Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1.
Approval criteria. An application for a specific license to
manufacture, prepare, or transfer for commercial distribution radioactive drugs
containing radioactive material for use by persons authorized according to
parts 4731.4400 to 4731.4527 shall be approved if the applicant:
A. satisfies the general requirements
specified in part 4731.3070;
B.
submits evidence that the applicant is at least one of the following:
(1) registered or licensed with the United
States Food and Drug Administration as the owner or operator of a drug
establishment that engages in the manufacture, preparation, propagation,
compounding, or processing of a drug under Code of Federal Regulations, title
21, section 207.20(a);
(2) registered or licensed with a state
agency as a drug manufacturer;
(3)
licensed as a pharmacy by a state board of pharmacy;
(4) operating as a nuclear pharmacy within a
federal medical institution; or
(5)
a positron emission tomography (PET) drug production facility registered with a
state agency;
C. submits
the following information regarding the radionuclide:
(1) the chemical and physical form;
(2) the maximum activity per vial, syringe,
generator, or other container of the radioactive drug; and
(3) the shielding provided by the packaging
to show it is appropriate for safe handling and storage of the radioactive
drugs by medical use licensees; and
D. commits to the following labeling
requirements:
(1) a label must be affixed to
each transport radiation shield, whether it is constructed of lead, glass,
plastic, or other material, of a radioactive drug to be transferred for
commercial distribution and include the radiation symbol, the words "CAUTION,
RADIOACTIVE MATERIAL" or "DANGER, RADIOACTIVE MATERIAL," the name of the
radioactive drug or its abbreviation, and the quantity of radioactivity at a
specific date and time. For a radioactive drug with a half-life greater than
100 days, the time may be omitted; and
(2) a label must be affixed to each syringe,
vial, or other container used to hold a radioactive drug to be transferred for
commercial distribution. The label must include the radiation symbol, the words
"CAUTION, RADIOACTIVE MATERIAL" or "DANGER, RADIOACTIVE MATERIAL," and an
identifier that ensures that the syringe, vial, or other container can be
correlated with the information on the transport radiation shield
label.
Subp.
2.
Pharmacy licensees.
A. A licensee described in subpart 1, item B,
subitem (3) or (4) may:
(1) prepare
radioactive drugs for medical use, provided that the radioactive drug is
prepared by either an authorized nuclear pharmacist, as specified in subitem
(2) or item C, or an individual under the supervision of an authorized nuclear
pharmacist, as specified in part 4731.4407; and
(2) allow a pharmacist to work as an
authorized nuclear pharmacist if:
(a) the
individual qualifies as an authorized nuclear pharmacist;
(b) the individual meets the requirements
under parts 4731.4413 and 4731.4415 and the licensee has received an approved
license amendment identifying the individual as an authorized nuclear
pharmacist; or
(c) the individual
is designated as an authorized nuclear pharmacist according to item
C.
B. The
actions authorized in item A are permitted notwithstanding more restrictive
language in license conditions.
C.
A licensee described in subpart 1, item B, subitem (3) or (4), may designate a
pharmacist as an authorized nuclear pharmacist if the individual was a nuclear
pharmacist preparing only radioactive drugs containing accelerator-produced
radioactive material, and the individual practiced at a pharmacy at a
government agency or federally recognized Indian Tribe before November 30,
2007, or at all other pharmacies before August 8, 2009, or an earlier date as
noticed by the NRC.
D. No later
than 30 days after the date that a licensee described in subpart 1, item B,
subitem (3) or (4), allows an individual to work as an authorized nuclear
pharmacist under item A, subitem (2), unit (a) or (c), the licensee must
provide to the commissioner a copy of:
(1)
the individuals certification by a specialty board whose certification process
has been recognized as specified in part 4731.4413, subpart 1; or
(2) the NRC or agreement state license, or
the permit issued by an NRC master materials licensee, or the permit issued by
a licensee of broad scope, or the authorization from a commercial nuclear
pharmacy authorized to issue its own authorized nuclear pharmacist;
or
(3) documentation that only
accelerator-produced radioactive materials were used in the practice of nuclear
pharmacy at a government agency or federally recognized Indian Tribe before
November 30, 2007, or at all other pharmacies before August 8, 2009, or an
earlier date as noticed by the NRC; and
(4) a copy of the individual's state pharmacy
licensure or registration.
Subp. 3.
Measuring
radioactivity.
A licensee under this part must:
A. possess and use instrumentation to measure
the radioactivity of radioactive drugs;
B. have procedures for use of the
instrumentation;
C. measure, by
direct measurement or a combination of measurements and calculations, the
amount of radioactivity in dosages of alpha-, beta-, or photon-emitting
radioactive drugs prior to transfer for commercial distribution;
D. perform tests before initial use,
periodically, and following repair on each instrument for accuracy, linearity,
and geometry dependence, as appropriate for the use of the instrument, and make
adjustments when necessary; and
E.
check each instrument for constancy and proper operation at the beginning of
each day of use.
Subp.
3a.
Labeling requirements. A licensee must satisfy
the labeling requirements of subpart 1, item D.
Subp. 4.
Other law.
Nothing in this part relieves a licensee from complying with
applicable United States Food and Drug Administration, other federal, or state
requirements governing radioactive drugs.