Mark Reinhard: Final Debarment Order, 19625-19626 [2021-07638]
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Federal Register / Vol. 86, No. 70 / Wednesday, April 14, 2021 / Notices
jbell on DSKJLSW7X2PROD with NOTICES
Based on our experience with the
information collection over the past 3
years, we estimate that 55 respondents
will submit 1 premarket notification
each. We estimate that extracting and
summarizing the relevant information
from what exists in the company’s files
and presenting it in a format that meets
the requirements of § 190.6 will take
approximately 20 hours of work per
notification. We believe that the burden
of the premarket notification
requirement on industry is reasonable
because we are requesting only safety
and identity information that the
manufacturer or distributor should
already have developed to satisfy itself
that a dietary supplement containing the
NDI is in compliance with the FD&C
Act.
If the required premarket notification
is not submitted to FDA, section 413(a)
of the FD&C Act provides that the
dietary supplement containing the NDI
is deemed to be adulterated under
section 402(f) of the FD&C Act (21
U.S.C. 342(f)). Even if the notification is
submitted as required, the dietary
supplement containing the NDI is
adulterated under section 402(f) of the
FD&C Act unless there is a history of
use or other evidence of safety
establishing that the NDI, when used
under the conditions recommended or
suggested in the labeling of the dietary
supplement, will reasonably be
expected to be safe. This requirement is
separate from and additional to the
requirement to submit a premarket
notification for the NDI. FDA’s
regulation on NDI notifications,
§ 190.6(a), requires the manufacturer or
distributor of the dietary supplement or
of the NDI to submit to FDA the
information that forms the basis for its
conclusion that a dietary supplement
containing the NDI will reasonably be
expected to be safe. Thus, § 190.6 only
requires the manufacturer or distributor
to extract and summarize information
that should have already been
developed to meet the safety
requirement in section 413(a)(2) of the
FD&C Act.
Based on a review of the information
collection since our last request for
OMB approval, we have made no
adjustments to our burden estimate.
Dated: April 8, 2021.
Lauren K. Roth,
Acting Principal Associate Commissioner for
Policy.
[FR Doc. 2021–07641 Filed 4–13–21; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2020–N–1565]
Mark Reinhard: Final Debarment Order
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is issuing an
order under the Federal Food, Drug, and
Cosmetic Act (FD&C Act) permanently
debarring Mark Reinhard from
providing services in any capacity to a
person that has an approved or pending
drug product application. FDA bases
this order on a finding that Mr.
Reinhard was convicted of a felony
under Federal law for conduct that
relates to the regulation of a drug
product under the FD&C Act. Mr.
Reinhard was given notice of the
proposed permanent debarment and an
opportunity to request a hearing to show
why he should not be debarred within
the timeframe prescribed by regulation.
Mr. Reinhard has not responded to the
notice. Mr. Reinhard’s failure to respond
and request a hearing within the
prescribed timeframe constitutes a
waiver of his right to a hearing
concerning this action.
DATES: This order is applicable April 14,
2021.
ADDRESSES: Submit applications for
termination of debarment to the Dockets
Management Staff (HFA–305), Food and
Drug Administration, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852,
240–402–7500, or at https://
www.regulations.gov.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Jaime Espinosa (ELEM–4029), Division
of Enforcement, Office of Strategic
Planning and Operational Policy, Office
of Regulatory Affairs, Food and Drug
Administration, 12420 Parklawn Dr.,
Rockville, MD 20857, 240–402–8743, or
at debarments@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background
Section 306(a)(2)(B) of the FD&C Act
(21 U.S.C. 335a(a)(2)(B)) requires
debarment of an individual from
providing services in any capacity to a
person that has an approved or pending
drug product application if FDA finds
that the individual has been convicted
of a felony under Federal law for
conduct relating to the regulation of any
drug product under the FD&C Act. On
March 28, 2019, Mr. Reinhard entered a
plea of guilty to one count of engaging
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Fmt 4703
Sfmt 4703
19625
in unlicensed wholesale distribution of
prescription drugs in violation of
sections 301(t), 303(b)(1)(D), and
503(e)(1)(A) of the FD&C Act (21 U.S.C.
331(t), 333(b)(1)(D), and 353(e)(1)(A))
and (18 U.S.C. 2), a felony offense under
Federal law. On January 16, 2020,
judgment of conviction was entered
against Mr. Reinhard for this felony
offense in the U.S. District Court for the
Western District of Kentucky, Louisville
Division.
The factual basis for this conviction is
as follows: Mr. Reinhard was a
pharmacist residing in the State of West
Virginia and was employed by Meds 2
Go Express Pharmacy, Inc. (Meds 2 Go
Express). From November 2010 through
at least August 2012, he aided and
abetted others, through Meds 2 Go
Express, by engaging in unlicensed
wholesale distribution of Tramadol from
West Virginia to Alabama through
Kentucky. Specifically, Mr. Reinhard
aided and abetted individuals who
combined, conspired, confederated, and
agreed to engage in a scheme to sell,
distribute, and dispense prescription
drugs over the internet and to deliver
those prescription drugs to customers,
without the issuance of valid
prescriptions. Under this scheme,
customers would order prescription
drugs from websites without ever seeing
or speaking to a physician or medical
practitioner. On the website, customers
chose which prescription drugs they
wished to order, and completed an
online medical questionnaire with
prepopulated answers that did not
disqualify the customers from receiving
the prescription drugs that they ordered.
The website operator would then send
the completed online medical
questionnaires to doctors or individuals
posing as doctors, who issued the
prescriptions requested by the
customers without first conducting an
in-person medical examination,
speaking with the customers, reviewing
the customers’ medical records, or
otherwise verifying any of the
information provided by the customer.
These invalid prescriptions were issued
outside of the usual course of
professional practice and were not for a
legitimate medical purpose. The website
operators would then send the issued
prescription by electronic means to
pharmacies, including Meds 2 Go
Express, to be filled. After filling a
prescription, Meds 2 Go Express and
other pharmacies would send the
prescription drugs to the customers,
who often were not in the same State as
the pharmacy, via the U.S. Postal
Service or other delivery methods. It
was found that Mr. Reinhard distributed
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14APN1
19626
Federal Register / Vol. 86, No. 70 / Wednesday, April 14, 2021 / Notices
jbell on DSKJLSW7X2PROD with NOTICES
the prescription drug Tramadol from
West Virginia to a wholesale fulfillment
pharmacy located in Alabama through
Kentucky in violation of Federal law.
Tramadol, as contained in the drug
product ULTRAM and generic
formulations, is a prescription painkiller
that may induce psychic and physical
dependence.
Based on this conviction, FDA sent
Mr. Reinhard by certified mail on
October 5, 2020, a notice proposing to
permanently debar him from providing
services in any capacity to a person that
has an approved or pending drug
product application. The proposal was
based on a finding, under section
306(a)(2)(B) of the FD&C Act, that Mr.
Reinhard was convicted, as set forth in
section 306(l)(1) of the FD&C Act, of a
felony under Federal law for conduct
relating to the regulation of a drug
product under the FD&C Act. The
proposal also offered Mr. Reinhard an
opportunity to request a hearing,
providing him 30 days from the date of
receipt of the letter in which to file the
request, and advised him that failure to
file a timely request for a hearing would
constitute an election not to use the
opportunity for a hearing and a waiver
of any contentions concerning this
action. Mr. Reinhard received the
proposal on October 10, 2020. He did
not request a hearing within the
timeframe prescribed by regulation and
has, therefore, waived his opportunity
for a hearing and any contentions
concerning his debarment (21 CFR part
12).
II. Findings and Order
Therefore, the Assistant
Commissioner, Office of Human and
Animal Food Operations, under section
306(a)(2)(B) of the FD&C Act, under
authority delegated to the Assistant
Commissioner, finds that Mr. Reinhard
has been convicted of a felony under
Federal law for conduct relating to the
regulation of a drug product under the
FD&C Act.
As a result of the foregoing finding,
Mr. Reinhard is permanently debarred
from providing services in any capacity
to a person with an approved or
pending drug product application,
effective (see DATES) (see sections
306(a)(2)(B) and (c)(2)(A)(ii) of the FD&C
Act). Any person with an approved or
pending drug product application who
knowingly employs or retains as a
consultant or contractor, or otherwise
uses in any capacity the services of Mr.
Reinhard during his debarment, will be
subject to civil money penalties (section
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17:22 Apr 13, 2021
Jkt 253001
307(a)(6) of the FD&C Act (21 U.S.C.
335b(a)(6))). If Mr. Reinhard provides
services in any capacity to a person with
an approved or pending drug product
application during his period of
debarment, he will be subject to civil
money penalties (section 307(a)(7) of the
FD&C Act). In addition, FDA will not
accept or review any abbreviated new
drug application from Mr. Reinhard
during his period of debarment, other
than in connection with an audit under
section 306 of the FD&C Act (section
306(c)(1)(B) of the FD&C Act). Note that,
for purposes of sections 306 and 307 of
the FD&C Act, a ‘‘drug product’’ is
defined as a drug subject to regulation
under section 505, 512, or 802 of the
FD&C Act (21 U.S.C. 355, 360b, or 382)
or under section 351 of the Public
Health Service Act (42 U.S.C. 262)
(section 201(dd) of the FD&C Act (21
U.S.C. 321(dd))).
Any application by Mr. Reinhard for
special termination of debarment under
section 306(d)(4) of the FD&C Act
should be identified with Docket No.
FDA–2020–N–1565 and sent to the
Dockets Management Staff (see
ADDRESSES). The public availability of
information in these submissions is
governed by 21 CFR 10.20.
Publicly available submissions will be
placed in the docket and will be
viewable at https://www.regulations.gov
or at the Dockets Management Staff (see
ADDRESSES) between 9 a.m. and 4 p.m.,
Monday through Friday, 240–402–7500.
Dated: April 7, 2021.
Lauren K. Roth,
Acting Principal Associate Commissioner for
Policy.
[FR Doc. 2021–07638 Filed 4–13–21; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[Document Identifier OS–0990–0263]
Agency Information Collection
Request. 30-Day Public Comment
Request
Office of the Secretary, HHS.
Notice.
AGENCY:
ACTION:
In compliance with the
requirement of the Paperwork
Reduction Act of 1995, the Office of the
Secretary (OS), Department of Health
and Human Services, is publishing the
following summary of a proposed
collection for public comment.
DATES: Comments on the ICR must be
received on or before May 14, 2021.
SUMMARY:
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Frm 00025
Fmt 4703
Sfmt 4703
Submit your comments to
Sherrette.Funn@hhs.gov or by calling
(202) 795–7714.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
When submitting comments or
requesting information, please include
the document identifier 0990–0263–
30D, and project title for reference, to
Sherrette Funn, the Reports Clearance
Officer, or Email: Sherrette.funn@
hhs.gov, or call 202–795–7714.
Interested
persons are invited to send comments
regarding this burden estimate or any
other aspect of this collection of
information, including any of the
following subjects: (1) The necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions; (2) the accuracy
of the estimated burden; (3) ways to
enhance the quality, utility, and clarity
of the information to be collected; and
(4) the use of automated collection
techniques or other forms of information
technology to minimize the information
collection burden.
Title of the Collection: The Protection
of Human Subjects: Assurance
Identification/IRB Certification/
Declaration of Exemption Form.
Type of Collection: Extension.
OMB No. 0990–0263 Office of the
Assistant Secretary for Health, Office for
Human Research Protections.
Abstract: The Office of the Assistant
Secretary for Health, Office for Human
Research Protections is requesting a
three-year extension of the Protection of
Human Subjects: Assurance
Identification/IRB Certification/
Declaration of Exemption Form, OMB
No. 0990–0263.
The information collected on the form
is to provide a simplified procedure for
institutions engaged in research
conducted or supported by the
Department of Health and Human
Services (HHS) to satisfy the
requirements of HHS regulations for the
protection of human subjects at 45 CFR
46.103 for assurance identification and
IRB certification and declare exemption
status.
Likely Respondents: Institutions
engaged in research involving human
subjects where the research is supported
by HHS. Institutional use of the form is
also relied upon by other federal
departments and agencies that have
codified or follow the Federal Policy for
the Protection of Human Subjects
(Common Rule), which is codified for
HHS at 45 CFR part 46, subpart A.
SUPPLEMENTARY INFORMATION:
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Agencies
[Federal Register Volume 86, Number 70 (Wednesday, April 14, 2021)]
[Notices]
[Pages 19625-19626]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-07638]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2020-N-1565]
Mark Reinhard: Final Debarment Order
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA) is issuing an order
under the Federal Food, Drug, and Cosmetic Act (FD&C Act) permanently
debarring Mark Reinhard from providing services in any capacity to a
person that has an approved or pending drug product application. FDA
bases this order on a finding that Mr. Reinhard was convicted of a
felony under Federal law for conduct that relates to the regulation of
a drug product under the FD&C Act. Mr. Reinhard was given notice of the
proposed permanent debarment and an opportunity to request a hearing to
show why he should not be debarred within the timeframe prescribed by
regulation. Mr. Reinhard has not responded to the notice. Mr.
Reinhard's failure to respond and request a hearing within the
prescribed timeframe constitutes a waiver of his right to a hearing
concerning this action.
DATES: This order is applicable April 14, 2021.
ADDRESSES: Submit applications for termination of debarment to the
Dockets Management Staff (HFA-305), Food and Drug Administration, 5630
Fishers Lane, Rm. 1061, Rockville, MD 20852, 240-402-7500, or at
https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT: Jaime Espinosa (ELEM-4029), Division
of Enforcement, Office of Strategic Planning and Operational Policy,
Office of Regulatory Affairs, Food and Drug Administration, 12420
Parklawn Dr., Rockville, MD 20857, 240-402-8743, or at
[email protected].
SUPPLEMENTARY INFORMATION:
I. Background
Section 306(a)(2)(B) of the FD&C Act (21 U.S.C. 335a(a)(2)(B))
requires debarment of an individual from providing services in any
capacity to a person that has an approved or pending drug product
application if FDA finds that the individual has been convicted of a
felony under Federal law for conduct relating to the regulation of any
drug product under the FD&C Act. On March 28, 2019, Mr. Reinhard
entered a plea of guilty to one count of engaging in unlicensed
wholesale distribution of prescription drugs in violation of sections
301(t), 303(b)(1)(D), and 503(e)(1)(A) of the FD&C Act (21 U.S.C.
331(t), 333(b)(1)(D), and 353(e)(1)(A)) and (18 U.S.C. 2), a felony
offense under Federal law. On January 16, 2020, judgment of conviction
was entered against Mr. Reinhard for this felony offense in the U.S.
District Court for the Western District of Kentucky, Louisville
Division.
The factual basis for this conviction is as follows: Mr. Reinhard
was a pharmacist residing in the State of West Virginia and was
employed by Meds 2 Go Express Pharmacy, Inc. (Meds 2 Go Express). From
November 2010 through at least August 2012, he aided and abetted
others, through Meds 2 Go Express, by engaging in unlicensed wholesale
distribution of Tramadol from West Virginia to Alabama through
Kentucky. Specifically, Mr. Reinhard aided and abetted individuals who
combined, conspired, confederated, and agreed to engage in a scheme to
sell, distribute, and dispense prescription drugs over the internet and
to deliver those prescription drugs to customers, without the issuance
of valid prescriptions. Under this scheme, customers would order
prescription drugs from websites without ever seeing or speaking to a
physician or medical practitioner. On the website, customers chose
which prescription drugs they wished to order, and completed an online
medical questionnaire with prepopulated answers that did not disqualify
the customers from receiving the prescription drugs that they ordered.
The website operator would then send the completed online medical
questionnaires to doctors or individuals posing as doctors, who issued
the prescriptions requested by the customers without first conducting
an in-person medical examination, speaking with the customers,
reviewing the customers' medical records, or otherwise verifying any of
the information provided by the customer. These invalid prescriptions
were issued outside of the usual course of professional practice and
were not for a legitimate medical purpose. The website operators would
then send the issued prescription by electronic means to pharmacies,
including Meds 2 Go Express, to be filled. After filling a
prescription, Meds 2 Go Express and other pharmacies would send the
prescription drugs to the customers, who often were not in the same
State as the pharmacy, via the U.S. Postal Service or other delivery
methods. It was found that Mr. Reinhard distributed
[[Page 19626]]
the prescription drug Tramadol from West Virginia to a wholesale
fulfillment pharmacy located in Alabama through Kentucky in violation
of Federal law. Tramadol, as contained in the drug product ULTRAM and
generic formulations, is a prescription painkiller that may induce
psychic and physical dependence.
Based on this conviction, FDA sent Mr. Reinhard by certified mail
on October 5, 2020, a notice proposing to permanently debar him from
providing services in any capacity to a person that has an approved or
pending drug product application. The proposal was based on a finding,
under section 306(a)(2)(B) of the FD&C Act, that Mr. Reinhard was
convicted, as set forth in section 306(l)(1) of the FD&C Act, of a
felony under Federal law for conduct relating to the regulation of a
drug product under the FD&C Act. The proposal also offered Mr. Reinhard
an opportunity to request a hearing, providing him 30 days from the
date of receipt of the letter in which to file the request, and advised
him that failure to file a timely request for a hearing would
constitute an election not to use the opportunity for a hearing and a
waiver of any contentions concerning this action. Mr. Reinhard received
the proposal on October 10, 2020. He did not request a hearing within
the timeframe prescribed by regulation and has, therefore, waived his
opportunity for a hearing and any contentions concerning his debarment
(21 CFR part 12).
II. Findings and Order
Therefore, the Assistant Commissioner, Office of Human and Animal
Food Operations, under section 306(a)(2)(B) of the FD&C Act, under
authority delegated to the Assistant Commissioner, finds that Mr.
Reinhard has been convicted of a felony under Federal law for conduct
relating to the regulation of a drug product under the FD&C Act.
As a result of the foregoing finding, Mr. Reinhard is permanently
debarred from providing services in any capacity to a person with an
approved or pending drug product application, effective (see DATES)
(see sections 306(a)(2)(B) and (c)(2)(A)(ii) of the FD&C Act). Any
person with an approved or pending drug product application who
knowingly employs or retains as a consultant or contractor, or
otherwise uses in any capacity the services of Mr. Reinhard during his
debarment, will be subject to civil money penalties (section 307(a)(6)
of the FD&C Act (21 U.S.C. 335b(a)(6))). If Mr. Reinhard provides
services in any capacity to a person with an approved or pending drug
product application during his period of debarment, he will be subject
to civil money penalties (section 307(a)(7) of the FD&C Act). In
addition, FDA will not accept or review any abbreviated new drug
application from Mr. Reinhard during his period of debarment, other
than in connection with an audit under section 306 of the FD&C Act
(section 306(c)(1)(B) of the FD&C Act). Note that, for purposes of
sections 306 and 307 of the FD&C Act, a ``drug product'' is defined as
a drug subject to regulation under section 505, 512, or 802 of the FD&C
Act (21 U.S.C. 355, 360b, or 382) or under section 351 of the Public
Health Service Act (42 U.S.C. 262) (section 201(dd) of the FD&C Act (21
U.S.C. 321(dd))).
Any application by Mr. Reinhard for special termination of
debarment under section 306(d)(4) of the FD&C Act should be identified
with Docket No. FDA-2020-N-1565 and sent to the Dockets Management
Staff (see ADDRESSES). The public availability of information in these
submissions is governed by 21 CFR 10.20.
Publicly available submissions will be placed in the docket and
will be viewable at https://www.regulations.gov or at the Dockets
Management Staff (see ADDRESSES) between 9 a.m. and 4 p.m., Monday
through Friday, 240-402-7500.
Dated: April 7, 2021.
Lauren K. Roth,
Acting Principal Associate Commissioner for Policy.
[FR Doc. 2021-07638 Filed 4-13-21; 8:45 am]
BILLING CODE 4164-01-P