Established Aggregate Production Quotas for Schedule I and II Controlled Substances and Assessment of Annual Needs for the List I Chemicals Ephedrine, Pseudoephedrine, and Phenylpropanolamine for 2019, 67348-67354 [2018-28108]
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Federal Register / Vol. 83, No. 248 / Friday, December 28, 2018 / Notices
inspection at the Office of the Secretary
and on EDIS.
The authority for the Commission’s
determination is contained in section
337 of the Tariff Act of 1930, as
amended (19 U.S.C. 1337), and in part
210 of the Commission’s Rules of
Practice and Procedure (19 CFR part
210).
By order of the Commission.
Issued: December 20, 2018.
Lisa Barton,
Secretary to the Commission.
[FR Doc. 2018–28175 Filed 12–27–18; 8:45 am]
BILLING CODE 7020–02–P
JUDICIAL CONFERENCE OF THE
UNITED STATES
Hearing of the Judicial Conference
Advisory Committee on the Federal
Rules of Evidence
The Advisory Committee on
the Federal Rules of Evidence, Judicial
Conference of the United States.
ACTION: Notice of cancellation of public
hearing.
AGENCY:
The January 18, 2019 public
hearing in Washington, DC, on proposed
amendments to the Evidence Rules has
been canceled.
FOR FURTHER INFORMATION CONTACT:
Rebecca A. Womeldorf, Rules
Committee Secretary, Rules Committee
Staff, Administrative Office of the
United States Courts, Washington, DC
20544, telephone (202) 502–1820.
SUPPLEMENTARY INFORMATION:
Announcements for this hearing were
previously published in 83 FR 39463
and 83 FR44305.
SUMMARY:
Dated: December 20, 2018.
Rebecca A. Womeldorf,
Rules Committee Secretary.
[FR Doc. 2018–28160 Filed 12–27–18; 8:45 am]
BILLING CODE 2210–55–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
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[Docket No. DEA–488E]
Established Aggregate Production
Quotas for Schedule I and II Controlled
Substances and Assessment of
Annual Needs for the List I Chemicals
Ephedrine, Pseudoephedrine, and
Phenylpropanolamine for 2019
Drug Enforcement
Administration, Department of Justice.
ACTION: Final order.
AGENCY:
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This final order establishes
the initial 2019 aggregate production
quotas for controlled substances in
schedules I and II of the Controlled
Substances Act and the assessment of
annual needs for the list I chemicals
ephedrine, pseudoephedrine, and
phenylpropanolamine.
DATES: Valid December 28, 2018.
FOR FURTHER INFORMATION CONTACT:
Kathy L. Federico, Regulatory Drafting
and Policy Support Section (DPW),
Diversion Control Division, Drug
Enforcement Administration, 8701
Morrissette Drive, Springfield, VA
22152, Telephone: (202) 598–6812.
SUPPLEMENTARY INFORMATION:
SUMMARY:
Legal Authority
Section 306 of the Controlled
Substances Act (CSA) (21 U.S.C. 826)
requires the Attorney General to
establish aggregate production quotas
for each basic class of controlled
substance listed in schedules I and II
and for the list I chemicals ephedrine,
pseudoephedrine, and
phenylpropanolamine. The Attorney
General has delegated this function to
the Administrator of the DEA pursuant
to 28 CFR 0.100.
Background
The 2019 aggregate production quotas
and assessment of annual needs
represent those quantities of schedule I
and II controlled substances and the list
I chemicals ephedrine,
pseudoephedrine, and
phenylpropanolamine that may be
manufactured in the United States in
2019 to provide for the estimated
medical, scientific, research, and
industrial needs of the United States, for
lawful export requirements, and for the
establishment and maintenance of
reserve stocks. These quotas include
imports of ephedrine, pseudoephedrine,
and phenylpropanolamine, but do not
include imports of controlled
substances for use in industrial
processes.
On August 20, 2018, the DEA
published a notice titled ‘‘Proposed
Aggregate Production Quotas for
Schedule I and II Controlled Substances
and Assessment of Annual Needs for the
List I Chemicals Ephedrine,
Pseudoephedrine, and
Phenylpropanolamine for 2019’’ in the
Federal Register. 83 FR 42164. This
notice proposed the 2019 aggregate
production quotas for each basic class of
controlled substance listed in schedules
I and II and the 2019 assessment of
annual needs for the list I chemicals
ephedrine, pseudoephedrine, and
phenylpropanolamine. All interested
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persons were invited to comment on or
object to the proposed aggregate
production quotas and the proposed
assessment of annual needs on or before
September 19, 2018.
Comments Received
The DEA received 48 comments from
professional organizations, patients,
associations, universities, Senators,
State Attorneys General, a doctor, DEA
registered entities, and non-DEA
entities. The comments included
concerns about the quota process,
shortages, prescriptions, diversion,
marihuana, requests for a hearing,
requests for increase in specific
production quotas, and other comments
that are outside the scope of the notice.
Quota Process
There were eight commenters that
expressed concerns about the quota
process. Some of these commenters
requested that the DEA consider
information from the Department of
Health and Human Services (HHS) and
the Food and Drug Administration
(FDA) to determine the aggregate
production quota. Other commenters
stated that the DEA did not consider the
factors contained in the Controlled
Substances Quotas Final Rule published
on July 16, 2018, 83 FR 32784, to
determine the 2019 aggregate
production quota.
The DEA has obtained and considered
relevant information from the FDA. The
information the DEA received included
the observed and estimated domestic
usage of 26 schedule II controlled
substances, new drug applications and
abbreviated drug application approvals,
and clinical trials for schedule I and II
controlled substances.
Regarding the Final Rule published
on July 16, 2018, 83 FR 32784, the DEA
amended the factors set forth in 21 CFR
1303.11 to be considered when setting
the aggregate production quotas to
include the extent of diversion of the
controlled substances in each class, and
relevant information obtained from the
HHS, the FDA, the Centers for Disease
Control and Prevention (CDC), the
Centers for Medicare and Medicaid
Services (CMS), and the states.
The DEA has solicited the states and
federal partners to obtain relevant
information to be considered when
setting the aggregate production quota
pursuant to 21 CFR 1303.11 and this
information will be considered for the
2019 proposed adjustments to the
aggregate production quota. The DEA
will continue to solicit information from
the states for the 2020 aggregate
production quotas and the years to
follow.
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However, the DEA is obligated to
issue individual production and
procurement quotas sufficiently in
advance of the upcoming year to allow
manufacturers to prepare for the
legitimate needs of the United States.
The DEA may not issue individual
production and procurement quotas
until the aggregate production quotas
have been established. As a result of
these obligations under the CSA, the
DEA was not able to obtain and consider
the amended factors set forth in Final
Rule, 83 FR 32784, for the purpose of
issuing the 2019 proposed aggregate
production quota.
The DEA has a fluid process for
setting quotas which allows the agency
to make necessary quota adjustments.
The process involves setting the
proposed aggregate production quotas
for a calendar year, and, following the
review of any comments, the issuance of
a Final Order to establish the aggregate
production quota. Later in the process,
the DEA issues a Proposed Adjustment
to the aggregate production quota, and
following the review of any comments,
DEA issues a final order setting the
Final Adjusted Aggregate Production
Quotas. The DEA will consider the
additional information received in the
course of preparing proposed
amendments and the final 2019 adjusted
aggregate production quota.
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Shortages
There were 28 commenters that
expressed concerns about the decrease
in certain aggregate production quotas.
These commenters alleged that
decreases to the aggregate production
quotas have resulted in a shortage of
injectable opioid medications and
interfere with the treatment of patients.
Some of these commenters also
suggested that the DEA separate quotas
for solid oral controlled substances and
injectable controlled substances, and
that DEA allow consideration by
individual pharmaceutical dosage
forms.
The DEA is committed to ensuring an
adequate and uninterrupted supply of
controlled substances in order to meet
legitimate medical, scientific, and
export needs of the United States.
Although the DEA sets the aggregate
production quota, it is possible that
manufacturers’ business practices may
lead to a shortage of controlled
substances at the consumer level,
despite the adequacy of the aggregate
production quota set by DEA. The
aggregate production quotas are set by
the DEA in a manner to include both
injectable opioids and solid oral opioids
in order to ensure that the estimated
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medical needs of the United States are
met.
Notably, at the time of the proposed
aggregate production quota, 21 U.S.C.
826(a) provided that ‘‘production quotas
shall be established in terms of
quantities of each basic class of
controlled substance and not in terms of
individual pharmaceutical dosage forms
prepared from or containing such a
controlled substance.’’ On October 24,
2018, the President signed into law the
SUPPORT for Patients and Communities
Act of 2018, (Pub. L. 115–271), which
now allows but does not require the
DEA to grant quotas in terms of dosage
forms if the agency determines that
doing so will assist in avoiding the
overproduction, shortages, or diversion
of a controlled substance. DEA will be
evaluating these issues over time.
Furthermore, the DEA and the FDA
can coordinate efforts to prevent or
alleviate drug shortages pursuant to 21
U.S.C. 826a(2). For example, the
asserted domestic shortage of injectable
controlled substances was alleviated
through the FDA and the DEA
collaboration to get specific injectable
controlled substances imported into the
United States.
Transparency
Two Senators submitted a joint
comment supporting the DEA’s efforts
to address the opioid crisis, but
expressed concerns that the aggregate
production quota for schedule II opioids
remains too high. These commenters
also requested a transparent explanation
of the analysis and specific
considerations that the DEA considered
when establishing the 2019 quotas for
schedule II opioids.
The DEA continues to address the
opioid crisis through initiatives such as
the President’s Safer Prescribing Plan,
which seeks to reduce nationwide
opioid prescription fills by one-third
within three years. The DEA has
observed a decline in the number of
prescriptions written for schedule II
opioids since 2014 and will continue to
set aggregate production quotas to meet
the medical needs of the United States
while combating the opioid crisis.
In determining the aggregate
production quota, the DEA took into
account the data regarding the number
of prescriptions that have been issued
and an analysis of the factors as then set
forth in 21 CFR 1303.11. The specific
information that was obtained and
considered included an analysis of sales
data from databases such as Automation
of Reports and Consolidated Orders
System (ARCOS) and IQVIA; in addition
to FDA forecasts and projections,
historical total market sales data,
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products entering and exiting the
market, expected product development,
expected exports, inventory data, theft
and loss data, and company forecasts.
As a result, the final aggregate
production quota for several opioids are
decreased from the proposed initial
2019 levels. These decreases take into
account the combined efforts of the the
DEA, the FDA, and the CDC enforcing
regulations and issuing guidance
documents as well as many states
enacting prescription monitoring
database programs to stem the opiate/
opioid epidemic.
Quotas and Prescriptions
Eleven State Attorneys General
submitted a joint comment recognizing
DEA’s efforts to combat the opioid
epidemic and expressed concerns about
excessive quotas for opioids. These
commenters also expressed concerns
about overprescribing and referenced
various studies. The referenced material
cited in these comments also discuss
patients who divert their prescriptions
by sharing their prescriptions with
others.
The DEA continues to address the
opioid crisis through laws, regulations,
and initiatives such as the Safer
Prescribing Plan. The Safer Prescribing
Plan seeks to reduce nationwide opioid
prescription fills by one-third within
three years. The DEA has observed a
decline for certain prescriptions written
for schedule II opioids since 2014 which
can be attributed to federal and state
government activities and interventions,
including the implementation of
Prescription Drug Monitoring Programs,
enforcement of current regulations, and
guidance documents such as the CDC
Guidelines for Prescribing Opioids for
Chronic Pain—United States, March
2016. The DEA will continue to address
the opioid crisis while ensuring an
adequate and uninterrupted supply of
controlled substances in order to meet
the demand of legitimate medical,
scientific, and export needs of the
United States.
The DEA sets aggregate production
quotas in a manner to ensure that all
prescriptions that are authorized for
legitimate medical purposes can be
filled. Prescribers who are authorized to
dispense controlled substances are
responsible for adhering to the laws and
regulations set forth under the CSA,
which requires doctors to only write
prescriptions for legitimate medical
needs. Any practitioner issuing an
invalid prescription for controlled
substances and any pharmacy filling
such a prescription would be in
violation of the CSA.
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Upon review of the studies, DEA has
determined that they are insufficient to
support a reduction in the aggregate
production quotas. The studies have
found, with respect to a variety of
medical procedures, that physicians
prescribe more controlled substances for
post-operative pain than the patients
utilize. However, the DEA has
concluded that while the referenced
studies are concerning, they are
insufficient to support a determination
as to the level of overprescribing that
occurs across the range of the medical
procedures that are performed each year
on a national basis.
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Including Diversion in Quotas
Eleven State Attorneys General and
three other commenters expressed
concerns about DEA’s ability to account
for diversion when setting the aggregate
production quotas.
The factors that DEA considers in
setting the aggregate production quotas
were amended in a Final Rule published
on July 16, 2018, 83 FR 32784, to
include the extent of any diversion of
the controlled substances in the class,
which will strengthen DEA’s ability to
reduce the likelihood of the diversion of
controlled substances. When setting the
established aggregate production quota,
the DEA accounted for diversion by
analyzing information such as, reports
of controlled substance thefts and
losses, and seizure data that are
captured through internal DEA
databases and will continue to do so
when setting future aggregate
production quotas. The DEA will also
consider information obtained from
CMS, CDC, FDA, and the states which
may include diversion data to be
considered for the adjusted aggregate
production quota.
Marihuana
Seven commenters expressed their
support for the increase in the
production quota of marihuana. Three
of those commenters expressed
concerns about approval of applications
for registration to manufacture (grow)
marihuana. The DEA increased the
production quota for marihuana based
solely on increased usage projections for
federally approved research projects.
The DEA continues to review
applications for registration and
registers the number of bulk
manufacturers of a controlled substance
that is necessary to produce an adequate
and uninterrupted supply.
Hearings
Two commenters urged DEA to hold
a public hearing. One of the commenters
stated that the DEA should have a
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hearing to gather stakeholder feedback
on how the DEA can help address the
opioid epidemic while ensuring an
adequate supply of opioids for clinically
appropriate care. The second
commenter stated that the DEA should
hold a hearing to enable stakeholders to
express their views about the proposed
reductions.
Under the DEA regulations, the
decision of whether to grant this type of
a hearing on the issues raised by the
commenters lies solely within the
discretion of the Administrator. (21 CFR
1303.11(c) and 21 CFR 1303.13 (c)). I
find that neither of the foregoing two
requests presented any evidence that
would lead me to conclude that a
hearing is necessary or warranted.
Therefore, I decline to order a hearing
on the issues presented by the
commenters.
Specific Quota for DEA-Registered
Manufacturers
The DEA received comments from
four DEA-registered manufacturers
regarding thirty-three different schedule
I and II controlled substances. These
commenters stated the proposed
aggregate production quotas for 3methyl fentanyl, 4–ANPP, acetyl
fentanyl, acryl fentanyl, betahydroxythiofentanyl, butyrl fentanyl,
carfentanil, cyclopentyl fentanyl,
cyclopropyl fentanyl, d-amphetamine
(for sale), d,l-amphetamine, difenoxylate
(for sale), fentanyl, fentanyl related
substances, furanyl fentanyl, gamma
hydroxybutyric acid, isobytyryl
fentanyl, levorphanol, methoxyacetyl
fentanyl, noroxymorphone (for
conversion), ocfentanil, opium
(powder), oxycodone (for sale), parachloroisobutyryl fentanyl, parafluorofentanyl, para-fluorobutyryl
fentanyl, para-methyoxybutyrl fentanyl,
remifentanil, sufentanil,
tetrahydrofuranyl fentanyl, thebaine, U–
47700, and valeryl fentanyl were
potentially insufficient to provide for
the estimated medical, scientific,
research, and industrial needs of the
United States, export requirements, and
the establishment and maintenance of
reserve stocks.
The DEA has considered the
comments for specific controlled
substances and made adjustments as
needed which are described below in
the section titled Determination of 2019
Aggregate Production Quotas and
Assessment of Annual Needs. The DEA
did not receive any comments to the
proposed established 2019 assessment
of annual needs for ephedrine,
pseudoephedrine, and
phenylpropanolamine.
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Out of Scope
The DEA received seven comments
which addressed issues that are outside
the scope of this final order. The
comments were general in nature and
raised issues of specific medical
illnesses, medical treatments, and
medication costs and, therefore, are
outside of the scope of this Final Order,
and do not impact the original analysis
involved in establishing the 2019
aggregate production quotas.
Determination of 2019 Aggregate
Production Quotas and Assessment of
Annual Needs
In determining the 2019 aggregate
production quotas and assessment of
annual needs, the DEA has taken into
consideration the above comments
along with the factors previously set
forth in 21 CFR 1303.11 (as described
above) and 21 CFR 1315.11, in
accordance with 21 U.S.C. 826(a), and
other relevant factors, including the
2018 manufacturing quotas, current
2018 sales and inventories, anticipated
2019 export requirements, industrial
use, additional applications for 2019
quotas, as well as information on
research and product development
requirements.
Based on all of the above, the
Administrator is establishing the 2019
aggregate production quotas. These
quotas are lower for codeine (for sale),
codeine (for conversion), hydrocodone
(for sale), morphine (for sale), and
oxycodone (for sale); higher for
cyclopentyl fentanyl, methoxyacetyl
fentanyl, N-ethlypentylone (ephylone),
para-methyoxybutyryl fentanyl, and
para-chloroisobutyryl fentanyl due to
their temporarily controlled status;
higher for amphetamine (for conversion)
based on increased usage forecasted by
the FDA and its use in the treatment of
Attention Deficit Hyperactivity
Disorder; higher for levorphanol based
on manufacturers’ ongoing product
development activities necessary for the
FDA approval process; and higher for
opium powder and sufentanil based on
manufacturers’ projected exports.
Regarding 3-methylfentanyl, 4–ANPP,
acetyl fentanyl, acryl fentanyl, betahydroxythiofentanyl, butyryl fentanyl,
carfentanil, cyclopropyl fentanyl, damphetamine (for sale), d,lamphetamine, difenoxylate (for sale),
fentanyl, fentanyl related substances,
furanyl fentanyl, gamma hydroxybutyric
acid, isobutyryl fentanyl,
noroxymorphone (for conversion),
ocfentanil, para-fluorofentanyl, parafluorobutyrl fentanyyl, remifentanil,
tetrahydrofuranyl fentanyl, thebaine, U–
47700, and valeryl fentanyl, the DEA
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has determined the proposed aggregate
production quotas and assessment of
annual needs are sufficient to provide
for the 2019 estimated medical,
scientific, research, industrial needs of
the United States, export requirements,
and the establishment and maintenance
of reserve stocks. This final order
establishes these aggregate production
quotas and assessment of annual needs
at the same amounts as proposed.
In accordance with 21 U.S.C. 826, 21
CFR 1303.11, and 21 CFR 1315.11, the
Administrator hereby establishes the
2019 aggregate production quotas for the
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following schedule I and II controlled
substances and the 2019 assessment of
annual needs for the list I chemicals
ephedrine, pseudoephedrine, and
phenylpropanolamine, expressed in
grams of anhydrous acid or base, as
follows:
Established
2019 quotas
(g)
Basic class
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Schedule I
1-[1-(2-Thienyl)cyclohexyl]pyrrolidine ..............................................................................................................................................
1-(1-Phenylcyclohexyl)pyrrolidine ....................................................................................................................................................
1-(2-Phenylethyl)-4-phenyl-4-acetoxypiperidine ..............................................................................................................................
1-(5-Fluoropentyl)-3-(1-naphthoyl) indole (AM2201) .......................................................................................................................
1-(5-Fluoropentyl)-3-(2-iodobenzoyl) indole (AM–694) ...................................................................................................................
1-Benzylpiperazine ..........................................................................................................................................................................
1-Methyl-4-phenyl-4-propionoxypiperidine .......................................................................................................................................
1-[1-(2-Thienyl)cyclohexyl]piperidine ...............................................................................................................................................
2-(2,5-Dimethoxy-4-ethylphenyl)ethanamine (2C-E) .......................................................................................................................
2-(2,5-Dimethoxy-4-methylphenyl)ethanamine (2C-D) ....................................................................................................................
2-(2,5-Dimethoxy-4-nitro-phenyl)ethanamine (2C-N) ......................................................................................................................
2-(2,5-Dimethoxy-4-(n)-propylphenyl)ethanamine (2C-P) ...............................................................................................................
2-(2,5-Dimethoxyphenyl)ethanamine (2C-H) ...................................................................................................................................
2-(4-Bromo-2,5-dimethoxyphenyl)-N-(2-methoxybenzyl) ethanamine (25B-NBOMe; 2C-B-NBOMe; 25B; Cimbi-36) ...................
2-(4-Chloro-2,5-dimethoxyphenyl)ethanamine (2C-C) ....................................................................................................................
2-(4-Chloro-2,5-dimethoxyphenyl)-N-(2-methoxybenzyl)ethanamine (25C-NBOMe; 2C-C-NBOMe; 25C; Cimbi-82) ....................
2-(4-Iodo-2,5-dimethoxyphenyl)ethanamine (2C-I) ..........................................................................................................................
2-(4-Iodo-2,5-dimethoxyphenyl)-N-(2-methoxybenzyl) ethanamine (25I-NBOMe; 2C-I-NBOMe; 25I; Cimbi-5) .............................
2,5-Dimethoxy-4-ethylamphetamine (DOET) ..................................................................................................................................
2,5-Dimethoxy-4-(n)-propylthiophenethylamine ...............................................................................................................................
2,5-Dimethoxyamphetamine ............................................................................................................................................................
2-[4-(Ethylthio)-2,5-dimethoxyphenyl]ethanamine (2C-T-2) ............................................................................................................
2-[4-(Isopropylthio)-2,5-dimethoxyphenyl]ethanamine (2C-T-4) ......................................................................................................
3,4,5-Trimethoxyamphetamine ........................................................................................................................................................
3,4-Methylenedioxyamphetamine (MDA) ........................................................................................................................................
3,4-Methylenedioxymethamphetamine (MDMA) .............................................................................................................................
3,4-Methylenedioxy-N-ethylamphetamine (MDEA) .........................................................................................................................
3,4-Methylenedioxy-N-methylcathinone (methylone) ......................................................................................................................
3,4-Methylenedioxypyrovalerone (MDPV) .......................................................................................................................................
3-FMC; 3-Fluoro-N-methylcathinone ...............................................................................................................................................
3-Methylfentanyl ...............................................................................................................................................................................
3-Methylthiofentanyl .........................................................................................................................................................................
4-Bromo-2,5-dimethoxyamphetamine (DOB) ..................................................................................................................................
4-Bromo-2,5-dimethoxyphenethylamine (2-CB) ..............................................................................................................................
1-(4-Cyanobutyl)-N-(2-phenylpropan-2-yl)-1H-indazole-3-carboximide ...........................................................................................
4-Fluoroisobutyryl fentanyl ...............................................................................................................................................................
4-FMC; Flephedrone ........................................................................................................................................................................
4-MEC; 4-Methyl-N-ethylcathinone ..................................................................................................................................................
4-Methoxyamphetamine ..................................................................................................................................................................
4-Methyl-2,5-dimethoxyamphetamine (DOM) ..................................................................................................................................
4-Methylaminorex ............................................................................................................................................................................
4-Methyl-N-methylcathinone (mephedrone) ....................................................................................................................................
4-Methyl-a-pyrrolidinopropiophenone (4-MePPP) ...........................................................................................................................
5-(1,1-Dimethylheptyl)-2-[(1R,3S)-3-hydroxycyclohexyl]-phenol .....................................................................................................
5-(1,1-Dimethyloctyl)-2-[(1R,3S)-3-hydroxycyclohexyl]-phenol (cannabicyclohexanol or CP-47,497 C8-homolog) .......................
N-(1-Amino-3-methyl-1-oxobutan-2-yl)-1-(5-fluoropentyl)-1H-indazole-3-carboxamide ..................................................................
1-(5-Fluoropentyl)-N-(2-phenylpropan-2-yl)-1H-pyrrolo[2,3-b]pyridine-3-carboxamide ...................................................................
5F-ADB; 5F-MDMB-PINACA (methyl 2-(1-(5-fluoropentyl)-1H-indazole-3-carboxamido)-3,3-dimethylbutanoate) ........................
5F-AMB (methyl 2-(1-(5-fluoropentyl)-1H-indazole-3-carboxamido)-3-methylbutanoate) ...............................................................
5F-APINACA; 5F-AKB48 (N-(adamantan-1-yl)-1-(5-fluoropentyl)-1H-indazole-3-carboxamide) ....................................................
5-Fluoro-PB-22; 5F-PB-22 ...............................................................................................................................................................
5-Fluoro-UR144, XLR11 ([1-(5-fluoro-pentyl)-1Hindol- ...................................................................................................................
3-yl](2,2,3,3-tetramethylcyclopropyl)methanone ..............................................................................................................................
5-Methoxy-3,4-methylenedioxyamphetamine ..................................................................................................................................
5-Methoxy-N-N-diisopropyltryptamine .............................................................................................................................................
5-Methoxy-N-N-dimethyltryptamine .................................................................................................................................................
AB-CHMINACA ................................................................................................................................................................................
AB-FUBINACA .................................................................................................................................................................................
AB-PINACA ......................................................................................................................................................................................
ADB-FUBINACA (N-(1-amino-3,3-dimethyl-1-oxobutan-2-yl)-1-(4-fluorobenzyl)-1H-indazole-3-carboxamide) ..............................
Acetyl Fentanyl ................................................................................................................................................................................
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30
30
55
50
40
40
35
25
30
30
30
25
25
30
25
25
150
25
25
45
25
50
40
25
25
30
30
30
20
25
25
25
25
30
50
30
30
100
67352
Federal Register / Vol. 83, No. 248 / Friday, December 28, 2018 / Notices
Established
2019 quotas
(g)
amozie on DSK3GDR082PROD with NOTICES1
Basic class
Acetyl-alpha-methylfentanyl .............................................................................................................................................................
Acetyldihydrocodeine .......................................................................................................................................................................
Acetylmethadol ................................................................................................................................................................................
Acryl Fentanyl ..................................................................................................................................................................................
ADB-PINACA (N-(1-amino-3,3-dimethyl-1-oxobutan-2-yl)-1-pentyl-1H-indazole-3-carboxamide) ..................................................
AH-7921 ...........................................................................................................................................................................................
Allylprodine ......................................................................................................................................................................................
Alphacetylmethadol ..........................................................................................................................................................................
alpha-Ethyltryptamine ......................................................................................................................................................................
Alphameprodine ...............................................................................................................................................................................
Alphamethadol .................................................................................................................................................................................
alpha-Methylfentanyl ........................................................................................................................................................................
alpha-Methylthiofentanyl ..................................................................................................................................................................
alpha-Methyltryptamine (AMT) ........................................................................................................................................................
alpha-Pyrrolidinobutiophenone (a-PBP) ..........................................................................................................................................
alpha-Pyrrolidinopentiophenone (a-PVP) ........................................................................................................................................
Aminorex ..........................................................................................................................................................................................
Anileridine ........................................................................................................................................................................................
APINACA, AKB48 (N-(1-adamantyl)-1-pentyl-1H-indazole-3-carboxamide) ...................................................................................
Benzylmorphine ...............................................................................................................................................................................
Betacetylmethadol ...........................................................................................................................................................................
beta-Hydroxy-3-methylfentanyl ........................................................................................................................................................
beta-Hydroxyfentanyl .......................................................................................................................................................................
beta-Hydroxythiofentanyl .................................................................................................................................................................
Betameprodine .................................................................................................................................................................................
Betamethadol ...................................................................................................................................................................................
Betaprodine ......................................................................................................................................................................................
Bufotenine ........................................................................................................................................................................................
Butylone ...........................................................................................................................................................................................
Butyryl Fentanyl ...............................................................................................................................................................................
Cathinone .........................................................................................................................................................................................
Codeine methylbromide ...................................................................................................................................................................
Codeine-N-oxide ..............................................................................................................................................................................
Cyclopentyl Fentanyl .......................................................................................................................................................................
Cyclopropyl Fentanyl .......................................................................................................................................................................
Desomorphine ..................................................................................................................................................................................
Diampromide ....................................................................................................................................................................................
Diethylthiambutene ..........................................................................................................................................................................
Diethyltryptamine .............................................................................................................................................................................
Difenoxin ..........................................................................................................................................................................................
Dihydromorphine ..............................................................................................................................................................................
Dimethyltryptamine ..........................................................................................................................................................................
Dipipanone .......................................................................................................................................................................................
Etorphine ..........................................................................................................................................................................................
Fenethylline ......................................................................................................................................................................................
Fentanyl related substances ............................................................................................................................................................
Furanyl Fentanyl ..............................................................................................................................................................................
gamma-Hydroxybutyric acid ............................................................................................................................................................
Heroin ..............................................................................................................................................................................................
Hydromorphinol ................................................................................................................................................................................
Hydroxypethidine .............................................................................................................................................................................
Ibogaine ...........................................................................................................................................................................................
Isobutyryl Fentanyl ...........................................................................................................................................................................
JWH-018 and AM678 (1-Pentyl-3-(1-naphthoyl)indole) ..................................................................................................................
JWH-019 (1-Hexyl-3-(1-naphthoyl)indole) .......................................................................................................................................
JWH-073 (1-Butyl-3-(1-naphthoyl)indole) ........................................................................................................................................
JWH-081 (1-Pentyl-3-(1-(4-methoxynaphthoyl))indole) ...................................................................................................................
JWH-122 (1-Pentyl-3-(4-methyl-1-naphthoyl)indole) .......................................................................................................................
JWH-200 (1-[2-(4-Morpholinyl)ethyl]-3-(1-naphthoyl)indole) ...........................................................................................................
JWH-203 (1-Pentyl-3-(2-chlorophenylacetyl)indole) ........................................................................................................................
JWH-250 (1-Pentyl-3-(2-methoxyphenylacetyl)indole) ....................................................................................................................
JWH-398 (1-Pentyl-3-(4-chloro-1-naphthoyl)indole) ........................................................................................................................
Lysergic acid diethylamide (LSD) ....................................................................................................................................................
MAB-CHMINACA; ADB-CHMINACA (N-(1-amino-3,3-dimethyl-1-oxobutan-2-yl)-1-(cyclohexylmethyl)-1H-indazole-3carboxamide) ................................................................................................................................................................................
MDMB-CHMICA; MMB-CHMINACA(methyl 2-(1-(cyclohexylmethyl)-1H-indole-3-carboxamido)-3,3-dimethylbutanoate) .............
MDMB-FUBINACA (methyl 2-(1-(4-fluorobenzyl)-1H-indazole-3-carboxamido)-3,3-dimethylbutanoate) .......................................
Methyl2-(1-(cyclohexylmethyl)-1H-indole-3-carboxamido)-3-methylbutanoate ...............................................................................
Marihuana ........................................................................................................................................................................................
Mecloqualone ...................................................................................................................................................................................
Mescaline .........................................................................................................................................................................................
Methaqualone ..................................................................................................................................................................................
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28DEN1
30
30
2
25
50
30
2
2
25
2
2
30
30
25
25
25
25
20
25
30
2
30
30
30
2
4
2
3
25
30
24
30
192
30
20
25
20
20
25
8,225
753,500
50
5
30
30
25
30
33,417,000
45
40
2
30
25
35
45
45
30
30
35
30
30
30
40
30
30
30
25
2,450,000
30
25
60
Federal Register / Vol. 83, No. 248 / Friday, December 28, 2018 / Notices
67353
Established
2019 quotas
(g)
Basic class
Methcathinone .................................................................................................................................................................................
Methoxyacetyl Fentanyl ...................................................................................................................................................................
Methyldesorphine .............................................................................................................................................................................
Methyldihydromorphine ....................................................................................................................................................................
Morphine methylbromide .................................................................................................................................................................
Morphine methylsulfonate ................................................................................................................................................................
Morphine-N-oxide ............................................................................................................................................................................
Naphthalen-1-yl 1-(5-fluorpentyl)-1H-indole-3-carboxylate ..............................................................................................................
N,N-Dimethylamphetamine ..............................................................................................................................................................
Naphyrone .......................................................................................................................................................................................
N-Ethyl-1-phenylcyclohexylamine ....................................................................................................................................................
N-Ethyl-3-piperidyl benzilate ............................................................................................................................................................
N-Ethylamphetamine .......................................................................................................................................................................
N-Ethylpentylone (ephylone) ...........................................................................................................................................................
N-Hydroxy-3,4-methylenedioxyamphetamine ..................................................................................................................................
Noracymethadol ...............................................................................................................................................................................
Norlevorphanol .................................................................................................................................................................................
Normethadone .................................................................................................................................................................................
Normorphine ....................................................................................................................................................................................
Ocfentanil .........................................................................................................................................................................................
Ortho-parafluorofentanyl ..................................................................................................................................................................
Para-chlorisobutyrl Fentanyl ............................................................................................................................................................
Para-flourobutyryl Fentanyl ..............................................................................................................................................................
Para-fluorofentanyl ...........................................................................................................................................................................
Para-methoxybutyrl Fentanyl ...........................................................................................................................................................
Parahexyl .........................................................................................................................................................................................
PB-22; QUPIC .................................................................................................................................................................................
Pentedrone ......................................................................................................................................................................................
Pentylone .........................................................................................................................................................................................
Phenomorphan ................................................................................................................................................................................
Pholcodine .......................................................................................................................................................................................
Psilocybin .........................................................................................................................................................................................
Psilocyn ............................................................................................................................................................................................
SR-18 and RCS-8 (1-Cyclohexylethyl-3-(2-methoxyphenylacetyl)indole) .......................................................................................
SR-19 and RCS-4 (1-Pentyl-3-[(4-methoxy)-benzoyl]indole) ..........................................................................................................
Tetrahydrocannabinols ....................................................................................................................................................................
Tetrahydrofuranyl fentanyl ...............................................................................................................................................................
Thiofentanyl .....................................................................................................................................................................................
THJ-2201 ( [1-(5-fluoropentyl)-1H-indazol-3-yl](naphthalen-1-yl)methanone) ................................................................................
Tilidine ..............................................................................................................................................................................................
Trimeperidine ...................................................................................................................................................................................
UR-144 (1-pentyl-1H-indol-3-yl)(2,2,3,3-tetramethylcyclopropyl)methanone ..................................................................................
U-47700 ...........................................................................................................................................................................................
Valeryl fentanyl ................................................................................................................................................................................
25
30
5
2
5
5
150
25
25
25
5
10
24
30
24
2
55
2
40
25
30
30
25
25
30
5
20
25
25
2
5
30
50
45
30
384,460
5
25
30
25
2
25
30
25
amozie on DSK3GDR082PROD with NOTICES1
Schedule II
1-Phenylcyclohexylamine ................................................................................................................................................................
1-Piperidinocyclohexanecarbonitrile ................................................................................................................................................
4-Anilino-N-phenethyl-4-piperidine (ANPP) .....................................................................................................................................
Alfentanil ..........................................................................................................................................................................................
Alphaprodine ....................................................................................................................................................................................
Amobarbital ......................................................................................................................................................................................
Amphetamine (for conversion) ........................................................................................................................................................
Amphetamine (for sale) ...................................................................................................................................................................
Carfentanil ........................................................................................................................................................................................
Cocaine ............................................................................................................................................................................................
Codeine (for conversion) .................................................................................................................................................................
Codeine (for sale) ............................................................................................................................................................................
Dextropropoxyphene ........................................................................................................................................................................
Dihydrocodeine ................................................................................................................................................................................
Dihydroetorphine ..............................................................................................................................................................................
Diphenoxylate (for conversion) ........................................................................................................................................................
Diphenoxylate (for sale) ...................................................................................................................................................................
Ecgonine ..........................................................................................................................................................................................
Ethylmorphine ..................................................................................................................................................................................
Etorphine hydrochloride ...................................................................................................................................................................
Fentanyl ...........................................................................................................................................................................................
Glutethimide .....................................................................................................................................................................................
Hydrocodone (for conversion) .........................................................................................................................................................
Hydrocodone (for sale) ....................................................................................................................................................................
Hydromorphone ...............................................................................................................................................................................
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25
1,185,000
6,200
2
20,100
12,700,000
42,400,000
20
92,120
12,900,000
36,114,260
35
238,466
2
14,100
770,800
88,134
30
32
1,185,000
2
5,000
43,027,640
4,071,000
67354
Federal Register / Vol. 83, No. 248 / Friday, December 28, 2018 / Notices
Established
2019 quotas
(g)
Basic class
Isomethadone ..................................................................................................................................................................................
Levo-alphacetylmethadol (LAAM) ....................................................................................................................................................
Levomethorphan ..............................................................................................................................................................................
Levorphanol .....................................................................................................................................................................................
Lisdexamfetamine ............................................................................................................................................................................
Meperidine .......................................................................................................................................................................................
Meperidine Intermediate-A ..............................................................................................................................................................
Meperidine Intermediate-B ..............................................................................................................................................................
Meperidine Intermediate-C ..............................................................................................................................................................
Metazocine .......................................................................................................................................................................................
Methadone (for sale) .......................................................................................................................................................................
Methadone Intermediate ..................................................................................................................................................................
Methamphetamine ...........................................................................................................................................................................
30
5
4,000
38,000
19,000,000
1,580,000
30
30
30
15
22,278,000
24,064,000
1,446,754
[846,000 grams of levo-desoxyephedrine for use in a non-controlled, non-prescription product; 564,000 grams for methamphetamine mostly for
conversion to a schedule III product; and 36,754 grams for methamphetamine (for sale)].
Methylphenidate ...............................................................................................................................................................................
Morphine (for conversion) ................................................................................................................................................................
Morphine (for sale) ..........................................................................................................................................................................
Nabilone ...........................................................................................................................................................................................
Noroxymorphone (for conversion) ...................................................................................................................................................
Noroxymorphone (for sale) ..............................................................................................................................................................
Opium (powder) ...............................................................................................................................................................................
Opium (tincture) ...............................................................................................................................................................................
Oripavine ..........................................................................................................................................................................................
Oxycodone (for conversion) ............................................................................................................................................................
Oxycodone (for sale) .......................................................................................................................................................................
Oxymorphone (for conversion) ........................................................................................................................................................
Oxymorphone (for sale) ...................................................................................................................................................................
Pentobarbital ....................................................................................................................................................................................
Phenazocine ....................................................................................................................................................................................
Phencyclidine ...................................................................................................................................................................................
Phenmetrazine .................................................................................................................................................................................
Phenylacetone .................................................................................................................................................................................
Racemethorphan .............................................................................................................................................................................
Racemorphan ..................................................................................................................................................................................
Remifentanil .....................................................................................................................................................................................
Secobarbital .....................................................................................................................................................................................
Sufentanil .........................................................................................................................................................................................
Tapentadol .......................................................................................................................................................................................
Thebaine ..........................................................................................................................................................................................
64,600,000
4,089,000
29,353,676
62,000
19,169,340
376,000
250,000
530,837
28,705,000
2,081,000
79,596,606
24,525,540
2,880,000
25,850,000
5
35
25
40
5
5
3,000
172,100
4,000
18,388,280
84,600,000
List I Chemicals
amozie on DSK3GDR082PROD with NOTICES1
Ephedrine (for conversion) ..............................................................................................................................................................
Ephedrine (for sale) .........................................................................................................................................................................
Phenylpropanolamine (for conversion) ............................................................................................................................................
Phenylpropanolamine (for sale) .......................................................................................................................................................
Pseudoephedrine (for conversion) ..................................................................................................................................................
Pseudoephedrine (for sale) .............................................................................................................................................................
The Administrator also establishes
aggregate production quotas for all other
schedule I and II controlled substances
included in 21 CFR 1308.11 and
1308.12 at zero. In accordance with 21
CFR 1303.13 and 21 CFR 1315.13, upon
consideration of the relevant factors, the
Administrator may adjust the 2019
aggregate production quotas and
assessment of annual needs as needed.
Dated: December 20, 2018.
Uttam Dhillon,
Acting Administrator.
BILLING CODE 4410–09–P
18:13 Dec 27, 2018
Employment and Training
Administration
Agency Information Collection
Activities; Comment Request;
Transmittal for Unemployment
Insurance Materials
ACTION:
Notice.
The Department of Labor’s
(DOL’s), Employment and Training
Administration (ETA) is soliciting
comments concerning a proposed
extension for the authority to conduct
SUMMARY:
[FR Doc. 2018–28108 Filed 12–27–18; 8:45 am]
VerDate Sep<11>2014
DEPARTMENT OF LABOR
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4,136,000
14,100,000
7,990,000
1,000
174,246,000
the information collection request (ICR)
titled, ‘‘Transmittal for Unemployment
Insurance Materials.’’ This comment
request is part of continuing
Departmental efforts to reduce
paperwork and respondent burden in
accordance with the Paperwork
Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all
written comments received by February
26, 2019.
ADDRESSES: A copy of this ICR with
applicable supporting documentation,
including a description of the likely
respondents, proposed frequency of
response, and estimated total burden,
E:\FR\FM\28DEN1.SGM
28DEN1
Agencies
[Federal Register Volume 83, Number 248 (Friday, December 28, 2018)]
[Notices]
[Pages 67348-67354]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-28108]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. DEA-488E]
Established Aggregate Production Quotas for Schedule I and II
Controlled Substances and Assessment of Annual Needs for the List I
Chemicals Ephedrine, Pseudoephedrine, and Phenylpropanolamine for 2019
AGENCY: Drug Enforcement Administration, Department of Justice.
ACTION: Final order.
-----------------------------------------------------------------------
SUMMARY: This final order establishes the initial 2019 aggregate
production quotas for controlled substances in schedules I and II of
the Controlled Substances Act and the assessment of annual needs for
the list I chemicals ephedrine, pseudoephedrine, and
phenylpropanolamine.
DATES: Valid December 28, 2018.
FOR FURTHER INFORMATION CONTACT: Kathy L. Federico, Regulatory Drafting
and Policy Support Section (DPW), Diversion Control Division, Drug
Enforcement Administration, 8701 Morrissette Drive, Springfield, VA
22152, Telephone: (202) 598-6812.
SUPPLEMENTARY INFORMATION:
Legal Authority
Section 306 of the Controlled Substances Act (CSA) (21 U.S.C. 826)
requires the Attorney General to establish aggregate production quotas
for each basic class of controlled substance listed in schedules I and
II and for the list I chemicals ephedrine, pseudoephedrine, and
phenylpropanolamine. The Attorney General has delegated this function
to the Administrator of the DEA pursuant to 28 CFR 0.100.
Background
The 2019 aggregate production quotas and assessment of annual needs
represent those quantities of schedule I and II controlled substances
and the list I chemicals ephedrine, pseudoephedrine, and
phenylpropanolamine that may be manufactured in the United States in
2019 to provide for the estimated medical, scientific, research, and
industrial needs of the United States, for lawful export requirements,
and for the establishment and maintenance of reserve stocks. These
quotas include imports of ephedrine, pseudoephedrine, and
phenylpropanolamine, but do not include imports of controlled
substances for use in industrial processes.
On August 20, 2018, the DEA published a notice titled ``Proposed
Aggregate Production Quotas for Schedule I and II Controlled Substances
and Assessment of Annual Needs for the List I Chemicals Ephedrine,
Pseudoephedrine, and Phenylpropanolamine for 2019'' in the Federal
Register. 83 FR 42164. This notice proposed the 2019 aggregate
production quotas for each basic class of controlled substance listed
in schedules I and II and the 2019 assessment of annual needs for the
list I chemicals ephedrine, pseudoephedrine, and phenylpropanolamine.
All interested persons were invited to comment on or object to the
proposed aggregate production quotas and the proposed assessment of
annual needs on or before September 19, 2018.
Comments Received
The DEA received 48 comments from professional organizations,
patients, associations, universities, Senators, State Attorneys
General, a doctor, DEA registered entities, and non-DEA entities. The
comments included concerns about the quota process, shortages,
prescriptions, diversion, marihuana, requests for a hearing, requests
for increase in specific production quotas, and other comments that are
outside the scope of the notice.
Quota Process
There were eight commenters that expressed concerns about the quota
process. Some of these commenters requested that the DEA consider
information from the Department of Health and Human Services (HHS) and
the Food and Drug Administration (FDA) to determine the aggregate
production quota. Other commenters stated that the DEA did not consider
the factors contained in the Controlled Substances Quotas Final Rule
published on July 16, 2018, 83 FR 32784, to determine the 2019
aggregate production quota.
The DEA has obtained and considered relevant information from the
FDA. The information the DEA received included the observed and
estimated domestic usage of 26 schedule II controlled substances, new
drug applications and abbreviated drug application approvals, and
clinical trials for schedule I and II controlled substances.
Regarding the Final Rule published on July 16, 2018, 83 FR 32784,
the DEA amended the factors set forth in 21 CFR 1303.11 to be
considered when setting the aggregate production quotas to include the
extent of diversion of the controlled substances in each class, and
relevant information obtained from the HHS, the FDA, the Centers for
Disease Control and Prevention (CDC), the Centers for Medicare and
Medicaid Services (CMS), and the states.
The DEA has solicited the states and federal partners to obtain
relevant information to be considered when setting the aggregate
production quota pursuant to 21 CFR 1303.11 and this information will
be considered for the 2019 proposed adjustments to the aggregate
production quota. The DEA will continue to solicit information from the
states for the 2020 aggregate production quotas and the years to
follow.
[[Page 67349]]
However, the DEA is obligated to issue individual production and
procurement quotas sufficiently in advance of the upcoming year to
allow manufacturers to prepare for the legitimate needs of the United
States. The DEA may not issue individual production and procurement
quotas until the aggregate production quotas have been established. As
a result of these obligations under the CSA, the DEA was not able to
obtain and consider the amended factors set forth in Final Rule, 83 FR
32784, for the purpose of issuing the 2019 proposed aggregate
production quota.
The DEA has a fluid process for setting quotas which allows the
agency to make necessary quota adjustments. The process involves
setting the proposed aggregate production quotas for a calendar year,
and, following the review of any comments, the issuance of a Final
Order to establish the aggregate production quota. Later in the
process, the DEA issues a Proposed Adjustment to the aggregate
production quota, and following the review of any comments, DEA issues
a final order setting the Final Adjusted Aggregate Production Quotas.
The DEA will consider the additional information received in the course
of preparing proposed amendments and the final 2019 adjusted aggregate
production quota.
Shortages
There were 28 commenters that expressed concerns about the decrease
in certain aggregate production quotas. These commenters alleged that
decreases to the aggregate production quotas have resulted in a
shortage of injectable opioid medications and interfere with the
treatment of patients. Some of these commenters also suggested that the
DEA separate quotas for solid oral controlled substances and injectable
controlled substances, and that DEA allow consideration by individual
pharmaceutical dosage forms.
The DEA is committed to ensuring an adequate and uninterrupted
supply of controlled substances in order to meet legitimate medical,
scientific, and export needs of the United States. Although the DEA
sets the aggregate production quota, it is possible that manufacturers'
business practices may lead to a shortage of controlled substances at
the consumer level, despite the adequacy of the aggregate production
quota set by DEA. The aggregate production quotas are set by the DEA in
a manner to include both injectable opioids and solid oral opioids in
order to ensure that the estimated medical needs of the United States
are met.
Notably, at the time of the proposed aggregate production quota, 21
U.S.C. 826(a) provided that ``production quotas shall be established in
terms of quantities of each basic class of controlled substance and not
in terms of individual pharmaceutical dosage forms prepared from or
containing such a controlled substance.'' On October 24, 2018, the
President signed into law the SUPPORT for Patients and Communities Act
of 2018, (Pub. L. 115-271), which now allows but does not require the
DEA to grant quotas in terms of dosage forms if the agency determines
that doing so will assist in avoiding the overproduction, shortages, or
diversion of a controlled substance. DEA will be evaluating these
issues over time.
Furthermore, the DEA and the FDA can coordinate efforts to prevent
or alleviate drug shortages pursuant to 21 U.S.C. 826a(2). For example,
the asserted domestic shortage of injectable controlled substances was
alleviated through the FDA and the DEA collaboration to get specific
injectable controlled substances imported into the United States.
Transparency
Two Senators submitted a joint comment supporting the DEA's efforts
to address the opioid crisis, but expressed concerns that the aggregate
production quota for schedule II opioids remains too high. These
commenters also requested a transparent explanation of the analysis and
specific considerations that the DEA considered when establishing the
2019 quotas for schedule II opioids.
The DEA continues to address the opioid crisis through initiatives
such as the President's Safer Prescribing Plan, which seeks to reduce
nationwide opioid prescription fills by one-third within three years.
The DEA has observed a decline in the number of prescriptions written
for schedule II opioids since 2014 and will continue to set aggregate
production quotas to meet the medical needs of the United States while
combating the opioid crisis.
In determining the aggregate production quota, the DEA took into
account the data regarding the number of prescriptions that have been
issued and an analysis of the factors as then set forth in 21 CFR
1303.11. The specific information that was obtained and considered
included an analysis of sales data from databases such as Automation of
Reports and Consolidated Orders System (ARCOS) and IQVIA; in addition
to FDA forecasts and projections, historical total market sales data,
products entering and exiting the market, expected product development,
expected exports, inventory data, theft and loss data, and company
forecasts. As a result, the final aggregate production quota for
several opioids are decreased from the proposed initial 2019 levels.
These decreases take into account the combined efforts of the the DEA,
the FDA, and the CDC enforcing regulations and issuing guidance
documents as well as many states enacting prescription monitoring
database programs to stem the opiate/opioid epidemic.
Quotas and Prescriptions
Eleven State Attorneys General submitted a joint comment
recognizing DEA's efforts to combat the opioid epidemic and expressed
concerns about excessive quotas for opioids. These commenters also
expressed concerns about overprescribing and referenced various
studies. The referenced material cited in these comments also discuss
patients who divert their prescriptions by sharing their prescriptions
with others.
The DEA continues to address the opioid crisis through laws,
regulations, and initiatives such as the Safer Prescribing Plan. The
Safer Prescribing Plan seeks to reduce nationwide opioid prescription
fills by one-third within three years. The DEA has observed a decline
for certain prescriptions written for schedule II opioids since 2014
which can be attributed to federal and state government activities and
interventions, including the implementation of Prescription Drug
Monitoring Programs, enforcement of current regulations, and guidance
documents such as the CDC Guidelines for Prescribing Opioids for
Chronic Pain--United States, March 2016. The DEA will continue to
address the opioid crisis while ensuring an adequate and uninterrupted
supply of controlled substances in order to meet the demand of
legitimate medical, scientific, and export needs of the United States.
The DEA sets aggregate production quotas in a manner to ensure that
all prescriptions that are authorized for legitimate medical purposes
can be filled. Prescribers who are authorized to dispense controlled
substances are responsible for adhering to the laws and regulations set
forth under the CSA, which requires doctors to only write prescriptions
for legitimate medical needs. Any practitioner issuing an invalid
prescription for controlled substances and any pharmacy filling such a
prescription would be in violation of the CSA.
[[Page 67350]]
Upon review of the studies, DEA has determined that they are
insufficient to support a reduction in the aggregate production quotas.
The studies have found, with respect to a variety of medical
procedures, that physicians prescribe more controlled substances for
post-operative pain than the patients utilize. However, the DEA has
concluded that while the referenced studies are concerning, they are
insufficient to support a determination as to the level of
overprescribing that occurs across the range of the medical procedures
that are performed each year on a national basis.
Including Diversion in Quotas
Eleven State Attorneys General and three other commenters expressed
concerns about DEA's ability to account for diversion when setting the
aggregate production quotas.
The factors that DEA considers in setting the aggregate production
quotas were amended in a Final Rule published on July 16, 2018, 83 FR
32784, to include the extent of any diversion of the controlled
substances in the class, which will strengthen DEA's ability to reduce
the likelihood of the diversion of controlled substances. When setting
the established aggregate production quota, the DEA accounted for
diversion by analyzing information such as, reports of controlled
substance thefts and losses, and seizure data that are captured through
internal DEA databases and will continue to do so when setting future
aggregate production quotas. The DEA will also consider information
obtained from CMS, CDC, FDA, and the states which may include diversion
data to be considered for the adjusted aggregate production quota.
Marihuana
Seven commenters expressed their support for the increase in the
production quota of marihuana. Three of those commenters expressed
concerns about approval of applications for registration to manufacture
(grow) marihuana. The DEA increased the production quota for marihuana
based solely on increased usage projections for federally approved
research projects. The DEA continues to review applications for
registration and registers the number of bulk manufacturers of a
controlled substance that is necessary to produce an adequate and
uninterrupted supply.
Hearings
Two commenters urged DEA to hold a public hearing. One of the
commenters stated that the DEA should have a hearing to gather
stakeholder feedback on how the DEA can help address the opioid
epidemic while ensuring an adequate supply of opioids for clinically
appropriate care. The second commenter stated that the DEA should hold
a hearing to enable stakeholders to express their views about the
proposed reductions.
Under the DEA regulations, the decision of whether to grant this
type of a hearing on the issues raised by the commenters lies solely
within the discretion of the Administrator. (21 CFR 1303.11(c) and 21
CFR 1303.13 (c)). I find that neither of the foregoing two requests
presented any evidence that would lead me to conclude that a hearing is
necessary or warranted. Therefore, I decline to order a hearing on the
issues presented by the commenters.
Specific Quota for DEA-Registered Manufacturers
The DEA received comments from four DEA-registered manufacturers
regarding thirty-three different schedule I and II controlled
substances. These commenters stated the proposed aggregate production
quotas for 3-methyl fentanyl, 4-ANPP, acetyl fentanyl, acryl fentanyl,
beta-hydroxythiofentanyl, butyrl fentanyl, carfentanil, cyclopentyl
fentanyl, cyclopropyl fentanyl, d-amphetamine (for sale), d,l-
amphetamine, difenoxylate (for sale), fentanyl, fentanyl related
substances, furanyl fentanyl, gamma hydroxybutyric acid, isobytyryl
fentanyl, levorphanol, methoxyacetyl fentanyl, noroxymorphone (for
conversion), ocfentanil, opium (powder), oxycodone (for sale), para-
chloroisobutyryl fentanyl, para-fluorofentanyl, para-fluorobutyryl
fentanyl, para-methyoxybutyrl fentanyl, remifentanil, sufentanil,
tetrahydrofuranyl fentanyl, thebaine, U-47700, and valeryl fentanyl
were potentially insufficient to provide for the estimated medical,
scientific, research, and industrial needs of the United States, export
requirements, and the establishment and maintenance of reserve stocks.
The DEA has considered the comments for specific controlled
substances and made adjustments as needed which are described below in
the section titled Determination of 2019 Aggregate Production Quotas
and Assessment of Annual Needs. The DEA did not receive any comments to
the proposed established 2019 assessment of annual needs for ephedrine,
pseudoephedrine, and phenylpropanolamine.
Out of Scope
The DEA received seven comments which addressed issues that are
outside the scope of this final order. The comments were general in
nature and raised issues of specific medical illnesses, medical
treatments, and medication costs and, therefore, are outside of the
scope of this Final Order, and do not impact the original analysis
involved in establishing the 2019 aggregate production quotas.
Determination of 2019 Aggregate Production Quotas and Assessment of
Annual Needs
In determining the 2019 aggregate production quotas and assessment
of annual needs, the DEA has taken into consideration the above
comments along with the factors previously set forth in 21 CFR 1303.11
(as described above) and 21 CFR 1315.11, in accordance with 21 U.S.C.
826(a), and other relevant factors, including the 2018 manufacturing
quotas, current 2018 sales and inventories, anticipated 2019 export
requirements, industrial use, additional applications for 2019 quotas,
as well as information on research and product development
requirements.
Based on all of the above, the Administrator is establishing the
2019 aggregate production quotas. These quotas are lower for codeine
(for sale), codeine (for conversion), hydrocodone (for sale), morphine
(for sale), and oxycodone (for sale); higher for cyclopentyl fentanyl,
methoxyacetyl fentanyl, N-ethlypentylone (ephylone), para-
methyoxybutyryl fentanyl, and para-chloroisobutyryl fentanyl due to
their temporarily controlled status; higher for amphetamine (for
conversion) based on increased usage forecasted by the FDA and its use
in the treatment of Attention Deficit Hyperactivity Disorder; higher
for levorphanol based on manufacturers' ongoing product development
activities necessary for the FDA approval process; and higher for opium
powder and sufentanil based on manufacturers' projected exports.
Regarding 3-methylfentanyl, 4-ANPP, acetyl fentanyl, acryl
fentanyl, beta-hydroxythiofentanyl, butyryl fentanyl, carfentanil,
cyclopropyl fentanyl, d-amphetamine (for sale), d,l-amphetamine,
difenoxylate (for sale), fentanyl, fentanyl related substances, furanyl
fentanyl, gamma hydroxybutyric acid, isobutyryl fentanyl,
noroxymorphone (for conversion), ocfentanil, para-fluorofentanyl, para-
fluorobutyrl fentanyyl, remifentanil, tetrahydrofuranyl fentanyl,
thebaine, U-47700, and valeryl fentanyl, the DEA
[[Page 67351]]
has determined the proposed aggregate production quotas and assessment
of annual needs are sufficient to provide for the 2019 estimated
medical, scientific, research, industrial needs of the United States,
export requirements, and the establishment and maintenance of reserve
stocks. This final order establishes these aggregate production quotas
and assessment of annual needs at the same amounts as proposed.
In accordance with 21 U.S.C. 826, 21 CFR 1303.11, and 21 CFR
1315.11, the Administrator hereby establishes the 2019 aggregate
production quotas for the following schedule I and II controlled
substances and the 2019 assessment of annual needs for the list I
chemicals ephedrine, pseudoephedrine, and phenylpropanolamine,
expressed in grams of anhydrous acid or base, as follows:
------------------------------------------------------------------------
Established
Basic class 2019 quotas (g)
------------------------------------------------------------------------
Schedule I
------------------------------------------------------------------------
1-[1-(2-Thienyl)cyclohexyl]pyrrolidine................ 20
1-(1-Phenylcyclohexyl)pyrrolidine..................... 15
1-(2-Phenylethyl)-4-phenyl-4-acetoxypiperidine........ 10
1-(5-Fluoropentyl)-3-(1-naphthoyl) indole (AM2201).... 30
1-(5-Fluoropentyl)-3-(2-iodobenzoyl) indole (AM-694).. 30
1-Benzylpiperazine.................................... 25
1-Methyl-4-phenyl-4-propionoxypiperidine.............. 10
1-[1-(2-Thienyl)cyclohexyl]piperidine................. 15
2-(2,5-Dimethoxy-4-ethylphenyl)ethanamine (2C-E)...... 30
2-(2,5-Dimethoxy-4-methylphenyl)ethanamine (2C-D)..... 30
2-(2,5-Dimethoxy-4-nitro-phenyl)ethanamine (2C-N)..... 30
2-(2,5-Dimethoxy-4-(n)-propylphenyl)ethanamine (2C-P). 30
2-(2,5-Dimethoxyphenyl)ethanamine (2C-H).............. 30
2-(4-Bromo-2,5-dimethoxyphenyl)-N-(2-methoxybenzyl) 30
ethanamine (25B-NBOMe; 2C-B-NBOMe; 25B; Cimbi-36)....
2-(4-Chloro-2,5-dimethoxyphenyl)ethanamine (2C-C)..... 30
2-(4-Chloro-2,5-dimethoxyphenyl)-N-(2- 25
methoxybenzyl)ethanamine (25C-NBOMe; 2C-C-NBOMe; 25C;
Cimbi-82)............................................
2-(4-Iodo-2,5-dimethoxyphenyl)ethanamine (2C-I)....... 30
2-(4-Iodo-2,5-dimethoxyphenyl)-N-(2-methoxybenzyl) 30
ethanamine (25I-NBOMe; 2C-I-NBOMe; 25I; Cimbi-5).....
2,5-Dimethoxy-4-ethylamphetamine (DOET)............... 25
2,5-Dimethoxy-4-(n)-propylthiophenethylamine.......... 25
2,5-Dimethoxyamphetamine.............................. 25
2-[4-(Ethylthio)-2,5-dimethoxyphenyl]ethanamine (2C-T- 30
2)...................................................
2-[4-(Isopropylthio)-2,5-dimethoxyphenyl]ethanamine 30
(2C-T-4).............................................
3,4,5-Trimethoxyamphetamine........................... 30
3,4-Methylenedioxyamphetamine (MDA)................... 55
3,4-Methylenedioxymethamphetamine (MDMA).............. 50
3,4-Methylenedioxy-N-ethylamphetamine (MDEA).......... 40
3,4-Methylenedioxy-N-methylcathinone (methylone)...... 40
3,4-Methylenedioxypyrovalerone (MDPV)................. 35
3-FMC; 3-Fluoro-N-methylcathinone..................... 25
3-Methylfentanyl...................................... 30
3-Methylthiofentanyl.................................. 30
4-Bromo-2,5-dimethoxyamphetamine (DOB)................ 30
4-Bromo-2,5-dimethoxyphenethylamine (2-CB)............ 25
1-(4-Cyanobutyl)-N-(2-phenylpropan-2-yl)-1H-indazole-3- 25
carboximide..........................................
4-Fluoroisobutyryl fentanyl........................... 30
4-FMC; Flephedrone.................................... 25
4-MEC; 4-Methyl-N-ethylcathinone...................... 25
4-Methoxyamphetamine.................................. 150
4-Methyl-2,5-dimethoxyamphetamine (DOM)............... 25
4-Methylaminorex...................................... 25
4-Methyl-N-methylcathinone (mephedrone)............... 45
4-Methyl-[alpha]-pyrrolidinopropiophenone (4-MePPP)... 25
5-(1,1-Dimethylheptyl)-2-[(1R,3S)-3-hydroxycyclohexyl]- 50
phenol...............................................
5-(1,1-Dimethyloctyl)-2-[(1R,3S)-3-hydroxycyclohexyl]- 40
phenol (cannabicyclohexanol or CP-47,497 C8-homolog).
N-(1-Amino-3-methyl-1-oxobutan-2-yl)-1-(5- 25
fluoropentyl)-1H-indazole-3-carboxamide..............
1-(5-Fluoropentyl)-N-(2-phenylpropan-2-yl)-1H- 25
pyrrolo[2,3-b]pyridine-3-carboxamide.................
5F-ADB; 5F-MDMB-PINACA (methyl 2-(1-(5-fluoropentyl)- 30
1H-indazole-3-carboxamido)-3,3-dimethylbutanoate)....
5F-AMB (methyl 2-(1-(5-fluoropentyl)-1H-indazole-3- 30
carboxamido)-3-methylbutanoate)......................
5F-APINACA; 5F-AKB48 (N-(adamantan-1-yl)-1-(5- 30
fluoropentyl)-1H-indazole-3-carboxamide).............
5-Fluoro-PB-22; 5F-PB-22.............................. 20
5-Fluoro-UR144, XLR11 ([1-(5-fluoro-pentyl)-1Hindol-.. 25
3-yl](2,2,3,3-tetramethylcyclopropyl)methanone........
5-Methoxy-3,4-methylenedioxyamphetamine............... 25
5-Methoxy-N-N-diisopropyltryptamine................... 25
5-Methoxy-N-N-dimethyltryptamine...................... 25
AB-CHMINACA........................................... 30
AB-FUBINACA........................................... 50
AB-PINACA............................................. 30
ADB-FUBINACA (N-(1-amino-3,3-dimethyl-1-oxobutan-2-yl)- 30
1-(4-fluorobenzyl)-1H-indazole-3-carboxamide)........
Acetyl Fentanyl....................................... 100
[[Page 67352]]
Acetyl-alpha-methylfentanyl........................... 30
Acetyldihydrocodeine.................................. 30
Acetylmethadol........................................ 2
Acryl Fentanyl........................................ 25
ADB-PINACA (N-(1-amino-3,3-dimethyl-1-oxobutan-2-yl)-1- 50
pentyl-1H-indazole-3-carboxamide)....................
AH-7921............................................... 30
Allylprodine.......................................... 2
Alphacetylmethadol.................................... 2
alpha-Ethyltryptamine................................. 25
Alphameprodine........................................ 2
Alphamethadol......................................... 2
alpha-Methylfentanyl.................................. 30
alpha-Methylthiofentanyl.............................. 30
alpha-Methyltryptamine (AMT).......................... 25
alpha-Pyrrolidinobutiophenone ([alpha]-PBP)........... 25
alpha-Pyrrolidinopentiophenone ([alpha]-PVP).......... 25
Aminorex.............................................. 25
Anileridine........................................... 20
APINACA, AKB48 (N-(1-adamantyl)-1-pentyl-1H-indazole-3- 25
carboxamide).........................................
Benzylmorphine........................................ 30
Betacetylmethadol..................................... 2
beta-Hydroxy-3-methylfentanyl......................... 30
beta-Hydroxyfentanyl.................................. 30
beta-Hydroxythiofentanyl.............................. 30
Betameprodine......................................... 2
Betamethadol.......................................... 4
Betaprodine........................................... 2
Bufotenine............................................ 3
Butylone.............................................. 25
Butyryl Fentanyl...................................... 30
Cathinone............................................. 24
Codeine methylbromide................................. 30
Codeine-N-oxide....................................... 192
Cyclopentyl Fentanyl.................................. 30
Cyclopropyl Fentanyl.................................. 20
Desomorphine.......................................... 25
Diampromide........................................... 20
Diethylthiambutene.................................... 20
Diethyltryptamine..................................... 25
Difenoxin............................................. 8,225
Dihydromorphine....................................... 753,500
Dimethyltryptamine.................................... 50
Dipipanone............................................ 5
Etorphine............................................. 30
Fenethylline.......................................... 30
Fentanyl related substances........................... 25
Furanyl Fentanyl...................................... 30
gamma-Hydroxybutyric acid............................. 33,417,000
Heroin................................................ 45
Hydromorphinol........................................ 40
Hydroxypethidine...................................... 2
Ibogaine.............................................. 30
Isobutyryl Fentanyl................................... 25
JWH-018 and AM678 (1-Pentyl-3-(1-naphthoyl)indole).... 35
JWH-019 (1-Hexyl-3-(1-naphthoyl)indole)............... 45
JWH-073 (1-Butyl-3-(1-naphthoyl)indole)............... 45
JWH-081 (1-Pentyl-3-(1-(4-methoxynaphthoyl))indole)... 30
JWH-122 (1-Pentyl-3-(4-methyl-1-naphthoyl)indole)..... 30
JWH-200 (1-[2-(4-Morpholinyl)ethyl]-3-(1- 35
naphthoyl)indole)....................................
JWH-203 (1-Pentyl-3-(2-chlorophenylacetyl)indole)..... 30
JWH-250 (1-Pentyl-3-(2-methoxyphenylacetyl)indole).... 30
JWH-398 (1-Pentyl-3-(4-chloro-1-naphthoyl)indole)..... 30
Lysergic acid diethylamide (LSD)...................... 40
MAB-CHMINACA; ADB-CHMINACA (N-(1-amino-3,3-dimethyl-1- 30
oxobutan-2-yl)-1-(cyclohexylmethyl)-1H-indazole-3-
carboxamide).........................................
MDMB-CHMICA; MMB-CHMINACA(methyl 2-(1- 30
(cyclohexylmethyl)-1H-indole-3-carboxamido)-3,3-
dimethylbutanoate)...................................
MDMB-FUBINACA (methyl 2-(1-(4-fluorobenzyl)-1H- 30
indazole-3-carboxamido)-3,3-dimethylbutanoate).......
Methyl2-(1-(cyclohexylmethyl)-1H-indole-3-carboxamido)- 25
3-methylbutanoate....................................
Marihuana............................................. 2,450,000
Mecloqualone.......................................... 30
Mescaline............................................. 25
Methaqualone.......................................... 60
[[Page 67353]]
Methcathinone......................................... 25
Methoxyacetyl Fentanyl................................ 30
Methyldesorphine...................................... 5
Methyldihydromorphine................................. 2
Morphine methylbromide................................ 5
Morphine methylsulfonate.............................. 5
Morphine-N-oxide...................................... 150
Naphthalen-1-yl 1-(5-fluorpentyl)-1H-indole-3- 25
carboxylate..........................................
N,N-Dimethylamphetamine............................... 25
Naphyrone............................................. 25
N-Ethyl-1-phenylcyclohexylamine....................... 5
N-Ethyl-3-piperidyl benzilate......................... 10
N-Ethylamphetamine.................................... 24
N-Ethylpentylone (ephylone)........................... 30
N-Hydroxy-3,4-methylenedioxyamphetamine............... 24
Noracymethadol........................................ 2
Norlevorphanol........................................ 55
Normethadone.......................................... 2
Normorphine........................................... 40
Ocfentanil............................................ 25
Ortho-parafluorofentanyl.............................. 30
Para-chlorisobutyrl Fentanyl.......................... 30
Para-flourobutyryl Fentanyl........................... 25
Para-fluorofentanyl................................... 25
Para-methoxybutyrl Fentanyl........................... 30
Parahexyl............................................. 5
PB-22; QUPIC.......................................... 20
Pentedrone............................................ 25
Pentylone............................................. 25
Phenomorphan.......................................... 2
Pholcodine............................................ 5
Psilocybin............................................ 30
Psilocyn.............................................. 50
SR-18 and RCS-8 (1-Cyclohexylethyl-3-(2- 45
methoxyphenylacetyl)indole)..........................
SR-19 and RCS-4 (1-Pentyl-3-[(4-methoxy)- 30
benzoyl]indole)......................................
Tetrahydrocannabinols................................. 384,460
Tetrahydrofuranyl fentanyl............................ 5
Thiofentanyl.......................................... 25
THJ-2201 ( [1-(5-fluoropentyl)-1H-indazol-3- 30
yl](naphthalen-1-yl)methanone).......................
Tilidine.............................................. 25
Trimeperidine......................................... 2
UR-144 (1-pentyl-1H-indol-3-yl)(2,2,3,3- 25
tetramethylcyclopropyl)methanone.....................
U-47700............................................... 30
Valeryl fentanyl...................................... 25
------------------------------------------------------------------------
Schedule II
------------------------------------------------------------------------
1-Phenylcyclohexylamine............................... 15
1-Piperidinocyclohexanecarbonitrile................... 25
4-Anilino-N-phenethyl-4-piperidine (ANPP)............. 1,185,000
Alfentanil............................................ 6,200
Alphaprodine.......................................... 2
Amobarbital........................................... 20,100
Amphetamine (for conversion).......................... 12,700,000
Amphetamine (for sale)................................ 42,400,000
Carfentanil........................................... 20
Cocaine............................................... 92,120
Codeine (for conversion).............................. 12,900,000
Codeine (for sale).................................... 36,114,260
Dextropropoxyphene.................................... 35
Dihydrocodeine........................................ 238,466
Dihydroetorphine...................................... 2
Diphenoxylate (for conversion)........................ 14,100
Diphenoxylate (for sale).............................. 770,800
Ecgonine.............................................. 88,134
Ethylmorphine......................................... 30
Etorphine hydrochloride............................... 32
Fentanyl.............................................. 1,185,000
Glutethimide.......................................... 2
Hydrocodone (for conversion).......................... 5,000
Hydrocodone (for sale)................................ 43,027,640
Hydromorphone......................................... 4,071,000
[[Page 67354]]
Isomethadone.......................................... 30
Levo-alphacetylmethadol (LAAM)........................ 5
Levomethorphan........................................ 4,000
Levorphanol........................................... 38,000
Lisdexamfetamine...................................... 19,000,000
Meperidine............................................ 1,580,000
Meperidine Intermediate-A............................. 30
Meperidine Intermediate-B............................. 30
Meperidine Intermediate-C............................. 30
Metazocine............................................ 15
Methadone (for sale).................................. 22,278,000
Methadone Intermediate................................ 24,064,000
Methamphetamine....................................... 1,446,754
------------------------------------------------------------------------
[846,000 grams of levo-desoxyephedrine for use in a non-controlled, non-
prescription product; 564,000 grams for methamphetamine mostly for
conversion to a schedule III product; and 36,754 grams for
methamphetamine (for sale)].
------------------------------------------------------------------------
Methylphenidate....................................... 64,600,000
Morphine (for conversion)............................. 4,089,000
Morphine (for sale)................................... 29,353,676
Nabilone.............................................. 62,000
Noroxymorphone (for conversion)....................... 19,169,340
Noroxymorphone (for sale)............................. 376,000
Opium (powder)........................................ 250,000
Opium (tincture)...................................... 530,837
Oripavine............................................. 28,705,000
Oxycodone (for conversion)............................ 2,081,000
Oxycodone (for sale).................................. 79,596,606
Oxymorphone (for conversion).......................... 24,525,540
Oxymorphone (for sale)................................ 2,880,000
Pentobarbital......................................... 25,850,000
Phenazocine........................................... 5
Phencyclidine......................................... 35
Phenmetrazine......................................... 25
Phenylacetone......................................... 40
Racemethorphan........................................ 5
Racemorphan........................................... 5
Remifentanil.......................................... 3,000
Secobarbital.......................................... 172,100
Sufentanil............................................ 4,000
Tapentadol............................................ 18,388,280
Thebaine.............................................. 84,600,000
------------------------------------------------------------------------
List I Chemicals
------------------------------------------------------------------------
Ephedrine (for conversion)............................ 25
Ephedrine (for sale).................................. 4,136,000
Phenylpropanolamine (for conversion).................. 14,100,000
Phenylpropanolamine (for sale)........................ 7,990,000
Pseudoephedrine (for conversion)...................... 1,000
Pseudoephedrine (for sale)............................ 174,246,000
------------------------------------------------------------------------
The Administrator also establishes aggregate production quotas for
all other schedule I and II controlled substances included in 21 CFR
1308.11 and 1308.12 at zero. In accordance with 21 CFR 1303.13 and 21
CFR 1315.13, upon consideration of the relevant factors, the
Administrator may adjust the 2019 aggregate production quotas and
assessment of annual needs as needed.
Dated: December 20, 2018.
Uttam Dhillon,
Acting Administrator.
[FR Doc. 2018-28108 Filed 12-27-18; 8:45 am]
BILLING CODE 4410-09-P