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]
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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.
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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,
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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.
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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
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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
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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
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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
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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
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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
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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.
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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.
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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
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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
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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.
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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
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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 ...........................................................................................................................................................................................
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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 ............................................
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10
30
30
30
30
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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
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25
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50
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25
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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 ...........................................................................................................................................................................................
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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
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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 .......................................................................................................................................................................................
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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) ..................................................................................................................................................
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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) .................................................................................................................................................................
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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]
=======================================================================
-----------------------------------------------------------------------
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.
-----------------------------------------------------------------------
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.
---------------------------------------------------------------------------
\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.
---------------------------------------------------------------------------
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
[[Page 413]]
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