Packaging, Storage, and Disposal Options To Enhance Opioid Safety-Exploring the Path Forward; Public Workshop; Request for Comments, 50429-50431 [2017-23535]

Download as PDF Federal Register / Vol. 82, No. 209 / Tuesday, October 31, 2017 / Notices 50429 Dated: October 25, 2017. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. DEPARTMENT OF HEALTH AND HUMAN SERVICES [FR Doc. 2017–23669 Filed 10–30–17; 8:45 am] [Docket No. FDA–2017–N–5897] References asabaliauskas on DSKBBXCHB2PROD with NOTICES (6) How can CDC support state and local health departments, traditional healthcare providers, not for profit health institutions, and professional healthcare partner organizations to ensure that evidence-based tobacco cessation interventions are integrated into primary and behavioral health care settings on a consistent and sustainable basis? (7) How can the public health sector most effectively maximize the impact of public and private insurance coverage of cessation treatments as part of efforts to ensure that all tobacco users have barrier-free access to these treatments? Final Immediately Dangerous to Life or Health (IDLH) Value Profiles 1. U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. 2. Xu X, Bishop EE, Kennedy SM, Simpson SA, Pechacek TF. Annual Healthcare Spending Attributable to Cigarette Smoking: An Update. American Journal of Preventive Medicine 2014;48(3):326– 33. 3. Babb S, Malarcher A, Schauer G, Asman K, Jamal A. Quitting Smoking Among Adults—United States, 2000–2015. MMWR Morb Mortal Wkly Rep 2017;65:1457–1464. 4. Siu AL; US Preventive Services Task Force. Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2015;163:622–34. ´ 5. Fiore MC, Jaen CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update—Clinical Practice Guidelines. Rockville (MD): U.S. Department of Health and Human Services, Public Health Service, Agency for Healthcare Research and Quality, 2008. 6. Jamal A, King BA, Neff LJ, Whitmill J, Babb SD, Graffunder CM. Current Cigarette Smoking Among Adults— United States, 2005–2015. MMWR Morb Mortal Wkly Rep 2016;65:1205–1211. 7. Institute of Medicine. Ending the Tobacco Problem: A Blueprint for the Nation. Washington: The National Academies Press, 2007. 8. Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, McAfee T, Peto R. 21st-century hazards of smoking and benefits of cessation in the United States. New England Journal of Medicine 2013;368(4):341–50. VerDate Sep<11>2014 17:37 Oct 30, 2017 Jkt 244001 Food and Drug Administration BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Packaging, Storage, and Disposal Options To Enhance Opioid Safety— Exploring the Path Forward; Public Workshop; Request for Comments AGENCY: Food and Drug Administration, HHS. Notice of public workshop; request for comments. ACTION: [CDC–2017–0048; Docket Number NIOSH– 156–C] National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). AGENCY: ACTION: Notice of availability. NIOSH announces the availability of the following four Immediately Dangerous to Life or Health (IDLH) Value Profile documents: Acetonitrile [CAS No. 75–05–8], Chloroacetonitrile [CAS No. 107–14–2], Methacrylonitrile [CAS No. 126–98–7], and Nitrogen dioxide [CAS No. 10102– 44–0]. SUMMARY: The final IDLH Value Profile documents were published on September 29, 2017. DATES: These documents may be obtained at the following link: https:// www.cdc.gov/niosh/idlh/default.html. ADDRESSES: R. Todd Niemeier, MS, CIH, NIOSH, Education and Information Division (EID), Robert A. Taft Laboratories, 1090 Tusculum Ave., MS–C32, Cincinnati, OH 45226, phone 513/533–8166 (not a toll-free number), email: rbn4@cdc.gov. FOR FURTHER INFORMATION CONTACT: On May 5, 2017, NIOSH published a request for public review in the Federal Register [82 FR 21239] on IDLH Value profiles. We did not receive public comments, but did receive peer and stakeholder comments. These comments received were reviewed and addressed where appropriate. SUPPLEMENTARY INFORMATION: Frank Hearl, Chief of Staff, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention. [FR Doc. 2017–23665 Filed 10–30–17; 8:45 am] BILLING CODE 4163–19–P PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 The Food and Drug Administration (FDA, the Agency, or we) is announcing the following public workshop entitled ‘‘Packaging, Storage, and Disposal Options To Enhance Opioid Safety—Exploring the Path Forward.’’ The purpose of this 2-day public workshop is to host a scientific discussion with experts and seek input from interested stakeholders regarding the role of packaging, storage, and disposal options within the larger landscape of activities aimed at addressing abuse, misuse, or inappropriate access of prescription opioid drug products (opioids); guiding principles and considerations for the design of packaging, storage, and disposal options for opioids; integrating packaging, storage, and disposal options into existing health care and pharmacy systems, including both open and closed health care systems (e.g., a closed system such as the U.S. Department of Veterans Affairs); data needs and how to address challenges in assessing the impact of packaging, storage, and disposal options in both the premarket and postmarket settings; and ways in which FDA could encourage the development and assessment of packaging, storage, and disposal options for opioids that have the potential to enhance opioid safety. DATES: The public workshop will be held on December 11 and 12, 2017, from 8:30 a.m. to 5 p.m. Submit either electronic or written comments on this public workshop by February 12, 2018. See the SUPPLEMENTARY INFORMATION section for registration date and information. SUMMARY: The public workshop will be held at the Sheraton Silver Spring Hotel, 8777 Georgia Ave., Silver Spring, MD 20910. The hotel’s phone number is 301–589–0800. You may submit comments as follows. Please note that late, untimely filed comments will not be considered. Electronic comments must be submitted on or before February 12, 2018. The ADDRESSES: E:\FR\FM\31OCN1.SGM 31OCN1 50430 Federal Register / Vol. 82, No. 209 / Tuesday, October 31, 2017 / Notices https://www.regulations.gov electronic filing system will accept comments until midnight Eastern Time at the end of February 12, 2018. Comments received by mail/hand delivery/courier (for written/paper submissions) will be considered timely if they are postmarked or the delivery service acceptance receipt is on or before that date. asabaliauskas on DSKBBXCHB2PROD with NOTICES Electronic Submissions Submit electronic comments in the following way: • Federal eRulemaking Portal: https://www.regulations.gov. Follow the instructions for submitting comments. Comments submitted electronically, including attachments, to https:// www.regulations.gov will be posted to the docket unchanged. Because your comment will be made public, you are solely responsible for ensuring that your comment does not include any confidential information that you or a third party may not wish to be posted, such as medical information, your or anyone else’s Social Security number, or confidential business information, such as a manufacturing process. Please note that if you include your name, contact information, or other information that identifies you in the body of your comments, that information will be posted on https://www.regulations.gov. • If you want to submit a comment with confidential information that you do not wish to be made available to the public, submit the comment as a written/paper submission and in the manner detailed (see ‘‘Written/Paper Submissions’’ and ‘‘Instructions’’). Written/Paper Submissions Submit written/paper submissions as follows: • Mail/Hand delivery/Courier (for written/paper submissions): Dockets Management Staff (HFA–305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. • For written/paper comments submitted to the Dockets Management Staff, FDA will post your comment, as well as any attachments, except for information submitted, marked and identified, as confidential, if submitted as detailed in ‘‘Instructions.’’ Instructions: All submissions received must include the Docket No. FDA– 2017–N–5897 for ‘‘Packaging, Storage, and Disposal Options To Enhance Opioid Safety—Exploring the Path Forward.’’ Received comments, those filed in a timely manner (see ADDRESSES), will be placed in the docket and, except for those submitted as ‘‘Confidential Submissions,’’ publicly viewable at https://www.regulations.gov VerDate Sep<11>2014 17:37 Oct 30, 2017 Jkt 244001 or at the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through Friday. • Confidential Submissions—To submit a comment with confidential information that you do not wish to be made publicly available, submit your comments only as a written/paper submission. You should submit two copies total. One copy will include the information you claim to be confidential with a heading or cover note that states ‘‘THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.’’ The Agency will review this copy, including the claimed confidential information, in its consideration of comments. The second copy, which will have the claimed confidential information redacted/blacked out, will be available for public viewing and posted on https://www.regulations.gov. Submit both copies to the Dockets Management Staff. If you do not wish your name and contact information to be made publicly available, you can provide this information on the cover sheet and not in the body of your comments and you must identify this information as ‘‘confidential.’’ Any information marked as ‘‘confidential’’ will not be disclosed except in accordance with 21 CFR 10.20 and other applicable disclosure law. For more information about FDA’s posting of comments to public dockets, see 80 FR 56469, September 18, 2015, or access the information at: https://www.gpo.gov/ fdsys/pkg/FR-2015-09-18/pdf/201523389.pdf. Docket: For access to the docket to read background documents or the electronic and written/paper comments received, go to https:// www.regulations.gov and insert the docket number, found in brackets in the heading of this document, into the ‘‘Search’’ box and follow the prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. FOR FURTHER INFORMATION CONTACT: Irene Z. Chan, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 4420, Silver Spring, MD 20993–0002, 301–796–3962, Irene.Chan2@fda.hhs.gov; or Michelle Eby, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 4422, Silver Spring, MD 20993– 0002, 301–796–4714, Michelle.Eby@ fda.hhs.gov. SUPPLEMENTARY INFORMATION: I. Background FDA is deeply concerned about the widespread epidemic of opioid abuse, dependence, and overdose in the United States. FDA believes packaging, storage, PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 and disposal options have the potential to enhance the safety of legally prescribed opioids. The development of such options is an important component of a multi-pronged approach to addressing the current opioid epidemic. FDA is exploring a scientific framework that supports and encourages the development of packaging, storage, and disposal options that can reduce or deter misuse, abuse, or inappropriate access to opioids, while allowing for the safe use of opioids by patients who need them. FDA will need to define the specific problems that packaging, storage, and disposal options could most effectively address; the guiding scientific principles to consider for the design and evaluation of these options; and the types of data most useful for evaluating them. The Duke-Margolis Center for Health Policy previously convened an expert workshop on June 1, 2017, to begin examining the potential role of packaging, storage, and disposal options in enhancing opioid safety and deterring misuse, abuse, and inappropriate access. This workshop provided a forum for discussing (1) the role of packaging, storage, and disposal options in addressing factors that enable opioid abuse and misuse or inappropriate access; (2) the current range of existing packaging, storage, and disposal options; (3) approaches to evaluating the impact of packaging, storage, and disposal options on misuse and abuse or inappropriate access of opioids; and (4) considerations for integrating the use of packaging, storage, and disposal options into existing health care and pharmacy systems. Following the June 1, 2017, Duke-Margolis Center for Health Policy expert workshop, an issues paper was developed.1 While the expert workshop and subsequent issues paper were supported through a cooperative agreement with FDA, the views expressed in the accompanying documents are those of the participants in attendance of that expert workshop, and do not necessarily reflect the official positions and policies of the Department of Health and Human Services, or imply endorsements by the U.S. Government or other organizations. II. Topics for Discussion at the Public Workshop In this 2-day public workshop, FDA plans to explore the appropriate path forward by hosting a scientific discussion with experts and seeking input from interested stakeholders. 1 https://healthpolicy.duke.edu/events/exploringpackaging-storage-and-disposal-solutions-enhanceopioid-safety. E:\FR\FM\31OCN1.SGM 31OCN1 Federal Register / Vol. 82, No. 209 / Tuesday, October 31, 2017 / Notices fda.hhs.gov no later than December 4, 2017. Public Participation in Scientific Workshop: Time will be provided during the discussion of each agenda topic for audience participants to provide comments if desired. Comments should be specific to the discussion topic, and the time provided will be at the discretion of the session chair. Streaming Webcast of the Public Workshop: This public workshop will also be webcast. Additional information will be made available regarding accessing the webcast 2 days prior to the public workshop at https:// www.fda.gov/Drugs/NewsEvents/ ucm571797.htm. Transcripts: Please be advised that as soon as a transcript of the public workshop is available, it will be accessible at https:// www.regulations.gov. It may be viewed at the Dockets Management Staff (see ADDRESSES). A link to the transcript will also be available on the internet at https://www.fda.gov/Drugs/NewsEvents/ ucm571797.htm. III. Participating in the Public Workshop asabaliauskas on DSKBBXCHB2PROD with NOTICES Further discussion is needed regarding (1) the role of packaging, storage, and disposal options within the larger landscape of activities aimed at addressing opioid abuse, misuse, or inappropriate access; (2) guiding principles and considerations for the design of packaging, storage, and disposal options for opioids; (3) integrating packaging, storage, and disposal options into existing health care and pharmacy systems, including both open and closed health care systems (e.g., a closed system such as the U.S. Department of Veterans Affairs); (4) data needs and how to address challenges in assessing the impact of packaging, storage, and disposal options in both the premarket and postmarket settings; and (5) ways in which FDA could encourage the development and assessment of packaging, storage, and disposal options for opioids that have the potential to enhance opioid safety. Participants will include individuals from a broad set of Federal, State, and private and public stakeholders who are working on the challenges of improving pain management while addressing the opioid abuse epidemic. Public participation and comment is encouraged. BILLING CODE 4164–01–P Registration: To register for the public workshop, ‘‘Packaging, Storage, and Disposal Options to Enhance Opioid Safety—Exploring the Path Forward,’’ please visit the following Web site to register: https:// nakamotoevents.wufoo.com/forms/ pads-task-force-public-meeting/. Please provide complete contact information for each attendee, including name, title, affiliation, address, email, and telephone. Registration is free and based on space availability, with priority given to early registrants. Persons interested in attending this public workshop must register by December 1, 2017, midnight Eastern Time. Early registration is recommended because seating is limited; therefore, FDA may limit the number of participants from each organization. Registrants will receive confirmation when they have been accepted. If time and space permit, onsite registration on the day of the public workshop will be provided beginning at 7:30 a.m. We will let registrants know if registration closes before the day of the public workshop. If you need special accommodations due to a disability, please contact Michelle Eby at Michelle.Eby@ DEPARTMENT OF HEALTH AND HUMAN SERVICES VerDate Sep<11>2014 17:37 Oct 30, 2017 Jkt 244001 Dated: October 11, 2017. Anna K. Abram, Deputy Commissioner for Policy, Planning, Legislation, and Analysis. [FR Doc. 2017–23535 Filed 10–30–17; 8:45 am] Food and Drug Administration [Docket No FDA–2008–D–0610] Agency Information Collection Activities; Proposed Collection; Comment Request; Guidance for Industry on Postmarketing Adverse Event Reporting for Medical Products and Dietary Supplements During an Influenza Pandemic AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA or the Agency) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, and to allow 60 days for public comment in response to the notice. This notice solicits comments on the information SUMMARY: PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 50431 collection in the guidance on ‘‘Postmarketing Adverse Event Reporting for Medical Products and Dietary Supplements During an Influenza Pandemic.’’ DATES: Submit either electronic or written comments on the collection of information by January 2, 2018. ADDRESSES: You may submit comments as follows. Please note that late, untimely filed comments will not be considered. Electronic comments must be submitted on or before January 2, 2018. The https://www.regulations.gov electronic filing system will accept comments until midnight Eastern Time at the end of January 2, 2018. Comments received by mail/hand delivery/courier (for written/paper submissions) will be considered timely if they are postmarked or the delivery service acceptance receipt is on or before that date. Electronic Submissions Submit electronic comments in the following way: • Federal eRulemaking Portal: https://www.regulations.gov. Follow the instructions for submitting comments. Comments submitted electronically, including attachments, to https:// www.regulations.gov will be posted to the docket unchanged. Because your comment will be made public, you are solely responsible for ensuring that your comment does not include any confidential information that you or a third party may not wish to be posted, such as medical information, your or anyone else’s Social Security number, or confidential business information, such as a manufacturing process. Please note that if you include your name, contact information, or other information that identifies you in the body of your comments, that information will be posted on https://www.regulations.gov. • If you want to submit a comment with confidential information that you do not wish to be made available to the public, submit the comment as a written/paper submission and in the manner detailed (see ‘‘Written/Paper Submissions’’ and ‘‘Instructions’’). Written/Paper Submissions Submit written/paper submissions as follows: • Mail/Hand delivery/Courier (for written/paper submissions): Dockets Management Staff (HFA–305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. • For written/paper comments submitted to the Dockets Management Staff, FDA will post your comment, as well as any attachments, except for E:\FR\FM\31OCN1.SGM 31OCN1

Agencies

[Federal Register Volume 82, Number 209 (Tuesday, October 31, 2017)]
[Notices]
[Pages 50429-50431]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-23535]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-N-5897]


Packaging, Storage, and Disposal Options To Enhance Opioid 
Safety--Exploring the Path Forward; Public Workshop; Request for 
Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop; request for comments.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA, the Agency, or we) is 
announcing the following public workshop entitled ``Packaging, Storage, 
and Disposal Options To Enhance Opioid Safety--Exploring the Path 
Forward.'' The purpose of this 2-day public workshop is to host a 
scientific discussion with experts and seek input from interested 
stakeholders regarding the role of packaging, storage, and disposal 
options within the larger landscape of activities aimed at addressing 
abuse, misuse, or inappropriate access of prescription opioid drug 
products (opioids); guiding principles and considerations for the 
design of packaging, storage, and disposal options for opioids; 
integrating packaging, storage, and disposal options into existing 
health care and pharmacy systems, including both open and closed health 
care systems (e.g., a closed system such as the U.S. Department of 
Veterans Affairs); data needs and how to address challenges in 
assessing the impact of packaging, storage, and disposal options in 
both the premarket and postmarket settings; and ways in which FDA could 
encourage the development and assessment of packaging, storage, and 
disposal options for opioids that have the potential to enhance opioid 
safety.

DATES: The public workshop will be held on December 11 and 12, 2017, 
from 8:30 a.m. to 5 p.m. Submit either electronic or written comments 
on this public workshop by February 12, 2018. See the SUPPLEMENTARY 
INFORMATION section for registration date and information.

ADDRESSES: The public workshop will be held at the Sheraton Silver 
Spring Hotel, 8777 Georgia Ave., Silver Spring, MD 20910. The hotel's 
phone number is 301-589-0800.
    You may submit comments as follows. Please note that late, untimely 
filed comments will not be considered. Electronic comments must be 
submitted on or before February 12, 2018. The

[[Page 50430]]

https://www.regulations.gov electronic filing system will accept 
comments until midnight Eastern Time at the end of February 12, 2018. 
Comments received by mail/hand delivery/courier (for written/paper 
submissions) will be considered timely if they are postmarked or the 
delivery service acceptance receipt is on or before that date.

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2017-N-5897 for ``Packaging, Storage, and Disposal Options To 
Enhance Opioid Safety--Exploring the Path Forward.'' Received comments, 
those filed in a timely manner (see ADDRESSES), will be placed in the 
docket and, except for those submitted as ``Confidential Submissions,'' 
publicly viewable at https://www.regulations.gov or at the Dockets 
Management Staff between 9 a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.gpo.gov/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Irene Z. Chan, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 4420, Silver 
Spring, MD 20993-0002, 301-796-3962, [email protected]; or 
Michelle Eby, Food and Drug Administration, 10903 New Hampshire Ave., 
Bldg. 22, Rm. 4422, Silver Spring, MD 20993-0002, 301-796-4714, 
[email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is deeply concerned about the widespread epidemic of opioid 
abuse, dependence, and overdose in the United States. FDA believes 
packaging, storage, and disposal options have the potential to enhance 
the safety of legally prescribed opioids. The development of such 
options is an important component of a multi-pronged approach to 
addressing the current opioid epidemic.
    FDA is exploring a scientific framework that supports and 
encourages the development of packaging, storage, and disposal options 
that can reduce or deter misuse, abuse, or inappropriate access to 
opioids, while allowing for the safe use of opioids by patients who 
need them. FDA will need to define the specific problems that 
packaging, storage, and disposal options could most effectively 
address; the guiding scientific principles to consider for the design 
and evaluation of these options; and the types of data most useful for 
evaluating them.
    The Duke-Margolis Center for Health Policy previously convened an 
expert workshop on June 1, 2017, to begin examining the potential role 
of packaging, storage, and disposal options in enhancing opioid safety 
and deterring misuse, abuse, and inappropriate access. This workshop 
provided a forum for discussing (1) the role of packaging, storage, and 
disposal options in addressing factors that enable opioid abuse and 
misuse or inappropriate access; (2) the current range of existing 
packaging, storage, and disposal options; (3) approaches to evaluating 
the impact of packaging, storage, and disposal options on misuse and 
abuse or inappropriate access of opioids; and (4) considerations for 
integrating the use of packaging, storage, and disposal options into 
existing health care and pharmacy systems. Following the June 1, 2017, 
Duke-Margolis Center for Health Policy expert workshop, an issues paper 
was developed.\1\ While the expert workshop and subsequent issues paper 
were supported through a cooperative agreement with FDA, the views 
expressed in the accompanying documents are those of the participants 
in attendance of that expert workshop, and do not necessarily reflect 
the official positions and policies of the Department of Health and 
Human Services, or imply endorsements by the U.S. Government or other 
organizations.
---------------------------------------------------------------------------

    \1\ https://healthpolicy.duke.edu/events/exploring-packaging-storage-and-disposal-solutions-enhance-opioid-safety.
---------------------------------------------------------------------------

II. Topics for Discussion at the Public Workshop

    In this 2-day public workshop, FDA plans to explore the appropriate 
path forward by hosting a scientific discussion with experts and 
seeking input from interested stakeholders.

[[Page 50431]]

Further discussion is needed regarding (1) the role of packaging, 
storage, and disposal options within the larger landscape of activities 
aimed at addressing opioid abuse, misuse, or inappropriate access; (2) 
guiding principles and considerations for the design of packaging, 
storage, and disposal options for opioids; (3) integrating packaging, 
storage, and disposal options into existing health care and pharmacy 
systems, including both open and closed health care systems (e.g., a 
closed system such as the U.S. Department of Veterans Affairs); (4) 
data needs and how to address challenges in assessing the impact of 
packaging, storage, and disposal options in both the premarket and 
postmarket settings; and (5) ways in which FDA could encourage the 
development and assessment of packaging, storage, and disposal options 
for opioids that have the potential to enhance opioid safety.
    Participants will include individuals from a broad set of Federal, 
State, and private and public stakeholders who are working on the 
challenges of improving pain management while addressing the opioid 
abuse epidemic. Public participation and comment is encouraged.

III. Participating in the Public Workshop

    Registration: To register for the public workshop, ``Packaging, 
Storage, and Disposal Options to Enhance Opioid Safety--Exploring the 
Path Forward,'' please visit the following Web site to register: 
https://nakamotoevents.wufoo.com/forms/pads-task-force-public-meeting/. 
Please provide complete contact information for each attendee, 
including name, title, affiliation, address, email, and telephone.
    Registration is free and based on space availability, with priority 
given to early registrants. Persons interested in attending this public 
workshop must register by December 1, 2017, midnight Eastern Time. 
Early registration is recommended because seating is limited; 
therefore, FDA may limit the number of participants from each 
organization. Registrants will receive confirmation when they have been 
accepted. If time and space permit, onsite registration on the day of 
the public workshop will be provided beginning at 7:30 a.m. We will let 
registrants know if registration closes before the day of the public 
workshop.
    If you need special accommodations due to a disability, please 
contact Michelle Eby at [email protected] no later than December 
4, 2017.
    Public Participation in Scientific Workshop: Time will be provided 
during the discussion of each agenda topic for audience participants to 
provide comments if desired. Comments should be specific to the 
discussion topic, and the time provided will be at the discretion of 
the session chair.
    Streaming Webcast of the Public Workshop: This public workshop will 
also be webcast. Additional information will be made available 
regarding accessing the webcast 2 days prior to the public workshop at 
https://www.fda.gov/Drugs/NewsEvents/ucm571797.htm.
    Transcripts: Please be advised that as soon as a transcript of the 
public workshop is available, it will be accessible at https://www.regulations.gov. It may be viewed at the Dockets Management Staff 
(see ADDRESSES). A link to the transcript will also be available on the 
internet at https://www.fda.gov/Drugs/NewsEvents/ucm571797.htm.

    Dated: October 11, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-23535 Filed 10-30-17; 8:45 am]
 BILLING CODE 4164-01-P


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