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 2024, 407-418 [2023-28962]

Download as PDF Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices Indian Tribes, the U.S. Army Corps of Engineers, Nashville District has determined that: • The human remains described in this notice represent the physical remains of six individuals of Native American ancestry. • The 42 objects described in this notice are reasonably believed to have been placed with or near individual human remains at the time of death or later as part of the death rite or ceremony. • No relationship of shared group identity can be reasonably traced between the human remains and associated funerary objects and any Indian Tribe. • The associated funerary objects described in this notice were removed from the aboriginal land of the Cherokee Nation; Eastern Band of Cherokee Indians; and the United Keetoowah Band of Cherokee Indians in Oklahoma. ddrumheller on DSK120RN23PROD with NOTICES1 Requests for Disposition Written requests for disposition of the human remains and associated funerary objects in this notice must be sent to the Responsible Official identified in ADDRESSES. Requests for disposition may be submitted by: 1. Any one or more of the Indian Tribes identified in this notice. 2. Any lineal descendant, Indian Tribe, or Native Hawaiian organization not identified in this notice who shows, by a preponderance of the evidence, that the requestor is a lineal descendant or a culturally affiliated Indian Tribe or Native Hawaiian organization, or who shows that the requestor is an aboriginal land Indian Tribe. Disposition of the human remains and associated funerary objects described in this notice to a requestor may occur on or after February 2, 2024. If competing requests for disposition are received, the U.S. Army Corps of Engineers, Nashville District must determine the most appropriate requestor prior to disposition. Requests for joint disposition of the human remains and associated funerary objects are considered a single request and not competing requests. The U.S. Army Corps of Engineers, Nashville District is responsible for sending a copy of this notice to the Indian Tribes identified in this notice. Authority: Native American Graves Protection and Repatriation Act, 25 U.S.C. 3003, and the implementing regulations, 43 CFR 10.9 and 10.11. VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 Dated: December 20, 2023. Melanie O’Brien, Manager, National NAGPRA Program. [FR Doc. 2023–28929 Filed 1–2–24; 8:45 am] BILLING CODE 4312–52–P DEPARTMENT OF JUSTICE Drug Enforcement Administration [Docket No. DEA–1228E] 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 2024 Drug Enforcement Administration, Department of Justice. ACTION: Final order. AGENCY: This final order establishes the initial 2024 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. SUMMARY: This Notice is effective January 3, 2024. FOR FURTHER INFORMATION CONTACT: Scott A. Brinks, Regulatory Drafting and Policy Support Section, Diversion Control Division, Drug Enforcement Administration; Mailing Address: 8701 Morrissette Drive, Springfield, VA 22152, Telephone: (571) 776–3882. SUPPLEMENTARY INFORMATION: DATES: I. 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. II. Background The 2024 aggregate production quotas (APQ) and assessment of annual needs (AAN) 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 2024, in order to provide for the estimated medical, scientific, research, PO 00000 Frm 00089 Fmt 4703 Sfmt 4703 407 and industrial needs of the U.S., lawful export requirements, and the establishment and maintenance of reserve stocks. These quotas include imports of ephedrine, pseudoephedrine, and phenylpropanolamine, but do not include imports of controlled substances for use in industrial processes. On November 2, 2023, 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 2024’’ was published in the Federal Register. 88 FR 75312. This notice proposed the 2024 APQ for each basic class of controlled substance listed in schedules I and II and the 2024 AAN for the list I chemicals ephedrine, pseudoephedrine, and phenylpropanolamine. All interested persons were invited to comment on or object to the proposed APQ and the proposed AAN on or before December 4, 2023. III. Comments Received Within the public comment period, DEA received 4,699 comments from DEA registrants, people with chronic pain, patients with attention deficit/ hyperactivity disorder (ADHD), pain advocacy associations, U.S. professional associations, U.S. nurses, the Royal Australian and New Zealand College of Psychiatrists, the Australian ADHD Professionals Association, the ADHD Foundation Australia, and others. The comments included concerns about potential domestic opioid drug shortages due to further quota reductions; stimulant drug shortages in the United States and Australia; concerns that medical professionals might be impeded from exercising their medical expertise regarding opioid prescriptions; two requests for a public hearing; concerns with the implementation of quarterly quota allotments, and comments not pertaining to DEA regulated activities. DEA restricted seven comments from public view due to confidential business information and/or confidential personal identifying information. Opioid Adequacy Issue (Medication Out of Stock at Pharmacy Level): Commenters questioned whether the 2024 proposed APQs for Schedule II opioids will be adequate to meet legitimate medical needs of patients. Commenters said that because of decreases in aggregate production quotas for specific opioids, they have had difficulty filling legitimate prescriptions at pharmacies. E:\FR\FM\03JAN1.SGM 03JAN1 ddrumheller on DSK120RN23PROD with NOTICES1 408 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices These issues have negatively impacted their quality of life and caused mental health-related issues, possibly leading to suicide. DEA Response: 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. DEA sets the APQs for controlled substances based on the available data and information received at that specific point in time set by the regulations, however, subsequent factors and manufacturers’ business practices may arise afterwards and potentially contribute to a temporary lack of inventory of controlled substances at the point of dispensation. In recent years, this has included labor shortages and a lack of production capacity. In such circumstances, DEA, in coordination with the Food and Drug Administration (FDA), can utilize tools under the CSA to prevent or alleviate drug shortages and ensure that patients are able to fill legitimate prescriptions for controlled substances without undue delay. Additionally, if a patient is faced with a delay in receiving their medications, the patient may request a one-time transfer of initial dispensing of an electronic prescription for Schedules II– V controlled substances from one retail pharmacy to another retail pharmacy. If the medication is a controlled substance in Schedules III–V and includes authorized refills, the refills can also be transferred with the initial prescription to the receiving pharmacy. Issue (Nationwide Shortages): Some commenters stated that there is a nationwide shortage of opioid medication because their local pharmacies were often out of stock. One commenter also stated that the American Society of Health-System Pharmacists (ASHP) has warned about shortages of immediate release oxycodone and hydrocodone medications, but shortages have not been publicly acknowledged by DEA or FDA. DEA Response: DEA utilizes the available, reliable data and information received by the agency at the time APQs are proposed and proactively monitors drug production, distribution and supply during the year. However, drug shortages may occur subsequently due to factors outside of DEA control such as manufacturing and quality problems, processing delays, supply chain disruptions, or discontinuations. In such circumstances, if the drug manufacturer notifies the FDA Drug Shortage Staff, FDA will coordinate with DEA to address and minimize the impact of drug shortages if both VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 agencies believe action is warranted. Currently, FDA has not issued any nationwide shortages of oxycodone and hydrocodone products. Issue (Patients Switching to Illicit Fentanyl or Medications Obtained from Illegal Sources): Several commenters expressed concerns that because of DEA’s reduction of quotas for pain relieving controlled substances, patients with chronic pain who were unable to fill their legitimate prescriptions eventually turned to illegal fentanyl or medications obtained from illegitimate sources as a substitute relief that could increase the risk of overdose death. These commenters stated that overdose deaths in the United States continue to rise because of illegal fentanyl or illegitimate medications, not from pharmaceutical medications prescribed to patients with chronic pain. DEA Response: In proposing and establishing APQs for opioids, DEA considers rates of overdose deaths. Congress, in 21 U.S.C. 826(i), mandates DEA to estimate diversion for five controlled substances—fentanyl, hydrocodone, hydromorphone, oxycodone, and oxymorphone. This estimation must consider the rates of overdose deaths, among other factors. While overdose deaths may occur as a result of use of illicit substances, DEA’s quotas help prevent misuse and diversion of pharmaceutical controlled substances. In this way, these quotas can reduce the occurrence of overdose and death from the use of legitimate controlled substances. Patients should work closely with their providers to utilize other FDA-approved medications for their conditions and fill their prescriptions only from DEA-registered pharmacies. The only safe medications are ones prescribed by a trusted, DEAregistered medical professional and dispensed by a licensed pharmacist at a DEA-registered pharmacy. The medications received from unregistered internet sources may, in fact, be manufactured or laced with illicit substances including illicit fentanyl, which contributes to rates of overdose deaths. Issue (Prescribing Hesitancy): Many commenters, mostly self-identified patients with chronic pain patients, expressed that the goal of the 2016 Centers for Disease Control and Prevention (CDC) Guidelines was to decrease opioid overdoses, but instead there has been an increase in overdoses nationwide of over 400 percent due to illegal fentanyl or illegally manufactured pain pills. Commenters stated that many patients with chronic pain patients have been harmed, and some have died by suicide, due to the PO 00000 Frm 00090 Fmt 4703 Sfmt 4703 inability to get prescriptions because of the APQ reductions made by DEA. Many commenters also stated that restrictions imposed by DEA have caused opioid medications to be underprescribed due to fear of prosecution. Commenters said doctors should have latitude in making treatment decisions to prescribe opioid pain medications based on individual patient needs. DEA Response: Pursuant to the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, DEA is mandated to estimate diversion for 5 controlled substances—fentanyl, hydrocodone, hydromorphone, oxycodone and oxymorphone, and this estimation includes the consideration of rates of overdose deaths. While overdose deaths may occur as a result of the use of illegal fentanyl or illegally manufactured pain medications, quotas are being set by the DEA to prevent misuse and diversion of pharmaceutical controlled substances, and thus reducing the occurrence of overdose and death from the use of legitimate controlled substances. Additionally, DEA’s regulations do not impose restrictions on the amount and the type of medication that licensed practitioners can prescribe. DEA has consistently emphasized and supported the authority of individual practitioners under the CSA to administer, dispense, and prescribe controlled substances for the legitimate treatment of pain within acceptable medical standards, as outlined in DEA’s policy statement published in the Federal Register on September 6, 2006, titled Dispensing Controlled Substances for the Treatment of Pain. 71 FR 52716. Attention Deficit/Hyperactivity Disorder Medications Medication Shortages Issue: DEA received comments expressing general concerns regarding the ongoing shortages experienced with ADHD medications produced from amphetamine and methylphenidate. DEA Response: DEA is committed to ensuring an adequate and uninterrupted supply of controlled substances in order to meet the estimated legitimate medical, scientific, research, and industrial needs of the United States, for lawful export requirements, and for the establishment and maintenance of reserve stocks. DEA sets the APQs to provide for all legitimate medical purposes and for anticipated foreign demand. Additionally, DEA and FDA coordinate efforts to prevent or alleviate drug shortages. Such efforts may include the adjustment of the APQs and individual domestic manufacturers’ quotas, FDA’s approval of additional E:\FR\FM\03JAN1.SGM 03JAN1 ddrumheller on DSK120RN23PROD with NOTICES1 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices market competitors, and coordination between the agencies to allow importation of foreign-manufactured drug products that meet FDA approval. Based on the data DEA considers in setting the APQs, including any new FDA approved drug products, as well as manufacturing issues that DEA considers under 21 CFR 1303.11(b)(7), DEA determined that the proposed APQs for amphetamine, lisdexamfetamine and methylphenidate are sufficient to supply legitimate medical needs, reserve stocks, and export requirements for 2024. If the actual prescribing rates of these substances are significantly higher than the 2024 estimates of medical needs, the Administrator has the authority to increase the aggregate production quota at any time. 21 CFR 1303.13(a). For example, in 2023, DEA adjusted the methylphenidate (for sale) APQ to address shortages of methylphenidate HCL extended release tablets upon consideration of the criteria in accordance with 21 CFR 1303.13. Adjustment of Aggregate Production Quota for Methylphenidate (for sale) for 2023, 88 FR 68147 (October 3, 2023). Issue (Lisdexamfetamine Shortages in Australia): DEA received comments from The ADHD Foundation Australia, Australian ADHD Professionals Association and the Royal Australian and New Zealand College of Psychiatrists. The ADHD Foundation Australia stated that the Australian Therapeutic Goods Administration (TGA) has advised of current shortages of lisdexamfetamine, with more shortages predicted into 2024, under the current production quotas. This commenter also asserted that Australia’s domestic prescriptions of lisdexamfetamine have increased by over 150% from 2020–2022 due to increased awareness and diagnosis of ADHD. The Royal Australian and New Zealand College of Psychiatrists commented that they endorse the guidelines from the Australian ADHD Professionals Association. Both the ADHD Foundation Australia and Australian ADHD Professionals Association stated that Vyvanse (lisdexamfetamine) and methylphenidate are the only two extended-release medications approved by the TGA to treat ADHD in Australia. Although Vyvanse’s patent expired in August 2023 in the United States, Vyvanse remains under patent in Australia and generic lisdexamfetamine products will not be available. The commenters are concerned that the proposed 2024 lisdexamfetamine APQ has not been increased from 2023 levels VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 despite reports of shortages in both the United States and Australia. They are also concerned that any U.S. production quotas allocated for production of Vyvanse will decrease as U.S. production quotas will instead be allotted to manufacture domestic generic products instead. The commenters requested that DEA consider increasing 2024 lisdexamfetamine APQ to resolve shortages in Australia and Aotearoa New Zealand. DEA Responses: DEA considered the comments, additional export data, recent domestic consumption data, and determined that the proposed APQ for lisdexamfetamine will remain at the level proposed based on its belief that inventory of bulk active pharmaceutical ingredient (API) and the quantities which will be produced in 2024 will be sufficient to meet the growing medical usage in domestic and foreign markets. DEA is closely monitoring manufacturing and distribution data from manufacturers of FDA-approved drug products as reported by the company, Automation of Reports and Consolidated Orders System (ARCOS) reports, prescription dispensing data from IQVIA, and estimated and actual inventories to ensure that there is an adequate and uninterrupted supply. In addition, DEA is pursuing the purchase of additional third-party data to better understand market penetration and demand in foreign countries—such as Australia—where American-made API and/or pharmaceutical preparations are dispensed. Market Entry of Generic Lisdexamfetamine Products Issue: DEA received comments from one association representing manufacturers and one dosage form manufacturer. They stated that DEA generally allocates procurement quotas using a company’s historical sales of a drug. They asserted that this practice denies greater quota allocation to generic drug manufacturers who are entering the market following the expiration of a patent, due to the fact that new entrants do not have an established sales history. The association claimed that DEA’s application process does not solicit information tailored to this situation. The association said that DEA’s practice hindered the competition of generic lisdexamfetamine products, with the patent holder of Vyvanse holding onto a high share of the market. DEA Response: DEA typically grants individual commercial manufacturing procurement quotas based on the sales history of the drug as reported by the PO 00000 Frm 00091 Fmt 4703 Sfmt 4703 409 company, ARCOS and IQVIA data, inventory estimated and actual, inventory allowed by regulation, and manufacturing process loss of existing manufacturers. DEA has always been cognizant that new manufacturers entering the market for the first time would not have any established sales history, and thus the manufacturer’s past sales history is not a factor when determining the amount of quota needed to launch a new product. Instead, DEA considers other data including the historic timelines of the shift in prescribing from a branded product to a generic product(s) for controlled substances. For example, when the patent for Vyvanse expired in August 2023, DEA solicited additional information from each FDA-approved manufacturer and considered the following factors to determine the amount of quota a dosage form manufacturer needed to launch a new generic lisdexamfetamine product: (1) the overall patient utilization for the branded product for the past 3 years, (2) the current estimated patient utilization for the current year, (3) the remaining months in the current year needed to meet patient needs, (4) the amount of quota previously granted for saleable validation, (5) current inventory of finished goods, in-process material and API, and (6) the amount of finished goods already shipped into the distribution chain. The assertion that DEA’s practice allowed the patent holder of Vyvanse to hold onto a higher share of the market is incorrect. However, DEA did consider that the current year (2023) would only allow for 4 months of brand erosion when allocating quota necessary to launch the generic lisdexamfetamine products. Some manufacturers were denied additional quota because their current inventory of saleable products was sufficient for a product launch during the remaining four months of the calendar year. Diversion Estimates Issue (Impact of Diversion Estimate on Opioids): Several commenters stated that the APQs of prescription opioids should not be reduced from calendar year 2023 APQ levels, given that less than 1 percent of prescription opioids are diverted. DEA Response: DEA not only considers the extent of diversion, but it also considers other factors, as required by regulation, when determining the APQ. 21 U.S.C. 826(a), 21 CFR 1303.11(b). These factors include total net disposal of the class by all manufacturers during the current and 2 preceding years, trends in the national E:\FR\FM\03JAN1.SGM 03JAN1 ddrumheller on DSK120RN23PROD with NOTICES1 410 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices rate of net disposal of the class, total actual or estimated inventories of the class and of all substances manufactured from the class, information obtained from the Food and Drug Administration, and changes in the currently accepted medical use in treatment. Additional factors considered can be found in 21 CFR 1303.11(b). After considering all of the relevant factors, DEA has determined that the APQs of prescription opioids should be reduced from calendar year 2023 APQ levels and they are sufficient to meet the forecasted domestic and foreign medical needs. Issue (Underestimation of Opioid Diversion): One pharmaceutical company suggested that DEA underestimated actual diversion of opioids. The commenter said nonmedical use of prescription opioids is not a legitimate medical purpose, but DEA rejected this point in calculating diversion, and thus the 2024 APQ must be reduced for nonmedical use of prescription opioids. The commenter also asserted that the estimate is incomplete because a number of states did not provide Prescription Drug Monitoring Program (PDMP) data for the five covered controlled substances. Additionally, the commenter asserted that DEA rejected CDC guidelines of not prescribing greater than 90 morphine milligram equivalence (MME) daily and used 240 MME to calculate diversion. DEA Response: The cited 2016 report 1 provides insightful information regarding the relationship between nonmedical prescription-opioid use and heroin use. However, it does not provide data in a form which DEA could utilize to modify its nationwide estimate for the diversion of oxycodone. Additionally, as stated in the published 2024 Proposed APQ, DEA used available data at wholesale distribution and retail dispensing channels, i.e., DEA’s Theft/Loss Reports and available individual state PDMP data. The state PDMP data submitted was adequate to allow DEA to draw reliable inferences regarding the state and U.S. population. The sample is large enough to allow DEA to accurately generalize the data to the whole population of the United States for use in the calculation of estimated national levels of diversion of the covered controlled substances. The 2022 CDC Clinical Practice Guideline includes information that updates and replaces the 2016 CDC Guideline for Prescribing Opioids for 1 Compton WM, Jones CM, Baldwin J. Relationship between nonmedical prescriptionopioid use and heroin use. N Engl J Med. 2016;374(2):154–63, accessed from https:// www.nejm.org/doi/full/10.1056/NEJMra1508490. VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 Chronic Pain. The 2022 CDC guidelines no longer set rigid dosage thresholds or duration of opioid therapy. Although DEA accepts CDC guidelines for prescribing opioids, DEA believes that higher dosages place individuals at higher risk of overdose and death, and prescriptions involving dosages exceeding 240 MME daily may indicate diversion, such as illegal distribution of controlled substances or prescribing outside the usual course of professional practice. Issue (Use of Diversion Estimate for all Controlled Substances): One commenter questioned why diversion estimates were not considered for the stimulants when proposing the initial 2024 APQ. DEA Response: Pursuant to 21 CFR 1303.11(b)(5), DEA considered the extent of diversion of the basic class as a factor in setting each APQ for each respective basic class, as well as the extent of diversion for all other schedule I and II controlled substances in proposing the estimated APQ. Under 21 U.S.C. 826(i)(A), DEA is only required to publish the diversion estimates for 5 specific opioids. Data Collection and Analysis Issue (Data Accuracy): Several commenters stated FDA’s estimation of medical needs and DEA’s data collection process are flawed and inaccurate. DEA Response: FDA utilizes a variety of data sources in developing its estimates of domestic medical needs. When determining the 2024 APQs, DEA considered the estimation of domestic medical needs data provided by FDA, and also considered other data sources including prescriptions dispensed in prior and current years reported in IQVIA, research and clinical trials information from DEA-registered researchers and manufacturers, information provided in quota applications from DEA-registered manufacturers, as well as historic and current year export data and future estimations of export requirements. DEA is actively reevaluating and improving the data collection process to ensure the APQs are set at an adequate level to meet legitimate medical, scientific, research, and export needs while establishing and maintaining reserve stocks. Issue (Lack of Real-Time Data): One commenter opined that DEA lacks realtime data on opioid production and distribution. The lack of real-time data makes it difficult to accurately assess legitimate medical needs of patients and ensure adequate supply of opioid pain medications. PO 00000 Frm 00092 Fmt 4703 Sfmt 4703 DEA Response: DEA has access to sales data provided by manufacturers from the Quota and Year-end Reporting Management System (QMS), ARCOS reports, and monthly IQVIA data when determining legitimate medical needs to ensure an adequate supply of medications containing schedule II controlled substances. Additionally, DEA is considering regulatory changes to gain access to more real-time data such as requiring manufacturers and distributors to report sales data into the ARCOS database on a monthly basis to improve the timeliness and accuracy of data points being used to estimate legitimate medical needs. Issue (Lack of Data Transparency): Two commenters stated that there is a lack of transparency in the quota setting process. DEA Response: DEA is considering methods that might increase transparency in its quota setting process. Future regulatory proposals may include steps such as public notification and an opportunity for public input when prescribing rates for controlled substances substantially deviate from FDA’s estimate of medical needs. DEA must strike a balance between increasing transparency and complying with laws and regulations aimed at protecting confidential business and patient information. Schedule I Controlled Substances Issue (Religious Use of Schedule I Substances): Two commenters requested that DEA increase APQs for certain schedule I controlled substances, including: psilocin, psilocybin, mescaline, ibogaine, lysergic acid diethylamide (LSD), 2-(4-Iodo-2,5dimethoxyphenyl)ethanamine (2CI), dimethyltryptamine (DMT), 5-methoxyN,N-dimethyltryptamine (5-MeO-DMT) for religious use. They also commented that the APQ for mescaline should be increased in order to allow access to members of the Native American Church, as well as replanting into the wild because of shortages. They opined that DEA has disregarded their legal religious use of psychedelics as a factor when setting the production quotas of these substances. They also requested a hearing with the Administrator if DEA does not take their freedom of religion into consideration. DEA Response: In the past, DEA held discussions with representatives of indigenous communities when requested and continued to welcome further engagement and input. The APQs are determined in part by the individual manufacturing quota requests submitted by DEA-registered manufacturers of these substances. DEA E:\FR\FM\03JAN1.SGM 03JAN1 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices ddrumheller on DSK120RN23PROD with NOTICES1 received quota applications from DEAregistered manufacturers for 5-MeODMT, psilocin, psilocybin, mescaline, LSD, 2CI, DMT and 5-MeO-DMT. DEA has considered these applications, along with the factors listed in 21 CFR 1303.11 (b) when determining the aggregate production quotas. Issue: Two commenters commented that the APQs should include fruiting bodies containing psilocybin and psilocin and peyote buttons containing mescaline, rather than pure chemicals only. DEA Response: Psilocybin and psilocin are schedule I controlled substances naturally occurring in psychedelic mushrooms, while mescaline is the schedule I controlled substance naturally occurring in peyote. Because the CSA controls psilocybin and psilocin specifically, DEA will continue to establish APQ for those two substances. The APQs apply to psilocybin and psilocin that is manufactured synthetically as well as to substances that are derived naturally. Peyote is controlled under 21 U.S.C. 812(e) Schedule I (c) as a separate controlled substance from mescaline. As noted below, the APQ for peyote was proposed and is established at zero Comments and Quota Applications From DEA-Registered Manufacturers Issue: DEA received comments from three DEA-registered manufacturers regarding 3 different schedule I and II controlled substances, requesting that the proposed APQ for dexmethylphenidate (for conversion), lisdexamfetamine, and psilocybin be established at sufficient levels to allow for manufacturers to meet medical and scientific needs. DEA also received additional or revised quota applications for 4-Anilino-N-phenethyl-4-piperidine (4-ANPP), all other tetrahydrocannabinol, delta-9tetrahydrocannabinol, dimethyltryptamine, fentanyl and pentobarbital. DEA Response: DEA considered the comments and quota applications from the DEA-registered manufacturers and determined that DEA’s proposed APQs will be increased for the abovementioned controlled substances, except lisdexamfetamine. The increases are reflected below in the section titled Determination of 2024 Aggregate Production Quotas and Assessment of Annual Needs. List 1 Chemical (Pseudoephedrine) Issue: Several pharmaceutical companies and healthcare organizations asserted that at a recent advisory meeting convened by the FDA, the VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 advisory committee voted that phenylephrine, a common ingredient found in many over-the counter (OTC) cold and cough medications, is a safe but is ineffective as a decongestant at the 10 mg dose. According to FDA’s website,2 FDA has yet to make a final decision on the status of phenylephrine. In light of this information, the commenters suggested that DEA should re-evaluate whether the 2024 pseudoephedrine (for sale) AAN is adequate given potential repercussions on the supply of and demand for phenylephrine-containing products, should FDA no longer designate phenylephrine as ‘‘generally recognized as safe and effective’’ (GRASE). DEA Response: DEA considered the comments and consulted with the FDA and determined that an increase of the 2024 pseudoephedrine (for sale) AAN from its proposed value currently is appropriate, and will continue to monitor inventory and use to ensure that there will be sufficient supply to address a potential increase in consumer demand for pseudoephedrine products should FDA determine that products containing phenylephrine are ineffective. The increase finalized herein will ensure that there is sufficient pseudoephedrine API for the manufacturing of OTC medications that are commonly used to treat congestion from cold, flu, allergy and COVID. Quarterly Quota Allotment Implementation Issue: DEA received comments from DEA-registered manufacturers and an association representing manufacturers regarding how DEA will implement quarterly quota allotment. They expressed concerns that DEA did not give sufficient notice of this significant change to adjust their business planning and schedules. They also believe that the quarterly quota allotment will cause a bottleneck and exacerbate shortages of medications. DEA Response: As part of its commitment to ensure that all Americans have access to appropriately prescribed medications, DEA studied the supply chain dynamics for controlled substances subject to quotas, especially for those schedule II controlled substances in shortage. Beyond the lack of real-time data and gaps in its understanding of production lead times which DEA is seeking to resolve in forthcoming proposed regulatory changes, DEA also concluded that its existing quota allocation model did not allow it to remain nimble when 2 FDA clarifies results of recent advisory committee meeting on oral phenylephrine | FDA. PO 00000 Frm 00093 Fmt 4703 Sfmt 4703 411 patent exclusivity for Vyvanse expired and FDA authorized fourteen (14) generic manufacturers to begin marketing. DEA’s challenges with its existing allocation model were exacerbated because the loss of patent exclusivity occurred late in the quota year, a time when DEA had already allocated significant authority to the manufacturer of Vyvanse and due to the Food and Drug Administration’s (FDA) decision that it would not provide 6months of patent exclusivity to the first applicant who files a substantially complete abbreviated new drug application (commonly referred to as ‘‘first filer exclusivity’’). With regard to comments that quarterly quotas will create bottlenecks and exacerbate drug shortages, DEA disagrees. There are several reasons why manufacturers of drugs containing controlled substances subject to quotas either gain (or lose) market share in any given calendar year for which a quota applies and include: changes in demand and a manufacturer’s ability to adjust to those changes relative to its competitors; inflationary pressures which impact a manufacturer’s profit margin and subsequent decisions to either continue (or discontinue) marketing; labor shortages in certain geographic areas; and supply chain difficulties which impact access to API, excipients, equipment and packaging material. In order for DEA to ensure an adequate and uninterrupted supply of schedule II controlled substances necessary to meet legitimate medical, commercial, and scientific needs, DEA believes that changes in its approach to allocating procurement quotas will ensure that it is best positioned to respond appropriately to changes in market demand. Along similar lines, DEA does not believe that applying these changes to schedule II drugs only after they enter shortage would be sufficient, as DEA would then need to gather data and information for those drugs, a process which would delay DEA’s efforts to address shortages and potentially exacerbate them. DEA has elected to make these changes at the beginning of the 2024 quota year and will be providing guidance to manufacturers. Information gained from its approach will inform rulemaking which it is currently pursuing. Administrative Procedures Act Issue: DEA received comments from DEA-Registered manufacturers, an association representing manufacturers and the generic public that the quarterly quota allotment implementation did not go through a notice-and-comment E:\FR\FM\03JAN1.SGM 03JAN1 412 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices rulemaking procedure as required by the Administrative Procedure Act. DEA Response: DEA has elected to make changes at the beginning of the 2024 quota year as it believes that information gained from its approach will inform rulemaking which is currently being pursued. In addition, as discussed above, DEA is undertaking these changes for the 2024 quota year to allow it to more quickly and nimbly respond to fast-changing market trends, including potential shortages, with respect to medications subject to quotas. While these changes to the quota allotment process will impact the adjudication of individual quota applications, they do not affect any APQs set pursuant to this final order. Request for Public Hearing Issue: One pharmaceutical company requested a public hearing prior to publishing the Final Order to establish the initial 2024 APQ. This company requested a public hearing ‘‘to correct the omissions and inaccurate diversion calculation in the 2023 oxycodone Quota.’’ The company asserted that these omissions led to an inaccurate diversion calculation for oxycodone and that the 2024 APQ requires a significant reduction from the 2023 APQ. DEA Response: The decision whether to grant a hearing on the issues raised by the commenter lies solely within the discretion of the Administrator. 21 CFR 1303.11(c). While hearings are required when requested by states in certain situations, this commenter is not a state. This request does not present any evidence that would lead to the conclusion that a hearing is necessary or warranted. DEA has addressed specific points raised by the commenter in Issues and Responses above. Out of Scope Comments DEA received comments that are outside the scope of this order. The comments were general in nature and raised issues with respect to specific medical illnesses, medical treatments and medication costs. These comments do not impact the analysis involved in establishing the 2024 APQ. IV. Determination of 2024 Aggregate Production Quotas and Assessment of Annual Needs In determining the established 2024 aggregate production quotas and assessment of annual needs, DEA has considered 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). These factors include, but are not limited to, the 2023 manufacturing quotas, current 2023 sales and inventories, anticipated 2024 export requirements, industrial use, additional applications for 2024 quotas, and information on research and product development requirements. On July 19, 2023, DEA published a temporary scheduling order placing Etizolam, Flualprazolam, Clonazolam, Flubromazolam, and Diclazepam in schedule I of the CSA (88 FR 48112), making all regulatory controls pertaining to schedule I controlled substances applicable to the manufacture of these substances, including the requirement to establish an aggregate production quota pursuant to 21 U.S.C. 826 and 21 CFR part 1303. On December 12, 2023, DEA published a temporary scheduling order placing 4F-MDMB-BUTICA, 5F-EDMBPICA, ADB-4en-PINACA, CUMYLPEGACLONE, MDMB-4en-PINACA, MMB-FUBICA in schedule I of the CSA (88 FR 86040), making all regulatory controls pertaining to schedule I controlled substances applicable to the manufacture of these substances, including the requirement to establish an aggregate production quota pursuant to 21 U.S.C. 826 and 21 CFR part 1303. On December 13, 2023, DEA published a final rule placing N-(1amino-3,3-dimethyl-1-oxobutan-2-yl)-1butyl-1H-indazole-3-carboxamide (ADBBUTINACA), 4-methyl-1-phenyl-2(pyrrolidin-1-yl)pentan-1-one (a-PiHP or alpha-PiHP), and 2-(methylamino)-1(3-methylphenyl)propan-1-one (3-MMC or 3-methylmethcathinone) in schedule I of the Controlled Substances Act (CSA) (88 FR 86266), making all regulatory controls pertaining to schedule I controlled substances applicable to the manufacture of these substances, including the requirement to establish an aggregate production quota pursuant to 21 U.S.C. 826 and 21 CFR part 1303. Based on all of the above, the Administrator is establishing the 2024 APQs for Etizolam, Flualprazolam, Clonazolam, Flubromazolam, and Diclazepam, 4F-MDMB-BUTICA, 5FEDMB-PICA, ADB-4en-PINACA, CUMYL-PEGACLONE, MDMB-4enPINACA, MMB-FUBICA, N-(1-amino3,3-dimethyl-1-oxobutan-2-yl)-1-butyl1H-indazole-3-carboxamide (ADBBUTINACA), 4-methyl-1-phenyl-2(pyrrolidin-1-yl)pentan-1-one (a-PiHP or alpha-PiHP), and 2-(methylamino)-1-(3methylphenyl)propan-1-one (3-MMC or 3-methylmethcathinone) at greater than zero; and 4-Anilino-N-phenethyl-4piperidine (4-ANPP), all other tetrahydrocannabinol, dexmethylphenidate (for conversion), delta-9-tetrahydrocannabinol, dimethyltryptamine, fentanyl, pentobarbital and psilocybin at higher levels than previously proposed. The Administrator establishes the 2024 AAN for pseudoephedrine (for sale) at a higher level than was proposed. Estimates of Diversion Pursuant to the SUPPORT Act As specified in the proposal, and as required by 21 U.S.C. 826(i), DEA calculated a national diversion estimate for each of the covered controlled substances. This data, which remains unchanged, was published in the 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 2024. 88 FR 75312 (November 2, 2023). In accordance with 21 U.S.C. 826, 21 CFR 1303.11, and 21 CFR 1315.11, the Administrator hereby establishes the 2024 APQ for the following schedule I and II controlled substances and the 2024 AAN for the list I chemicals ephedrine, pseudoephedrine, and phenylpropanolamine, expressed in grams of anhydrous acid or base, as follows: Established 2024 quotas (g) ddrumheller on DSK120RN23PROD with NOTICES1 Basic class New Temporary Controlled Schedule I Substances 4F-MDMB-BUTICA .............................................................................................................................................................................. 5F-EDMB-PICA .................................................................................................................................................................................... ADB-4en-PINACA ................................................................................................................................................................................ Clonazolam .......................................................................................................................................................................................... CUMYL-PEGACLONE ......................................................................................................................................................................... diclazepam ........................................................................................................................................................................................... VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 PO 00000 Frm 00094 Fmt 4703 Sfmt 4703 E:\FR\FM\03JAN1.SGM 03JAN1 30 30 30 30 30 30 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices 413 Established 2024 quotas (g) Basic class etizolam ................................................................................................................................................................................................ flualprazolam ........................................................................................................................................................................................ flubromazolam ..................................................................................................................................................................................... MDMB-4en-PINACA ............................................................................................................................................................................ MMB-FUBICA ...................................................................................................................................................................................... 30 30 30 30 30 ddrumheller on DSK120RN23PROD with NOTICES1 Schedule I -[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-[1-(2-Thienyl)cyclohexyl]piperidine ................................................................................................................................................... 2′-fluoro 2-fluorofentanyl ...................................................................................................................................................................... 1-Benzylpiperazine .............................................................................................................................................................................. 1-Methyl-4-phenyl-4-propionoxypiperidine ........................................................................................................................................... 2-(2,5-Dimethoxy-4-ethylphenyl)ethanamine (2C-E) ........................................................................................................................... 2-(2,5-Dimethoxy-4-methylphenyl)ethanamine (2C-D) ........................................................................................................................ 2-(2,5-Dimethoxy-4-nitro-phenyl)ethanamine (2C-N) .......................................................................................................................... 2-(2,5-Dimethoxy-4-n-propylphenyl)ethanamine (2C-P) ...................................................................................................................... 2-(2,5-Dimethoxyphenyl)ethanamine (2C-H) ....................................................................................................................................... 2-(4-Bromo-2,5-dimethoxyphenyl)-N-(2-methoxybenzyl)ethanamine (25B-NBOMe; 2C-B-NBOMe; 25B; Cimbi-36) ........................ 2-(4-Chloro-2,5-dimethoxyphenyl)ethanamine (2C-C) ........................................................................................................................ 2-(4-Chloro-2,5-dimethoxyphenyl)-N-(2-methoxybenzyl)ethanamine (25C-NBOMe; 2C-C-NBOMe; 25C; Cimbi-82) ........................ 2-(4-Iodo-2,5-dimethoxyphenyl)ethanamine (2C-I) .............................................................................................................................. 2-(4-Iodo-2,5-dimethoxyphenyl)-N-(2-methoxybenzyl)ethanamine (25I-NBOMe; 2C-I-NBOMe; 25I; Cimbi-5) .................................. 2,5-Dimethoxy-4-ethylamphetamine (DOET) ...................................................................................................................................... 2,5-Dimethoxy-4-n-propylthiophenethylamine ..................................................................................................................................... 2,5-Dimethoxyamphetamine ................................................................................................................................................................ 2-[4-(Ethylthio)-2,5-dimethoxyphenyl]ethanamine (2C-T-2) ................................................................................................................ 2-[4-(Isopropylthio)-2,5-dimethoxyphenyl]ethanamine (2C-T-4) .......................................................................................................... 3,4,5-Trimethoxyamphetamine ............................................................................................................................................................ 3,4-Methylenedioxyamphetamine (MDA) ............................................................................................................................................ 3,4-Methylenedioxymethamphetamine (MDMA) ................................................................................................................................. 3,4-Methylenedioxy-N-ethylamphetamine (MDEA) ............................................................................................................................. 3,4-Methylenedioxy-N-methylcathinone (methylone) .......................................................................................................................... 3,4-Methylenedioxypyrovalerone (MDPV) ........................................................................................................................................... 3-FMC; 3-Fluoro-N-methylcathinone ................................................................................................................................................... 3-Methylfentanyl ................................................................................................................................................................................... 3-Methylmethcathinone ........................................................................................................................................................................ 3-Methylthiofentanyl ............................................................................................................................................................................. 4,4′-Dimethylaminorex ......................................................................................................................................................................... 4-Bromo-2,5-dimethoxyamphetamine (DOB) ...................................................................................................................................... 4-Bromo-2,5-dimethoxyphenethylamine (2-CB) .................................................................................................................................. 4-Chloro-alpha-pyrrolidinovalerophenone (4-chloro-alpha-PVP) ......................................................................................................... 4-CN-Cumyl-Butinaca .......................................................................................................................................................................... 4-Fluoroisobutyryl fentanyl ................................................................................................................................................................... 4F-MDMB-BINACA .............................................................................................................................................................................. 4-FMC; Flephedrone ............................................................................................................................................................................ 4-MEC; 4-Methyl-N-ethylcathinone ...................................................................................................................................................... 4-Methoxyamphetamine ...................................................................................................................................................................... 4-methyl-1-phenyl-2-(pyrrolidin-1-yl)pentan-1-one (alpha-PiHP) ......................................................................................................... 4-Methyl-2,5-dimethoxyamphetamine (DOM) ...................................................................................................................................... 4-Methylaminorex ................................................................................................................................................................................ 4-Methyl-N-methylcathinone (mephedrone) ........................................................................................................................................ 4-Methyl-alpha-ethylaminopentiophenone (4-MEAP) .......................................................................................................................... 4-Methyl-alpha-pyrrolidinohexiophenone (MPHP) ............................................................................................................................... 4′-Methyl acetyl fentanyl ...................................................................................................................................................................... 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-AB-PINACA ; (1-Amino-3-methyl-1-oxobutan-2-yl)-1-(5-fluoropentyl)-1H-indazole-3-carboxamide .............................................. 5F-ADB; 5F-MDMB-PINACA (methyl 2-(1-(5-fluoropentyl)-1H-indazole-3-carboxamido)-3,3-dimethylbutanoate) ............................ 5F-CUMYL-P7AICA; 1-(5-Fluoropentyl)-N-(2-phenylpropan-2-yl)-1H-pyrrolo[2,3-b]pyridine-3carboximide ....................................... 5F-CUMYL-PINACA ............................................................................................................................................................................ 5F-EDMB-PINACA ............................................................................................................................................................................... 5F-MDMB-PICA ................................................................................................................................................................................... 5F-AMB (methyl 2-(1-(5-fluoropentyl)-1H-indazole-3-carboxamido)-3-methylbutanoate) ................................................................... 5F-APINACA; 5F-AKB48 (N-(adamantan-1-yl)-1-(5-fluoropentyl)-1H-indazole-3-carboxamide) ........................................................ 5-Fluoro-PB-22; 5F-PB-22 ................................................................................................................................................................... 5-Fluoro-UR144, XLR11 ([1-(5-fluoro-pentyl)-1Hindol-3-yl](2,2,3,3-tetramethylcyclopropyl)methanone ............................................ VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 PO 00000 Frm 00095 Fmt 4703 Sfmt 4703 E:\FR\FM\03JAN1.SGM 03JAN1 20 30 10 30 30 15 30 25 10 30 30 30 30 100 30 30 25 30 30 25 25 25 30 30 30 12,000 12,000 40 5,200 35 25 30 30 30 30 30 5,100 25 25 30 30 25 25 150 30 25 25 45 25 25 30 25 50 40 25 25 25 25 25 25 25 25 25 25 414 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices Established 2024 quotas (g) ddrumheller on DSK120RN23PROD with NOTICES1 Basic class 5-Methoxy-3,4-methylenedioxyamphetamine ...................................................................................................................................... 5-Methoxy-N,N-diisopropyltryptamine .................................................................................................................................................. 5-Methoxy-N,N-dimethyltryptamine ..................................................................................................................................................... AB-CHMINACA .................................................................................................................................................................................... AB-FUBINACA ..................................................................................................................................................................................... AB-PINACA .......................................................................................................................................................................................... ADB-BUTINACA .................................................................................................................................................................................. 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 ............................................................................................................................................................................................... All other tetrahydrocannabinol ............................................................................................................................................................. Allylprodine .......................................................................................................................................................................................... Alphacetylmethadol .............................................................................................................................................................................. alpha-Ethyltryptamine .......................................................................................................................................................................... Alphameprodine ................................................................................................................................................................................... Alphamethadol ..................................................................................................................................................................................... alpha-Methylfentanyl ............................................................................................................................................................................ alpha-Methylthiofentanyl ...................................................................................................................................................................... alpha-Methyltryptamine (AMT) ............................................................................................................................................................ alpha-Pyrrolidinobutiophenone (a-PBP) .............................................................................................................................................. alpha-pyrrolidinoheptaphenone (PV8) ................................................................................................................................................. alpha-pyrrolidinohexabophenone (alpha-PHP) .................................................................................................................................... alpha-Pyrrolidinopentiophenone (a-PVP) ............................................................................................................................................ Amineptine ........................................................................................................................................................................................... Aminorex .............................................................................................................................................................................................. Anileridine ............................................................................................................................................................................................ APINCA, AKB48 (N-(1-adamantyl)-1-pentyl-1H-indazole-3-carboxamide) ......................................................................................... Benzethidine ........................................................................................................................................................................................ Benzylmorphine ................................................................................................................................................................................... Betacetylmethadol ............................................................................................................................................................................... beta-Hydroxy-3-methylfentanyl ............................................................................................................................................................ beta-Hydroxyfentanyl ........................................................................................................................................................................... beta-Hydroxythiofentanyl ..................................................................................................................................................................... beta-Methyl fentanyl ............................................................................................................................................................................ beta′-Phenyl fentanyl ........................................................................................................................................................................... Betameprodine ..................................................................................................................................................................................... Betamethadol ....................................................................................................................................................................................... Betaprodine .......................................................................................................................................................................................... Brorphine ............................................................................................................................................................................................. Bufotenine ............................................................................................................................................................................................ Butonitazene ........................................................................................................................................................................................ Butylone ............................................................................................................................................................................................... Butyryl fentanyl .................................................................................................................................................................................... Cathinone ............................................................................................................................................................................................. Clonitazene .......................................................................................................................................................................................... Codeine methylbromide ....................................................................................................................................................................... Codeine-N-oxide .................................................................................................................................................................................. Crotonyl Fentanyl ................................................................................................................................................................................. Cyclopentyl Fentanyl ........................................................................................................................................................................... Cyclopropyl Fentanyl ........................................................................................................................................................................... Cyprenorphine ..................................................................................................................................................................................... d-9-THC ............................................................................................................................................................................................... Desomorphine ...................................................................................................................................................................................... Dextromoramide .................................................................................................................................................................................. Diapromide ........................................................................................................................................................................................... Diethylthiambutene .............................................................................................................................................................................. Diethyltryptamine ................................................................................................................................................................................. Difenoxin .............................................................................................................................................................................................. Dihydromorphine .................................................................................................................................................................................. Dimenoxadol ........................................................................................................................................................................................ Dimepheptanol ..................................................................................................................................................................................... Dimethylthiambutene ........................................................................................................................................................................... Dimethyltryptamine .............................................................................................................................................................................. Dioxyaphetyl butyrate .......................................................................................................................................................................... Dipipanone ........................................................................................................................................................................................... Drotebanol ........................................................................................................................................................................................... VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 PO 00000 Frm 00096 Fmt 4703 Sfmt 4703 E:\FR\FM\03JAN1.SGM 03JAN1 25 25 11,000 30 50 30 30 30 25 100 30 30 25 25 50 30 1,166,130 25 25 25 25 25 30 30 25 25 25 25 25 30 25 20 25 25 30 25 30 30 30 30 30 25 4 25 30 15 30 25 30 40 25 30 192 25 30 20 25 1,523,040 25 25 20 20 25 9,300 639,954 25 25 20 11,000 25 25 25 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices Established 2024 quotas (g) ddrumheller on DSK120RN23PROD with NOTICES1 Basic class Ethylmethylthiambutene ....................................................................................................................................................................... Ethylone ............................................................................................................................................................................................... Etodesnitazene .................................................................................................................................................................................... Etonitazene .......................................................................................................................................................................................... Etorphine .............................................................................................................................................................................................. Etoxeridine ........................................................................................................................................................................................... Eutylone ............................................................................................................................................................................................... Fenethylline .......................................................................................................................................................................................... Fentanyl carbamate ............................................................................................................................................................................. Fentanyl related substances ................................................................................................................................................................ Flunitazene .......................................................................................................................................................................................... FUB-144 ............................................................................................................................................................................................... FUB-AKB48 ......................................................................................................................................................................................... Fub-AMB, MMB-Fubinaca, AMB-Fubinaca ......................................................................................................................................... Furanyl fentanyl ................................................................................................................................................................................... Furethidine ........................................................................................................................................................................................... gamma-Hydroxybutyric acid ................................................................................................................................................................ Heroin .................................................................................................................................................................................................. Hydromorphinol .................................................................................................................................................................................... Hydroxypethidine ................................................................................................................................................................................. Ibogaine ............................................................................................................................................................................................... Isobutyryl Fentanyl ............................................................................................................................................................................... Isotonitazine ......................................................................................................................................................................................... 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 ..................................................................................................................................................................................... Levophenyacylmorphan ....................................................................................................................................................................... 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-CHIMCA); Methyl-2-(1-(cyclohexylmethyl)-1H-indole-3-carboxamido)-3-methylbutanoate ............................. Mesocarb ............................................................................................................................................................................................. Metodesnitazene .................................................................................................................................................................................. Metonitazene ....................................................................................................................................................................................... Marijuana ............................................................................................................................................................................................. Marijuana extract ................................................................................................................................................................................. Mecloqualone ....................................................................................................................................................................................... Mescaline ............................................................................................................................................................................................. Methaqualone ...................................................................................................................................................................................... Methcathinone ..................................................................................................................................................................................... Methiopropamine ................................................................................................................................................................................. Methoxetamine .................................................................................................................................................................................... Methoxyacetyl fentanyl ........................................................................................................................................................................ Methyldesorphine ................................................................................................................................................................................. Methyldihydromorphine ........................................................................................................................................................................ Morpheridine ........................................................................................................................................................................................ Morphine methylbromide ..................................................................................................................................................................... Morphine methylsulfonate .................................................................................................................................................................... Morphine-N-oxide ................................................................................................................................................................................ MT-45 ................................................................................................................................................................................................... Myrophine ............................................................................................................................................................................................ NM2201: Naphthalen-1-yl 1-(5-fluorpentyl)-1H-indole-3-carboxylate .................................................................................................. N,N-Dimethylamphetamine .................................................................................................................................................................. Naphyrone ........................................................................................................................................................................................... N-Ethyl-1-phenylcyclohexylamine ........................................................................................................................................................ N-Ethyl-3-piperidyl benzilate ................................................................................................................................................................ N-Ethylamphetamine ........................................................................................................................................................................... N-Ethylhexedrone ................................................................................................................................................................................ N-Ethylpentylone, ephylone ................................................................................................................................................................. N-Hydroxy-3,4-methylenedioxyamphetamine ...................................................................................................................................... Nicocodeine ......................................................................................................................................................................................... Nicomorphine ....................................................................................................................................................................................... VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 PO 00000 Frm 00097 Fmt 4703 415 Sfmt 4703 E:\FR\FM\03JAN1.SGM 03JAN1 25 25 30 25 30 25 30 30 30 600 30 25 25 25 30 25 29,417,000 150 40 25 150 25 25 35 45 45 30 30 35 30 30 30 30 25 25 1,200 30 30 30 25 30 30 30 6,675,000 1,000,000 30 1,200 60 25 30 30 30 5 25 25 5 5 150 30 25 25 25 25 25 10 24 25 30 24 25 25 416 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices Established 2024 quotas (g) Basic class N-methyl-3-piperidyl benzilate ............................................................................................................................................................. N-Pyrrolidino Etonitazene .................................................................................................................................................................... Noracymethadol ................................................................................................................................................................................... Norlevorphanol ..................................................................................................................................................................................... Normethadone ..................................................................................................................................................................................... Normorphine ........................................................................................................................................................................................ Norpipanone ........................................................................................................................................................................................ Ocfentanil ............................................................................................................................................................................................. ortho-Fluoroacryl fentanyl .................................................................................................................................................................... ortho-Fluorobutyryl fentanyl ................................................................................................................................................................. Ortho-Fluorofentanyl,2-Fluorofentanyl ................................................................................................................................................. ortho-Fluoroisobutyryl fentanyl ............................................................................................................................................................ ortho-Methyl acetylfentanyl .................................................................................................................................................................. ortho-Methyl methoxyacetyl fentanyl ................................................................................................................................................... Para-Chlorisobutyrl fentanyl ................................................................................................................................................................ Para-flourobutyryl fentanyl ................................................................................................................................................................... Para-fluorofentanyl ............................................................................................................................................................................... para-Fluoro furanyl fentanyl ................................................................................................................................................................. Para-Methoxybutyrl fentanyl ................................................................................................................................................................ Para-methoxymethamphetamine ......................................................................................................................................................... para-Methylfentanyl ............................................................................................................................................................................. Parahexyl ............................................................................................................................................................................................. PB-22; QUPIC ..................................................................................................................................................................................... Pentedrone .......................................................................................................................................................................................... Pentylone ............................................................................................................................................................................................. Phenadoxone ....................................................................................................................................................................................... Phenampromide ................................................................................................................................................................................... Phenomorphan .................................................................................................................................................................................... Phenoperidine ...................................................................................................................................................................................... Phenyl fentanyl .................................................................................................................................................................................... Pholcodine ........................................................................................................................................................................................... Piritramide ............................................................................................................................................................................................ Proheptazine ........................................................................................................................................................................................ Properidine ........................................................................................................................................................................................... Propiram .............................................................................................................................................................................................. Protonitazene ....................................................................................................................................................................................... Psilocybin ............................................................................................................................................................................................. Psilocin ................................................................................................................................................................................................. Racemoramide ..................................................................................................................................................................................... SR-18 and RCS-8 (1-Cyclohexylethyl-3-(2-methoxyphenylacetyl)indole) ........................................................................................... SR-19 and RCS-4 (1-Pentyl-3-[(4-methoxy)-benzoyl]indole) .............................................................................................................. Tetrahydrofuranyl fentanyl ................................................................................................................................................................... Thebacon ............................................................................................................................................................................................. Thiafentanil .......................................................................................................................................................................................... Thiofentanyl ......................................................................................................................................................................................... Thiofuranyl fentanyl ............................................................................................................................................................................. 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 .................................................................................................................................................................................... Zipeprol ................................................................................................................................................................................................ 30 30 25 2,550 25 40 25 25 30 30 30 30 30 30 30 25 25 30 30 30 30 5 20 25 25 25 25 25 25 30 5 25 25 25 25 30 20,000 24,000 25 45 30 15 25 25 25 30 30 25 25 25 30 25 30 ddrumheller on DSK120RN23PROD with NOTICES1 Schedule II 1-Phenylcyclohexylamine .................................................................................................................................................................... 1-Piperidinocyclohexanecarbonitrile .................................................................................................................................................... 4-Anilino-N-phenethyl-4-piperidine (ANPP) ......................................................................................................................................... Alfentanil .............................................................................................................................................................................................. Alphaprodine ........................................................................................................................................................................................ Amobarbital .......................................................................................................................................................................................... Bezitramide .......................................................................................................................................................................................... Carfentanil ............................................................................................................................................................................................ Cocaine ................................................................................................................................................................................................ Codeine (for conversion) ..................................................................................................................................................................... Codeine (for sale) ................................................................................................................................................................................ d-amphetamine (for sale) .................................................................................................................................................................... d,l-amphetamine .................................................................................................................................................................................. d-amphetamine (for conversion) .......................................................................................................................................................... Dexmethylphenidate (for sale) ............................................................................................................................................................. Dexmethylphenidate (for conversion) .................................................................................................................................................. VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 PO 00000 Frm 00098 Fmt 4703 Sfmt 4703 E:\FR\FM\03JAN1.SGM 03JAN1 15 25 937,874 5,000 25 20,100 25 20 60,492 942,452 19,262,957 21,200,000 21,200,000 20,000,000 6,200,000 5,374,683 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices Established 2024 quotas (g) Basic class Dextropropoxyphene ............................................................................................................................................................................ Dihydrocodeine .................................................................................................................................................................................... Dihydroetorphine .................................................................................................................................................................................. Diphenoxylate (for conversion) ............................................................................................................................................................ Diphenoxylate (for sale) ....................................................................................................................................................................... Ecgonine .............................................................................................................................................................................................. Ethylmorphine ...................................................................................................................................................................................... Etorphine hydrochloride ....................................................................................................................................................................... Fentanyl ............................................................................................................................................................................................... Glutethimide ......................................................................................................................................................................................... Hydrocodone (for conversion) ............................................................................................................................................................. Hydrocodone (for sale) ........................................................................................................................................................................ Hydromorphone ................................................................................................................................................................................... Isomethadone ...................................................................................................................................................................................... L-amphetamine .................................................................................................................................................................................... Levo-alphacetylmethadol (LAAM) ........................................................................................................................................................ Levomethorphan .................................................................................................................................................................................. Levorphanol ......................................................................................................................................................................................... Lisdexamfetamine ................................................................................................................................................................................ Meperidine ........................................................................................................................................................................................... Meperidine Intermediate-A .................................................................................................................................................................. Meperidine Intermediate-B .................................................................................................................................................................. Meperidine Intermediate-C .................................................................................................................................................................. Metazocine ........................................................................................................................................................................................... Methadone (for sale) ........................................................................................................................................................................... Methadone Intermediate ...................................................................................................................................................................... d,l-Methamphetamine .......................................................................................................................................................................... d-methamphetamine (for conversion) .................................................................................................................................................. d-methamphetamine (for sale) ............................................................................................................................................................ l-methamphetamine ............................................................................................................................................................................. Methylphenidate (for sale) ................................................................................................................................................................... Methylphenidate (for conversion) ........................................................................................................................................................ Metopon ............................................................................................................................................................................................... Moramide-intermediate ........................................................................................................................................................................ Morphine (for conversion) .................................................................................................................................................................... Morphine (for sale) .............................................................................................................................................................................. Nabilone ............................................................................................................................................................................................... Norfentanyl ........................................................................................................................................................................................... Noroxymorphone (for conversion) ....................................................................................................................................................... Noroxymorphone (for sale) .................................................................................................................................................................. Oliceridine ............................................................................................................................................................................................ 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 .............................................................................................................................................................................................. ddrumheller on DSK120RN23PROD with NOTICES1 417 35 115,227 25 14,100 770,800 60,492 30 32 731,360 25 1,250 27,143,545 1,951,801 30 30 25 30 20,000 26,500,000 681,184 30 30 30 15 25,619,700 27,673,600 150 485,020 47,000 587,229 53,283,000 19,975,468 25 25 2,393,200 20,805,957 62,000 25 22,044,741 1,000 25,100 250,000 530,837 33,010,750 437,827 53,658,226 28,204,371 464,464 40,000,000 25 35 25 100 25 5 5 3,000 172,100 4,000 10,390,226 57,137,944 List I Chemicals Ephedrine (for conversion) .................................................................................................................................................................. Ephedrine (for sale) ............................................................................................................................................................................. Phenylpropanolamine (for conversion) ................................................................................................................................................ Phenylpropanolamine (for sale) ........................................................................................................................................................... Pseudoephedrine (for conversion) ...................................................................................................................................................... Pseudoephedrine (for sale) ................................................................................................................................................................. VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 PO 00000 Frm 00099 Fmt 4703 Sfmt 4703 E:\FR\FM\03JAN1.SGM 03JAN1 41,100 3,933,336 14,878,320 7,990,000 1,000 186,617,466 418 Federal Register / Vol. 89, No. 2 / Wednesday, January 3, 2024 / Notices The Administrator also establishes APQ 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 2024 APQ and AAN as needed. Signing Authority This document of the Drug Enforcement Administration was signed on December 28, 2023, by Administrator Anne Milgram. That document with the original signature and date is maintained by DEA. For administrative purposes only, and in compliance with requirements of the Office of the Federal Register, the undersigned DEA Federal Register Liaison Officer has been authorized to sign and submit the document in electronic format for publication, as an official document of DEA. This administrative process in no way alters the legal effect of this document upon publication in the Federal Register. Scott Brinks, Federal Register Liaison Officer, Drug Enforcement Administration. [FR Doc. 2023–28962 Filed 12–29–23; 8:45 am] BILLING CODE 4410–09–P NUCLEAR REGULATORY COMMISSION [Docket No. 50–382; NRC–2023–0046] Entergy Operations, Inc.; Waterford Steam Electric Station, Unit 3; License Amendment Application Nuclear Regulatory Commission. ACTION: Notice; withdrawal by applicant. AGENCY: The U.S. Nuclear Regulatory Commission (NRC, the Commission) has granted the request of Entergy Operations, Inc. (the licensee) to withdraw its application dated November 1, 2022, for a proposed amendment to Renewed Facility Operating License No. NPF–38 for the Waterford Steam Electric Station, Unit 3. The proposed amendment would have revised Technical Specification 3/ 4.3–2, Table 4.3–2, ‘‘Engineered Safety Features Actuation System Instrumentation Surveillance Requirements,’’ Table Notation (3), to remove the exemption from testing relays K114, K305, and K313 at power. DATES: This document was published in the Federal Register on January 3, 2024. ddrumheller on DSK120RN23PROD with NOTICES1 SUMMARY: VerDate Sep<11>2014 18:32 Jan 02, 2024 Jkt 262001 Please refer to Docket ID NRC–2023–0046 when contacting the NRC about the availability of information regarding this document. You may obtain publicly available information related to this document using any of the following methods: • Federal Rulemaking Website: Go to https://www.regulations.gov and search for Docket ID NRC–2023–0046. Address questions about Docket IDs in Regulations.gov to Stacy Schumann; telephone: 301–415–0624; email: Stacy.Schumann@nrc.gov. For technical questions, contact the individual listed in the FOR FURTHER INFORMATION CONTACT section of this document. • NRC’s Agencywide Documents Access and Management System (ADAMS): You may obtain publicly available documents online in the ADAMS Public Documents collection at https://www.nrc.gov/reading-rm/ adams.html. To begin the search, select ‘‘Begin Web-based ADAMS Search.’’ For problems with ADAMS, please contact the NRC’s Public Document Room (PDR) reference staff at 1–800–397–4209, at 301–415–4737, or by email to PDR.Resource@nrc.gov. The ADAMS accession number for each document referenced (if it is available in ADAMS) is provided the first time that it is mentioned in this document. • NRC’s PDR: The PDR, where you may examine and order copies of publicly available documents, is open by appointment. To make an appointment to visit the PDR, please send an email to PDR.Resource@nrc.gov or call 1–800–397–4209 or 301–415– 4737, between 8 a.m. and 4 p.m. eastern time (ET), Monday through Friday, except Federal holidays. FOR FURTHER INFORMATION CONTACT: Jason Drake, Office of Nuclear Reactor Regulation, U.S. Nuclear Regulatory Commission, Washington, DC 20555– 0001, telephone: 301–415–8378; email: Jason.Drake@nrc.gov. SUPPLEMENTARY INFORMATION: The NRC has granted the request of the licensee to withdraw its application dated November 1, 2022 (ADAMS Accession No. ML22305A693) for the proposed amendment to Renewed Facility Operating License No. NPF–38 for the Waterford Steam Electric Station, Unit 3, located in St. Charles Parish, Louisiana. The proposed amendment would have revised TS 3/4.3–2, Table 4.3–2, ‘‘Engineered Safety Features Actuation system Instrumentation Surveillance Requirements,’’ Table Notation (3), to remove the exemption from testing relays K114, K305, and K313 at power. ADDRESSES: PO 00000 Frm 00100 Fmt 4703 Sfmt 4703 The Commission had previously issued a Notice of Consideration of Issuance of Amendment published in the Federal Register on February 21, 2023 (88 FR 10557). However, by letter dated September 28, 2023 (ADAMS Accession No. ML23271A178), the licensee withdrew the proposed amendment. Dated: December 28, 2023. For the Nuclear Regulatory Commission. Jason J. Drake, Project Manager, Plant Licensing Branch IV, Division of Operating Reactor Licensing, Office of Nuclear Reactor Regulation. [FR Doc. 2023–28891 Filed 1–2–24; 8:45 am] BILLING CODE 7590–01–P NUCLEAR REGULATORY COMMISSION [Docket No. 50–255; NRC–2023–0193] Holtec Decommissioning International, LLC and Holtec Palisades, LLC; Palisades Nuclear Plant; Exemption Nuclear Regulatory Commission. ACTION: Notice; issuance. AGENCY: The U.S. Nuclear Regulatory Commission (NRC) has issued an exemption in response to a request from Holtec Decommissioning International, LLC (HDI), an indirect wholly owned subsidiary of Holtec International, that would allow HDI and Holtec Palisades, LLC, to reduce the minimum coverage limit for onsite property damage insurance from $1.06 billion to $50 million for the Palisades Nuclear Plant. DATES: The exemption was issued on December 21, 2023. ADDRESSES: Please refer to Docket ID NRC–2023–0193 when contacting the NRC about the availability of information regarding this document. You may obtain publicly available information related to this document using any of the following methods: • Federal Rulemaking Website: Go to https://www.regulations.gov and search for Docket ID NRC–2023–0193. Address questions about Docket IDs in Regulations.gov to Stacy Schumann; telephone: 301–415–0624; email: Stacy.Schumann@nrc.gov. For technical questions, contact the individual listed in the FOR FURTHER INFORMATION CONTACT section of this document. • NRC’s Agencywide Documents Access and Management System (ADAMS): You may obtain publicly available documents online in the ADAMS Public Documents collection at https://www.nrc.gov/reading-rm/ adams.html. To begin the search, select SUMMARY: E:\FR\FM\03JAN1.SGM 03JAN1

Agencies

[Federal Register Volume 89, Number 2 (Wednesday, January 3, 2024)]
[Notices]
[Pages 407-418]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-28962]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration

[Docket No. DEA-1228E]


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 2024

AGENCY: Drug Enforcement Administration, Department of Justice.

ACTION: Final order.

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SUMMARY: This final order establishes the initial 2024 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: This Notice is effective January 3, 2024.

FOR FURTHER INFORMATION CONTACT: Scott A. Brinks, Regulatory Drafting 
and Policy Support Section, Diversion Control Division, Drug 
Enforcement Administration; Mailing Address: 8701 Morrissette Drive, 
Springfield, VA 22152, Telephone: (571) 776-3882.

SUPPLEMENTARY INFORMATION:

I. 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.

II. Background

    The 2024 aggregate production quotas (APQ) and assessment of annual 
needs (AAN) 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 
2024, in order to provide for the estimated medical, scientific, 
research, and industrial needs of the U.S., lawful export requirements, 
and the establishment and maintenance of reserve stocks. These quotas 
include imports of ephedrine, pseudoephedrine, and phenylpropanolamine, 
but do not include imports of controlled substances for use in 
industrial processes.
    On November 2, 2023, 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 2024'' was published in 
the Federal Register. 88 FR 75312. This notice proposed the 2024 APQ 
for each basic class of controlled substance listed in schedules I and 
II and the 2024 AAN for the list I chemicals ephedrine, 
pseudoephedrine, and phenylpropanolamine. All interested persons were 
invited to comment on or object to the proposed APQ and the proposed 
AAN on or before December 4, 2023.

III. Comments Received

    Within the public comment period, DEA received 4,699 comments from 
DEA registrants, people with chronic pain, patients with attention 
deficit/hyperactivity disorder (ADHD), pain advocacy associations, U.S. 
professional associations, U.S. nurses, the Royal Australian and New 
Zealand College of Psychiatrists, the Australian ADHD Professionals 
Association, the ADHD Foundation Australia, and others. The comments 
included concerns about potential domestic opioid drug shortages due to 
further quota reductions; stimulant drug shortages in the United States 
and Australia; concerns that medical professionals might be impeded 
from exercising their medical expertise regarding opioid prescriptions; 
two requests for a public hearing; concerns with the implementation of 
quarterly quota allotments, and comments not pertaining to DEA 
regulated activities. DEA restricted seven comments from public view 
due to confidential business information and/or confidential personal 
identifying information.

Opioid Adequacy

    Issue (Medication Out of Stock at Pharmacy Level): Commenters 
questioned whether the 2024 proposed APQs for Schedule II opioids will 
be adequate to meet legitimate medical needs of patients. Commenters 
said that because of decreases in aggregate production quotas for 
specific opioids, they have had difficulty filling legitimate 
prescriptions at pharmacies.

[[Page 408]]

These issues have negatively impacted their quality of life and caused 
mental health-related issues, possibly leading to suicide.
    DEA Response: 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. 
DEA sets the APQs for controlled substances based on the available data 
and information received at that specific point in time set by the 
regulations, however, subsequent factors and manufacturers' business 
practices may arise afterwards and potentially contribute to a 
temporary lack of inventory of controlled substances at the point of 
dispensation. In recent years, this has included labor shortages and a 
lack of production capacity. In such circumstances, DEA, in 
coordination with the Food and Drug Administration (FDA), can utilize 
tools under the CSA to prevent or alleviate drug shortages and ensure 
that patients are able to fill legitimate prescriptions for controlled 
substances without undue delay. Additionally, if a patient is faced 
with a delay in receiving their medications, the patient may request a 
one-time transfer of initial dispensing of an electronic prescription 
for Schedules II-V controlled substances from one retail pharmacy to 
another retail pharmacy. If the medication is a controlled substance in 
Schedules III-V and includes authorized refills, the refills can also 
be transferred with the initial prescription to the receiving pharmacy.
    Issue (Nationwide Shortages): Some commenters stated that there is 
a nationwide shortage of opioid medication because their local 
pharmacies were often out of stock. One commenter also stated that the 
American Society of Health-System Pharmacists (ASHP) has warned about 
shortages of immediate release oxycodone and hydrocodone medications, 
but shortages have not been publicly acknowledged by DEA or FDA.
    DEA Response: DEA utilizes the available, reliable data and 
information received by the agency at the time APQs are proposed and 
proactively monitors drug production, distribution and supply during 
the year. However, drug shortages may occur subsequently due to factors 
outside of DEA control such as manufacturing and quality problems, 
processing delays, supply chain disruptions, or discontinuations. In 
such circumstances, if the drug manufacturer notifies the FDA Drug 
Shortage Staff, FDA will coordinate with DEA to address and minimize 
the impact of drug shortages if both agencies believe action is 
warranted. Currently, FDA has not issued any nationwide shortages of 
oxycodone and hydrocodone products.
    Issue (Patients Switching to Illicit Fentanyl or Medications 
Obtained from Illegal Sources): Several commenters expressed concerns 
that because of DEA's reduction of quotas for pain relieving controlled 
substances, patients with chronic pain who were unable to fill their 
legitimate prescriptions eventually turned to illegal fentanyl or 
medications obtained from illegitimate sources as a substitute relief 
that could increase the risk of overdose death. These commenters stated 
that overdose deaths in the United States continue to rise because of 
illegal fentanyl or illegitimate medications, not from pharmaceutical 
medications prescribed to patients with chronic pain.
    DEA Response: In proposing and establishing APQs for opioids, DEA 
considers rates of overdose deaths. Congress, in 21 U.S.C. 826(i), 
mandates DEA to estimate diversion for five controlled substances--
fentanyl, hydrocodone, hydromorphone, oxycodone, and oxymorphone. This 
estimation must consider the rates of overdose deaths, among other 
factors. While overdose deaths may occur as a result of use of illicit 
substances, DEA's quotas help prevent misuse and diversion of 
pharmaceutical controlled substances. In this way, these quotas can 
reduce the occurrence of overdose and death from the use of legitimate 
controlled substances. Patients should work closely with their 
providers to utilize other FDA-approved medications for their 
conditions and fill their prescriptions only from DEA-registered 
pharmacies. The only safe medications are ones prescribed by a trusted, 
DEA-registered medical professional and dispensed by a licensed 
pharmacist at a DEA-registered pharmacy. The medications received from 
unregistered internet sources may, in fact, be manufactured or laced 
with illicit substances including illicit fentanyl, which contributes 
to rates of overdose deaths.
    Issue (Prescribing Hesitancy): Many commenters, mostly self-
identified patients with chronic pain patients, expressed that the goal 
of the 2016 Centers for Disease Control and Prevention (CDC) Guidelines 
was to decrease opioid overdoses, but instead there has been an 
increase in overdoses nationwide of over 400 percent due to illegal 
fentanyl or illegally manufactured pain pills. Commenters stated that 
many patients with chronic pain patients have been harmed, and some 
have died by suicide, due to the inability to get prescriptions because 
of the APQ reductions made by DEA. Many commenters also stated that 
restrictions imposed by DEA have caused opioid medications to be under-
prescribed due to fear of prosecution. Commenters said doctors should 
have latitude in making treatment decisions to prescribe opioid pain 
medications based on individual patient needs.
    DEA Response: Pursuant to the Substance Use-Disorder Prevention 
that Promotes Opioid Recovery and Treatment for Patients and 
Communities (SUPPORT) Act, DEA is mandated to estimate diversion for 5 
controlled substances--fentanyl, hydrocodone, hydromorphone, oxycodone 
and oxymorphone, and this estimation includes the consideration of 
rates of overdose deaths. While overdose deaths may occur as a result 
of the use of illegal fentanyl or illegally manufactured pain 
medications, quotas are being set by the DEA to prevent misuse and 
diversion of pharmaceutical controlled substances, and thus reducing 
the occurrence of overdose and death from the use of legitimate 
controlled substances. Additionally, DEA's regulations do not impose 
restrictions on the amount and the type of medication that licensed 
practitioners can prescribe. DEA has consistently emphasized and 
supported the authority of individual practitioners under the CSA to 
administer, dispense, and prescribe controlled substances for the 
legitimate treatment of pain within acceptable medical standards, as 
outlined in DEA's policy statement published in the Federal Register on 
September 6, 2006, titled Dispensing Controlled Substances for the 
Treatment of Pain. 71 FR 52716.

Attention Deficit/Hyperactivity Disorder Medications Medication 
Shortages

    Issue: DEA received comments expressing general concerns regarding 
the ongoing shortages experienced with ADHD medications produced from 
amphetamine and methylphenidate.
    DEA Response: DEA is committed to ensuring an adequate and 
uninterrupted supply of controlled substances in order to meet the 
estimated legitimate medical, scientific, research, and industrial 
needs of the United States, for lawful export requirements, and for the 
establishment and maintenance of reserve stocks. DEA sets the APQs to 
provide for all legitimate medical purposes and for anticipated foreign 
demand. Additionally, DEA and FDA coordinate efforts to prevent or 
alleviate drug shortages. Such efforts may include the adjustment of 
the APQs and individual domestic manufacturers' quotas, FDA's approval 
of additional

[[Page 409]]

market competitors, and coordination between the agencies to allow 
importation of foreign-manufactured drug products that meet FDA 
approval. Based on the data DEA considers in setting the APQs, 
including any new FDA approved drug products, as well as manufacturing 
issues that DEA considers under 21 CFR 1303.11(b)(7), DEA determined 
that the proposed APQs for amphetamine, lisdexamfetamine and 
methylphenidate are sufficient to supply legitimate medical needs, 
reserve stocks, and export requirements for 2024. If the actual 
prescribing rates of these substances are significantly higher than the 
2024 estimates of medical needs, the Administrator has the authority to 
increase the aggregate production quota at any time. 21 CFR 1303.13(a). 
For example, in 2023, DEA adjusted the methylphenidate (for sale) APQ 
to address shortages of methylphenidate HCL extended release tablets 
upon consideration of the criteria in accordance with 21 CFR 1303.13. 
Adjustment of Aggregate Production Quota for Methylphenidate (for sale) 
for 2023, 88 FR 68147 (October 3, 2023).
    Issue (Lisdexamfetamine Shortages in Australia): DEA received 
comments from The ADHD Foundation Australia, Australian ADHD 
Professionals Association and the Royal Australian and New Zealand 
College of Psychiatrists. The ADHD Foundation Australia stated that the 
Australian Therapeutic Goods Administration (TGA) has advised of 
current shortages of lisdexamfetamine, with more shortages predicted 
into 2024, under the current production quotas. This commenter also 
asserted that Australia's domestic prescriptions of lisdexamfetamine 
have increased by over 150% from 2020-2022 due to increased awareness 
and diagnosis of ADHD. The Royal Australian and New Zealand College of 
Psychiatrists commented that they endorse the guidelines from the 
Australian ADHD Professionals Association. Both the ADHD Foundation 
Australia and Australian ADHD Professionals Association stated that 
Vyvanse (lisdexamfetamine) and methylphenidate are the only two 
extended-release medications approved by the TGA to treat ADHD in 
Australia. Although Vyvanse's patent expired in August 2023 in the 
United States, Vyvanse remains under patent in Australia and generic 
lisdexamfetamine products will not be available. The commenters are 
concerned that the proposed 2024 lisdexamfetamine APQ has not been 
increased from 2023 levels despite reports of shortages in both the 
United States and Australia. They are also concerned that any U.S. 
production quotas allocated for production of Vyvanse will decrease as 
U.S. production quotas will instead be allotted to manufacture domestic 
generic products instead. The commenters requested that DEA consider 
increasing 2024 lisdexamfetamine APQ to resolve shortages in Australia 
and Aotearoa New Zealand.
    DEA Responses: DEA considered the comments, additional export data, 
recent domestic consumption data, and determined that the proposed APQ 
for lisdexamfetamine will remain at the level proposed based on its 
belief that inventory of bulk active pharmaceutical ingredient (API) 
and the quantities which will be produced in 2024 will be sufficient to 
meet the growing medical usage in domestic and foreign markets. DEA is 
closely monitoring manufacturing and distribution data from 
manufacturers of FDA-approved drug products as reported by the company, 
Automation of Reports and Consolidated Orders System (ARCOS) reports, 
prescription dispensing data from IQVIA, and estimated and actual 
inventories to ensure that there is an adequate and uninterrupted 
supply. In addition, DEA is pursuing the purchase of additional third-
party data to better understand market penetration and demand in 
foreign countries--such as Australia--where American-made API and/or 
pharmaceutical preparations are dispensed.

Market Entry of Generic Lisdexamfetamine Products

    Issue: DEA received comments from one association representing 
manufacturers and one dosage form manufacturer. They stated that DEA 
generally allocates procurement quotas using a company's historical 
sales of a drug. They asserted that this practice denies greater quota 
allocation to generic drug manufacturers who are entering the market 
following the expiration of a patent, due to the fact that new entrants 
do not have an established sales history. The association claimed that 
DEA's application process does not solicit information tailored to this 
situation. The association said that DEA's practice hindered the 
competition of generic lisdexamfetamine products, with the patent 
holder of Vyvanse holding onto a high share of the market.
    DEA Response: DEA typically grants individual commercial 
manufacturing procurement quotas based on the sales history of the drug 
as reported by the company, ARCOS and IQVIA data, inventory estimated 
and actual, inventory allowed by regulation, and manufacturing process 
loss of existing manufacturers. DEA has always been cognizant that new 
manufacturers entering the market for the first time would not have any 
established sales history, and thus the manufacturer's past sales 
history is not a factor when determining the amount of quota needed to 
launch a new product. Instead, DEA considers other data including the 
historic timelines of the shift in prescribing from a branded product 
to a generic product(s) for controlled substances. For example, when 
the patent for Vyvanse expired in August 2023, DEA solicited additional 
information from each FDA-approved manufacturer and considered the 
following factors to determine the amount of quota a dosage form 
manufacturer needed to launch a new generic lisdexamfetamine product: 
(1) the overall patient utilization for the branded product for the 
past 3 years, (2) the current estimated patient utilization for the 
current year, (3) the remaining months in the current year needed to 
meet patient needs, (4) the amount of quota previously granted for 
saleable validation, (5) current inventory of finished goods, in-
process material and API, and (6) the amount of finished goods already 
shipped into the distribution chain.
    The assertion that DEA's practice allowed the patent holder of 
Vyvanse to hold onto a higher share of the market is incorrect. 
However, DEA did consider that the current year (2023) would only allow 
for 4 months of brand erosion when allocating quota necessary to launch 
the generic lisdexamfetamine products. Some manufacturers were denied 
additional quota because their current inventory of saleable products 
was sufficient for a product launch during the remaining four months of 
the calendar year.

Diversion Estimates

    Issue (Impact of Diversion Estimate on Opioids): Several commenters 
stated that the APQs of prescription opioids should not be reduced from 
calendar year 2023 APQ levels, given that less than 1 percent of 
prescription opioids are diverted.
    DEA Response: DEA not only considers the extent of diversion, but 
it also considers other factors, as required by regulation, when 
determining the APQ. 21 U.S.C. 826(a), 21 CFR 1303.11(b). These factors 
include total net disposal of the class by all manufacturers during the 
current and 2 preceding years, trends in the national

[[Page 410]]

rate of net disposal of the class, total actual or estimated 
inventories of the class and of all substances manufactured from the 
class, information obtained from the Food and Drug Administration, and 
changes in the currently accepted medical use in treatment. Additional 
factors considered can be found in 21 CFR 1303.11(b). After considering 
all of the relevant factors, DEA has determined that the APQs of 
prescription opioids should be reduced from calendar year 2023 APQ 
levels and they are sufficient to meet the forecasted domestic and 
foreign medical needs.
    Issue (Underestimation of Opioid Diversion): One pharmaceutical 
company suggested that DEA underestimated actual diversion of opioids. 
The commenter said nonmedical use of prescription opioids is not a 
legitimate medical purpose, but DEA rejected this point in calculating 
diversion, and thus the 2024 APQ must be reduced for nonmedical use of 
prescription opioids. The commenter also asserted that the estimate is 
incomplete because a number of states did not provide Prescription Drug 
Monitoring Program (PDMP) data for the five covered controlled 
substances. Additionally, the commenter asserted that DEA rejected CDC 
guidelines of not prescribing greater than 90 morphine milligram 
equivalence (MME) daily and used 240 MME to calculate diversion.
    DEA Response: The cited 2016 report \1\ provides insightful 
information regarding the relationship between nonmedical prescription-
opioid use and heroin use. However, it does not provide data in a form 
which DEA could utilize to modify its nationwide estimate for the 
diversion of oxycodone. Additionally, as stated in the published 2024 
Proposed APQ, DEA used available data at wholesale distribution and 
retail dispensing channels, i.e., DEA's Theft/Loss Reports and 
available individual state PDMP data.
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    \1\ Compton WM, Jones CM, Baldwin J. Relationship between 
nonmedical prescription-opioid use and heroin use. N Engl J Med. 
2016;374(2):154-63, accessed from https://www.nejm.org/doi/full/10.1056/NEJMra1508490.
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    The state PDMP data submitted was adequate to allow DEA to draw 
reliable inferences regarding the state and U.S. population. The sample 
is large enough to allow DEA to accurately generalize the data to the 
whole population of the United States for use in the calculation of 
estimated national levels of diversion of the covered controlled 
substances.
    The 2022 CDC Clinical Practice Guideline includes information that 
updates and replaces the 2016 CDC Guideline for Prescribing Opioids for 
Chronic Pain. The 2022 CDC guidelines no longer set rigid dosage 
thresholds or duration of opioid therapy. Although DEA accepts CDC 
guidelines for prescribing opioids, DEA believes that higher dosages 
place individuals at higher risk of overdose and death, and 
prescriptions involving dosages exceeding 240 MME daily may indicate 
diversion, such as illegal distribution of controlled substances or 
prescribing outside the usual course of professional practice.
    Issue (Use of Diversion Estimate for all Controlled Substances): 
One commenter questioned why diversion estimates were not considered 
for the stimulants when proposing the initial 2024 APQ.
    DEA Response: Pursuant to 21 CFR 1303.11(b)(5), DEA considered the 
extent of diversion of the basic class as a factor in setting each APQ 
for each respective basic class, as well as the extent of diversion for 
all other schedule I and II controlled substances in proposing the 
estimated APQ. Under 21 U.S.C. 826(i)(A), DEA is only required to 
publish the diversion estimates for 5 specific opioids.

Data Collection and Analysis

    Issue (Data Accuracy): Several commenters stated FDA's estimation 
of medical needs and DEA's data collection process are flawed and 
inaccurate.
    DEA Response: FDA utilizes a variety of data sources in developing 
its estimates of domestic medical needs. When determining the 2024 
APQs, DEA considered the estimation of domestic medical needs data 
provided by FDA, and also considered other data sources including 
prescriptions dispensed in prior and current years reported in IQVIA, 
research and clinical trials information from DEA-registered 
researchers and manufacturers, information provided in quota 
applications from DEA-registered manufacturers, as well as historic and 
current year export data and future estimations of export requirements. 
DEA is actively reevaluating and improving the data collection process 
to ensure the APQs are set at an adequate level to meet legitimate 
medical, scientific, research, and export needs while establishing and 
maintaining reserve stocks.
    Issue (Lack of Real-Time Data): One commenter opined that DEA lacks 
real-time data on opioid production and distribution. The lack of real-
time data makes it difficult to accurately assess legitimate medical 
needs of patients and ensure adequate supply of opioid pain 
medications.
    DEA Response: DEA has access to sales data provided by 
manufacturers from the Quota and Year-end Reporting Management System 
(QMS), ARCOS reports, and monthly IQVIA data when determining 
legitimate medical needs to ensure an adequate supply of medications 
containing schedule II controlled substances. Additionally, DEA is 
considering regulatory changes to gain access to more real-time data 
such as requiring manufacturers and distributors to report sales data 
into the ARCOS database on a monthly basis to improve the timeliness 
and accuracy of data points being used to estimate legitimate medical 
needs.
    Issue (Lack of Data Transparency): Two commenters stated that there 
is a lack of transparency in the quota setting process.
    DEA Response: DEA is considering methods that might increase 
transparency in its quota setting process. Future regulatory proposals 
may include steps such as public notification and an opportunity for 
public input when prescribing rates for controlled substances 
substantially deviate from FDA's estimate of medical needs. DEA must 
strike a balance between increasing transparency and complying with 
laws and regulations aimed at protecting confidential business and 
patient information.

Schedule I Controlled Substances

    Issue (Religious Use of Schedule I Substances): Two commenters 
requested that DEA increase APQs for certain schedule I controlled 
substances, including: psilocin, psilocybin, mescaline, ibogaine, 
lysergic acid diethylamide (LSD), 2-(4-Iodo-2,5-
dimethoxyphenyl)ethanamine (2CI), dimethyltryptamine (DMT), 5-methoxy-
N,N-dimethyltryptamine (5-MeO-DMT) for religious use. They also 
commented that the APQ for mescaline should be increased in order to 
allow access to members of the Native American Church, as well as 
replanting into the wild because of shortages. They opined that DEA has 
disregarded their legal religious use of psychedelics as a factor when 
setting the production quotas of these substances. They also requested 
a hearing with the Administrator if DEA does not take their freedom of 
religion into consideration.
    DEA Response: In the past, DEA held discussions with 
representatives of indigenous communities when requested and continued 
to welcome further engagement and input. The APQs are determined in 
part by the individual manufacturing quota requests submitted by DEA-
registered manufacturers of these substances. DEA

[[Page 411]]

received quota applications from DEA-registered manufacturers for 5-
MeO-DMT, psilocin, psilocybin, mescaline, LSD, 2CI, DMT and 5-MeO-DMT. 
DEA has considered these applications, along with the factors listed in 
21 CFR 1303.11 (b) when determining the aggregate production quotas.
    Issue: Two commenters commented that the APQs should include 
fruiting bodies containing psilocybin and psilocin and peyote buttons 
containing mescaline, rather than pure chemicals only.
    DEA Response: Psilocybin and psilocin are schedule I controlled 
substances naturally occurring in psychedelic mushrooms, while 
mescaline is the schedule I controlled substance naturally occurring in 
peyote. Because the CSA controls psilocybin and psilocin specifically, 
DEA will continue to establish APQ for those two substances. The APQs 
apply to psilocybin and psilocin that is manufactured synthetically as 
well as to substances that are derived naturally. Peyote is controlled 
under 21 U.S.C. 812(e) Schedule I (c) as a separate controlled 
substance from mescaline. As noted below, the APQ for peyote was 
proposed and is established at zero

Comments and Quota Applications From DEA-Registered Manufacturers

    Issue: DEA received comments from three DEA-registered 
manufacturers regarding 3 different schedule I and II controlled 
substances, requesting that the proposed APQ for dexmethylphenidate 
(for conversion), lisdexamfetamine, and psilocybin be established at 
sufficient levels to allow for manufacturers to meet medical and 
scientific needs. DEA also received additional or revised quota 
applications for 4-Anilino-N-phenethyl-4-piperidine (4-ANPP), all other 
tetrahydrocannabinol, delta-9-tetrahydrocannabinol, dimethyltryptamine, 
fentanyl and pentobarbital.
    DEA Response: DEA considered the comments and quota applications 
from the DEA-registered manufacturers and determined that DEA's 
proposed APQs will be increased for the abovementioned controlled 
substances, except lisdexamfetamine. The increases are reflected below 
in the section titled Determination of 2024 Aggregate Production Quotas 
and Assessment of Annual Needs.

List 1 Chemical (Pseudoephedrine)

    Issue: Several pharmaceutical companies and healthcare 
organizations asserted that at a recent advisory meeting convened by 
the FDA, the advisory committee voted that phenylephrine, a common 
ingredient found in many over-the counter (OTC) cold and cough 
medications, is a safe but is ineffective as a decongestant at the 10 
mg dose. According to FDA's website,\2\ FDA has yet to make a final 
decision on the status of phenylephrine. In light of this information, 
the commenters suggested that DEA should re-evaluate whether the 2024 
pseudoephedrine (for sale) AAN is adequate given potential 
repercussions on the supply of and demand for phenylephrine-containing 
products, should FDA no longer designate phenylephrine as ``generally 
recognized as safe and effective'' (GRASE).
---------------------------------------------------------------------------

    \2\ FDA clarifies results of recent advisory committee meeting 
on oral phenylephrine [verbar] FDA.
---------------------------------------------------------------------------

    DEA Response: DEA considered the comments and consulted with the 
FDA and determined that an increase of the 2024 pseudoephedrine (for 
sale) AAN from its proposed value currently is appropriate, and will 
continue to monitor inventory and use to ensure that there will be 
sufficient supply to address a potential increase in consumer demand 
for pseudoephedrine products should FDA determine that products 
containing phenylephrine are ineffective. The increase finalized herein 
will ensure that there is sufficient pseudoephedrine API for the 
manufacturing of OTC medications that are commonly used to treat 
congestion from cold, flu, allergy and COVID.

Quarterly Quota Allotment Implementation

    Issue: DEA received comments from DEA-registered manufacturers and 
an association representing manufacturers regarding how DEA will 
implement quarterly quota allotment. They expressed concerns that DEA 
did not give sufficient notice of this significant change to adjust 
their business planning and schedules. They also believe that the 
quarterly quota allotment will cause a bottleneck and exacerbate 
shortages of medications.
    DEA Response: As part of its commitment to ensure that all 
Americans have access to appropriately prescribed medications, DEA 
studied the supply chain dynamics for controlled substances subject to 
quotas, especially for those schedule II controlled substances in 
shortage. Beyond the lack of real-time data and gaps in its 
understanding of production lead times which DEA is seeking to resolve 
in forthcoming proposed regulatory changes, DEA also concluded that its 
existing quota allocation model did not allow it to remain nimble when 
patent exclusivity for Vyvanse expired and FDA authorized fourteen (14) 
generic manufacturers to begin marketing. DEA's challenges with its 
existing allocation model were exacerbated because the loss of patent 
exclusivity occurred late in the quota year, a time when DEA had 
already allocated significant authority to the manufacturer of Vyvanse 
and due to the Food and Drug Administration's (FDA) decision that it 
would not provide 6-months of patent exclusivity to the first applicant 
who files a substantially complete abbreviated new drug application 
(commonly referred to as ``first filer exclusivity'').
    With regard to comments that quarterly quotas will create 
bottlenecks and exacerbate drug shortages, DEA disagrees. There are 
several reasons why manufacturers of drugs containing controlled 
substances subject to quotas either gain (or lose) market share in any 
given calendar year for which a quota applies and include: changes in 
demand and a manufacturer's ability to adjust to those changes relative 
to its competitors; inflationary pressures which impact a 
manufacturer's profit margin and subsequent decisions to either 
continue (or discontinue) marketing; labor shortages in certain 
geographic areas; and supply chain difficulties which impact access to 
API, excipients, equipment and packaging material. In order for DEA to 
ensure an adequate and uninterrupted supply of schedule II controlled 
substances necessary to meet legitimate medical, commercial, and 
scientific needs, DEA believes that changes in its approach to 
allocating procurement quotas will ensure that it is best positioned to 
respond appropriately to changes in market demand. Along similar lines, 
DEA does not believe that applying these changes to schedule II drugs 
only after they enter shortage would be sufficient, as DEA would then 
need to gather data and information for those drugs, a process which 
would delay DEA's efforts to address shortages and potentially 
exacerbate them.
    DEA has elected to make these changes at the beginning of the 2024 
quota year and will be providing guidance to manufacturers. Information 
gained from its approach will inform rulemaking which it is currently 
pursuing.

Administrative Procedures Act

    Issue: DEA received comments from DEA-Registered manufacturers, an 
association representing manufacturers and the generic public that the 
quarterly quota allotment implementation did not go through a notice-
and-comment

[[Page 412]]

rulemaking procedure as required by the Administrative Procedure Act.
    DEA Response: DEA has elected to make changes at the beginning of 
the 2024 quota year as it believes that information gained from its 
approach will inform rulemaking which is currently being pursued. In 
addition, as discussed above, DEA is undertaking these changes for the 
2024 quota year to allow it to more quickly and nimbly respond to fast-
changing market trends, including potential shortages, with respect to 
medications subject to quotas. While these changes to the quota 
allotment process will impact the adjudication of individual quota 
applications, they do not affect any APQs set pursuant to this final 
order.

Request for Public Hearing

    Issue: One pharmaceutical company requested a public hearing prior 
to publishing the Final Order to establish the initial 2024 APQ. This 
company requested a public hearing ``to correct the omissions and 
inaccurate diversion calculation in the 2023 oxycodone Quota.'' The 
company asserted that these omissions led to an inaccurate diversion 
calculation for oxycodone and that the 2024 APQ requires a significant 
reduction from the 2023 APQ.
    DEA Response: The decision whether to grant a hearing on the issues 
raised by the commenter lies solely within the discretion of the 
Administrator. 21 CFR 1303.11(c). While hearings are required when 
requested by states in certain situations, this commenter is not a 
state. This request does not present any evidence that would lead to 
the conclusion that a hearing is necessary or warranted. DEA has 
addressed specific points raised by the commenter in Issues and 
Responses above.

Out of Scope Comments

    DEA received comments that are outside the scope of this order. The 
comments were general in nature and raised issues with respect to 
specific medical illnesses, medical treatments and medication costs. 
These comments do not impact the analysis involved in establishing the 
2024 APQ.

IV. Determination of 2024 Aggregate Production Quotas and Assessment of 
Annual Needs

    In determining the established 2024 aggregate production quotas and 
assessment of annual needs, DEA has considered 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). These factors include, but are not 
limited to, the 2023 manufacturing quotas, current 2023 sales and 
inventories, anticipated 2024 export requirements, industrial use, 
additional applications for 2024 quotas, and information on research 
and product development requirements.
    On July 19, 2023, DEA published a temporary scheduling order 
placing Etizolam, Flualprazolam, Clonazolam, Flubromazolam, and 
Diclazepam in schedule I of the CSA (88 FR 48112), making all 
regulatory controls pertaining to schedule I controlled substances 
applicable to the manufacture of these substances, including the 
requirement to establish an aggregate production quota pursuant to 21 
U.S.C. 826 and 21 CFR part 1303.
    On December 12, 2023, DEA published a temporary scheduling order 
placing 4F-MDMB-BUTICA, 5F-EDMB-PICA, ADB-4en-PINACA, CUMYL-PEGACLONE, 
MDMB-4en-PINACA, MMB-FUBICA in schedule I of the CSA (88 FR 86040), 
making all regulatory controls pertaining to schedule I controlled 
substances applicable to the manufacture of these substances, including 
the requirement to establish an aggregate production quota pursuant to 
21 U.S.C. 826 and 21 CFR part 1303.
    On December 13, 2023, DEA published a final rule placing N-(1-
amino-3,3-dimethyl-1-oxobutan-2-yl)-1-butyl-1H-indazole-3-carboxamide 
(ADB-BUTINACA), 4-methyl-1-phenyl-2-(pyrrolidin-1-yl)pentan-1-one 
([alpha]-PiHP or alpha-PiHP), and 2-(methylamino)-1-(3-
methylphenyl)propan-1-one (3-MMC or 3-methylmethcathinone) in schedule 
I of the Controlled Substances Act (CSA) (88 FR 86266), making all 
regulatory controls pertaining to schedule I controlled substances 
applicable to the manufacture of these substances, including the 
requirement to establish an aggregate production quota pursuant to 21 
U.S.C. 826 and 21 CFR part 1303. Based on all of the above, the 
Administrator is establishing the 2024 APQs for Etizolam, 
Flualprazolam, Clonazolam, Flubromazolam, and Diclazepam, 4F-MDMB-
BUTICA, 5F-EDMB-PICA, ADB-4en-PINACA, CUMYL-PEGACLONE, MDMB-4en-PINACA, 
MMB-FUBICA, N-(1-amino-3,3-dimethyl-1-oxobutan-2-yl)-1-butyl-1H-
indazole-3-carboxamide (ADB-BUTINACA), 4-methyl-1-phenyl-2-(pyrrolidin-
1-yl)pentan-1-one (a-PiHP or alpha-PiHP), and 2-(methylamino)-1-(3-
methylphenyl)propan-1-one (3-MMC or 3-methylmethcathinone) at greater 
than zero; and 4-Anilino-N-phenethyl-4-piperidine (4-ANPP), all other 
tetrahydrocannabinol, dexmethylphenidate (for conversion), delta-9-
tetrahydrocannabinol, dimethyltryptamine, fentanyl, pentobarbital and 
psilocybin at higher levels than previously proposed.
    The Administrator establishes the 2024 AAN for pseudoephedrine (for 
sale) at a higher level than was proposed.

Estimates of Diversion Pursuant to the SUPPORT Act

    As specified in the proposal, and as required by 21 U.S.C. 826(i), 
DEA calculated a national diversion estimate for each of the covered 
controlled substances.
    This data, which remains unchanged, was published in the 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 2024. 88 FR 75312 
(November 2, 2023).
    In accordance with 21 U.S.C. 826, 21 CFR 1303.11, and 21 CFR 
1315.11, the Administrator hereby establishes the 2024 APQ for the 
following schedule I and II controlled substances and the 2024 AAN for 
the list I chemicals ephedrine, pseudoephedrine, and 
phenylpropanolamine, expressed in grams of anhydrous acid or base, as 
follows:

------------------------------------------------------------------------
                                                            Established
                       Basic class                          2024 quotas
                                                                (g)
------------------------------------------------------------------------
             New Temporary Controlled Schedule I Substances
------------------------------------------------------------------------
4F-MDMB-BUTICA..........................................              30
5F-EDMB-PICA............................................              30
ADB-4en-PINACA..........................................              30
Clonazolam..............................................              30
CUMYL-PEGACLONE.........................................              30
diclazepam..............................................              30

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etizolam................................................              30
flualprazolam...........................................              30
flubromazolam...........................................              30
MDMB-4en-PINACA.........................................              30
MMB-FUBICA..............................................              30
------------------------------------------------------------------------
                               Schedule I
------------------------------------------------------------------------
-[1-(2-Thienyl)cyclohexyl]pyrrolidine...................              20
1-(1-Phenylcyclohexyl)pyrrolidine.......................              30
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-[1-(2-Thienyl)cyclohexyl]piperidine...................              15
2'-fluoro 2-fluorofentanyl..............................              30
1-Benzylpiperazine......................................              25
1-Methyl-4-phenyl-4-propionoxypiperidine................              10
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................................              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).....................          12,000
3,4-Methylenedioxymethamphetamine (MDMA)................          12,000
3,4-Methylenedioxy-N-ethylamphetamine (MDEA)............              40
3,4-Methylenedioxy-N-methylcathinone (methylone)........           5,200
3,4-Methylenedioxypyrovalerone (MDPV)...................              35
3-FMC; 3-Fluoro-N-methylcathinone.......................              25
3-Methylfentanyl........................................              30
3-Methylmethcathinone...................................              30
3-Methylthiofentanyl....................................              30
4,4'-Dimethylaminorex...................................              30
4-Bromo-2,5-dimethoxyamphetamine (DOB)..................              30
4-Bromo-2,5-dimethoxyphenethylamine (2-CB)..............           5,100
4-Chloro-alpha-pyrrolidinovalerophenone (4-chloro-alpha-              25
 PVP)...................................................
4-CN-Cumyl-Butinaca.....................................              25
4-Fluoroisobutyryl fentanyl.............................              30
4F-MDMB-BINACA..........................................              30
4-FMC; Flephedrone......................................              25
4-MEC; 4-Methyl-N-ethylcathinone........................              25
4-Methoxyamphetamine....................................             150
4-methyl-1-phenyl-2-(pyrrolidin-1-yl)pentan-1-one (alpha-             30
 PiHP)..................................................
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 acetyl fentanyl...............................              30
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-AB-PINACA ; (1-Amino-3-methyl-1-oxobutan-2-yl)-1-(5-               25
 fluoropentyl)-1H-indazole-3-carboxamide................
5F-ADB; 5F-MDMB-PINACA (methyl 2-(1-(5-fluoropentyl)-1H-              25
 indazole-3-carboxamido)-3,3-dimethylbutanoate).........
5F-CUMYL-P7AICA; 1-(5-Fluoropentyl)-N-(2-phenylpropan-2-              25
 yl)-1H-pyrrolo[2,3-b]pyridine-3carboximide.............
5F-CUMYL-PINACA.........................................              25
5F-EDMB-PINACA..........................................              25
5F-MDMB-PICA............................................              25
5F-AMB (methyl 2-(1-(5-fluoropentyl)-1H-indazole-3-                   25
 carboxamido)-3-methylbutanoate)........................
5F-APINACA; 5F-AKB48 (N-(adamantan-1-yl)-1-(5-                        25
 fluoropentyl)-1H-indazole-3-carboxamide)...............
5-Fluoro-PB-22; 5F-PB-22................................              25
5-Fluoro-UR144, XLR11 ([1-(5-fluoro-pentyl)-1Hindol-3-                25
 yl](2,2,3,3-tetramethylcyclopropyl)methanone...........

[[Page 414]]

 
5-Methoxy-3,4-methylenedioxyamphetamine.................              25
5-Methoxy-N,N-diisopropyltryptamine.....................              25
5-Methoxy-N,N-dimethyltryptamine........................          11,000
AB-CHMINACA.............................................              30
AB-FUBINACA.............................................              50
AB-PINACA...............................................              30
ADB-BUTINACA............................................              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
All other tetrahydrocannabinol..........................       1,166,130
Allylprodine............................................              25
Alphacetylmethadol......................................              25
alpha-Ethyltryptamine...................................              25
Alphameprodine..........................................              25
Alphamethadol...........................................              25
alpha-Methylfentanyl....................................              30
alpha-Methylthiofentanyl................................              30
alpha-Methyltryptamine (AMT)............................              25
alpha-Pyrrolidinobutiophenone ([alpha]-PBP).............              25
alpha-pyrrolidinoheptaphenone (PV8).....................              25
alpha-pyrrolidinohexabophenone (alpha-PHP)..............              25
alpha-Pyrrolidinopentiophenone ([alpha]-PVP)............              25
Amineptine..............................................              30
Aminorex................................................              25
Anileridine.............................................              20
APINCA, AKB48 (N-(1-adamantyl)-1-pentyl-1H-indazole-3-                25
 carboxamide)...........................................
Benzethidine............................................              25
Benzylmorphine..........................................              30
Betacetylmethadol.......................................              25
beta-Hydroxy-3-methylfentanyl...........................              30
beta-Hydroxyfentanyl....................................              30
beta-Hydroxythiofentanyl................................              30
beta-Methyl fentanyl....................................              30
beta'-Phenyl fentanyl...................................              30
Betameprodine...........................................              25
Betamethadol............................................               4
Betaprodine.............................................              25
Brorphine...............................................              30
Bufotenine..............................................              15
Butonitazene............................................              30
Butylone................................................              25
Butyryl fentanyl........................................              30
Cathinone...............................................              40
Clonitazene.............................................              25
Codeine methylbromide...................................              30
Codeine-N-oxide.........................................             192
Crotonyl Fentanyl.......................................              25
Cyclopentyl Fentanyl....................................              30
Cyclopropyl Fentanyl....................................              20
Cyprenorphine...........................................              25
d-9-THC.................................................       1,523,040
Desomorphine............................................              25
Dextromoramide..........................................              25
Diapromide..............................................              20
Diethylthiambutene......................................              20
Diethyltryptamine.......................................              25
Difenoxin...............................................           9,300
Dihydromorphine.........................................         639,954
Dimenoxadol.............................................              25
Dimepheptanol...........................................              25
Dimethylthiambutene.....................................              20
Dimethyltryptamine......................................          11,000
Dioxyaphetyl butyrate...................................              25
Dipipanone..............................................              25
Drotebanol..............................................              25

[[Page 415]]

 
Ethylmethylthiambutene..................................              25
Ethylone................................................              25
Etodesnitazene..........................................              30
Etonitazene.............................................              25
Etorphine...............................................              30
Etoxeridine.............................................              25
Eutylone................................................              30
Fenethylline............................................              30
Fentanyl carbamate......................................              30
Fentanyl related substances.............................             600
Flunitazene.............................................              30
FUB-144.................................................              25
FUB-AKB48...............................................              25
Fub-AMB, MMB-Fubinaca, AMB-Fubinaca.....................              25
Furanyl fentanyl........................................              30
Furethidine.............................................              25
gamma-Hydroxybutyric acid...............................      29,417,000
Heroin..................................................             150
Hydromorphinol..........................................              40
Hydroxypethidine........................................              25
Ibogaine................................................             150
Isobutyryl Fentanyl.....................................              25
Isotonitazine...........................................              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
Levophenyacylmorphan....................................              25
Lysergic acid diethylamide (LSD)........................           1,200
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-CHIMCA); Methyl-2-(1-(cyclohexylmethyl)-              25
 1H-indole-3-carboxamido)-3-methylbutanoate.............
Mesocarb................................................              30
Metodesnitazene.........................................              30
Metonitazene............................................              30
Marijuana...............................................       6,675,000
Marijuana extract.......................................       1,000,000
Mecloqualone............................................              30
Mescaline...............................................           1,200
Methaqualone............................................              60
Methcathinone...........................................              25
Methiopropamine.........................................              30
Methoxetamine...........................................              30
Methoxyacetyl 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-fluorpentyl)-1H-indole-3-                25
 carboxylate............................................
N,N-Dimethylamphetamine.................................              25
Naphyrone...............................................              25
N-Ethyl-1-phenylcyclohexylamine.........................              25
N-Ethyl-3-piperidyl benzilate...........................              10
N-Ethylamphetamine......................................              24
N-Ethylhexedrone........................................              25
N-Ethylpentylone, ephylone..............................              30
N-Hydroxy-3,4-methylenedioxyamphetamine.................              24
Nicocodeine.............................................              25
Nicomorphine............................................              25

[[Page 416]]

 
N-methyl-3-piperidyl benzilate..........................              30
N-Pyrrolidino Etonitazene...............................              30
Noracymethadol..........................................              25
Norlevorphanol..........................................           2,550
Normethadone............................................              25
Normorphine.............................................              40
Norpipanone.............................................              25
Ocfentanil..............................................              25
ortho-Fluoroacryl fentanyl..............................              30
ortho-Fluorobutyryl fentanyl............................              30
Ortho-Fluorofentanyl,2-Fluorofentanyl...................              30
ortho-Fluoroisobutyryl fentanyl.........................              30
ortho-Methyl acetylfentanyl.............................              30
ortho-Methyl methoxyacetyl fentanyl.....................              30
Para-Chlorisobutyrl fentanyl............................              30
Para-flourobutyryl fentanyl.............................              25
Para-fluorofentanyl.....................................              25
para-Fluoro furanyl fentanyl............................              30
Para-Methoxybutyrl fentanyl.............................              30
Para-methoxymethamphetamine.............................              30
para-Methylfentanyl.....................................              30
Parahexyl...............................................               5
PB-22; QUPIC............................................              20
Pentedrone..............................................              25
Pentylone...............................................              25
Phenadoxone.............................................              25
Phenampromide...........................................              25
Phenomorphan............................................              25
Phenoperidine...........................................              25
Phenyl fentanyl.........................................              30
Pholcodine..............................................               5
Piritramide.............................................              25
Proheptazine............................................              25
Properidine.............................................              25
Propiram................................................              25
Protonitazene...........................................              30
Psilocybin..............................................          20,000
Psilocin................................................          24,000
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
Tetrahydrofuranyl fentanyl..............................              15
Thebacon................................................              25
Thiafentanil............................................              25
Thiofentanyl............................................              25
Thiofuranyl fentanyl....................................              30
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
Zipeprol................................................              30
------------------------------------------------------------------------
                               Schedule II
------------------------------------------------------------------------
1-Phenylcyclohexylamine.................................              15
1-Piperidinocyclohexanecarbonitrile.....................              25
4-Anilino-N-phenethyl-4-piperidine (ANPP)...............         937,874
Alfentanil..............................................           5,000
Alphaprodine............................................              25
Amobarbital.............................................          20,100
Bezitramide.............................................              25
Carfentanil.............................................              20
Cocaine.................................................          60,492
Codeine (for conversion)................................         942,452
Codeine (for sale)......................................      19,262,957
d-amphetamine (for sale)................................      21,200,000
d,l-amphetamine.........................................      21,200,000
d-amphetamine (for conversion)..........................      20,000,000
Dexmethylphenidate (for sale)...........................       6,200,000
Dexmethylphenidate (for conversion).....................       5,374,683

[[Page 417]]

 
Dextropropoxyphene......................................              35
Dihydrocodeine..........................................         115,227
Dihydroetorphine........................................              25
Diphenoxylate (for conversion)..........................          14,100
Diphenoxylate (for sale)................................         770,800
Ecgonine................................................          60,492
Ethylmorphine...........................................              30
Etorphine hydrochloride.................................              32
Fentanyl................................................         731,360
Glutethimide............................................              25
Hydrocodone (for conversion)............................           1,250
Hydrocodone (for sale)..................................      27,143,545
Hydromorphone...........................................       1,951,801
Isomethadone............................................              30
L-amphetamine...........................................              30
Levo-alphacetylmethadol (LAAM)..........................              25
Levomethorphan..........................................              30
Levorphanol.............................................          20,000
Lisdexamfetamine........................................      26,500,000
Meperidine..............................................         681,184
Meperidine Intermediate-A...............................              30
Meperidine Intermediate-B...............................              30
Meperidine Intermediate-C...............................              30
Metazocine..............................................              15
Methadone (for sale)....................................      25,619,700
Methadone Intermediate..................................      27,673,600
d,l-Methamphetamine.....................................             150
d-methamphetamine (for conversion)......................         485,020
d-methamphetamine (for sale)............................          47,000
l-methamphetamine.......................................         587,229
Methylphenidate (for sale)..............................      53,283,000
Methylphenidate (for conversion)........................      19,975,468
Metopon.................................................              25
Moramide-intermediate...................................              25
Morphine (for conversion)...............................       2,393,200
Morphine (for sale).....................................      20,805,957
Nabilone................................................          62,000
Norfentanyl.............................................              25
Noroxymorphone (for conversion).........................      22,044,741
Noroxymorphone (for sale)...............................           1,000
Oliceridine.............................................          25,100
Opium (powder)..........................................         250,000
Opium (tincture)........................................         530,837
Oripavine...............................................      33,010,750
Oxycodone (for conversion)..............................         437,827
Oxycodone (for sale)....................................      53,658,226
Oxymorphone (for conversion)............................      28,204,371
Oxymorphone (for sale)..................................         464,464
Pentobarbital...........................................      40,000,000
Phenazocine.............................................              25
Phencyclidine...........................................              35
Phenmetrazine...........................................              25
Phenylacetone...........................................             100
Piminodine..............................................              25
Racemethorphan..........................................               5
Racemorphan.............................................               5
Remifentanil............................................           3,000
Secobarbital............................................         172,100
Sufentanil..............................................           4,000
Tapentadol..............................................      10,390,226
Thebaine................................................      57,137,944
------------------------------------------------------------------------
                            List I Chemicals
------------------------------------------------------------------------
Ephedrine (for conversion)..............................          41,100
Ephedrine (for sale)....................................       3,933,336
Phenylpropanolamine (for conversion)....................      14,878,320
Phenylpropanolamine (for sale)..........................       7,990,000
Pseudoephedrine (for conversion)........................           1,000
Pseudoephedrine (for sale)..............................     186,617,466
------------------------------------------------------------------------


[[Page 418]]

    The Administrator also establishes APQ 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 
2024 APQ and AAN as needed.

Signing Authority

    This document of the Drug Enforcement Administration was signed on 
December 28, 2023, by Administrator Anne Milgram. That document with 
the original signature and date is maintained by DEA. For 
administrative purposes only, and in compliance with requirements of 
the Office of the Federal Register, the undersigned DEA Federal 
Register Liaison Officer has been authorized to sign and submit the 
document in electronic format for publication, as an official document 
of DEA. This administrative process in no way alters the legal effect 
of this document upon publication in the Federal Register.

Scott Brinks,
Federal Register Liaison Officer, Drug Enforcement Administration.
[FR Doc. 2023-28962 Filed 12-29-23; 8:45 am]
BILLING CODE 4410-09-P
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