgewoodpharmacy.com. The
pharmacy was the subject of an
inspection by investigators from the
DEA in March 2003. The investigators
collected records of controlled
substance and listed chemical activity
by Respondent which were entered into
evidence in this matter by both parties.
The investigators also conducted an
audit of selected controlled substances,
and the results are in the record
showing that there were overages and
shortages in the accountability. There
are also theft reports, DEA–106 forms, in
evidence in the record documenting two
thefts of controlled substances from
Wedgewood Pharmacy.
Following the inspection, the Special
Agent in Charge of the DEA Newark
Division sent a letter to Wedgewood
Village Pharmacy dated August 21,
2003, advising the pharmacy that it was
operating beyond the scope of its
registration as a retail pharmacy and
was, in fact, acting as a manufacturer
and distributor of controlled substances
and listed chemicals without the
appropriate DEA registration. The
pharmacy was also advised that its
recordkeeping with regard to controlled
substances and listed chemicals was
‘‘inadequate.’’ By letter addressed to the
DEA offices in Newark and Mt. Laurel,
New Jersey, dated September 17, 2003,
Respondent’s counsel Howard M.
Hoffman responded to the August 21st
letter. Respondent’s counsel disagreed
that Respondent is a manufacturer of
controlled substances and listed
chemicals and stated that Respondent
acts as a compounder and is operating
in compliance with New Jersey law.
Respondent continued its activity and
did not submit any applications to DEA
for registration as a distributor or a
manufacturer.
A review of Respondent’s ‘‘Log of
Prescriptions’’ for the period January 1,
2002, through December 31, 2002, and
for a period in early 2003 indicates that
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the overwhelming majority of its
‘‘prescriptions’’ list the prescribing
doctor as the patient. Although the
Respondent refers to these documents as
prescriptions, they are not prescriptions
as defined in DEA regulations.
Prescriptions for controlled substances
are required to ‘‘bear the full name and
address of the patient, the drug name,
strength, dosage form, quantity
prescribed, directions for use, and the
name, address and registration number
of the practitioner.’’ See 21 CFR
1306.05(a). The DEA regulations also
provide that a ‘‘prescription may not be
issued in order for an individual
practitioner to obtain controlled
substances for supplying the individual
practitioner for the purpose of general
dispensing to patients.’’ See 21 CFR
1306.04(b). Unless the physicians are
the patients, these documents are not
prescriptions for purposes of the
Controlled Substances Act.
Owner George Malmberg’s own
admissions in an inquiry before the New
Jersey State Board of Pharmacy in
October 2002 indicate that over 80% of
the Respondent’s sales were made
directly to a physician or veterinarian
and not to an individual patient.
Examples include individual sales of
1080 stanozolol 50 mg/ml injectable to
one veterinarian on January 2, 2002;
1800 boldenone undecylenate 50 mg/ml
injectable to a veterinarian on
September 3, 2002; and 1350 diazepam
5 mg/ml injectable to a physician on
September 10, 2002. During 2002 the
Respondent made 7,445 sales of
controlled substances for a total of
1,083,154 doses of controlled
substances. Over 95% of these sales
were to physicians or veterinarians
documented by what the pharmacy
called prescriptions which contained
the name of the physician or
veterinarian as the patient.
The majority of Respondent’s
controlled substance sales were for the
Schedule III anabolic steroids stanozolol
and boldenone undecylenate and the
Schedule IV tranquilizer diazepam. The
Respondent also sells buprenorphine
troches and testosterone injection, as
well as the listed chemical
phenylpropanolamine (PPA). The
Respondent distributes or dispenses few
other controlled substances. A large
portion of Respondent’s sales of
controlled substances and listed
chemicals were to physicians and
veterinarians outside the State of New
Jersey. DEA and the New Jersey State
Board of Pharmacy received complaints
regarding Respondent’s compounding
activities. The New Jersey State Board of
Pharmacy conducted an inquiry in
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October 2002 and the DEA conducted
an investigation in March 2003.
The main issue in this case is whether
the controlled substance business
activity of Respondent pharmacy was
compounding as an adjunct to
dispensing controlled substances in the
course of retail pharmacy practice or
manufacturing and distributing
controlled substances as those terms are
defined in the Controlled Substances
Act (CSA), 21 U.S.C. 801 et. seq. If the
Respondent was compounding as an
adjunct to dispensing controlled
substances to specific patients, it was
properly registered as a retail pharmacy.
If the Respondent was manufacturing
and distributing controlled substances,
the Respondent was and is not properly
registered to conduct that activity. The
Order to Show Cause also alleges that
the Respondent failed, in a number of
specific ways, to maintain complete and
accurate records of the controlled
substances and listed chemicals it
handled.
The Controlled Substances Act (CSA)
‘‘creates a comprehensive, closed
regulatory regime * * *’’ Gonzales v.
Oregon, ___ U.S. ___, 126 S.Ct. 904, 911
(2006). This regime makes it ‘‘unlawful
to manufacture, distribute, dispense or
possess any controlled substance except
in a manner authorized by the CSA.’’
Gonzales v. Raich, ___ U.S. ___, 125
S.Ct. 2195, 2203 (2005). An essential
component of that closed regulatory
system requires any person who handles
controlled substances to obtain a
registration with the DEA. See 21 U.S.C.
822. Those who manufacture and
distribute controlled substances must
obtain a registration annually. See 21
U.S.C. 822(a)(1). Those that dispense
controlled substances must obtain a
registration every three years as required
by regulation. See 21 U.S.C. 822(a)(2)
and 21 CFR 1301.13. The requirements
for registration of manufacturers and
distributors of controlled substances are
more stringent than for those registered
as practitioners to dispense controlled
substances. See 21 U.S.C. 823(d)–(f).
Recordkeeping, reporting and security
requirements are also more rigorous for
those who manufacture and distribute
controlled substances. The Respondent
is not registered as a manufacturer or a
distributor. The Respondent is
registered as a retail pharmacy, defined
as a practitioner, and is authorized by
that registration to dispense controlled
substances and act as a retail distributor
of listed chemicals.
A practitioner is defined in the CSA
to include a pharmacy which is licensed
in the jurisdiction in which it practices
‘‘to distribute, dispense, conduct
research with respect to, administer, or
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use in teaching or chemical analysis, a
controlled substance in the course of
professional practice or research.’’ See
21 U.S.C. 802(21). A practitioner is the
last link in the closed distribution
system for controlled substances created
by the CSA. The primary role of a
practitioner in this system is to provide
controlled substances to patients or
ultimate users by dispensing, which
includes administering and prescribing.
Manufacturing is defined by in the
CSA at 21 U.S.C. 802(15) as:
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The production, preparation, propagation,
compounding, or processing of a drug or
other substance, either directly or indirectly
or by extraction from substances of natural
origin, or independently by means of
chemical synthesis or by a combination of
extraction and chemical synthesis, and
includes any packaging or repackaging of
such substances or labeling or relabeling of
its container; except that such term does not
include the preparation, compounding,
packaging, or labeling of a drug or other
substance in conformity with applicable state
or local law by a practitioner as an incident
to his administration or dispensing of such
drug or substance in the course of his
professional practice. [Emphasis added]
Distribution is defined as ‘‘to deliver
(other than by administering or
dispensing) a controlled substance or
listed chemical.’’ See 21 U.S.C. 802(11).
Dispense ‘‘means to deliver a controlled
substance to an ultimate user or
research subject by, or pursuant to the
lawful order of a practitioner, including
the prescribing and administering of a
controlled substance and the packaging,
labeling or compounding necessary to
prepare the substance for delivery.’’ See
21 U.S.C. 802(10).
The CSA clearly permits pharmacies
to compound controlled substances as
part of the act of dispensing, and
exempts such compounding from the
definition of manufacture. The FD&C
similarly exempts pharmacies that
compound as part of retail pharmacy
practice from the manufacturing
requirements of that statute. However,
in recent years some pharmacies have
increased their compounding activities
to such an extent that the Food and
Drug Administration (FDA) became
concerned that some pharmacies are
using compounding as a guise to
manufacture drugs.
In response to that concern, in 1997
Congress passed the Food and Drug
Administration Modernization Act of
1997, Pub. L. 105–115. Included in the
statute at Section 127 was a provision
which amended the FD&C at 21 U.S.C.
353a. This provision was entitled
‘‘Application of Federal Law to the
Practice of Pharmacy Compounding,’’
which exempted pharmacies from drug
approval provisions of the FD&C
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relating to manufacturing when they
compounded drugs under certain
circumstances. The legislative history of
this provision found in the House
Conference Report states that ‘‘[i]t is the
intent of the conferees to ensure
continued availability of compounded
drug products as a component of
individualized therapy, while limiting
the scope of compounding so as to
prevent manufacturing under the guise
of compounding.’’ 1997 U.S.C.C.A.N.
2880.
A number of compounding
pharmacies, including the Respondent,
challenged the constitutionality of the
portion of the section that prohibited
advertising of specific compounded
drugs, in the United States District
Court for the District of Nevada. The
District Court found that the provision
imposed an unconstitutional restriction
on commercial speech, but held that the
advertising provision was severable
from the rest of the compounding
provision. Western States Medical
Center v. Shalala, 69 F.Supp.2d 1288
(D.Nev.1999). The United States Court
of Appeals for the Ninth Circuit
affirmed that decision, but held that the
advertising provision was not severable
from the rest of the compounding
provision. Western States Medical
Center v. Shalala, 238 F.3d 1090 (9th
Cir. 2001). Review was granted by the
Supreme Court on the advertising issue,
but not on the severability issue. The
Supreme Court found the advertising
provision to be an unconstitutional
restriction on commercial speech.
Thompson v. Western States Medical
Center, 535 U.S. 357 (2002). The Court
did not address the other provisions of
the section. The Supreme Court defined
compounding as follows:
Drug compounding is a process by which
a pharmacist or doctor combines, mixes, or
alters ingredients to create a medication
tailored to the needs of an individual patient.
Compounding is typically used to prepare
medications that are not commercially
available, such as medication for a patient
who is allergic to an ingredient in a mass
produced product. [Emphasis added]
Id. at 361.
Prior to passage of the 1997
legislation, and after the Supreme
Court’s decision which acted to
invalidate the entire pharmacy
compounding provision of the 1997 Act,
the FDA has published on its Web site,
https://www.fda.gov, and elsewhere, its
policy on this issue. The Compliance
Policy Guide issued by the FDA in 1992,
‘‘warned that pharmacies could not
dispense drugs to third parties for resale
to individual patients without losing
their status as retail entities.’’ 535 U.S.
at 363. Since the Supreme Court’s
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decision, the FDA has issued
Compliance Policy Guides related to
pharmacy compounding for both human
and veterinary drugs. The Guides
continue to express FDA’s concern that
certain pharmacies are using their retail
licenses to conduct manufacturing and
distribution activities under the guise of
compounding.
Against this backdrop, the Deputy
Administrator finds that to be exempt
from the definition of manufacturer
under the CSA a DEA practitioner
registrant must be engaged in
compounding controlled substances on
an individual patient basis. That is, a
pharmacy must receive a prescription
for a specific patient from a physician
or other individual practitioner and
must deliver or dispense that
medication to the patient. Since the
evidence in this case clearly
demonstrates that the Respondent is not
preparing or compounding medications
containing controlled substances on an
individualized patient basis, the
Respondent’s activities constitute
manufacturing under the CSA and it
must be registered as a manufacturer to
conduct such activity.
The Deputy Administrator also finds
that in order to dispense controlled
substances, those substances must be
delivered to the patient or ultimate user
by the dispenser. Sending controlled
substances to another DEA practitioner
for dispensing is distribution, not
dispensing. The Respondent argues in
its Post Hearing Brief that ‘‘Wedgewood
dispenses controlled substances to
physicians for administration to their
patients.’’ Respondent argues that since
the physicians are not dispensing, but
administering, that Respondent is
dispensing to the physician and not
distributing. The Respondent’s analysis
is incorrect. Dispensing controlled
substances, by definition, includes
administering and prescribing. See 21
U.S.C. 802(15). The essence of
dispensing, and by incorporation
administration, is delivery of a
controlled substance to the patient or
ultimate user. The physician or other
individual practitioner who receives
controlled substances from the
Respondent is not the ultimate user, but
another DEA practitioner registrant,
who is also authorized by DEA
registration to dispense, prescribe and
administer controlled substances.
Therefore, the Respondent is not
dispensing, but distributing controlled
substances to these physicians or other
individual practitioners such as
veterinarians.
DEA regulations permit the
Respondent to distribute up to five
percent of ‘‘the total number of dosage
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units of all controlled substances
distributed and dispensed by the
practitioner during the same calendar
year.’’ See 21 CFR 1307.11(a)(1)(iv).
This is to ensure that those practitioners
registered to dispense controlled
substances do not become distributors
of controlled substances without being
properly registered, to permit them to
distribute limited quantities to other
practitioners for office use. By its own
admission, and documented by its own
records, the Respondent is distributing
controlled substances to physicians and
other individual practitioners
throughout the United States for further
dispensing by these individual
practitioners. The Respondent is rarely
dispensing controlled substances to
specific patients or ultimate users, and,
in the majority of cases, has no
documentation of the identity of the
patients to whom the controlled
substances will ultimately be dispensed
or administered.
Evidence in the record shows that the
Respondent is distributing identical
products to many different individual
practitioners and therefore not
compounding on a patient by patient
basis. For example, records in evidence
indicate that the Respondent made
several lots of stanolzolol 50 mg/ml
injection. This is a Schedule III anabolic
steroid. Each lot produced
approximately 10,000 ml or 300, 30 ml.
vials of product. Many times, the yield
of each lot would be divided and
shipped to several different physicians
or veterinarians.
While the Deputy Administrator does
not rely on FDA’s position on
compounding, her interpretation of the
CSA is consistent with the legislative
history of the pharmacy compounding
provisions of the Food and Drug
Administration Modernization Act of
1997 and with FDA’s current guidelines
regarding compounding by pharmacies.
Retail pharmacies may compound and
avoid the requirements of regulation by
the FDA and the DEA when they do so
for a specific patient on a patient by
patient basis. The traditional definition
of compounding, found in the Supreme
Court’s decision in Thompson v.
Western States Medical Center, supra is
also consistent with this statement.
Respondent’s practice, by its own
evidence and admission, does not
consist of compounding a specific
formulation containing a controlled
substance on a patient by patient basis.
It consists of manufacturing and
distributing controlled substances for
office use by other DEA practitioners.
The Respondent maintains that the
State of New Jersey approves of its
practice because it issued the
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Respondent a new pharmacy
registration at the new business
location. The Deputy Administrator
notes that the New Jersey statutes
included by the Respondent as part of
the record do not specifically address
the issue of compounding controlled
substances; however, New Jersey does
have a State Controlled Dangerous
Substances Act. The definitions of
manufacture, distribute, and dispense
are the same as those in the Federal
statute. Also included in the New Jersey
Administrative Code is a provision that
states, ‘‘[a] prescription may not be
issued in order for an individual
practitioner to obtain controlled
substances for supplying the individual
practitioner for the purpose of general
dispensing to patients.’’ N.J.A.C. 8:65–
7.4(b). The Deputy Administrator does
not seek to interpret the laws of the
State of New Jersey. The Deputy
Administrator notes that the record does
reflect that the State of New Jersey has
not taken action against the Respondent
and has renewed its pharmacy license at
its new location.
The Deputy Administrator finds that
the Respondent’s activities with regard
to controlled substances are
manufacturing and distributing as those
terms are defined in the CSA, and that
the Respondent is not registered with
the DEA to conduct either activity, and
was acting outside the bounds of its
registration as a retail pharmacy. The
activity conducted by the pharmacy
which it argues is compounding, is not
patient specific, but rather
manufacturing and distribution to
physicians or other practitioners for
their dispensing to an individual
patient. The Respondent appears to
dispute this reading of the CSA and has
refused to comply with the August 21,
2003, letter from DEA advising that it is
in violation of the statute.
The Respondent pharmacy also
obtains bulk phenylpropanolamine
(PPA), a listed chemical under the CSA,
and sells PPA capsules, which it
produces, to veterinarians. In a two-year
period Respondent purchased a total of
131 kilograms of PPA from one supplier.
In 2002 Respondent sold over 700,000
dosage units of PPA to veterinarians for
which they had no records for over
threshold or regulated transactions. The
Respondent may act as a retail
distributor of listed chemicals under its
DEA pharmacy registration. A retail
distributor of listed chemicals is defined
as a drug store who distributes PPA
products for personal use and that such
distribution is primarily to ‘‘walk-in
customers or in face-to-face’’
transactions. A separate registration is
required to manufacture and distribute
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PPA which is a List I chemical. The
Deputy Administrator notes that the
record indicates that since being
notified by DEA Investigators, the
Respondent has begun to keep records
for regulated transactions with PPA
products.
The Respondent filed extensive
exceptions in this matter in which it
alleged that the outcome of the Order to
Show Cause proceeding was ‘‘preordained,’’ that the agency’s record was
‘‘farcical,’’ and that the Administrative
Law Judge’s Recommendation was
‘‘fraught with a legion of legal and
factual errors.’’ Respondent raises a
number of issues, many of which the
Deputy Administrator has already
addressed in this decision. Most of the
facts upon which the Deputy
Administrator relies are not in dispute.
The Deputy Administrator would note
that while the agency did not present
witnesses in its case, the Respondent
was not precluded from doing so, and
also presented no witnesses.
The Deputy Administrator recognizes
that the agency has the burden of proof
and she concludes that the agency has
met the burden of demonstrating by a
preponderance of the evidence that the
Respondent’s registration was
inconsistent with the public interest
because the Respondent was acting as a
manufacturer and distributor of
controlled substances without being
registered to do so. The Respondent’s
own exhibits, which consist of all the
records seized by the DEA during its
inspection in March 2003, demonstrate
the nature of the Respondent’s business
with regard to controlled substances and
listed chemicals. The sworn testimony
of the Respondent’s owner, George
Malmberg, before the New Jersey State
Board of Pharmacy on October 9, 2002,
also demonstrates the specific activities
which the Respondent was conducting.
Mr. Malmberg testified in response to a
question about the nature of his
business that, ‘‘[i]t’s virtually all
compounding today.’’ The Respondent
contends its activities constitute
compounding and dispensing, the
agency argues that this conduct is
manufacturing and distributing
controlled substances and listed
chemicals. The Respondent has been on
notice by both the FDA and DEA that
their activities were manufacturing and
distribution, but has chosen to contest
the position of the agencies.
The Respondent also takes exception
to agency references to the high volume
of its business. The Respondent is
correct that volume alone does not show
that its activity is manufacturing rather
than compounding. It is one of many
factors that describe the nature of its
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business. The Deputy Administrator
notes that the DEA registers many mail
order and high volume retail
pharmacies that dispense quantities of
controlled substances far in excess of
those distributed by the Respondent.
These pharmacies also ship nationwide
as does the Respondent. They differ
from the Respondent, however, because
they dispense controlled substances
directly to the patient or ultimate user.
These retail pharmacies do not
manufacture or even compound the
majority of the controlled substances
that they handle. They do not distribute
controlled substances to physicians and
other practitioners. The Respondent’s
high volume and out-of-state shipping
are included as descriptions of the
nature of its business.
The Respondent also objects to the
Administrative Law Judge’s use of a
DEA Report of Investigation, which was
entered into evidence, as the source of
many factual findings in the ALJ’s
Findings of Fact. While the report is the
record of a diversion investigator’s
findings, those conclusions are
supported by the records submitted into
evidence by both the agency and the
Respondent. The Deputy Administrator
does not accord significant weight to the
many recordkeeping violations cited in
the report and the Order to Show Cause.
The primary focus of this decision rests
on the Respondent’s acting outside the
scope of its DEA registration even after
being advised that it was doing so by
DEA. The facts supporting this
conclusion are not in dispute.
The Deputy Administrator concludes
that the Respondent’s activities of
manufacturing and distributing
controlled substances without the
appropriate DEA Certificate of
Registration, of its continued activity
even when advised by the agency in
writing that its activities were in
violation of the statute, demonstrate that
the Respondent’s continued registration
with DEA is inconsistent with the
public interest. The Respondent is
distributing more than one million
dosage units of controlled substances a
year to customers across the country.
Because it is not registered as a
manufacturer or distributor of
controlled substances, it is not subject to
the security and recordkeeping
requirements for that type of registrant.
The evidence in the record documents
two thefts of controlled substances from
the Respondent during 2002. Security
requirements for dispensers of
controlled substances are fairly minimal
and include that the controlled
substances may be intermingled with
non-controlled substances. No type of
alarm system is required. Manufacturers
VerDate Aug<31>2005
17:30 Mar 31, 2006
Jkt 208001
of controlled substances are required to
store Schedule III through V raw
materials, bulk materials awaiting
processing, and finished products in a
safe, vault, a building, room or caged
area with limited access and selfclosing, self-locking doors. These areas
must be equipped with an electronic
alarm system which is connected to a
central station. Recordkeeping and
reporting requirements required of
manufacturers are much more stringent
than those for dispensers of controlled
substances.
Accordingly, the Deputy
Administrator of the DEA, pursuant to
the authority vested in her by 21 U.S.C.
823 and 824 and 28 CFR 0.100(b) and
0.014, hereby orders that DEA
Certificate of Registration AW1289126,
issued to Wedgewood Village Pharmacy,
be, and is, hereby revoked. The Deputy
Administrator further orders that any
pending application for renewal or
modification of such registration be, and
they hereby are, denied.
This order is effective May 3, 2006.
Dated: March 22, 2006.
Michele M. Leonhart,
Deputy Administrator.
[FR Doc. E6–4771 Filed 3–31–06; 8:45 am]
BILLING CODE 4410–09–P
FEDERAL MINE SAFETY AND HEALTH
REVIEW COMMISSION
Sunshine Act; Meeting
March 22, 2006.
10 a.m., Thursday, April
6, 2006.
PLACE: The Richard V. Backley hearing
Room, 9th Floor, 601 New Jersey
Avenue, NW., Washington, DC.
STATUS: Open.
MATTERS TO BE CONSIDERED: The
commission will consider and act upon
the following in open session: Secretary
of Labor on behalf of Wendell McClain,
Coy McClain, Wade Dameron, and Gary
Conway v. Misty Mountain Mining, Inc.,
Stanley Osborne, and Simon Ratliff,
Docket Nos. KENT 2005–96–D, KENT
2005–97–D, KENT 2005–98–D, and
KENT 2005–99–D. (Issues include
whether the Administrative law Judge
properly awarded back pay in an
amount reduced from that sought by the
Secretary, and properly concluded that
the complainants were not entitled to a
further reinstatement offer once they
had turned down such offers).
Any person attending this meeting
who requires special accessibility
features and/or auxiliary aids, such as
sign language interpreters, must inform
TIME AND DATE:
PO 00000
Frm 00052
Fmt 4703
Sfmt 4703
16597
the Commission in advance of those
needs, subject to 29 CFR 2706.150(a)(3)
and 2706.160(d).
FOR FURTHER INFORMATION CONTACT: Jean
Ellen, (202) 434–9950/(202) 708–8300
for TDD Relay/1–800–8339 for toll free.
Jean H. Ellen,
Chief Docket Clerk.
[FR Doc. 06–3184 Filed 3–29–05; 4:34 pm]
BILLING CODE 6735–01–M
NATIONAL AERONAUTICS AND
SPACE ADMINISTRATION
[Notice 06–022]
U.S. Space-Based Positioning,
Navigation, and Timing Advisory
Board; Notice of Establishment of a
NASA Advisory Committee, pursuant
to the Federal Advisory Committee
Act, 5 U.S.C. App. §§ 1 et seq.
National Aeronautics and
Space Administration (NASA).
Explanation of Need: The President
authorized a new national policy on
December 8, 2004 that establishes
guidance and implementation actions
for space-based positioning, navigation,
and timing programs, augmentations,
and activities for U.S. national and
homeland security, civil, scientific, and
commercial purposes. The policy
supersedes Presidential Decision
Directive/National Science and
Technology Council-6, U.S. Global
Positioning System Policy, dated March
28, 1996. The new national policy states
that a space-based Positioning,
Navigation, and Timing Advisory Board
shall be established. The Advisory
Board shall be comprised of experts
from outside the United States
Government, and shall be chartered as
a Federal Advisory Committee. In
accordance with the new national
policy, the NASA Administrator is
establishing the U.S. Space-Based
Positioning, Navigation, and Timing
Advisory Board. This notice follows
consultation with the Committee
Management Secretariat, General
Services Administration.
Name of Committee: U.S. SpaceBased Positioning, Navigation, and
Timing (PNT) Advisory Board.
Purpose and Objective: The U.S.
Space-Based Positioning, Navigation,
and Timing Advisory Board will
provide advice on U.S. space-based PNT
policy, planning, program management,
and funding profiles in relation to the
current state of national and
international space-based PNT services.
The U.S. Space-Based Positioning,
Navigation, and Timing Advisory Board
AGENCY:
E:\FR\FM\03APN1.SGM
03APN1
Agencies
[Federal Register Volume 71, Number 63 (Monday, April 3, 2006)]
[Notices]
[Pages 16593-16597]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-4771]
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. 04-8]
Wedgewood Village Pharmacy; Revocation of Registration
On September 8, 2003, the Deputy Assistant Administrator of the
Drug Enforcement Administration (DEA) issued an Order to Show Cause to
Wedgewood Village Pharmacy in Sewell, New Jersey. The Order to Show
Cause proposed to revoke the DEA Certificate of Registration AW1289126,
issued to Wedgewood Village Pharmacy as a retail pharmacy and deny any
pending applications for renewal of such registration. The Order
alleged that the continued registration of the pharmacy would be
inconsistent with the public interest as that term is defined in 21
U.S.C. 823(f).
The Order to Show Cause specifically alleged that Wedgewood Village
Pharmacy was not acting as a traditional retail pharmacy but, was
holding itself out as a compounding pharmacy that manufactured
controlled substances without a DEA registration, in violation of the
Controlled Substances Act (CSA) and provisions of the Federal Food Drug
and Cosmetic Act (FD&C). It also alleged that the pharmacy was
distributing controlled substances and listed chemicals without being
registered with DEA to conduct those activities. The Order to Show
Cause further alleged that a DEA investigation of the pharmacy
determined that the pharmacy was not maintaining complete and accurate
records and inventories of the controlled substances that it handled,
and was unable to accurately account for the bulk controlled substances
and listed chemicals it had received.
By letter dated October 16, 2003, the pharmacy, through counsel,
requested a hearing in the matter. On October 21, 2003, the pharmacy
submitted a written request to the DEA requesting a modification of its
registration to a new location in Swedesboro, New Jersey. DEA responded
to the pharmacy's request via letter dated October 27, 2003, informing
the pharmacy that their requested address change constituted a
modification of the registration and would be considered as part of the
matters considered at the hearing on the Order to Show Cause.
On November 5, 2003, Wedgewood Village Pharmacy filed a motion for
a temporary restraining order (TRO) in the United States District Court
for the District of New Jersey seeking to enjoin DEA from denying its
request to change location pending the hearing on the Order to Show
Cause. The District Court denied the TRO on November 7, 2003, and
further denied a Motion for Preliminary Injunction on December 15,
2003, concluding that Wedgewood did not meet its burden of proving all
the elements required for a preliminary injunction including that,
``Wedgewood is unlikely to succeed on the merits of the case.''
Wedgewood Village Pharmacy v. Ashcroft, 293 F.Supp.2d 462, 474 (D.N.J.
2003).
The hearing on the Order to Show Cause was held at the DEA
Headquarters in Arlington, Virginia, on January 26-28, 2004, before a
DEA Administrative Law Judge (ALJ). No witnesses were called to testify
at the hearing by either party. However, documentary evidence was
submitted by both the Agency and Respondent and admitted into the
record by the ALJ.
The ALJ issued her Recommended Rulings, Findings of Fact,
Conclusions of Law, and Decision of the Administrative Law Judge on
March 4, 2005. The Respondent filed exceptions to the ALJ's Recommended
Rulings on April 29, 2005. The record was transmitted by the ALJ to the
DEA Deputy Administrator on May 18, 2005.
The Deputy Administrator has reviewed the Recommended Rulings,
Findings of Fact, Conclusions of Law, and Decision of the
Administrative Law Judge, the Respondent's Exceptions to the
Recommended Rulings, and the record in this matter. The Deputy
Administrator hereby adopts the Findings of Fact and Conclusions of Law
of the Administrative Law Judge. The ALJ concluded that the agency had
clearly met its burden of proof, demonstrating that Respondent's
continued registration with DEA is inconsistent with the public
interest. The Deputy Administrator concurs with
[[Page 16594]]
that Recommendation and finds as follows.
Respondent, Wegdewood Village Pharmacy, is registered by the DEA as
a retail pharmacy. The registration was last renewed on May 18, 2000.
They have submitted a form to renew the registration. The pharmacy was
registered at that time, and is still registered with DEA at an address
in Sewell, New Jersey. The Respondent is not, nor has it been,
registered with DEA as a distributor or manufacturer of controlled
substances or listed chemicals.
Respondent holds itself out as a compounding pharmacy, both through
advertising in various medical publications and on its Web site,
www.wedgewoodpharmacy.com. The pharmacy was the subject of an
inspection by investigators from the DEA in March 2003. The
investigators collected records of controlled substance and listed
chemical activity by Respondent which were entered into evidence in
this matter by both parties. The investigators also conducted an audit
of selected controlled substances, and the results are in the record
showing that there were overages and shortages in the accountability.
There are also theft reports, DEA-106 forms, in evidence in the record
documenting two thefts of controlled substances from Wedgewood
Pharmacy.
Following the inspection, the Special Agent in Charge of the DEA
Newark Division sent a letter to Wedgewood Village Pharmacy dated
August 21, 2003, advising the pharmacy that it was operating beyond the
scope of its registration as a retail pharmacy and was, in fact, acting
as a manufacturer and distributor of controlled substances and listed
chemicals without the appropriate DEA registration. The pharmacy was
also advised that its recordkeeping with regard to controlled
substances and listed chemicals was ``inadequate.'' By letter addressed
to the DEA offices in Newark and Mt. Laurel, New Jersey, dated
September 17, 2003, Respondent's counsel Howard M. Hoffman responded to
the August 21st letter. Respondent's counsel disagreed that Respondent
is a manufacturer of controlled substances and listed chemicals and
stated that Respondent acts as a compounder and is operating in
compliance with New Jersey law. Respondent continued its activity and
did not submit any applications to DEA for registration as a
distributor or a manufacturer.
A review of Respondent's ``Log of Prescriptions'' for the period
January 1, 2002, through December 31, 2002, and for a period in early
2003 indicates that the overwhelming majority of its ``prescriptions''
list the prescribing doctor as the patient. Although the Respondent
refers to these documents as prescriptions, they are not prescriptions
as defined in DEA regulations. Prescriptions for controlled substances
are required to ``bear the full name and address of the patient, the
drug name, strength, dosage form, quantity prescribed, directions for
use, and the name, address and registration number of the
practitioner.'' See 21 CFR 1306.05(a). The DEA regulations also provide
that a ``prescription may not be issued in order for an individual
practitioner to obtain controlled substances for supplying the
individual practitioner for the purpose of general dispensing to
patients.'' See 21 CFR 1306.04(b). Unless the physicians are the
patients, these documents are not prescriptions for purposes of the
Controlled Substances Act.
Owner George Malmberg's own admissions in an inquiry before the New
Jersey State Board of Pharmacy in October 2002 indicate that over 80%
of the Respondent's sales were made directly to a physician or
veterinarian and not to an individual patient. Examples include
individual sales of 1080 stanozolol 50 mg/ml injectable to one
veterinarian on January 2, 2002; 1800 boldenone undecylenate 50 mg/ml
injectable to a veterinarian on September 3, 2002; and 1350 diazepam 5
mg/ml injectable to a physician on September 10, 2002. During 2002 the
Respondent made 7,445 sales of controlled substances for a total of
1,083,154 doses of controlled substances. Over 95% of these sales were
to physicians or veterinarians documented by what the pharmacy called
prescriptions which contained the name of the physician or veterinarian
as the patient.
The majority of Respondent's controlled substance sales were for
the Schedule III anabolic steroids stanozolol and boldenone
undecylenate and the Schedule IV tranquilizer diazepam. The Respondent
also sells buprenorphine troches and testosterone injection, as well as
the listed chemical phenylpropanolamine (PPA). The Respondent
distributes or dispenses few other controlled substances. A large
portion of Respondent's sales of controlled substances and listed
chemicals were to physicians and veterinarians outside the State of New
Jersey. DEA and the New Jersey State Board of Pharmacy received
complaints regarding Respondent's compounding activities. The New
Jersey State Board of Pharmacy conducted an inquiry in October 2002 and
the DEA conducted an investigation in March 2003.
The main issue in this case is whether the controlled substance
business activity of Respondent pharmacy was compounding as an adjunct
to dispensing controlled substances in the course of retail pharmacy
practice or manufacturing and distributing controlled substances as
those terms are defined in the Controlled Substances Act (CSA), 21
U.S.C. 801 et. seq. If the Respondent was compounding as an adjunct to
dispensing controlled substances to specific patients, it was properly
registered as a retail pharmacy. If the Respondent was manufacturing
and distributing controlled substances, the Respondent was and is not
properly registered to conduct that activity. The Order to Show Cause
also alleges that the Respondent failed, in a number of specific ways,
to maintain complete and accurate records of the controlled substances
and listed chemicals it handled.
The Controlled Substances Act (CSA) ``creates a comprehensive,
closed regulatory regime * * *'' Gonzales v. Oregon, ------ U.S. ------
, 126 S.Ct. 904, 911 (2006). This regime makes it ``unlawful to
manufacture, distribute, dispense or possess any controlled substance
except in a manner authorized by the CSA.'' Gonzales v. Raich, ------
U.S. ------, 125 S.Ct. 2195, 2203 (2005). An essential component of
that closed regulatory system requires any person who handles
controlled substances to obtain a registration with the DEA. See 21
U.S.C. 822. Those who manufacture and distribute controlled substances
must obtain a registration annually. See 21 U.S.C. 822(a)(1). Those
that dispense controlled substances must obtain a registration every
three years as required by regulation. See 21 U.S.C. 822(a)(2) and 21
CFR 1301.13. The requirements for registration of manufacturers and
distributors of controlled substances are more stringent than for those
registered as practitioners to dispense controlled substances. See 21
U.S.C. 823(d)-(f). Recordkeeping, reporting and security requirements
are also more rigorous for those who manufacture and distribute
controlled substances. The Respondent is not registered as a
manufacturer or a distributor. The Respondent is registered as a retail
pharmacy, defined as a practitioner, and is authorized by that
registration to dispense controlled substances and act as a retail
distributor of listed chemicals.
A practitioner is defined in the CSA to include a pharmacy which is
licensed in the jurisdiction in which it practices ``to distribute,
dispense, conduct research with respect to, administer, or
[[Page 16595]]
use in teaching or chemical analysis, a controlled substance in the
course of professional practice or research.'' See 21 U.S.C. 802(21). A
practitioner is the last link in the closed distribution system for
controlled substances created by the CSA. The primary role of a
practitioner in this system is to provide controlled substances to
patients or ultimate users by dispensing, which includes administering
and prescribing.
Manufacturing is defined by in the CSA at 21 U.S.C. 802(15) as:
The production, preparation, propagation, compounding, or
processing of a drug or other substance, either directly or
indirectly or by extraction from substances of natural origin, or
independently by means of chemical synthesis or by a combination of
extraction and chemical synthesis, and includes any packaging or
repackaging of such substances or labeling or relabeling of its
container; except that such term does not include the preparation,
compounding, packaging, or labeling of a drug or other substance in
conformity with applicable state or local law by a practitioner as
an incident to his administration or dispensing of such drug or
substance in the course of his professional practice. [Emphasis
added]
Distribution is defined as ``to deliver (other than by
administering or dispensing) a controlled substance or listed
chemical.'' See 21 U.S.C. 802(11). Dispense ``means to deliver a
controlled substance to an ultimate user or research subject by, or
pursuant to the lawful order of a practitioner, including the
prescribing and administering of a controlled substance and the
packaging, labeling or compounding necessary to prepare the substance
for delivery.'' See 21 U.S.C. 802(10).
The CSA clearly permits pharmacies to compound controlled
substances as part of the act of dispensing, and exempts such
compounding from the definition of manufacture. The FD&C similarly
exempts pharmacies that compound as part of retail pharmacy practice
from the manufacturing requirements of that statute. However, in recent
years some pharmacies have increased their compounding activities to
such an extent that the Food and Drug Administration (FDA) became
concerned that some pharmacies are using compounding as a guise to
manufacture drugs.
In response to that concern, in 1997 Congress passed the Food and
Drug Administration Modernization Act of 1997, Pub. L. 105-115.
Included in the statute at Section 127 was a provision which amended
the FD&C at 21 U.S.C. 353a. This provision was entitled ``Application
of Federal Law to the Practice of Pharmacy Compounding,'' which
exempted pharmacies from drug approval provisions of the FD&C relating
to manufacturing when they compounded drugs under certain
circumstances. The legislative history of this provision found in the
House Conference Report states that ``[i]t is the intent of the
conferees to ensure continued availability of compounded drug products
as a component of individualized therapy, while limiting the scope of
compounding so as to prevent manufacturing under the guise of
compounding.'' 1997 U.S.C.C.A.N. 2880.
A number of compounding pharmacies, including the Respondent,
challenged the constitutionality of the portion of the section that
prohibited advertising of specific compounded drugs, in the United
States District Court for the District of Nevada. The District Court
found that the provision imposed an unconstitutional restriction on
commercial speech, but held that the advertising provision was
severable from the rest of the compounding provision. Western States
Medical Center v. Shalala, 69 F.Supp.2d 1288 (D.Nev.1999). The United
States Court of Appeals for the Ninth Circuit affirmed that decision,
but held that the advertising provision was not severable from the rest
of the compounding provision. Western States Medical Center v. Shalala,
238 F.3d 1090 (9th Cir. 2001). Review was granted by the Supreme Court
on the advertising issue, but not on the severability issue. The
Supreme Court found the advertising provision to be an unconstitutional
restriction on commercial speech. Thompson v. Western States Medical
Center, 535 U.S. 357 (2002). The Court did not address the other
provisions of the section. The Supreme Court defined compounding as
follows:
Drug compounding is a process by which a pharmacist or doctor
combines, mixes, or alters ingredients to create a medication
tailored to the needs of an individual patient. Compounding is
typically used to prepare medications that are not commercially
available, such as medication for a patient who is allergic to an
ingredient in a mass produced product. [Emphasis added]
Id. at 361.
Prior to passage of the 1997 legislation, and after the Supreme
Court's decision which acted to invalidate the entire pharmacy
compounding provision of the 1997 Act, the FDA has published on its Web
site, https://www.fda.gov, and elsewhere, its policy on this issue. The
Compliance Policy Guide issued by the FDA in 1992, ``warned that
pharmacies could not dispense drugs to third parties for resale to
individual patients without losing their status as retail entities.''
535 U.S. at 363. Since the Supreme Court's decision, the FDA has issued
Compliance Policy Guides related to pharmacy compounding for both human
and veterinary drugs. The Guides continue to express FDA's concern that
certain pharmacies are using their retail licenses to conduct
manufacturing and distribution activities under the guise of
compounding.
Against this backdrop, the Deputy Administrator finds that to be
exempt from the definition of manufacturer under the CSA a DEA
practitioner registrant must be engaged in compounding controlled
substances on an individual patient basis. That is, a pharmacy must
receive a prescription for a specific patient from a physician or other
individual practitioner and must deliver or dispense that medication to
the patient. Since the evidence in this case clearly demonstrates that
the Respondent is not preparing or compounding medications containing
controlled substances on an individualized patient basis, the
Respondent's activities constitute manufacturing under the CSA and it
must be registered as a manufacturer to conduct such activity.
The Deputy Administrator also finds that in order to dispense
controlled substances, those substances must be delivered to the
patient or ultimate user by the dispenser. Sending controlled
substances to another DEA practitioner for dispensing is distribution,
not dispensing. The Respondent argues in its Post Hearing Brief that
``Wedgewood dispenses controlled substances to physicians for
administration to their patients.'' Respondent argues that since the
physicians are not dispensing, but administering, that Respondent is
dispensing to the physician and not distributing. The Respondent's
analysis is incorrect. Dispensing controlled substances, by definition,
includes administering and prescribing. See 21 U.S.C. 802(15). The
essence of dispensing, and by incorporation administration, is delivery
of a controlled substance to the patient or ultimate user. The
physician or other individual practitioner who receives controlled
substances from the Respondent is not the ultimate user, but another
DEA practitioner registrant, who is also authorized by DEA registration
to dispense, prescribe and administer controlled substances. Therefore,
the Respondent is not dispensing, but distributing controlled
substances to these physicians or other individual practitioners such
as veterinarians.
DEA regulations permit the Respondent to distribute up to five
percent of ``the total number of dosage
[[Page 16596]]
units of all controlled substances distributed and dispensed by the
practitioner during the same calendar year.'' See 21 CFR
1307.11(a)(1)(iv). This is to ensure that those practitioners
registered to dispense controlled substances do not become distributors
of controlled substances without being properly registered, to permit
them to distribute limited quantities to other practitioners for office
use. By its own admission, and documented by its own records, the
Respondent is distributing controlled substances to physicians and
other individual practitioners throughout the United States for further
dispensing by these individual practitioners. The Respondent is rarely
dispensing controlled substances to specific patients or ultimate
users, and, in the majority of cases, has no documentation of the
identity of the patients to whom the controlled substances will
ultimately be dispensed or administered.
Evidence in the record shows that the Respondent is distributing
identical products to many different individual practitioners and
therefore not compounding on a patient by patient basis. For example,
records in evidence indicate that the Respondent made several lots of
stanolzolol 50 mg/ml injection. This is a Schedule III anabolic
steroid. Each lot produced approximately 10,000 ml or 300, 30 ml. vials
of product. Many times, the yield of each lot would be divided and
shipped to several different physicians or veterinarians.
While the Deputy Administrator does not rely on FDA's position on
compounding, her interpretation of the CSA is consistent with the
legislative history of the pharmacy compounding provisions of the Food
and Drug Administration Modernization Act of 1997 and with FDA's
current guidelines regarding compounding by pharmacies. Retail
pharmacies may compound and avoid the requirements of regulation by the
FDA and the DEA when they do so for a specific patient on a patient by
patient basis. The traditional definition of compounding, found in the
Supreme Court's decision in Thompson v. Western States Medical Center,
supra is also consistent with this statement. Respondent's practice, by
its own evidence and admission, does not consist of compounding a
specific formulation containing a controlled substance on a patient by
patient basis. It consists of manufacturing and distributing controlled
substances for office use by other DEA practitioners.
The Respondent maintains that the State of New Jersey approves of
its practice because it issued the Respondent a new pharmacy
registration at the new business location. The Deputy Administrator
notes that the New Jersey statutes included by the Respondent as part
of the record do not specifically address the issue of compounding
controlled substances; however, New Jersey does have a State Controlled
Dangerous Substances Act. The definitions of manufacture, distribute,
and dispense are the same as those in the Federal statute. Also
included in the New Jersey Administrative Code is a provision that
states, ``[a] prescription may not be issued in order for an individual
practitioner to obtain controlled substances for supplying the
individual practitioner for the purpose of general dispensing to
patients.'' N.J.A.C. 8:65-7.4(b). The Deputy Administrator does not
seek to interpret the laws of the State of New Jersey. The Deputy
Administrator notes that the record does reflect that the State of New
Jersey has not taken action against the Respondent and has renewed its
pharmacy license at its new location.
The Deputy Administrator finds that the Respondent's activities
with regard to controlled substances are manufacturing and distributing
as those terms are defined in the CSA, and that the Respondent is not
registered with the DEA to conduct either activity, and was acting
outside the bounds of its registration as a retail pharmacy. The
activity conducted by the pharmacy which it argues is compounding, is
not patient specific, but rather manufacturing and distribution to
physicians or other practitioners for their dispensing to an individual
patient. The Respondent appears to dispute this reading of the CSA and
has refused to comply with the August 21, 2003, letter from DEA
advising that it is in violation of the statute.
The Respondent pharmacy also obtains bulk phenylpropanolamine
(PPA), a listed chemical under the CSA, and sells PPA capsules, which
it produces, to veterinarians. In a two-year period Respondent
purchased a total of 131 kilograms of PPA from one supplier. In 2002
Respondent sold over 700,000 dosage units of PPA to veterinarians for
which they had no records for over threshold or regulated transactions.
The Respondent may act as a retail distributor of listed chemicals
under its DEA pharmacy registration. A retail distributor of listed
chemicals is defined as a drug store who distributes PPA products for
personal use and that such distribution is primarily to ``walk-in
customers or in face-to-face'' transactions. A separate registration is
required to manufacture and distribute PPA which is a List I chemical.
The Deputy Administrator notes that the record indicates that since
being notified by DEA Investigators, the Respondent has begun to keep
records for regulated transactions with PPA products.
The Respondent filed extensive exceptions in this matter in which
it alleged that the outcome of the Order to Show Cause proceeding was
``pre-ordained,'' that the agency's record was ``farcical,'' and that
the Administrative Law Judge's Recommendation was ``fraught with a
legion of legal and factual errors.'' Respondent raises a number of
issues, many of which the Deputy Administrator has already addressed in
this decision. Most of the facts upon which the Deputy Administrator
relies are not in dispute. The Deputy Administrator would note that
while the agency did not present witnesses in its case, the Respondent
was not precluded from doing so, and also presented no witnesses.
The Deputy Administrator recognizes that the agency has the burden
of proof and she concludes that the agency has met the burden of
demonstrating by a preponderance of the evidence that the Respondent's
registration was inconsistent with the public interest because the
Respondent was acting as a manufacturer and distributor of controlled
substances without being registered to do so. The Respondent's own
exhibits, which consist of all the records seized by the DEA during its
inspection in March 2003, demonstrate the nature of the Respondent's
business with regard to controlled substances and listed chemicals. The
sworn testimony of the Respondent's owner, George Malmberg, before the
New Jersey State Board of Pharmacy on October 9, 2002, also
demonstrates the specific activities which the Respondent was
conducting. Mr. Malmberg testified in response to a question about the
nature of his business that, ``[i]t's virtually all compounding
today.'' The Respondent contends its activities constitute compounding
and dispensing, the agency argues that this conduct is manufacturing
and distributing controlled substances and listed chemicals. The
Respondent has been on notice by both the FDA and DEA that their
activities were manufacturing and distribution, but has chosen to
contest the position of the agencies.
The Respondent also takes exception to agency references to the
high volume of its business. The Respondent is correct that volume
alone does not show that its activity is manufacturing rather than
compounding. It is one of many factors that describe the nature of its
[[Page 16597]]
business. The Deputy Administrator notes that the DEA registers many
mail order and high volume retail pharmacies that dispense quantities
of controlled substances far in excess of those distributed by the
Respondent. These pharmacies also ship nationwide as does the
Respondent. They differ from the Respondent, however, because they
dispense controlled substances directly to the patient or ultimate
user. These retail pharmacies do not manufacture or even compound the
majority of the controlled substances that they handle. They do not
distribute controlled substances to physicians and other practitioners.
The Respondent's high volume and out-of-state shipping are included as
descriptions of the nature of its business.
The Respondent also objects to the Administrative Law Judge's use
of a DEA Report of Investigation, which was entered into evidence, as
the source of many factual findings in the ALJ's Findings of Fact.
While the report is the record of a diversion investigator's findings,
those conclusions are supported by the records submitted into evidence
by both the agency and the Respondent. The Deputy Administrator does
not accord significant weight to the many recordkeeping violations
cited in the report and the Order to Show Cause. The primary focus of
this decision rests on the Respondent's acting outside the scope of its
DEA registration even after being advised that it was doing so by DEA.
The facts supporting this conclusion are not in dispute.
The Deputy Administrator concludes that the Respondent's activities
of manufacturing and distributing controlled substances without the
appropriate DEA Certificate of Registration, of its continued activity
even when advised by the agency in writing that its activities were in
violation of the statute, demonstrate that the Respondent's continued
registration with DEA is inconsistent with the public interest. The
Respondent is distributing more than one million dosage units of
controlled substances a year to customers across the country. Because
it is not registered as a manufacturer or distributor of controlled
substances, it is not subject to the security and recordkeeping
requirements for that type of registrant. The evidence in the record
documents two thefts of controlled substances from the Respondent
during 2002. Security requirements for dispensers of controlled
substances are fairly minimal and include that the controlled
substances may be intermingled with non-controlled substances. No type
of alarm system is required. Manufacturers of controlled substances are
required to store Schedule III through V raw materials, bulk materials
awaiting processing, and finished products in a safe, vault, a
building, room or caged area with limited access and self-closing,
self-locking doors. These areas must be equipped with an electronic
alarm system which is connected to a central station. Recordkeeping and
reporting requirements required of manufacturers are much more
stringent than those for dispensers of controlled substances.
Accordingly, the Deputy Administrator of the DEA, pursuant to the
authority vested in her by 21 U.S.C. 823 and 824 and 28 CFR 0.100(b)
and 0.014, hereby orders that DEA Certificate of Registration
AW1289126, issued to Wedgewood Village Pharmacy, be, and is, hereby
revoked. The Deputy Administrator further orders that any pending
application for renewal or modification of such registration be, and
they hereby are, denied.
This order is effective May 3, 2006.
Dated: March 22, 2006.
Michele M. Leonhart,
Deputy Administrator.
[FR Doc. E6-4771 Filed 3-31-06; 8:45 am]
BILLING CODE 4410-09-P