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 2020, 66014-66023 [2019-26119]
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Federal Register / Vol. 84, No. 231 / Monday, December 2, 2019 / Notices
internal consumption, and company
transfers) for your most recently
completed fiscal year (identify the date
on which your fiscal year ends).
(10) If you are a U.S. importer or a
trade/business association of U.S.
importers of the Subject Merchandise
from the Subject Country, provide the
following information on your firm’s(s’)
operations on that product during
calendar year 2018 (report quantity data
in short tons and value data in U.S.
dollars). If you are a trade/business
association, provide the information, on
an aggregate basis, for the firms which
are members of your association.
(a) The quantity and value (landed,
duty-paid but not including
antidumping or countervailing duties)
of U.S. imports and, if known, an
estimate of the percentage of total U.S.
imports of Subject Merchandise from
the Subject Country accounted for by
your firm’s(s’) imports;
(b) the quantity and value (f.o.b. U.S.
port, including antidumping and/or
countervailing duties) of U.S.
commercial shipments of Subject
Merchandise imported from the Subject
Country; and
(c) the quantity and value (f.o.b. U.S.
port, including antidumping and/or
countervailing duties) of U.S. internal
consumption/company transfers of
Subject Merchandise imported from the
Subject Country.
(11) If you are a producer, an exporter,
or a trade/business association of
producers or exporters of the Subject
Merchandise in the Subject Country,
provide the following information on
your firm’s(s’) operations on that
product during calendar year 2018
(report quantity data in short tons and
value data in U.S. dollars, landed and
duty-paid at the U.S. port but not
including antidumping or
countervailing duties). If you are a
trade/business association, provide the
information, on an aggregate basis, for
the firms which are members of your
association.
(a) Production (quantity) and, if
known, an estimate of the percentage of
total production of Subject Merchandise
in the Subject Country accounted for by
your firm’s(s’) production;
(b) Capacity (quantity) of your firm(s)
to produce the Subject Merchandise in
the Subject Country (that is, the level of
production that your establishment(s)
could reasonably have expected to
attain during the year, assuming normal
operating conditions (using equipment
and machinery in place and ready to
operate), normal operating levels (hours
per week/weeks per year), time for
downtime, maintenance, repair, and
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cleanup, and a typical or representative
product mix); and
(c) the quantity and value of your
firm’s(s’) exports to the United States of
Subject Merchandise and, if known, an
estimate of the percentage of total
exports to the United States of Subject
Merchandise from the Subject Country
accounted for by your firm’s(s’) exports.
(12) Identify significant changes, if
any, in the supply and demand
conditions or business cycle for the
Domestic Like Product that have
occurred in the United States or in the
market for the Subject Merchandise in
the Subject Country after 2013, and
significant changes, if any, that are
likely to occur within a reasonably
foreseeable time. Supply conditions to
consider include technology;
production methods; development
efforts; ability to increase production
(including the shift of production
facilities used for other products and the
use, cost, or availability of major inputs
into production); and factors related to
the ability to shift supply among
different national markets (including
barriers to importation in foreign
markets or changes in market demand
abroad). Demand conditions to consider
include end uses and applications; the
existence and availability of substitute
products; and the level of competition
among the Domestic Like Product
produced in the United States, Subject
Merchandise produced in the Subject
Country, and such merchandise from
other countries.
(13) (Optional) A statement of
whether you agree with the above
definitions of the Domestic Like Product
and Domestic Industry; if you disagree
with either or both of these definitions,
please explain why and provide
alternative definitions.
Authority: This proceeding is being
conducted under authority of title VII of the
Tariff Act of 1930; this notice is published
pursuant to section 207.61 of the
Commission’s rules.
By order of the Commission.
Issued: November 25, 2019.
Lisa Barton,
Secretary to the Commission.
[FR Doc. 2019–25941 Filed 11–29–19; 8:45 am]
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DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. DEA–508E]
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 2020
Drug Enforcement
Administration, Department of Justice.
ACTION: Final order.
AGENCY:
This final order establishes
the initial 2020 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: Effective Date: This order is
effective December 2, 2019.
FOR FURTHER INFORMATION CONTACT:
Scott A. Brinks, Diversion Control
Division, Drug Enforcement
Administration, 8701 Morrissette Drive,
Springfield, VA 22152, Telephone: (571)
362–3261.
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 schedule 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 Drug
Enforcement Administration (DEA)
pursuant to 28 CFR 0.100.
Background
The 2020 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
2020 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.
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On September 12, 2019, 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 2020’’ was
published in the Federal Register. 84 FR
48170. This notice proposed the 2020
aggregate production quotas for each
basic class of controlled substance listed
in schedules I and II, and the 2020
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
October 15, 2019.
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Comments Received
Within the public comment period,
DEA received 731 comments from DEA
registrants, hospital associations,
professional associations, doctors,
nurses, health system organizations,
State Attorneys General, and others. The
comments included concerns about the
quota process, concerns that further
quota reductions will lead to drug
shortages, requests for less interference
in the doctor-patient relationship,
availability of prescription drugs for
chronic pain patients, requests for
hearings, requests for increase in
specific production quotas, and other
comments outside the scope of this
notice. DEA received a joint comment
from two Senators urging DEA to apply
DEA’s new authorities to prevent and
limit opioid diversion due to
excessively high production levels.
Although this comment was received
after the close of the comment period,
DEA shares the Senators’ concerns and
is working to improve its ability to use
available databases to better quantify
diversion as part of the quota process.
Shortages
There were non-DEA registered
commenters that expressed concerns
about the decrease in 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 DEA
separate quotas for solid oral controlled
substances and injectable controlled
substances, and that DEA allow
consideration by individual
pharmaceutical dosage forms.
DEA also received letters from many
doctors, nurses, hospital administrators,
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and others in the medical field
regarding the proposed quota reduction
for fentanyl and other schedule II
narcotics. These letters characterized
the reductions as ‘‘extremely
problematic for American healthcare
providers,’’ stating that the reduction for
fentanyl and other schedule II narcotics
will lead to drug shortages, raise drug
prices, lead to hardships on hospitals
and surgical facilities, and negatively
impact patients. These letters discussed
fentanyl’s appearance on the Food and
Drug Administration’s (FDA) drug
shortage list and that fentanyl is the
least diverted among the covered
controlled substances.
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 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
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.
Pursuant to 21 U.S.C. 826(a)(1),
‘‘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.’’ However, the
Substance Use-Disorder Prevention that
Promotes Opioid Recovery Treatment
for Patients and Communities Act of
2018 (SUPPORT Act), (Pub. L. 115–271),
provides an exception to that general
rule by now giving DEA the authority to
establish quotas in terms of
pharmaceutical dosage forms if the
agency determines that doing so will
assist in avoiding the overproduction,
shortages, or diversion of a controlled
substance. While DEA is now allowed to
issue quotas in terms of pharmaceutical
dosage form, it is not required to do so.
DEA will not be utilizing this authority
at the aggregate production quota level,
but will be doing so at the individual
dosage-form manufacturing level where
it will have a greater impact on averting
potential shortages. Because quotas set
at the individual dosage-form
manufacturing level are more directly
connected to distributions of current
and new FDA-approved drug products,
they allow DEA to manage
manufacturing quotas to alleviate any
potential shortage in a more timely
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manner than with quotas set at the
aggregate production quota level. This is
also true because the aggregate
production quota is initially established
prior to the start of the quota calendar
year.
Additionally, DEA and FDA can
coordinate efforts to prevent or alleviate
drug shortages pursuant to 21 U.S.C.
826(h). Such efforts may include
adjusting domestic competitors’ quota,
completion of FDA approval to increase
the number of competitors, and
determining a foreign manufacturer that
can meet FDA approval. For example,
the domestic shortage of injectable
hydromorphone that occurred in 2018
was alleviated through the collaboration
of FDA and DEA to determine who were
the other dosage-form manufacturers
with injectable hydromorphone
products in the market, whether other
dosage-form manufacturers had the
capability to increase their production
levels to meet legitimate patient need in
a timely manner, and when it was
determined that the domestic
manufacturers could not increase
production significantly to meet
legitimate patient need, DEA and FDA
coordinated their regulatory authority to
allow for the limited importation of
injectable hydromorphone into the
United States.
Relevant Information Obtained From
the States
Pursuant to 21 CFR 1303.11, DEA
must consider relevant information from
the States when setting the aggregate
production quota. Seven State Attorneys
General submitted a joint comment
expressing concerns about the
estimation of diversion for all controlled
substances, not accounting for overprescribing, and the consideration of
additional information to set quotas.
Their concerns are addressed in more
detail below.
I. Diversion Analysis for All Controlled
Substances
The seven State Attorneys General
commented that DEA should not take
different approaches when accounting
for diversion for the five covered
controlled substances and the remaining
controlled substances. In the letter, they
discussed the mandates from the
SUPPORT Act, as well as the
requirements implemented through 21
CFR 1303.11 by the Controlled
Substances Quota rule. 83 FR 32784.
They expressed that they have similar
language and purposes, even though the
SUPPORT Act goes a bit further in its
mandate by requiring the estimation of
diversion for the five covered controlled
substances. They pointed out that DEA
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estimated diversion and made
straightforward quota reductions by the
corresponding quantities, whereas DEA
only noted that the databases contained
usable information in regards to the
remaining controlled substances. DEA
did not indicate that diversion estimates
were conducted for any other controlled
substance, nor did DEA indicate that
any corresponding decreases were made
for other controlled substances. They
commented that if DEA believes they
have a sound method for estimating
diversion, then it is unreasonable not to
apply that method for estimating
diversion to all controlled substances.
The States also commented that there
is a lack of transparency in the setting
of quotas. The States believe that DEA
needs to explain the logic behind using
different approaches in setting quotas.
They commented that DEA must
include the findings of fact when setting
the quota and that transparency is
essential in allowing parties to evaluate
DEA’s 2020 Proposed Aggregate
Production Quota notice.
DEA considered various data sources
in order to determine the extent of
diversion of all controlled substances as
is required by the recent amendments to
the CSA and changes to DEA’s own
regulations. In accordance with factor
six in 21 CFR 1303.11(b), DEA formally
solicited the Department of Health and
Human Services (HHS), U.S. Centers for
Disease Control and Prevention (CDC),
the Centers for Medicare and Medicaid
Services (CMS), and the states in August
2018, requesting information including
rates of overdose deaths and abuse and
overall public health impact related to
controlled substances. This information
was also considered pursuant to the
SUPPORT Act. DEA determined that
due to the grouping of drug classes in
all of the sources provided, the data
could not be used to estimate diversion
for the purpose of setting the aggregate
production quotas. However, DEA
estimated diversion of the covered
controlled substances defined in the
SUPPORT Act utilizing DEA’s internal
data sources. DEA will continue to
further define sources that will be useful
in analyzing diversion of the remaining
controlled substances.
II. Methods and Data That Capture
Over-Prescribing as Part of its
Diversion Analysis
The States acknowledged that DEA’s
current approach for accounting for
diversion is a significant improvement
but commented that DEA does not
adequately account for over-prescribing.
They commented that over-prescribing
results when there is overproduction,
which allows legitimate prescriptions to
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be diverted. Assuming a controlled
substance is validly dispensed for a
legitimate medical purpose, both the
physician and patient will use their
judgement to determine how much
medication will be prescribed and how
much they will consume. The
physician’s decisions may be influenced
by recommendations from CDC, FDA,
and professional medical organizations
that have conducted and/or reviewed
clinical studies used to determine
prescription guidelines. Patients are
ultimately going to decide for
themselves how much of the
legitimately prescribed medication they
will consume. DEA does not control the
quantity of a substance prescribed to a
patient, and DEA cannot control how
much of the prescription a patient
decides to consume. DEA also receives
assistance in curbing overprescribing
from programs in place, such as the
President’s Safer Prescribing Plan,
which seeks to reduce nationwide
opioid prescription fills by one-third.
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. These decreases take into
account the combined efforts of DEA,
FDA, and CDC enforcing regulations
and issuing guidance documents, as
well as many states enacting
prescription monitoring database
programs to stem the opiate/opioid
epidemic.
There are ample reasons not to pursue
the methods suggested by the State
Attorneys General, including that the
studies on which they relied are limited
in scope of procedures and number of
hospitals, such that the methodology is
insufficient to expand to a national
level.
As pointed out by the States, ‘‘there
is no perfect system of measuring other
sources of diversion like overprescription.’’ The States pointed to
data from drug takeback programs, but
currently that data is not usable for
consideration in determining the
aggregate production quota. There is no
method in place to determine how
much of the prescription medications
are schedule I or II substances and
which controlled substances are being
returned. DEA and HHS are working
together to consider options for
quantifying Take-Back Program data.
III. Consideration of Additional
Information To Determine Production
Quotas
The State Attorneys General
commented that DEA should expand its
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sources of data used to set aggregate
production quotas. They suggested three
steps that DEA should take to gather
information to set quotas which are
listed below.
1: Improve Usability of the Automated
Reports and Consolidated Ordering
System (ARCOS) and the Suspicious
Order Reporting System (SORS)
The State Attorneys General
commented that DEA should improve
usability of the ARCOS and SORS
databases to gather better information
on prescribing practices. They also note
that DEA did not indicate whether
SORS was used and minimally referred
to ARCOS not being used because it
contained identical information to the
Theft Loss Report Database. The States
commented that DEA needs to reform its
process to upload SORS reports into the
SORS database. Further, they
commented that overdose data received
from States and the CDC should be
cross-referenced with ARCOS to provide
context that should inform the quotasetting process.
SORS was not centralized until its
recent launch on October 23, 2019. DEA
will need time to sort through the
system to determine its utility for
aggregate production quota purposes.
The submission of a suspicious order
alone is not an automatic determination
that the order is illicit in nature. Further
investigations need to be completed to
determine if a transgression has
occurred.
The differences in reporting
frequencies to ARCOS are specified in
21 CFR 1304.33(b). Acquisition and
distribution transaction reports must be
completed every quarter no later than
the 15th day of the month succeeding
the quarter for which it is being
submitted. In the same section of the
CFR, it does mention that a registrant
may be given permission to file a report
more frequently, but no more than on a
monthly basis. The State Attorneys
General request to change this
regulation is outside of the scope of this
final order.
2: Improve Data Collection in
Prescription Drug Takeback Programs
To Capture the Quantities of Drugs
Overprescribed in Particular Areas
The State Attorneys General
expressed that DEA should expand the
National Take Back Program to assist
with gathering more precise data on
over-prescribing. They noted that the
takeback programs do not track the
types and quantities of what the public
turns in, limiting their value. Currently,
DEA and HHS are working together to
consider methods that improve data
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collection and subsequently the
usability of data obtained from the TakeBack Program.
3: Consider Medical Best Practices as
Part of the Holistic Diversion Analysis
The letter submitted by the State
Attorneys General also suggested that
DEA study the best practices developed
by the medical community and state
regulators to determine what opioid
quantities are ‘‘medically necessary.’’
They expressed that relying exclusively
on evidence of illegal activity assumes
that any legally-sold controlled
substance is a part of the medical and
scientific needs of the United States.
DEA is responsible for enforcing the
provisions of the CSA and DEA
regulations that require prescriptions for
controlled substances to be issued by a
practitioner for a legitimate medical
purpose in the usual course of his/her
professional practice. However, beyond
that context, DEA does not regulate the
practice of medicine generally and thus
does not have a role in establishing the
type of ‘‘best practices’’ to which the
commenter refers.
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Pain Management and Medical
Associations Letters
DEA also received 106 comments that
expressed concern that DEA’s proposed
reduction of opioids would adversely
impact the availability of pain relieving
prescription drugs for people with
chronic pain. These comments were
general in nature, and raised issues of
specific medical illnesses and medical
treatment, and therefore are outside of
the scope of this Final Order. As a
result, these comments did not provide
new discrete data for consideration, and
they do not impact the original analysis
involved in establishing the 2020
aggregate production quotas.
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 require doctors to only write
prescriptions for legitimate medical
needs. Any practitioner issuing an
invalid prescription for controlled
substances, and any pharmacy
knowingly filling such a prescription,
would be in violation of the CSA.
Hearings
Two commenters urged DEA to hold
a public hearing to receive feedback
from stakeholders. They asked that DEA
bring together all stakeholders, allowing
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stakeholders to publicly discuss their
concerns.
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
five DEA-registered manufacturers
regarding twenty-four different schedule
I and II controlled substances.
Commenters stated the proposed
aggregate production quotas for
amphetamine (for sale), fentanyl,
hydromorphone, methylphenidate,
morphine, noroxymorphone (for
conversion), and oxycodone (for sale)
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. Commenters requested
the proposed aggregate production
quotas for FUB–144, 5F–AB–PINACA,
5F–EDMB–PINACA, 5F–MDMB–PICA,
MMB–CHMICA, FUB–AKB48 (FUB–
APINACA), 5F–CUMYL–PINACA, 5F–
CUMYL–P7AICA, 4–CN–CUMYL–
BUTINACA, NM2201, 4-Methyl-alphaethylaminopentiophenone (4–MEAP),
N-Ethylhexedrone, 4-Chloro-alphapyrrolidinovalerophenone (4-Chloroalpha-PVP), 4′-Methyl-alphapyrrolidinohexiophenone (MPHP), NEthylpentylone, alphaPyrrolidinohexanophenone (alphaPHP), and alphaPyrrolidinoheptaphenone (PV8), be
sufficient for additional quota requests.
DEA has considered the comments for
specific controlled substances and made
adjustments as needed which are
described below in the section titled
Determination of 2020 Aggregate
Production Quotas and Assessment of
Annual Needs. DEA received one
comment to the proposed established
2020 assessment of annual needs for
ephedrine, pseudoephedrine, and
phenylpropanolamine regarding the
difficulty in procuring finished dosageforms of ephedrine. DEA has considered
this comment in the section regarding
drug shortages of controlled substances.
This letter characterized the reductions
of controlled substances and ephedrine
as ‘‘extremely problematic for American
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66017
healthcare providers,’’ stating that these
reductions will lead to drug shortages,
raise drug prices, lead to hardships on
hospitals and surgical facilities, and
negatively impact patients.
DEA is required under the CSA to
establish quotas for ephedrine,
pseudoephedrine, and
phenylpropanolamine 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. Although
DEA sets the assessment of annual
needs, it is possible that manufacturers’
business practices may lead to a
shortage of ephedrine drug products at
the consumer level, despite the
adequacy of the assessment of annual
needs set by DEA. For instance, DEA
does not have the authority to dictate
when during the calendar year the
manufacturer actually utilizes the quota
granted to them. Also, DEA cannot
dictate how much of the granted quota
the manufacturer allocates for use in a
single production run. The assessment
of annual needs is set by DEA in a
manner to include all dosage forms of
ephedrine in order to ensure that the
estimated medical needs of the United
States are met.
Additionally, DEA and FDA can
coordinate efforts to prevent or alleviate
drug shortages. Such efforts may
include adjusting competitors’ domestic
or import quotas and completion of FDA
approval to increase the number of
competitors.
Out of Scope
DEA received 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. DEA also received
comments asserting that illicit drug use,
and not prescription drug use, is the
main factor in the opioid crisis.
Although DEA is genuinely concerned
with illicit drug use and its involvement
in the opioid crisis, the manufacturing
of illicit substances is not considered
when determining the aggregate
production quotas because such illicit
manufacturing cannot be tempered by
adjusting the aggregate production
quotas, therefore it is outside the scope
of this final order.
All of these out of scope issues do not
impact the original analysis involved in
establishing the 2020 aggregate
production quotas.
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Determination of 2020 Aggregate
Production Quotas and Assessment of
Annual Needs
In determining the 2020 aggregate
production quotas and assessment of
annual needs, DEA has taken into
consideration the above comments
along with the factors set forth in 21
CFR 1303.11 and 21 CFR 1315.11, in
accordance with 21 U.S.C. 826(a), and
other relevant factors, including the
2019 manufacturing quotas, current
2019 sales and inventories, anticipated
2020 export requirements, industrial
use, additional applications for 2020
quotas, as well as information on
research and product development
requirements. Based on all of the above,
the Administrator is adjusting the 2020
aggregate production quotas for 4Methyl-alpha-ethylaminopentiophenone
(4–MEAP), N-Ethylhexedrone, 4-Chloroalpha-pyrrolidinovalerophenone (4Chloro-alpha-PVP), 4’-Methyl-alphapyrrolidinohexiophenone (MPHP),
alpha-Pyrrolidinohexanophenone
(alpha-PHP), alphaPyrrolidinoheptaphenone (PV8),
amphetamine (for sale), oxycodone (for
sale), and oxymorphone (for sale).
Regarding FUB-144, 5F-AB-PINACA,
5F-EDMB-PINACA, 5F-MDMB-PICA,
MMB-CHMICA, FUB-AKB48 (FUB-
APINACA), 5F-CUMYL-PINACA, 5FCUMYL-P7AICA, 4-CN-CUMYLBUTINACA, NM2201, NEthylpentylone, fentanyl,
hydromorphone, methylphenidate,
morphine, noroxymorphone (for
conversion), and oxycodone (for sale),
DEA has determined the proposed
aggregate production quotas and
assessment of annual needs are
sufficient to provide for the 2020
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.
Estimates of Diversion Pursuant to the
SUPPORT Act
The SUPPORT Act (21 U.S.C.
826(i)(1)(a)) requires that ‘‘in
establishing any quota under this
section . . ., for [the covered controlled
substances], the Attorney General shall
estimate the amount of diversion of the
[covered controlled substances] that
occurs in the United States.’’ To
estimate diversion as is required by the
SUPPORT Act, DEA aggregated the
active pharmaceutical ingredient (API)
of each covered controlled substance by
metric weight where the data was
available in the aforementioned
databases. Based on the individual
entries into the aforementioned
databases, DEA calculated the estimated
amount of diversion by multiplying the
strength of the API listed for each
finished dosage form by the total
amount of units reported to estimate the
metric weight in kilograms of the
controlled substance being diverted.
The estimate of diversion for each of the
covered controlled substances is
reported below.
DIVERSION ESTIMATES FOR 2018 (KG)
Fentanyl ........................................
Hydrocodone ................................
Hydromorphone ............................
Oxycodone ....................................
Oxymorphone ...............................
0.109
24.259
1.219
57.051
1.157
In accordance with 21 U.S.C. 826, 21
CFR 1303.11, and 21 CFR 1315.11, the
Administrator hereby establishes the
2020 aggregate production quotas for the
following schedule I and II controlled
substances and the 2020 assessment of
annual needs for the list I chemicals
ephedrine, pseudoephedrine, and
phenylpropanolamine, expressed in
grams of anhydrous acid or base, as
follows:
Established
2020 quotas
(g)
Basic class
jbell on DSKJLSW7X2PROD with NOTICES
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 (AM694) ...........................................................................................................................
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 (DMA) ....................................................................................................................................................
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 .............................................................................................................................................................................
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15
10
30
30
25
10
15
30
30
30
30
100
30
30
25
30
30
25
25
25
30
30
30
55
50
40
40
35
25
30
30
Federal Register / Vol. 84, No. 231 / Monday, December 2, 2019 / Notices
Established
2020 quotas
(g)
jbell on DSKJLSW7X2PROD with NOTICES
Basic class
4-Bromo-2,5-dimethoxyamphetamine (DOB) ......................................................................................................................................
4-Bromo-2,5-dimethoxyphenethylamine (2-CB) ..................................................................................................................................
4-Chloro-a-pyrrolidinovalerophenone (4-chloro-alpha-PVP) ...............................................................................................................
4CN-Cumyl-Butanica, 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-ethylaminopentiophenone (4-MEAP) ................................................................................................................................
4-Methyl-a-pyrrolidinohexiophenone (MPHP) .....................................................................................................................................
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) ...........................
5F-CUMYL-PINACA ............................................................................................................................................................................
5F-EDMB-PINACA ...............................................................................................................................................................................
5F-MDMB-PICA ...................................................................................................................................................................................
5F-AB-PINACA; N-(1-amino-3-methyl-1-oxobutan-2-yl)-1-(5-fluoropentyl)-1H-indazole-3-carboxamide ............................................
5F-CUMYL-P7AICA; (1-(5-fluoropentyl)-N-(2-phenylpropan-2-yl)-1H-pyrrolo[2,3-b]pyridine-3-carboximide) .....................................
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)-1H-indol-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) ..................................
Acetorphine ..........................................................................................................................................................................................
Acetyl Fentanyl ....................................................................................................................................................................................
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 .....................................................................................................................................................................................
Alphaprodine ........................................................................................................................................................................................
alpha-Methylfentanyl ............................................................................................................................................................................
alpha-Methylthiofentanyl ......................................................................................................................................................................
alpha-Methyltryptamine (AMT) ............................................................................................................................................................
alpha-Pyrrolidinobutiophenone (a-PBP) ..............................................................................................................................................
alpha-Pyrrolidinoheptaphenone (PV8) .................................................................................................................................................
alpha-Pyrrolidinohexanophenone (a-PHP) ..........................................................................................................................................
alpha-Pyrrolidinopentiophenone (a-PVP) ............................................................................................................................................
Aminorex ..............................................................................................................................................................................................
Anileridine ............................................................................................................................................................................................
APINCA, AKB48 (N-(1-adamantyl)-1-pentyl-1H-indazole-3-carboxamide) .........................................................................................
Benzethidine ........................................................................................................................................................................................
Benzylmorphine ...................................................................................................................................................................................
Betacetylmethadol ...............................................................................................................................................................................
beta-Hydroxy-3-methylfentanyl ............................................................................................................................................................
beta-Hydroxyfentanyl ...........................................................................................................................................................................
beta-Hydroxythiofentanyl .....................................................................................................................................................................
Betameprodine .....................................................................................................................................................................................
Betamethadol .......................................................................................................................................................................................
Betaprodine ..........................................................................................................................................................................................
Bufotenine ............................................................................................................................................................................................
Butylone ...............................................................................................................................................................................................
Butyryl fentanyl ....................................................................................................................................................................................
Cathinone .............................................................................................................................................................................................
Clonitazene ..........................................................................................................................................................................................
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66019
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E:\FR\FM\02DEN1.SGM
02DEN1
30
25
25
25
30
25
25
150
25
25
45
25
25
25
50
40
25
25
25
25
25
30
30
30
20
25
25
25
25
30
50
30
30
25
100
30
30
25
25
50
30
25
2
25
2
2
25
30
30
25
25
25
25
25
25
20
25
25
30
2
30
30
30
25
4
25
15
25
30
40
25
66020
Federal Register / Vol. 84, No. 231 / Monday, December 2, 2019 / Notices
Established
2020 quotas
(g)
jbell on DSKJLSW7X2PROD with NOTICES
Basic class
Codeine methylbromide .......................................................................................................................................................................
Codeine-N-oxide ..................................................................................................................................................................................
Cyclopentyl Fentanyl ...........................................................................................................................................................................
Cyclopropyl Fentanyl ...........................................................................................................................................................................
Cyprenorphine .....................................................................................................................................................................................
Desomorphine ......................................................................................................................................................................................
Dextromoramide ..................................................................................................................................................................................
Diapromide ...........................................................................................................................................................................................
Diethylthiambutene ..............................................................................................................................................................................
Diethyltryptamine .................................................................................................................................................................................
Difenoxin ..............................................................................................................................................................................................
Dihydromorphine ..................................................................................................................................................................................
Dimenoxadol ........................................................................................................................................................................................
Dimepheptanol .....................................................................................................................................................................................
Dimethylthiambutene ...........................................................................................................................................................................
Dimethyltryptamine ..............................................................................................................................................................................
Dioxyaphetyl butyrate ..........................................................................................................................................................................
Dipipanone ...........................................................................................................................................................................................
Drotebanol ...........................................................................................................................................................................................
Ethylmethylthiambutene .......................................................................................................................................................................
Etorphine ..............................................................................................................................................................................................
Fenethylline ..........................................................................................................................................................................................
Fentanyl related substances ................................................................................................................................................................
FUB-144 ...............................................................................................................................................................................................
FUB-AKB48 .........................................................................................................................................................................................
Furanyl fentanyl ...................................................................................................................................................................................
Furethidine ...........................................................................................................................................................................................
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) ............................................................................................................................
Ketobemidone ......................................................................................................................................................................................
Levomoramide .....................................................................................................................................................................................
Levophenacylmorphan .........................................................................................................................................................................
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) ...........................................
MMB-CHMICA-(AMB-CHMICA); Methyl-2-(1-(cyclohexylmethyl)-1H-indole-3-carboxamido)-3-methylbutanoate .............................
Marihuana ............................................................................................................................................................................................
Mecloqualone .......................................................................................................................................................................................
Mescaline .............................................................................................................................................................................................
Methaqualone ......................................................................................................................................................................................
Methcathinone .....................................................................................................................................................................................
Methyoxyacetyl fentanyl ......................................................................................................................................................................
Methyldesorphine .................................................................................................................................................................................
Methyldihydromorphine ........................................................................................................................................................................
Morpheridine ........................................................................................................................................................................................
Morphine methylbromide .....................................................................................................................................................................
Morphine methylsulfonate ....................................................................................................................................................................
Morphine-N-oxide ................................................................................................................................................................................
MT-45 ...................................................................................................................................................................................................
Myrophine ............................................................................................................................................................................................
NM2201; Naphthalen-1-yl 1-(5-fluoropentyl)-1H-indole-3-carboxylate ................................................................................................
N,N-Dimethylamphetamine ..................................................................................................................................................................
Naphyrone ...........................................................................................................................................................................................
N-Ethyl-1-phenylcyclohexylamine ........................................................................................................................................................
N-Ethyl-3-piperidyl benzilate ................................................................................................................................................................
N-Ethylamphetamine ...........................................................................................................................................................................
N-Ethylhexedrone ................................................................................................................................................................................
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02DEN1
30
192
30
20
25
25
25
20
20
25
9,200
753,500
25
25
20
50
25
5
25
25
30
30
40
25
25
30
25
25,417,000
45
40
25
30
25
35
45
45
30
30
35
30
30
30
30
25
25
40
30
30
30
25
3,200,000
30
25
60
25
30
5
25
25
5
5
150
30
25
25
25
25
5
10
24
25
Federal Register / Vol. 84, No. 231 / Monday, December 2, 2019 / Notices
66021
Established
2020 quotas
(g)
Basic class
N-Ethylpentylone, ephylone .................................................................................................................................................................
N-Hydroxy-3,4-methylenedioxyamphetamine ......................................................................................................................................
N-Methyl-3-Piperidyl Benzilate ............................................................................................................................................................
Nicocodeine .........................................................................................................................................................................................
Nicomorphine .......................................................................................................................................................................................
Noracymethadol ...................................................................................................................................................................................
Norlevorphanol .....................................................................................................................................................................................
Normethadone .....................................................................................................................................................................................
Normorphine ........................................................................................................................................................................................
Norpipanone ........................................................................................................................................................................................
Ocfentanil .............................................................................................................................................................................................
Ortho-fluorofentanyl, 2-fluorofentanyl ..................................................................................................................................................
Para-chloroisobutyryl fentanyl .............................................................................................................................................................
Para-fluorofentanyl ...............................................................................................................................................................................
Para-fluorobutyryl fentanyl ...................................................................................................................................................................
Para-methoxybutyryl fentanyl ..............................................................................................................................................................
Parahexyl .............................................................................................................................................................................................
PB-22; QUPIC .....................................................................................................................................................................................
Pentedrone ..........................................................................................................................................................................................
Pentylone .............................................................................................................................................................................................
Phenadoxone .......................................................................................................................................................................................
Phenampromide ...................................................................................................................................................................................
Phenomorphan ....................................................................................................................................................................................
Phenoperidine ......................................................................................................................................................................................
Pholcodine ...........................................................................................................................................................................................
Piritramide ............................................................................................................................................................................................
Proheptazine ........................................................................................................................................................................................
Properidine ...........................................................................................................................................................................................
Propiram ..............................................................................................................................................................................................
Psilocybin .............................................................................................................................................................................................
Psilocyn ................................................................................................................................................................................................
Racemoramide .....................................................................................................................................................................................
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 ...................................................................................................................................................................
Thebacon .............................................................................................................................................................................................
Thiafentanil ..........................................................................................................................................................................................
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 ....................................................................................................................................................................................
30
24
30
25
25
25
55
25
40
25
25
30
30
25
25
30
5
20
25
25
25
25
25
25
5
25
25
25
25
30
50
25
45
30
384,460
15
25
25
25
30
25
25
25
30
25
jbell on DSKJLSW7X2PROD with NOTICES
Schedule II
1-Phenylcyclohexylamine ....................................................................................................................................................................
1-Piperidinocyclohexanecarbonitrile ....................................................................................................................................................
4-Anilino-N-phenethyl-4-piperidine (ANPP) .........................................................................................................................................
Alfentanil ..............................................................................................................................................................................................
Alphaprodine ........................................................................................................................................................................................
Amobarbital ..........................................................................................................................................................................................
Amphetamine (for conversion) ............................................................................................................................................................
Amphetamine (for sale) .......................................................................................................................................................................
Bezitramide ..........................................................................................................................................................................................
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) .............................................................................................................................................................
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02DEN1
15
25
813,005
3,260
2
20,100
14,137,578
47,000,000
25
20
82,127
3,225,000
30,731,558
35
156,713
2
14,100
770,800
88,134
30
32
813,005
25
1,250
66022
Federal Register / Vol. 84, No. 231 / Monday, December 2, 2019 / Notices
Established
2020 quotas
(g)
Basic class
Hydrocodone (for sale) ........................................................................................................................................................................
Hydromorphone ...................................................................................................................................................................................
Isomethadone ......................................................................................................................................................................................
Levo-alphacetylmethadol (LAAM) ........................................................................................................................................................
Levomethorphan ..................................................................................................................................................................................
Levorphanol .........................................................................................................................................................................................
Lisdexamfetamine ................................................................................................................................................................................
Meperidine ...........................................................................................................................................................................................
Meperidine Intermediate-A ..................................................................................................................................................................
Meperidine Intermediate-B ..................................................................................................................................................................
Meperidine Intermediate-C ..................................................................................................................................................................
Metazocine ...........................................................................................................................................................................................
Methadone (for sale) ...........................................................................................................................................................................
Methadone Intermediate ......................................................................................................................................................................
Methamphetamine ...............................................................................................................................................................................
34,836,854
3,054,479
30
5
30
38,000
21,000,000
1,463,873
30
30
30
15
22,278,000
24,064,000
1,213,603
[678,878 grams of levo-desoxyephedrine for use in a non-controlled, non-prescription product; 505,231 grams for methamphetamine
mostly for conversion to a schedule III product; and 29,494 grams for methamphetamine (for sale)]
Methylphenidate ...................................................................................................................................................................................
Metopon ...............................................................................................................................................................................................
Moramide-intermediate ........................................................................................................................................................................
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 .....................................................................................................................................................................................
Piminodine ...........................................................................................................................................................................................
Racemethorphan .................................................................................................................................................................................
Racemorphan ......................................................................................................................................................................................
Remifentanil .........................................................................................................................................................................................
Secobarbital .........................................................................................................................................................................................
Sufentanil .............................................................................................................................................................................................
Tapentadol ...........................................................................................................................................................................................
Thebaine ..............................................................................................................................................................................................
57,438,334
25
25
4,089,000
29,353,655
62,000
19,169,340
376,000
250,000
530,837
28,705,000
914,010
67,593,983
24,525,540
829,051
25,850,000
25
35
25
40
25
5
5
3,000
172,100
4,000
13,447,541
70,829,235
List I Chemicals
jbell on DSKJLSW7X2PROD with NOTICES
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
VerDate Sep<11>2014
18:34 Nov 29, 2019
Jkt 250001
CFR 1303.13 and 21 CFR 1315.13, upon
consideration of the relevant factors, the
Administrator may adjust the 2020
aggregate production quotas and
assessment of annual needs as needed.
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Fmt 4703
Sfmt 4703
25
4,136,000
14,100,000
7,990,000
1,000
174,246,000
Dated: November 27, 2019.
Uttam Dhillon,
Acting Administrator.
[FR Doc. 2019-26119 Filed 11–29–19; 8:45 am]
BILLING CODE 4410–09–P
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02DEN1
Federal Register / Vol. 84, No. 231 / Monday, December 2, 2019 / Notices
information to be collected can be
enhanced; and
—Minimize the burden of the collection
of information on those who are to
respond, including through the use of
appropriate automated, electronic,
mechanical, or other technological
collection techniques or other forms
of information technology, e.g.,
permitting electronic submission of
responses.
DEPARTMENT OF JUSTICE
[OMB Number 1121–0311]
Agency Information Collection
Activities; Proposed eCollection
eComments Requested;
Reinstatement, With Change, of
Previously Approved Collection:
National Inmate Survey in Prisons
(NIS–4P)
Bureau of Justice Statistics,
Department of Justice.
ACTION: 60-Day notice.
AGENCY:
The Department of Justice
(DOJ), Office of Justice Programs,
Bureau of Justice Statistics, will be
submitting the following information
collection request to the Office of
Management and Budget (OMB) for
review and approval in accordance with
the Paperwork Reduction Act of 1995.
DATES: Comments are encouraged and
will be accepted for 60 days until
January 31, 2020.
FOR FURTHER INFORMATION CONTACT: If
you have additional comments
especially on the estimated public
burden or associated response time,
suggestions, or need a copy of the
proposed information collection
instrument with instructions or
additional information, please contact
Amy Lauger, Supervisory Statistician,
Institutional Research and Special
Projects Unit, Bureau of Justice
Statistics, 810 Seventh Street NW,
Washington, DC 20531 (email:
Amy.Lauger@ojp.usdoj.gov; telephone:
202–307–0711).
SUPPLEMENTARY INFORMATION: Written
comments and suggestions from the
public and affected agencies concerning
the proposed collection of information
are encouraged. Your comments should
address one or more of the following
four points:
—Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the Bureau of Justice
Statistics, including whether the
information will have practical utility;
—Evaluate the accuracy of the agency’s
estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
—Evaluate whether, and if so how, the
quality, utility, and clarity of the
jbell on DSKJLSW7X2PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:34 Nov 29, 2019
Jkt 250001
Overview of this information
collection:
1 Type of Information Collection:
Reinstatement, with change, of a
previously approved collection.
2 The Title of the Form/Collection:
National Inmate Survey in Prisons (NIS–
4P).
3 The agency form number, if any,
and the applicable component of the
Department sponsoring the collection:
There is no agency form number at this
time. The applicable component within
the Department of Justice is the Bureau
of Justice Statistics, in the Office of
Justice Programs.
4 Affected public who will be asked or
required to respond, as well as a brief
abstract: Respondents will primarily be
State, Local, or Tribal Government
entities. The work under this clearance
will be used to produce estimates for the
incidence and prevalence of sexual
victimization within correctional
facilities as required under the Prison
Rape Elimination Act of 2003 (Pub. L.
108–79). The Bureau of Justice Statistics
uses this information in published
reports and for the U.S. Congress,
Executive Office of the President,
practitioners, researchers, students, the
media, and others interested in criminal
justice statistics.
In 2003, the Prison Rape Elimination
Act (PREA or the Act) was signed into
law. The Act requires BJS to ‘‘carry out,
for each calendar year, a comprehensive
statistical review and analysis of the
incidence and effects of prison rape.’’
The Act further instructs BJS to collect
survey data: ‘‘. . . the Bureau shall . . .
use surveys and other statistical studies
of current and former inmates . . .’’
To implement the Act, BJS developed
the National Prison Rape Statistics
Program (NPRS), which includes four
separate data collection efforts: The
Survey on Sexual Violence (SSV), the
National Inmate Survey (NIS), the
National Survey of Youth in Custody
(NSYC), and the National Former
Prisoner Survey (NFPS). The NIS
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Sfmt 4703
66023
collects information on sexual
victimization self-reported by inmates
held in adult correctional facilities, both
prisons and jails. The NIS has been
conducted three times, in 2007 (NIS–1),
in 2008–09 (NIS–2), and in 2011–12
(NIS–3). Each iteration of NIS was
conducted in at least one facility in all
50 states and the District of Columbia.
In each iteration of the survey, inmates
completed the survey using an audio
computer-assisted self-interview
(ACASI), whereby they heard questions
and instructions via headphones and
responded to the survey items via a
touch-screen interface.
The collection requested in this notice
is the fourth iteration of the National
Inmate Survey. For NIS–4,
administration of the survey in prisons
will take place separately from survey
administration in jails. This collection
request is specific to conducting the
survey in adult prison facilities.
The survey instrument for the NIS–4
in Prisons is slightly modified from the
previous iterations. The main difference
is the addition of a new set of incidentspecific questions administered to
respondents who affirmatively indicate
they were sexually victimized at some
point in the previous 12 months while
housed in their current prison facility.
These incident-specific questions will
provide information to the public on the
nature of sexual victimization in
prisons, such as where incidents
occurred within the facility, the
relationship between the victim and the
alleged perpetrator(s), and whether the
victim suffered any injuries as a result
of the incident, among other incident
characteristics.
5 An estimate of the total number of
respondents and the amount of time
estimated for an average respondent to
respond: Prior to data collection
commencing in 2020, BJS will
coordinate the logistics of NIS–4 survey
administration with staff at state, local,
and tribal correction facilities. Because
the administration of this survey in jails
is not included in this request, the
overall number of burden hours is lower
than in the last request approved in
2010 (the jail survey will be submitted
under a new OMB number). It is
estimated that 150 facility respondents
will devote 180 minutes of time to this
coordination effort. During data
collection in 2020, 77,000 state, local,
and tribal adult inmates held in prisons
E:\FR\FM\02DEN1.SGM
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Agencies
[Federal Register Volume 84, Number 231 (Monday, December 2, 2019)]
[Notices]
[Pages 66014-66023]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-26119]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. DEA-508E]
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 2020
AGENCY: Drug Enforcement Administration, Department of Justice.
ACTION: Final order.
-----------------------------------------------------------------------
SUMMARY: This final order establishes the initial 2020 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: Effective Date: This order is effective December 2, 2019.
FOR FURTHER INFORMATION CONTACT: Scott A. Brinks, Diversion Control
Division, Drug Enforcement Administration, 8701 Morrissette Drive,
Springfield, VA 22152, Telephone: (571) 362-3261.
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 schedule 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 Drug Enforcement Administration (DEA)
pursuant to 28 CFR 0.100.
Background
The 2020 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
2020 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.
[[Page 66015]]
On September 12, 2019, 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 2020'' was published in
the Federal Register. 84 FR 48170. This notice proposed the 2020
aggregate production quotas for each basic class of controlled
substance listed in schedules I and II, and the 2020 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 October 15, 2019.
Comments Received
Within the public comment period, DEA received 731 comments from
DEA registrants, hospital associations, professional associations,
doctors, nurses, health system organizations, State Attorneys General,
and others. The comments included concerns about the quota process,
concerns that further quota reductions will lead to drug shortages,
requests for less interference in the doctor-patient relationship,
availability of prescription drugs for chronic pain patients, requests
for hearings, requests for increase in specific production quotas, and
other comments outside the scope of this notice. DEA received a joint
comment from two Senators urging DEA to apply DEA's new authorities to
prevent and limit opioid diversion due to excessively high production
levels. Although this comment was received after the close of the
comment period, DEA shares the Senators' concerns and is working to
improve its ability to use available databases to better quantify
diversion as part of the quota process.
Shortages
There were non-DEA registered commenters that expressed concerns
about the decrease in 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 DEA
separate quotas for solid oral controlled substances and injectable
controlled substances, and that DEA allow consideration by individual
pharmaceutical dosage forms.
DEA also received letters from many doctors, nurses, hospital
administrators, and others in the medical field regarding the proposed
quota reduction for fentanyl and other schedule II narcotics. These
letters characterized the reductions as ``extremely problematic for
American healthcare providers,'' stating that the reduction for
fentanyl and other schedule II narcotics will lead to drug shortages,
raise drug prices, lead to hardships on hospitals and surgical
facilities, and negatively impact patients. These letters discussed
fentanyl's appearance on the Food and Drug Administration's (FDA) drug
shortage list and that fentanyl is the least diverted among the covered
controlled substances.
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 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 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.
Pursuant to 21 U.S.C. 826(a)(1), ``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.'' However, the
Substance Use-Disorder Prevention that Promotes Opioid Recovery
Treatment for Patients and Communities Act of 2018 (SUPPORT Act), (Pub.
L. 115-271), provides an exception to that general rule by now giving
DEA the authority to establish quotas in terms of pharmaceutical dosage
forms if the agency determines that doing so will assist in avoiding
the overproduction, shortages, or diversion of a controlled substance.
While DEA is now allowed to issue quotas in terms of pharmaceutical
dosage form, it is not required to do so. DEA will not be utilizing
this authority at the aggregate production quota level, but will be
doing so at the individual dosage-form manufacturing level where it
will have a greater impact on averting potential shortages. Because
quotas set at the individual dosage-form manufacturing level are more
directly connected to distributions of current and new FDA-approved
drug products, they allow DEA to manage manufacturing quotas to
alleviate any potential shortage in a more timely manner than with
quotas set at the aggregate production quota level. This is also true
because the aggregate production quota is initially established prior
to the start of the quota calendar year.
Additionally, DEA and FDA can coordinate efforts to prevent or
alleviate drug shortages pursuant to 21 U.S.C. 826(h). Such efforts may
include adjusting domestic competitors' quota, completion of FDA
approval to increase the number of competitors, and determining a
foreign manufacturer that can meet FDA approval. For example, the
domestic shortage of injectable hydromorphone that occurred in 2018 was
alleviated through the collaboration of FDA and DEA to determine who
were the other dosage-form manufacturers with injectable hydromorphone
products in the market, whether other dosage-form manufacturers had the
capability to increase their production levels to meet legitimate
patient need in a timely manner, and when it was determined that the
domestic manufacturers could not increase production significantly to
meet legitimate patient need, DEA and FDA coordinated their regulatory
authority to allow for the limited importation of injectable
hydromorphone into the United States.
Relevant Information Obtained From the States
Pursuant to 21 CFR 1303.11, DEA must consider relevant information
from the States when setting the aggregate production quota. Seven
State Attorneys General submitted a joint comment expressing concerns
about the estimation of diversion for all controlled substances, not
accounting for over-prescribing, and the consideration of additional
information to set quotas. Their concerns are addressed in more detail
below.
I. Diversion Analysis for All Controlled Substances
The seven State Attorneys General commented that DEA should not
take different approaches when accounting for diversion for the five
covered controlled substances and the remaining controlled substances.
In the letter, they discussed the mandates from the SUPPORT Act, as
well as the requirements implemented through 21 CFR 1303.11 by the
Controlled Substances Quota rule. 83 FR 32784. They expressed that they
have similar language and purposes, even though the SUPPORT Act goes a
bit further in its mandate by requiring the estimation of diversion for
the five covered controlled substances. They pointed out that DEA
[[Page 66016]]
estimated diversion and made straightforward quota reductions by the
corresponding quantities, whereas DEA only noted that the databases
contained usable information in regards to the remaining controlled
substances. DEA did not indicate that diversion estimates were
conducted for any other controlled substance, nor did DEA indicate that
any corresponding decreases were made for other controlled substances.
They commented that if DEA believes they have a sound method for
estimating diversion, then it is unreasonable not to apply that method
for estimating diversion to all controlled substances.
The States also commented that there is a lack of transparency in
the setting of quotas. The States believe that DEA needs to explain the
logic behind using different approaches in setting quotas. They
commented that DEA must include the findings of fact when setting the
quota and that transparency is essential in allowing parties to
evaluate DEA's 2020 Proposed Aggregate Production Quota notice.
DEA considered various data sources in order to determine the
extent of diversion of all controlled substances as is required by the
recent amendments to the CSA and changes to DEA's own regulations. In
accordance with factor six in 21 CFR 1303.11(b), DEA formally solicited
the Department of Health and Human Services (HHS), U.S. Centers for
Disease Control and Prevention (CDC), the Centers for Medicare and
Medicaid Services (CMS), and the states in August 2018, requesting
information including rates of overdose deaths and abuse and overall
public health impact related to controlled substances. This information
was also considered pursuant to the SUPPORT Act. DEA determined that
due to the grouping of drug classes in all of the sources provided, the
data could not be used to estimate diversion for the purpose of setting
the aggregate production quotas. However, DEA estimated diversion of
the covered controlled substances defined in the SUPPORT Act utilizing
DEA's internal data sources. DEA will continue to further define
sources that will be useful in analyzing diversion of the remaining
controlled substances.
II. Methods and Data That Capture Over-Prescribing as Part of its
Diversion Analysis
The States acknowledged that DEA's current approach for accounting
for diversion is a significant improvement but commented that DEA does
not adequately account for over-prescribing. They commented that over-
prescribing results when there is overproduction, which allows
legitimate prescriptions to be diverted. Assuming a controlled
substance is validly dispensed for a legitimate medical purpose, both
the physician and patient will use their judgement to determine how
much medication will be prescribed and how much they will consume. The
physician's decisions may be influenced by recommendations from CDC,
FDA, and professional medical organizations that have conducted and/or
reviewed clinical studies used to determine prescription guidelines.
Patients are ultimately going to decide for themselves how much of the
legitimately prescribed medication they will consume. DEA does not
control the quantity of a substance prescribed to a patient, and DEA
cannot control how much of the prescription a patient decides to
consume. DEA also receives assistance in curbing overprescribing from
programs in place, such as the President's Safer Prescribing Plan,
which seeks to reduce nationwide opioid prescription fills by one-
third. 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. These decreases take into
account the combined efforts of DEA, FDA, and CDC enforcing regulations
and issuing guidance documents, as well as many states enacting
prescription monitoring database programs to stem the opiate/opioid
epidemic.
There are ample reasons not to pursue the methods suggested by the
State Attorneys General, including that the studies on which they
relied are limited in scope of procedures and number of hospitals, such
that the methodology is insufficient to expand to a national level.
As pointed out by the States, ``there is no perfect system of
measuring other sources of diversion like over-prescription.'' The
States pointed to data from drug takeback programs, but currently that
data is not usable for consideration in determining the aggregate
production quota. There is no method in place to determine how much of
the prescription medications are schedule I or II substances and which
controlled substances are being returned. DEA and HHS are working
together to consider options for quantifying Take-Back Program data.
III. Consideration of Additional Information To Determine Production
Quotas
The State Attorneys General commented that DEA should expand its
sources of data used to set aggregate production quotas. They suggested
three steps that DEA should take to gather information to set quotas
which are listed below.
1: Improve Usability of the Automated Reports and Consolidated Ordering
System (ARCOS) and the Suspicious Order Reporting System (SORS)
The State Attorneys General commented that DEA should improve
usability of the ARCOS and SORS databases to gather better information
on prescribing practices. They also note that DEA did not indicate
whether SORS was used and minimally referred to ARCOS not being used
because it contained identical information to the Theft Loss Report
Database. The States commented that DEA needs to reform its process to
upload SORS reports into the SORS database. Further, they commented
that overdose data received from States and the CDC should be cross-
referenced with ARCOS to provide context that should inform the quota-
setting process.
SORS was not centralized until its recent launch on October 23,
2019. DEA will need time to sort through the system to determine its
utility for aggregate production quota purposes. The submission of a
suspicious order alone is not an automatic determination that the order
is illicit in nature. Further investigations need to be completed to
determine if a transgression has occurred.
The differences in reporting frequencies to ARCOS are specified in
21 CFR 1304.33(b). Acquisition and distribution transaction reports
must be completed every quarter no later than the 15th day of the month
succeeding the quarter for which it is being submitted. In the same
section of the CFR, it does mention that a registrant may be given
permission to file a report more frequently, but no more than on a
monthly basis. The State Attorneys General request to change this
regulation is outside of the scope of this final order.
2: Improve Data Collection in Prescription Drug Takeback Programs To
Capture the Quantities of Drugs Overprescribed in Particular Areas
The State Attorneys General expressed that DEA should expand the
National Take Back Program to assist with gathering more precise data
on over-prescribing. They noted that the takeback programs do not track
the types and quantities of what the public turns in, limiting their
value. Currently, DEA and HHS are working together to consider methods
that improve data
[[Page 66017]]
collection and subsequently the usability of data obtained from the
Take-Back Program.
3: Consider Medical Best Practices as Part of the Holistic Diversion
Analysis
The letter submitted by the State Attorneys General also suggested
that DEA study the best practices developed by the medical community
and state regulators to determine what opioid quantities are
``medically necessary.'' They expressed that relying exclusively on
evidence of illegal activity assumes that any legally-sold controlled
substance is a part of the medical and scientific needs of the United
States.
DEA is responsible for enforcing the provisions of the CSA and DEA
regulations that require prescriptions for controlled substances to be
issued by a practitioner for a legitimate medical purpose in the usual
course of his/her professional practice. However, beyond that context,
DEA does not regulate the practice of medicine generally and thus does
not have a role in establishing the type of ``best practices'' to which
the commenter refers.
Pain Management and Medical Associations Letters
DEA also received 106 comments that expressed concern that DEA's
proposed reduction of opioids would adversely impact the availability
of pain relieving prescription drugs for people with chronic pain.
These comments were general in nature, and raised issues of specific
medical illnesses and medical treatment, and therefore are outside of
the scope of this Final Order. As a result, these comments did not
provide new discrete data for consideration, and they do not impact the
original analysis involved in establishing the 2020 aggregate
production quotas.
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 require doctors to only write prescriptions
for legitimate medical needs. Any practitioner issuing an invalid
prescription for controlled substances, and any pharmacy knowingly
filling such a prescription, would be in violation of the CSA.
Hearings
Two commenters urged DEA to hold a public hearing to receive
feedback from stakeholders. They asked that DEA bring together all
stakeholders, allowing stakeholders to publicly discuss their concerns.
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 five DEA-registered manufacturers
regarding twenty-four different schedule I and II controlled
substances. Commenters stated the proposed aggregate production quotas
for amphetamine (for sale), fentanyl, hydromorphone, methylphenidate,
morphine, noroxymorphone (for conversion), and oxycodone (for sale)
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.
Commenters requested the proposed aggregate production quotas for FUB-
144, 5F-AB-PINACA, 5F-EDMB-PINACA, 5F-MDMB-PICA, MMB-CHMICA, FUB-AKB48
(FUB-APINACA), 5F-CUMYL-PINACA, 5F-CUMYL-P7AICA, 4-CN-CUMYL-BUTINACA,
NM2201, 4-Methyl-alpha-ethylaminopentiophenone (4-MEAP), N-
Ethylhexedrone, 4-Chloro-alpha-pyrrolidinovalerophenone (4-Chloro-
alpha-PVP), 4'-Methyl-alpha-pyrrolidinohexiophenone (MPHP), N-
Ethylpentylone, alpha-Pyrrolidinohexanophenone (alpha-PHP), and alpha-
Pyrrolidinoheptaphenone (PV8), be sufficient for additional quota
requests.
DEA has considered the comments for specific controlled substances
and made adjustments as needed which are described below in the section
titled Determination of 2020 Aggregate Production Quotas and Assessment
of Annual Needs. DEA received one comment to the proposed established
2020 assessment of annual needs for ephedrine, pseudoephedrine, and
phenylpropanolamine regarding the difficulty in procuring finished
dosage-forms of ephedrine. DEA has considered this comment in the
section regarding drug shortages of controlled substances. This letter
characterized the reductions of controlled substances and ephedrine as
``extremely problematic for American healthcare providers,'' stating
that these reductions will lead to drug shortages, raise drug prices,
lead to hardships on hospitals and surgical facilities, and negatively
impact patients.
DEA is required under the CSA to establish quotas for ephedrine,
pseudoephedrine, and phenylpropanolamine 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. Although DEA sets the assessment of
annual needs, it is possible that manufacturers' business practices may
lead to a shortage of ephedrine drug products at the consumer level,
despite the adequacy of the assessment of annual needs set by DEA. For
instance, DEA does not have the authority to dictate when during the
calendar year the manufacturer actually utilizes the quota granted to
them. Also, DEA cannot dictate how much of the granted quota the
manufacturer allocates for use in a single production run. The
assessment of annual needs is set by DEA in a manner to include all
dosage forms of ephedrine in order to ensure that the estimated medical
needs of the United States are met.
Additionally, DEA and FDA can coordinate efforts to prevent or
alleviate drug shortages. Such efforts may include adjusting
competitors' domestic or import quotas and completion of FDA approval
to increase the number of competitors.
Out of Scope
DEA received 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. DEA also received comments asserting that illicit drug use, and
not prescription drug use, is the main factor in the opioid crisis.
Although DEA is genuinely concerned with illicit drug use and its
involvement in the opioid crisis, the manufacturing of illicit
substances is not considered when determining the aggregate production
quotas because such illicit manufacturing cannot be tempered by
adjusting the aggregate production quotas, therefore it is outside the
scope of this final order.
All of these out of scope issues do not impact the original
analysis involved in establishing the 2020 aggregate production quotas.
[[Page 66018]]
Determination of 2020 Aggregate Production Quotas and Assessment of
Annual Needs
In determining the 2020 aggregate production quotas and assessment
of annual needs, DEA has taken into consideration the above comments
along with the factors set forth in 21 CFR 1303.11 and 21 CFR 1315.11,
in accordance with 21 U.S.C. 826(a), and other relevant factors,
including the 2019 manufacturing quotas, current 2019 sales and
inventories, anticipated 2020 export requirements, industrial use,
additional applications for 2020 quotas, as well as information on
research and product development requirements. Based on all of the
above, the Administrator is adjusting the 2020 aggregate production
quotas for 4-Methyl-alpha-ethylaminopentiophenone (4-MEAP), N-
Ethylhexedrone, 4-Chloro-alpha-pyrrolidinovalerophenone (4-Chloro-
alpha-PVP), 4'-Methyl-alpha-pyrrolidinohexiophenone (MPHP), alpha-
Pyrrolidinohexanophenone (alpha-PHP), alpha-Pyrrolidinoheptaphenone
(PV8), amphetamine (for sale), oxycodone (for sale), and oxymorphone
(for sale).
Regarding FUB-144, 5F-AB-PINACA, 5F-EDMB-PINACA, 5F-MDMB-PICA, MMB-
CHMICA, FUB-AKB48 (FUB-APINACA), 5F-CUMYL-PINACA, 5F-CUMYL-P7AICA, 4-
CN-CUMYL-BUTINACA, NM2201, N-Ethylpentylone, fentanyl, hydromorphone,
methylphenidate, morphine, noroxymorphone (for conversion), and
oxycodone (for sale), DEA has determined the proposed aggregate
production quotas and assessment of annual needs are sufficient to
provide for the 2020 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.
Estimates of Diversion Pursuant to the SUPPORT Act
The SUPPORT Act (21 U.S.C. 826(i)(1)(a)) requires that ``in
establishing any quota under this section . . ., for [the covered
controlled substances], the Attorney General shall estimate the amount
of diversion of the [covered controlled substances] that occurs in the
United States.'' To estimate diversion as is required by the SUPPORT
Act, DEA aggregated the active pharmaceutical ingredient (API) of each
covered controlled substance by metric weight where the data was
available in the aforementioned databases. Based on the individual
entries into the aforementioned databases, DEA calculated the estimated
amount of diversion by multiplying the strength of the API listed for
each finished dosage form by the total amount of units reported to
estimate the metric weight in kilograms of the controlled substance
being diverted. The estimate of diversion for each of the covered
controlled substances is reported below.
Diversion Estimates for 2018 (kg)
------------------------------------------------------------------------
------------------------------------------------------------------------
Fentanyl..................................................... 0.109
Hydrocodone.................................................. 24.259
Hydromorphone................................................ 1.219
Oxycodone.................................................... 57.051
Oxymorphone.................................................. 1.157
------------------------------------------------------------------------
In accordance with 21 U.S.C. 826, 21 CFR 1303.11, and 21 CFR
1315.11, the Administrator hereby establishes the 2020 aggregate
production quotas for the following schedule I and II controlled
substances and the 2020 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 2020 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 (AM694)...... 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)................ 100
2-(4-Bromo-2,5-dimethoxyphenyl)-N-(2- 30
methoxybenzyl)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- 30
methoxybenzyl)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 (DMA).......................... 25
2-[4-(Ethylthio)-2,5-dimethoxyphenyl]ethanamine (2C-T-2) 30
2-[4-(Isopropylthio)-2,5-dimethoxyphenyl]ethanamine (2C- 30
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
[[Page 66019]]
4-Bromo-2,5-dimethoxyamphetamine (DOB).................. 30
4-Bromo-2,5-dimethoxyphenethylamine (2-CB).............. 25
4-Chloro-[alpha]-pyrrolidinovalerophenone (4-chloro- 25
alpha-PVP).............................................
4CN-Cumyl-Butanica, 1-(4-Cyanobutyl)-N-(2-phenylpropan-2- 25
yl)-1H-indazole-3-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]-ethylaminopentiophenone (4-MEAP)....... 25
4-Methyl-[alpha]-pyrrolidinohexiophenone (MPHP)......... 25
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)...
5F-CUMYL-PINACA......................................... 25
5F-EDMB-PINACA.......................................... 25
5F-MDMB-PICA............................................ 25
5F-AB-PINACA; N-(1-amino-3-methyl-1-oxobutan-2-yl)-1-(5- 25
fluoropentyl)-1H-indazole-3-carboxamide................
5F-CUMYL-P7AICA; (1-(5-fluoropentyl)-N-(2-phenylpropan-2- 25
yl)-1H-pyrrolo[2,3-b]pyridine-3-carboximide)...........
5F-ADB; 5F-MDMB-PINACA (methyl 2-(1-(5-fluoropentyl)-1H- 30
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)-1H-indol-3- 25
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)-1- 30
(4-fluorobenzyl)-1H-indazole-3-carboxamide)............
Acetorphine............................................. 25
Acetyl Fentanyl......................................... 100
Acetyl-alpha-methylfentanyl............................. 30
Acetyldihydrocodeine.................................... 30
Acetylmethadol.......................................... 25
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............................................ 25
Alphacetylmethadol...................................... 2
alpha-Ethyltryptamine................................... 25
Alphameprodine.......................................... 2
Alphamethadol........................................... 2
Alphaprodine............................................ 25
alpha-Methylfentanyl.................................... 30
alpha-Methylthiofentanyl................................ 30
alpha-Methyltryptamine (AMT)............................ 25
alpha-Pyrrolidinobutiophenone ([alpha]-PBP)............. 25
alpha-Pyrrolidinoheptaphenone (PV8)..................... 25
alpha-Pyrrolidinohexanophenone ([alpha]-PHP)............ 25
alpha-Pyrrolidinopentiophenone ([alpha]-PVP)............ 25
Aminorex................................................ 25
Anileridine............................................. 20
APINCA, AKB48 (N-(1-adamantyl)-1-pentyl-1H-indazole-3- 25
carboxamide)...........................................
Benzethidine............................................ 25
Benzylmorphine.......................................... 30
Betacetylmethadol....................................... 2
beta-Hydroxy-3-methylfentanyl........................... 30
beta-Hydroxyfentanyl.................................... 30
beta-Hydroxythiofentanyl................................ 30
Betameprodine........................................... 25
Betamethadol............................................ 4
Betaprodine............................................. 25
Bufotenine.............................................. 15
Butylone................................................ 25
Butyryl fentanyl........................................ 30
Cathinone............................................... 40
Clonitazene............................................. 25
[[Page 66020]]
Codeine methylbromide................................... 30
Codeine-N-oxide......................................... 192
Cyclopentyl Fentanyl.................................... 30
Cyclopropyl Fentanyl.................................... 20
Cyprenorphine........................................... 25
Desomorphine............................................ 25
Dextromoramide.......................................... 25
Diapromide.............................................. 20
Diethylthiambutene...................................... 20
Diethyltryptamine....................................... 25
Difenoxin............................................... 9,200
Dihydromorphine......................................... 753,500
Dimenoxadol............................................. 25
Dimepheptanol........................................... 25
Dimethylthiambutene..................................... 20
Dimethyltryptamine...................................... 50
Dioxyaphetyl butyrate................................... 25
Dipipanone.............................................. 5
Drotebanol.............................................. 25
Ethylmethylthiambutene.................................. 25
Etorphine............................................... 30
Fenethylline............................................ 30
Fentanyl related substances............................. 40
FUB-144................................................. 25
FUB-AKB48............................................... 25
Furanyl fentanyl........................................ 30
Furethidine............................................. 25
gamma-Hydroxybutyric acid............................... 25,417,000
Heroin.................................................. 45
Hydromorphinol.......................................... 40
Hydroxypethidine........................................ 25
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
Ketobemidone............................................ 30
Levomoramide............................................ 25
Levophenacylmorphan..................................... 25
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-(cyclohexylmethyl)- 30
1H-indole-3-carboxamido)-3,3-dimethylbutanoate)........
MDMB-FUBINACA (methyl 2-(1-(4-fluorobenzyl)-1H-indazole- 30
3-carboxamido)-3,3-dimethylbutanoate)..................
MMB-CHMICA-(AMB-CHMICA); Methyl-2-(1-(cyclohexylmethyl)- 25
1H-indole-3-carboxamido)-3-methylbutanoate.............
Marihuana............................................... 3,200,000
Mecloqualone............................................ 30
Mescaline............................................... 25
Methaqualone............................................ 60
Methcathinone........................................... 25
Methyoxyacetyl fentanyl................................. 30
Methyldesorphine........................................ 5
Methyldihydromorphine................................... 25
Morpheridine............................................ 25
Morphine methylbromide.................................. 5
Morphine methylsulfonate................................ 5
Morphine-N-oxide........................................ 150
MT-45................................................... 30
Myrophine............................................... 25
NM2201; Naphthalen-1-yl 1-(5-fluoropentyl)-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-Ethylhexedrone........................................ 25
[[Page 66021]]
N-Ethylpentylone, ephylone.............................. 30
N-Hydroxy-3,4-methylenedioxyamphetamine................. 24
N-Methyl-3-Piperidyl Benzilate.......................... 30
Nicocodeine............................................. 25
Nicomorphine............................................ 25
Noracymethadol.......................................... 25
Norlevorphanol.......................................... 55
Normethadone............................................ 25
Normorphine............................................. 40
Norpipanone............................................. 25
Ocfentanil.............................................. 25
Ortho-fluorofentanyl, 2-fluorofentanyl.................. 30
Para-chloroisobutyryl fentanyl.......................... 30
Para-fluorofentanyl..................................... 25
Para-fluorobutyryl fentanyl............................. 25
Para-methoxybutyryl fentanyl............................ 30
Parahexyl............................................... 5
PB-22; QUPIC............................................ 20
Pentedrone.............................................. 25
Pentylone............................................... 25
Phenadoxone............................................. 25
Phenampromide........................................... 25
Phenomorphan............................................ 25
Phenoperidine........................................... 25
Pholcodine.............................................. 5
Piritramide............................................. 25
Proheptazine............................................ 25
Properidine............................................. 25
Propiram................................................ 25
Psilocybin.............................................. 30
Psilocyn................................................ 50
Racemoramide............................................ 25
SR-18 and RCS-8 (1-Cyclohexylethyl-3-(2- 45
methoxyphenylacetyl)indole)............................
SR-19 and RCS-4 (1-Pentyl-3-[(4-methoxy)-benzoyl]indole) 30
Tetrahydrocannabinols................................... 384,460
Tetrahydrofuranyl fentanyl.............................. 15
Thebacon................................................ 25
Thiafentanil............................................ 25
Thiofentanyl............................................ 25
THJ-2201 ([1-(5-fluoropentyl)-1H-indazol-3- 30
yl](naphthalen-1-yl)methanone).........................
Tilidine................................................ 25
Trimeperidine........................................... 25
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)............... 813,005
Alfentanil.............................................. 3,260
Alphaprodine............................................ 2
Amobarbital............................................. 20,100
Amphetamine (for conversion)............................ 14,137,578
Amphetamine (for sale).................................. 47,000,000
Bezitramide............................................. 25
Carfentanil............................................. 20
Cocaine................................................. 82,127
Codeine (for conversion)................................ 3,225,000
Codeine (for sale)...................................... 30,731,558
Dextropropoxyphene...................................... 35
Dihydrocodeine.......................................... 156,713
Dihydroetorphine........................................ 2
Diphenoxylate (for conversion).......................... 14,100
Diphenoxylate (for sale)................................ 770,800
Ecgonine................................................ 88,134
Ethylmorphine........................................... 30
Etorphine hydrochloride................................. 32
Fentanyl................................................ 813,005
Glutethimide............................................ 25
Hydrocodone (for conversion)............................ 1,250
[[Page 66022]]
Hydrocodone (for sale).................................. 34,836,854
Hydromorphone........................................... 3,054,479
Isomethadone............................................ 30
Levo-alphacetylmethadol (LAAM).......................... 5
Levomethorphan.......................................... 30
Levorphanol............................................. 38,000
Lisdexamfetamine........................................ 21,000,000
Meperidine.............................................. 1,463,873
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......................................... 1,213,603
------------------------------------------------------------------------
[678,878 grams of levo-desoxyephedrine for use in a non-controlled, non-
prescription product; 505,231 grams for methamphetamine mostly for
conversion to a schedule III product; and 29,494 grams for
methamphetamine (for sale)]
------------------------------------------------------------------------
Methylphenidate......................................... 57,438,334
Metopon................................................. 25
Moramide-intermediate................................... 25
Morphine (for conversion)............................... 4,089,000
Morphine (for sale)..................................... 29,353,655
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).............................. 914,010
Oxycodone (for sale).................................... 67,593,983
Oxymorphone (for conversion)............................ 24,525,540
Oxymorphone (for sale).................................. 829,051
Pentobarbital........................................... 25,850,000
Phenazocine............................................. 25
Phencyclidine........................................... 35
Phenmetrazine........................................... 25
Phenylacetone........................................... 40
Piminodine.............................................. 25
Racemethorphan.......................................... 5
Racemorphan............................................. 5
Remifentanil............................................ 3,000
Secobarbital............................................ 172,100
Sufentanil.............................................. 4,000
Tapentadol.............................................. 13,447,541
Thebaine................................................ 70,829,235
------------------------------------------------------------------------
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 2020 aggregate production quotas and
assessment of annual needs as needed.
Dated: November 27, 2019.
Uttam Dhillon,
Acting Administrator.
[FR Doc. 2019-26119 Filed 11-29-19; 8:45 am]
BILLING CODE 4410-09-P