Draft Guidance for Industry on Current Good Manufacturing Practice-Interim Guidance for Human Drug Compounding Outsourcing Facilities Under the Federal Food, Drug and Cosmetic Act; Availability, 37743-37747 [2014-15370]

Download as PDF Federal Register / Vol. 79, No. 127 / Wednesday, July 2, 2014 / Notices comments. Identify comments with the docket number found in brackets in the heading of this document. Received comments may be seen in the Division of Dockets Management between 9 a.m. and 4 p.m., Monday through Friday, and will be posted to the docket at https:// www.regulations.gov. III. Electronic Access Persons with access to the Internet may obtain the document at either https://www.fda.gov/Drugs/Guidance ComplianceRegulatoryInformation/ Guidances/default.htm or https:// www.regulations.gov. Dated: June 25, 2014. Leslie Kux, Assistant Commissioner for Policy. [FR Doc. 2014–15372 Filed 7–1–14; 8:45 am] BILLING CODE 4164–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2014–D–0779] Draft Guidance for Industry on Current Good Manufacturing Practice—Interim Guidance for Human Drug Compounding Outsourcing Facilities Under the Federal Food, Drug and Cosmetic Act; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing the availability of a draft guidance for industry entitled ‘‘Current Good Manufacturing Practice—Interim Guidance for Human Drug Compounding Outsourcing Facilities under Section 503B of the FD&C Act.’’ This draft guidance describes FDA’s current expectations regarding compliance with current good manufacturing practice (CGMP) requirements for facilities that compound human drugs and register with FDA as outsourcing facilities under the Federal Food, Drug, and Cosmetic Act (the FD&C Act), in accordance with provisions added by the Drug Quality and Security Act (DQSA). FDA is also soliciting public input on specific potential alternative approaches regarding certain CGMP requirements. These potential approaches are explained in detail in the draft guidance. mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: Although you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency DATES: VerDate Mar<15>2010 17:49 Jul 01, 2014 Jkt 232001 considers your comment on this draft guidance before it begins work on the final version of the guidance, submit either electronic or written comments on the draft guidance by September 2, 2014. ADDRESSES: Submit written requests for single copies of the draft guidance to the Division of Drug Information, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 2201, Silver Spring, MD 20993–0002. Send one self-addressed adhesive label to assist that office in processing your requests. See the SUPPLEMENTARY INFORMATION section for electronic access to the draft guidance document. Submit electronic comments on the draft guidance 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. FOR FURTHER INFORMATION CONTACT: Brian Hasselbalch, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 4364, Silver Spring, MD 20993–0002, 301– 796–3279. SUPPLEMENTARY INFORMATION: I. Background FDA is announcing the availability of a draft guidance for industry entitled ‘‘Current Good Manufacturing PracticeInterim Guidance for Human Drug Compounding Outsourcing Facilities under Section 503B of the FD&C Act.’’ On November 27, 2013, President Obama signed the DQSA (Public Law 113–54), which added section 503B to the FD&C Act (21 U.S.C. 353b). Under section 503B(b) of the FD&C Act, a compounder can register as an outsourcing facility with FDA. Drug products compounded in a registered outsourcing facility can qualify for exemptions from the FDA approval requirements in section 505 of the FD&C Act (21 U.S.C. 355) and the requirement to label products with adequate directions for use under section 502(f)(1) of the FD&C Act (21 U.S.C. 352(f)(1)) if the requirements in section 503B are met. Outsourcing facilities will be inspected by FDA and must comply with other provisions of the FD&C Act, including CGMP requirements under section 501(a)(2)(B) (21 U.S.C. 351(a)(2)(B)). Under section 501(a)(2)(B) of the FD&C Act, a drug is deemed to be adulterated if it is not produced in accordance with CGMP. FDA’s regulations regarding CGMP PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 37743 requirements for the preparation of drug products have been established in 21 CFR parts 210 and 211. FDA intends to issue more specific CGMP regulations for outsourcing facilities. Until final regulations are issued, this draft guidance describes FDA’s expectations regarding outsourcing facilities and the CGMP requirements in parts 210 and 211 during this interim period. This draft guidance reflects FDA’s intent to recognize the differences between compounding outsourcing facilities and conventional drug manufacturers, and to tailor CGMP requirements to the nature of the specific compounding operations conducted by outsourcing facilities while maintaining the minimum standards necessary to protect patients from the risks of contaminated or otherwise substandard compounded drug products. This draft guidance is only applicable to drugs compounded in accordance with section 503B of the FD&C Act. FDA intends to focus its inspectional and enforcement efforts on those aspects of compounding operations that pose the highest risk to patient safety. In particular, the primary focus of this draft guidance is on those aspects of part 211 that relate to sterility assurance of sterile drug products and the safety of compounded drug products more generally, with respect to strength (e.g., subpotency, superpotency), and labeling or drug product mix-ups. II. Specific Request for Comments and Information In addition to comments on the draft guidance generally, FDA is requesting comments and related supporting information on the following specific issues: (1) alternative approaches that would enable an outsourcing facility to have confidence in the quality of incoming components from sources used by multiple outsourcing facilities without each individual outsourcing facility having to conduct periodic laboratory testing to confirm the information in the third-party supplier’s certificate of analysis and (2) alternative approaches that would minimize the need for outsourcing facilities to establish an in-house laboratory while providing confidence about the accuracy of testing performed by a third party used by more than one outsourcing facility. FDA has described these potential alternative approaches in the draft guidance and is seeking public comment on these and any other alternative approaches. This draft guidance is being issued consistent with FDA’s good guidance practices regulation (21 CFR 10.115). The draft guidance, when finalized, will E:\FR\FM\02JYN1.SGM 02JYN1 37744 Federal Register / Vol. 79, No. 127 / Wednesday, July 2, 2014 / Notices represent the Agency’s current thinking on ‘‘Current Good Manufacturing Practice-Interim Guidance for Human Drug Compounding Outsourcing Facilities under Section 503B of the FD&C Act.’’ It does not create or confer any rights for or on any person and does not operate to bind FDA or the public. An alternative approach may be used if such approach satisfies the requirements of the applicable statutes and regulations. mstockstill on DSK4VPTVN1PROD with NOTICES III. Comments Interested persons may submit electronic comments regarding this document to https:// www.regulations.gov, or written comments to the Division of Dockets Management (see ADDRESSES). It is only necessary to send one set of comments. Identify comments with the docket number found in brackets in the heading of this document. Received comments may be seen in the Division of Dockets Management between 9 a.m. and 4 p.m., Monday through Friday, and will be posted to the docket at https:// www.regulations.gov. IV. Paperwork Reduction Act of 1995 This draft guidance contains information collection provisions that are subject to review by the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995 (the PRA) (44 U.S.C. 3501–3520). The title, description, and respondent description of the information collection are given under this section with an estimate of the annual recordkeeping, third-party disclosure, and reporting burdens. Included in the estimate is the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. We invite comments on these topics: (1) Whether the proposed collection of information is necessary for the proper performance of FDA’s functions, including whether the information will have practical utility; (2) the accuracy of FDA’s estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques, when appropriate, and other forms of information technology. Title: Guidance for Industry, Current Good Manufacturing Practice—Interim Guidance for Human Drug VerDate Mar<15>2010 17:49 Jul 01, 2014 Jkt 232001 Compounding Outsourcing Facilities under Section 503B of the FD&C Act. Description: The draft guidance describes FDA’s expectations regarding compliance with CGMP requirements for facilities that register with FDA as outsourcing facilities under section 503B of the FD&C Act. The primary focus of the draft guidance is on sterility assurance of sterile products and the safety of compounded drug products with respect to strength (e.g., subpotency, superpotency), and labeling or drug product mix-ups. OMB has already approved the information collection (recordkeeping) contained in FDA’s CGMP regulations in part 211 (OMB control number 0910–0139). FDA believes that much of the recordkeeping burden that would result from the draft guidance is already incurred by outsourcing facilities in the normal course of their business activities. Thus, the burden estimates for these ‘‘usual and customary’’ business practices are not included in the calculation of burden that follows (see 5 CFR 1320.3(b)(2). The draft guidance contains the following collections of information under the PRA: 1. Facility Design The draft guidance describes those elements of facility design of outsourcing facilities that are considered critical to assuring the quality of compounded sterile drug products at those facilities. For example, the draft guidance states that sterile drugs should be produced only in ISO 5 or better air quality, and that the ISO 5 zone or critical area must be qualified (i.e., shown to meet the specifications). In section III.A, the draft guidance lists certain studies and tests which should be successfully performed for outsourcing facilities, and states that the results of these studies and tests should be documented. We estimate that annually a total of approximately 50 outsourcing facilities 1 (‘‘No. of Recordkeepers’’ in table 1, row 1) will individually document approximately 20 studies and tests (‘‘Total Annual Records’’ in table 1, row 1) that are critical to assuring the quality of compounded sterile drug products. 1 This is an estimate of the number of facilities that will register as outsourcing facilities in fiscal year 2014 (which runs from October 1, 2013 to September 30, 2014). As of April 30, 2014, 40 facilities had registered as outsourcing facilities, and on average, 2 facilities have registered each month for the past 3 months, but these estimates are highly uncertain. Annual establishment fees will be assessed for each outsourcing facility registered on or after October 1, 2014. It is unknown how many facilities will remain as registered outsourcing facilities once these fees take effect. PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 We also estimate that preparing and maintaining each record as described in the draft guidance will take on average approximately 1.5 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 1). 2. Control Systems and Procedures for Maintaining Suitable Facilities The draft guidance describes certain controls, procedures, and documentation that should be established and followed for maintaining suitable facilities and to prevent contamination and mix-ups during the course of aseptic operations at outsourcing facilities. Procedures must be established that assign responsibility for and describe cleaning schedules, methods, equipment, and materials. In addition, the guidance describes that procedures should ensure recording of instances when there is a loss of positive pressure in the clean room during production. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row 2) will individually establish and maintain approximately 3 records (procedures and documentation) for maintaining suitable outsourcing facilities (‘‘Total Annual Records’’ in table 1, row 2). We also estimate that preparing and maintaining each record as described in section III.B of the draft guidance will take on average approximately 5 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 2). 3. Environmental and Personnel Monitoring Under the draft guidance, procedures for environmental and personnel monitoring in the aseptic processing area for viable, nonviable, and total particulate matter should be established and followed in outsourcing facilities. The procedures should include establishing the validity of the microbiological media, including the preparation, sterilization, and growth potential of the media used in performing tests. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row 3) will individually establish approximately 1,200 environmental and personnel monitoring procedures and records to document test results (‘‘Total Annual Records’’ in table 1, row 3) for the aseptic processing areas. We also estimate that preparing and maintaining the environmental and personnel monitoring procedures as described in section III.C of the draft guidance will take on average approximately 0.25 E:\FR\FM\02JYN1.SGM 02JYN1 Federal Register / Vol. 79, No. 127 / Wednesday, July 2, 2014 / Notices hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 3). 4. Equipment, Containers, and Closures Procedures and documentation should be established and maintained for testing compounding equipment and containers and closures to ensure the quality of compounded drug products at outsourcing facilities. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row 4) will individually establish and maintain approximately 1,000 procedures and documentation for testing equipment, containers, and closures (‘‘Total Annual Records’’ in table 1, row 4) in the aseptic processing areas. We also estimate that preparing and maintaining these procedures and documentation as described in section III.D of the draft guidance will take on average approximately 0.25 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 4). mstockstill on DSK4VPTVN1PROD with NOTICES 5. Components Procedures should be established and records maintained concerning the source and quality of components such as raw materials or ingredients used in producing compounded sterile drug products at outsourcing facilities. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row 5) will individually establish and maintain approximately 240 records of testing to ensure the quality of components used in producing compounded drugs, as recommended in section III.E of the draft guidance (‘‘Total Annual Records’’ in table 1, row 5). We also estimate that preparing and maintaining these records will take on average approximately 4 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 5). 6. Production and Process Controls Production and process documentation and procedures, such as batch records, must be established to assure the quality of compounded sterile drug products at outsourcing facilities. Training on aseptic technique, cleanroom behavior, gowning, and procedures covering aseptic manufacturing area operations must be established. Sterilization validation of operations (e.g., holding vessels, filling equipment, lyophilizer) and periodic verification activities and results must be documented. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row 6) will individually establish and VerDate Mar<15>2010 17:49 Jul 01, 2014 Jkt 232001 37745 maintain approximately 5,000 records pertaining to production and process controls, such as validation procedures and training, to assure the quality of compounded sterile drug products (‘‘Total Annual Records’’ in table 1, row 6). We also estimate that preparing and maintaining these records, as described in section III.F of the draft guidance, will take on average approximately 0.25 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 6). We also estimate that annually, a total of approximately 10 outsourcing facilities (‘‘No. of Respondents’’ in table 3) will individually submit to FDA 1 notification of the test results for any compounded drug product that fails to meet a sterility criterion (‘‘Total Annual Responses’’ in table 3). Preparing and submitting this information will take approximately 5 hours per notification (‘‘Average Burden per Response’’ in table 3). 7. Release Testing 8. Laboratory Controls Each laboratory used to conduct testing of components, in-process materials, and finished drug products for outsourcing facilities must follow written procedures for the conduct of each test and document the results, establish sampling and testing procedures to ensure that components, in-process materials, and drug products conform to the product specifications, and keep complete records of all tests performed to ensure compliance with established specifications and standards, including examinations and assays. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row 8) will individually establish and maintain approximately 1,000 laboratory records as described in section III.H of the draft guidance (‘‘Total Annual Records’’ in table 1, row 8). We also estimate that preparing and maintaining these records will take on average approximately 0.5 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 8). Compounded drug products produced at outsourcing facilities must be tested to determine whether they meet final product specifications prior to release for distribution, and procedures for final release testing must be established and followed. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row 7) will individually establish and maintain approximately 240 records pertaining to final release testing of compounded drug products, including release testing procedures and documentation (‘‘Total Annual Records’’ in table 1, row 7). We also estimate that preparing and maintaining these records, as described in section III.G of the draft guidance, will take on average approximately 4 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 7). If sterility testing is not completed prior to release under certain conditions described in section III.G of the draft guidance, procedures must be established that specify that if the product fails to meet a criterion for sterility, all healthcare and other facilities that received the product must be immediately notified of the test results and provided with any appropriate information and recommendations to aid in the treatment of patients; the notification must be documented; and FDA must be notified in writing. We estimate that annually a total of approximately 10 outsourcing facilities (‘‘No. of Respondents’’ in table 2, row 1) will individually send approximately 1 notification of test results to all healthcare and other facilities that received the compounded drug product and provide them with any appropriate information and recommendations to aid in the treatment of patients (‘‘Total Annual Disclosures’’ in table 2, row 1). We also estimate that preparing and sending each notification will take approximately 5 hours (‘‘Average Burden per Disclosure’’ in table 2, row 1). PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 9. Stability/Expiration Dating Stability testing is used to ensure that a drug product will retain its quality (in particular, strength) and remain sterile through the labeled expiration date. The draft guidance recommends that procedures established by outsourcing facilities for assessing the stability of drug products should include: (1) using stability-indicating test methods that are reliable, meaningful and specific; (2) evaluating samples of the drug product in the same container closure system in which the drug product will be marketed; (3) evaluating samples for stability that are representative of the lot or batch from which they were obtained and are stored under suitable conditions; and (4) testing to evaluate antimicrobial effectiveness (resistance to antimicrobial contamination) for drug products labeled or intended to be multiple dose. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row E:\FR\FM\02JYN1.SGM 02JYN1 37746 Federal Register / Vol. 79, No. 127 / Wednesday, July 2, 2014 / Notices 9) will individually establish and maintain approximately 90 procedures for stability studies to determine an expiration date (‘‘Total Annual Records’’ in table 1, row 9) for compounded drug products. We also estimate that preparing and maintaining these procedures as described in section III.I of the draft guidance will take approximately 5 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 9). 10. Packaging and Labels Packaging of sterile drugs must ensure the sterility and integrity of the product until it is administered to a patient, and product labels must contain required information and labeling operations must include controls to prevent mixups. Procedures should be established by outsourcing facilities for packaging and labeling operations for compounded sterile drug products, including the following: (1) The container, closure, and packaging systems should provide adequate protection against foreseeable external factors in storage, shipment, and use that can cause contamination or deterioration; (2) packaging records should include specimens of all labels used; procedures should be established for issuance of labels, examination of issued labels, reconciliation of used labels to prevent mix-ups; (3) there should be physical/spatial separation between different labeling and packaging operations to prevent mixups; and (4) controls should be established that assure proper identification of any filled containers of sterile products that are stored unlabeled for any period of time. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row 10) will individually establish and maintain approximately 20 procedures and records for packaging operations and labels (‘‘Total Annual Records’’ in table 1, row 10) for compounded drug products. We also estimate that preparing and maintaining these procedures and records as described in section III.J of the draft guidance will take approximately 5.5 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 10). 11. Quality Assurance Activities A quality control unit must be established by outsourcing facilities to oversee various aspects of compounded sterile drug production and to monitor quality assurance. The responsibilities of the quality control unit must be established in procedures and should include investigations and development and oversight of appropriate corrective actions and preventive actions regarding: Rejected lots of finished product, unexpected results or trends, validation and stability failures, and process deviations or equipment malfunctions that involve critical equipment. The quality control unit also is responsible for ensuring that sampling and testing are conducted to ensure that appropriate specifications are met, and for product complaint handling. We estimate that annually a total of approximately 50 outsourcing facilities (‘‘No. of Recordkeepers’’ in table 1, row 11) will individually establish approximately 8 procedures on the responsibilities of the quality control unit (‘‘Total Annual Records’’ in table 1, row 10) as described in section III.K of the draft guidance. We also estimate that preparing and maintaining these procedures will take approximately 3 hours for each record (‘‘Average Burden per Recordkeeping’’ in table 1, row 11). The total estimated recordkeeping, third party disclosure, and reporting burdens for the draft guidance are as follows: TABLE 1—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1 Number of recordkeepers Type of recordkeeping Number of records per recordkeeper Total annual records Average burden per recordkeeping Total hours Facility Design ................................... Control Systems and Procedures For Maintaining Suitable Facilities. Environmental and Personnel Monitoring. Equipment, Containers, and Closures. Components ...................................... Production and Process Controls ..... Release Testing ................................ Laboratory Controls .......................... Stability/Expiration Dating ................. Packaging and Labels ...................... Quality Assurance Activities ............. 50 50 20 3 1,000 150 1.5 .................................................... 5 ....................................................... 1,500 750 50 1,200 60,000 0.25 (15 minutes) ............................. 15,000 50 1,000 50,000 0.25 (15 minutes) ............................. 12,500 50 50 50 50 50 50 50 240 5,000 240 1,000 90 20 8 12,000 250,000 12,000 50,000 4,500 1,000 400 4 ....................................................... 0.25 (15 minutes) ............................. 4 ....................................................... 0.5 (30 minutes) ............................... 5 ....................................................... 5.5 .................................................... 3 ....................................................... 48,000 62,500 48,000 25,000 22,500 5,500 1,200 Total ........................................... 50 8,821 441,050 ........................................................... 242,450 1 There are no capital costs or operating and maintenance costs associated with this collection of information. TABLE 2—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1 mstockstill on DSK4VPTVN1PROD with NOTICES Type of disclosure & proposed 21 CFR section Number of respondents Frequency per disclosure Total annual disclosures Average burden per disclosure Total hours Notification that a compounded drug product fails to meet a sterility criterion. An expiration date is added to the compounded drug product’s label. 10 1 10 5 ....................................................... 50 50 540 27,000 0.25 (15 minutes) ............................. 6,750 Total ........................................... 6,800 1 There are no capital costs or operating and maintenance costs associated with this collection of information. VerDate Mar<15>2010 17:49 Jul 01, 2014 Jkt 232001 PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 E:\FR\FM\02JYN1.SGM 02JYN1 37747 Federal Register / Vol. 79, No. 127 / Wednesday, July 2, 2014 / Notices TABLE 3—ESTIMATED ANNUAL REPORTING BURDEN 1 Number of respondents Type of reporting & proposed 21 CFR section Number of responses per respondent 10 1 Notification to FDA that a compounded drug product fails to meet a sterility criterion ................................................ 1 There Dated: June 25, 2014. Leslie Kux, Assistant Commissioner for Policy. [FR Doc. 2014–15370 Filed 7–1–14; 8:45 am] BILLING CODE 4164–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2013–N–1525] Bulk Drug Substances That May Be Used To Compound Drug Products in Accordance With Section 503A of the Federal Food, Drug, and Cosmetic Act; Revised Request for Nominations Food and Drug Administration, HHS. Notice; revised request for nominations. ACTION: The Food and Drug Administration (FDA or Agency) is preparing to develop a list of bulk drug substances (active ingredients) that may be used to compound drug products in accordance with section 503A of the Federal Food, Drug, and Cosmetic Act (the FD&C Act), although they are neither the subject of a United States Pharmacopeia (USP) or National Formulary (NF) monograph nor components of FDA-approved drugs. In response to a notice published in the Federal Register of December 4, 2013, interested groups and individuals previously nominated a wide variety of substances for this list. However, many of those nominations either were for a substance that is already the subject of a USP monograph or a component of an FDA-approved drug, were not for bulk drug substances used in compounding as active ingredients, or did not include sufficient information to justify inclusion of the nominated substance on the list. To improve the efficiency of the process for developing the list of bulk SUMMARY: mstockstill on DSK4VPTVN1PROD with NOTICES 10 Average burden per response Total hours 5 50 are no capital costs or operating and maintenance costs associated with this collection of information. V. Electronic Access Persons with access to the Internet may obtain the document at either https://www.fda.gov/Drugs/Guidance ComplianceRegulatoryInformation/ Guidances/default.htm or https:// www.regulations.gov. AGENCY: Total annual responses VerDate Mar<15>2010 17:49 Jul 01, 2014 Jkt 232001 drug substances that may be used to compound drug products under section 503A, FDA is providing more detailed information on what it needs to evaluate a nomination. Because the deadline for nominations has passed, FDA is reopening the nomination process so that interested persons can submit nominations of bulk drug substances that are not the subject of a USP or NF monograph or a component of an FDAapproved drug. Interested persons will also have the opportunity to provide adequate support to justify placement of the substances on the list. Bulk drug substances that were previously nominated will not be further considered unless they are renominated and those nominations are adequately supported. Substances that are already eligible for use in compounding or that are not adequately supported will not be placed on the list. DATES: Submit written or electronic nominations for the bulk drug substances list by September 30, 2014. ADDRESSES: You may submit nominations, identified by Docket No. FDA–2013–N–1525, by any of the following methods. Electronic Submissions Submit electronic nominations in the following way: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting ‘‘comments.’’ Written Submissions Submit written nominations in the following ways: • Mail/Hand delivery/Courier (for paper submissions): Division of Dockets Management (HFA–305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852. Instructions: All submissions received must include the Agency name and Docket No. FDA–2013–N–1525 for this request for nominations. All nominations received may be posted without change to https:// www.regulations.gov, including any personal information provided. For additional information on submitting nominations, see the ‘‘Request for Nominations’’ heading of the PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 SUPPLEMENTARY INFORMATION section of this document. Docket: For access to the docket to read background documents or nominations received, go to https:// www.regulations.gov and insert the docket number, found in brackets in the heading of this document, into the ‘‘Search’’ box and follow the prompts and/or go to the Division of Dockets Management, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. FOR FURTHER INFORMATION CONTACT: Emily Helms Williams, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6280, Silver Spring, MD 20993–0002, 301– 796–3381. SUPPLEMENTARY INFORMATION: I. Background Section 503A of the FD&C Act (21 U.S.C. 353a) describes the conditions under which a compounded drug product may be entitled to an exemption from certain sections of the FD&C Act. Those conditions include that the licensed pharmacist or licensed physician compounds the drug product using bulk drug substances that (1) comply with the standards of an applicable USP or NF monograph, if a monograph exists, and the USP chapter on pharmacy compounding; (2) if such a monograph does not exist, are drug substances that are components of drugs approved by the Secretary; or (3) if such a monograph does not exist and the drug substance is not a component of a drug approved by the Secretary, that appear on a list developed by the Secretary through regulations issued by the Secretary under subsection (c) of section 503A. See section 503A(b)(1)(A)(i) of the FD&C Act. Under section 503A(c)(2), the criteria for determining which substances should appear on the 503A bulk drugs list ‘‘shall include historical use, reports in peer reviewed medical literature, or other criteria the Secretary may identify.’’ Section 503A refers to the definition of ‘‘bulk drug substance’’ in FDA regulations at § 207.3(a)(4) (21 CFR 207.3(a)(4)). See section 503A(b)(1)(A) of the FD&C Act. As defined in E:\FR\FM\02JYN1.SGM 02JYN1

Agencies

[Federal Register Volume 79, Number 127 (Wednesday, July 2, 2014)]
[Notices]
[Pages 37743-37747]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-15370]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-D-0779]


Draft Guidance for Industry on Current Good Manufacturing 
Practice--Interim Guidance for Human Drug Compounding Outsourcing 
Facilities Under the Federal Food, Drug and Cosmetic Act; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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SUMMARY: The Food and Drug Administration (FDA) is announcing the 
availability of a draft guidance for industry entitled ``Current Good 
Manufacturing Practice--Interim Guidance for Human Drug Compounding 
Outsourcing Facilities under Section 503B of the FD&C Act.'' This draft 
guidance describes FDA's current expectations regarding compliance with 
current good manufacturing practice (CGMP) requirements for facilities 
that compound human drugs and register with FDA as outsourcing 
facilities under the Federal Food, Drug, and Cosmetic Act (the FD&C 
Act), in accordance with provisions added by the Drug Quality and 
Security Act (DQSA). FDA is also soliciting public input on specific 
potential alternative approaches regarding certain CGMP requirements. 
These potential approaches are explained in detail in the draft 
guidance.

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on this 
draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance by September 2, 2014.

ADDRESSES: Submit written requests for single copies of the draft 
guidance to the Division of Drug Information, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 2201, Silver Spring, MD 20993-0002. Send 
one self-addressed adhesive label to assist that office in processing 
your requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the draft guidance document.
    Submit electronic comments on the draft guidance 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.

FOR FURTHER INFORMATION CONTACT: Brian Hasselbalch, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 4364, Silver Spring, MD 20993-0002, 301-
796-3279.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Current Good Manufacturing Practice-Interim Guidance for 
Human Drug Compounding Outsourcing Facilities under Section 503B of the 
FD&C Act.'' On November 27, 2013, President Obama signed the DQSA 
(Public Law 113-54), which added section 503B to the FD&C Act (21 
U.S.C. 353b). Under section 503B(b) of the FD&C Act, a compounder can 
register as an outsourcing facility with FDA. Drug products compounded 
in a registered outsourcing facility can qualify for exemptions from 
the FDA approval requirements in section 505 of the FD&C Act (21 U.S.C. 
355) and the requirement to label products with adequate directions for 
use under section 502(f)(1) of the FD&C Act (21 U.S.C. 352(f)(1)) if 
the requirements in section 503B are met. Outsourcing facilities will 
be inspected by FDA and must comply with other provisions of the FD&C 
Act, including CGMP requirements under section 501(a)(2)(B) (21 U.S.C. 
351(a)(2)(B)).
    Under section 501(a)(2)(B) of the FD&C Act, a drug is deemed to be 
adulterated if it is not produced in accordance with CGMP. FDA's 
regulations regarding CGMP requirements for the preparation of drug 
products have been established in 21 CFR parts 210 and 211. FDA intends 
to issue more specific CGMP regulations for outsourcing facilities. 
Until final regulations are issued, this draft guidance describes FDA's 
expectations regarding outsourcing facilities and the CGMP requirements 
in parts 210 and 211 during this interim period. This draft guidance 
reflects FDA's intent to recognize the differences between compounding 
outsourcing facilities and conventional drug manufacturers, and to 
tailor CGMP requirements to the nature of the specific compounding 
operations conducted by outsourcing facilities while maintaining the 
minimum standards necessary to protect patients from the risks of 
contaminated or otherwise substandard compounded drug products. This 
draft guidance is only applicable to drugs compounded in accordance 
with section 503B of the FD&C Act.
    FDA intends to focus its inspectional and enforcement efforts on 
those aspects of compounding operations that pose the highest risk to 
patient safety. In particular, the primary focus of this draft guidance 
is on those aspects of part 211 that relate to sterility assurance of 
sterile drug products and the safety of compounded drug products more 
generally, with respect to strength (e.g., subpotency, superpotency), 
and labeling or drug product mix-ups.

II. Specific Request for Comments and Information

    In addition to comments on the draft guidance generally, FDA is 
requesting comments and related supporting information on the following 
specific issues: (1) alternative approaches that would enable an 
outsourcing facility to have confidence in the quality of incoming 
components from sources used by multiple outsourcing facilities without 
each individual outsourcing facility having to conduct periodic 
laboratory testing to confirm the information in the third-party 
supplier's certificate of analysis and (2) alternative approaches that 
would minimize the need for outsourcing facilities to establish an in-
house laboratory while providing confidence about the accuracy of 
testing performed by a third party used by more than one outsourcing 
facility. FDA has described these potential alternative approaches in 
the draft guidance and is seeking public comment on these and any other 
alternative approaches.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will

[[Page 37744]]

represent the Agency's current thinking on ``Current Good Manufacturing 
Practice-Interim Guidance for Human Drug Compounding Outsourcing 
Facilities under Section 503B of the FD&C Act.'' It does not create or 
confer any rights for or on any person and does not operate to bind FDA 
or the public. An alternative approach may be used if such approach 
satisfies the requirements of the applicable statutes and regulations.

III. Comments

    Interested persons may submit electronic comments regarding this 
document to https://www.regulations.gov, or written comments to the 
Division of Dockets Management (see ADDRESSES). It is only necessary to 
send one set of comments. Identify comments with the docket number 
found in brackets in the heading of this document. Received comments 
may be seen in the Division of Dockets Management between 9 a.m. and 4 
p.m., Monday through Friday, and will be posted to the docket at https://www.regulations.gov.

IV. Paperwork Reduction Act of 1995

    This draft guidance contains information collection provisions that 
are subject to review by the Office of Management and Budget (OMB) 
under the Paperwork Reduction Act of 1995 (the PRA) (44 U.S.C. 3501-
3520). The title, description, and respondent description of the 
information collection are given under this section with an estimate of 
the annual recordkeeping, third-party disclosure, and reporting 
burdens. Included in the estimate is the time for reviewing 
instructions, searching existing data sources, gathering and 
maintaining the data needed, and completing and reviewing the 
collection of information.
    We invite comments on these topics: (1) Whether the proposed 
collection of information is necessary for the proper performance of 
FDA's functions, including whether the information will have practical 
utility; (2) the accuracy of FDA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (3) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (4) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques, when 
appropriate, and other forms of information technology.
    Title: Guidance for Industry, Current Good Manufacturing Practice--
Interim Guidance for Human Drug Compounding Outsourcing Facilities 
under Section 503B of the FD&C Act.
    Description: The draft guidance describes FDA's expectations 
regarding compliance with CGMP requirements for facilities that 
register with FDA as outsourcing facilities under section 503B of the 
FD&C Act. The primary focus of the draft guidance is on sterility 
assurance of sterile products and the safety of compounded drug 
products with respect to strength (e.g., subpotency, superpotency), and 
labeling or drug product mix-ups. OMB has already approved the 
information collection (recordkeeping) contained in FDA's CGMP 
regulations in part 211 (OMB control number 0910-0139). FDA believes 
that much of the recordkeeping burden that would result from the draft 
guidance is already incurred by outsourcing facilities in the normal 
course of their business activities. Thus, the burden estimates for 
these ``usual and customary'' business practices are not included in 
the calculation of burden that follows (see 5 CFR 1320.3(b)(2).
    The draft guidance contains the following collections of 
information under the PRA:

1. Facility Design

    The draft guidance describes those elements of facility design of 
outsourcing facilities that are considered critical to assuring the 
quality of compounded sterile drug products at those facilities. For 
example, the draft guidance states that sterile drugs should be 
produced only in ISO 5 or better air quality, and that the ISO 5 zone 
or critical area must be qualified (i.e., shown to meet the 
specifications). In section III.A, the draft guidance lists certain 
studies and tests which should be successfully performed for 
outsourcing facilities, and states that the results of these studies 
and tests should be documented.
    We estimate that annually a total of approximately 50 outsourcing 
facilities \1\ (``No. of Recordkeepers'' in table 1, row 1) will 
individually document approximately 20 studies and tests (``Total 
Annual Records'' in table 1, row 1) that are critical to assuring the 
quality of compounded sterile drug products. We also estimate that 
preparing and maintaining each record as described in the draft 
guidance will take on average approximately 1.5 hours for each record 
(``Average Burden per Recordkeeping'' in table 1, row 1).
---------------------------------------------------------------------------

    \1\ This is an estimate of the number of facilities that will 
register as outsourcing facilities in fiscal year 2014 (which runs 
from October 1, 2013 to September 30, 2014). As of April 30, 2014, 
40 facilities had registered as outsourcing facilities, and on 
average, 2 facilities have registered each month for the past 3 
months, but these estimates are highly uncertain. Annual 
establishment fees will be assessed for each outsourcing facility 
registered on or after October 1, 2014. It is unknown how many 
facilities will remain as registered outsourcing facilities once 
these fees take effect.
---------------------------------------------------------------------------

2. Control Systems and Procedures for Maintaining Suitable Facilities

    The draft guidance describes certain controls, procedures, and 
documentation that should be established and followed for maintaining 
suitable facilities and to prevent contamination and mix-ups during the 
course of aseptic operations at outsourcing facilities. Procedures must 
be established that assign responsibility for and describe cleaning 
schedules, methods, equipment, and materials. In addition, the guidance 
describes that procedures should ensure recording of instances when 
there is a loss of positive pressure in the clean room during 
production.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row 2) will 
individually establish and maintain approximately 3 records (procedures 
and documentation) for maintaining suitable outsourcing facilities 
(``Total Annual Records'' in table 1, row 2). We also estimate that 
preparing and maintaining each record as described in section III.B of 
the draft guidance will take on average approximately 5 hours for each 
record (``Average Burden per Recordkeeping'' in table 1, row 2).

3. Environmental and Personnel Monitoring

    Under the draft guidance, procedures for environmental and 
personnel monitoring in the aseptic processing area for viable, 
nonviable, and total particulate matter should be established and 
followed in outsourcing facilities. The procedures should include 
establishing the validity of the microbiological media, including the 
preparation, sterilization, and growth potential of the media used in 
performing tests.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row 3) will 
individually establish approximately 1,200 environmental and personnel 
monitoring procedures and records to document test results (``Total 
Annual Records'' in table 1, row 3) for the aseptic processing areas. 
We also estimate that preparing and maintaining the environmental and 
personnel monitoring procedures as described in section III.C of the 
draft guidance will take on average approximately 0.25

[[Page 37745]]

hours for each record (``Average Burden per Recordkeeping'' in table 1, 
row 3).

4. Equipment, Containers, and Closures

    Procedures and documentation should be established and maintained 
for testing compounding equipment and containers and closures to ensure 
the quality of compounded drug products at outsourcing facilities.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row 4) will 
individually establish and maintain approximately 1,000 procedures and 
documentation for testing equipment, containers, and closures (``Total 
Annual Records'' in table 1, row 4) in the aseptic processing areas. We 
also estimate that preparing and maintaining these procedures and 
documentation as described in section III.D of the draft guidance will 
take on average approximately 0.25 hours for each record (``Average 
Burden per Recordkeeping'' in table 1, row 4).

5. Components

    Procedures should be established and records maintained concerning 
the source and quality of components such as raw materials or 
ingredients used in producing compounded sterile drug products at 
outsourcing facilities.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row 5) will 
individually establish and maintain approximately 240 records of 
testing to ensure the quality of components used in producing 
compounded drugs, as recommended in section III.E of the draft guidance 
(``Total Annual Records'' in table 1, row 5). We also estimate that 
preparing and maintaining these records will take on average 
approximately 4 hours for each record (``Average Burden per 
Recordkeeping'' in table 1, row 5).

6. Production and Process Controls

    Production and process documentation and procedures, such as batch 
records, must be established to assure the quality of compounded 
sterile drug products at outsourcing facilities. Training on aseptic 
technique, cleanroom behavior, gowning, and procedures covering aseptic 
manufacturing area operations must be established. Sterilization 
validation of operations (e.g., holding vessels, filling equipment, 
lyophilizer) and periodic verification activities and results must be 
documented.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row 6) will 
individually establish and maintain approximately 5,000 records 
pertaining to production and process controls, such as validation 
procedures and training, to assure the quality of compounded sterile 
drug products (``Total Annual Records'' in table 1, row 6). We also 
estimate that preparing and maintaining these records, as described in 
section III.F of the draft guidance, will take on average approximately 
0.25 hours for each record (``Average Burden per Recordkeeping'' in 
table 1, row 6).

7. Release Testing

    Compounded drug products produced at outsourcing facilities must be 
tested to determine whether they meet final product specifications 
prior to release for distribution, and procedures for final release 
testing must be established and followed.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row 7) will 
individually establish and maintain approximately 240 records 
pertaining to final release testing of compounded drug products, 
including release testing procedures and documentation (``Total Annual 
Records'' in table 1, row 7). We also estimate that preparing and 
maintaining these records, as described in section III.G of the draft 
guidance, will take on average approximately 4 hours for each record 
(``Average Burden per Recordkeeping'' in table 1, row 7).
    If sterility testing is not completed prior to release under 
certain conditions described in section III.G of the draft guidance, 
procedures must be established that specify that if the product fails 
to meet a criterion for sterility, all healthcare and other facilities 
that received the product must be immediately notified of the test 
results and provided with any appropriate information and 
recommendations to aid in the treatment of patients; the notification 
must be documented; and FDA must be notified in writing.
    We estimate that annually a total of approximately 10 outsourcing 
facilities (``No. of Respondents'' in table 2, row 1) will individually 
send approximately 1 notification of test results to all healthcare and 
other facilities that received the compounded drug product and provide 
them with any appropriate information and recommendations to aid in the 
treatment of patients (``Total Annual Disclosures'' in table 2, row 1). 
We also estimate that preparing and sending each notification will take 
approximately 5 hours (``Average Burden per Disclosure'' in table 2, 
row 1).
    We also estimate that annually, a total of approximately 10 
outsourcing facilities (``No. of Respondents'' in table 3) will 
individually submit to FDA 1 notification of the test results for any 
compounded drug product that fails to meet a sterility criterion 
(``Total Annual Responses'' in table 3). Preparing and submitting this 
information will take approximately 5 hours per notification (``Average 
Burden per Response'' in table 3).

8. Laboratory Controls

    Each laboratory used to conduct testing of components, in-process 
materials, and finished drug products for outsourcing facilities must 
follow written procedures for the conduct of each test and document the 
results, establish sampling and testing procedures to ensure that 
components, in-process materials, and drug products conform to the 
product specifications, and keep complete records of all tests 
performed to ensure compliance with established specifications and 
standards, including examinations and assays.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row 8) will 
individually establish and maintain approximately 1,000 laboratory 
records as described in section III.H of the draft guidance (``Total 
Annual Records'' in table 1, row 8). We also estimate that preparing 
and maintaining these records will take on average approximately 0.5 
hours for each record (``Average Burden per Recordkeeping'' in table 1, 
row 8).

9. Stability/Expiration Dating

    Stability testing is used to ensure that a drug product will retain 
its quality (in particular, strength) and remain sterile through the 
labeled expiration date. The draft guidance recommends that procedures 
established by outsourcing facilities for assessing the stability of 
drug products should include: (1) using stability-indicating test 
methods that are reliable, meaningful and specific; (2) evaluating 
samples of the drug product in the same container closure system in 
which the drug product will be marketed; (3) evaluating samples for 
stability that are representative of the lot or batch from which they 
were obtained and are stored under suitable conditions; and (4) testing 
to evaluate antimicrobial effectiveness (resistance to antimicrobial 
contamination) for drug products labeled or intended to be multiple 
dose.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row

[[Page 37746]]

9) will individually establish and maintain approximately 90 procedures 
for stability studies to determine an expiration date (``Total Annual 
Records'' in table 1, row 9) for compounded drug products. We also 
estimate that preparing and maintaining these procedures as described 
in section III.I of the draft guidance will take approximately 5 hours 
for each record (``Average Burden per Recordkeeping'' in table 1, row 
9).

10. Packaging and Labels

    Packaging of sterile drugs must ensure the sterility and integrity 
of the product until it is administered to a patient, and product 
labels must contain required information and labeling operations must 
include controls to prevent mix-ups. Procedures should be established 
by outsourcing facilities for packaging and labeling operations for 
compounded sterile drug products, including the following: (1) The 
container, closure, and packaging systems should provide adequate 
protection against foreseeable external factors in storage, shipment, 
and use that can cause contamination or deterioration; (2) packaging 
records should include specimens of all labels used; procedures should 
be established for issuance of labels, examination of issued labels, 
reconciliation of used labels to prevent mix-ups; (3) there should be 
physical/spatial separation between different labeling and packaging 
operations to prevent mix-ups; and (4) controls should be established 
that assure proper identification of any filled containers of sterile 
products that are stored unlabeled for any period of time.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row 10) will 
individually establish and maintain approximately 20 procedures and 
records for packaging operations and labels (``Total Annual Records'' 
in table 1, row 10) for compounded drug products. We also estimate that 
preparing and maintaining these procedures and records as described in 
section III.J of the draft guidance will take approximately 5.5 hours 
for each record (``Average Burden per Recordkeeping'' in table 1, row 
10).

11. Quality Assurance Activities

    A quality control unit must be established by outsourcing 
facilities to oversee various aspects of compounded sterile drug 
production and to monitor quality assurance. The responsibilities of 
the quality control unit must be established in procedures and should 
include investigations and development and oversight of appropriate 
corrective actions and preventive actions regarding: Rejected lots of 
finished product, unexpected results or trends, validation and 
stability failures, and process deviations or equipment malfunctions 
that involve critical equipment. The quality control unit also is 
responsible for ensuring that sampling and testing are conducted to 
ensure that appropriate specifications are met, and for product 
complaint handling.
    We estimate that annually a total of approximately 50 outsourcing 
facilities (``No. of Recordkeepers'' in table 1, row 11) will 
individually establish approximately 8 procedures on the 
responsibilities of the quality control unit (``Total Annual Records'' 
in table 1, row 10) as described in section III.K of the draft 
guidance. We also estimate that preparing and maintaining these 
procedures will take approximately 3 hours for each record (``Average 
Burden per Recordkeeping'' in table 1, row 11).
    The total estimated recordkeeping, third party disclosure, and 
reporting burdens for the draft guidance are as follows:

                               Table 1--Estimated Annual Recordkeeping Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                   Number of                     Average burden
     Type of recordkeeping         Number of      records per    Total annual          per          Total hours
                                 recordkeepers   recordkeeper       records       recordkeeping
----------------------------------------------------------------------------------------------------------------
Facility Design...............              50              20           1,000  1.5.............           1,500
Control Systems and Procedures              50               3             150  5...............             750
 For Maintaining Suitable
 Facilities.
Environmental and Personnel                 50           1,200          60,000  0.25 (15                  15,000
 Monitoring.                                                                     minutes).
Equipment, Containers, and                  50           1,000          50,000  0.25 (15                  12,500
 Closures.                                                                       minutes).
Components....................              50             240          12,000  4...............          48,000
Production and Process                      50           5,000         250,000  0.25 (15                  62,500
 Controls.                                                                       minutes).
Release Testing...............              50             240          12,000  4...............          48,000
Laboratory Controls...........              50           1,000          50,000  0.5 (30 minutes)          25,000
Stability/Expiration Dating...              50              90           4,500  5...............          22,500
Packaging and Labels..........              50              20           1,000  5.5.............           5,500
Quality Assurance Activities..              50               8             400  3...............           1,200
                               ---------------------------------------------------------------------------------
    Total.....................              50           8,821         441,050  ................         242,450
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.


                           Table 2--Estimated Annual Third-Party Disclosure Burden \1\
----------------------------------------------------------------------------------------------------------------
 Type of disclosure & proposed     Number of     Frequency per   Total annual    Average burden
        21 CFR section            respondents     disclosure      disclosures    per disclosure     Total hours
----------------------------------------------------------------------------------------------------------------
Notification that a compounded              10               1              10  5...............              50
 drug product fails to meet a
 sterility criterion.
An expiration date is added to              50             540          27,000  0.25 (15                   6,750
 the compounded drug product's                                                   minutes).
 label.
                               ---------------------------------------------------------------------------------
    Total.....................           6,800
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.


[[Page 37747]]


                                 Table 3--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                     Number of                        Average
 Type of reporting & proposed 21     Number of     responses per   Total annual     burden per      Total hours
           CFR section              respondents     respondent       responses       response
----------------------------------------------------------------------------------------------------------------
Notification to FDA that a                    10               1              10               5              50
 compounded drug product fails
 to meet a sterility criterion..
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.

V. Electronic Access

    Persons with access to the Internet may obtain the document at 
either https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or https://www.regulations.gov.

    Dated: June 25, 2014.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2014-15370 Filed 7-1-14; 8:45 am]
BILLING CODE 4164-01-P
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