Determination That METADATE ER (Methylphenidate Hydrochloride) Extended-Release Tablet, 10 Milligrams, Was Not Withdrawn From Sale for Reasons of Safety or Effectiveness, 40484-40485 [2013-16101]
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40484
Federal Register / Vol. 78, No. 129 / Friday, July 5, 2013 / Notices
function of a Medicare enrollment
application is to gather information
from a provider, supplier or other entity
that tells us who it is, whether it meets
certain qualifications to be a health care
provider, supplier or entity, where it
practices or renders its services, the
identity of the owners of the enrolling
entity, and information necessary to
establish correct claims payments. We
are adding a new CMS–855 Medicare
Registration Application, the CMS–
855C: Medicare Enrollment Application
for Registration of Eligible Entities That
Provide Health Insurance Coverage
Complementary to Medicare Part B.
This Medicare registration application is
to be completed by all entities that
provide a complimentary health benefit
plan and intend to bill Medicare as an
indirect payment procedure (IPP) biller
and the entity or health plan meets all
Medicare requirements to submit claims
for indirect payments. The entity must
furnish the name of at least one
authorized official, preferably the
administrator of the health plan, who
must sign this registration application
attesting that the registering entity meets
the requirements to register as an
indirect payment procedure biller and
will also abide by the requirements
stated in the Certification & Attestation
Statement in Section 10 of the
application.
The CMS–855C will be submitted at
the time the applicant first requests a
Medicare identification number for the
sole purpose of submitting claims under
the ‘‘Indirect Payment Procedure (IPP)’’
for reimbursement, and when necessary
to report any changes to information
previously submitted. The application
will be used by Medicare contractors to
collect data to ensure the applicant has
the necessary credentials to submit
Medicare claims for reimbursement,
including information that allows
Medicare contractors to ensure that the
entity and its owners and administrators
are not sanctioned from the Medicare
program, or debarred, suspended or
excluded from any other Federal agency
or program. Form Number: CMS–855(C)
(OCN: 0938-New); Frequency:
Occasionally; Affected Public: Private
sector—Business or other for-profits and
Not-for-profit institutions; Number of
Respondents: 440; Total Annual
Responses: 440; Total Annual Hours:
500. (For policy questions regarding this
collection contact Kim McPhillips at
410–786–5374.)
VerDate Mar<15>2010
17:06 Jul 03, 2013
Jkt 229001
Dated: June 28, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–16085 Filed 7–3–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–P–0303]
Determination That METADATE ER
(Methylphenidate Hydrochloride)
Extended-Release Tablet, 10
Milligrams, Was Not Withdrawn From
Sale for Reasons of Safety or
Effectiveness
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) has determined
that METADATE ER (methylphenidate
hydrochloride (HCl)) extended-release
tablet, 10 milligrams (mg), was not
withdrawn from sale for reasons of
safety or effectiveness. This
determination will allow FDA to
approve abbreviated new drug
applications (ANDAs) for
methylphenidate HCl extended-release
tablet, 10 mg, if all other legal and
regulatory requirements are met.
FOR FURTHER INFORMATION CONTACT:
Reena Raman, Center for Drug
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, rm. 6238,
Silver Spring, MD 20993–0002, 301–
796–7577.
SUPPLEMENTARY INFORMATION: In 1984,
Congress enacted the Drug Price
Competition and Patent Term
Restoration Act of 1984 (Pub. L. 98–417)
(the 1984 amendments), which
authorized the approval of duplicate
versions of drug products under an
ANDA procedure. ANDA applicants
must, with certain exceptions, show that
the drug for which they are seeking
approval contains the same active
ingredient in the same strength and
dosage form as the ‘‘listed drug,’’ which
is a version of the drug that was
previously approved. ANDA applicants
do not have to repeat the extensive
clinical testing otherwise necessary to
gain approval of a new drug application
(NDA).
The 1984 amendments include what
is now section 505(j)(7) of the Federal
Food, Drug, and Cosmetic Act (21 U.S.C.
355(j)(7)), which requires FDA to
SUMMARY:
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Fmt 4703
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publish a list of all approved drugs.
FDA publishes this list as part of the
‘‘Approved Drug Products with
Therapeutic Equivalence Evaluations,’’
which is known generally as the
‘‘Orange Book.’’ Under FDA regulations,
drugs are removed from the list if the
Agency withdraws or suspends
approval of the drug’s NDA or ANDA
for reasons of safety or effectiveness or
if FDA determines that the listed drug
was withdrawn from sale for reasons of
safety or effectiveness (21 CFR 314.162).
A person may petition the Agency to
determine, or the Agency may
determine on its own initiative, whether
a listed drug was withdrawn from sale
for reasons of safety or effectiveness.
This determination may be made at any
time after the drug has been withdrawn
from sale, but must be made prior to
approving an ANDA that refers to the
listed drug (§ 314.161 (21 CFR 314.161)).
FDA may not approve an ANDA that
does not refer to a listed drug.
METADATE ER (methylphenidate
HCl) extended-release tablet, 10 mg, is
the subject of ANDA 40–306, held by
UCB, Inc., and initially approved on
October 20, 1999. METADATE ER is
indicated as an integral part of a total
treatment program which typically
includes other remedial measures
(psychological, educational, social) for a
stabilizing effect in children with a
behavioral syndrome characterized by
the following group of developmentally
inappropriate symptoms: Moderate-tosevere distractibility, short attention
span, hyperactivity, emotional lability,
and impulsivity.
In a letter dated November 4, 2011,
UCB, Inc., notified FDA that
METADATE ER (methylphenidate HCl)
extended-release tablet, 10 mg, had been
discontinued, and FDA moved the drug
product to the ‘‘Discontinued Drug
Product List’’ section of the Orange
Book.
Tedor Pharma Inc. submitted a citizen
petition dated March 6, 2013 (Docket
No. FDA–2013–P–0303), under 21 CFR
10.30, requesting that the Agency
determine whether METADATE ER
(methylphenidate HCl) extended-release
tablet, 10 mg, was withdrawn from sale
for reasons of safety or effectiveness.
After considering the citizen petition
and reviewing Agency records and
based on the information we have at this
time, FDA has determined under
§ 314.161 that METADATE ER
(methylphenidate HCl) extended-release
tablet, 10 mg, was not withdrawn for
reasons of safety or effectiveness. The
petitioner has identified no data or other
information suggesting that METADATE
ER (methylphenidate HCl) extendedrelease tablet, 10 mg, was withdrawn for
E:\FR\FM\05JYN1.SGM
05JYN1
Federal Register / Vol. 78, No. 129 / Friday, July 5, 2013 / Notices
reasons of safety or effectiveness. We
have carefully reviewed our files for
records concerning the withdrawal of
this product from sale. We have also
independently evaluated relevant
literature and data for possible
postmarketing adverse events. We have
found no information that would
indicate that this product was
withdrawn from sale for reasons of
safety or effectiveness.
Accordingly, the Agency will
continue to list METADATE ER
(methylphenidate HCl) extended-release
tablet, 10 mg, in the ‘‘Discontinued Drug
Product List’’ section of the Orange
Book. The ‘‘Discontinued Drug Product
List’’ delineates, among other items,
drug products that have been
discontinued from marketing for reasons
other than safety or effectiveness.
ANDAs that refer to METADATE ER
(methylphenidate HCl) extended-release
tablet, 10 mg, may be approved by the
Agency as long as they meet all other
legal and regulatory requirements for
the approval of ANDAs. If FDA
determines that labeling for this drug
product should be revised to meet
current standards, the Agency will
advise ANDA applicants to submit such
labeling.
Dated: June 28, 2013.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2013–16101 Filed 7–3–13; 8:45 am]
BILLING CODE 4160–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–N–0596]
Lung Cancer Patient-Focused Drug
Development; Extension of Comment
Period
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice; extension of comment
period.
The Food and Drug
Administration (FDA) is extending the
comment period for the public docket
on lung cancer patient-focused drug
development. In the Federal Register of
June 5, 2013 (78 FR 33581), FDA
announced an opportunity for public
comment on this topic and explained
that the comment period would close on
July 29, 2013. The Agency is taking this
action to allow interested persons
additional time to submit comments.
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:06 Jul 03, 2013
Jkt 229001
Submit either electronic or
written comments to the docket by
August 28, 2013.
ADDRESSES: Submit electronic
comments to https://
www.regulations.gov. Submit written
comments to the Division of Dockets
Management (HFA–305), Food and Drug
Administration, 5630 Fishers Lane, rm.
1061, Rockville, MD 20852. Identify
comments with the docket number
found in brackets in the heading of this
document.
FOR FURTHER INFORMATION CONTACT:
Graham Thompson, Center for Drug
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, rm. 1199,
Silver Spring, MD 20993–0003, 301–
796–5003, email:
graham.thompson@fd.hhs.gov.
DATES:
SUPPLEMENTARY INFORMATION:
I. Background
In the Federal Register of June 5, 2013
(78 FR 33581), FDA announced an
opportunity for public comment on lung
cancer patient-focused drug
development and explained that the
comment period would close on July 29,
2013. The Agency is extending the
comment period to allow interested
persons additional time to submit
comments.
As part of Patient-Focused Drug
Development, FDA is gathering patient
and patient stakeholder input on
symptoms of lung cancer that matter
most to patients and on current
approaches to treating lung cancer. FDA
is interested in patients’ perspectives for
the two main types of lung cancer
(small-cell and non-small cell lung
cancer) on the importance of disease
symptoms, benefits of treatment
approaches, and possible cancer
treatment side effects. FDA is interested
in receiving patient input that addresses
the following questions.
Topic 1: Disease Symptoms and Daily
Impacts That Matter Most to Patients
1. For context, how long ago was your
diagnosis of lung cancer? Is your cancer
currently in only one area of the lung or
has it spread to other parts of the lung
or outside of the lungs?
2. Of all the symptoms that you
experience because of your lung cancer,
which one to three symptoms have the
most significant impact on your daily
life? (Examples may include pain,
cough, shortness of breath, fatigue, voice
hoarseness.)
3. Are there specific activities that are
important to you but that you cannot do
at all, or as fully as you would like,
because of lung cancer? (Examples may
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40485
include sleeping through the night,
climbing stairs, household activities.)
Topic 2: Patients’ Perspectives on
Current Approaches To Treating Lung
Cancer
1. Are you currently undergoing any
cancer treatments to help reduce or
control the spread of your lung cancer?
Please describe.
1.1 What do you consider to be the
most significant downsides of these
treatments? (Examples of downsides
may include side effects, going to the
hospital for treatment, frequent blood
tests, etc.)
1.2 How do these downsides affect
your daily life?
2. What supportive care treatments, if
any, are you taking to help improve or
manage the symptoms you experience
because of your lung cancer? Please
include any prescription medicines,
over-the-counter products, and other
therapies including non-drug therapies
(such as breathing techniques).
2.1 What specific symptoms do your
treatments address?
2.2 How well do these treatments
manage these symptoms?
2.3 Are there symptoms that your
current treatment regimen does not
address at all, or does not treat as well
as you would like?
3. When thinking about your overall
goals for treatment, how do you weigh
the importance of prolonging your life
versus improving the symptoms you
experience because of your lung cancer?
4. What factors do you take into
account when making decisions about
using treatments to help reduce or
control the spread of your lung cancer?
In particular:
4.1 What information on the
potential benefits of these treatments
factors most into your decision?
(Examples of potential benefits from
treatments may include shrinking the
tumor, delaying the growth of the
tumor, prolonging life, etc.)
4.2 How do you weigh the potential
benefits of these treatments versus the
common side effects of the treatments?
(Common side effects could include
nausea, loss of appetite fatigue,
diarrhea, rash.)
4.3 How do you weigh potential
benefits of these treatments versus the
less common but serious risks
associated with the treatments?
(Examples of less common but serious
risks are developing a hole in the
stomach or intestine, liver failure,
kidney failure, lung inflammation,
blood clot, stroke, heart attack, serious
infections, etc.)
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Agencies
[Federal Register Volume 78, Number 129 (Friday, July 5, 2013)]
[Notices]
[Pages 40484-40485]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-16101]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2013-P-0303]
Determination That METADATE ER (Methylphenidate Hydrochloride)
Extended-Release Tablet, 10 Milligrams, Was Not Withdrawn From Sale for
Reasons of Safety or Effectiveness
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA) has determined that
METADATE ER (methylphenidate hydrochloride (HCl)) extended-release
tablet, 10 milligrams (mg), was not withdrawn from sale for reasons of
safety or effectiveness. This determination will allow FDA to approve
abbreviated new drug applications (ANDAs) for methylphenidate HCl
extended-release tablet, 10 mg, if all other legal and regulatory
requirements are met.
FOR FURTHER INFORMATION CONTACT: Reena Raman, Center for Drug
Evaluation and Research, Food and Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, rm. 6238, Silver Spring, MD 20993-0002, 301-
796-7577.
SUPPLEMENTARY INFORMATION: In 1984, Congress enacted the Drug Price
Competition and Patent Term Restoration Act of 1984 (Pub. L. 98-417)
(the 1984 amendments), which authorized the approval of duplicate
versions of drug products under an ANDA procedure. ANDA applicants
must, with certain exceptions, show that the drug for which they are
seeking approval contains the same active ingredient in the same
strength and dosage form as the ``listed drug,'' which is a version of
the drug that was previously approved. ANDA applicants do not have to
repeat the extensive clinical testing otherwise necessary to gain
approval of a new drug application (NDA).
The 1984 amendments include what is now section 505(j)(7) of the
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355(j)(7)), which
requires FDA to publish a list of all approved drugs. FDA publishes
this list as part of the ``Approved Drug Products with Therapeutic
Equivalence Evaluations,'' which is known generally as the ``Orange
Book.'' Under FDA regulations, drugs are removed from the list if the
Agency withdraws or suspends approval of the drug's NDA or ANDA for
reasons of safety or effectiveness or if FDA determines that the listed
drug was withdrawn from sale for reasons of safety or effectiveness (21
CFR 314.162).
A person may petition the Agency to determine, or the Agency may
determine on its own initiative, whether a listed drug was withdrawn
from sale for reasons of safety or effectiveness. This determination
may be made at any time after the drug has been withdrawn from sale,
but must be made prior to approving an ANDA that refers to the listed
drug (Sec. 314.161 (21 CFR 314.161)). FDA may not approve an ANDA that
does not refer to a listed drug.
METADATE ER (methylphenidate HCl) extended-release tablet, 10 mg,
is the subject of ANDA 40-306, held by UCB, Inc., and initially
approved on October 20, 1999. METADATE ER is indicated as an integral
part of a total treatment program which typically includes other
remedial measures (psychological, educational, social) for a
stabilizing effect in children with a behavioral syndrome characterized
by the following group of developmentally inappropriate symptoms:
Moderate-to-severe distractibility, short attention span,
hyperactivity, emotional lability, and impulsivity.
In a letter dated November 4, 2011, UCB, Inc., notified FDA that
METADATE ER (methylphenidate HCl) extended-release tablet, 10 mg, had
been discontinued, and FDA moved the drug product to the ``Discontinued
Drug Product List'' section of the Orange Book.
Tedor Pharma Inc. submitted a citizen petition dated March 6, 2013
(Docket No. FDA-2013-P-0303), under 21 CFR 10.30, requesting that the
Agency determine whether METADATE ER (methylphenidate HCl) extended-
release tablet, 10 mg, was withdrawn from sale for reasons of safety or
effectiveness.
After considering the citizen petition and reviewing Agency records
and based on the information we have at this time, FDA has determined
under Sec. 314.161 that METADATE ER (methylphenidate HCl) extended-
release tablet, 10 mg, was not withdrawn for reasons of safety or
effectiveness. The petitioner has identified no data or other
information suggesting that METADATE ER (methylphenidate HCl) extended-
release tablet, 10 mg, was withdrawn for
[[Page 40485]]
reasons of safety or effectiveness. We have carefully reviewed our
files for records concerning the withdrawal of this product from sale.
We have also independently evaluated relevant literature and data for
possible postmarketing adverse events. We have found no information
that would indicate that this product was withdrawn from sale for
reasons of safety or effectiveness.
Accordingly, the Agency will continue to list METADATE ER
(methylphenidate HCl) extended-release tablet, 10 mg, in the
``Discontinued Drug Product List'' section of the Orange Book. The
``Discontinued Drug Product List'' delineates, among other items, drug
products that have been discontinued from marketing for reasons other
than safety or effectiveness. ANDAs that refer to METADATE ER
(methylphenidate HCl) extended-release tablet, 10 mg, may be approved
by the Agency as long as they meet all other legal and regulatory
requirements for the approval of ANDAs. If FDA determines that labeling
for this drug product should be revised to meet current standards, the
Agency will advise ANDA applicants to submit such labeling.
Dated: June 28, 2013.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2013-16101 Filed 7-3-13; 8:45 am]
BILLING CODE 4160-01-P