Administrative Destruction of Certain Drugs Refused Admission to the United States, 55237-55242 [2015-23124]
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Federal Register / Vol. 80, No. 178 / Tuesday, September 15, 2015 / Rules and Regulations
§ 39.13
[Amended]
2. The FAA amends § 39.13 by adding
the following new airworthiness
directive (AD):
■
2015–18–04 CFM International S.A.:
Amendment 39–18262; Docket No.
FAA–2015–0277; Directorate Identifier
2015–NE–05–AD.
(b) Affected ADs
None.
(c) Applicability
This AD applies to CFM International S.A.
(CFM) CFM56–7B and CFM56–3 engines
with a 73-tooth or 41-tooth gearshaft installed
in the accessory gearbox (AGB), that has a
gearshaft serial number in Appendix A or
Appendix B of CFM Service Bulletin (SB) No.
CFM56–7B S/B 72–0964, Revision 1, dated
December 15, 2014.
(d) Unsafe Condition
This AD was prompted by a report of an
uncommanded in-flight shutdown on a CFM
CFM56–7B engine following rupture of the
73-tooth gearshaft located in the engine AGB.
We are issuing this AD to prevent failure of
certain AGB gearshafts, which could lead to
failure of one or more engines, loss of thrust
control, and damage to the airplane.
(e) Compliance
Comply with this AD within the
compliance times specified, unless already
done.
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(1) Initial AGB/Transfer Gearbox (TGB)/
Magnetic Chip Detector (MCD) Inspection
and Analysis
(i) For affected 73-tooth gearshafts, perform
an AGB/TGB MCD inspection within 250
flight hours (FHs) since last inspection,
within 25 FHs from the effective date of this
AD, or when the gearshaft accumulates 3,000
FHs since new, whichever comes later.
(ii) For affected 41-tooth gearshafts,
perform an AGB/TGB MCD inspection within
250 FHs since last inspection, within 25 FHs
from the effective date of this AD, or when
the gearshaft accumulates 6,000 FHs since
new, whichever comes later.
(iii) If any magnetic particles, including
fuzz, are seen, determine with laboratory
analysis if the particles are 73-tooth or 41tooth gearshaft material.
(iv) If the particles are 73-tooth or 41-tooth
gearshaft material, remove the affected
gearshaft(s) within 75 FHs since the AGB/
TGB MCD inspection.
(2) Repetitive AGB/TGB MCD Inspection and
Analysis
(i) For affected 73-tooth gearshafts, perform
an AGB/TGB MCD inspection and laboratory
analysis within every 500 FHs since the last
AGB/TGB MCD inspection until affected
gearshaft is removed.
(ii) For affected 41-tooth gearshafts,
perform an AGB/TGB MCD inspection and
laboratory analysis within every 500 FHs
since the last AGB/TGB MCD inspection
until affected gearshaft is removed.
19:08 Sep 14, 2015
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Issued in Burlington, Massachusetts, on
August 28, 2015.
Ann C. Mollica,
Acting Directorate Manager, Engine &
Propeller Directorate, Aircraft Certification
Service.
[FR Doc. 2015–22598 Filed 9–14–15; 8:45 am]
BILLING CODE 4910–13–P
(f) Mandatory Terminating Action
(a) Effective Date
This AD is effective October 20, 2015.
VerDate Sep<11>2014
(iii) If any magnetic particles, including
fuzz, are seen, determine with laboratory
analysis if the particles are 73-tooth or 41tooth gearshaft material.
(iv) If the particles are 73-tooth or 41-tooth
gearshaft material, remove the affected
gearshaft(s) within 75 FHs since the AGB/
TGB MCD inspection.
55237
(1) Remove the affected 73-tooth gearshaft
prior to the gearshaft accumulating 6,000 FHs
since new or within 50 FHs after the effective
date of this AD, whichever comes later.
(2) Remove the affected 41-tooth gearshaft
prior to the gearshaft accumulating 9,000 FHs
since new or within 50 FHs after the effective
date of this AD, whichever comes later.
(g) Installation Prohibition
(h) Alternative Methods of Compliance
(AMOCs)
The Manager, Engine Certification Office,
FAA, may approve AMOCs for this AD. Use
the procedures found in 14 CFR 39.19 to
make your request. You may email your
request to: ANE-AD-AMOC@faa.gov.
(i) Related Information
For more information about this AD,
contact Kyle Gustafson, Aerospace Engineer,
Engine Certification Office, FAA, Engine &
Propeller Directorate, 12 New England
Executive Park, Burlington, MA 01803;
phone: 781–238–7183; fax: 781–238–7199;
email: kyle.gustafson@faa.gov.
(j) Material Incorporated by Reference
(1) The Director of the Federal Register
approved the incorporation by reference
(IBR) of the service information listed in this
paragraph under 5 U.S.C. 552(a) and 1 CFR
part 51.
(2) You must use this service information
as applicable to do the actions required by
this AD, unless the AD specifies otherwise.
(3) The following service information was
approved for IBR on October 20, 2015.
(i) CFM International Service Bulletin No.
CFM56–7B S/B 72–0964, Revision 1, dated
December 15, 2014.
(ii) Reserved.
(4) For CFM service information identified
in this AD, contact CFM International Inc.,
Aviation Operations Center, 1 Neumann
Way, M/D Room 285, Cincinnati, OH 45125;
phone: 877–432–3272; fax: 877–432–3329;
email: aviation.fleetsupport@ge.com.
(5) You may view this service information
at FAA, Engine & Propeller Directorate, 12
New England Executive Park, Burlington,
MA. For information on the availability of
this material at the FAA, call 781–238–7125.
(6) You may view this service information
at the National Archives and Records
Administration (NARA). For information on
the availability of this material at NARA, call
202–741–6030, or go to: https://www.archives.
gov/federal-register/cfr/ibr-locations.html.
Frm 00017
Fmt 4700
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Food and Drug Administration
21 CFR Part 1
[Docket No. FDA–2014–N–0504]
RIN 0910–AH12
After the effective date of this AD, do not
install an affected gearshaft into an AGB.
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administrative Destruction of Certain
Drugs Refused Admission to the
United States
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Final rule.
The Food and Drug
Administration (FDA or Agency) is
implementing its authority to destroy a
drug valued at $2,500 or less (or such
higher amount as the Secretary of the
Treasury may set by regulation) that has
been refused admission into the United
States under the Federal Food, Drug,
and Cosmetic Act (the FD&C Act), by
issuing a rule that provides to the owner
or consignee notice and an opportunity
to appear and introduce testimony to
the Agency prior to destruction. This
regulation is authorized by amendments
made to the FD&C Act by the Food and
Drug Administration Safety and
Innovation Act (FDASIA).
Implementation of this authority will
allow FDA to better protect the public
health by providing an administrative
process for the destruction of certain
refused drugs, thus increasing the
integrity of the drug supply chain.
DATES: This rule is effective October 15,
2015.
FOR FURTHER INFORMATION CONTACT: Ann
M. Metayer, Office of Regulatory Affairs,
Food and Drug Administration, 10903
New Hampshire Ave., Bldg. 32, Rm.
4338, Silver Spring, MD 20993–0002,
301–796–3324,
FDASIAImplementationORA@
fda.hhs.gov.
SUMMARY:
SUPPLEMENTARY INFORMATION:
Executive Summary
Purpose of the Regulatory Action
Implementation of FDA’s
administrative destruction authority
will better protect the integrity of the
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drug supply chain by providing a
disincentive for the importation of drugs
that are adulterated, misbranded, or
unapproved in violation of section 505
of the FD&C Act (21 U.S.C. 355)
(unapproved drugs) and reducing the
likelihood of such drugs being refused
admission and subsequently offered for
reimportation. In 2012, Congress
amended section 801(a) of the FD&C Act
(21 U.S.C. 381(a)) to provide FDA with
the authority to destroy a refused drug
valued at $2,500 or less (or such higher
amount as the Secretary of the Treasury
may set by regulation) without
providing the owner or consignee with
the opportunity to export the drug.
Congress directed FDA to issue
regulations that provide the drug’s
owner or consignee with notice and an
opportunity to present testimony to the
Agency prior to the drug’s destruction
(section 708 of FDASIA). The final rule
provides the owner or consignee of a
drug that has been refused admission
into the United States, and that is
valued at $2,500 or less (or such higher
amount as the Secretary of the Treasury
may set by regulation) with: (1) Written
notice that FDA intends to destroy the
drug and (2) an opportunity to present
testimony to the Agency before the drug
is destroyed.
FDA is issuing this final rule under
section 801(a) of the FD&C Act.
Summary of the Major Provisions
The final rule implements the
authority of FDA to destroy a drug after
providing the owner or consignee of a
drug that has been refused admission
into the United States under section
801(a) of the FD&C Act, and that is
valued at $2,500 or less (or such higher
amount as the Secretary of the Treasury
may set by regulation) with: (1) Written
notice that FDA intends to destroy the
drug and (2) an opportunity to present
testimony to the Agency before the drug
is destroyed.
FDA is amending part 1 (21 CFR part
1) by expanding the scope of § 1.94 (21
CFR 1.94) to include administrative
destruction. Currently this provision
provides the owner or consignee of an
FDA-regulated product offered for
import into the United States with
notice and opportunity to present
testimony to the Agency prior to refusal
of admission of the product. The final
rule expands the scope of § 1.94 to also
provide an owner or consignee with
notice and opportunity to present
testimony to the Agency prior to the
destruction of certain refused drugs.
Section 708 of FDASIA and the final
rule allow FDA to provide two separate
notices and hearings—one for refusal of
admission and one for destruction of a
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refused drug product—or to combine
both notices and hearings into one
notice and proceeding. Whether the
determinations occur separately or in
one combined proceeding, the
determination of refusal and the
determination regarding destruction of a
drug will be made separately by the
Agency as the findings are separate and
distinct.
Costs and Benefits
The primary public health benefit
from adoption of the rule would be the
value of the illnesses and deaths
avoided because FDA destroyed a drug
valued at $2,500 or less (or such higher
amount as the Secretary of the Treasury
may set by regulation) that posed a
public health risk. This benefit accrues
whenever the Agency’s other
enforcement tools would not have
prevented a drug, including a biological
product, which does not comply with
the requirements of the FD&C Act
(violative drug) from entering the U.S.
market. The estimated primary costs of
the final rule include the additional
costs to destroy a violative drug and the
one-time costs of updating the FDA
Operational and Administrative System
for Import Support (OASIS), making
appropriate revisions to Chapter 9 of the
FDA Regulatory Procedures Manual
(RPM) and the Agency’s internal import
operations guidelines, and training for
FDA personnel. FDA estimates the
quantifiable net annual effect of the
final rule to range between a cost of
$54,325 and a cost savings of $901,950
for an estimated 15,100 destructions
each year. The Agency estimates that it
will also incur one-time costs of
$531,670.
I. Background and Legal Authority
In the Federal Register of May 6, 2014
(79 FR 25758), FDA proposed a rule to
implement its new authority under
section 708 of FDASIA to destroy a
refused drug valued at $2,500 or less (or
such higher amount as the Secretary of
the Treasury may set by regulation). As
discussed in the preamble to the
proposed rule, President Obama signed
FDASIA (Pub. L. 112–144) into law on
July 9, 2012. Title VII of FDASIA
provides FDA with important new
authorities to help the Agency better
protect the integrity of the drug supply
chain. One of those new authorities is
provided in section 708 of FDASIA,
which amends section 801(a) of the
FD&C Act, to provide FDA with the
authority to use an administrative
procedure to destroy a drug valued at
$2,500 or less (or such higher amount as
the Secretary of the Treasury may set by
regulation) that was not brought into
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compliance as described in section
801(b) of the FD&C Act and was refused
admission into the United States.
Section 708 of FDASIA authorizes FDA
to use this new administrative
procedure without offering the owner or
consignee the opportunity to export the
drug. The statute further provides that
FDA will store and, as applicable,
dispose of the drug that the Agency
intends to destroy. The drug’s owner or
consignee is liable for FDA’s storage and
disposal costs under section 801(c) of
the FD&C Act.
Section 708 of FDASIA directs FDA to
issue regulations that provide the owner
or consignee of a drug designated by the
Agency for administrative destruction
with notice and an opportunity to
introduce testimony to the Agency prior
to the destruction of the drug. The
provision further states that this process
may be combined with the notice and
opportunity to appear before FDA and
introduce testimony on the
admissibility of the drug under section
801(a) of the FD&C Act, as long as
appropriate notice is provided to the
owner or consignee.
II. Overview of the Final Rule Including
Changes to the Proposed Rule
FDA is amending part 1 to implement
the administrative destruction of
refused drugs. The amendment to part 1
consists of amendments to § 1.94,
including two technical changes to
§ 1.94(b) where ‘‘his’’ is now changed to
‘‘his or her’’ and ‘‘act’’ is now changed
to ‘‘Federal Food, Drug, and Cosmetic
Act’’ in the final rule. No changes have
been made to the proposed regulation
and, therefore, FDA is finalizing the
implementing regulation as proposed.
III. Comments on the Proposed Rule
FDA received 22 comments in the
public docket for the May 6, 2014,
proposed rule by the close of the
comment period, July 7, 2014, each
containing one or more comments. One
comment was received in the public
docket on July 8, 2014, 1 day after the
docket closed. These comments were
submitted by consumers, consumer
advocacy groups, industry and trade
organizations, industry, and a member
of Congress. One comment consisted of
a ‘‘placeholder’’ and did not contain any
substantive remarks.
After considering the comments
responsive to the proposed rule, the
Agency is not making any changes to
the regulatory language included in the
proposed rule.
This section contains summaries of
the relevant portions of the responsive
comments and the Agency’s responses
to those comments. To make it easier to
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identify the comments and our
responses, the word ‘‘Comment,’’ in
parentheses, appears before the
comment’s description, and the word
‘‘Response,’’ in parentheses, appears
before our response. We have numbered
each comment and response to help
distinguish between different types of
comments. Similar comments are
grouped together under the same
number. The number assigned to each
comment is purely for organizational
purposes and does not signify the
comment’s value, importance, or the
order in which it was received.
The Agency also received some
general comments that were not
responsive to the content of the rule,
and therefore were not considered in its
final development. Some of these
comments, however, are summarized in
this section and the Agency responded
to those comments to provide clarity for
the public and industry on the Agency’s
implementation of its administrative
destruction authority under section 708
of FDASIA.
A. Notice and Hearing Process
Two comments suggested that FDA
modify the notice and hearing process
in the proposed rule.
(Comment 1) One comment asserted
that the procedure set forth in § 1.94
appears to apply only to large
commercial drug imports, not drugs
offered for import by individuals, and
that FDA should create a separate
administrative hearing process for
individuals.
(Response 1) The proposed rule
amends § 1.94 to add administrative
destruction of certain drugs to the
current administrative hearing process
for refusal of admission of an FDAregulated product. The current rule
applies to all imports regardless of how
they enter the United States, e.g., via a
commercial port or an International
Mail Facility (IMF), and regardless of
who seeks to import the drug. As
amended by this final rule, § 1.94 will
provide an administrative hearing
process to any owner or consignee of a
refused drug with a value of $2,500 or
less (or such higher amount as the
Secretary of the Treasury may set by
regulation) that FDA intends to destroy
whether that owner or consignee is an
individual owner or consignee or a
commercial importer. There is,
therefore, no need to establish a separate
administrative hearing process for
individuals whose drugs have been
refused and designated for
administrative destruction.
(Comment 2) One comment stated
that FDA should provide clarity for
consumers regarding how they can
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introduce testimony to the Agency to
challenge the administrative destruction
of drugs they attempted to import but
which were refused admission. The
comment suggested that FDA allow
testimony to be submitted by an affected
owner or consignee through an online
platform, email, regular mail, or
facsimile and that the Agency include a
supplemental document in the notice
that instructs consumers on how to
provide testimony to FDA to prevent
administrative destruction of their
drugs.
(Response 2) As described in Chapter
9 of the RPM, the type of administrative
hearing under § 1.94 may vary from a
series of telephone conversations to a
more formal procedure. Introduction of
testimony by the owner or consignee for
Agency review and consideration can
take many forms, including a telephone
conversation, a facsimile, or mail, and
does not have to be introduced in
person. However, an in-person hearing
will be scheduled if requested by the
owner or consignee. (https://
www.fda.gov/downloads/ICECI/
ComplianceManuals/
RegulatoryProceduresManual/
UCM074300.pdf). Current Agency
procedures also allow such testimony to
be submitted by the owner or consignee
by email. Under the final rule, owners
or consignees will have the same
options for submitting testimony in
opposition to the destruction of their
drugs. Given the variety of options
historically available to owners and
consignees for submission of testimony,
which will continue under the final
rule, FDA does not believe that a
dedicated online platform for
submission of testimony is currently
needed. If circumstances change in the
future, FDA will consider whether such
a system is appropriate.
FDA recognizes that an owner or
consignee importing a drug for his/her
own personal use may need information
about the administrative hearing process
when that drug has been detained by
FDA for administrative destruction.
Accordingly, the Agency will provide
information on the administrative
hearing process under § 1.94, as
amended in this rule, by providing an
insert in the Agency’s notice of
detention or by establishing a Web page
on the FDA Web site containing
information about the administrative
destruction process including ways to
submit testimony to the Agency in
opposition to the destruction of a drug.
FDA will also consider issuing guidance
or other explanatory materials, as
appropriate.
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55239
B. Drugs Subject to Administrative
Destruction by FDA
Two comments requested clarity
regarding what drugs will be destroyed
by FDA under section 708 of FDASIA.
(Comment 3) Two commenters
requested clarity on when a refused
drug will be destroyed under section
708 of FDASIA and when the Agency
will give the owner or consignee the
option to destroy or export a refused
drug.
(Response 3) Currently, owners or
consignees of drugs that have been
refused admission into the United States
under section 801(a) of the FD&C Act
have the option to destroy or export
those drugs. Drugs imported via an IMF
that have been refused admission are
sent back to the United States Postal
Service (USPS) for export. After
implementation of section 708 of
FDASIA, FDA anticipates that owners or
consignees will still have the option to
destroy or export a refused drug in at
least two situations. First, only a drug
valued at $2,500 or less (or such higher
amount as the Secretary of the Treasury
may set by regulation) is subject to
administrative destruction under
section 708 of FDASIA. Owners or
consignees of a drug valued over the
current $2,500 threshold that has been
refused admission will still have the
option to destroy or export that drug
unless the drug has been imported via
an IMF. For a drug valued at $2,500 or
less (or such higher amount as the
Secretary of the Treasury may set by
regulation) that has been refused
admission, section 708 of FDASIA
allows FDA to destroy the drug without
providing the owner or consignee with
the opportunity to destroy or export the
drug.
The second situation where owners or
consignees will still have the option to
destroy or export a refused drug is when
FDA refuses admission to a drug,
including a biological product, that is
subject to destruction under section 708
of FDASIA, but the Agency is not able
to make a determination that the drug is,
in fact, adulterated, misbranded, or
unapproved in violation of section 505
of the FD&C Act. As stated in the
proposed rule, FDA intends to
administratively destroy a drug only
where the Agency has made a
determination that the drug is
adulterated, misbranded, or is an
unapproved drug. There may be
situations where the Agency refuses
admission to a drug that is valued at
$2,500 or less (or such higher amount as
the Secretary of the Treasury may set by
regulation) because it appears to be an
adulterated, misbranded, or unapproved
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drug but the Agency does not have
sufficient information to make a
determination that the drug is, in fact,
an adulterated, misbranded, or
unapproved drug. Under those
circumstances, the owner or consignee
will be given the opportunity to destroy
or export that refused drug. If such a
drug has come into the United States via
an IMF, however, FDA will generally
return the drug to the USPS for export.
C. Storage and Destruction Costs of
Drugs Designated for Destruction
Section 708 of FDASIA provides that
FDA will store and, as applicable,
dispose of a drug where the Agency has
made the determination to destroy that
drug. The drug’s owner or consignee is
liable for FDA’s storage and disposal
costs under section 801(c) of the FD&C
Act.
(Comment 4) One comment asked
when FDA will take physical possession
of drugs designated for destruction at
express courier facilities and expressed
concern about the possibility of
extended storage time for these drugs at
the expense of the express courier. The
commenter also requested clarification
regarding whether an express courier
could be held liable for the costs of
storage and destruction of a refused
drug under section 801(c) of the FD&C
Act.
(Response 4) If FDA designates a drug
for possible destruction that has been
offered for import into the United States
via an express courier, FDA intends to
take physical possession of that drug
when the Agency has made the
determination to destroy the drug. The
Agency expects that by combining the
notice and introduction of testimony on
destruction with the notice and
introduction of testimony on refusal of
admission, any additional storage time
at an express courier due to
implementation of section 708 of
FDASIA will be minimal.
An express courier is not liable for the
storage or destruction costs under
section 801(c) of the FD&C Act unless
that courier is also the owner or
consignee of a destroyed drug, which
would be unusual. As stated in the
proposed rule, if a drug is sent by
international mail, FDA generally
considers the addressee of the parcel to
be the owner or consignee of the drug.
(Comment 5) One commenter
requested that FDA clearly define and
outline the storage and destruction costs
to consumers under section 801(c) of the
FD&C Act and that the Agency provide
offsets to those costs for consumers
unable to pay due to financial stress.
(Response 5) FDA generally does not
intend to pursue recovery of storage and
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destruction costs under section 801(c) of
the FD&C Act against individual
consumers who seek to import a drug
for their own personal use that is then
refused and destroyed by the Agency
under section 708 of FDASIA.
D. General Comments
The final rule provides the owner or
consignee of a drug valued at $2,500 or
less (or such higher amount as the
Secretary of the Treasury may set by
regulation) that is refused admission
into the United States with: (1) Written
notice that FDA intends to destroy the
drug and (2) an opportunity to present
testimony to the Agency before the drug
is destroyed.
(Comment 6) Many comments made
general remarks expressing support or
opposition to the authority granted to
FDA by section 708 of FDASIA to
administratively destroy certain refused
drugs and did not focus on the rule or
a particular section of the rule.
One comment supported the
administrative destruction of certain
refused drugs while several comments
expressed concern about the potential
impact of administrative destruction on
a consumer’s access to foreign drugs.
These comments cited a patient’s
inability to comply with a drug
treatment plan as a consequence of that
lack of access. One comment requested
that FDA change its current Personal
Importation Policy to allow importation
of any drug from a ‘‘safe’’ foreign
pharmacy or for which there is a ‘‘valid’’
prescription. The comment further
requested that FDA define the term
‘‘safe personal drug import’’ in the final
rule.
(Response 6) As required for
implementation of section 708 of
FDASIA, the final rule provides
appropriate due process to the owner or
consignee of a drug that has been
refused admission under section 801(a)
of the FD&C Act, and that FDA intends
to destroy. The new authority granted to
FDA by section 708 of FDASIA to
administratively destroy a drug applies
only after the Agency has made the final
decision to refuse admission to the drug.
This new authority, therefore, does not
affect a consumer’s access to a foreign
drug because consumers have no access
to a refused drug under the FD&C Act.
The final rule does not modify FDA’s
current policy with respect to personal
importation of drugs.
(Comment 7) One comment suggested
that implementation of section 708 of
FDASIA could adversely affect the
supply of low-value excipients and
other drug components potentially
leading to a drug shortage. The
commenter suggested that FDA closely
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coordinate with manufacturers to limit
the impact on the drug supply chain
when the Agency exercises its authority
to destroy low-value excipients or other
drug components. The commenter
further suggested that FDA’s Drug
Shortages Task Force monitor and
publicly report on the effects of section
708 of FDASIA on the drug supply in
the United States.
(Response 7) Excipients and other
components of a drug are defined as
drugs under section 201(g)(1) of the
FD&C Act. An excipient or other drug
component is therefore subject to
administrative destruction under
section 708 of FDASIA if that excipient
or drug component offered for import is
valued at $2,500 or less (or such higher
amount as the Secretary of the Treasury
may set by regulation) and is refused
admission. FDA does not expect that
administrative destruction of refused
excipients or other drug components
will lead to shortages of medically
necessary drugs. The majority of
excipients and drug components are
imported into the United States as
commercial entries. Currently, where
excipients or drug components are
refused admission, they are exported or
destroyed. Refused excipients or other
drug components, therefore, are not
currently available for drug
manufacturing in the United States. The
Agency’s exercise of administrative
destruction will not affect a
manufacturer’s access to these refused
excipients or other drug components
and, therefore, will not contribute to
shortages of drugs manufactured in the
United States.
(Comment 8) One comment asserted
that FDA only quantified the benefits
but not the costs of the proposed rule
which, according to the comment,
should include the societal costs
attributable to a patient’s lack of access
to an imported drug that does not pose
a public health risk, and that patient’s
non-adherence to a medical plan that
includes such drug.
(Response 8) In the proposed rule,
FDA estimated both the costs and the
benefits of the implementation of
section 708 of FDASIA and the result
was a quantifiable net annual social
benefit. The detailed analysis of the
estimated economic impact as provided
in Ref. 10 in the proposed rule can be
found at https://www.fda.gov/AboutFDA/
ReportsManualsForms/Reports/
EconomicAnalyses/default.htm#.
The preliminary Regulatory Impact
Analysis did not include any costs
attributable to lack of access to an
imported drug by a patient as this is not
a cost attributable to administrative
destruction. Currently, drugs that are
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refused admission are destroyed or
exported by the importer or, in the case
of international mail, returned to the
USPS for export. Consequently, patients
do not have access to those drugs. Only
refused drugs are subject to
administrative destruction under
section 708 of FDASIA and, therefore,
implementation of this authority does
not result in a quantifiable cost to be
included in the regulatory impact
analysis of the implementation of
section 708.
(Comment 9) A number of comments
requested that FDA flag shipments in
Customs and Border Protection’s
Automated Commercial System (ACS)
or the Automated Commercial
Environment (ACE) system, which is
expected to replace ACS by December
2016, when a drug is destroyed. Another
comment suggested that FDA establish a
public database listing drugs destroyed
by FDA under the authority of section
708 of FDASIA.
(Response 9) These comments relate
to the Agency’s operations
implementing the final rule and, as FDA
stated in the proposed rule, the Agency
plans to specify the operational details
of its process for destruction by
guidance, operating guidelines, or
similar means.
IV. Analysis of Impacts (Summary of
the Final Regulatory Impact Analysis)
FDA has examined the impacts of the
final rule under Executive Order 12866,
Executive Order 13563, the Regulatory
Flexibility Act (5 U.S.C. 601–612), and
the Unfunded Mandates Reform Act of
1995 (Pub. L. 104–4). Executive Orders
12866 and 13563 direct Agencies to
assess all costs and benefits of available
regulatory alternatives and, when
regulation is necessary, to select
regulatory approaches that maximize
net benefits (including potential
economic, environmental, public health
and safety, and other advantages;
distributive impacts; and equity). The
Agency believes that this final rule is
not a significant regulatory action under
Executive Order 12866.
The Regulatory Flexibility Act
requires Agencies to analyze regulatory
options that would minimize any
significant impact of a rule on small
entities. Because of the small number of
expected destructions each year and the
very small value per event, the Agency
certifies that this final rule will not have
a significant economic impact on a
substantial number of small entities.
Section 202(a) of the Unfunded
Mandates Reform Act of 1995 requires
that Agencies prepare a written
statement, which includes an
assessment of anticipated costs and
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benefits, before finalizing ‘‘any rule that
includes 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 annually for inflation)
in any one year.’’ The current threshold
after adjustment for inflation is $141
million, using the most current (2013)
Implicit Price Deflator for the Gross
Domestic Product. FDA does not expect
this final rule to result in any 1-year
expenditure that would meet or exceed
this amount.
The primary public health benefit
from adoption of the rule will be the
value of the illnesses or deaths avoided
because the Agency destroyed a refused
drug valued at $2,500 or less (or such
higher amount as the Secretary of the
Treasury may set by regulation) that
posed a public health risk. Additionally,
the final rule may benefit firms through
increases in sales, brand value, and
investment in research and
development if the destroyed drug is a
counterfeit or an otherwise falsified
version of an approved drug. The threat
of destruction may also have a deterrent
effect resulting in a reduction in the
amount of violative drugs shipped into
the United States in the future. These
benefits accrue whenever the Agency’s
other enforcement tools would not have
prevented a violative drug from entering
the U.S. market. The current procedure
whereby a drug refused admission
might be exported does not ensure that
the drug would not be imported into the
United States in the future. These
benefits are not quantified.
The estimated primary costs to FDA
include the additional costs incurred by
FDA to destroy a refused drug as
opposed to the costs related to
exportation of the drug and the one-time
costs of updating OASIS, revising
Chapter 9 of the RPM and other internal
import operations guidelines, and
training for FDA personnel. Our
estimates of the primary costs assume
that all refused drugs valued at $2,500
or less (or such higher amount as the
Secretary of the Treasury may set by
regulation) would be destroyed
(estimated 15,100 destructions
performed each year), that FDA would
contract the act of destruction out to
another government agency or private
firm, and the notice and hearing process
for destruction will be combined with
the current FDA notice and hearing
process for refusal of drugs. The
assumption that FDA will destroy all
refused drugs represents an upper
bound and may not always hold. If FDA
chooses to destroy less than all of the
refused drugs, all annual costs will
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55241
decrease but the one-time costs will stay
the same.
Based on an assumed 15,100
administrative destructions performed
each year, the Agency estimates the
quantifiable net annual effect of the
final rule to be between a cost of
$54,325 and a cost savings of $901,950,
in addition to one-time costs of
$531,670. Annualized over 20 years, the
final rule is estimated to produce a net
effect ranging from a cost of $89,021 to
a cost savings of $867,254 at a 3 percent
discount rate and a cost of $101,228 to
a cost savings of $855,047 at a 7 percent
discount rate. The present discounted
value of the quantifiable net effect over
20 years ranges from a cost of
$1,324,403 to a cost savings of
$12,902,554 at a 3 percent discount rate
and a cost of $1,072,408 to a cost
savings of $9,058,383 at a 7 percent
discount rate.
Our estimates do not include net
benefits of the final rule because we
have not quantified the potential health
benefits of reducing the probability that
a refused drug will be imported into the
United States in the future. However,
because the final rule likely represents
a cost savings and the health benefits,
though not quantified, will be positive
even if one violative drug that would
have caused an adverse event is
destroyed rather than entering the U.S.
market, the net benefits of the rule are
likely positive.
FDA has examined the economic
implications of the final rule as required
by the Regulatory Flexibility Act. If a
rule will have a significant economic
impact on a substantial number of small
entities, the Regulatory Flexibility Act
requires Agencies to analyze regulatory
options that would lessen the economic
effect of the rule on small entities. U.S.
Federal Government Agencies will bear
the costs of the final rule with FDA
bearing most of the cost as the Agency
is responsible under section 708 of
FDASIA for implementation of the rule
and for the costs of storage and
destruction. Therefore we certify that
this final rule will not have a significant
economic impact on a substantial
number of small entities. This analysis,
together with other relevant sections of
this document, serves as the Final
Regulatory Flexibility Analysis, as
required under the Regulatory
Flexibility Act.
The full discussion of economic
impacts, which includes a list of
changes made in the final regulatory
impact analysis, is available in Docket
No. FDA–2014–N–0504 and at https://
www.fda.gov/AboutFDA/
ReportsManualsForms/Reports/
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EconomicAnalyses/default.htm#
(Ref. 1).
V. Paperwork Reduction Act of 1995
This final rule contains no collection
of information under the Paperwork
Reduction Act of 1995 (44 U.S.C.
3518(c)(1)(B)(ii)). Therefore, clearance
by the Office of Management and
Budget is not required under the
Paperwork Reduction Act of 1995.
VI. Federalism
FDA has analyzed this final rule in
accordance with the principles set forth
in Executive Order 13132. FDA has
determined that the rule does not
contain policies that have substantial
direct effects on the States, on the
relationship between the National
Government and the States, or on the
distribution of power and
responsibilities among the various
levels of government. Accordingly, the
Agency has concluded that the rule does
not contain policies that have
federalism implications as defined in
the Executive order and, consequently,
a federalism summary impact statement
is not required.
VII. Environmental Impact
The Agency has determined under 21
CFR 25.30(h) that this action is of a type
that does not individually or
cumulatively have a significant effect on
the human environment. Therefore,
neither an environmental assessment
nor an environmental impact statement
is required.
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VIII. Reference
The following reference has been
placed on display in the Division of
Dockets Management (HFA–305), Food
and Drug Administration, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852,
and may be seen by interested persons
between 9 a.m. and 4 p.m., Monday
through Friday, and is available
electronically at https://
www.regulations.gov. (FDA has verified
the Web site address in this Reference
section, but FDA is not responsible for
any subsequent changes to the Web site
after this document publishes in the
Federal Register.)
1. Final Regulatory Impact Analysis, Final
Regulatory Flexibility Analysis, and Final
Unfunded Mandates Reform Act Analysis for
Administrative Destruction of Certain Drugs
Refused Admission to the United States,
available at https://www.fda.gov/AboutFDA/
ReportsManualsForms/Reports/
EconomicAnalyses/default.htm#.
List of Subjects in 21 CFR Part 1
Cosmetics, Drugs, Exports, Food
labeling, Imports, Labeling, Reporting
and recordkeeping requirements.
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19:08 Sep 14, 2015
Jkt 235001
Therefore, under the Federal Food,
Drug, and Cosmetic Act, and under
authority delegated to the Commissioner
of Food and Drugs, 21 CFR part 1 is
amended as follows:
PART 1—GENERAL ENFORCEMENT
REGULATIONS
1. The authority citation for 21 CFR
part 1 continues to read as follows:
paragraph (a) of this section into a single
proceeding.
Dated: September 9, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015–23124 Filed 9–14–15; 8:45 am]
BILLING CODE 4164–01–P
■
Authority: 15 U.S.C. 1333, 1453, 1454,
1455, 4402; 19 U.S.C. 1490, 1491; 21 U.S.C.
321, 331, 332, 333, 334, 335a, 343, 350c,
350d, 352, 355, 360b, 360ccc, 360ccc–1,
360ccc–2, 362, 371, 374, 381, 382, 387, 387a,
387c, 393; 42 U.S.C. 216, 241, 243, 262, 264.
■
2. Revise § 1.94 to read as follows:
§ 1.94 Hearing on refusal of admission or
destruction.
(a) If it appears that the article may be
subject to refusal of admission, or that
the article is a drug that may be subject
to destruction under section 801(a) of
the Federal Food, Drug, and Cosmetic
Act, the district director shall give the
owner or consignee a written notice to
that effect, stating the reasons therefor.
The notice shall specify a place and a
period of time during which the owner
or consignee shall have an opportunity
to introduce testimony. Upon timely
request giving reasonable grounds
therefor, such time and place may be
changed. Such testimony shall be
confined to matters relevant to the
admissibility or destruction of the
article, and may be introduced orally or
in writing.
(b) If such owner or consignee
submits or indicates his or her intention
to submit an application for
authorization to relabel or perform other
action to bring the article into
compliance with the Federal Food,
Drug, and Cosmetic Act or to render it
other than a food, drug, device, or
cosmetic, such testimony shall include
evidence in support of such application.
If such application is not submitted at
or prior to the hearing on refusal of
admission, the district director shall
specify a time limit, reasonable in the
light of the circumstances, for filing
such application.
(c) If the article is a drug that may be
subject to destruction under section
801(a) of the Federal Food, Drug, and
Cosmetic Act, the district director may
give the owner or consignee a single
written notice that provides the notice
on refusal of admission and the notice
on destruction of an article described in
paragraph (a) of this section. The district
director may also combine the hearing
on refusal of admission with the hearing
on destruction of the article described in
PO 00000
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DEPARTMENT OF STATE
22 CFR Part 22
[Public Notice: 9269]
RIN 1400–AD71
Schedule of Fees for Consular
Services, Department of State and
Overseas Embassies and
Consulates—Passport and Citizenship
Services Fee Changes; Correction
Department of State.
Interim final rule; correction.
AGENCY:
ACTION:
The Department of State
published an interim final rule on
September 8, 2015, amending the
Schedule of Fees for Consular Services
(Schedule) for certain passport fees and
citizenship services fees. The document
contained an incorrect effective date for
a portion of the rule. This document
corrects the rule.
DATES: The effective date of the
amendments to § 22.1, Items 2.(a), 2.(b),
and 2.(g), published in the Federal
Register on September 8, 2015 (80 FR
53704), is corrected to September 26,
2015.
SUMMARY:
Jill
Warning, 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: The
Department of State published an
interim final rule on September 8, 2015
(80 FR 53704); this document corrects
the effective date for one portion of the
rulemaking. The other dates applicable
to the rulemaking, as well as the
duration of the public comment period,
are unchanged.
FOR FURTHER INFORMATION CONTACT:
Corrections
In FR Rule Doc. 2015–22054, in the
Federal Register of September 8, 2015
(80 FR 53704), the following corrections
are made:
1. On page 53704 in the second
column, the first sentence of the DATES
section is corrected to read: ‘‘Section
22.1, Items 2.(a), 2.(b), and 2.(g) of this
rule become effective on September 26,
2015.’’
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Agencies
[Federal Register Volume 80, Number 178 (Tuesday, September 15, 2015)]
[Rules and Regulations]
[Pages 55237-55242]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-23124]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
21 CFR Part 1
[Docket No. FDA-2014-N-0504]
RIN 0910-AH12
Administrative Destruction of Certain Drugs Refused Admission to
the United States
AGENCY: Food and Drug Administration, HHS.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA or Agency) is
implementing its authority to destroy a drug valued at $2,500 or less
(or such higher amount as the Secretary of the Treasury may set by
regulation) that has been refused admission into the United States
under the Federal Food, Drug, and Cosmetic Act (the FD&C Act), by
issuing a rule that provides to the owner or consignee notice and an
opportunity to appear and introduce testimony to the Agency prior to
destruction. This regulation is authorized by amendments made to the
FD&C Act by the Food and Drug Administration Safety and Innovation Act
(FDASIA). Implementation of this authority will allow FDA to better
protect the public health by providing an administrative process for
the destruction of certain refused drugs, thus increasing the integrity
of the drug supply chain.
DATES: This rule is effective October 15, 2015.
FOR FURTHER INFORMATION CONTACT: Ann M. Metayer, Office of Regulatory
Affairs, Food and Drug Administration, 10903 New Hampshire Ave., Bldg.
32, Rm. 4338, Silver Spring, MD 20993-0002, 301-796-3324,
FDASIAImplementationORA@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
Executive Summary
Purpose of the Regulatory Action
Implementation of FDA's administrative destruction authority will
better protect the integrity of the
[[Page 55238]]
drug supply chain by providing a disincentive for the importation of
drugs that are adulterated, misbranded, or unapproved in violation of
section 505 of the FD&C Act (21 U.S.C. 355) (unapproved drugs) and
reducing the likelihood of such drugs being refused admission and
subsequently offered for reimportation. In 2012, Congress amended
section 801(a) of the FD&C Act (21 U.S.C. 381(a)) to provide FDA with
the authority to destroy a refused drug valued at $2,500 or less (or
such higher amount as the Secretary of the Treasury may set by
regulation) without providing the owner or consignee with the
opportunity to export the drug. Congress directed FDA to issue
regulations that provide the drug's owner or consignee with notice and
an opportunity to present testimony to the Agency prior to the drug's
destruction (section 708 of FDASIA). The final rule provides the owner
or consignee of a drug that has been refused admission into the United
States, and that is valued at $2,500 or less (or such higher amount as
the Secretary of the Treasury may set by regulation) with: (1) Written
notice that FDA intends to destroy the drug and (2) an opportunity to
present testimony to the Agency before the drug is destroyed.
FDA is issuing this final rule under section 801(a) of the FD&C
Act.
Summary of the Major Provisions
The final rule implements the authority of FDA to destroy a drug
after providing the owner or consignee of a drug that has been refused
admission into the United States under section 801(a) of the FD&C Act,
and that is valued at $2,500 or less (or such higher amount as the
Secretary of the Treasury may set by regulation) with: (1) Written
notice that FDA intends to destroy the drug and (2) an opportunity to
present testimony to the Agency before the drug is destroyed.
FDA is amending part 1 (21 CFR part 1) by expanding the scope of
Sec. 1.94 (21 CFR 1.94) to include administrative destruction.
Currently this provision provides the owner or consignee of an FDA-
regulated product offered for import into the United States with notice
and opportunity to present testimony to the Agency prior to refusal of
admission of the product. The final rule expands the scope of Sec.
1.94 to also provide an owner or consignee with notice and opportunity
to present testimony to the Agency prior to the destruction of certain
refused drugs.
Section 708 of FDASIA and the final rule allow FDA to provide two
separate notices and hearings--one for refusal of admission and one for
destruction of a refused drug product--or to combine both notices and
hearings into one notice and proceeding. Whether the determinations
occur separately or in one combined proceeding, the determination of
refusal and the determination regarding destruction of a drug will be
made separately by the Agency as the findings are separate and
distinct.
Costs and Benefits
The primary public health benefit from adoption of the rule would
be the value of the illnesses and deaths avoided because FDA destroyed
a drug valued at $2,500 or less (or such higher amount as the Secretary
of the Treasury may set by regulation) that posed a public health risk.
This benefit accrues whenever the Agency's other enforcement tools
would not have prevented a drug, including a biological product, which
does not comply with the requirements of the FD&C Act (violative drug)
from entering the U.S. market. The estimated primary costs of the final
rule include the additional costs to destroy a violative drug and the
one-time costs of updating the FDA Operational and Administrative
System for Import Support (OASIS), making appropriate revisions to
Chapter 9 of the FDA Regulatory Procedures Manual (RPM) and the
Agency's internal import operations guidelines, and training for FDA
personnel. FDA estimates the quantifiable net annual effect of the
final rule to range between a cost of $54,325 and a cost savings of
$901,950 for an estimated 15,100 destructions each year. The Agency
estimates that it will also incur one-time costs of $531,670.
I. Background and Legal Authority
In the Federal Register of May 6, 2014 (79 FR 25758), FDA proposed
a rule to implement its new authority under section 708 of FDASIA to
destroy a refused drug valued at $2,500 or less (or such higher amount
as the Secretary of the Treasury may set by regulation). As discussed
in the preamble to the proposed rule, President Obama signed FDASIA
(Pub. L. 112-144) into law on July 9, 2012. Title VII of FDASIA
provides FDA with important new authorities to help the Agency better
protect the integrity of the drug supply chain. One of those new
authorities is provided in section 708 of FDASIA, which amends section
801(a) of the FD&C Act, to provide FDA with the authority to use an
administrative procedure to destroy a drug valued at $2,500 or less (or
such higher amount as the Secretary of the Treasury may set by
regulation) that was not brought into compliance as described in
section 801(b) of the FD&C Act and was refused admission into the
United States. Section 708 of FDASIA authorizes FDA to use this new
administrative procedure without offering the owner or consignee the
opportunity to export the drug. The statute further provides that FDA
will store and, as applicable, dispose of the drug that the Agency
intends to destroy. The drug's owner or consignee is liable for FDA's
storage and disposal costs under section 801(c) of the FD&C Act.
Section 708 of FDASIA directs FDA to issue regulations that provide
the owner or consignee of a drug designated by the Agency for
administrative destruction with notice and an opportunity to introduce
testimony to the Agency prior to the destruction of the drug. The
provision further states that this process may be combined with the
notice and opportunity to appear before FDA and introduce testimony on
the admissibility of the drug under section 801(a) of the FD&C Act, as
long as appropriate notice is provided to the owner or consignee.
II. Overview of the Final Rule Including Changes to the Proposed Rule
FDA is amending part 1 to implement the administrative destruction
of refused drugs. The amendment to part 1 consists of amendments to
Sec. 1.94, including two technical changes to Sec. 1.94(b) where
``his'' is now changed to ``his or her'' and ``act'' is now changed to
``Federal Food, Drug, and Cosmetic Act'' in the final rule. No changes
have been made to the proposed regulation and, therefore, FDA is
finalizing the implementing regulation as proposed.
III. Comments on the Proposed Rule
FDA received 22 comments in the public docket for the May 6, 2014,
proposed rule by the close of the comment period, July 7, 2014, each
containing one or more comments. One comment was received in the public
docket on July 8, 2014, 1 day after the docket closed. These comments
were submitted by consumers, consumer advocacy groups, industry and
trade organizations, industry, and a member of Congress. One comment
consisted of a ``placeholder'' and did not contain any substantive
remarks.
After considering the comments responsive to the proposed rule, the
Agency is not making any changes to the regulatory language included in
the proposed rule.
This section contains summaries of the relevant portions of the
responsive comments and the Agency's responses to those comments. To
make it easier to
[[Page 55239]]
identify the comments and our responses, the word ``Comment,'' in
parentheses, appears before the comment's description, and the word
``Response,'' in parentheses, appears before our response. We have
numbered each comment and response to help distinguish between
different types of comments. Similar comments are grouped together
under the same number. The number assigned to each comment is purely
for organizational purposes and does not signify the comment's value,
importance, or the order in which it was received.
The Agency also received some general comments that were not
responsive to the content of the rule, and therefore were not
considered in its final development. Some of these comments, however,
are summarized in this section and the Agency responded to those
comments to provide clarity for the public and industry on the Agency's
implementation of its administrative destruction authority under
section 708 of FDASIA.
A. Notice and Hearing Process
Two comments suggested that FDA modify the notice and hearing
process in the proposed rule.
(Comment 1) One comment asserted that the procedure set forth in
Sec. 1.94 appears to apply only to large commercial drug imports, not
drugs offered for import by individuals, and that FDA should create a
separate administrative hearing process for individuals.
(Response 1) The proposed rule amends Sec. 1.94 to add
administrative destruction of certain drugs to the current
administrative hearing process for refusal of admission of an FDA-
regulated product. The current rule applies to all imports regardless
of how they enter the United States, e.g., via a commercial port or an
International Mail Facility (IMF), and regardless of who seeks to
import the drug. As amended by this final rule, Sec. 1.94 will provide
an administrative hearing process to any owner or consignee of a
refused drug with a value of $2,500 or less (or such higher amount as
the Secretary of the Treasury may set by regulation) that FDA intends
to destroy whether that owner or consignee is an individual owner or
consignee or a commercial importer. There is, therefore, no need to
establish a separate administrative hearing process for individuals
whose drugs have been refused and designated for administrative
destruction.
(Comment 2) One comment stated that FDA should provide clarity for
consumers regarding how they can introduce testimony to the Agency to
challenge the administrative destruction of drugs they attempted to
import but which were refused admission. The comment suggested that FDA
allow testimony to be submitted by an affected owner or consignee
through an online platform, email, regular mail, or facsimile and that
the Agency include a supplemental document in the notice that instructs
consumers on how to provide testimony to FDA to prevent administrative
destruction of their drugs.
(Response 2) As described in Chapter 9 of the RPM, the type of
administrative hearing under Sec. 1.94 may vary from a series of
telephone conversations to a more formal procedure. Introduction of
testimony by the owner or consignee for Agency review and consideration
can take many forms, including a telephone conversation, a facsimile,
or mail, and does not have to be introduced in person. However, an in-
person hearing will be scheduled if requested by the owner or
consignee. (https://www.fda.gov/downloads/ICECI/ComplianceManuals/RegulatoryProceduresManual/UCM074300.pdf). Current Agency procedures
also allow such testimony to be submitted by the owner or consignee by
email. Under the final rule, owners or consignees will have the same
options for submitting testimony in opposition to the destruction of
their drugs. Given the variety of options historically available to
owners and consignees for submission of testimony, which will continue
under the final rule, FDA does not believe that a dedicated online
platform for submission of testimony is currently needed. If
circumstances change in the future, FDA will consider whether such a
system is appropriate.
FDA recognizes that an owner or consignee importing a drug for his/
her own personal use may need information about the administrative
hearing process when that drug has been detained by FDA for
administrative destruction. Accordingly, the Agency will provide
information on the administrative hearing process under Sec. 1.94, as
amended in this rule, by providing an insert in the Agency's notice of
detention or by establishing a Web page on the FDA Web site containing
information about the administrative destruction process including ways
to submit testimony to the Agency in opposition to the destruction of a
drug. FDA will also consider issuing guidance or other explanatory
materials, as appropriate.
B. Drugs Subject to Administrative Destruction by FDA
Two comments requested clarity regarding what drugs will be
destroyed by FDA under section 708 of FDASIA.
(Comment 3) Two commenters requested clarity on when a refused drug
will be destroyed under section 708 of FDASIA and when the Agency will
give the owner or consignee the option to destroy or export a refused
drug.
(Response 3) Currently, owners or consignees of drugs that have
been refused admission into the United States under section 801(a) of
the FD&C Act have the option to destroy or export those drugs. Drugs
imported via an IMF that have been refused admission are sent back to
the United States Postal Service (USPS) for export. After
implementation of section 708 of FDASIA, FDA anticipates that owners or
consignees will still have the option to destroy or export a refused
drug in at least two situations. First, only a drug valued at $2,500 or
less (or such higher amount as the Secretary of the Treasury may set by
regulation) is subject to administrative destruction under section 708
of FDASIA. Owners or consignees of a drug valued over the current
$2,500 threshold that has been refused admission will still have the
option to destroy or export that drug unless the drug has been imported
via an IMF. For a drug valued at $2,500 or less (or such higher amount
as the Secretary of the Treasury may set by regulation) that has been
refused admission, section 708 of FDASIA allows FDA to destroy the drug
without providing the owner or consignee with the opportunity to
destroy or export the drug.
The second situation where owners or consignees will still have the
option to destroy or export a refused drug is when FDA refuses
admission to a drug, including a biological product, that is subject to
destruction under section 708 of FDASIA, but the Agency is not able to
make a determination that the drug is, in fact, adulterated,
misbranded, or unapproved in violation of section 505 of the FD&C Act.
As stated in the proposed rule, FDA intends to administratively destroy
a drug only where the Agency has made a determination that the drug is
adulterated, misbranded, or is an unapproved drug. There may be
situations where the Agency refuses admission to a drug that is valued
at $2,500 or less (or such higher amount as the Secretary of the
Treasury may set by regulation) because it appears to be an
adulterated, misbranded, or unapproved
[[Page 55240]]
drug but the Agency does not have sufficient information to make a
determination that the drug is, in fact, an adulterated, misbranded, or
unapproved drug. Under those circumstances, the owner or consignee will
be given the opportunity to destroy or export that refused drug. If
such a drug has come into the United States via an IMF, however, FDA
will generally return the drug to the USPS for export.
C. Storage and Destruction Costs of Drugs Designated for Destruction
Section 708 of FDASIA provides that FDA will store and, as
applicable, dispose of a drug where the Agency has made the
determination to destroy that drug. The drug's owner or consignee is
liable for FDA's storage and disposal costs under section 801(c) of the
FD&C Act.
(Comment 4) One comment asked when FDA will take physical
possession of drugs designated for destruction at express courier
facilities and expressed concern about the possibility of extended
storage time for these drugs at the expense of the express courier. The
commenter also requested clarification regarding whether an express
courier could be held liable for the costs of storage and destruction
of a refused drug under section 801(c) of the FD&C Act.
(Response 4) If FDA designates a drug for possible destruction that
has been offered for import into the United States via an express
courier, FDA intends to take physical possession of that drug when the
Agency has made the determination to destroy the drug. The Agency
expects that by combining the notice and introduction of testimony on
destruction with the notice and introduction of testimony on refusal of
admission, any additional storage time at an express courier due to
implementation of section 708 of FDASIA will be minimal.
An express courier is not liable for the storage or destruction
costs under section 801(c) of the FD&C Act unless that courier is also
the owner or consignee of a destroyed drug, which would be unusual. As
stated in the proposed rule, if a drug is sent by international mail,
FDA generally considers the addressee of the parcel to be the owner or
consignee of the drug.
(Comment 5) One commenter requested that FDA clearly define and
outline the storage and destruction costs to consumers under section
801(c) of the FD&C Act and that the Agency provide offsets to those
costs for consumers unable to pay due to financial stress.
(Response 5) FDA generally does not intend to pursue recovery of
storage and destruction costs under section 801(c) of the FD&C Act
against individual consumers who seek to import a drug for their own
personal use that is then refused and destroyed by the Agency under
section 708 of FDASIA.
D. General Comments
The final rule provides the owner or consignee of a drug valued at
$2,500 or less (or such higher amount as the Secretary of the Treasury
may set by regulation) that is refused admission into the United States
with: (1) Written notice that FDA intends to destroy the drug and (2)
an opportunity to present testimony to the Agency before the drug is
destroyed.
(Comment 6) Many comments made general remarks expressing support
or opposition to the authority granted to FDA by section 708 of FDASIA
to administratively destroy certain refused drugs and did not focus on
the rule or a particular section of the rule.
One comment supported the administrative destruction of certain
refused drugs while several comments expressed concern about the
potential impact of administrative destruction on a consumer's access
to foreign drugs. These comments cited a patient's inability to comply
with a drug treatment plan as a consequence of that lack of access. One
comment requested that FDA change its current Personal Importation
Policy to allow importation of any drug from a ``safe'' foreign
pharmacy or for which there is a ``valid'' prescription. The comment
further requested that FDA define the term ``safe personal drug
import'' in the final rule.
(Response 6) As required for implementation of section 708 of
FDASIA, the final rule provides appropriate due process to the owner or
consignee of a drug that has been refused admission under section
801(a) of the FD&C Act, and that FDA intends to destroy. The new
authority granted to FDA by section 708 of FDASIA to administratively
destroy a drug applies only after the Agency has made the final
decision to refuse admission to the drug. This new authority,
therefore, does not affect a consumer's access to a foreign drug
because consumers have no access to a refused drug under the FD&C Act.
The final rule does not modify FDA's current policy with respect to
personal importation of drugs.
(Comment 7) One comment suggested that implementation of section
708 of FDASIA could adversely affect the supply of low-value excipients
and other drug components potentially leading to a drug shortage. The
commenter suggested that FDA closely coordinate with manufacturers to
limit the impact on the drug supply chain when the Agency exercises its
authority to destroy low-value excipients or other drug components. The
commenter further suggested that FDA's Drug Shortages Task Force
monitor and publicly report on the effects of section 708 of FDASIA on
the drug supply in the United States.
(Response 7) Excipients and other components of a drug are defined
as drugs under section 201(g)(1) of the FD&C Act. An excipient or other
drug component is therefore subject to administrative destruction under
section 708 of FDASIA if that excipient or drug component offered for
import is valued at $2,500 or less (or such higher amount as the
Secretary of the Treasury may set by regulation) and is refused
admission. FDA does not expect that administrative destruction of
refused excipients or other drug components will lead to shortages of
medically necessary drugs. The majority of excipients and drug
components are imported into the United States as commercial entries.
Currently, where excipients or drug components are refused admission,
they are exported or destroyed. Refused excipients or other drug
components, therefore, are not currently available for drug
manufacturing in the United States. The Agency's exercise of
administrative destruction will not affect a manufacturer's access to
these refused excipients or other drug components and, therefore, will
not contribute to shortages of drugs manufactured in the United States.
(Comment 8) One comment asserted that FDA only quantified the
benefits but not the costs of the proposed rule which, according to the
comment, should include the societal costs attributable to a patient's
lack of access to an imported drug that does not pose a public health
risk, and that patient's non-adherence to a medical plan that includes
such drug.
(Response 8) In the proposed rule, FDA estimated both the costs and
the benefits of the implementation of section 708 of FDASIA and the
result was a quantifiable net annual social benefit. The detailed
analysis of the estimated economic impact as provided in Ref. 10 in the
proposed rule can be found at https://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses/default.htm#.
The preliminary Regulatory Impact Analysis did not include any
costs attributable to lack of access to an imported drug by a patient
as this is not a cost attributable to administrative destruction.
Currently, drugs that are
[[Page 55241]]
refused admission are destroyed or exported by the importer or, in the
case of international mail, returned to the USPS for export.
Consequently, patients do not have access to those drugs. Only refused
drugs are subject to administrative destruction under section 708 of
FDASIA and, therefore, implementation of this authority does not result
in a quantifiable cost to be included in the regulatory impact analysis
of the implementation of section 708.
(Comment 9) A number of comments requested that FDA flag shipments
in Customs and Border Protection's Automated Commercial System (ACS) or
the Automated Commercial Environment (ACE) system, which is expected to
replace ACS by December 2016, when a drug is destroyed. Another comment
suggested that FDA establish a public database listing drugs destroyed
by FDA under the authority of section 708 of FDASIA.
(Response 9) These comments relate to the Agency's operations
implementing the final rule and, as FDA stated in the proposed rule,
the Agency plans to specify the operational details of its process for
destruction by guidance, operating guidelines, or similar means.
IV. Analysis of Impacts (Summary of the Final Regulatory Impact
Analysis)
FDA has examined the impacts of the final rule under Executive
Order 12866, Executive Order 13563, the Regulatory Flexibility Act (5
U.S.C. 601-612), and the Unfunded Mandates Reform Act of 1995 (Pub. L.
104-4). Executive Orders 12866 and 13563 direct Agencies to assess all
costs and benefits of available regulatory alternatives and, when
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety, and other advantages; distributive impacts; and
equity). The Agency believes that this final rule is not a significant
regulatory action under Executive Order 12866.
The Regulatory Flexibility Act requires Agencies to analyze
regulatory options that would minimize any significant impact of a rule
on small entities. Because of the small number of expected destructions
each year and the very small value per event, the Agency certifies that
this final rule will not have a significant economic impact on a
substantial number of small entities.
Section 202(a) of the Unfunded Mandates Reform Act of 1995 requires
that Agencies prepare a written statement, which includes an assessment
of anticipated costs and benefits, before finalizing ``any rule that
includes 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 annually for
inflation) in any one year.'' The current threshold after adjustment
for inflation is $141 million, using the most current (2013) Implicit
Price Deflator for the Gross Domestic Product. FDA does not expect this
final rule to result in any 1-year expenditure that would meet or
exceed this amount.
The primary public health benefit from adoption of the rule will be
the value of the illnesses or deaths avoided because the Agency
destroyed a refused drug valued at $2,500 or less (or such higher
amount as the Secretary of the Treasury may set by regulation) that
posed a public health risk. Additionally, the final rule may benefit
firms through increases in sales, brand value, and investment in
research and development if the destroyed drug is a counterfeit or an
otherwise falsified version of an approved drug. The threat of
destruction may also have a deterrent effect resulting in a reduction
in the amount of violative drugs shipped into the United States in the
future. These benefits accrue whenever the Agency's other enforcement
tools would not have prevented a violative drug from entering the U.S.
market. The current procedure whereby a drug refused admission might be
exported does not ensure that the drug would not be imported into the
United States in the future. These benefits are not quantified.
The estimated primary costs to FDA include the additional costs
incurred by FDA to destroy a refused drug as opposed to the costs
related to exportation of the drug and the one-time costs of updating
OASIS, revising Chapter 9 of the RPM and other internal import
operations guidelines, and training for FDA personnel. Our estimates of
the primary costs assume that all refused drugs valued at $2,500 or
less (or such higher amount as the Secretary of the Treasury may set by
regulation) would be destroyed (estimated 15,100 destructions performed
each year), that FDA would contract the act of destruction out to
another government agency or private firm, and the notice and hearing
process for destruction will be combined with the current FDA notice
and hearing process for refusal of drugs. The assumption that FDA will
destroy all refused drugs represents an upper bound and may not always
hold. If FDA chooses to destroy less than all of the refused drugs, all
annual costs will decrease but the one-time costs will stay the same.
Based on an assumed 15,100 administrative destructions performed
each year, the Agency estimates the quantifiable net annual effect of
the final rule to be between a cost of $54,325 and a cost savings of
$901,950, in addition to one-time costs of $531,670. Annualized over 20
years, the final rule is estimated to produce a net effect ranging from
a cost of $89,021 to a cost savings of $867,254 at a 3 percent discount
rate and a cost of $101,228 to a cost savings of $855,047 at a 7
percent discount rate. The present discounted value of the quantifiable
net effect over 20 years ranges from a cost of $1,324,403 to a cost
savings of $12,902,554 at a 3 percent discount rate and a cost of
$1,072,408 to a cost savings of $9,058,383 at a 7 percent discount
rate.
Our estimates do not include net benefits of the final rule because
we have not quantified the potential health benefits of reducing the
probability that a refused drug will be imported into the United States
in the future. However, because the final rule likely represents a cost
savings and the health benefits, though not quantified, will be
positive even if one violative drug that would have caused an adverse
event is destroyed rather than entering the U.S. market, the net
benefits of the rule are likely positive.
FDA has examined the economic implications of the final rule as
required by the Regulatory Flexibility Act. If a rule will have a
significant economic impact on a substantial number of small entities,
the Regulatory Flexibility Act requires Agencies to analyze regulatory
options that would lessen the economic effect of the rule on small
entities. U.S. Federal Government Agencies will bear the costs of the
final rule with FDA bearing most of the cost as the Agency is
responsible under section 708 of FDASIA for implementation of the rule
and for the costs of storage and destruction. Therefore we certify that
this final rule will not have a significant economic impact on a
substantial number of small entities. This analysis, together with
other relevant sections of this document, serves as the Final
Regulatory Flexibility Analysis, as required under the Regulatory
Flexibility Act.
The full discussion of economic impacts, which includes a list of
changes made in the final regulatory impact analysis, is available in
Docket No. FDA-2014-N-0504 and at https://www.fda.gov/AboutFDA/
ReportsManualsForms/Reports/
[[Page 55242]]
EconomicAnalyses/default.htm# (Ref. 1).
V. Paperwork Reduction Act of 1995
This final rule contains no collection of information under the
Paperwork Reduction Act of 1995 (44 U.S.C. 3518(c)(1)(B)(ii)).
Therefore, clearance by the Office of Management and Budget is not
required under the Paperwork Reduction Act of 1995.
VI. Federalism
FDA has analyzed this final rule in accordance with the principles
set forth in Executive Order 13132. FDA has determined that the rule
does not contain policies that have substantial direct effects on the
States, on the relationship between the National Government and the
States, or on the distribution of power and responsibilities among the
various levels of government. Accordingly, the Agency has concluded
that the rule does not contain policies that have federalism
implications as defined in the Executive order and, consequently, a
federalism summary impact statement is not required.
VII. Environmental Impact
The Agency has determined under 21 CFR 25.30(h) that this action is
of a type that does not individually or cumulatively have a significant
effect on the human environment. Therefore, neither an environmental
assessment nor an environmental impact statement is required.
VIII. Reference
The following reference has been placed on display in the Division
of Dockets Management (HFA-305), Food and Drug Administration, 5630
Fishers Lane, Rm. 1061, Rockville, MD 20852, and may be seen by
interested persons between 9 a.m. and 4 p.m., Monday through Friday,
and is available electronically at https://www.regulations.gov. (FDA has
verified the Web site address in this Reference section, but FDA is not
responsible for any subsequent changes to the Web site after this
document publishes in the Federal Register.)
1. Final Regulatory Impact Analysis, Final Regulatory
Flexibility Analysis, and Final Unfunded Mandates Reform Act
Analysis for Administrative Destruction of Certain Drugs Refused
Admission to the United States, available at https://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses/default.htm#.
List of Subjects in 21 CFR Part 1
Cosmetics, Drugs, Exports, Food labeling, Imports, Labeling,
Reporting and recordkeeping requirements.
Therefore, under the Federal Food, Drug, and Cosmetic Act, and
under authority delegated to the Commissioner of Food and Drugs, 21 CFR
part 1 is amended as follows:
PART 1--GENERAL ENFORCEMENT REGULATIONS
0
1. The authority citation for 21 CFR part 1 continues to read as
follows:
Authority: 15 U.S.C. 1333, 1453, 1454, 1455, 4402; 19 U.S.C.
1490, 1491; 21 U.S.C. 321, 331, 332, 333, 334, 335a, 343, 350c,
350d, 352, 355, 360b, 360ccc, 360ccc-1, 360ccc-2, 362, 371, 374,
381, 382, 387, 387a, 387c, 393; 42 U.S.C. 216, 241, 243, 262, 264.
0
2. Revise Sec. 1.94 to read as follows:
Sec. 1.94 Hearing on refusal of admission or destruction.
(a) If it appears that the article may be subject to refusal of
admission, or that the article is a drug that may be subject to
destruction under section 801(a) of the Federal Food, Drug, and
Cosmetic Act, the district director shall give the owner or consignee a
written notice to that effect, stating the reasons therefor. The notice
shall specify a place and a period of time during which the owner or
consignee shall have an opportunity to introduce testimony. Upon timely
request giving reasonable grounds therefor, such time and place may be
changed. Such testimony shall be confined to matters relevant to the
admissibility or destruction of the article, and may be introduced
orally or in writing.
(b) If such owner or consignee submits or indicates his or her
intention to submit an application for authorization to relabel or
perform other action to bring the article into compliance with the
Federal Food, Drug, and Cosmetic Act or to render it other than a food,
drug, device, or cosmetic, such testimony shall include evidence in
support of such application. If such application is not submitted at or
prior to the hearing on refusal of admission, the district director
shall specify a time limit, reasonable in the light of the
circumstances, for filing such application.
(c) If the article is a drug that may be subject to destruction
under section 801(a) of the Federal Food, Drug, and Cosmetic Act, the
district director may give the owner or consignee a single written
notice that provides the notice on refusal of admission and the notice
on destruction of an article described in paragraph (a) of this
section. The district director may also combine the hearing on refusal
of admission with the hearing on destruction of the article described
in paragraph (a) of this section into a single proceeding.
Dated: September 9, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-23124 Filed 9-14-15; 8:45 am]
BILLING CODE 4164-01-P