Current through Register Vol. 46, No. 39, September 25, 2024
(a) Requirements for extraction. Unless
otherwise approved in writing by the Office, a registered organization may only
use the methods, equipment, solvents, gases and mediums set forth in this
section when creating cannabis extracts and only in a manner exhibiting minimal
potential for human health related toxicity.
(1) All extraction processes and activities
must:
(i) be conducted by employees adequately
trained in the operation of the extraction equipment to be utilized, as well as
the emergency plan for incidents;
(ii) demonstrate control of all sources of
ignition, and occur in a spark-free environment where appropriate for the type
of extraction method used;
(iii)
ensure proper ventilation;
(iv)
have ongoing equipment monitoring and maintain a record of regular maintenance
of equipment based on equipment specifications;
(v) follow all applicable fire, safety and
building codes, regulations, laws and guidance in the use and storage of
solvents, including but not limited to, maximum quantities to be held
onsite;
(vi) evidence the purity of
any chemical solvents used and make any certificate of analysis or other
documentation evidencing such purity and shall make such evidence readily
available to employees and to the Office upon request.
(2) Unless a registered organization obtains
prior written approval from the Office, extraction shall only be conducted
using the following methods:
(i) use of
mechanical extraction methods, such as screens or presses, or heat, steam
distillation, ice water and other methods without employing solvents or
gases;
(ii) use of a professional
grade, closed-loop CO2 gas extraction system that is of a supply equivalent to
food or beverage grade of at least 99.5 percent purity;
(iii) Ethanol, provided that all ethanol used
shall be of a grade that meets or exceeds specifications of official
compendiums as defined in section 321 of Title 21 of the United States
Code (USC);
(iv) use
of a volatile solvent or hydrocarbon extraction method, provided that the
method:
(a) utilizes a commercial,
professional grade closed-loop system designed to recover the
solvent;
(b) utilizes the following
permissible volatile solvent-based or hydrocarbon extraction substances, which
must be accompanied by a certificate of analysis which establishes that said
substances have a minimum purity level of 99 percent:
(1) Butane;
(2) Propane;
(3) A different volatile solvent or
hydrocarbon with prior written approval by the Office prior to use;
(c) In addition, for all proposed
volatile solvent based or hydrocarbon extraction, a registered organization
shall submit to the Office, prior to receiving approval to commence extraction
operations, documentation which demonstrates, to the satisfaction of the
Office, the following additional requirements for all designated extraction
equipment, rooms, or other areas where volatile solvents used for extraction
are handled or stored:
(1) final
certification letter from a licensed professional engineer or registered
architect which certifies the completed installation of a professionally
designed, commercially manufactured extraction system, that is compliant with
all applicable state or local fire, safety or building codes;
(2) a letter or equivalent document as
determined by the Office from the municipal jurisdiction's fire marshal, local
building code authority, or its equivalent, stating that the facility is
approved to conduct the proposed activities and that the registered
organization has demonstrated compliance with all applicable fire codes and/or
regulations; and
(3) a certificate
of occupancy, or equivalent document, from the local building official that all
permits for extraction related rooms or areas have been closed as
applicable.
(b) A registered organization shall only
produce medical cannabis products according to the following requirements:
(1) each medical cannabis product, in its
final form, shall be defined as having a specific concentration of total
Tetrahydrocannabinol (THC) and total Cannabidiol (CBD) and shall have a
consistent phytocannabinoid profile. The concentration of the following
phytocannabinoids, at a minimum, must be reported:
(i) tetrahydrocannabinol (THC);
(ii) tetrahydrocannabinol acid
(THCA);
(iii) cannabidiol
(CBD);
(iv) cannabinadiolic acid
(CBDA);
(v) any other marketed
phytocannabinoid;
(vi) any other
phytocannabinoid component at > 0.2 percent of the phytocannabinoid profile;
and
(vii) terpenoid content, if the
registered organization will be marketing or advertising terpenoid content, or
including terpenoid content as a part of the medical cannabis product
labeling.
(2) the final
medical cannabis product shall not contain less than ninety (90) percent, nor
more than 110 percent, of the concentration of total THC or total CBD, as
indicated on the label. However:
(i) where
the total THC concentration is less than five (5) milligrams per dose, the
concentration of total THC shall be within 0.5 milligrams per dose;
(ii) where the total CBD concentration is
less than five (5) milligrams per dose, the concentration of total CBD shall be
within 0.5 milligrams per dose; and
(iii) unless otherwise approved by the
Office, the concentration of total THC and CBD in milligrams per single dose
for any sample of a product submitted for testing must be within twenty-five
(25) percent of the mean concentration of total THC and CBD in milligrams per
single dose for that submitted lot with the exception that, for products with a
specified total THC and CBD concentration less than two (2) milligrams per
single dose, the concentration of each sample for that low concentration
phytocannabinoid shall be within 0.5 milligrams per dose of the mean
concentration.
(3) the
registered organization shall offer and make available to patients at least one
(1) medical cannabis product that has a low THC and a high CBD content (e.g., a
1:20 ratio of THC to CBD);
(4) the
registered organization shall offer and make available at least one (1) medical
cannabis product that has approximately equal amounts of THC and CBD;
(5) for each medical cannabis product
offered, the registered organization shall utilize a name that complies with
the requirements of section
113.12(k) of this
Part; and
(6) each registered
organization shall have a manufacturing schedule that ensures the ability to
produce adequate supply of any offered medical cannabis product, unless
otherwise allowed by the Office, to ensure continuity of care for certified
patients;
(c) Excipients
for all forms of administration must be demonstrated safe for use in the
proposed form. All vaporized and inhaled medical cannabis products shall meet
the following additional requirements:
(1)
unless prior written approval of the Office is received, medical cannabis
vaporization devices for concentrates shall be a closed system with a
pre-filled single-use cartridge that attaches to a rechargeable battery, or a
single-use product;
(2) electronic
vaporization devices shall have internal or external temperature controls to
prevent combustion and have a heating element made of inert material such as
glass, ceramic or stainless steel and not plastic or rubber;
(3) except for cannabis or hemp-derived
terpenes, excipients and ingredients must be pharmaceutical grade unless
otherwise approved by the Office, and shall not include:
(i) synthetic terpenes;
(ii) polyethylene glycol (PEG);
(iii) vitamin E acetate;
(iv) medium chain triglycerides (MCT
oil);
(v) medicinal
compounds;
(vi) illegal or
controlled substances;
(vii)
artificial food coloring;
(viii)
benzoic acid;
(ix) diketones;
and
(x) any other compound or
ingredient as determined by the Office;
(4) not contain any flavors or flavoring
agents, except for cannabis-derived or hemp-derived terpenes; and
(d) A registered organization
shall:
(1) use good agricultural practices
(GAPs);
(2) use good manufacturing
practices (GMPs) and demonstrate compliance with GMP by submitting to the
Office proof of a qualified third-party GMP audit of the registered
organization's extraction and/or manufacturing facility operations and any
related certification or audit report within one year of commencing operations
and be maintained for the duration of the registration;
(3) conform to all applicable laws and rules
of New York State;
(4) use water
from a public water supply or present a plan, approved by the Office, which
demonstrates the ability to obtain sufficient quantities of water of equal or
greater quality as that from a public water supply and to monitor the quality
of such water on an ongoing basis;
(5) only use pesticides that are registered
by the New York State Department of Environmental Conservation or that
specifically meet the United States Environmental Protection Agency
registration exemption criteria for Minimum Risk Pesticides, and only in
accordance with 6 NYCRR section 325.2(b);
(6) process the leaves and flowers of the
female cannabis plant only, in a safe and sanitary manner;
(7) perform visual inspection of the
harvested plant material to ensure there is no mold, mildew, pests, rot or gray
or black plant material;
(8) have a
separate secure area for temporary storage of any medical cannabis or medical
cannabis product that needs to be destroyed; and
(9) provide continual environmental
monitoring for temperature, ventilation and humidity at all locations in the
manufacturing facility where unprocessed leaf and flower material is stored,
until further extraction or other processing is completed.
(e) Production of any medical cannabis
product shall be in accordance with general sanitary conditions. Poisonous or
toxic materials, including but not limited to, insecticides, rodenticides,
detergents, sanitizers, caustics, acids and related cleaning compounds must be
stored in a separate area from the cannabis and medical cannabis products in
prominently and distinctly labeled containers, except that nothing herein
precludes the convenient availability of detergents or sanitizers to areas
where equipment, containers and utensils are washed and sanitized.
(f) Medical cannabis products shall be
limited to the following forms of administration:
(1) metered liquid or oil
preparations;
(2) solid and
semisolid preparations (e.g. capsules, chewable and effervescent tablets,
lozenges);
(3) metered ground plant
preparations;
(4) whole
flower;
(5) topical forms and
transdermal patches; or
(6) any
other form approved by the Board.
(g) Medical cannabis may not be incorporated
into food or beverage products by the registered organization, unless approved
by the Board
(h) The registered
organization shall identify each lot of medical cannabis product with a lot
unique identifier.
(i) The
registered organization shall package the final form of the medical cannabis
product at the manufacturing site. The original seal shall not be broken except
for quality testing at an approved laboratory, for adverse event
investigations, by the Office, by the certified patient or designated
caregiver, designated caregiver facility, an authorized cannabis research
license holder, or by the registered organization for internal quality control
testing or disposal.
(j) Medical
Cannabis Product Packaging Minimum Standards.
(1) A medical cannabis product package shall:
(i) be packaged and labeled in its final form
at the manufacturing facility;
(ii)
be easily readable and firmly affixed to the package;
(iii) be child-resistant unless otherwise
approved by the Office;
(iv) be
tamper-evident;
(v) fully enclose
the product, minimize oxygen exposure and prevent the contamination and/or
degradation of the medical cannabis product; and
(vii) not impart any toxic or deleterious
substance onto the medical cannabis product.
(2) Unless otherwise approved by the Office,
a registered organization shall maintain a copy of the certificate showing that
each medical cannabis package into which the registered organization places
medical cannabis products is child-resistant and complies with the requirements
of 16 CFR §
1700.15 for Poison Prevention Packaging
Standards and 16 CFR §
1700.20 for Testing Procedure for Special
Packaging.
(3) An exit package is
optional and is not required to be labeled but may include the registered
organization's name or logo, provided that the name or logo complies with the
provisions of subdivision
113.12(k) of this
section.
(4) Registered
organizations shall implement a recycling program for medical cannabis product
packaging.
(5) Claims about
recyclable or recycled content packaging shall comply with Title 16 of the Code
of Federal Regulations relating to Commercial Practices, Part 260 regarding
Guides for the Use of Environmental Marketing Claims.
(k) Medical Cannabis Product Packaging
Prohibitions.
(1) A medical cannabis product
package shall not:
(i) be opened or the
original seal be broken except for quality testing at an approved laboratory,
for adverse event investigations, by the Office, by the certified patient or
designated caregiver, designated caregiver facility, an authorized cannabis
research license holder, or by the registered organization for internal quality
control testing or disposal, unless otherwise approved by the Office;
(ii) contain any pictures, images, or
graphics, other than what may be required by the Board;
(iii) contain any features that emit scent or
sound;
(iv) contain any features
that change or alter a package's appearance through technology, other than for
anti-counterfeiting purposes;
(v)
be made attractive to individuals under twenty-one (21) by using or including:
(a) Cartoons;
(b) Bubble-type or other cartoon-like
font;
(c) Bright colors that are
"neon" in appearance;
(d)
Similarities to products or words that refer to products that are commonly
associated with or marketed in a manner so as to be attractive to individuals
under twenty-one (21), including but not limited to, any imitation of food,
candy, soda, drinks, cookies, or cereal, in labeling, packaging, advertising,
or marketing;
(e) Terms "candy" or
"candies" or variants in spelling such as "kandy" or "kandeez";
(f) Symbols, images, characters, public
figures, phrases, toys, or games that are commonly used to market products to
individuals under the age of twenty-one (21); or
(g) Images of individuals who could
reasonably appear to be under the age of twenty-one (21).
(vi) use any term or variants in the spelling
of any term describing a medical condition;
(vii) be made of single-use plastic, unless
containing a minimum 25% post-consumer recycled content. The Board may waive
this requirement upon good cause shown; and
(viii) violate any additional requirements as
set out by the Office.
(l) Cannabis Product Labeling Minimum
Standards
(1) Registered organizations shall
ensure that the principal packaging display panel shall have a white background
with black text containing the following information:
(i) the medical cannabis product form, and
brand designation;
(ii) a list of
all ingredients in descending order of predominance by weight in the medical
cannabis product - both active and inactive. The ingredient list must include
and separately list, in bold, any major allergens set forth in the Food
Allergen Labeling and Consumer Protection Act of 2004, Title 21, as it relates
to Food and Drugs, of the U.S. Code § 343, for misbranded food.
(iii) milligrams per dose of total THC (THC +
THCA x 0.877), total CBD (CBD + CBDA x 0.877) content;
(iv) milligrams per package of total THC (THC
+ THCA x 0.877) and total CBD (CBD + CBDA x 0.877)
(v) any other marketed phytocannabinoids in
milligrams per dose and milligrams per package;
(vi) the amount of total THC (THC + THCA x
0.877) and any other marketed phytocannabinoids as a percentage of volume,
unless otherwise exempted by the Office;
(vii) the total quantity or volume included
in the package;
(viii) the medical
cannabis product lot unique identifier (lot number or bar code);
(ix) the date of expiration of the unopened
medical cannabis product based on stability studies in accordance with
paragraph 113.12(p)(2) of this section;
(x) use by date once the medical cannabis
product is opened if not included on the dispensing label pursuant to
113.12(p)(1) of this section;
(xi)
the proper storage conditions;
(xii) the name, address and registration
number of the registered organization;
(xiii) language stating:
(a) "Keep secured at all times.";
(b) "May not be resold or transferred to
another person.";
(c) "This product
might impair the ability to drive.";
(d) "Medical cannabis products must be kept
in the original container in which they were dispensed and removed from the
original container only when ready for use by the certified
patient.";
(e) "KEEP PRODUCT AWAY
FROM CHILDREN (unless the medical cannabis product is being given to the child
under a practitioner's care). In case of accidental ingestion or
overconsumption, contact the poison control hotline 1-800-222-1222 or call
9-1-1."
(f) "This product is for
medicinal use only. This product should not be consumed during pregnancy or
while nursing except on the advice of the certifying practitioner, and in the
case of a nursing parent, including the infant's pediatrician."; and
(g) For topical products: "For external use
only".
(xiv) a scannable
bar code or QR code linked to a downloadable certificate of analysis for the
medical cannabis product or linked to a website where the certificate of
analysis can be downloaded. A registered organization shall provide a physical
or paper certificate of analysis which includes, but is not limited to, the
quality, safety and clinical strength of the medical cannabis product
manufactured or dispensed by the registered organization directly to certified
patients or their designated caregivers upon their request, in accordance with
section
34 of the Cannabis
Law;
(xv) any solvent used to
produce the medical cannabis product, if applicable; and
(xvi) any other information required by the
Board.
(2) Required
labeling on the medical cannabis package must be:
(i) in text no smaller than 6-point
font;
(ii) clearly written or
printed and visible to consumers;
(iii) in Times New Roman, Calibri, Arial, or
Helvetica; and
(iv) in the English
language. In addition to the required labeling in English, licensees may
include an additional, accurate foreign language translation on the package
that otherwise complies with this Part.
(3) The information required pursuant to
section 113.12(l)(1) of
this Part must be unobstructed and conspicuous. A registered organization may
include the required information by printing the information directly onto the
medical cannabis package or by affixing multiple labels with the information to
the package, provided none of the information is obstructed. For example, and
not by means of limitation, the information may appear on labels that may be
accordion, expandable, extendable, or layered to accommodate labeling of small
packages.
(4) Any research licensee
conducting research approved by the Board involving human subjects shall comply
with all packaging and labeling requirements, unless the licensee receives
prior written approval for a waiver of specific packaging or labeling
requirements in connection with any research approved by the Board. The waiver
may extend to a registered organization providing medical cannabis or medical
cannabis products for an approved research study.
(m) Medical Cannabis Product Labeling
Prohibitions; No medical cannabis product package shall display any content or
be labeled in any manner that:
(1) is made
attractive to individuals under twenty-one (21) as set forth in section
113.12(k)(1)(v) of
this Part;
(2) includes any false
or misleading statements;
(3)
includes the term "organic";
(4)
includes the term "craft";
(5)
causes a reasonable consumer confusion as to whether the medical cannabis
product is trademarked, marked or labeled in a manner that violates any federal
trademark law or regulation;
(6)
depicts cannabis, cannabis products, or paraphernalia;
(7) promotes overconsumption or consumption
contrary to a certifying practitioner or pharmacist's recommendation;
(8) depicts a child or other person
reasonably appearing to be under the age of twenty-one (21); and
(9) violates additional prohibitions as set
out by the Office.
(n)
For each lot of medical cannabis product produced by the registered
organization, a predetermined number of final medical cannabis products shall
be collected and submitted, in a manner approved by the Office, for final
product testing to an independent laboratory/laboratories permitted by the
Board. The registered organization must review the testing results provided by
the independent laboratory/laboratories to verify that the concentration of
cannabinoids is consistent with the form of medical cannabis and verify that
contaminants do not exceed limits, as defined by the Office, prior to the
medical cannabis product being released from the manufacturer to any dispensing
site.
(o) Any lot not meeting the
minimum testing standards for contaminants, shall be rejected and destroyed by
the registered organization in accordance with section
113.25 of this Part,
notwithstanding a medical cannabis flower product lot that has not met the
minimum testing standards for microbial testing and has passed all remaining
contaminant testing. A registered organization may remediate and repurpose
medical cannabis flower products provided that;
(1) the lot must be resubmitted for
laboratory testing in a manner set forth in section
113.12(n) of this
Part;
(2) after completing the
required analyses of a representative sample obtained from a remediated or
repurposed medical cannabis lot, the laboratory shall report the results to the
Office within two (2) business days;
(3) a medical cannabis flower product lot may
only be remediated or repurposed for extraction once. If the lot fails to meet
minimum testing standards for contaminants after the remediation or repurposing
process, the entire lot shall be destroyed by the registered organization in
accordance with section
113.25 of this Part;
(4) when a failed medical cannabis flower lot
is not remediated or reprocessed in any way it cannot be retested. Any
subsequent testing results produced without remediation of the failed batch
will not supersede the initial regulatory testing results.
(5) Any lot not meeting the minimum standards
or specifications for product consistency shall be reported to the Office and
not dispensed by a registered organization without prior written approval from
the Office.
(6) The registered
organization shall keep and maintain records documenting submission of medical
cannabis products to approved laboratories as required herein, and the results
of the laboratory testing. The registered organization shall provide the Office
with such records upon request.
(p) The registered organization shall
demonstrate the stability of each medical cannabis product produced by testing
both the unopened and opened product in accordance with section
113.15(i) of this
Part:
(1) the stability of opened products
shall be validated under the conditions (light, temperature and humidity),
specified for storage of the product and an expiration date for opened product
shall be determined;
(2) the
stability of unopened products (e.g., sealed packages or vials) shall be
validated by ongoing stability testing and an expiration date for unopened
products shall be determined;
(3)
specifications regarding storage conditions must address storage at the
manufacturing facility once the package is sealed, during transport, at the
dispensing site, in the patient's home and for samples retained for future
testing.
(q) Registered
organization shall not prepare or produce any medical cannabis products that
contains:
(1) synthetic cannabis
additives;
(2) artificially derived
phytocannabinoid; or
(3)
phytocannabinoid not produced by a registered organization by extraction in an
approved manufacturing facility.
(r) In the manufacturing of medical cannabis
products, a registered organization may use hemp grown pursuant to the New York
State Department of Agriculture and Markets, or hemp extracts derived from
hemp, processed or manufactured in accordance with the Office's cannabinoid
hemp program, in accordance with applicable federal, state and local laws and
regulations;
(s) The registered
organization's approved standard operating procedure for the aforementioned
activities must be followed, unless otherwise approved by the
Office.