Schedules of Controlled Substances: Placement of Thiafentanil Into Schedule II, 58834-58840 [2016-20463]
Download as PDF
58834
Federal Register / Vol. 81, No. 166 / Friday, August 26, 2016 / Rules and Regulations
10. Amend § 143.23 by revising
paragraph (j) and adding paragraph (k)
to read as follows:
■
§ 143.23
Form of entry.
*
*
*
*
*
(j) Except for mail importations (see
§§ 145.31 and 145.32 of this chapter), or
in the case of personal written or oral
declarations (see §§ 148.12, 148.13, and
148.62 of this chapter), a shipment of
merchandise that qualifies for informal
entry under 19 U.S.C. 1498 may be
entered, including the information
listed in paragraph (k) of this section, by
presenting the bill of lading or a
manifest listing each bill of lading
when:
(1) The value of the shipment does
not exceed $100 in the case of a bona
fide gift from a person in a foreign
country to a person in the United States
and the shipment meets the
requirements in § 10.152 of this chapter
(see § 10.152 of this chapter);
(2) The value of the shipment does
not exceed $200 in the case of articles
(including bona fide gifts) from the
Virgin Islands, Guam, and American
Samoa and the shipment meets the
requirements in § 10.152 of this chapter
(see § 10.152 of this chapter); or
(3) The value of the shipment does
not exceed $800 and the shipment
satisfies the requirements in § 10.151 of
this chapter (see §§ 10.151 and 128.24(e)
of this chapter).
(k) The following information is
required to be filed as a part of entry
made under paragraph (j) of this section:
(1) Country of origin of the
merchandise;
(2) Shipper name, address and
country;
(3) Ultimate consignee name and
address;
(4) Specific description of the
merchandise;
(5) Quantity;
(6) Shipping weight; and
(7) Value.
11. Amend § 143.26 by removing the
figure ‘‘$200’’ and adding in its place
‘‘$800’’ in two places each in paragraphs
(a) and (b).
■
ehiers on DSK5VPTVN1PROD with RULES
PART 145—MAIL IMPORTATIONS
12. The general authority citation for
part 145 continues to read as follows:
■
Authority: 19 U.S.C. 66, 1202 (General
Note 3(i), Harmonized Tariff Schedule of the
United States), 1624.
*
*
*
VerDate Sep<11>2014
*
*
14:39 Aug 25, 2016
Jkt 238001
§ 145.31
[Amended]
13. Amend § 145.31 by removing the
figure ‘‘$200’’ and adding in its place
‘‘$800’’ in the section heading and text.
■
R. Gil Kerlikowske,
Commissioner, U.S. Customs and Border
Protection.
Approved: August 23, 2016.
Timothy E. Skud,
Assistant Secretary of the Treasury.
[FR Doc. 2016–20581 Filed 8–25–16; 8:45 am]
BILLING CODE 9111–14–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Parts 1301, 1305, and 1308
[Docket No. DEA–375]
Schedules of Controlled Substances:
Placement of Thiafentanil Into
Schedule II
Drug Enforcement
Administration, Department of Justice.
ACTION: Interim final rule with request
for comments.
AGENCY:
The Drug Enforcement
Administration is placing the substance
thiafentanil (4-(methoxycarbonyl)-4-(Nphenmethoxyacetamido)-1-[2(thienyl)ethyl]piperidine), including its
isomers, esters, ethers, salts and salts of
isomers, esters and ethers as possible,
into schedule II of the Controlled
Substances Act. This scheduling action
is pursuant to the Controlled Substances
Act, as revised by the Improving
Regulatory Transparency for New
Medical Therapies Act which was
signed into law on November 25, 2015.
DATES: The effective date of this rule is
August 26, 2016. Interested persons may
file written comments on this rule in
accordance with 21 U.S.C. 811(j)(3) and
21 CFR 1308.43(g). Electronic comments
must be submitted, and written
comments must be postmarked, on or
before September 26, 2016. Commenters
should be aware that the electronic
Federal Docket Management System
will not accept comments after 11:59
p.m. Eastern Time on the last day of the
comment period.
Interested persons, defined at 21 CFR
1300.01 as those ‘‘adversely affected or
aggrieved by any rule or proposed rule
issuable pursuant to section 201 of the
Act (21 U.S.C. 811),’’ may file a request
for hearing or waiver of hearing
pursuant to 21 CFR 1308.44 and in
accordance with 21 CFR 1316.45 and/or
1316.47, as applicable. Requests for
hearing and waivers of an opportunity
SUMMARY:
PO 00000
Frm 00026
Fmt 4700
Sfmt 4700
for a hearing or to participate in a
hearing must be received on or before
September 26, 2016.
ADDRESSES: To ensure proper handling
of comments, please reference ‘‘Docket
No. DEA–375’’ on all correspondence,
including any attachments.
• Electronic comments: The Drug
Enforcement Administration encourages
that all comments be submitted
electronically through the Federal
eRulemaking Portal, which provides the
ability to type short comments directly
into the comment field on the Web page
or attach a file for lengthier comments.
Please go to https://www.regulations.gov
and follow the online instructions at
that site for submitting comments. Upon
completion of your submission, you will
receive a Comment Tracking Number for
your comment. Please be aware that
submitted comments are not
instantaneously available for public
view on Regulations.gov. If you have
received a Comment Tracking Number,
your comment has been successfully
submitted and there is no need to
resubmit the same comment.
• Paper comments: Paper comments
that duplicate the electronic submission
are not necessary and are discouraged.
Should you wish to mail a paper
comment in lieu of an electronic
comment, it should be sent via regular
or express mail to: Drug Enforcement
Administration, Attn: DEA Federal
Register Representative/ODW, 8701
Morrissette Drive, Springfield, Virginia
22152.
• Hearing requests: All requests for
hearing and waivers of participation
must be sent to: Drug Enforcement
Administration, Attn: Administrator,
8701 Morrissette Drive, Springfield,
Virginia 22152. All requests for hearing
and waivers of participation should also
be sent to: (1) Drug Enforcement
Administration, Attn: Hearing Clerk/LJ,
8701 Morrissette Drive, Springfield,
Virginia 22152; and (2) Drug
Enforcement Administration, Attn: DEA
Federal Register Representative/ODW,
8701 Morrissette Drive, Springfield,
Virginia 22152.
FOR FURTHER INFORMATION CONTACT:
Michael J. Lewis, Office of Diversion
Control, Drug Enforcement
Administration; Mailing Address: 8701
Morrissette Drive, Springfield, Virginia
22152; Telephone: (202) 598–6812.
SUPPLEMENTARY INFORMATION:
Posting of Public Comments
Please note that all comments
received are considered part of the
public record. They will, unless
reasonable cause is given, be made
available by the Drug Enforcement
E:\FR\FM\26AUR1.SGM
26AUR1
Federal Register / Vol. 81, No. 166 / Friday, August 26, 2016 / Rules and Regulations
ehiers on DSK5VPTVN1PROD with RULES
Administration (DEA) for public
inspection online at https://
www.regulations.gov. Such information
includes personal identifying
information (such as your name,
address, etc.) voluntarily submitted by
the commenter. The Freedom of
Information Act (FOIA) applies to all
comments received. If you want to
submit personal identifying information
(such as your name, address, etc.) as
part of your comment, but do not want
it to be made publicly available, you
must include the phrase ‘‘PERSONAL
IDENTIFYING INFORMATION’’ in the
first paragraph of your comment. You
must also place all of the personal
identifying information you do not want
made publicly available in the first
paragraph of your comment and identify
what information you want redacted.
If you want to submit confidential
business information as part of your
comment, but do not want it to be made
publicly available, you must include the
phrase ‘‘CONFIDENTIAL BUSINESS
INFORMATION’’ in the first paragraph
of your comment. You must also
prominently identify the confidential
business information to be redacted
within the comment.
Comments containing personal
identifying information and confidential
business information identified as
directed above will generally be made
publicly available in redacted form. If a
comment has so much confidential
business information or personal
identifying information that it cannot be
effectively redacted, all or part of that
comment may not be made publicly
available. Comments posted to https://
www.regulations.gov may include any
personal identifying information (such
as name, address, and phone number)
included in the text of your electronic
submission that is not identified as
directed above as confidential.
An electronic copy of this document
and supplemental information,
including the complete Department of
Health and Human Services and Drug
Enforcement Administration eight-factor
analyses, to this interim final rule are
available at https://www.regulations.gov
for easy reference.
Request for Hearing, Notice of
Appearance at Hearing, or Waiver of
Participation in Hearing
Pursuant to 21 U.S.C. 811(a), this
action is a formal rulemaking ‘‘on the
record after opportunity for a hearing.’’
Such proceedings are conducted
pursuant to the provisions of the
Administrative Procedure Act (APA), 5
U.S.C. 551–559. 21 CFR 1308.41–
1308.45; 21 CFR part 1316, subpart D.
In accordance with 21 CFR 1308.44(a)–
VerDate Sep<11>2014
16:25 Aug 25, 2016
Jkt 238001
(c), requests for a hearing, notices of
appearance, and waivers of an
opportunity for a hearing or to
participate in a hearing may be
submitted only by interested persons,
defined as those ‘‘adversely affected or
aggrieved by any rule or proposed rule
issuable pursuant to section 201 of the
Act (21 U.S.C. 811).’’ 21 CFR 1300.01.
Requests for a hearing and notices of
participation must conform to the
requirements of 21 CFR 1308.44(a) or
(b), as applicable, and include a
statement of the interest of the person in
the proceeding and the objections or
issues, if any, concerning which the
person desires to be heard. Any waiver
of an opportunity for a hearing must
conform to the requirements of 21 CFR
1308.44(c), including a written
statement regarding the interested
person’s position on the matters of fact
and law involved in any hearing.
Please note that pursuant to 21 U.S.C.
811(a), the purpose and subject matter
of the hearing are restricted to ‘‘(A)
find[ing] that such drug or other
substance has a potential for abuse, and
(B) mak[ing] with respect to such drug
or other substance the findings
prescribed by subsection (b) of section
812 of this title for the schedule in
which such drug is to be placed . . . .’’
Requests for a hearing and waivers of
participation in the hearing should be
submitted to the DEA on or before the
deadline specified above, using the
address information provided therein.
Background, Legal Authority, and Basis
for This Scheduling Action
Thiafentanil, known chemically as 4(methoxycarbonyl)-4-(Nphenylmethoxyacetamido)-1-[2-(2thienyl)ethyl]piperidine, a potent
opioid, is an analogue of fentanyl. The
product Thianil (thiafentanil oxalate, a
salt form of thiafentanil) was reviewed
by the Food and Drug Administration
(FDA) to determine whether it meets the
requirements for addition to the Index
of Legally Marketed Unapproved New
Animal Drugs for Minor Species (the
Index) (21 U.S.C. 360ccc–1) as set forth
by the Minor Use and Minor Species
Animal Health Act of 2004 (MUMS Act,
2004). The MUMS Act amended the
Federal Food, Drug, and Cosmetic Act
(FDCA) to allow for the legal marketing
of unapproved new animal drugs
intended for use in minor species. In a
letter from the Department of Health
and Human Services (HHS) dated June
20, 2016, the DEA received notification
that HHS/FDA added Thianil
(thiafentanil oxalate) to the Index under
section 572 of the FDCA. In this same
notification, HHS/FDA stated that on
June 16, 2016, HHS/FDA granted the
PO 00000
Frm 00027
Fmt 4700
Sfmt 4700
58835
request for the addition of Thianil to the
Index under Minor Species Index File
(MIF) 900000. Thianil is indicated for
use in the immobilization of nondomestic, non-food-producing minor
species hoofstock.
Thiafentanil will be marketed as
thiafentanil oxalate, 4(methoxycarbonyl)-4-(Nphenylmethoxyacetamido)-1-[2-(2thienyl)ethyl]piperidinium oxalate.
Thiafentanil should not be confused
with thiofentanyl (N-phenyl-N-(1-(2(thiophen-2-yl)ethyl)piperidin-4yl)propionamide), which is currently
listed as a controlled schedule I
substance.
Under the Controlled Substances Act
(CSA), as amended in 2015 by the
Improving Regulatory Transparency for
New Medical Therapies Act (Pub. L.
114–89), where the DEA receives
notification from HHS that the Secretary
has indexed a drug under section 572 of
the FDCA, the DEA is required to issue
an interim final rule controlling the
drug not later than 90 days after
receiving such notification from HHS.
21 U.S.C. 811(j). Accordingly, the DEA
is issuing this interim final rule
controlling thiafentanil.
When controlling a drug pursuant to
section 811(j), the DEA must apply the
scheduling criteria of subsections
811(b), (c), and (d) and section 812(b).
21 U.S.C. 811(j)(3). In accordance with
these criteria, the DEA has reviewed the
scientific and medical evaluation and
scheduling recommendation provided
by the HHS, along with all other
relevant data, and completed its own
eight-factor review document on
thiafentanil pursuant to 21 U.S.C.
811(c). As explained below, based on
these considerations, the DEA
concludes that thiafentanil meets the
criteria for placement in schedule II of
the CSA.
On November 28, 2011, the HHS
provided the DEA with its initial
scientific and medical evaluation and
scheduling recommendation regarding
thiafentanil. Pursuant to 21 U.S.C.
811(b), this document contained an
eight-factor analysis of the abuse
potential of thiafentanil as a new drug,
along with the HHS’ recommendation to
control thiafentanil and its salts under
schedule II of the CSA. Subsequently,
on March 23, 2016, the HHS provided
the DEA with a supplement to its 2011
analysis, which indicated that the HHS/
FDA planned to add Thianil
(thiafentanil oxalate) to the Index for
use in the immobilization of nondomestic, non-food-producing minor
species hoofstock and reiterated their
recommendation that thiafentanil be
placed in schedule II of the CSA. By
E:\FR\FM\26AUR1.SGM
26AUR1
ehiers on DSK5VPTVN1PROD with RULES
58836
Federal Register / Vol. 81, No. 166 / Friday, August 26, 2016 / Rules and Regulations
letter dated June 20, 2016, the DEA
received notification from the HHS that
the FDA had granted the request on June
16, 2016, for Thianil (thiafentanil
oxalate) to be added to the Index.
Pursuant to 21 U.S.C. 811(j), and
based on the HHS recommendation,
MUMS Act indication by the HHS/FDA,
and the DEA’s determination, the DEA
finds that thiafentanil has a high
potential for abuse, a currently accepted
medical use with severe restrictions,
and that abuse of thiafentanil may lead
to severe psychological or physical
dependence. Accordingly, the DEA is
issuing this interim final rule to add
thiafentanil (4-(methoxycarbonyl)-4-(Nphenylmethoxyacetamido)-1-[2-(2thienyl)ethyl]piperidine) and its
isomers, esters, ethers, salts and salts of
isomers, esters and ethers, whenever the
existence of such, to schedule II of the
CSA.
Included below is a brief summary of
each factor as analyzed by the HHS and
the DEA, and as considered by the DEA
in its scheduling action. Please note that
the DEA and HHS analyses, along with
the HHS supplement, are available in
their entirety under ‘‘Supporting
Documents’’ in the public docket for
this interim final rule at https://
www.regulations.gov, under Docket
Number ‘‘DEA–375.’’ Full analysis of,
and citations to, the information
referenced in the summary may also be
found in the supporting and related
material.
1. The Drug’s Actual or Relative
Potential for Abuse: Thiafentanil is a
chemical substance that has not been
marketed in the United States, however,
it is approved and marketed in the
Republic of South Africa as a salt form
under the brand name Thianil
(thiafentanil oxalate). There is no
information available which details
actual abuse of thiafentanil.
According to the HHS, thiafentanil is
a synthetic analogue of fentanyl and is
structurally related to other fentanyllike opioids such as sufentanil
(schedule II) and carfentanil (schedule
II). It acts as a potent m-opioid receptor
agonist and produces strong morphinelike effects in animals. It is only
intended for the immobilization of nondomestic, non-food-producing minor
species hoofstock. Thiafentanil has been
used in a manner similar to other opioid
immobilizing agents such as etorphine
hydrochloride (schedule II) and
carfentanil (schedule II), which are
approved only for veterinary use as
animal immobilization agents. The
abuse potential of thiafentanil has not
been evaluated in humans or in animal
behavioral models that are predictors of
abuse by humans. Because thiafentanil
VerDate Sep<11>2014
14:39 Aug 25, 2016
Jkt 238001
shares chemical and pharmacological
similarities with schedule II fentanyl
and its analogues, the abuse potential of
thiafentanil is considered similar to that
of schedule II opioid substances such as
sufentanil and carfentanil.
Pharmacologically, as a potent m
opioid receptor agonist, thiafentanil is
slightly less potent than carfentanil,
which is 100 times more potent than
fentanyl and 10,000 times more potent
than morphine. Thiafentanil is a potent
fentanyl analogue. Thus, it is reasonable
to assume that there will be potentially
significant diversion of thiafentanil from
legitimate channels by people who have
access to it, and that thiafentanil would
be used without medical advice,
therefore causing substantial hazards to
the users or to the safety of the
community if not controlled. The
chemical and potent opioid-like
pharmacological properties of
thiafentanil predict that its risk to the
public health is likely to be similar to
fentanyl (schedule II) and its analogues
such as carfentanil (schedule II),
sufentanil (schedule II) and alphamethylfentanyl (schedule I).
2. Scientific Evidence of the Drug’s
Pharmacological Effects, if Known:
According to HHS’ scientific and
medical review, there are no data on the
effects of thiafentanil in humans.
Thiafentanil’s effects in humans are
predicted from its effects in animals and
its chemical and pharmacological
similarity to other schedule II potent
opioids such as fentanyl and carfentanil.
The HHS eight-factor review
document described a study directly
comparing the immobilizing effects of
thiafentanil (15 mg) and carfentanil (2 or
4 mg) in elk in which thiafentanil
produced a faster immobilization effect
(0.7 to 2.2 minutes) than carfentanil. In
addition, the elk returned to standing
0.9 to 1.4 minutes faster under the
thiafentanil condition. This study
appears to support a faster
immobilization and recovery time with
thiafentanil relative to carfentanil.
However, the authors stated that the role
of the increased dose of thiafentanil is
unknown.
Animal studies described by the HHS
demonstrated that the effects of
thiafentanil and carfentanil are
completely reversed by naltrexone. As a
m-opioid receptor antagonist, naltrexone
can reverse the effects of a variety of
opioid drugs including thiafentanil and
carfentanil. Those studies suggest that
thiafentanil possesses a neuropharmacological mechanism of action
similar to other schedule II opioid drugs
with a high abuse potential.
According to HHS’ review, Thianil
(thiafentanil) is currently approved and
PO 00000
Frm 00028
Fmt 4700
Sfmt 4700
registered for use in the Republic of
South Africa. Thiafentanil oxalate is
suggested as a drug of choice in the
capture of exotic and ungulate wildlife
species.
3. The State of Current Scientific
Knowledge Regarding Thiafentanil: The
chemical name of free base thiafentanil
is 4-(methoxycarbonyl)-4-(Nphenylmethoxyacetamido)-1-[2-(2thienyl)ethyl]piperidine. It has a
molecular formula of C22H28N2O4S and
a molecular weight of 416.52 g/mol with
a Chemical Abstract Registry Number
(CAS) of 101345–60–2. Thiafentanil
oxalate is also known as A3080 with a
CAS number of 101365–73–5 and has a
molecular formula of C24H30N2O8S with
a molecular weight of 506.57 g/mol.
Thiafentanil oxalate is a white
crystalline powder with a melting point
of 190–192 °C and its salt crystalizes
from absolute alcohol. Thiafentanil
should not be confused with
thiofentanyl (N-phenyl-N-(1-(2(thiophen-2-yl)ethyl)piperidin-4yl)propionamide), which is currently
listed as a schedule I substance.
4. Its History and Current Pattern of
Abuse: According to the HHS’ review,
there are no reports of actual abuse and
misuse of thiafentanil. This may be due
to the limited use of thiafentanil as an
immobilizing agent by trained
veterinarians.
Current data from the National
Forensic Laboratory System (NFLIS),1
the System to Retrieve Information from
Drug Evidence (STRIDE),2 and the
STARLiMS databases show that there is
no evidence of law enforcement
encounters of thiafentanil in the United
States. However, thiafentanil’s
pharmacological and structural
properties suggest that its pattern of
abuse would be similar to other potent
1 The National Forensic Laboratory System
(NFLIS) is a program of the DEA, Office of
Diversion Control. NFLIS systematically collects
drug identification results and associated
information from drug cases submitted to and
analyzed by State and local forensic laboratories.
NFLIS represents an important resource in
monitoring illicit drug abuse and trafficking,
including the diversion of legally manufactured
pharmaceuticals into illegal markets. NFLIS is a
comprehensive information system that includes
data from forensic laboratories that handle
approximately 90% of an estimated 1.0 million
distinct annual State and local drug analysis cases.
NFLIS includes drug chemistry results from
completed analyses only. While NFLIS data is not
direct evidence of abuse, it can lead to an inference
that a drug has been diverted and abused. See 76
FR 77330, 77332, Dec. 12, 2011.
2 The System to Retrieve Information from Drug
Evidence (STRIDE) is a database of drug exhibits
sent to DEA laboratories for analysis. Exhibits from
the database are from the DEA, other federal
agencies, and local law enforcement agencies.
Reporting via STRIDE ceased on September 30,
2014. STRIDE was succeeded by STARLiMS.
E:\FR\FM\26AUR1.SGM
26AUR1
ehiers on DSK5VPTVN1PROD with RULES
Federal Register / Vol. 81, No. 166 / Friday, August 26, 2016 / Rules and Regulations
schedule II m-opioid receptor agonists
such as fentanyl and carfentanil.
5. The Scope, Duration, and
Significance of Abuse: An assessment of
the scope, duration, and significance of
thiafentanil abuse is not available since
it has only been used in a limited
market. However, as stated in the HHS
review, the structural and
pharmacological properties of
thiafentanil suggest that it could lead to
an abuse pattern with a scope, duration,
and significance of abuse similar to that
observed with other opioid drugs and
opioid analogues if it were marketed in
a non-controlled status or were the
subject of clandestine synthesis. The
HHS and DEA note that thiafentanil is
not known to be or to have been the
subject of abuse in the United States.
6. What, if any, Risk There is to the
Public Health: The HHS review
indicates that thiafentanil presents a
significant risk to the public health and,
in this vein, that thiafentanil should
only be used in certain animals for very
limited purposes and with extreme
caution. Based on the review of the
structural and pharmacological
properties of thiafentanil, the HHS
concluded that the abuse of thiafentanil
is likely to pose a similar risk to public
health as that of other potent opioid
drugs such as sufentanil (schedule II),
fentanyl (schedule II), carfentanil
(schedule II) and clandestinely
synthesized alpha-methylfentanyl
(schedule I). Thus, inappropriate use of
thiafentanil poses a high risk to the
public health. Among other things, HHS
noted that as a fentanyl derivative, and
assuming that thiafentanil can be
aerosolized, the use of thiafentanil
presents a significant risk to the public
health.
HHS described that thiafentanil’s
labeling indicates that it is solely
intended for use by zoologic, wildlife, or
exotic animal veterinarians or field
biologists who have received training
and are supervised by veterinarians. The
sponsor recommends the use of
handling protocols similar to those in
place for other scheduled potent opioids
such as carfentanil. HHS further
indicated that thiafentanil should be
handled in teams consisting of at least
two individuals knowledgeable about
the hazards of working with potent mopioid agonist substances. Personal
protective equipment such as latex
gloves and protective eyewear should be
used and syringes must be disposed of
properly. If exposure to thiafentanil
occurs in a remote or distant
environment, veterinary naltrexone is
recommended for use as a reversal
agent. The label information will further
state that thiafentanil must never be
VerDate Sep<11>2014
14:39 Aug 25, 2016
Jkt 238001
used unless an adequate amount of
reversal agent (naltrexone
hydrochloride) is immediately available.
HHS also describes the risk of
thiafentanil intoxication upon ingestion
of animals immobilized with
thiafentanil. The label information
states that thiafentanil is not intended
for human or animal consumption or in
non-food producing minor species that
become eligible for consumption by
humans or food-producing animals.
Because thiafentanil, similar to
carfentanil, etorphine hydrochloride
and diprenorphine, is a potent m-opioid
receptor agonist, it will be subject to
specialized handling, distribution and
storage procedures similar to those
applicable for carfentanil, etorphine
hydrochloride and diprenorphine as set
forth in 21 CFR parts 1301 and 1305. As
a result, this interim final rule revises 21
CFR 1301.74(g), 1301.75(e), 1305.07
introductory text and paragraph (a), and
1305.17(d) to include ‘‘thiafentanil.’’
7. Its Psychic or Physiological
Dependence Liability: HHS’ review
states that the structural and
pharmacological properties of
thiafentanil suggest that it possesses a
psychic and physiological dependence
liability that is similar to other schedule
II related m-opioid receptor agonist
drugs such as sufentanil, fentanyl and
carfentanil.
As cited by the HHS review, a doubleblind abuse liability study examining
intravenous fentanyl, buprenorphine,
heroin, morphine, and oxycodone in
methadone-maintained patients
reported that fentanyl produced
subjective effects similar to heroin
(schedule I) on several outcome
measures indicating that the two drugs
produce similar subjective effects. It
also demonstrates the psychic
dependence liability of fentanyl, and
thiafentanil is expected to produce
effects similar to fentanyl and to present
a similar risk of psychic and
physiological dependence. There has
been a major increase in abuse of
opioids analgesics in the United States
(HHS review document, 2011; Compton
and Volkow, 2006). Thiafentanil, similar
to these opioid analgesics, presents a
risk of severe psychic and physiological
dependence.
8. Whether the Substance is an
Immediate Precursor of a Substance
Already Controlled under the CSA:
Thiafentanil is not considered an
immediate precursor of any controlled
substance.
Determination of Appropriate Schedule
The CSA lists the findings required to
place a drug or other substance in any
particular schedule (I, II, III, IV, or V).
PO 00000
Frm 00029
Fmt 4700
Sfmt 4700
58837
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 Acting Administrator of the DEA,
pursuant to 21 U.S.C. 812(b)(2), finds
that:
1. Thiafentanil has a high potential for
abuse. Based on its structural and
pharmacological properties, thiafentanil
has an abuse potential that is
comparable to other schedule II opioid
drugs such as fentanyl, carfentanil, and
sufentanil;
2. FDA determined that Thianil
(thiafentanil oxalate) meets the
requirements for addition to the Index
as set forth by the MUMS Act, 2004 and
accordingly added Thianil (thiafentanil
oxalate) to the Index of Legally
Marketed Unapproved New Animal
Drugs for Minor Species (the Index)
under section 572 of the Federal Food,
Drug, and Cosmetic Act. Thianil
(thiafentanil oxalate) will be legally
marketed in the United States and will
have an accepted medical use with
severe restrictions; 3 and
3. Due to the chemical and
pharmacological similarities of
thiafentanil to other schedule II fentanyl
derivatives, abuse of thiafentanil may
lead to severe psychological or physical
dependence.
Based on these findings, the Acting
Administrator of the DEA concludes
that thiafentanil, including its isomers,
esters, ethers, salts and salts of isomers,
esters and ethers whenever the
existences of such isomers, esters,
ethers, and salts is possible warrants
control in schedule II of the CSA. 21
U.S.C. 812(b)(2).
Requirements for Handling
Thiafentanil
Thiafentanil is subject to the CSA’s
schedule II regulatory controls and
administrative, civil, and criminal
sanctions applicable to the manufacture,
distribution, reverse distribution,
dispensing, importing, exporting,
research, and conduct of instructional
3 According to the HHS analysis, ‘‘[u]se of a new
animal indexed drug is subject to significant
restrictions. For example, use of an indexed new
animal drug for minor species is limited to a minor
species for which there is a reasonable certainty
that the animal or edible products from the animal
will not be consumed by humans or food producing
animals. 21 U.S.C. § 360ccc–l(a)(1). The requester
must label, distribute, and promote the new animal
drug in accordance with the Index entry, and the
FDA may remove a new animal drug from the Index
if the conditions and limitations of use have not
been followed. 21 U.S.C. 360ccc–l(d)(l)(G); (f)(l)(F).
The labeling of an indexed new animal drug must
prominently state that the extra-label use of the
product is prohibited. 21 U.S.C. 360ccc–l(h). Such
restrictions are not imposed upon approved human
or animal drugs.’’
E:\FR\FM\26AUR1.SGM
26AUR1
ehiers on DSK5VPTVN1PROD with RULES
58838
Federal Register / Vol. 81, No. 166 / Friday, August 26, 2016 / Rules and Regulations
activities and chemical analysis with,
and possession involving schedule II
substances, including the following:
1. Registration. Any person who
desires to handle thiafentanil
(manufacture, distribute, reverse
distribute, dispense, import, export,
engage in research, or conduct
instructional activities or chemical
analysis with, or possess), 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.
2. Quota. Only registered
manufacturers are permitted to
manufacture thiafentanil in accordance
with a quota assigned pursuant to 21
U.S.C. 826 and in accordance with 21
CFR part 1303.
3. Disposal of stocks. Upon obtaining
a schedule II registration to handle
thiafentanil, and if subsequently, any
person who does not desire or is not
able to maintain a schedule II
registration must surrender all
quantities of currently held thiafentanil,
or may transfer all quantities of
currently held thiafentanil to a person
registered with the DEA in accordance
with 21 CFR part 1317, in addition to
all other applicable federal, state, local,
and tribal laws.
4. Security. Thiafentanil is subject to
schedule II security requirements and
must be handled and stored pursuant to
21 U.S.C. 821 and 823, and in
accordance with 21 CFR 1301.71–
1301.93.
5. Labeling and Packaging. All labels,
labeling, and packaging for commercial
containers of thiafentanil must comply
with 21 U.S.C. 825 and 958(e), and be
in accordance with 21 CFR part 1302. In
addition, thiafentanil is subject to
additional labeling requirements
provided by FDA. Thiafentanil must be
labeled, distributed, and promoted in
accordance with the Index entry of the
new animal drug and the FDA may
remove a new animal drug from the
Index if the conditions and limitations
of use have not been followed. 21 U.S.C.
360ccc–l(d)(l)(G); (f)(l)(F). The labeling
of an indexed new animal drug must
prominently state that the extra-label
use of the product is prohibited. 21
U.S.C. 360ccc–l(h).
6. Inventory. Every DEA registrant
who desires to possess any quantity of
thiafentanil must take an inventory of
thiafentanil on hand, pursuant to 21
U.S.C. 827 and 958, and in accordance
with 21 CFR 1304.03, 1304.04, and
1304.11.
Any person who becomes registered
with the DEA to handle thiafentanil
must take an initial inventory of all
stocks of controlled substances
VerDate Sep<11>2014
14:39 Aug 25, 2016
Jkt 238001
(including thiafentanil) 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.
After the initial inventory, every DEA
registrant must take a new inventory of
all stocks of controlled substances
(including thiafentanil) 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.
7. Records and Reports. Every DEA
registrant must maintain records and
submit reports for thiafentanil, or
products containing thiafentanil,
pursuant to 21 U.S.C. 827 and 958(e),
and in accordance with 21 CFR parts
1304, 1312, and 1317.
8. Orders for thiafentanil. Every DEA
registrant who distributes thiafentanil is
required to comply with order form
requirements, pursuant to 21 U.S.C. 828,
and in accordance with 21 CFR part
1305.
9. Prescriptions and other dispensing.
All prescriptions for thiafentanil or
products containing thiafentanil must
comply with 21 U.S.C. 829, and be
issued in accordance with 21 CFR parts
1306 and 1311, subpart C. Moreover,
given that thiafentanil is not the subject
of an approved new drug application
under the FDCA, and that it is only
allowed under the MUMS Act
amendments to the FDCA to be
marketed for extremely limited use in
minor species, DEA would not consider
any dispensing of thiafentanil for
human use to be for a legitimate medical
purpose within the meaning of the CSA.
Likewise, DEA would not consider any
dispensing of thiafentanil for animal use
beyond the scope of the drug’s labeling
authorized under the MUMS Act
amendments to the FDCA to be for a
legitimate medical purpose within the
meaning of the CSA.
10. Manufacturing and Distributing.
In addition to the general requirements
of the CSA and DEA regulations that are
applicable to manufacturers and
distributors of schedule II controlled
substances, such registrants should be
advised that (consistent with the
foregoing considerations) any
manufacturing or distribution of
thiafentanil may only be for the
legitimate purposes consistent with the
drug’s labeling authorized under the
MUMS Act, or for research activities
authorized by the FDCA and CSA.
11. Importation and Exportation. All
importation and exportation of
thiafentanil must be in compliance with
21 U.S.C. 952, 953, 957, and 958, and
in accordance with 21 CFR part 1312.
PO 00000
Frm 00030
Fmt 4700
Sfmt 4700
12. Liability. Any activity involving
thiafentanil not authorized by, or in
violation of, the CSA or its
implementing regulations, is unlawful,
and may subject the person to
administrative, civil, and/or criminal
sanctions.
Regulatory Analyses
Administrative Procedure Act
Public Law 114–89 was signed into
law, amending 21 U.S.C. 811. This
amendment provides that in cases
where a new drug is (1) approved or
indexed by the Department of Health
and Human Services (HHS) and (2) HHS
recommends control in CSA schedule
II–V, the DEA shall issue an interim
final rule scheduling the drug within 90
days. Additionally, the law specifies
that the rulemaking shall become
immediately effective as an interim final
rule without requiring the DEA to
demonstrate good cause. Therefore, the
DEA has determined that the notice and
comment requirements of section 553 of
the APA, 5 U.S.C. 553, do not apply to
this scheduling action.
Executive Orders 12866, Regulatory
Planning and Review, and 13563,
Improving Regulation and Regulatory
Review
In accordance with Public Law 114–
89, this scheduling action is subject to
formal rulemaking procedures
performed ‘‘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 procedures and criteria for
scheduling a drug or other substance.
Such actions are exempt from review by
the Office of Management and Budget
(OMB) pursuant to section 3(d)(1) of
Executive Order 12866 and the
principles reaffirmed in Executive Order
13563.
Executive Order 12988, Civil Justice
Reform
This regulation meets the applicable
standards set forth in sections 3(a) and
3(b)(2) of Executive Order 12988 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, Federalism
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 on the
distribution of power and
E:\FR\FM\26AUR1.SGM
26AUR1
Federal Register / Vol. 81, No. 166 / Friday, August 26, 2016 / Rules and Regulations
responsibilities among the various
levels of government.
Executive Order 13175, Consultation
and Coordination With Indian Tribal
Governments
This rule does not have tribal
implications warranting the application
of Executive Order 13175. It 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
In accordance with 5 U.S.C. 603(a),
‘‘[w]henever an agency is required by [5
U.S.C. 553], or any other law, to publish
general notice of proposed rulemaking
for any proposed rule, or publishes a
notice of proposed rulemaking for an
interpretive rule involving the internal
revenue laws of the United States, the
agency shall prepare and make available
for public comment an initial regulatory
flexibility analysis.’’ As noted in the
above discussion regarding applicability
of the Administrative Procedure Act, the
DEA has determined that the notice and
comment requirements of section 553 of
the APA, 5 U.S.C. 553, do not apply to
this scheduling action. Consequently,
the RFA does not apply to this interim
final rule.
ehiers on DSK5VPTVN1PROD with RULES
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 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 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
VerDate Sep<11>2014
14:39 Aug 25, 2016
Jkt 238001
58839
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 U.S.-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 interim
final rule to both Houses of Congress
and to the Comptroller General.
§ 1301.75 Physical security controls for
practitioners.
List of Subjects
§ 1305.07 Special procedure for filling
certain orders.
21 CFR Part 1301
Administrative practice and
procedure, Drug traffic control, Security
measures.
21 CFR Part 1305
Drug traffic control, Reporting and
recordkeeping requirements.
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 parts 1301, 1305 and
1308 as follows:
PART 1301—REGISTRATION OF
MANUFACTURERS, DISTRIBUTORS,
AND DISPENSERS OF CONTROLLED
SUBSTANCES
1. The authority citation for 21 CFR
part 1301 continues to read as follows:
■
Authority: 21 U.S.C. 821, 822, 823, 824,
831, 871(b), 875, 877, 886a, 951, 952, 953,
956, 957, 958, 965.
2. In § 1301.74, revise paragraph (g) to
read as follows:
■
§ 1301.74 Other security controls for nonpractitioners; narcotic treatment programs
and compounders for narcotic treatment
programs.
*
*
*
*
*
(g) Before the initial distribution of
thiafentanil, carfentanil, etorphine
hydrochloride and/or diprenorphine to
any person, the registrant must verify
that the person is authorized to handle
the substance(s) by contacting the Drug
Enforcement Administration.
*
*
*
*
*
■ 3. In § 1301.75, revise paragraph (e) to
read as follows:
PO 00000
Frm 00031
Fmt 4700
Sfmt 4700
*
*
*
*
*
(e) Thiafentanil, carfentanil, etorphine
hydrochloride and diprenorphine shall
be stored in a safe or steel cabinet
equivalent to a U.S. Government Class
V security container.
PART 1305—ORDERS FOR SCHEDULE
I AND II CONTROLLED SUBSTANCES
4. The authority citation for 21 CFR
part 1305 continues to read as follows:
■
Authority: 21 U.S.C. 821, 828, 871(b),
unless otherwise noted.
5. In § 1305.07, revise the introductory
text and paragraph (a) to read as follows:
■
A supplier of thiafentanil, carfentanil,
etorphine hydrochloride, or
diprenorphine, if he or she determines
that the purchaser is a veterinarian
engaged in zoo and exotic animal
practice, wildlife management
programs, or research, and is authorized
by the Administrator to handle these
substances, may fill the order in
accordance with the procedures set
forth in § 1305.17 except that:
(a) A DEA Form 222 or an electronic
order for thiafentanil, carfentanil,
etorphine hydrochloride, and
diprenorphine must contain only these
substances in reasonable quantities.
*
*
*
*
*
6. In § 1305.17, revise paragraph (d) to
read as follows:
■
§ 1305.17
Preservation of DEA Forms 222.
*
*
*
*
*
(d) The supplier of thiafentanil,
carfentanil, etorphine hydrochloride,
and diprenorphine must maintain DEA
Forms 222 for these substances
separately from all other DEA Forms
222 and records required to be
maintained by the registrant.
PART 1308—SCHEDULES OF
CONTROLLED SUBSTANCES
7. 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.
8. In § 1308.12, add paragraph (c)(29)
to read as follows:
■
§ 1308.12
*
Schedule II.
*
*
(c) * * *
*
*
(29) Thiafentanil ................................
*
E:\FR\FM\26AUR1.SGM
*
*
26AUR1
*
*
9729
58840
Federal Register / Vol. 81, No. 166 / Friday, August 26, 2016 / Rules and Regulations
Dated: August 18, 2016.
Chuck Rosenberg,
Acting Administrator.
[FR Doc. 2016–20463 Filed 8–25–16; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF DEFENSE
Office of the Secretary
32 CFR Part 232
[Docket ID: DOD–2013–OS–0133]
RIN 0790–ZA11
Military Lending Act Limitations on
Terms of Consumer Credit Extended to
Service Members and Dependents
Under Secretary of Defense for
Personnel and Readiness, Department of
Defense.
ACTION: Interpretive rule.
AGENCY:
The Department of Defense
(Department) is interpreting its
regulation implementing the Military
Lending Act (the MLA). The MLA as
implemented by the Department, limits
the military annual percentage rate
(MAPR) that a creditor may charge to a
maximum of 36 percent, requires certain
disclosures, and provides other
substantive consumer protections on
‘‘consumer credit’’ extended to Service
members and their families. On July 22,
2015, the Department amended its
regulation primarily for the purpose of
extending the protections of the MLA to
a broader range of closed-end and openend credit products (the July 2015 Final
Rule). This interpretive rule provides
guidance on certain questions the
Department has received regarding
compliance with the July 2015 Final
Rule.
DATES: Effective Date: August 26, 2016.
FOR FURTHER INFORMATION CONTACT:
Marcus Beauregard, 571–372–5357.
SUPPLEMENTARY INFORMATION:
ehiers on DSK5VPTVN1PROD with RULES
SUMMARY:
I. Background and Purpose
In July, 2015, the Department of
Defense (Department) issued a final
rule 1 (the July 2015 Final Rule)
amending its regulation implementing
the Military Lending Act (MLA) 2
primarily for the purpose of extending
the protections of the MLA to a broader
range of closed-end and open-end credit
products, rather than the limited credit
products that had been defined as
‘‘consumer credit.’’ 3 Moreover, among
1 80
FR 435560.
2 10 U.S.C. 987.
3 32 CFR 232.3(b) as implemented in a final rule
published at 72 FR 50580 (Aug. 31, 2007).
VerDate Sep<11>2014
14:39 Aug 25, 2016
Jkt 238001
other amendments, the July 2015 Final
Rule modified provisions relating to the
optional mechanism a creditor may use
when assessing whether a consumer is
a ‘‘covered borrower,’’ modified the
disclosures that a creditor must provide
to a covered borrower, and implemented
the enforcement provisions of the MLA.
Subsequently, the Department
received requests to clarify its
interpretation of points raised in the
July 2015 Final Rule. The Department is
issuing this interpretive rule to inform
the public of its views. The Department
has chosen to provide this guidance in
the form of a question and answer
document to assist industry in
complying with the July 2015 Final
Rule. This interpretive rule does not
substantively change the regulation
implementing the MLA, but rather
merely states the Department’s
preexisting interpretations of an existing
regulation. Therefore, under 5 U.S.C.
553(b)(A), this rulemaking is exempt
from the notice and comment
requirements of the Administrative
Procedure Act, and, pursuant to 5 U.S.C.
553(d)(2), this rule is effective
immediately upon publication in the
Federal Register.
II. Interpretations of the Department
The following questions and answers
represent official interpretations of the
Department on issues related to 32 CFR
part 232. For ease of reference, the
following terms are used throughout
this document: MLA refers to the
Military Lending Act (codified at 10
U.S.C. 987); MAPR refers to the military
annual percentage rate, as defined in 32
CFR 232.3(p); TILA refers to the Truth
in Lending Act (codified at 15 U.S.C.
1601 et seq.); Regulation Z refers to the
regulation, and interpretations thereof,
issued by the Consumer Financial
Protection Bureau (or the Board of
Governors of the Federal Reserve
System, as applicable) to implement
TILA, as defined in 32 CFR 232.3(s);
DMDC refers to the Defense Manpower
Data Center.
1. What types of overdraft products are
within the scope of 32 CFR 232.3(f)
defining ‘‘consumer credit’’?
Answer: The MLA regulation
generally directs creditors to look to
provisions of TILA and its
implementing regulation, Regulation Z,
in determining whether a product or
service is considered ‘‘consumer credit’’
for purposes of the MLA.4 Also, the
4 The Department notes that the Consumer
Financial Protection Bureau may from time to time
revise Regulation Z. See, e.g., 79 FR 77102 (Dec. 23,
2014) (proposing to revise the definition of finance
charge with respect to charges imposed in
PO 00000
Frm 00032
Fmt 4700
Sfmt 4700
supplementary information to the July
2015 Final Rule discusses coverage of
overdraft products.
The MLA regulation defines
‘‘consumer credit’’ as credit offered or
extended to a covered borrower
primarily for personal, family or
household purposes that is either
subject to a finance charge or payable by
a written agreement in more than four
installments, with some exceptions. The
exceptions include: Residential
mortgage transactions; purchase money
credit for a vehicle or personal property
that is secured by the purchased vehicle
or personal property; certain
transactions exempt from Regulation Z
(not including transactions exempt
under 12 CFR 1026.29); and credit
extended to non-covered borrowers
consistent with 32 CFR 232.5(b).
Although coverage by the MLA and the
MLA regulation is not completely
identical to that of TILA and Regulation
Z, the July 2015 Final Rule amends the
definition of consumer credit under the
MLA to be more consistent with how
credit is defined under TILA. The
supplementary information to the July
2015 Final Rule states:
As proposed, the Department is amending
its regulation so that, in general, consumer
credit covered under the MLA would be
defined consistently with credit that for
decades has been subject to TILA, namely:
Credit offered or extended to a covered
borrower primarily for personal, family, or
household purposes, and that is (i) subject to
a finance charge or (ii) payable by a written
agreement in more than four installments.5
The MLA regulation also defines
‘‘closed-end credit’’ and ‘‘open-end
credit’’ with express references to the
definitions of the same terms in
Regulation Z.
The supplementary information to the
July 2015 Final Rule illustrates how to
apply these standards specifically with
respect to overdraft products and
services.6 It states that consistent with
Regulation Z, an overdraft line of credit
with a finance charge is a covered
consumer credit product when: It is
offered to a covered borrower; the credit
extended by the creditor is primarily for
personal, family, or household
purposes; it is used to pay an item that
overdraws an asset account and results
in a fee or charge to the covered
borrower; and, the extension of credit
connection with certain credit features offered in
conjunction with prepaid card accounts). It is the
Department’s intention that this part should
wherever possible be interpreted consistently with
Regulation Z as it evolves in order to harmonize the
two regulations and thereby minimize compliance
burden.
5 80 FR 43563 (footnotes omitted).
6 80 FR 43579–43580.
E:\FR\FM\26AUR1.SGM
26AUR1
Agencies
[Federal Register Volume 81, Number 166 (Friday, August 26, 2016)]
[Rules and Regulations]
[Pages 58834-58840]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-20463]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
21 CFR Parts 1301, 1305, and 1308
[Docket No. DEA-375]
Schedules of Controlled Substances: Placement of Thiafentanil
Into Schedule II
AGENCY: Drug Enforcement Administration, Department of Justice.
ACTION: Interim final rule with request for comments.
-----------------------------------------------------------------------
SUMMARY: The Drug Enforcement Administration is placing the substance
thiafentanil (4-(methoxycarbonyl)-4-(N-phenmethoxyacetamido)-1-[2-
(thienyl)ethyl]piperidine), including its isomers, esters, ethers,
salts and salts of isomers, esters and ethers as possible, into
schedule II of the Controlled Substances Act. This scheduling action is
pursuant to the Controlled Substances Act, as revised by the Improving
Regulatory Transparency for New Medical Therapies Act which was signed
into law on November 25, 2015.
DATES: The effective date of this rule is August 26, 2016. Interested
persons may file written comments on this rule in accordance with 21
U.S.C. 811(j)(3) and 21 CFR 1308.43(g). Electronic comments must be
submitted, and written comments must be postmarked, on or before
September 26, 2016. Commenters should be aware that the electronic
Federal Docket Management System will not accept comments after 11:59
p.m. Eastern Time on the last day of the comment period.
Interested persons, defined at 21 CFR 1300.01 as those ``adversely
affected or aggrieved by any rule or proposed rule issuable pursuant to
section 201 of the Act (21 U.S.C. 811),'' may file a request for
hearing or waiver of hearing pursuant to 21 CFR 1308.44 and in
accordance with 21 CFR 1316.45 and/or 1316.47, as applicable. Requests
for hearing and waivers of an opportunity for a hearing or to
participate in a hearing must be received on or before September 26,
2016.
ADDRESSES: To ensure proper handling of comments, please reference
``Docket No. DEA-375'' on all correspondence, including any
attachments.
Electronic comments: The Drug Enforcement Administration
encourages that all comments be submitted electronically through the
Federal eRulemaking Portal, which provides the ability to type short
comments directly into the comment field on the Web page or attach a
file for lengthier comments. Please go to https://www.regulations.gov
and follow the online instructions at that site for submitting
comments. Upon completion of your submission, you will receive a
Comment Tracking Number for your comment. Please be aware that
submitted comments are not instantaneously available for public view on
Regulations.gov. If you have received a Comment Tracking Number, your
comment has been successfully submitted and there is no need to
resubmit the same comment.
Paper comments: Paper comments that duplicate the
electronic submission are not necessary and are discouraged. Should you
wish to mail a paper comment in lieu of an electronic comment, it
should be sent via regular or express mail to: Drug Enforcement
Administration, Attn: DEA Federal Register Representative/ODW, 8701
Morrissette Drive, Springfield, Virginia 22152.
Hearing requests: All requests for hearing and waivers of
participation must be sent to: Drug Enforcement Administration, Attn:
Administrator, 8701 Morrissette Drive, Springfield, Virginia 22152. All
requests for hearing and waivers of participation should also be sent
to: (1) Drug Enforcement Administration, Attn: Hearing Clerk/LJ, 8701
Morrissette Drive, Springfield, Virginia 22152; and (2) Drug
Enforcement Administration, Attn: DEA Federal Register Representative/
ODW, 8701 Morrissette Drive, Springfield, Virginia 22152.
FOR FURTHER INFORMATION CONTACT: Michael J. Lewis, Office of Diversion
Control, Drug Enforcement Administration; Mailing Address: 8701
Morrissette Drive, Springfield, Virginia 22152; Telephone: (202) 598-
6812.
SUPPLEMENTARY INFORMATION:
Posting of Public Comments
Please note that all comments received are considered part of the
public record. They will, unless reasonable cause is given, be made
available by the Drug Enforcement
[[Page 58835]]
Administration (DEA) for public inspection online at https://www.regulations.gov. Such information includes personal identifying
information (such as your name, address, etc.) voluntarily submitted by
the commenter. The Freedom of Information Act (FOIA) applies to all
comments received. If you want to submit personal identifying
information (such as your name, address, etc.) as part of your comment,
but do not want it to be made publicly available, you must include the
phrase ``PERSONAL IDENTIFYING INFORMATION'' in the first paragraph of
your comment. You must also place all of the personal identifying
information you do not want made publicly available in the first
paragraph of your comment and identify what information you want
redacted.
If you want to submit confidential business information as part of
your comment, but do not want it to be made publicly available, you
must include the phrase ``CONFIDENTIAL BUSINESS INFORMATION'' in the
first paragraph of your comment. You must also prominently identify the
confidential business information to be redacted within the comment.
Comments containing personal identifying information and
confidential business information identified as directed above will
generally be made publicly available in redacted form. If a comment has
so much confidential business information or personal identifying
information that it cannot be effectively redacted, all or part of that
comment may not be made publicly available. Comments posted to https://www.regulations.gov may include any personal identifying information
(such as name, address, and phone number) included in the text of your
electronic submission that is not identified as directed above as
confidential.
An electronic copy of this document and supplemental information,
including the complete Department of Health and Human Services and Drug
Enforcement Administration eight-factor analyses, to this interim final
rule are available at https://www.regulations.gov for easy reference.
Request for Hearing, Notice of Appearance at Hearing, or Waiver of
Participation in Hearing
Pursuant to 21 U.S.C. 811(a), this action is a formal rulemaking
``on the record after opportunity for a hearing.'' Such proceedings are
conducted pursuant to the provisions of the Administrative Procedure
Act (APA), 5 U.S.C. 551-559. 21 CFR 1308.41-1308.45; 21 CFR part 1316,
subpart D. In accordance with 21 CFR 1308.44(a)-(c), requests for a
hearing, notices of appearance, and waivers of an opportunity for a
hearing or to participate in a hearing may be submitted only by
interested persons, defined as those ``adversely affected or aggrieved
by any rule or proposed rule issuable pursuant to section 201 of the
Act (21 U.S.C. 811).'' 21 CFR 1300.01. Requests for a hearing and
notices of participation must conform to the requirements of 21 CFR
1308.44(a) or (b), as applicable, and include a statement of the
interest of the person in the proceeding and the objections or issues,
if any, concerning which the person desires to be heard. Any waiver of
an opportunity for a hearing must conform to the requirements of 21 CFR
1308.44(c), including a written statement regarding the interested
person's position on the matters of fact and law involved in any
hearing.
Please note that pursuant to 21 U.S.C. 811(a), the purpose and
subject matter of the hearing are restricted to ``(A) find[ing] that
such drug or other substance has a potential for abuse, and (B)
mak[ing] with respect to such drug or other substance the findings
prescribed by subsection (b) of section 812 of this title for the
schedule in which such drug is to be placed . . . .'' Requests for a
hearing and waivers of participation in the hearing should be submitted
to the DEA on or before the deadline specified above, using the address
information provided therein.
Background, Legal Authority, and Basis for This Scheduling Action
Thiafentanil, known chemically as 4-(methoxycarbonyl)-4-(N-
phenylmethoxyacetamido)-1-[2-(2-thienyl)ethyl]piperidine, a potent
opioid, is an analogue of fentanyl. The product Thianil (thiafentanil
oxalate, a salt form of thiafentanil) was reviewed by the Food and Drug
Administration (FDA) to determine whether it meets the requirements for
addition to the Index of Legally Marketed Unapproved New Animal Drugs
for Minor Species (the Index) (21 U.S.C. 360ccc-1) as set forth by the
Minor Use and Minor Species Animal Health Act of 2004 (MUMS Act, 2004).
The MUMS Act amended the Federal Food, Drug, and Cosmetic Act (FDCA) to
allow for the legal marketing of unapproved new animal drugs intended
for use in minor species. In a letter from the Department of Health and
Human Services (HHS) dated June 20, 2016, the DEA received notification
that HHS/FDA added Thianil (thiafentanil oxalate) to the Index under
section 572 of the FDCA. In this same notification, HHS/FDA stated that
on June 16, 2016, HHS/FDA granted the request for the addition of
Thianil to the Index under Minor Species Index File (MIF) 900000.
Thianil is indicated for use in the immobilization of non-domestic,
non-food-producing minor species hoofstock.
Thiafentanil will be marketed as thiafentanil oxalate, 4-
(methoxycarbonyl)-4-(N-phenylmethoxyacetamido)-1-[2-(2-
thienyl)ethyl]piperidinium oxalate. Thiafentanil should not be confused
with thiofentanyl (N-phenyl-N-(1-(2-(thiophen-2-yl)ethyl)piperidin-4-
yl)propionamide), which is currently listed as a controlled schedule I
substance.
Under the Controlled Substances Act (CSA), as amended in 2015 by
the Improving Regulatory Transparency for New Medical Therapies Act
(Pub. L. 114-89), where the DEA receives notification from HHS that the
Secretary has indexed a drug under section 572 of the FDCA, the DEA is
required to issue an interim final rule controlling the drug not later
than 90 days after receiving such notification from HHS. 21 U.S.C.
811(j). Accordingly, the DEA is issuing this interim final rule
controlling thiafentanil.
When controlling a drug pursuant to section 811(j), the DEA must
apply the scheduling criteria of subsections 811(b), (c), and (d) and
section 812(b). 21 U.S.C. 811(j)(3). In accordance with these criteria,
the DEA has reviewed the scientific and medical evaluation and
scheduling recommendation provided by the HHS, along with all other
relevant data, and completed its own eight-factor review document on
thiafentanil pursuant to 21 U.S.C. 811(c). As explained below, based on
these considerations, the DEA concludes that thiafentanil meets the
criteria for placement in schedule II of the CSA.
On November 28, 2011, the HHS provided the DEA with its initial
scientific and medical evaluation and scheduling recommendation
regarding thiafentanil. Pursuant to 21 U.S.C. 811(b), this document
contained an eight-factor analysis of the abuse potential of
thiafentanil as a new drug, along with the HHS' recommendation to
control thiafentanil and its salts under schedule II of the CSA.
Subsequently, on March 23, 2016, the HHS provided the DEA with a
supplement to its 2011 analysis, which indicated that the HHS/FDA
planned to add Thianil (thiafentanil oxalate) to the Index for use in
the immobilization of non-domestic, non-food-producing minor species
hoofstock and reiterated their recommendation that thiafentanil be
placed in schedule II of the CSA. By
[[Page 58836]]
letter dated June 20, 2016, the DEA received notification from the HHS
that the FDA had granted the request on June 16, 2016, for Thianil
(thiafentanil oxalate) to be added to the Index.
Pursuant to 21 U.S.C. 811(j), and based on the HHS recommendation,
MUMS Act indication by the HHS/FDA, and the DEA's determination, the
DEA finds that thiafentanil has a high potential for abuse, a currently
accepted medical use with severe restrictions, and that abuse of
thiafentanil may lead to severe psychological or physical dependence.
Accordingly, the DEA is issuing this interim final rule to add
thiafentanil (4-(methoxycarbonyl)-4-(N-phenylmethoxyacetamido)-1-[2-(2-
thienyl)ethyl]piperidine) and its isomers, esters, ethers, salts and
salts of isomers, esters and ethers, whenever the existence of such, to
schedule II of the CSA.
Included below is a brief summary of each factor as analyzed by the
HHS and the DEA, and as considered by the DEA in its scheduling action.
Please note that the DEA and HHS analyses, along with the HHS
supplement, are available in their entirety under ``Supporting
Documents'' in the public docket for this interim final rule at https://www.regulations.gov, under Docket Number ``DEA-375.'' Full analysis of,
and citations to, the information referenced in the summary may also be
found in the supporting and related material.
1. The Drug's Actual or Relative Potential for Abuse: Thiafentanil
is a chemical substance that has not been marketed in the United
States, however, it is approved and marketed in the Republic of South
Africa as a salt form under the brand name Thianil (thiafentanil
oxalate). There is no information available which details actual abuse
of thiafentanil.
According to the HHS, thiafentanil is a synthetic analogue of
fentanyl and is structurally related to other fentanyl-like opioids
such as sufentanil (schedule II) and carfentanil (schedule II). It acts
as a potent [micro]-opioid receptor agonist and produces strong
morphine-like effects in animals. It is only intended for the
immobilization of non-domestic, non-food-producing minor species
hoofstock. Thiafentanil has been used in a manner similar to other
opioid immobilizing agents such as etorphine hydrochloride (schedule
II) and carfentanil (schedule II), which are approved only for
veterinary use as animal immobilization agents. The abuse potential of
thiafentanil has not been evaluated in humans or in animal behavioral
models that are predictors of abuse by humans. Because thiafentanil
shares chemical and pharmacological similarities with schedule II
fentanyl and its analogues, the abuse potential of thiafentanil is
considered similar to that of schedule II opioid substances such as
sufentanil and carfentanil.
Pharmacologically, as a potent [micro] opioid receptor agonist,
thiafentanil is slightly less potent than carfentanil, which is 100
times more potent than fentanyl and 10,000 times more potent than
morphine. Thiafentanil is a potent fentanyl analogue. Thus, it is
reasonable to assume that there will be potentially significant
diversion of thiafentanil from legitimate channels by people who have
access to it, and that thiafentanil would be used without medical
advice, therefore causing substantial hazards to the users or to the
safety of the community if not controlled. The chemical and potent
opioid-like pharmacological properties of thiafentanil predict that its
risk to the public health is likely to be similar to fentanyl (schedule
II) and its analogues such as carfentanil (schedule II), sufentanil
(schedule II) and alpha-methylfentanyl (schedule I).
2. Scientific Evidence of the Drug's Pharmacological Effects, if
Known: According to HHS' scientific and medical review, there are no
data on the effects of thiafentanil in humans. Thiafentanil's effects
in humans are predicted from its effects in animals and its chemical
and pharmacological similarity to other schedule II potent opioids such
as fentanyl and carfentanil.
The HHS eight-factor review document described a study directly
comparing the immobilizing effects of thiafentanil (15 mg) and
carfentanil (2 or 4 mg) in elk in which thiafentanil produced a faster
immobilization effect (0.7 to 2.2 minutes) than carfentanil. In
addition, the elk returned to standing 0.9 to 1.4 minutes faster under
the thiafentanil condition. This study appears to support a faster
immobilization and recovery time with thiafentanil relative to
carfentanil. However, the authors stated that the role of the increased
dose of thiafentanil is unknown.
Animal studies described by the HHS demonstrated that the effects
of thiafentanil and carfentanil are completely reversed by naltrexone.
As a [micro]-opioid receptor antagonist, naltrexone can reverse the
effects of a variety of opioid drugs including thiafentanil and
carfentanil. Those studies suggest that thiafentanil possesses a neuro-
pharmacological mechanism of action similar to other schedule II opioid
drugs with a high abuse potential.
According to HHS' review, Thianil (thiafentanil) is currently
approved and registered for use in the Republic of South Africa.
Thiafentanil oxalate is suggested as a drug of choice in the capture of
exotic and ungulate wildlife species.
3. The State of Current Scientific Knowledge Regarding
Thiafentanil: The chemical name of free base thiafentanil is 4-
(methoxycarbonyl)-4-(N-phenylmethoxyacetamido)-1-[2-(2-
thienyl)ethyl]piperidine. It has a molecular formula of
C22H28N2O4S and a molecular
weight of 416.52 g/mol with a Chemical Abstract Registry Number (CAS)
of 101345-60-2. Thiafentanil oxalate is also known as A3080 with a CAS
number of 101365-73-5 and has a molecular formula of
C24H30N2O8S with a
molecular weight of 506.57 g/mol. Thiafentanil oxalate is a white
crystalline powder with a melting point of 190-192 [deg]C and its salt
crystalizes from absolute alcohol. Thiafentanil should not be confused
with thiofentanyl (N-phenyl-N-(1-(2-(thiophen-2-yl)ethyl)piperidin-4-
yl)propionamide), which is currently listed as a schedule I substance.
4. Its History and Current Pattern of Abuse: According to the HHS'
review, there are no reports of actual abuse and misuse of
thiafentanil. This may be due to the limited use of thiafentanil as an
immobilizing agent by trained veterinarians.
Current data from the National Forensic Laboratory System
(NFLIS),\1\ the System to Retrieve Information from Drug Evidence
(STRIDE),\2\ and the STARLiMS databases show that there is no evidence
of law enforcement encounters of thiafentanil in the United States.
However, thiafentanil's pharmacological and structural properties
suggest that its pattern of abuse would be similar to other potent
[[Page 58837]]
schedule II [micro]-opioid receptor agonists such as fentanyl and
carfentanil.
---------------------------------------------------------------------------
\1\ The National Forensic Laboratory System (NFLIS) is a program
of the DEA, Office of Diversion Control. NFLIS systematically
collects drug identification results and associated information from
drug cases submitted to and analyzed by State and local forensic
laboratories. NFLIS represents an important resource in monitoring
illicit drug abuse and trafficking, including the diversion of
legally manufactured pharmaceuticals into illegal markets. NFLIS is
a comprehensive information system that includes data from forensic
laboratories that handle approximately 90% of an estimated 1.0
million distinct annual State and local drug analysis cases. NFLIS
includes drug chemistry results from completed analyses only. While
NFLIS data is not direct evidence of abuse, it can lead to an
inference that a drug has been diverted and abused. See 76 FR 77330,
77332, Dec. 12, 2011.
\2\ The System to Retrieve Information from Drug Evidence
(STRIDE) is a database of drug exhibits sent to DEA laboratories for
analysis. Exhibits from the database are from the DEA, other federal
agencies, and local law enforcement agencies. Reporting via STRIDE
ceased on September 30, 2014. STRIDE was succeeded by STARLiMS.
---------------------------------------------------------------------------
5. The Scope, Duration, and Significance of Abuse: An assessment of
the scope, duration, and significance of thiafentanil abuse is not
available since it has only been used in a limited market. However, as
stated in the HHS review, the structural and pharmacological properties
of thiafentanil suggest that it could lead to an abuse pattern with a
scope, duration, and significance of abuse similar to that observed
with other opioid drugs and opioid analogues if it were marketed in a
non-controlled status or were the subject of clandestine synthesis. The
HHS and DEA note that thiafentanil is not known to be or to have been
the subject of abuse in the United States.
6. What, if any, Risk There is to the Public Health: The HHS review
indicates that thiafentanil presents a significant risk to the public
health and, in this vein, that thiafentanil should only be used in
certain animals for very limited purposes and with extreme caution.
Based on the review of the structural and pharmacological properties of
thiafentanil, the HHS concluded that the abuse of thiafentanil is
likely to pose a similar risk to public health as that of other potent
opioid drugs such as sufentanil (schedule II), fentanyl (schedule II),
carfentanil (schedule II) and clandestinely synthesized alpha-
methylfentanyl (schedule I). Thus, inappropriate use of thiafentanil
poses a high risk to the public health. Among other things, HHS noted
that as a fentanyl derivative, and assuming that thiafentanil can be
aerosolized, the use of thiafentanil presents a significant risk to the
public health.
HHS described that thiafentanil's labeling indicates that it is
solely intended for use by zoologic, wildlife, or exotic animal
veterinarians or field biologists who have received training and are
supervised by veterinarians. The sponsor recommends the use of handling
protocols similar to those in place for other scheduled potent opioids
such as carfentanil. HHS further indicated that thiafentanil should be
handled in teams consisting of at least two individuals knowledgeable
about the hazards of working with potent [mu]-opioid agonist
substances. Personal protective equipment such as latex gloves and
protective eyewear should be used and syringes must be disposed of
properly. If exposure to thiafentanil occurs in a remote or distant
environment, veterinary naltrexone is recommended for use as a reversal
agent. The label information will further state that thiafentanil must
never be used unless an adequate amount of reversal agent (naltrexone
hydrochloride) is immediately available.
HHS also describes the risk of thiafentanil intoxication upon
ingestion of animals immobilized with thiafentanil. The label
information states that thiafentanil is not intended for human or
animal consumption or in non-food producing minor species that become
eligible for consumption by humans or food-producing animals. Because
thiafentanil, similar to carfentanil, etorphine hydrochloride and
diprenorphine, is a potent [mu]-opioid receptor agonist, it will be
subject to specialized handling, distribution and storage procedures
similar to those applicable for carfentanil, etorphine hydrochloride
and diprenorphine as set forth in 21 CFR parts 1301 and 1305. As a
result, this interim final rule revises 21 CFR 1301.74(g), 1301.75(e),
1305.07 introductory text and paragraph (a), and 1305.17(d) to include
``thiafentanil.''
7. Its Psychic or Physiological Dependence Liability: HHS' review
states that the structural and pharmacological properties of
thiafentanil suggest that it possesses a psychic and physiological
dependence liability that is similar to other schedule II related
[micro]-opioid receptor agonist drugs such as sufentanil, fentanyl and
carfentanil.
As cited by the HHS review, a double-blind abuse liability study
examining intravenous fentanyl, buprenorphine, heroin, morphine, and
oxycodone in methadone-maintained patients reported that fentanyl
produced subjective effects similar to heroin (schedule I) on several
outcome measures indicating that the two drugs produce similar
subjective effects. It also demonstrates the psychic dependence
liability of fentanyl, and thiafentanil is expected to produce effects
similar to fentanyl and to present a similar risk of psychic and
physiological dependence. There has been a major increase in abuse of
opioids analgesics in the United States (HHS review document, 2011;
Compton and Volkow, 2006). Thiafentanil, similar to these opioid
analgesics, presents a risk of severe psychic and physiological
dependence.
8. Whether the Substance is an Immediate Precursor of a Substance
Already Controlled under the CSA: Thiafentanil is not considered an
immediate precursor of any controlled substance.
Determination of Appropriate Schedule
The CSA lists the findings required to place a drug or other
substance in any particular schedule (I, II, III, IV, or V). 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 Acting Administrator of the DEA, pursuant to 21 U.S.C.
812(b)(2), finds that:
1. Thiafentanil has a high potential for abuse. Based on its
structural and pharmacological properties, thiafentanil has an abuse
potential that is comparable to other schedule II opioid drugs such as
fentanyl, carfentanil, and sufentanil;
2. FDA determined that Thianil (thiafentanil oxalate) meets the
requirements for addition to the Index as set forth by the MUMS Act,
2004 and accordingly added Thianil (thiafentanil oxalate) to the Index
of Legally Marketed Unapproved New Animal Drugs for Minor Species (the
Index) under section 572 of the Federal Food, Drug, and Cosmetic Act.
Thianil (thiafentanil oxalate) will be legally marketed in the United
States and will have an accepted medical use with severe restrictions;
\3\ and
---------------------------------------------------------------------------
\3\ According to the HHS analysis, ``[u]se of a new animal
indexed drug is subject to significant restrictions. For example,
use of an indexed new animal drug for minor species is limited to a
minor species for which there is a reasonable certainty that the
animal or edible products from the animal will not be consumed by
humans or food producing animals. 21 U.S.C. Sec. 360ccc-l(a)(1).
The requester must label, distribute, and promote the new animal
drug in accordance with the Index entry, and the FDA may remove a
new animal drug from the Index if the conditions and limitations of
use have not been followed. 21 U.S.C. 360ccc-l(d)(l)(G); (f)(l)(F).
The labeling of an indexed new animal drug must prominently state
that the extra-label use of the product is prohibited. 21 U.S.C.
360ccc-l(h). Such restrictions are not imposed upon approved human
or animal drugs.''
---------------------------------------------------------------------------
3. Due to the chemical and pharmacological similarities of
thiafentanil to other schedule II fentanyl derivatives, abuse of
thiafentanil may lead to severe psychological or physical dependence.
Based on these findings, the Acting Administrator of the DEA
concludes that thiafentanil, including its isomers, esters, ethers,
salts and salts of isomers, esters and ethers whenever the existences
of such isomers, esters, ethers, and salts is possible warrants control
in schedule II of the CSA. 21 U.S.C. 812(b)(2).
Requirements for Handling Thiafentanil
Thiafentanil is subject to the CSA's schedule II regulatory
controls and administrative, civil, and criminal sanctions applicable
to the manufacture, distribution, reverse distribution, dispensing,
importing, exporting, research, and conduct of instructional
[[Page 58838]]
activities and chemical analysis with, and possession involving
schedule II substances, including the following:
1. Registration. Any person who desires to handle thiafentanil
(manufacture, distribute, reverse distribute, dispense, import, export,
engage in research, or conduct instructional activities or chemical
analysis with, or possess), 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.
2. Quota. Only registered manufacturers are permitted to
manufacture thiafentanil in accordance with a quota assigned pursuant
to 21 U.S.C. 826 and in accordance with 21 CFR part 1303.
3. Disposal of stocks. Upon obtaining a schedule II registration to
handle thiafentanil, and if subsequently, any person who does not
desire or is not able to maintain a schedule II registration must
surrender all quantities of currently held thiafentanil, or may
transfer all quantities of currently held thiafentanil to a person
registered with the DEA in accordance with 21 CFR part 1317, in
addition to all other applicable federal, state, local, and tribal
laws.
4. Security. Thiafentanil is subject to schedule II security
requirements and must be handled and stored pursuant to 21 U.S.C. 821
and 823, and in accordance with 21 CFR 1301.71-1301.93.
5. Labeling and Packaging. All labels, labeling, and packaging for
commercial containers of thiafentanil must comply with 21 U.S.C. 825
and 958(e), and be in accordance with 21 CFR part 1302. In addition,
thiafentanil is subject to additional labeling requirements provided by
FDA. Thiafentanil must be labeled, distributed, and promoted in
accordance with the Index entry of the new animal drug and the FDA may
remove a new animal drug from the Index if the conditions and
limitations of use have not been followed. 21 U.S.C. 360ccc-l(d)(l)(G);
(f)(l)(F). The labeling of an indexed new animal drug must prominently
state that the extra-label use of the product is prohibited. 21 U.S.C.
360ccc-l(h).
6. Inventory. Every DEA registrant who desires to possess any
quantity of thiafentanil must take an inventory of thiafentanil on
hand, pursuant to 21 U.S.C. 827 and 958, and in accordance with 21 CFR
1304.03, 1304.04, and 1304.11.
Any person who becomes registered with the DEA to handle
thiafentanil must take an initial inventory of all stocks of controlled
substances (including thiafentanil) 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.
After the initial inventory, every DEA registrant must take a new
inventory of all stocks of controlled substances (including
thiafentanil) 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.
7. Records and Reports. Every DEA registrant must maintain records
and submit reports for thiafentanil, or products containing
thiafentanil, pursuant to 21 U.S.C. 827 and 958(e), and in accordance
with 21 CFR parts 1304, 1312, and 1317.
8. Orders for thiafentanil. Every DEA registrant who distributes
thiafentanil is required to comply with order form requirements,
pursuant to 21 U.S.C. 828, and in accordance with 21 CFR part 1305.
9. Prescriptions and other dispensing. All prescriptions for
thiafentanil or products containing thiafentanil must comply with 21
U.S.C. 829, and be issued in accordance with 21 CFR parts 1306 and
1311, subpart C. Moreover, given that thiafentanil is not the subject
of an approved new drug application under the FDCA, and that it is only
allowed under the MUMS Act amendments to the FDCA to be marketed for
extremely limited use in minor species, DEA would not consider any
dispensing of thiafentanil for human use to be for a legitimate medical
purpose within the meaning of the CSA. Likewise, DEA would not consider
any dispensing of thiafentanil for animal use beyond the scope of the
drug's labeling authorized under the MUMS Act amendments to the FDCA to
be for a legitimate medical purpose within the meaning of the CSA.
10. Manufacturing and Distributing. In addition to the general
requirements of the CSA and DEA regulations that are applicable to
manufacturers and distributors of schedule II controlled substances,
such registrants should be advised that (consistent with the foregoing
considerations) any manufacturing or distribution of thiafentanil may
only be for the legitimate purposes consistent with the drug's labeling
authorized under the MUMS Act, or for research activities authorized by
the FDCA and CSA.
11. Importation and Exportation. All importation and exportation of
thiafentanil must be in compliance with 21 U.S.C. 952, 953, 957, and
958, and in accordance with 21 CFR part 1312.
12. Liability. Any activity involving thiafentanil not authorized
by, or in violation of, the CSA or its implementing regulations, is
unlawful, and may subject the person to administrative, civil, and/or
criminal sanctions.
Regulatory Analyses
Administrative Procedure Act
Public Law 114-89 was signed into law, amending 21 U.S.C. 811. This
amendment provides that in cases where a new drug is (1) approved or
indexed by the Department of Health and Human Services (HHS) and (2)
HHS recommends control in CSA schedule II-V, the DEA shall issue an
interim final rule scheduling the drug within 90 days. Additionally,
the law specifies that the rulemaking shall become immediately
effective as an interim final rule without requiring the DEA to
demonstrate good cause. Therefore, the DEA has determined that the
notice and comment requirements of section 553 of the APA, 5 U.S.C.
553, do not apply to this scheduling action.
Executive Orders 12866, Regulatory Planning and Review, and 13563,
Improving Regulation and Regulatory Review
In accordance with Public Law 114-89, this scheduling action is
subject to formal rulemaking procedures performed ``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 procedures
and criteria for scheduling a drug or other substance. Such actions are
exempt from review by the Office of Management and Budget (OMB)
pursuant to section 3(d)(1) of Executive Order 12866 and the principles
reaffirmed in Executive Order 13563.
Executive Order 12988, Civil Justice Reform
This regulation meets the applicable standards set forth in
sections 3(a) and 3(b)(2) of Executive Order 12988 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, Federalism
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 on the distribution of power
and
[[Page 58839]]
responsibilities among the various levels of government.
Executive Order 13175, Consultation and Coordination With Indian Tribal
Governments
This rule does not have tribal implications warranting the
application of Executive Order 13175. It 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
In accordance with 5 U.S.C. 603(a), ``[w]henever an agency is
required by [5 U.S.C. 553], or any other law, to publish general notice
of proposed rulemaking for any proposed rule, or publishes a notice of
proposed rulemaking for an interpretive rule involving the internal
revenue laws of the United States, the agency shall prepare and make
available for public comment an initial regulatory flexibility
analysis.'' As noted in the above discussion regarding applicability of
the Administrative Procedure Act, the DEA has determined that the
notice and comment requirements of section 553 of the APA, 5 U.S.C.
553, do not apply to this scheduling action. Consequently, the RFA does
not apply to this interim final rule.
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 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 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 U.S.-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
interim final rule to both Houses of Congress and to the Comptroller
General.
List of Subjects
21 CFR Part 1301
Administrative practice and procedure, Drug traffic control,
Security measures.
21 CFR Part 1305
Drug traffic control, Reporting and recordkeeping requirements.
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 parts 1301,
1305 and 1308 as follows:
PART 1301--REGISTRATION OF MANUFACTURERS, DISTRIBUTORS, AND
DISPENSERS OF CONTROLLED SUBSTANCES
0
1. The authority citation for 21 CFR part 1301 continues to read as
follows:
Authority: 21 U.S.C. 821, 822, 823, 824, 831, 871(b), 875, 877,
886a, 951, 952, 953, 956, 957, 958, 965.
0
2. In Sec. 1301.74, revise paragraph (g) to read as follows:
Sec. 1301.74 Other security controls for non-practitioners; narcotic
treatment programs and compounders for narcotic treatment programs.
* * * * *
(g) Before the initial distribution of thiafentanil, carfentanil,
etorphine hydrochloride and/or diprenorphine to any person, the
registrant must verify that the person is authorized to handle the
substance(s) by contacting the Drug Enforcement Administration.
* * * * *
0
3. In Sec. 1301.75, revise paragraph (e) to read as follows:
Sec. 1301.75 Physical security controls for practitioners.
* * * * *
(e) Thiafentanil, carfentanil, etorphine hydrochloride and
diprenorphine shall be stored in a safe or steel cabinet equivalent to
a U.S. Government Class V security container.
PART 1305--ORDERS FOR SCHEDULE I AND II CONTROLLED SUBSTANCES
0
4. The authority citation for 21 CFR part 1305 continues to read as
follows:
Authority: 21 U.S.C. 821, 828, 871(b), unless otherwise noted.
0
5. In Sec. 1305.07, revise the introductory text and paragraph (a) to
read as follows:
Sec. 1305.07 Special procedure for filling certain orders.
A supplier of thiafentanil, carfentanil, etorphine hydrochloride,
or diprenorphine, if he or she determines that the purchaser is a
veterinarian engaged in zoo and exotic animal practice, wildlife
management programs, or research, and is authorized by the
Administrator to handle these substances, may fill the order in
accordance with the procedures set forth in Sec. 1305.17 except that:
(a) A DEA Form 222 or an electronic order for thiafentanil,
carfentanil, etorphine hydrochloride, and diprenorphine must contain
only these substances in reasonable quantities.
* * * * *
0
6. In Sec. 1305.17, revise paragraph (d) to read as follows:
Sec. 1305.17 Preservation of DEA Forms 222.
* * * * *
(d) The supplier of thiafentanil, carfentanil, etorphine
hydrochloride, and diprenorphine must maintain DEA Forms 222 for these
substances separately from all other DEA Forms 222 and records required
to be maintained by the registrant.
PART 1308--SCHEDULES OF CONTROLLED SUBSTANCES
0
7. 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
8. In Sec. 1308.12, add paragraph (c)(29) to read as follows:
Sec. 1308.12 Schedule II.
* * * * *
(c) * * *
(29) Thiafentanil............................................... 9729
* * * * *
[[Page 58840]]
Dated: August 18, 2016.
Chuck Rosenberg,
Acting Administrator.
[FR Doc. 2016-20463 Filed 8-25-16; 8:45 am]
BILLING CODE 4410-09-P