Electronic Distribution of Prescribing Information for Prescription Drug Products; Reopening of Comment Period, 59536-59537 [E7-20759]

Download as PDF 59536 Federal Register / Vol. 72, No. 203 / Monday, October 22, 2007 / Notices proposed collection of information; (c) the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information on respondents. Consideration will be given to comments and suggestions submitted within 60 days of this publication. the Internet at https://www.fda.gov/ ohrms/dockets. Dated: October 12, 2007. Jeffrey Shuren, Assistant Commissioner for Policy. [FR Doc. E7–20756 Filed 10–19–07; 8:45 am] BILLING CODE 4160–01–S Dated: October 10, 2007. Brendan C. Kelly, Reports Clearance Officer. [FR Doc. 07–5176 Filed 10–19–07; 8:45 am] DEPARTMENT OF HEALTH AND HUMAN SERVICES BILLING CODE 4184–01–M [Docket No. 2007N–0114] DEPARTMENT OF HEALTH AND HUMAN SERVICES Electronic Distribution of Prescribing Information for Prescription Drug Products; Reopening of Comment Period Food and Drug Administration Food and Drug Administration AGENCY: ACTION: Agency Information Collection Activities; Announcement of Office of Management and Budget Approval; Experimental Evaluation of Variations in Content and Format of the Brief Summary in Direct-to-Consumer Print Advertisements for Prescription Drugs AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing that a collection of information entitled ‘‘Experimental Evaluation of Variations in Content and Format of the Brief Summary in Direct-to-Consumer (DTC) Print Advertisements for Prescription Drugs’’ has been approved by the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995. FOR FURTHER INFORMATION CONTACT: Karen L. Nelson, Office of the Chief Information Officer (HFA–250), Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857, 301–827– 4816. In the Federal Register of March 14, 2007 (72 FR 11889), the agency announced that the proposed information collection had been submitted to OMB for review and clearance under 44 U.S.C. 3507. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. OMB has now approved the information collection and has assigned OMB control number 0910–0611. The approval expires on October 31, 2010. A copy of the supporting statement for this information collection is available on ebenthall on PRODPC61 with NOTICES SUPPLEMENTARY INFORMATION: VerDate Aug<31>2005 15:02 Oct 19, 2007 Food and Drug Administration, HHS. [Docket No. 2006N–0133] Jkt 214001 Notice; reopening of comment period. SUMMARY: The Food and Drug Administration (FDA) is reopening to December 6, 2007 the comment period for the notice that published in the Federal Register of April 2, 2007 (72 FR 15701); this notice was related to the public hearing of April 27, 2007, concerning the electronic distribution of FDA-approved prescribing information currently contained in the package insert (PI) for prescription drug and biological products. FDA is reopening the comment period for the sole purpose of inviting interested persons to submit comments on the concept of electronic distribution of FDA-approved prescribing information currently contained in the PI for prescription animal drug products. DATES: Submit written or electronic comments by December 6, 2007. ADDRESSES: Submit written comments to the Division of Dockets Management (HFA–305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852. Submit electronic comments to either https:// www.fda.gov/dockets/ecomments or https://www.regulations.gov. FOR FURTHER INFORMATION CONTACT: Erik Mettler, Office of Policy (HF–11), Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857, 301–827– 3360, Erik.Mettler@fda.hhs.gov. SUPPLEMENTARY INFORMATION: I. Background In the Federal Register notice of April 2, 2007 (72 FR 15701), FDA published a notice of public hearing concerning the concept of the electronic distribution of PIs for human prescription drugs and biological PO 00000 Frm 00026 Fmt 4703 Sfmt 4703 products and solicited relevant information and comments on this concept. The purpose was to garner views and information on the feasibility of establishing an efficient process for industry to electronically distribute prescribing information to dispensers. The PIs with prescribing information accompany prescription human drugs to meet the requirement that ‘‘labeling on or within the package from which the drug is to be dispensed bears adequate information for its use * * *’’ (21 CFR 201.100(c)(1)). For additional information, see the April 2, 2007, notice ( 72 FR 15701). Currently, the PI contains the prescribing information for the safe and effective use of the product in the form of a paper leaflet. Although the information in the PI is a valuable resource, it is often not readily accessible when a healthcare provider who has not physically received the drug makes a treatment decision or discusses treatments with a patient. Additionally, the PI may not contain the most current information, because the PI accompanying the drug’s distribution may have been printed and distributed prior to more recent labeling changes. Accordingly, with technological advances in the electronic transmission of information, we are considering how prescribing information could be more effectively disseminated. FDA is reopening the comment period for the sole purpose of inviting interested persons to submit comments addressing a number of questions regarding the current use of package inserts for animal drug products and those logistical issues associated with electronic distribution of such prescribing information for animal drug products. The previous request for comments was limited to human drugs and biologics. As with prescription human drugs, the PIs with prescribing information accompany prescription animal drugs to meet the requirement that ‘‘labeling on or within the package from which the drug is to be dispensed bears adequate information for its use * * *’’ (21 CFR 201.105(c)(1)). FDA approves the prescribing information as part of both human and animal drug labeling in the drug application. The request for comment is to gain a better understanding of how PIs for animal drugs are currently used by healthcare entities as we consider new approaches for the dissemination of labeling information. II. Issues for Discussion FDA is specifically interested in receiving comments on the following questions and any other pertinent E:\FR\FM\22OCN1.SGM 22OCN1 Federal Register / Vol. 72, No. 203 / Monday, October 22, 2007 / Notices information related to the electronic distribution of the prescribing information for animals. A. General (1) Currently, who uses and benefits from the prescribing information? (2) How can electronic distribution and access of the prescribing information be accomplished? (3) Would electronic distribution and access of the prescribing information improve the public health? (4) Would electronic distribution and access of prescribing information improve prescribing habits? If so, how? (5) How might we ensure that changes in the distribution and access of the prescribing information will not negatively affect the current users? (6) Would an increase in electronic access to prescribing information affect prescribers, pharmacists, clients and patients? If so, how? (7) Are there any issues particular to the prescribing information for animal drugs that are dissimilar or distinct from those associated with human drugs and that might affect the feasibility of electronic distribution of labeling? ebenthall on PRODPC61 with NOTICES B. Logistics (1) Generally and without focusing on vendor-specific methods, how can electronic distribution of prescribing information be accomplished? (2) What are the costs associated with the successful implementation of electronic distribution and access to prescribing information, including startup and maintenance expenses? Please breakdown costs per healthcare sector. (3) Is the technology and infrastructure currently available to accomplish electronic distribution and access? If so, what is available? If not, what is needed? (4) What are other potential barriers to accomplishing the electronic prescribing information? (5) How can we ensure that electronic prescribing information is accessible to those who need the information? (6) How do we meet the needs of those who do not have electronic capability? (7) In case of emergency or when a computer system is down, what might be the backup? (8) How should electronically disseminated prescribing information be regularly updated and remain current? (9) What are the roles for the involved parties (manufacturers, third-parties, health professionals, FDA, and consumers)? (10) Should all products have electronic prescribing information or are VerDate Aug<31>2005 15:02 Oct 19, 2007 Jkt 214001 there some products or classes of products that should continue to have paper prescribing information accompany the product? (11) If electronic prescribing information were to be used instead of paper inserts, then how should electronic prescribing information be implemented? Should electronic prescribing information be phased in? If so, over what time period? Which products should use electronic prescribing information first? III. How to Submit Comments Interested persons may submit to the Division of Dockets Management (see ADDRESSES) written or electronic comments regarding this document. Submit a single copy of electronic comments to https://www.fda.gov/ dockets/ecomments or two paper copies of any mailed comments, except that individuals may submit one paper copy. Comments are to be identified with the docket number at the heading of this document. Received comments may be seen in the office above between 9 a.m. and 4 p .m., Monday through Friday. Dated: October 16, 2007. Jeffrey Shuren, Assistant Commissioner for Policy. [FR Doc. E7–20759 Filed 10–19–07; 8:45 am] BILLING CODE 4160–01–S DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration HRSA’s Bureau of Primary Health Care (BPHC) Awards Unsolicited Proposal for Cooperative Agreement to the National Network for Oral Health Access Health Resources and Services Administration (HRSA), HHS. ACTION: HRSA’s Bureau of Primary Health Care (BPHC) announces the award of an unsolicited proposal from the National Network for Oral Health Access (NNOHA) to establish a cooperative agreement with HRSA providing services and resources to support the Health Center Program’s oral health providers serving the oral health needs of underserved populations. AGENCY: Recipient: National Network for Oral Health Access, Ft. Lupton, Colorado. Purpose of the award: Cooperative Agreement with HRSA to provide services and resources to support the Health Center Program’s oral health PO 00000 Frm 00027 Fmt 4703 Sfmt 4703 59537 providers serving the oral health needs of underserved populations. Amount of award: $200,000. Project period: 1 year; September 25, 2007, to September 24, 2008. SUMMARY: HRSA’s BPHC has performed a formal review of an unsolicited proposal from NNOHA to establish a cooperative agreement with HRSA to provide services and resources to support the Health Center Program’s oral health providers serving the oral health needs of underserved populations. BPHC has reviewed the proposal and has determined that it has merit. This request is of strategic importance to the Department of Health and Human Services (HHS) and is time critical. Funding for the proposed activities will promote access to oral health services as an integral component of primary health care, improve the quality of those services provided, and sustain the forward motion of departmental priorities in this area. The Cooperative Agreement with NNOHA will have a project period of 1 year with funding at $200,000. The funds will support selected activities described in the application to develop a national infrastructure to support improved access to oral health care, and improved quality and workforce development for the growing number of health center oral health programs. The key anticipated outcomes of the proposed cooperative agreement are as follows: • The development of oral health clinical quality infrastructure to support HRSA in achieving its goal of improved quality of care; • The development of a recruitment and retention strategy to address dentist and dental hygienist vacancies, including National Health Service Corps dentist and dental hygiene openings; and • NNOHA will work in collaboration with HRSA to implement a strategy to integrate oral health as it moves all of its programs forward in Health Information Technology to assure that oral health strategies are included. There is a strategic importance of access to oral health as part of the primary care services supported by BPHC’s Health Center Program. The Health Center Program has had significant growth as part of the President’s Health Center Initiative. The number of patients seen by the Health Center Program has increased by 90 percent. Health centers have reported significant challenges recruiting and retaining oral health providers. Consequently, HRSA has determined that the scope of this proposal is immediate and necessary. The proposed E:\FR\FM\22OCN1.SGM 22OCN1

Agencies

[Federal Register Volume 72, Number 203 (Monday, October 22, 2007)]
[Notices]
[Pages 59536-59537]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-20759]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. 2007N-0114]


Electronic Distribution of Prescribing Information for 
Prescription Drug Products; Reopening of Comment Period

AGENCY:  Food and Drug Administration, HHS.

ACTION:  Notice; reopening of comment period.

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

SUMMARY: The Food and Drug Administration (FDA) is reopening to 
December 6, 2007 the comment period for the notice that published in 
the Federal Register of April 2, 2007 (72 FR 15701); this notice was 
related to the public hearing of April 27, 2007, concerning the 
electronic distribution of FDA-approved prescribing information 
currently contained in the package insert (PI) for prescription drug 
and biological products. FDA is reopening the comment period for the 
sole purpose of inviting interested persons to submit comments on the 
concept of electronic distribution of FDA-approved prescribing 
information currently contained in the PI for prescription animal drug 
products.

DATES: Submit written or electronic comments by December 6, 2007.

ADDRESSES: Submit written comments to the Division of Dockets 
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, 
rm. 1061, Rockville, MD 20852. Submit electronic comments to either 
https://www.fda.gov/dockets/ecomments or https://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Erik Mettler, Office of Policy (HF-
11), Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 
20857, 301-827-3360, Erik.Mettler@fda.hhs.gov.

SUPPLEMENTARY INFORMATION:

I. Background

    In the Federal Register notice of April 2, 2007 (72 FR 15701), FDA 
published a notice of public hearing concerning the concept of the 
electronic distribution of PIs for human prescription drugs and 
biological products and solicited relevant information and comments on 
this concept. The purpose was to garner views and information on the 
feasibility of establishing an efficient process for industry to 
electronically distribute prescribing information to dispensers. The 
PIs with prescribing information accompany prescription human drugs to 
meet the requirement that ``labeling on or within the package from 
which the drug is to be dispensed bears adequate information for its 
use * * *'' (21 CFR 201.100(c)(1)). For additional information, see the 
April 2, 2007, notice ( 72 FR 15701).
    Currently, the PI contains the prescribing information for the safe 
and effective use of the product in the form of a paper leaflet. 
Although the information in the PI is a valuable resource, it is often 
not readily accessible when a healthcare provider who has not 
physically received the drug makes a treatment decision or discusses 
treatments with a patient. Additionally, the PI may not contain the 
most current information, because the PI accompanying the drug's 
distribution may have been printed and distributed prior to more recent 
labeling changes. Accordingly, with technological advances in the 
electronic transmission of information, we are considering how 
prescribing information could be more effectively disseminated.
    FDA is reopening the comment period for the sole purpose of 
inviting interested persons to submit comments addressing a number of 
questions regarding the current use of package inserts for animal drug 
products and those logistical issues associated with electronic 
distribution of such prescribing information for animal drug products. 
The previous request for comments was limited to human drugs and 
biologics. As with prescription human drugs, the PIs with prescribing 
information accompany prescription animal drugs to meet the requirement 
that ``labeling on or within the package from which the drug is to be 
dispensed bears adequate information for its use * * *'' (21 CFR 
201.105(c)(1)). FDA approves the prescribing information as part of 
both human and animal drug labeling in the drug application. The 
request for comment is to gain a better understanding of how PIs for 
animal drugs are currently used by healthcare entities as we consider 
new approaches for the dissemination of labeling information.

II. Issues for Discussion

     FDA is specifically interested in receiving comments on the 
following questions and any other pertinent

[[Page 59537]]

information related to the electronic distribution of the prescribing 
information for animals.

A. General

    (1) Currently, who uses and benefits from the prescribing 
information?
    (2) How can electronic distribution and access of the prescribing 
information be accomplished?
    (3) Would electronic distribution and access of the prescribing 
information improve the public health?
    (4) Would electronic distribution and access of prescribing 
information improve prescribing habits? If so, how?
    (5) How might we ensure that changes in the distribution and access 
of the prescribing information will not negatively affect the current 
users?
    (6) Would an increase in electronic access to prescribing 
information affect prescribers, pharmacists, clients and patients? If 
so, how?
    (7) Are there any issues particular to the prescribing information 
for animal drugs that are dissimilar or distinct from those associated 
with human drugs and that might affect the feasibility of electronic 
distribution of labeling?

B. Logistics

    (1) Generally and without focusing on vendor-specific methods, how 
can electronic distribution of prescribing information be accomplished?
    (2) What are the costs associated with the successful 
implementation of electronic distribution and access to prescribing 
information, including startup and maintenance expenses? Please 
breakdown costs per healthcare sector.
    (3) Is the technology and infrastructure currently available to 
accomplish electronic distribution and access? If so, what is 
available? If not, what is needed?
    (4) What are other potential barriers to accomplishing the 
electronic prescribing information?
    (5) How can we ensure that electronic prescribing information is 
accessible to those who need the information?
    (6) How do we meet the needs of those who do not have electronic 
capability?
    (7) In case of emergency or when a computer system is down, what 
might be the backup?
    (8) How should electronically disseminated prescribing information 
be regularly updated and remain current?
    (9) What are the roles for the involved parties (manufacturers, 
third-parties, health professionals, FDA, and consumers)?
    (10) Should all products have electronic prescribing information or 
are there some products or classes of products that should continue to 
have paper prescribing information accompany the product?
    (11) If electronic prescribing information were to be used instead 
of paper inserts, then how should electronic prescribing information be 
implemented? Should electronic prescribing information be phased in? If 
so, over what time period? Which products should use electronic 
prescribing information first?

III. How to Submit Comments

    Interested persons may submit to the Division of Dockets Management 
(see ADDRESSES) written or electronic comments regarding this document. 
Submit a single copy of electronic comments to https://www.fda.gov/
dockets/ecomments or two paper copies of any mailed comments, except 
that individuals may submit one paper copy. Comments are to be 
identified with the docket number at the heading of this document. 
Received comments may be seen in the office above between 9 a.m. and 4 
p .m., Monday through Friday.

    Dated: October 16, 2007.
Jeffrey Shuren,
Assistant Commissioner for Policy.
[FR Doc. E7-20759 Filed 10-19-07; 8:45 am]
BILLING CODE 4160-01-S
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