98-29732. Final Rule: Requirements for Child-Resistant Packaging; Minoxidil Preparations With More Than 14 mg of Minoxidil Per Package  

  • [Federal Register Volume 63, Number 220 (Monday, November 16, 1998)]
    [Rules and Regulations]
    [Pages 63602-63608]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 98-29732]
    
    
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    CONSUMER PRODUCT SAFETY COMMISSION
    
    16 CFR Part 1700
    
    
    Final Rule: Requirements for Child-Resistant Packaging; Minoxidil 
    Preparations With More Than 14 mg of Minoxidil Per Package
    
    AGENCY: Consumer Product Safety Commission.
    
    ACTION: Final rule.
    
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    SUMMARY: The Commission is issuing a rule to require child-resistant 
    (``CR'') packaging for minoxidil preparations containing more than 14 
    mg of minoxidil in a single package. The Commission has determined that 
    child-resistant packaging is necessary to protect children under 5 
    years of age from serious personal injury and serious illness resulting 
    from handling or ingesting a toxic amount of minoxidil. The Commission 
    takes this action under authority of the Poison Prevention Packaging 
    Act of 1970.
    
    DATES: Effective May 17, 1999. For metered finger mechanical sprayer 
    applicators and extender attachments, this rule will not apply until 
    November 16, 1999. This rule applies to preparations packaged on or 
    after those dates.
    
    FOR FURTHER INFORMATION CONTACT: Laura Washburn, Directorate for 
    Compliance, Consumer Product Safety Commission, Washington, D.C. 20207; 
    telephone (301) 504-0400 ext. 1452.
    
    SUPPLEMENTARY INFORMATION:
    
    A. Background
    
    1. Relevant Statutory and Regulatory Provisions
    
        The Poison Prevention Packaging Act of 1970 (``PPPA''), 15 U.S.C. 
    1471-1476, authorizes the Commission to establish standards for the 
    ``special packaging'' of any household substance if (1) the degree or 
    nature of the hazard to children in the availability of such substance, 
    by reason of its packaging, is such that special packaging is required 
    to protect children from serious personal injury or serious illness 
    resulting from handling, using, or ingesting such substance and (2) the 
    special packaging is technically feasible, practicable, and appropriate 
    for the substance.\1\
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        \1\ Chairman Brown and Commissioner Moore voted to approve this 
    notice. Commissioner Gall voted to approve the notice, except that 
    she would have deferred action on metered finger sprayers and 
    extender attachments.
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        Special packaging, also referred to as ``child-resistant'' (``CR'') 
    packaging, is
    
    [[Page 63603]]
    
    (1) designed or constructed to be significantly difficult for children 
    under 5 years of age to open or obtain a toxic or harmful amount of the 
    substance contained therein within a reasonable time and (2) not 
    difficult for ``normal adults'' to use properly. 15 U.S.C. 1471(4). 
    Household substances for which the Commission may require CR packaging 
    include (among other categories) foods, drugs, or cosmetics as these 
    terms are defined in the Federal Food, Drug, and Cosmetic Act (21 
    U.S.C. 321). 15 U.S.C. 1471(2)(B). The Commission has performance 
    requirements for special packaging. 16 CFR 1700.15, 1700.20.
        Section 4(a) of the PPPA, 15 U.S.C. 1473(a), allows the 
    manufacturer or packer to package a nonprescription product subject to 
    special packaging standards in one size of non-CR packaging only if the 
    manufacturer (or packer) also supplies the substance in CR packages of 
    a popular size, and the non-CR packages bear conspicuous labeling 
    stating: ``This package for households without young children.'' 15 
    U.S.C. 1473(a), 16 CFR 1700.5.
    
    2. Minoxidil
    
        Topical minoxidil is a liquid medication applied to the scalp to 
    stimulate hair regrowth for individuals with androgenetic alopecia, a 
    common form of genetic hair loss. In February 1996, the Food and Drug 
    Administration (``FDA'') approved the sale of topical minoxidil as an 
    over-the-counter (``OTC'') drug available without a prescription. A 
    tablet form of minoxidil is also available by prescription for 
    treatment of severe hypertension. Like most oral prescription drugs, 
    the prescription form of minoxidil must be in special packaging. 16 CFR 
    1700.14(a)(10). However, special packaging is not required for topical 
    drugs unless the Commission takes specific action to require it.
        Topical minoxidil first became available by prescription in 1988. 
    The OTC preparation is currently marketed as a two percent solution in 
    60 percent alcohol, propylene glycol, and water. The package 
    instructions direct the user to apply one milliliter (20 milligrams of 
    minoxidil) to the scalp twice a day. This application generally must 
    continue for four months, and further application is necessary to 
    maintain the newly grown hair. The most prevalent package size contains 
    60 milliliters of the preparation (1200 milligrams of minoxidil) which 
    is a 30-day supply if used as directed.(2) 2 On November 14, 
    1997, the FDA approved for OTC use a 5% minoxidil solution for men. The 
    package size is also 60 milliliters, and the recommended dosage is one 
    milliliter (50 milligrams of minoxidil) applied twice a day. The total 
    contents of this package is 3000 milligrams.
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        \2\ Numbers in parentheses refer to documents listed at the end 
    of this notice.
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        The Commission is aware of ten manufacturers that have FDA's 
    approval to market the OTC two percent minoxidil solution. In addition, 
    the Commission knows of six other companies--probably repackagers or 
    relabelers--that sell the OTC minoxidil formulation. The year after FDA 
    approved OTC status for topical minoxidil preparations, retail sales of 
    topical minoxidil were about $200 million (approximately 8 million 
    packages). (3)
        Topical minoxidil formulations are generally packaged either for 
    men or for women. The formulations are the same, but the packaging and 
    instructions are different. All the bottles the Commission is aware of 
    are secured with CR senior friendly (``SF'') continuous threaded 
    closures. In addition to the primary closure, the packages the 
    Commission staff examined contain one or more applicators that are 
    reasonably expected to be used to replace the primary closure.
        The Commission staff examined nine topical minoxidil packages for 
    men. These packages contained dropper applicators. In six of these, the 
    droppers were CR/SF, the other three droppers were non-CR. Four of the 
    packages for men also contained a metered finger mechanical sprayer 
    applicator (hereafter referred to as a ``finger sprayer'') in addition 
    to the dropper applicator. None of the finger sprayers are CR. (4 and 
    8).
        Hair loss for women occurs as a thinning of the hair over a broad 
    area on the top of the scalp rather than at the vertex. All four of the 
    topical minoxidil packages for women that the staff examined contained 
    the finger sprayer. Two products for women included a CR/SF dropper in 
    addition to the finger sprayer. Three packages for women included an 
    extender attachment to fit onto the finger sprayer applicator allowing 
    the solution to be applied closer to the scalp than the finger sprayer 
    alone would manage. Neither the finger sprayers nor the extenders in 
    the packages intended for women were CR. (4 and 8).
    
    3. CR Packaging for Applicators
    
        As explained in the notice of proposed rulemaking (``NPR'')(63 FR 
    13019), because the topical minoxidil formulations are packaged with 
    applicators that are reasonably expected to replace the primary closure 
    of the product, the Commission has determined that the applicators 
    themselves must be CR if the Commission requires CR packaging for the 
    product.
        Under the PPPA, a ``package'' is defined as:
    
    the immediate container or wrapping in which any household substance 
    is contained for consumption, use, or storage by individuals in or 
    about the household.
    
    15 U.S.C. 1471(3). This definition focuses on how the product is 
    packaged in the home where it is ``contained for consumption, use or 
    storage'' rather than its packaging in the store. This is fully 
    consistent with the purpose of the statute, to reduce child poisonings 
    from available household substances.
        The exclusions from the definition of ``package'' also indicate 
    that Congress was concerned with the package as maintained in the home. 
    Congress excluded containers used only to transport the product. Id.
        The legislative history of the statute also supports the view that 
    the ``package'' includes applicators that are reasonably expected to be 
    used as closures in the home. The Senate Commerce Committee Report 
    notes: ``The term `package' was defined here to [sic] in order to make 
    explicit that special packaging refers to that package in which the 
    substance is kept in or around the house.'' S. Rep. 845, 91st Cong., 2d 
    Sess. 9 (1970).
        Thus, the Commission concludes that when an applicator is packaged 
    with a product that requires CR packaging and the applicator is 
    reasonably expected by the Commission to replace the original closure 
    of the packaging, that applicator must also be CR. This does not mean 
    that every applicator packaged with a substance requiring CR packaging 
    must itself be CR. It is permissible for an applicator, such as a 
    dropper, to be packaged with a product so long as the applicator cannot 
    be used to replace the original closure. As discussed in the NPR, this 
    view reflects the long held interpretation of the Commission staff. 63 
    FR 13021.
        Because the Commission has not previously addressed this question 
    explicitly in a regulation, the minoxidil rule expressly states that 
    applicators packaged with topical minoxidil that are reasonably 
    expected to replace the original closures would be required to be CR 
    and SF. The Commission recognizes that its other rules, such as the 
    rule covering oral prescription drugs or acetaminophen, do not contain 
    such a provision. When previous special packaging rules were issued, 
    few
    
    [[Page 63604]]
    
    packages contained applicators that could be used as closures. Thus, 
    previous rules did not expressly state that such applicator closures 
    are ``packages'' under the PPPA. In order to clarify the issue, the 
    Commission is including such a statement in the minoxidil rule. The 
    lack of such a statement in previous PPPA rules is not to be construed 
    to mean applicator closures are exempt from special packaging 
    requirements.
        The Commission did not receive any comments questioning its 
    interpretation of the PPPA as covering applicators that are reasonably 
    expected to be used to replace the primary closure.
    
    4. The Proposed Rule
    
        On March 17, 1998, the Commission issued an NPR that proposed 
    requiring CR packaging for minoxidil preparations containing more than 
    14 mg of minoxidil in a single package. 63 FR 13019.
        The Commission received five comments in response to the proposed 
    rule. The American Academy of Pediatrics commented in support of the 
    rule and expressed agreement with the Commission's position that the CR 
    packaging requirement should include applicators expected to replace 
    original closures on minoxidil products. Other comments and the 
    Commission's responses are discussed below.(7)
    Packaging Issues
        Comment: One comment from the Closure Manufacturers Association 
    (``CMA'') stated that the Commission had no data to demonstrate that CR 
    extender finger sprayers are technically feasible and practicable. The 
    commenter stated that the preamble in the NPR had stated that 
    technology does not exist for the development or use of CR finger 
    sprayers with extenders. The commenter concluded that therefore 
    continuing with the proposed rule ``would be a violation of the [PPPA] 
    statute and the Administrative Procedures [sic] Act.''
        Response: CMA apparently misunderstood the statement in the NPR 
    which noted that CR extender sprayers are not currently on the market. 
    The fact that a particular CR closure is not currently being marketed 
    does not mean it is not technically feasible and practicable. As 
    explained in section E.2. of the preamble, technical feasibility refers 
    to the capability of producing a CR closure, not whether one is 
    actually on the market. Similarly, practicability means that mass 
    production methods can be used to produce CR packaging for the 
    substance, not that it is currently being done. Neither CMA nor any 
    other commenters have presented any information indicating that a CR 
    extender sprayer could not be developed or could not be mass produced. 
    In fact, as discussed below, some companies said they would need more 
    time to produce CR applicators for minoxidil products, but they did not 
    question their ability to make any of the available applicators CR.
        CMA's comments refer only to the extended sprayer. It is important 
    to note that the PPPA does not require that every package design must 
    be made CR. The Commission has no information indicating that a CR 
    extended sprayer could not be made. However, even if it could not, 
    other CR packaging applicators exist that are technically feasible, 
    practicable and appropriate exist. Thus, this rulemaking does not 
    violate the PPPA or any other statute.
        Comment: One commenter indicated that CR droppers are not a good 
    barrier because children can chew through the bulb.
        Response: When testing CR dropper packaging, if a child chews 
    through or pulls out the dropper bulb this would count as a failure 
    since the child gains access to the product. The Commission's data 
    indicate that dropper assemblies currently on the market pass the CR 
    packaging test protocol and meet the requirements of the PPPA.
        Comment: The same commenter requested that the Commission prohibit 
    applicators that could be used as substitutes for original closures 
    because of cost, time, and potential competitive imbalance.
        Response: Under the PPPA, the Commission cannot prescribe specific 
    packaging designs. 15 U.S.C. 1472(d). Thus, companies may use any 
    packaging that meets the requirements of the special packaging 
    protocol. Similarly, any applicator (if it is reasonably expected to 
    replace the original closure) that meets these requirements could be 
    used. Moreover, as pointed out in the proposed rule, an applicator that 
    would not be used to replace the original closure, such as a dropper 
    without a reclosable feature, would also be acceptable.
    Effective Date for Finger Sprayers
        Comment: Three commenters indicated that the proposed effective 
    date of one year was too short. One commenter requested a total of 34 
    months (22 months in addition to a one year effective date). Another 
    commenter stated that 27-36 months would be necessary to incorporate a 
    CR finger sprayer.
        Response: After reviewing the process for commercialization of a CR 
    finger sprayer, the Commission agrees that more than one year may well 
    be necessary. Thus, the Commission will allow companies to request a 
    stay of enforcement to provide additional time to produce CR finger 
    sprayers and extender sprayers, and it would anticipate granting such 
    requests until such time as it determined that an enforcement stay was 
    no longer appropriate. This issue is discussed further in section F of 
    the preamble.
    Cost Considerations
        Comment: One commenter indicated that the additional cost of CR 
    droppers instead of non-CR droppers was greater than $0.05 as suggested 
    in the NPR.
        Response: The commenter has since indicated to CPSC staff that the 
    $0.05 estimate is in fact within the range of increased cost for a CR 
    dropper.
        Comment: One commenter stated that there would be a competitive 
    disadvantage to generics if exclusive agreements for spray packaging 
    were made with a brand product.
        Response: The commenter supplied no data and the Commission has no 
    data to support this claim. In fact, two different companies commenting 
    on the NPR provided information about the timing for developing a 
    finger sprayer. Even if there were an exclusive agreement, it would not 
    prevent other companies, such as the commenter from developing a CR 
    finger sprayer independently. The estimated incremental cost of the CR 
    sprayer will be a little more than double the 13-15 cents currently 
    paid for the non-CR finger sprayer, according to one commenter. This is 
    not a substantial cost increase relative to the product cost, even for 
    less expensive generic minoxidil products. Moreover, several of the 
    generic brands do not currently include a finger sprayer with their 
    products. Also, a generic company is not necessarily a small company. 
    The commenter, for example, is a large generic pharmaceutical 
    manufacturer.
    
    B. Toxicity of Minoxidil
    
        The Commission's Directorate for Epidemiology and Health Sciences 
    reviewed the toxicity of minoxidil. Either as prescription tablets or a 
    topical liquid, when it is ingested, minoxidil is rapidly and almost 
    completely (over 95 percent) absorbed by the gastrointestinal tract and 
    is distributed systematically throughout the body. Because minoxidil is 
    very poorly absorbed through the skin, a topical solution of two 
    percent minoxidil is considered safe when used on the skin as directed 
    but can be harmful if ingested. (2)
    
    [[Page 63605]]
    
        The tablet form of minoxidil is prescribed for use as an 
    antihypertensive drug. It lowers blood pressure by relaxing the smooth 
    muscle of the arteries. The body's nervous system responds by causing 
    the heart to beat faster (tachycardia) and with more force (increased 
    cardiac output) to compensate for the drop in blood pressure. (2)
        The most prominent effects from therapeutic ingestion of minoxidil 
    are increased heart rate, increased cardiac output and decreased blood 
    pressure. When blood pressure becomes abnormally low (hypotension), it 
    can lead to lethargy and lightheadedness with the possibility of damage 
    to the heart and other tissues with high oxygen demand, if left 
    untreated. Less frequent effects include salt and fluid retention and 
    edema, aggravation of angina, and pericardial effusion (massive fluid 
    accumulation around the heart) in patients with renal impairment. 
    Repeated ingestion over several months can produce hypertrichosis 
    (overstimulated hair growth) particularly to the face and to a lesser 
    extent to the limbs and scalp. Less severe symptoms of nausea, 
    headache, fatigue, and dermatologic reactions have been occasionally 
    reported. (2)
        Prescription minoxidil is available as 2.5 mg, 5 mg, and 10 mg 
    tablets. The effective dosage is usually between 0.2 to 1 mg/kg/day 
    (roughly 5 to 40 mg/day for an adult) depending on the individual and 
    the desired antihypertensive response. Use in children has been limited 
    with a similar effective body weight-normalized dose range as adults 
    (0.2 to 1 mg/kg/day). Because of possible adverse effects, the maximum 
    recommended daily therapeutic dosage is 100 mg in adults and 50 mg for 
    children under the age of 12. (2)
    
    C. Incident Data
    
        As discussed more extensively in the NPR, the staff reviewed 
    several sources for information of adverse health effects from 
    ingestions of minoxidil. These sources are the American Association of 
    Poison Control Centers (``AAPCC''), the FDA Spontaneous Reporting 
    System (``SRS''), published reports in the medical literature, and 
    reports from the injury surveillance databases maintained by the 
    Commission. The most commonly cited injuries are prolonged hypotension 
    and tachycardia that require hospitalization. There were reports of two 
    deaths associated with minoxidil overdose.
        AAPCC Data. The AAPCC collects reports made to participating poison 
    control centers throughout the United States. A retrospective study by 
    AAPCC evaluated AAPCC records of all minoxidil exposures from 1985 
    through 1991. (The study did not distinguish between ingestions of 
    minoxidil tablets and topical solution.) During this time period, 285 
    incidents were reported. About half (51 percent) of these occurred in 
    children under six years of age. (2)
        Annual AAPCC data on pediatric exposures to children under five 
    years of age reported four accidental ingestions of topical minoxidil 
    liquid in 1995, none of which led to serious toxicity. (Prior to 1995, 
    topical minoxidil was not given a specific code within the AAPCC 
    database.) In 1996, the number of reported cases increased to 43, one 
    of these exhibited moderate effects. For 1997, the AAPCC had 52 reports 
    of children under age five ingesting topical minoxidil. Half of these 
    were referred to a health care facility for observation or treatment. 
    However no serious outcomes were reported. (2 and 6)
        Because incidents involving minoxidil tablets (rather than topical 
    solutions) are coded in a category that includes ``other 
    vasodilators,'' it is not possible to isolate incidents specific to 
    minoxidil tablets. There were two childhood ingestions of ``other 
    vasodilators'' reported in 1995 that resulted in a moderate toxicity. 
    (2)
    
    FDA/SRS Database
    
        The SRS is a database maintained by the FDA for reports of adverse 
    reactions detected after a drug goes on the market. Drug manufacturers 
    are required to report any known incidents of adverse effects 
    associated with their products. However, the incident reports are not 
    verified by the FDA, and therefore, the adverse effects may reflect 
    underlying diseases or reactions to multiple drugs.
        There have been 16,795 SRS reports on topical minoxidil between 
    1983 and March 1997. Most of the reported adverse effects were dermal 
    reactions to excessive application of topical minoxidil to the scalp. 
    However, FDA specifically cited five overdose ingestion cases involving 
    topical minoxidil. As discussed in more detail in the NPR, three of 
    these led to serious outcomes. (2)
    
    CPSC Databases
    
        CPSC has several databases for poison incidents. The staff reviewed 
    cases from 1988 to June 1998 in the National Electronic Injury 
    Surveillance System (``NEISS''). NEISS monitors emergency room visits 
    to a statistically-based sample of selected hospitals throughout the 
    United States. Three childhood poisoning cases associated with 
    minoxidil were reported in the NEISS database during that time period. 
    One was an ingestion of an unknown quantity of topical minoxidil by a 
    two-year-old male. The child was seen in an emergency room with normal 
    temperature, pulse, and respiration and was released the same day 
    without treatment. It is not known whether the minoxidil package was 
    secured with a child-resistant closure at the time of the incident. (2)
        There is less information concerning the two more recent incidents 
    that were reported since the NPR. One case involved minoxidil tablets 
    and the other resulted from topical minoxidil in a spray bottle. 
    Neither child was hospitalized. No other details are available at this 
    time. (6)
        The staff also reviewed CPSC's Injury and Potential Injury Incident 
    (``IPII'') files of consumer product-related incidents reported through 
    letters, telephone calls, media articles and death certificate files of 
    consumer product-related deaths. There were no minoxidil-related 
    injuries or deaths found in these databases for the 1988 to June 1998 
    time period. (2)
    
    Medical Literature
    
        Five case reports of injuries following minoxidil ingestion were 
    found in the published literature. Two cases involved young children. 
    In one instance, a two-year-old ingested an unconfirmed number of 
    minoxidil tablets. In the second instance, a three-year-old swallowed 
    an estimated 1-2 milliliters of three percent minoxidil solution (30-60 
    milligrams). Both children were seen at hospitals experiencing moderate 
    tachycardia but no other reported abnormalities. The three other 
    reports were intentional ingestions by adults of minoxidil tablets (one 
    case) or two percent liquid (two cases) and were discussed in the NPR. 
    (2)
    
    D. Level for Regulation
    
        The Commission is issuing a rule requiring special packaging for 
    minoxidil products containing more than 14 mg of minoxidil in a single 
    package. This is based on the maximum recommended therapeutic dose of 
    minoxidil for an adult. The 14 mg dose level corresponds to 1.4 mg/kg 
    for a 10 kg child. The equivalent minoxidil dose for the average 70 kg 
    adult would be approximately 100 mg. The regulated dose level is 
    expected to reasonably protect children under five years of age from 
    serious personal injury or illness. (2) The Commission proposed this 
    level and received no comments on it.
    
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    E. Statutory Considerations
    
    1. Hazard to Children
    
        As noted above, the toxicity data concerning ingestion of minoxidil 
    demonstrate that minoxidil can cause serious illness and injury to 
    children. Moreover, it is available to children in OTC topical 
    minoxidil preparations. Although as far as the Commission is aware, all 
    primary product containers for topical minoxidil products currently use 
    CR packaging, all applicators are not CR. Some packages contain 
    applicators that are reasonably expected to be used as closures after 
    first use which are not CR. The Commission concludes that a regulation 
    is needed to ensure that products subject to the regulation, including 
    applicators which it is reasonable to expect may be used to replace the 
    original closures, will be placed in CR packaging by any current as 
    well as future manufacturers.
        Pursuant to section 3(a) of the PPPA, 15 U.S.C. 1472(a), the 
    Commission finds that the degree and nature of the hazard to children 
    from handling or ingesting minoxidil is such that special packaging is 
    required to protect children from serious illness. The Commission bases 
    this finding on the toxic nature of minoxidil products and their 
    accessibility to children in the home.
    
    2. Technical Feasibility, Practicability, and Appropriateness
    
        In issuing a standard for special packaging under the PPPA, the 
    Commission is required to find that the special packaging is 
    ``technically feasible, practicable, and appropriate.'' 15 U.S.C. 
    1472(a)(2). Technical feasibility may be found when technology exists, 
    or can be readily developed and implemented, to produce packaging that 
    conforms to the standards. Practicability means that special packaging 
    complying with the standards can utilize modern mass production and 
    assembly line techniques. Packaging is appropriate when complying 
    packaging will adequately protect the integrity of the substance and 
    not interfere with its intended storage or use.
    a. Primary Product Containers
        The primary product containers for all topical minoxidil products 
    that the Commission is aware of have continuous threaded reclosable 
    packaging. All of these closures that the staff examined were CR and 
    SF. Thus, it is clear that CR packaging for primary product containers 
    is technically feasible, practicable and appropriate. (4 and 8)
    b. Applicators
        As discussed above, topical minoxidil packages contain 
    applicators--droppers and/or metered finger mechanical sprayers--which 
    it is reasonable to expect may replace the original closures. Eight 
    products have droppers that are CR and SF. This indicates that such 
    droppers are technically feasible, practicable and appropriate. (4 and 
    8)
        The Commission knows of eight minoxidil products that include a 
    non-CR finger sprayer. Child-resistance for a finger sprayer means that 
    it must be significantly difficult for children to obtain an amount 
    above the regulated level by, for example, (1) removing the finger 
    sprayer closure from the container or (2) activating the finger sprayer 
    mechanism. One packaging manufacturer has developed a prototype CR 
    finger sprayer applicator which the manufacturer believes can be 
    modified to pass senior adult effectiveness testing. In addition, two 
    product manufacturers commenting on the NPR indicated that they could 
    develop a finger sprayer that would meet special packaging 
    requirements. As discussed above, an applicator that cannot be used as 
    a closure does not need to be CR. (4 and 8)
        Three products for women also contain an extender to be used with 
    the finger sprayer. Under the proposed rule, when the extender is 
    attached to the finger sprayer, this applicator mechanism must be CR. 
    That is, it must be significantly difficult for children to (1) remove 
    the combined finger sprayer and extender from the container, (2) 
    activate the combined finger sprayer and extender to obtain an amount 
    above the regulated level, and (3) remove the extender. Currently no 
    finger sprayers with extenders are CR. As noted above, CR/SF finger 
    sprayer could be developed. Some modifications to the extender may be 
    needed so that it would operate with the CR finger sprayer. (4 and 8)
        As discussed above, the Commission received one comment from CMA 
    questioning whether an extender sprayer was feasible and practicable. 
    However, since the finger sprayer and the extender use essentially the 
    same mechanism, the Commission believes that the extender sprayer could 
    be made CR/SF. The Commission is not aware of any data indicating 
    otherwise.
    
    3. Other Considerations
    
        In establishing a special packaging standard under the PPPA, the 
    Commission must consider the following:
        a. The reasonableness of the standard;
        b. Available scientific, medical, and engineering data concerning 
    special packaging and concerning childhood accidental ingestions, 
    illness, and injury caused by household substances;
        c. The manufacturing practices of industries affected by the PPPA; 
    and
        d. The nature and use of the household substance. 15 U.S.C. 
    1472(b).
        The Commission has considered these factors with respect to the 
    various determinations made in this notice, and finds no reason to 
    conclude that the rule is unreasonable or otherwise inappropriate.
    
    F. Effective Date
    
        The PPPA provides that no regulation shall take effect sooner than 
    180 days or later than one year from the date such final regulation is 
    issued, except that, for good cause, the Commission may establish an 
    earlier effective date if it determines an earlier date to be in the 
    public interest. 15 U.S.C. 1471n.
        Primary closures and droppers. Primary product containers for 
    topical minoxidil are already CR and SF. Droppers are available CR and 
    SF that can be used to replace the original closures. Thus, the 
    Commission proposed that a final rule with respect to child-resistance 
    of primary closures and dropper applicators would take effect six 
    months after publication of the final rule. The Commission has no 
    additional information that would change this aspect of the proposed 
    effective date.
        Finger sprayer and extender. The Commission stated in the NPR that 
    it was aware of one packaging manufacturer that had developed a 
    prototype CR finger sprayer that the manufacturer believed could be 
    modified to pass senior adult effectiveness testing in approximately 12 
    months. The Commission also recognized that additional time might be 
    needed to provide commercial quantities of this type of packaging. 
    Thus, the Commission proposed an effective date with respect to metered 
    finger sprayer applicators and extenders that would be 12 months after 
    publication of the final rule. The Commission also proposed that if 
    additional time appeared necessary to produce commercial quantities of 
    these applicators, manufacturers could request a temporary stay of 
    enforcement for the finger sprayer and extender.
        As discussed above, the Commission received comments indicating 
    that more than 12 months would be necessary to convert to a CR metered 
    finger sprayer. Two commenters indicated that a design could be 
    modified, tested, and in commercial use in approximately 27 to
    
    [[Page 63607]]
    
    36 months. The Commission agrees that this time seems reasonable due to 
    the complexity of developing a finger sprayer that is metered and has 
    two CR features. Because companies will need to commit resources to 
    develop this type of packaging, companies may request a stay of 
    enforcement immediately after this final rule is published, and the 
    Commission would anticipate granting such requests until such time as 
    it determined that an enforcement stay were no longer appropriate. 
    Companies requesting a stay of enforcement should provide the 
    Commission with a timeline or schedule that will outline the steps they 
    will take to bring this type of CR packaging to commercial use. They 
    should include an estimated initial production date and current and 
    proposed packaging specifications.
    
    G. Regulatory Flexibility Act Certification
    
        When an agency undertakes a rulemaking proceeding, the Regulatory 
    Flexibility Act, 5 U.S.C. 601 et seq., generally requires the agency to 
    prepare proposed and final regulatory flexibility analyses describing 
    the impact of the rule on small businesses and other small entities. 
    Section 605 of the Act provides that an agency is not required to 
    prepare a regulatory flexibility analysis if the head of an agency 
    certifies that the rule will not have a significant economic impact on 
    a substantial number of small entities.
        As noted in the NPR, the Commission's Directorate for Economic 
    Analysis prepared a preliminary assessment of the impact of a rule to 
    require special packaging for topical minoxidil products containing 
    more than 14 mg of minoxidil in a single package. Based on this 
    assessment, the Commission concluded that the proposed requirement for 
    minoxidil products would not have a significant impact on a substantial 
    number of small businesses or other small entities. The Commission 
    requested additional information on the possible impact on small 
    business, but received no such comments. One commenter (not a small 
    business) supplied cost estimates for the CR finger sprayer. The 
    expected cost is not substantial relative to the retail cost of the 
    product. Moreover, the Commission is unaware of any small firms that 
    supply a finger sprayer with their product. Thus, the Commission 
    continues to conclude that the rule would not have a significant effect 
    on a substantial number of small entities.
    
    H. Environmental Considerations
    
        Pursuant to the National Environmental Policy Act, and in 
    accordance with the Council on Environmental Quality regulations and 
    CPSC procedures for environmental review, the Commission has assessed 
    the possible environmental effects associated with the proposed PPPA 
    requirements for minoxidil-containing products.
        In the NPR, the Commission concluded that the rule would have no 
    adverse effect on the environment and that neither an environmental 
    assessment nor an environmental impact statement is required. The 
    Commission has no information that would alter this conclusion.
    
    I. Executive Orders
    
        According to Executive Order 12988 (February 5, 1996), agencies 
    must state in clear language the preemptive effect, if any, of new 
    regulations.
        The PPPA provides that, generally, when a special packaging 
    standard issued under the PPPA is in effect, ``no State or political 
    subdivision thereof shall have any authority either to establish or 
    continue in effect, with respect to such household substance, any 
    standard for special packaging (and any exemption therefrom and 
    requirement related thereto) which is not identical to the [PPPA] 
    standard.'' 15 U.S.C. 1476(a). Upon application to the Commission, a 
    State or local standard may be excepted from this preemptive effect if 
    the State or local standard (1) provides a higher degree of protection 
    from the risk of injury or illness than the PPPA standard and (2) does 
    not unduly burden interstate commerce. In addition, the Federal 
    government, or a State or local government, may establish and continue 
    in effect a non-identical special packaging requirement that provides a 
    higher degree of protection than the PPPA requirement for a household 
    substance for the Federal, State or local government's own use. 15 
    U.S.C. 1476(b).
        Thus, with the exceptions noted above, the rule requiring CR 
    packaging for products containing more than 14 mg minoxidil would 
    preempt non-identical state or local special packaging standards for 
    such minoxidil containing products.
        In accordance with Executive Order 12612 (October 26, 1987), the 
    Commission certifies that the rule does not have sufficient 
    implications for federalism to warrant a Federalism Assessment.
    
    List of Subjects in 16 CFR Part 1700
    
        Consumer protection, Drugs, Infants and children, Packaging and 
    containers, Poison prevention, Toxic substances.
        For the reasons given above, the Commission amends 16 CFR part 1700 
    as follows:
    
    PART 1700--[AMENDED]
    
        1. The authority citation for part 1700 continues to read as 
    follows:
    
        Authority: Pub. L. 91-601, secs. 1-9, 84 Stat. 1670-74, 15 
    U.S.C. 1471-76. Secs 1700.1 and 1700.14 also issued under Pub. L. 
    92-573, sec. 30(a), 88 Stat. 1231, 15 U.S.C. 2079(a).
    
        2. Section 1700.14 is amended by adding new paragraph (a)(28) to 
    read as follows (although unchanged, the introductory text of paragraph 
    (a) is included below for context):
    
    
    Sec. 1700.14  Substances requiring special packaging.
    
        (a) Substances. The Commission has determined that the degree or 
    nature of the hazard to children in the availability of the following 
    substances, by reason of their packaging, is such that special 
    packaging meeting the requirements of Sec. 1700.20(a) is required to 
    protect children from serious personal injury or serious illness 
    resulting from handling, using, or ingesting such substances, and the 
    special packaging herein required is technically feasible, practicable, 
    and appropriate for these substances:
    * * * * *
        (28) Minoxidil. Minoxidil preparations for human use and containing 
    more than 14 mg of minoxidil in a single retail package shall be 
    packaged in accordance with the provisions of Sec. 1700.15(a), (b) and 
    (c). Any applicator packaged with the minoxidil preparation and which 
    it is reasonable to expect may be used to replace the original closure 
    shall also comply with the provisions of Sec. 1700.15(a), (b) and (c).
    * * * * *
        Dated: October 30, 1998.
    Sadye E. Dunn,
    Secretary, Consumer Product Safety Commission.
    
    List of Relevant Documents
    
        1. Briefing memorandum from Val Schaeffer, Ph.D., EH, to the 
    Commission, ``Proposed Rule to Require Child-Resistant Packaging for 
    Topical Minoxidil,'' February 10, 1998.
        2. Memorandum from Val Schaeffer, Ph.D., EH, to Marilyn Wind, 
    Ph.D., Director, Health Sciences Division, ``Toxicity Assessment of 
    Topical Minoxidil'' November 14, 1997.
        3. Memorandum from Marcia P. Robins, EC, to Val Schaeffer, 
    Ph.D., EH, ``Economic Considerations of a Proposal to Require Child-
    Resistant Packaging for Drug Preparations Containing Minoxidil,'' 
    January 5, 1998.
        4. Memorandum from Charles Wilbur, EH, to Val Schaeffer, Ph.D., 
    EH, ``Technical
    
    [[Page 63608]]
    
    Feasibility, Practicability, and Appropriateness Determination for 
    the Proposed Rule to Require Special Packaging for Products 
    Containing Minoxidil,'' December 16, 1997.
        5. Memorandum from Michael T. Bogumill, CRM, to Val Schaeffer, 
    Ph.D., EH, ``Special Packaging of Oral Prescription Drugs in Dropper 
    Bottles,'' December 17, 1997.
        6. Briefing memorandum from Suzanne Barone, Ph.D., EH, to the 
    Commission, ``Final Rule to Require Child-Resistant Packaging for 
    Topical Minoxidil,'' October 9, 1998.
        7. Memorandum from Martha A. Kosh, OS, Comments on the Proposed 
    Rule for Requirements for Child-resistant Packaging; Minoxidil 
    Preparation with More than 14 mg of Minoxidil per Package (CP98-3), 
    June 2, 1998.
        8. Memorandum from Charles Wilbur, EH, to Suzanne Barone, Ph.D., 
    EH, ``Technical Feasibility, Practicability, and Appropriateness 
    Determination for the Final Rule to Require Special Packaging for 
    Products Containing Minoxidil,'' August 21, 1998.
        9. Memorandum from Marcia P. Robins, EC, to Suzanne Barone, 
    Ph.D., EH, ``Child-Resistant Packaging for Preparations Containing 
    Minoxidil: Small Business Effects,'' August 24, 1998.
    
    [FR Doc. 98-29732 Filed 11-13-98; 8:45 am]
    BILLING CODE 6355-01-P
    
    
    

Document Information

Effective Date:
5/17/1999
Published:
11/16/1998
Department:
Consumer Product Safety Commission
Entry Type:
Rule
Action:
Final rule.
Document Number:
98-29732
Dates:
Effective May 17, 1999. For metered finger mechanical sprayer applicators and extender attachments, this rule will not apply until November 16, 1999. This rule applies to preparations packaged on or after those dates.
Pages:
63602-63608 (7 pages)
PDF File:
98-29732.pdf
CFR: (1)
16 CFR 1700.14