Schedules of Controlled Substances: Placement of Suvorexant into Schedule IV, 51243-51247 [2014-20515]
Download as PDF
Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Rules and Regulations
Authority: Secs. 205(a), 221, and 702(a)(5)
of the Social Security Act (42 U.S.C. 405(a),
421, and 902(a)(5)).
DEPARTMENT OF JUSTICE
2. Amend § 404.1615 by revising
paragraph (c)(3) to read as follows:
21 CFR Part 1308
■
[Docket No. DEA–381]
§ 404.1615 Making disability
determinations.
*
*
*
*
*
(c) * * *
(3) A State agency disability examiner
alone if the claim is adjudicated under
the quick disability determination
process (see § 404.1619) or the
compassionate allowance process (see
§ 404.1602), and the initial or
reconsidered determination is fully
favorable to you. This paragraph will no
longer be effective on November 13,
2015 unless we terminate it earlier or
extend it beyond that date by
publication of a final rule in the Federal
Register; or
*
*
*
*
*
PART 416—SUPPLEMENTAL
SECURITY INCOME FOR THE AGED,
BLIND, AND DISABLED
Subpart J—[Amended]
3. The authority citation for subpart J
continues to read as follows:
■
Authority: Secs. 702(a)(5), 1614, 1631, and
1633 of the Social Security Act (42 U.S.C.
902(a)(5), 1382c, 1383, and 1383b).
4. Amend § 416.1015 by revising
paragraph (c)(3) to read as follows:
■
mstockstill on DSK4VPTVN1PROD with RULES
*
*
*
*
*
(c) * * *
(3) A State agency disability examiner
alone if you are not a child (a person
who has not attained age 18), and the
claim is adjudicated under the quick
disability determination process (see
§ 416.1019) or the compassionate
allowance process (see § 416.1002), and
the initial or reconsidered
determination is fully favorable to you.
This paragraph will no longer be
effective on November 13, 2015 unless
we terminate it earlier or extend it
beyond that date by publication of a
final rule in the Federal Register; or
*
*
*
*
*
[FR Doc. 2014–20535 Filed 8–27–14; 8:45 am]
BILLING CODE 4191–02–P
17:31 Aug 27, 2014
Schedules of Controlled Substances:
Placement of Suvorexant into
Schedule IV
Drug Enforcement
Administration, Department of Justice.
ACTION: Final rule.
AGENCY:
With the issuance of this final
rule, the Deputy Administrator of the
Drug Enforcement Administration
(DEA) places the substance [(7R)-4-(5chloro-1,3-benzoxazol-2-yl)-7-methyl1,4-diazepan-1-yl][5-methyl-2-(2H-1,2,3triazol-2-yl)phenyl]methanone
(suvorexant), including its salts,
isomers, and salts of isomers, into
schedule IV of the Controlled
Substances Act. This scheduling action
is pursuant to the Controlled Substances
Act which requires that such actions be
made on the record after opportunity for
a hearing through formal rulemaking.
This action imposes the regulatory
controls and administrative, civil, and
criminal sanctions applicable to
schedule IV controlled substances on
persons who handle (manufacture,
distribute, dispense, import, export,
engage in research, conduct
instructional activities, or possess), or
propose to handle suvorexant.
DATES: Effective Date: September 29,
2014.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
§ 416.1015 Making disability
determinations.
VerDate Mar<15>2010
Drug Enforcement Administration
Jkt 232001
Imelda L. Paredes, Office of Diversion
Control, Drug Enforcement
Administration; Mailing Address: 8701
Morrissette Drive, Springfield, Virginia
22152, Telephone: (202) 598–6812.
SUPPLEMENTARY INFORMATION:
Legal Authority
The DEA implements and enforces
titles II and III of the Comprehensive
Drug Abuse Prevention and Control Act
of 1970, as amended. Titles II and III are
referred to as the ‘‘Controlled
Substances Act’’ and the ‘‘Controlled
Substances Import and Export Act,’’
respectively, and are collectively
referred to as the ‘‘Controlled
Substances Act’’ or the ‘‘CSA’’ for the
purpose of this action. 21 U.S.C. 801–
971. The DEA publishes the
implementing regulations for these
statutes in title 21 of the Code of Federal
Regulations (CFR), parts 1300 to 1321.
The CSA and its implementing
regulations are designed to prevent,
detect, and eliminate the diversion of
PO 00000
Frm 00015
Fmt 4700
Sfmt 4700
51243
controlled substances and listed
chemicals into the illicit market while
providing for the legitimate medical,
scientific, research, and industrial needs
of the United States. Controlled
substances have the potential for abuse
and dependence and are controlled to
protect the public health and safety.
Under the CSA, each controlled
substance is classified into one of five
schedules based upon its potential for
abuse, its currently accepted medical
use in treatment in the United States,
and the degree of dependence the
substance may cause. 21 U.S.C. 812. The
initial schedules of controlled
substances established by Congress are
found at 21 U.S.C. 812(c), and the
current list of all scheduled substances
is published at 21 CFR part 1308.
Pursuant to 21 U.S.C. 811(a)(1), the
Attorney General may, by rule, ‘‘add to
such a schedule or transfer between
such schedules any drug or other
substance if he (A) finds that such drug
or other substance has a potential for
abuse, and (B) makes with respect to
such drug or other substance the
findings prescribed by [21 U.S.C. 812(b)]
for the schedule in which such drug is
to be placed * * *.’’ The Attorney
General has delegated this authority to
the Administrator of the DEA, 28 CFR
0.100, who in turn has redelegated that
authority to the Deputy Administrator of
the DEA. 28 CFR part 0, appendix to
subpart R.
The CSA provides that scheduling of
any drug or other substance may be
initiated by the Attorney General (1) on
his own motion; (2) at the request of the
Secretary of Health and Human Services
(HHS); 1 or (3) on the petition of any
interested party. 21 U.S.C. 811(a). This
action imposes the regulatory controls
and administrative, civil, and criminal
sanctions of schedule IV controlled
substances on persons who handle or
propose to handle suvorexant.
Background
Suvorexant ([(7R)-4-(5-chloro-1,3benzoxazol-2-yl)-7-methyl-1,4-diazepan1-yl][5-methyl-2-(2H-1,2,3-triazol-2yl)phenyl]methanone), also known as
MK–4305, is a new chemical entity
developed for the treatment of
insomnia. Suvorexant is a novel, first in
class, orexin receptor antagonist with a
1 As set forth in a memorandum of understanding
entered into by the HHS, the Food and Drug
Administration (FDA), and the National Institute on
Drug Abuse (NIDA), the FDA acts as the lead agency
within the HHS in carrying out the Secretary’s
scheduling responsibilities under the CSA, with the
concurrence of NIDA. 50 FR 9518, Mar. 8, 1985.
The Secretary of the HHS has delegated to the
Assistant Secretary for Health of the HHS the
authority to make domestic drug scheduling
recommendations.
E:\FR\FM\28AUR1.SGM
28AUR1
51244
Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Rules and Regulations
mechanism of action distinct from any
marketed drug. It acts via inhibition of
the orexin 1 (OX1) and orexin 2 (OX2)
receptors. In pharmacological activity
studies, suvorexant functioned as an
antagonist as demonstrated by its ability
to block agonist-induced calcium (Ca2+)
release. The U.S. Food and Drug
Administration (FDA) approved the new
drug application for suvorexant on
August 13, 2014.
DEA and HHS Eight Factor Analyses
On June 27, 2013, the HHS provided
the DEA with a scientific and medical
evaluation document prepared by the
FDA entitled ‘‘Basis for the
Recommendation to Place Suvorexant in
Schedule IV of the Controlled
Substances Act.’’ After considering the
eight factors in 21 U.S.C. 811(c),
including consideration of the
substance’s abuse potential, legitimate
medical use, and dependence liability,
the Assistant Secretary of the HHS
recommended that suvorexant be
controlled in schedule IV of the CSA
under 21 U.S.C. 812(b). In response, the
DEA conducted its own eightfactor
analysis of suvorexant pursuant to 21
U.S.C. 811(c). Both the DEA and HHS
analyses are available in their entirety in
the public docket for this rule (Docket
Number DEA–381) at https://
www.regulations.gov under ‘‘Supporting
and Related Material.’’
mstockstill on DSK4VPTVN1PROD with RULES
Determination to Schedule Suvorexant
After a review of the available data,
including the scientific and medical
evaluation and the scheduling
recommendation from the HHS, the
Deputy Administrator of the DEA
published in the Federal Register a
notice of proposed rulemaking (NPRM)
entitled ‘‘Schedules of Controlled
Substances: Placement of Suvorexant
into Schedule IV’’ which proposed
placement of suvorexant in schedule IV
of the CSA. 79 FR 8639, Feb. 13, 2014.
The proposed rule provided an
opportunity for interested persons to file
a request for hearing in accordance with
DEA regulations by March 17, 2014. No
requests for such a hearing were
received by the DEA. The NPRM also
provided an opportunity for interested
persons to submit written comments on
the proposal on or before March 17,
2014.
Comments Received
The DEA received five comments on
the proposed rule to schedule
suvorexant. Two commenters supported
controlling suvorexant as a schedule IV
controlled substance. One commenter
opposed the control of suvorexant, one
commenter did not articulate an official
VerDate Mar<15>2010
17:31 Aug 27, 2014
Jkt 232001
position, and one commenter was in
favor of controlling suvorexant as a
schedule III controlled substance, rather
than a schedule IV controlled substance.
Support for the Proposed Rule
Two commenters supported
controlling suvorexant as a schedule IV
controlled substance. These commenters
indicated support for controlling
suvorexant under the CSA based on the
abuse potential of the substance. The
commenters noted that controlling
suvorexant as a schedule IV controlled
substance is appropriate because it is
similar to zolpidem (schedule IV), while
one commenter stated that suvorexant
produces fewer adverse effects than
zolpidem. The commenters believe that
controlling suvorexant as a schedule IV
controlled substance will provide the
necessary controls to prevent its
diversion.
DEA Response: The DEA appreciates
the comments in support of this
rulemaking.
Opposition to the Proposed Rule
Two commenters opposed the
proposal to control suvorexant as a
schedule IV controlled substance, and
one commenter did not articulate an
official position but expressed concern
about the side effects of suvorexant.
Request Not To Control Suvorexant
One commenter opposed controlling
suvorexant because they believed that
there was a lack of strong scientific
evidence that suvorexant has been
abused, and the comparison of
suvorexant with zolpidem (schedule IV)
is incorrect due to each compound
eliciting its effects via different
mechanisms of action. The commenter
was also concerned that controlling
suvorexant will make it more difficult
for patients to obtain the substance once
it is approved by the FDA.
DEA Response: The DEA does not
agree. Suvorexant is a novel, first in
class, new chemical substance and
information on actual abuse data is not
currently available. The legislative
history of the CSA addresses the
assessment of a new drug’s potential for
abuse,2 and data from clinical studies
2 The legislative history of the CSA provides that
a substance may have a potential for abuse if: ‘‘The
drug or drugs containing such a substance are new
drugs so related in their action to a drug or drugs
already listed as having a potential for abuse to
make it likely that the drug will have the same
potentiality for abuse as such drugs, thus making
it reasonable to assume that there may be significant
diversions from legitimate channels, significant use
contrary to or without medical advice, or that it has
a substantial capability of creating hazards to the
health of the user or to the safety of the
community.’’ Comprehensive Drug Abuse
PO 00000
Frm 00016
Fmt 4700
Sfmt 4700
investigating the abuse potential for
suvorexant suggests that its effect is
similar to zolpidem (schedule IV).
Similarly, while the mechanism of
action for suvorexant is distinct from
any currently marketed drug for
insomnia, human abuse potential
studies demonstrated that suvorexant
produced effects that were
indistinguishable from zolpidem
(schedule IV).
Burdens associated with acquiring a
substance as a result of control under
the CSA are not relevant factors to the
determination whether a substance
should be controlled or under what
schedule a substance should be placed
if it is controlled. See 21 U.S.C. 811 and
812. Nonetheless, the DEA disagrees
with the unsupported statement that
making suvorexant a controlled
substance will make it difficult for
ultimate users to legally acquire the
substance once it is approved by the
FDA. If a DEA-registered practitioner
lawfully prescribes suvorexant to treat a
medical condition, it may be dispensed
on the basis of an oral or written
prescription. 21 CFR 1306.04(a),
1306.21.
Request To Control Suvorexant as a
Schedule III Substance
One commenter had multiple
concerns regarding the placement of
suvorexant in schedule IV. The
commenter believed that further studies
on minimal levels of effective
suvorexant doses should be conducted
to reduce the risks of driving accidents.
The commenter also expressed concern
about the FDA’s statement that while
effective, suvorexant is unsafe at various
doses. This commenter believed that
due to lack of conclusive findings,
suvorexant should be categorized as a
schedule III controlled substance for
‘‘safety and precautionary purposes’’
since it is a novel, first in class, new
substance.
Another commenter, who did not
articulate a specific position, expressed
concern that the side effects produced
by suvorexant were similar to the effects
of sleep deprivation, including cognitive
and psychomotor impairment.
DEA Response: The concerns about
the limited research on minimal levels
of effective suvorexant doses and the
side effects of suvorexant and sleep
deprivation, along with the statement
that suvorexant is unsafe at various
doses, are outside the scope of the
DEA’s scheduling authority. As part of
the new drug approval process, the HHS
Prevention and Control Act of 1970, H.R. Rep. No.
91–1444 (1970); as reprinted in 1970 U.S.C.C.A.N.
4566, 4601.
E:\FR\FM\28AUR1.SGM
28AUR1
mstockstill on DSK4VPTVN1PROD with RULES
Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Rules and Regulations
provides scientific and medical
evaluations of a drug or other substance
to ensure that it is safe and effective for
its intended use. This process is
completely separate from the DEA’s
proceedings to control such drug or
other substance. 21 U.S.C. 811.
The DEA does not agree that
suvorexant should be controlled as a
schedule III controlled substance.
Pursuant to 21 U.S.C. 811(a)(1), the
Attorney General may, by rule, ‘‘add to
such a schedule or transfer between
such schedules any drug or other
substance if he (A) finds that such drug
or other substance has a potential for
abuse, and (B) makes with respect to
such drug or other substance the
findings prescribed by [21 U.S.C. 812(b)]
for the schedule in which such drug is
to be placed * * *.’’ This scheduling
action was initiated when the DEA
received a scientific and medical
evaluation and a scheduling
recommendation to control suvorexant
as a schedule IV controlled substance
from the Assistant Secretary of the HHS.
In accordance with 21 U.S.C. 811(c), the
DEA conducted its own analysis of the
eight factors determinative of control or
removal: (1) Its actual or relative
potential for abuse; (2) scientific
evidence of its pharmacological effect, if
known; (3) the state of current scientific
knowledge regarding the drug or other
substance; (4) its history and current
pattern of abuse; (5) the scope, duration,
and significant of abuse; (6) what, if any,
risk there is to the public health; (7) its
psychic or physiological dependence
liability; and (8) whether the substance
is an immediate precursor of a
substance already controlled. The
summary of each factor as analyzed by
the DEA and the HHS, and as
considered by the DEA in this
scheduling action, was provided in the
proposed rule. Both the DEA and the
HHS analyses have been made available
in their entirety under ‘‘Supporting and
Related Material’’ of the public docket
for this rule at https://
www.regulations.gov under Docket
Number DEA–381.
There is evidence that suvorexant has
a potential for abuse comparable to
zolpidem (schedule IV), and like
zolpidem, suvorexant has a low
potential for abuse relative to the drugs
or other substances in schedule III.
Suvorexant was compared to zolpidem
in human studies of recreational
sedative users to measure its abuse
potential relative to that of a sedativehypnotic in schedule IV. The abuse
potential of suvorexant (40, 80 and 150
mg) relative to zolpidem (15 and 30 mg)
and placebo was evaluated via a visual
analog scale VAS, with results
VerDate Mar<15>2010
17:31 Aug 27, 2014
Jkt 232001
demonstrating that the effects of
suvorexant were statistically
indistinguishable from zolpidem. The
results of the human abuse potential
study suggest that suvorexant and
zolpidem produce similar reinforcing
effects and have a similar potential for
abuse. In addition, preclinical studies
demonstrated that suvorexant (10, 20,
30 and 60 mg/kg) dose dependently
reduced locomotor activity in rats,
similar to other sedative drugs including
zolpidem (schedule IV). Based on the
review of the HHS evaluation and
scheduling recommendation and all
other relevant data, the DEA found that
suvorexant has an abuse potential
similar to other schedule IV drugs,
including zolpidem (schedule IV).
Scheduling Conclusion
Based on consideration of all
comments, the scientific and medical
evaluation and accompanying
recommendation of the HHS, and the
DEA’s consideration of its own eightfactor analysis, the DEA finds that these
facts and all other relevant data
constitute substantial evidence of
potential for abuse of suvorexant. As
such, the DEA is scheduling suvorexant
as a controlled substance under the
CSA.
Determination of Appropriate Schedule
The CSA establishes five schedules of
controlled substances known as
schedules I, II, III, IV, and V. The CSA
outlines the findings required for
placing a drug or other substance in any
particular schedule. 21 U.S.C. 812(b).
After consideration of the analysis and
recommendation of the Assistant
Secretary for Health of the HHS and
review of all available data, the Deputy
Administrator of the DEA, pursuant to
21 U.S.C. 812(b)(4), finds that:
(1) [(7R)-4-(5-chloro-1,3-benzoxazol-2yl)-7-methyl-1,4-diazepan-1-yl][5methyl-2-(2H–1,2,3-triazol-2yl)phenyl]methanone (suvorexant) has a
low potential for abuse relative to the
drugs or other substances in schedule
III. The overall abuse potential of
suvorexant is comparable to the
schedule IV controlled substance
zolpidem;
(2) [(7R)-4-(5-chloro-1,3-benzoxazol-2yl)-7-methyl-1,4-diazepan-1-yl][5methyl-2-(2H–1,2,3-triazol-2yl)phenyl]methanone (suvorexant) has a
currently accepted medical use in
treatment in the United States.
Suvorexant was approved for marketing
by FDA as a treatment for insomnia; and
(3) Abuse of [(7R)-4-(5-chloro-1,3benzoxazol-2-yl)-7-methyl-1,4-diazepan1-yl][5-methyl-2-(2H–1,2,3-triazol-2yl)phenyl]methanone (suvorexant) may
PO 00000
Frm 00017
Fmt 4700
Sfmt 4700
51245
lead to limited physical dependence or
psychological dependence relative to
the drugs or other substances in
schedule III. The potential for
psychological dependence is similar to
that of zolpidem (schedule IV).
Based on these findings, the Deputy
Administrator of the DEA concludes
that suvorexant, including its salts,
isomers, and salts of isomers, warrants
control in schedule IV of the CSA. 21
U.S.C. 812(b)(4).
Requirements for Handling Suvorexant
Upon the effective date of this final
rule, any person who handles
suvorexant is subject to the CSA’s
schedule IV regulatory controls and
administrative, civil, and criminal
sanctions applicable to the manufacture,
distribution, dispensing, importing,
exporting, engagement in research, and
conduct of instructional activities, of
schedule IV controlled substances
including the following:
Registration. Any person who handles
(manufactures, distributes, dispenses,
imports, exports, engages in research, or
conducts instructional activities with)
suvorexant, or who desires to handle
suvorexant, must be registered with the
DEA to conduct such activities,
pursuant to 21 U.S.C. 822, 823, 957, and
958, and in accordance with 21 CFR
parts 1301 and 1312 as of September 29,
2014. Any person who currently
handles suvorexant and is not registered
with the DEA must submit an
application for registration and may not
continue to handle suvorexant as of
September 29, 2014 unless the DEA has
approved that application, pursuant to
21 U.S.C. 822, 823, 957, and 958, and
in accordance with 21 CFR parts 1301
and 1312.
Security. Suvorexant is subject to
schedule III–V security requirements
and must be handled and stored
pursuant to 21 U.S.C. 821, 823, and
871(b) and in accordance with 21 CFR
1301.71–1301.93, as of September 29,
2014.
Labeling and Packaging. All labels,
labeling, and packaging for commercial
containers of suvorexant must comply
with 21 U.S.C. 825 and 958(e) and be in
accordance with 21 CFR part 1302, as of
September 29, 2014.
Inventory. Every DEA registrant who
possesses any quantity of suvorexant on
the effective date of this final rule must
take an inventory of all stocks of
suvorexant on hand as of September 29,
2014, pursuant to 21 U.S.C. 827 and
958, and in accordance with 21 CFR
1304.03, 1304.04, and 1304.11(a) and
(d).
Any person who becomes registered
with the DEA after September 29, 2014
E:\FR\FM\28AUR1.SGM
28AUR1
51246
Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Rules and Regulations
must take an initial inventory of all
stocks of controlled substances
(including suvorexant) on hand on the
date the registrant first engages in the
handling of controlled substances,
pursuant to 21 U.S.C. 827 and 958 and
in accordance with 21 CFR 1304.03,
1304.04, and 1304.11(a) and (b).
After the initial inventory, every DEA
registrant must take a new inventory of
all stocks of controlled substances
(including suvorexant) on hand every
two years, pursuant to 21 U.S.C. 827
and 958, and in accordance with 21 CFR
1304.03, 1304.04, and 1304.11.
Records. All DEA registrants must
maintain records with respect to
suvorexant pursuant to 21 U.S.C. 827
and 958, and in accordance with 21 CFR
parts 1304, 1307, and 1312, as of
September 29, 2014.
Prescriptions. All prescriptions for
suvorexant or products containing
suvorexant must comply with 21 U.S.C.
829, and be issued in accordance with
21 CFR part 1306 and subpart C of 21
CFR part 1311 as of September 29, 2014.
Importation and Exportation. All
importation and exportation of
suvorexant must be in compliance with
21 U.S.C. 952, 953, 957, and 958, and
be in accordance with 21 CFR part 1312
as of September 29, 2014.
Liability. Any activity involving
suvorexant not authorized by, or in
violation of, the CSA, occurring as of
September 29, 2014 is unlawful, and
may subject the person to
administrative, civil, and/or criminal
proceedings.
Regulatory Analyses
Executive Orders 12866 and 13563
In accordance with 21 U.S.C. 811(a),
this scheduling action is subject to
formal rulemaking procedures done ‘‘on
the record after opportunity for a
hearing,’’ which are conducted pursuant
to the provisions of 5 U.S.C. 556 and
557. The CSA sets forth the criteria for
scheduling a drug or other substance.
Such actions are exempt from review by
the Office of Management and Budget
pursuant to section 3(d)(1) of Executive
Order 12866 and the principles
reaffirmed in Executive Order 13563.
mstockstill on DSK4VPTVN1PROD with RULES
Executive Order 12988
This regulation meets the applicable
standards set forth in sections 3(a) and
3(b)(2) of Executive Order 12988 Civil
Justice Reform to eliminate drafting
errors and ambiguity, minimize
litigation, provide a clear legal standard
for affected conduct, and promote
simplification and burden reduction.
VerDate Mar<15>2010
17:31 Aug 27, 2014
Jkt 232001
Executive Order 13132
This rulemaking does not have
federalism implications warranting the
application of Executive Order 13132.
The rule does not have substantial
direct effects on the States, on the
relationship between the national
government and the States, or the
distribution of power and
responsibilities among the various
levels of government.
Executive Order 13175
This rule does not have tribal
implications warranting the application
of Executive Order 13175. The rule does
not have substantial direct effects on
one or more Indian tribes, on the
relationship between the Federal
government and Indian tribes, or on the
distribution of power and
responsibilities between the Federal
government and Indian tribes.
Regulatory Flexibility Act
The Deputy Administrator, in
accordance with the Regulatory
Flexibility Act (RFA), 5 U.S.C. 601–612,
has reviewed this final rule and by
approving it certifies that it will not
have a significant economic impact on
a substantial number of small entities.
The purpose of this final rule is to place
suvorexant, including its salts, isomers,
and salts of isomers, into schedule IV of
the CSA. No less restrictive measures
(i.e., non-control, or control in schedule
V) enable the DEA to meet its statutory
obligations under the CSA. In preparing
this certification, the DEA has assessed
economic impact by size category and
has considered costs with respect to the
various DEA registrant business activity
classes.
Suvorexant is a new molecular entity
which has not yet been marketed in the
United States or any other country.
Accordingly, the number of currently
identifiable manufacturers, importers,
and distributors for suvorexant is
extremely small. The publicly available
materials also specify the readily
identifiable persons subject to direct
regulation by this final rule. Based on
guidelines utilized by the Small
Business Administration (SBA), the
suvorexant manufacturer/distributor/
importer was determined not to be a
small entity. Once generic equivalents
of suvorexant are developed and
approved for manufacturing and
marketing, there may be additional
manufacturers, importers, and
distributors of suvorexant, but whether
they may qualify as small entities
cannot be determined at this time.
There are approximately 1.5 million
controlled substance registrations that
PO 00000
Frm 00018
Fmt 4700
Sfmt 4700
represent approximately 381,000
entities (which include businesses,
organizations, and governmental
jurisdictions). The DEA estimates that
371,000 (97%) of these entities are
considered ‘‘small entities’’ in
accordance with the RFA and SBA size
standards. 5 U.S.C. 601(6); 15 U.S.C.
632. Due to the wide variety of
unidentifiable and unquantifiable
variables that potentially could
influence the dispensing rates of new
molecular entities, the DEA is unable to
determine what number of these
371,000 small entities might handle
suvorexant.
Despite the fact that the number of
small entities possibly impacted by this
rule could not be determined, the DEA
concludes that they would not
experience a significant economic
impact as a result of this final rule. The
DEA estimates all anticipated
suvorexant handlers to be DEA
registrants and currently 98% of DEA
registrants (most of which are small
entities) are authorized to handle
schedule IV controlled substances.
Registrants that handle suvorexant are
expected to incur nominal additional
security, inventory, and recordkeeping
costs. These registered entities are likely
to have already established and
implemented the systems and processes
required to handle schedule IV
controlled substances and can easily
absorb the costs of handling suvorexant
with nominal to no additional economic
burden. For example, because DEA–
registered pharmacies and institutional
practitioners are likely to already be
schedule IV handlers, they may secure
schedule II–V controlled substances by
dispersing such substances throughout
the stock of noncontrolled substances in
such a manner as to obstruct the theft
or diversion of the controlled
substances. Additionally, because other
DEA registrants who will handle
suvorexant are likely to already be
schedule IV handlers, they already
should have existing secure storage
areas for schedule II–V controlled
substances, which we assume would be
able to accommodate any new stocks of
suvorexant. See 21 CFR 1301.75(b),
1301.72(b). Accordingly, the
requirement to secure all controlled
substances containing suvorexant would
not impose a significant economic
burden upon DEA-registered
practitioners as the infrastructure and
materials for doing so are already in
place. The DEA therefore assumes that
the cost of compliance with 21 CFR
1301.71–1301.77 as a result of this final
rule is nominal.
Correspondingly, because DEAregistered manufacturers, distributors,
E:\FR\FM\28AUR1.SGM
28AUR1
Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Rules and Regulations
and importers must label and package
all schedule II–V controlled substances
in accordance with 21 CFR part 1302,
the requirement to label and package all
controlled substances containing
suvorexant in accordance with 21 CFR
part 1302 would not impose a
significant economic burden upon DEAregistered manufacturers, distributors,
and importers as the infrastructure and
materials for doing so would already be
in place. Accordingly, compliance with
21 CFR part 1302 would not require
significant additional manpower, capital
investment, or recordkeeping burdens.
Because of these facts, this final rule
will not result in a significant economic
impact on a substantial number of small
entities.
Unfunded Mandates Reform Act of 1995
In accordance with the Unfunded
Mandates Reform Act (UMRA) of 1995
(2 U.S.C. 1501 et seq.), the DEA has
determined and certifies pursuant to
UMRA that this action would not result
in any Federal mandate that may result
‘‘in the expenditure by State, local, and
tribal governments, in the aggregate, or
by the private sector, of $100,000,000 or
more (adjusted for inflation) in any one
year . . . .’’ Therefore, neither a Small
Government Agency Plan nor any other
action is required under provisions of
UMRA of 1995.
mstockstill on DSK4VPTVN1PROD with RULES
Paperwork Reduction Act of 1995
This action does not impose a new
collection of information requirement
under the Paperwork Reduction Act of
1995. 44 U.S.C. 3501–3521. This action
would not impose recordkeeping or
reporting requirements on State or local
governments, individuals, businesses, or
organizations. 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.
Congressional Review Act
This rule is not a major rule as
defined by section 804 of the Small
Business Regulatory Enforcement
Fairness Act of 1996 (Congressional
Review Act (CRA)). This rule will not
result in: an annual effect on the
economy of $100,000,000 or more; a
major increase in costs or prices for
consumers, individual industries,
Federal, State, or local government
agencies, or geographic regions; or
significant adverse effects on
competition, employment, investment,
productivity, innovation, or on the
ability of United States-based
companies to compete with foreignbased companies in domestic and
export markets. However, pursuant to
VerDate Mar<15>2010
17:31 Aug 27, 2014
Jkt 232001
the CRA, the DEA has submitted a copy
of this final rule to both Houses of
Congress and to the Comptroller
General.
List of Subjects in 21 CFR Part 1308
Administrative practice and
procedure, Drug traffic control,
Reporting and recordkeeping
requirements.
For the reasons set out above, the DEA
amends 21 CFR part 1308 as follows:
PART 1308—SCHEDULES OF
CONTROLLED SUBSTANCES
1. The authority citation for 21 CFR
part 1308 continues to read as follows:
■
Authority: 21 U.S.C. 811, 812, 871(b),
unless otherwise noted.
2. Amend § 1308.14 by redesignating
paragraphs (c)(49) through (c)(54) as
(c)(50) through (c)(55) and adding new
paragraph (c)(49) to read as follows:
■
§ 1308.14
Schedule IV.
*
*
*
*
(c) * * *
(49) Suvorexant
*
*
*
*
*
2223
*
Dated: August 21, 2014.
Thomas M. Harrigan,
Deputy Administrator.
[FR Doc. 2014–20515 Filed 8–27–14; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF STATE
22 CFR Part 22
[Public Notice: 8850]
RIN 1400–AD47
Schedule of Fees for Consular
Services, Department of State and
Overseas Embassies and
Consulates—Visa and Citizenship
Services Fee Changes
Department of State.
Interim final rule.
AGENCY:
ACTION:
PO 00000
Frm 00019
Fmt 4700
Sfmt 4700
immigrant visa services. Lastly, the rule
raises the application processing fee for
renunciation of U.S. citizenship and
lowers the hourly consular officer time
charge. The Department of State is
adjusting the fees in light of the findings
of a recent Cost of Service study to
ensure that the fees for consular services
better align with the costs of providing
those services.
DATES: This interim final rule becomes
effective September 6, 2014. Written
comments must be received on or before
October 21, 2014.
ADDRESSES: Interested parties may
submit comments to the Department by
any of the following methods:
• Visit the Regulations.gov Web site
at: https://www.regulations.gov and
search the RIN 1400–AD47or docket
number DOS–2014–0016.
• Mail (paper, disk, or CD–ROM): U.S.
Department of State, Office of the
Comptroller, Bureau of Consular Affairs
(CA/C), SA–17 8th Floor, Washington,
DC 20522–1707.
• E-Mail: fees@state.gov. You must
include the RIN (1400–AD47) in the
subject line of your message.
• All comments should include the
commenter’s name, the organization the
commenter represents, if applicable,
and the commenter’s address. If the
Department is unable to read your
comment for any reason, and cannot
contact you for clarification, the
Department may not be able to consider
your comment. After the conclusion of
the comment period, the Department
will publish a Final Rule (in which it
will address relevant comments) as
expeditiously as possible.
FOR FURTHER INFORMATION CONTACT:
Celeste Scott, Special Assistant, Office
of the Comptroller, Bureau of Consular
Affairs, Department of State; phone:
202–485–6681, telefax: 202–485–6826;
Email: fees@state.gov.
SUPPLEMENTARY INFORMATION:
Background
The Department of State
amends the Schedule of Fees for
Consular Services (Schedule) for certain
nonimmigrant visa application
processing fees, certain immigrant visa
application processing and special visa
services fees, and certain citizenship
services fees. More specifically, the rule
amends the application processing fees
for two categories of petition-based
nonimmigrant visas and the tiered
application processing fees for
immigrant visas. The rule also amends
the security surcharge for immigrant
visa services and the fees for certain
SUMMARY:
51247
The interim final rule makes changes
to the Schedule of Fees for Consular
Services of the Department of State’s
Bureau of Consular Affairs. The
Department sets and collects its fees
based on the concept of full cost
recovery. The Department completed its
most recent review of current consular
fees and will implement several changes
to the Schedule of Fees based on the
new fees calculated by the Cost of
Service Model (CoSM). Please note that
certain ‘‘no fee’’ consular services are
included in the Schedule of Fees so that
members of the public will be aware of
significant consular services provided
E:\FR\FM\28AUR1.SGM
28AUR1
Agencies
[Federal Register Volume 79, Number 167 (Thursday, August 28, 2014)]
[Rules and Regulations]
[Pages 51243-51247]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-20515]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Part 1308
[Docket No. DEA-381]
Schedules of Controlled Substances: Placement of Suvorexant into
Schedule IV
AGENCY: Drug Enforcement Administration, Department of Justice.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: With the issuance of this final rule, the Deputy Administrator
of the Drug Enforcement Administration (DEA) places the substance
[(7R)-4-(5-chloro-1,3-benzoxazol-2-yl)-7-methyl-1,4-diazepan-1-yl][5-
methyl-2-(2H-1,2,3-triazol-2-yl)phenyl]methanone (suvorexant),
including its salts, isomers, and salts of isomers, into schedule IV of
the Controlled Substances Act. This scheduling action is pursuant to
the Controlled Substances Act which requires that such actions be made
on the record after opportunity for a hearing through formal
rulemaking. This action imposes the regulatory controls and
administrative, civil, and criminal sanctions applicable to schedule IV
controlled substances on persons who handle (manufacture, distribute,
dispense, import, export, engage in research, conduct instructional
activities, or possess), or propose to handle suvorexant.
DATES: Effective Date: September 29, 2014.
FOR FURTHER INFORMATION CONTACT: Imelda L. Paredes, Office of Diversion
Control, Drug Enforcement Administration; Mailing Address: 8701
Morrissette Drive, Springfield, Virginia 22152, Telephone: (202) 598-
6812.
SUPPLEMENTARY INFORMATION:
Legal Authority
The DEA implements and enforces titles II and III of the
Comprehensive Drug Abuse Prevention and Control Act of 1970, as
amended. Titles II and III are referred to as the ``Controlled
Substances Act'' and the ``Controlled Substances Import and Export
Act,'' respectively, and are collectively referred to as the
``Controlled Substances Act'' or the ``CSA'' for the purpose of this
action. 21 U.S.C. 801-971. The DEA publishes the implementing
regulations for these statutes in title 21 of the Code of Federal
Regulations (CFR), parts 1300 to 1321. The CSA and its implementing
regulations are designed to prevent, detect, and eliminate the
diversion of controlled substances and listed chemicals into the
illicit market while providing for the legitimate medical, scientific,
research, and industrial needs of the United States. Controlled
substances have the potential for abuse and dependence and are
controlled to protect the public health and safety.
Under the CSA, each controlled substance is classified into one of
five schedules based upon its potential for abuse, its currently
accepted medical use in treatment in the United States, and the degree
of dependence the substance may cause. 21 U.S.C. 812. The initial
schedules of controlled substances established by Congress are found at
21 U.S.C. 812(c), and the current list of all scheduled substances is
published at 21 CFR part 1308.
Pursuant to 21 U.S.C. 811(a)(1), the Attorney General may, by rule,
``add to such a schedule or transfer between such schedules any drug or
other substance if he (A) finds that such drug or other substance has a
potential for abuse, and (B) makes with respect to such drug or other
substance the findings prescribed by [21 U.S.C. 812(b)] for the
schedule in which such drug is to be placed * * *.'' The Attorney
General has delegated this authority to the Administrator of the DEA,
28 CFR 0.100, who in turn has redelegated that authority to the Deputy
Administrator of the DEA. 28 CFR part 0, appendix to subpart R.
The CSA provides that scheduling of any drug or other substance may
be initiated by the Attorney General (1) on his own motion; (2) at the
request of the Secretary of Health and Human Services (HHS); \1\ or (3)
on the petition of any interested party. 21 U.S.C. 811(a). This action
imposes the regulatory controls and administrative, civil, and criminal
sanctions of schedule IV controlled substances on persons who handle or
propose to handle suvorexant.
---------------------------------------------------------------------------
\1\ As set forth in a memorandum of understanding entered into
by the HHS, the Food and Drug Administration (FDA), and the National
Institute on Drug Abuse (NIDA), the FDA acts as the lead agency
within the HHS in carrying out the Secretary's scheduling
responsibilities under the CSA, with the concurrence of NIDA. 50 FR
9518, Mar. 8, 1985. The Secretary of the HHS has delegated to the
Assistant Secretary for Health of the HHS the authority to make
domestic drug scheduling recommendations.
---------------------------------------------------------------------------
Background
Suvorexant ([(7R)-4-(5-chloro-1,3-benzoxazol-2-yl)-7-methyl-1,4-
diazepan-1-yl][5-methyl-2-(2H-1,2,3-triazol-2-yl)phenyl]methanone),
also known as MK-4305, is a new chemical entity developed for the
treatment of insomnia. Suvorexant is a novel, first in class, orexin
receptor antagonist with a
[[Page 51244]]
mechanism of action distinct from any marketed drug. It acts via
inhibition of the orexin 1 (OX1) and orexin 2 (OX2) receptors. In
pharmacological activity studies, suvorexant functioned as an
antagonist as demonstrated by its ability to block agonist-induced
calcium (Ca\2+\) release. The U.S. Food and Drug Administration (FDA)
approved the new drug application for suvorexant on August 13, 2014.
DEA and HHS Eight Factor Analyses
On June 27, 2013, the HHS provided the DEA with a scientific and
medical evaluation document prepared by the FDA entitled ``Basis for
the Recommendation to Place Suvorexant in Schedule IV of the Controlled
Substances Act.'' After considering the eight factors in 21 U.S.C.
811(c), including consideration of the substance's abuse potential,
legitimate medical use, and dependence liability, the Assistant
Secretary of the HHS recommended that suvorexant be controlled in
schedule IV of the CSA under 21 U.S.C. 812(b). In response, the DEA
conducted its own eightfactor analysis of suvorexant pursuant to 21
U.S.C. 811(c). Both the DEA and HHS analyses are available in their
entirety in the public docket for this rule (Docket Number DEA-381) at
https://www.regulations.gov under ``Supporting and Related Material.''
Determination to Schedule Suvorexant
After a review of the available data, including the scientific and
medical evaluation and the scheduling recommendation from the HHS, the
Deputy Administrator of the DEA published in the Federal Register a
notice of proposed rulemaking (NPRM) entitled ``Schedules of Controlled
Substances: Placement of Suvorexant into Schedule IV'' which proposed
placement of suvorexant in schedule IV of the CSA. 79 FR 8639, Feb. 13,
2014. The proposed rule provided an opportunity for interested persons
to file a request for hearing in accordance with DEA regulations by
March 17, 2014. No requests for such a hearing were received by the
DEA. The NPRM also provided an opportunity for interested persons to
submit written comments on the proposal on or before March 17, 2014.
Comments Received
The DEA received five comments on the proposed rule to schedule
suvorexant. Two commenters supported controlling suvorexant as a
schedule IV controlled substance. One commenter opposed the control of
suvorexant, one commenter did not articulate an official position, and
one commenter was in favor of controlling suvorexant as a schedule III
controlled substance, rather than a schedule IV controlled substance.
Support for the Proposed Rule
Two commenters supported controlling suvorexant as a schedule IV
controlled substance. These commenters indicated support for
controlling suvorexant under the CSA based on the abuse potential of
the substance. The commenters noted that controlling suvorexant as a
schedule IV controlled substance is appropriate because it is similar
to zolpidem (schedule IV), while one commenter stated that suvorexant
produces fewer adverse effects than zolpidem. The commenters believe
that controlling suvorexant as a schedule IV controlled substance will
provide the necessary controls to prevent its diversion.
DEA Response: The DEA appreciates the comments in support of this
rulemaking.
Opposition to the Proposed Rule
Two commenters opposed the proposal to control suvorexant as a
schedule IV controlled substance, and one commenter did not articulate
an official position but expressed concern about the side effects of
suvorexant.
Request Not To Control Suvorexant
One commenter opposed controlling suvorexant because they believed
that there was a lack of strong scientific evidence that suvorexant has
been abused, and the comparison of suvorexant with zolpidem (schedule
IV) is incorrect due to each compound eliciting its effects via
different mechanisms of action. The commenter was also concerned that
controlling suvorexant will make it more difficult for patients to
obtain the substance once it is approved by the FDA.
DEA Response: The DEA does not agree. Suvorexant is a novel, first
in class, new chemical substance and information on actual abuse data
is not currently available. The legislative history of the CSA
addresses the assessment of a new drug's potential for abuse,\2\ and
data from clinical studies investigating the abuse potential for
suvorexant suggests that its effect is similar to zolpidem (schedule
IV). Similarly, while the mechanism of action for suvorexant is
distinct from any currently marketed drug for insomnia, human abuse
potential studies demonstrated that suvorexant produced effects that
were indistinguishable from zolpidem (schedule IV).
---------------------------------------------------------------------------
\2\ The legislative history of the CSA provides that a substance
may have a potential for abuse if: ``The drug or drugs containing
such a substance are new drugs so related in their action to a drug
or drugs already listed as having a potential for abuse to make it
likely that the drug will have the same potentiality for abuse as
such drugs, thus making it reasonable to assume that there may be
significant diversions from legitimate channels, significant use
contrary to or without medical advice, or that it has a substantial
capability of creating hazards to the health of the user or to the
safety of the community.'' Comprehensive Drug Abuse Prevention and
Control Act of 1970, H.R. Rep. No. 91-1444 (1970); as reprinted in
1970 U.S.C.C.A.N. 4566, 4601.
---------------------------------------------------------------------------
Burdens associated with acquiring a substance as a result of
control under the CSA are not relevant factors to the determination
whether a substance should be controlled or under what schedule a
substance should be placed if it is controlled. See 21 U.S.C. 811 and
812. Nonetheless, the DEA disagrees with the unsupported statement that
making suvorexant a controlled substance will make it difficult for
ultimate users to legally acquire the substance once it is approved by
the FDA. If a DEA-registered practitioner lawfully prescribes
suvorexant to treat a medical condition, it may be dispensed on the
basis of an oral or written prescription. 21 CFR 1306.04(a), 1306.21.
Request To Control Suvorexant as a Schedule III Substance
One commenter had multiple concerns regarding the placement of
suvorexant in schedule IV. The commenter believed that further studies
on minimal levels of effective suvorexant doses should be conducted to
reduce the risks of driving accidents. The commenter also expressed
concern about the FDA's statement that while effective, suvorexant is
unsafe at various doses. This commenter believed that due to lack of
conclusive findings, suvorexant should be categorized as a schedule III
controlled substance for ``safety and precautionary purposes'' since it
is a novel, first in class, new substance.
Another commenter, who did not articulate a specific position,
expressed concern that the side effects produced by suvorexant were
similar to the effects of sleep deprivation, including cognitive and
psychomotor impairment.
DEA Response: The concerns about the limited research on minimal
levels of effective suvorexant doses and the side effects of suvorexant
and sleep deprivation, along with the statement that suvorexant is
unsafe at various doses, are outside the scope of the DEA's scheduling
authority. As part of the new drug approval process, the HHS
[[Page 51245]]
provides scientific and medical evaluations of a drug or other
substance to ensure that it is safe and effective for its intended use.
This process is completely separate from the DEA's proceedings to
control such drug or other substance. 21 U.S.C. 811.
The DEA does not agree that suvorexant should be controlled as a
schedule III controlled substance. Pursuant to 21 U.S.C. 811(a)(1), the
Attorney General may, by rule, ``add to such a schedule or transfer
between such schedules any drug or other substance if he (A) finds that
such drug or other substance has a potential for abuse, and (B) makes
with respect to such drug or other substance the findings prescribed by
[21 U.S.C. 812(b)] for the schedule in which such drug is to be placed
* * *.'' This scheduling action was initiated when the DEA received a
scientific and medical evaluation and a scheduling recommendation to
control suvorexant as a schedule IV controlled substance from the
Assistant Secretary of the HHS. In accordance with 21 U.S.C. 811(c),
the DEA conducted its own analysis of the eight factors determinative
of control or removal: (1) Its actual or relative potential for abuse;
(2) scientific evidence of its pharmacological effect, if known; (3)
the state of current scientific knowledge regarding the drug or other
substance; (4) its history and current pattern of abuse; (5) the scope,
duration, and significant of abuse; (6) what, if any, risk there is to
the public health; (7) its psychic or physiological dependence
liability; and (8) whether the substance is an immediate precursor of a
substance already controlled. The summary of each factor as analyzed by
the DEA and the HHS, and as considered by the DEA in this scheduling
action, was provided in the proposed rule. Both the DEA and the HHS
analyses have been made available in their entirety under ``Supporting
and Related Material'' of the public docket for this rule at https://www.regulations.gov under Docket Number DEA-381.
There is evidence that suvorexant has a potential for abuse
comparable to zolpidem (schedule IV), and like zolpidem, suvorexant has
a low potential for abuse relative to the drugs or other substances in
schedule III. Suvorexant was compared to zolpidem in human studies of
recreational sedative users to measure its abuse potential relative to
that of a sedative-hypnotic in schedule IV. The abuse potential of
suvorexant (40, 80 and 150 mg) relative to zolpidem (15 and 30 mg) and
placebo was evaluated via a visual analog scale VAS, with results
demonstrating that the effects of suvorexant were statistically
indistinguishable from zolpidem. The results of the human abuse
potential study suggest that suvorexant and zolpidem produce similar
reinforcing effects and have a similar potential for abuse. In
addition, preclinical studies demonstrated that suvorexant (10, 20, 30
and 60 mg/kg) dose dependently reduced locomotor activity in rats,
similar to other sedative drugs including zolpidem (schedule IV). Based
on the review of the HHS evaluation and scheduling recommendation and
all other relevant data, the DEA found that suvorexant has an abuse
potential similar to other schedule IV drugs, including zolpidem
(schedule IV).
Scheduling Conclusion
Based on consideration of all comments, the scientific and medical
evaluation and accompanying recommendation of the HHS, and the DEA's
consideration of its own eight-factor analysis, the DEA finds that
these facts and all other relevant data constitute substantial evidence
of potential for abuse of suvorexant. As such, the DEA is scheduling
suvorexant as a controlled substance under the CSA.
Determination of Appropriate Schedule
The CSA establishes five schedules of controlled substances known
as schedules I, II, III, IV, and V. The CSA outlines the findings
required for placing a drug or other substance in any particular
schedule. 21 U.S.C. 812(b). After consideration of the analysis and
recommendation of the Assistant Secretary for Health of the HHS and
review of all available data, the Deputy Administrator of the DEA,
pursuant to 21 U.S.C. 812(b)(4), finds that:
(1) [(7R)-4-(5-chloro-1,3-benzoxazol-2-yl)-7-methyl-1,4-diazepan-1-
yl][5-methyl-2-(2H-1,2,3-triazol-2-yl)phenyl]methanone (suvorexant) has
a low potential for abuse relative to the drugs or other substances in
schedule III. The overall abuse potential of suvorexant is comparable
to the schedule IV controlled substance zolpidem;
(2) [(7R)-4-(5-chloro-1,3-benzoxazol-2-yl)-7-methyl-1,4-diazepan-1-
yl][5-methyl-2-(2H-1,2,3-triazol-2-yl)phenyl]methanone (suvorexant) has
a currently accepted medical use in treatment in the United States.
Suvorexant was approved for marketing by FDA as a treatment for
insomnia; and
(3) Abuse of [(7R)-4-(5-chloro-1,3-benzoxazol-2-yl)-7-methyl-1,4-
diazepan-1-yl][5-methyl-2-(2H-1,2,3-triazol-2-yl)phenyl]methanone
(suvorexant) may lead to limited physical dependence or psychological
dependence relative to the drugs or other substances in schedule III.
The potential for psychological dependence is similar to that of
zolpidem (schedule IV).
Based on these findings, the Deputy Administrator of the DEA
concludes that suvorexant, including its salts, isomers, and salts of
isomers, warrants control in schedule IV of the CSA. 21 U.S.C.
812(b)(4).
Requirements for Handling Suvorexant
Upon the effective date of this final rule, any person who handles
suvorexant is subject to the CSA's schedule IV regulatory controls and
administrative, civil, and criminal sanctions applicable to the
manufacture, distribution, dispensing, importing, exporting, engagement
in research, and conduct of instructional activities, of schedule IV
controlled substances including the following:
Registration. Any person who handles (manufactures, distributes,
dispenses, imports, exports, engages in research, or conducts
instructional activities with) suvorexant, or who desires to handle
suvorexant, must be registered with the DEA to conduct such activities,
pursuant to 21 U.S.C. 822, 823, 957, and 958, and in accordance with 21
CFR parts 1301 and 1312 as of September 29, 2014. Any person who
currently handles suvorexant and is not registered with the DEA must
submit an application for registration and may not continue to handle
suvorexant as of September 29, 2014 unless the DEA has approved that
application, pursuant to 21 U.S.C. 822, 823, 957, and 958, and in
accordance with 21 CFR parts 1301 and 1312.
Security. Suvorexant is subject to schedule III-V security
requirements and must be handled and stored pursuant to 21 U.S.C. 821,
823, and 871(b) and in accordance with 21 CFR 1301.71-1301.93, as of
September 29, 2014.
Labeling and Packaging. All labels, labeling, and packaging for
commercial containers of suvorexant must comply with 21 U.S.C. 825 and
958(e) and be in accordance with 21 CFR part 1302, as of September 29,
2014.
Inventory. Every DEA registrant who possesses any quantity of
suvorexant on the effective date of this final rule must take an
inventory of all stocks of suvorexant on hand as of September 29, 2014,
pursuant to 21 U.S.C. 827 and 958, and in accordance with 21 CFR
1304.03, 1304.04, and 1304.11(a) and (d).
Any person who becomes registered with the DEA after September 29,
2014
[[Page 51246]]
must take an initial inventory of all stocks of controlled substances
(including suvorexant) on hand on the date the registrant first engages
in the handling of controlled substances, pursuant to 21 U.S.C. 827 and
958 and in accordance with 21 CFR 1304.03, 1304.04, and 1304.11(a) and
(b).
After the initial inventory, every DEA registrant must take a new
inventory of all stocks of controlled substances (including suvorexant)
on hand every two years, pursuant to 21 U.S.C. 827 and 958, and in
accordance with 21 CFR 1304.03, 1304.04, and 1304.11.
Records. All DEA registrants must maintain records with respect to
suvorexant pursuant to 21 U.S.C. 827 and 958, and in accordance with 21
CFR parts 1304, 1307, and 1312, as of September 29, 2014.
Prescriptions. All prescriptions for suvorexant or products
containing suvorexant must comply with 21 U.S.C. 829, and be issued in
accordance with 21 CFR part 1306 and subpart C of 21 CFR part 1311 as
of September 29, 2014.
Importation and Exportation. All importation and exportation of
suvorexant must be in compliance with 21 U.S.C. 952, 953, 957, and 958,
and be in accordance with 21 CFR part 1312 as of September 29, 2014.
Liability. Any activity involving suvorexant not authorized by, or
in violation of, the CSA, occurring as of September 29, 2014 is
unlawful, and may subject the person to administrative, civil, and/or
criminal proceedings.
Regulatory Analyses
Executive Orders 12866 and 13563
In accordance with 21 U.S.C. 811(a), this scheduling action is
subject to formal rulemaking procedures done ``on the record after
opportunity for a hearing,'' which are conducted pursuant to the
provisions of 5 U.S.C. 556 and 557. The CSA sets forth the criteria for
scheduling a drug or other substance. Such actions are exempt from
review by the Office of Management and Budget pursuant to section
3(d)(1) of Executive Order 12866 and the principles reaffirmed in
Executive Order 13563.
Executive Order 12988
This regulation meets the applicable standards set forth in
sections 3(a) and 3(b)(2) of Executive Order 12988 Civil Justice Reform
to eliminate drafting errors and ambiguity, minimize litigation,
provide a clear legal standard for affected conduct, and promote
simplification and burden reduction.
Executive Order 13132
This rulemaking does not have federalism implications warranting
the application of Executive Order 13132. The rule does not have
substantial direct effects on the States, on the relationship between
the national government and the States, or the distribution of power
and responsibilities among the various levels of government.
Executive Order 13175
This rule does not have tribal implications warranting the
application of Executive Order 13175. The rule does not have
substantial direct effects on one or more Indian tribes, on the
relationship between the Federal government and Indian tribes, or on
the distribution of power and responsibilities between the Federal
government and Indian tribes.
Regulatory Flexibility Act
The Deputy Administrator, in accordance with the Regulatory
Flexibility Act (RFA), 5 U.S.C. 601-612, has reviewed this final rule
and by approving it certifies that it will not have a significant
economic impact on a substantial number of small entities. The purpose
of this final rule is to place suvorexant, including its salts,
isomers, and salts of isomers, into schedule IV of the CSA. No less
restrictive measures (i.e., non-control, or control in schedule V)
enable the DEA to meet its statutory obligations under the CSA. In
preparing this certification, the DEA has assessed economic impact by
size category and has considered costs with respect to the various DEA
registrant business activity classes.
Suvorexant is a new molecular entity which has not yet been
marketed in the United States or any other country. Accordingly, the
number of currently identifiable manufacturers, importers, and
distributors for suvorexant is extremely small. The publicly available
materials also specify the readily identifiable persons subject to
direct regulation by this final rule. Based on guidelines utilized by
the Small Business Administration (SBA), the suvorexant manufacturer/
distributor/importer was determined not to be a small entity. Once
generic equivalents of suvorexant are developed and approved for
manufacturing and marketing, there may be additional manufacturers,
importers, and distributors of suvorexant, but whether they may qualify
as small entities cannot be determined at this time.
There are approximately 1.5 million controlled substance
registrations that represent approximately 381,000 entities (which
include businesses, organizations, and governmental jurisdictions). The
DEA estimates that 371,000 (97%) of these entities are considered
``small entities'' in accordance with the RFA and SBA size standards. 5
U.S.C. 601(6); 15 U.S.C. 632. Due to the wide variety of unidentifiable
and unquantifiable variables that potentially could influence the
dispensing rates of new molecular entities, the DEA is unable to
determine what number of these 371,000 small entities might handle
suvorexant.
Despite the fact that the number of small entities possibly
impacted by this rule could not be determined, the DEA concludes that
they would not experience a significant economic impact as a result of
this final rule. The DEA estimates all anticipated suvorexant handlers
to be DEA registrants and currently 98% of DEA registrants (most of
which are small entities) are authorized to handle schedule IV
controlled substances. Registrants that handle suvorexant are expected
to incur nominal additional security, inventory, and recordkeeping
costs. These registered entities are likely to have already established
and implemented the systems and processes required to handle schedule
IV controlled substances and can easily absorb the costs of handling
suvorexant with nominal to no additional economic burden. For example,
because DEA-registered pharmacies and institutional practitioners are
likely to already be schedule IV handlers, they may secure schedule II-
V controlled substances by dispersing such substances throughout the
stock of noncontrolled substances in such a manner as to obstruct the
theft or diversion of the controlled substances. Additionally, because
other DEA registrants who will handle suvorexant are likely to already
be schedule IV handlers, they already should have existing secure
storage areas for schedule II-V controlled substances, which we assume
would be able to accommodate any new stocks of suvorexant. See 21 CFR
1301.75(b), 1301.72(b). Accordingly, the requirement to secure all
controlled substances containing suvorexant would not impose a
significant economic burden upon DEA-registered practitioners as the
infrastructure and materials for doing so are already in place. The DEA
therefore assumes that the cost of compliance with 21 CFR 1301.71-
1301.77 as a result of this final rule is nominal.
Correspondingly, because DEA-registered manufacturers,
distributors,
[[Page 51247]]
and importers must label and package all schedule II-V controlled
substances in accordance with 21 CFR part 1302, the requirement to
label and package all controlled substances containing suvorexant in
accordance with 21 CFR part 1302 would not impose a significant
economic burden upon DEA-registered manufacturers, distributors, and
importers as the infrastructure and materials for doing so would
already be in place. Accordingly, compliance with 21 CFR part 1302
would not require significant additional manpower, capital investment,
or recordkeeping burdens.
Because of these facts, this final rule will not result in a
significant economic impact on a substantial number of small entities.
Unfunded Mandates Reform Act of 1995
In accordance with the Unfunded Mandates Reform Act (UMRA) of 1995
(2 U.S.C. 1501 et seq.), the DEA has determined and certifies pursuant
to UMRA that this action would not result in any Federal mandate that
may result ``in the expenditure by State, local, and tribal
governments, in the aggregate, or by the private sector, of
$100,000,000 or more (adjusted for inflation) in any one year . . . .''
Therefore, neither a Small Government Agency Plan nor any other action
is required under provisions of UMRA of 1995.
Paperwork Reduction Act of 1995
This action does not impose a new collection of information
requirement under the Paperwork Reduction Act of 1995. 44 U.S.C. 3501-
3521. This action would not impose recordkeeping or reporting
requirements on State or local governments, individuals, businesses, or
organizations. 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.
Congressional Review Act
This rule is not a major rule as defined by section 804 of the
Small Business Regulatory Enforcement Fairness Act of 1996
(Congressional Review Act (CRA)). This rule will not result in: an
annual effect on the economy of $100,000,000 or more; a major increase
in costs or prices for consumers, individual industries, Federal,
State, or local government agencies, or geographic regions; or
significant adverse effects on competition, employment, investment,
productivity, innovation, or on the ability of United States-based
companies to compete with foreign-based companies in domestic and
export markets. However, pursuant to the CRA, the DEA has submitted a
copy of this final rule to both Houses of Congress and to the
Comptroller General.
List of Subjects in 21 CFR Part 1308
Administrative practice and procedure, Drug traffic control,
Reporting and recordkeeping requirements.
For the reasons set out above, the DEA amends 21 CFR part 1308 as
follows:
PART 1308--SCHEDULES OF CONTROLLED SUBSTANCES
0
1. The authority citation for 21 CFR part 1308 continues to read as
follows:
Authority: 21 U.S.C. 811, 812, 871(b), unless otherwise noted.
0
2. Amend Sec. 1308.14 by redesignating paragraphs (c)(49) through
(c)(54) as (c)(50) through (c)(55) and adding new paragraph (c)(49) to
read as follows:
Sec. 1308.14 Schedule IV.
* * * * *
(c) * * *
(49) Suvorexant 2223
* * * * *
Dated: August 21, 2014.
Thomas M. Harrigan,
Deputy Administrator.
[FR Doc. 2014-20515 Filed 8-27-14; 8:45 am]
BILLING CODE 4410-09-P