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Rule2026-20448

Medical Devices; Exemptions From Premarket Notification: Class II Devices; Certain Clinical Toxicology Test Systems

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Published
October 6, 2026
Effective
October 6, 2026

Issuing agencies

Health and Human Services DepartmentFood and Drug Administration

Abstract

The Food and Drug Administration (FDA) is publishing an order setting forth its final determination to exempt certain class II clinical toxicology test systems from premarket notification (510(k)) requirements, subject to certain limitations. This exemption from 510(k) requirements, subject to certain limitations, is immediately in effect for such devices. This exemption will decrease regulatory burdens on the medical device industry and will eliminate private costs and expenditures required to comply with certain Federal regulations. FDA is amending the classification language within the Code of Federal Regulations (CFR) for certain class II clinical toxicology test systems to reflect this final determination. FDA is publishing this order in accordance with the Federal Food, Drug, and Cosmetic Act (FD&C Act).

Full Text

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<title>Federal Register, Volume 91 Issue 192 (Tuesday, October 6, 2026)</title>
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[Federal Register Volume 91, Number 192 (Tuesday, October 6, 2026)]
[Rules and Regulations]
[Pages 63478-63487]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-20448]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

21 CFR Part 862

[Docket No. FDA-2026-N-4268]


Medical Devices; Exemptions From Premarket Notification: Class II 
Devices; Certain Clinical Toxicology Test Systems

AGENCY: Food and Drug Administration, HHS.

ACTION: Final amendment; final order.

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SUMMARY: The Food and Drug Administration (FDA) is publishing an order 
setting forth its final determination to exempt certain class II 
clinical toxicology test systems from premarket notification (510(k)) 
requirements, subject to certain limitations. This exemption from 
510(k) requirements, subject to certain limitations, is immediately in 
effect for such devices. This exemption will decrease regulatory 
burdens on the medical device industry and will eliminate private costs 
and expenditures required to comply with certain Federal regulations. 
FDA is amending the classification language within the Code of Federal 
Regulations (CFR) for certain class II clinical toxicology test systems 
to reflect this final determination. FDA is publishing this order in 
accordance with the Federal Food, Drug, and Cosmetic Act (FD&C Act).

DATES: This order is effective October 6, 2026.

FOR FURTHER INFORMATION CONTACT: Joseph Kotarek, Center for Devices and 
Radiological Health, Food and Drug Administration, 10903 New Hampshire 
Ave., Bldg. 66, Rm. 3528, Silver Spring, MD 20993, 301-796-2718, 
<a href="/cdn-cgi/l/email-protection#23694c5046534b0d684c5742514648634547420d4b4b500d444c55"><span class="__cf_email__" data-cfemail="0943667a6c79612742667d687b6c62496f6d682761617a276e667f">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION:

I. Background

    Under section 510(k) of the FD&C Act (21 U.S.C. 360(k)) and FDA's 
implementing regulations in part 807, subpart E of the CFR (21 CFR part 
807, subpart E), persons who are required to register and who propose 
to begin the introduction or delivery for introduction into interstate 
commerce for commercial distribution of a device intended for human use 
are required to submit a 510(k) to FDA. The device may not be marketed 
until FDA (we or the Agency) finds it ``substantially equivalent'' 
within the meaning of section 513(i) of the FD&C Act (21 U.S.C. 
360c(i)) to a legally marketed device that does not require premarket 
approval. A 510(k) is not required for devices in certain situations, 
such as when they have been exempted from that requirement under 
section 510(m) of the FD&C Act.
    The 21st Century Cures Act (Cures Act) (Pub. L. 114-255) was signed 
into law on December 13, 2016. Section 3054 of the Cures Act amended 
section 510(m) of the FD&C Act. As amended, section 510(m)(1)(A) of the 
FD&C Act requires that within 90 days of the date of enactment of the 
Cures Act, and at least once every 5 years thereafter (as FDA 
determines appropriate), FDA publish in the Federal Register a notice 
containing a list of each type of class II device that FDA determines 
no longer requires a report under section 510(k) of the FD&C Act to 
provide reasonable assurance of safety and effectiveness. After 
providing at least a 60-day public comment period, FDA must then 
publish in the Federal Register a list representing the final 
determination with respect to the devices contained in the list under 
section 510(m)(1)(B) of the FD&C Act. Additionally, section 510(m)(2) 
of the FD&C Act provides that FDA may exempt a class II device from the 
requirement to submit a report under section 510(k) of the FD&C Act, 
upon FDA's own initiative or a petition of an interested person, if FDA 
determines that a 510(k) is not necessary to assure the safety and 
effectiveness of the device. FDA must publish in the Federal Register a 
notice of intent to exempt a device, or of the petition, and provide a 
60-day period for public comment.
    Exemptions from premarket notification for certain clinical 
toxicology test systems, in addition to exemptions for other device 
types, were proposed and finalized in 2017. FDA published its initial 
notice for these clinical toxicology test systems under section 
510(m)(1)(A) of the FD&C Act in the Federal Register of March 14, 2017 
(82 FR 13609), and issued its final determination of exemption of the 
devices in a notice in accordance with section 510(m)(1)(B) of the FD&C 
Act in the Federal Register of July 11, 2017 (82 FR 31976). In the 
Federal Register of December 30, 2019 (84 FR 71794), FDA amended the 
relevant sections of the CFR to reflect the exemptions finalized in 
July 2017.
    In the Federal Register of May 1, 2026 (91 FR 23427) (``the May 
2026 notice''), FDA published a notice announcing its intent to expand 
the exemptions from premarket notification requirements for certain 
class II clinical toxicology test systems to additional devices within 
the device types and provided 60 days for interested persons to submit 
comments

[[Page 63479]]

by June 30, 2026. Specifically, FDA announced its intent to remove the 
exception for devices intended for Federal drug testing programs from 
the 510(k) exemptions for the clinical toxicology test systems 
identified in the May 2026 notice. FDA received comments from 
approximately 70 commenters during the 60-day comment period. FDA's 
responses to the timely received comments can be found in section III 
of this order. This final order sets forth our final determination to 
expand the exemptions for the class II clinical toxicology test systems 
that were the subject of the May 2026 notice. Through this action, FDA 
is amending the language for the identified classification regulations 
(21 CFR 862.3100(b), 862.3150(b), 862.3170(b), 862.3250(b), 
862.3270(b), 862.3580(b), 862.3610(b), 862.3620(b), 862.3630(b), 
862.3640(b), 862.3650(b), 862.3700(b), 862.3870(b), and 862.3910(b)) to 
reflect this final determination.\1\
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    \1\ FDA notes that the ``ACTION'' caption for this final order 
is styled as ``Final amendment; final order,'' rather than ``Final 
order.'' Beginning in December 2019, this editorial change was made 
to indicate that the document ``amends'' the Code of Federal 
Regulations. The change was made in accordance with the Office of 
Federal Register's (OFR) interpretations of the Federal Register Act 
(44 U.S.C. chapter 15), its implementing regulations (1 CFR 5.9 and 
parts 21 and 22), and the Document Drafting Handbook.
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    This final order is expected to result in decreased regulatory 
burdens on the medical device industry and will eliminate private costs 
and expenditures required to comply with certain Federal regulations. 
Specifically, regulated industry will no longer have to invest time and 
resources in 510(k) submissions for devices exempt from such 
requirements.

II. Factors FDA Generally Considers for Exemption

    There are a number of factors FDA generally considers to determine 
whether a 510(k) is necessary to provide reasonable assurance of the 
safety and effectiveness of a class II device. These factors are 
discussed in the January 21, 1998, Federal Register notice (63 FR 3142) 
and subsequently in the guidance the Agency issued on February 19, 
1998, titled ``Procedures for Class II Device Exemptions from Premarket 
Notification'' (Ref. 1).
    Accordingly, FDA generally considers the following factors to 
determine whether premarket notification is necessary or if an 
exemption would be appropriate for class II devices: (1) the device 
does not have a significant history of false or misleading claims or of 
risks associated with inherent characteristics of the device; (2) 
characteristics of the device necessary for its safe and effective 
performance are well established; (3) changes in the device that could 
affect safety and effectiveness will either (a) be readily detectable 
by users by visual examination or other means such as routine testing, 
before causing harm, or (b) not materially increase the risk of injury, 
incorrect diagnosis, or ineffective treatment; and (4) any changes to 
the device would not be likely to result in a change in the device's 
classification. FDA may also consider that, even when exempting devices 
from 510(k) requirements, these devices would still be subject to 
general limitations of exemptions. FDA's determinations that premarket 
notification is not necessary to provide a reasonable assurance of 
safety and effectiveness for class II devices are often based on the 
Agency's knowledge of the devices, including past experience and 
relevant reports or studies on device performance (as appropriate), the 
applicability of general and special controls, and the Agency's ability 
to limit an exemption, as discussed in section IV of this notice.

III. Comments on the Proposed Exemptions and FDA's Response

    In the May 2026 notice, FDA announced its intent to expand the 
510(k) exemptions for certain class II clinical toxicology test systems 
to additional devices within the device types, subject to certain 
limitations, upon its own initiative, and provided opportunity for 
interested persons to submit comments by June 30, 2026. After reviewing 
the comments received, FDA is now providing its final determination on 
expanding the 510(k) exemptions for the class II clinical toxicology 
test systems listed in table 1 to include devices intended for use in 
Federal drug testing programs, subject to certain limitations as 
identified in this order. FDA is also amending the codified language 
for the classification regulations for the class II clinical toxicology 
test systems listed in table 1 to reflect this final determination.
    In response to the May 2026 notice announcing FDA's intent to 
expand the 510(k) exemptions for certain class II clinical toxicology 
test systems, FDA received comments from approximately 70 commenters, 
including individuals, trade organizations, regulated industry, labor 
unions, and other interested parties. Some of the comments contained 
one or more comments on one or more issues.
    The order of the comments and our response to them is purely for 
organizational purposes and does not signify the comment's value or 
importance or the order in which comments were received. Certain 
comments are grouped together under a single number because the subject 
matter is similar. Please note that in some cases we separated 
different issues discussed by the same commenter and designated them as 
distinct comments for purposes of our responses.
    (Comment 1) The majority of commenters expressed support for the 
proposed expansion of the 510(k) exemptions. Commenters stated that 
they believed the proposal, if finalized, would reduce unnecessary 
regulatory burdens. Commenters noted that device manufacturers would no 
longer need to invest time and resources into 510(k) submissions for 
newly exempt test systems. Many commenters stated that there would be 
no drop-off in the quality or accuracy of test systems used in Federal 
drug testing programs should the exemptions be finalized, and one 
commenter added that unnecessary barriers to adoption of clinical 
toxicology test systems in Federal drug testing programs are a public 
safety concern. Several commenters described the proposal as ``a 
practical, overdue, and well-reasoned step toward a federal drug 
testing framework that reflects current science and operational 
reality.''
    (Response 1) FDA agrees with the commenters' support for the 
expansion of the 510(k) exemptions. In this order, FDA is finalizing 
the proposed exemptions without modification.
    (Comment 2) Some commenters requested clarification regarding the 
scope of the proposed expanded 510(k) exemptions included in the May 
2026 notice. Specifically, commenters asked whether a test system would 
be exempted from 510(k) requirements by the exemptions proposed in the 
May 2026 notice when the test system measures a different analyte, uses 
a different methodology, or has a different cutoff concentration than 
all already cleared devices in a generic device type included in the 
May 2026 notice. Another commenter asked FDA to clarify that a 
``Federal-program-specific predicate is not required for an eligible 
test system to fall within the exemption.'' Many comments encouraged 
FDA to liberally interpret the boundaries of the finalized exemptions.
    (Response 2) FDA encourages commenters to review the finalized 
partial limitations of exemption discussed in section IV of this order 
as well as Sec.  862.9 (21 CFR 862.9) (titled ``Limitations of 
exemptions from section 510(k) of the Federal Food, Drug, and Cosmetic 
Act (the act)''). Under Sec.  862.9(a), a device that otherwise

[[Page 63480]]

would fall within a 510(k) exemption is not exempt from 510(k) 
requirements when ``[t]he device is intended for a use different from 
the intended use of a legally marketed device in that generic type of 
device.'' As reflected in table 1, a test system must be intended for 
employment and insurance testing to fall within the 510(k) exemptions 
for the generic device types that are the subject of this order. 
Additionally, under Sec.  862.9(b), such a device is not exempt from 
510(k) requirements when the ``device operates using a different 
fundamental scientific technology than a legally marketed device in 
that generic type of device.'' These general limitations of exemption 
apply to generic device types exempted from 510(k) requirements by this 
order as well as other generic device types classified in 21 CFR part 
862.
    Whether a specific test system is or is not exempt from 510(k) 
requirements depends on the specifics of the test system. FDA 
encourages manufacturers who have questions about whether a specific 
test system is exempt from 510(k) requirements to discuss their test 
system with FDA. Manufacturers may consider submitting a request for 
information under section 513(g) of the FD&C Act (21 U.S.C. 360c(g)). 
For more information regarding section 513(g) of the FD&C Act requests 
for information, please see FDA's guidance document titled ``FDA and 
Industry Procedures for Section 513(g) Requests for Information under 
the Federal, Food, Drug, and Cosmetic Act'' (Ref. 2).
    (Comment 3) Multiple commenters requested that FDA clarify its 
authority around Federal drug testing programs and how this authority 
interacts with that of the Substance Abuse and Mental Health Services 
Administration (SAMHSA) and the National Laboratory Certification 
Program (NLCP). Other commenters requested that FDA, SAMHSA, and the 
NLCP coordinate to reduce regulatory requirements.
    (Response 3) FDA's Center for Devices and Radiological Health aims 
to assure that patients and providers have safe, effective, and high-
quality medical devices and safe radiation-emitting products. The term 
``device'' is defined under section 201(h) of the FD&C Act (21 U.S.C. 
321(h)) to mean, in relevant part, ``an instrument, apparatus, 
implement, machine, contrivance, implant, in vitro reagent, or other 
similar or related article, including any component, part, or 
accessory, which is-- . . . (B) intended for use in the diagnosis of 
disease or other conditions, or in the cure, mitigation, treatment, or 
prevention of disease, in man or other animals . . . and which does not 
achieve its primary intended purposes through chemical action within or 
on the body of man or other animals and which is not dependent upon 
being metabolized for the achievement of its primary intended 
purposes.''
    FDA does not administer or implement Federal drug testing programs. 
However, FDA regulates test systems used in Federal drug testing 
programs. Manufacturers and importers of devices such as clinical 
toxicology test systems may be subject to a variety of requirements 
under the FD&C Act and FDA's regulations, including establishment 
registration, device listing, 510(k), labeling, quality management 
system, and medical device reporting requirements. Class II devices 
that are 510(k) exempt are still subject to other applicable 
requirements.
    SAMHSA's Division of Workplace Programs oversees Federal drug-free 
workplace programs, which aim to eliminate illicit drug use in Federal 
workplaces. It also oversees the NLCP, which certifies laboratories to 
conduct forensic drug testing for Federal agencies and federally 
regulated industries. SAMHSA has published mandatory guidelines for 
drug testing for urine (88 FR 70768) and for oral fluid (88 FR 70814).
    FDA agrees that FDA, SAMHSA, and the NLCP should coordinate to best 
protect the public health, which may include reducing regulatory 
requirements where appropriate. In this final order, FDA is expanding 
the 510(k) exemptions for certain clinical toxicology test systems to 
include devices intended for Federal drug testing programs. Upon 
publication of this order, a 510(k) will no longer be required for such 
devices (subject to the general limitations of exemption under Sec.  
862.9 and the partial limitations of exemption identified in table 1).
    (Comment 4) Two commenters stated that test systems used for 
Federal drug testing programs are not devices because they do not meet 
the definition of a device in the FD&C Act, and therefore, these test 
systems are not subject to FDA regulation.
    (Response 4) FDA disagrees. As previously discussed in our response 
to comment 3, as defined in section 201(h) of the FD&C Act, the term 
``device'' means, in relevant part, ``an instrument, apparatus, 
implement, machine, contrivance, implant, in vitro reagent, or other 
similar or related article, including any component, part, or 
accessory, which is-- . . . (B) intended for use in the diagnosis of 
disease or other conditions, or in the cure, mitigation, treatment, or 
prevention of disease, in man or other animals . . . and which does not 
achieve its primary intended purposes through chemical action within or 
on the body of man or other animals and which is not dependent upon 
being metabolized for the achievement of its primary intended 
purposes.'' Drugs of abuse test systems, even when used for employment 
and insurance testing, are intended to provide information about a 
condition, namely, whether drugs of abuse are being used or have been 
used by the subject (see 65 FR 18230 at 18232). Therefore, the test 
systems newly exempted in this order are devices.
    (Comment 5) Some commenters stated that the May 2026 notice did not 
specify what standards would replace 510(k) requirements for the test 
systems newly exempted by this order.
    (Response 5) For clinical toxicology test systems that are newly 
exempted in this order, FDA has determined that a 510(k) is not 
necessary to assure the safety and effectiveness of the device, in 
accordance with section 510(m)(2) of the FD&C Act. Clinical toxicology 
test systems of the types listed in table 1 are therefore exempt from 
510(k) requirements, including when such test systems are intended for 
use in Federal drug testing programs, upon publication of this order, 
subject to the general limitations of exemption under Sec.  862.9 and 
the partial limitations of exemption identified in table 1. No 
standards or additional requirements replace 510(k) requirements for 
these devices. However, as discussed in our response to comment 3, 
510(k) exempt devices remain subject to other applicable regulatory 
requirements, including SAMHSA's mandatory guidelines, to the extent 
they are used in Federal drug testing programs.
    (Comment 6) Many commenters stated that finalizing the expansion of 
the 510(k) exemptions proposed in the May 2026 notice is a necessary 
step for the implementation of oral fluid testing in Federal drug 
testing programs, including those programs administered by SAMHSA and 
the Department of Transportation (DOT). Some comments questioned why, 
or expressed frustration that, oral fluid testing has not yet been 
``approved'' for use in these programs. Other commenters stated that 
delays in implementing oral fluid testing in Federal drug testing 
programs have had, and will continue to have, effects on transportation 
safety.
    (Response 6) FDA is expanding the 510(k) exemptions for the 
clinical toxicology test systems identified in table 1 of this order 
because, in consideration of the factors listed in section II of this 
order, FDA has

[[Page 63481]]

determined that a 510(k) is not necessary to assure the safety and 
effectiveness of these devices, subject to the general limitations of 
exemption under Sec.  862.9 and the partial limitations of exemption 
identified in table 1. While FDA understands that the expansion of the 
exemptions finalized in this order may facilitate the use of oral fluid 
testing in Federal drug testing programs, FDA does not oversee Federal 
drug testing programs (as noted in our response to comment 3) and so 
does not decide whether oral fluid testing may be used in such 
programs.
    (Comment 7) Some commenters stated that finalizing the expansion of 
the 510(k) exemptions proposed in the May 2026 notice is a necessary 
step for the implementation of hair testing in Federal drug testing 
programs, including those programs administered by SAMHSA and DOT.
    (Response 7) As noted in our response to comment 3, FDA does not 
oversee Federal drug testing programs and so does not decide whether 
hair testing may be used in such programs. Please see our response to 
comment 6.
    (Comment 8) Multiple commenters stated that in addition to the 
510(k) exemptions proposed in the May 2026 notice, FDA should exempt 
additional device types from 510(k) requirements, including test 
systems for phencyclidine (PCP); all class II clinical toxicology test 
systems intended for employment or insurance testing; all test systems 
used in Federal drug testing programs, including automatic additions 
when new drugs are added to Federal drug testing programs; unspecified 
additional test systems not intended for employment and insurance 
testing; and oral fluid collection devices.
    (Response 8) These comments are outside the scope of what was 
proposed in the May 2026 notice and are, therefore, outside the scope 
of this final order. FDA notes that the 510(k) exemptions in this order 
are being finalized under the authority of section 510(m)(2) of the 
FD&C Act, which allows FDA to exempt only class II devices from 510(k) 
requirements, yet some of the additional device types suggested by 
comments have not been classified into class II. In addition, some of 
the device types suggested by the comments have different safety and 
effectiveness profiles (e.g., oral fluid collection devices) than the 
test systems for which 510(k) exemptions are being finalized in this 
order. FDA has not made a determination that a 510(k) is not necessary 
to assure the safety and effectiveness of oral fluid collection 
devices; thus, finalizing a 510(k) exemption for them would not be 
appropriate. FDA notes that there are 510(k)-cleared oral fluid 
collection devices that may be used with test systems for any drug of 
abuse analyte.
    As indicated in table 1, the list of device types for which FDA is 
expanding 510(k) exemptions in this order is unchanged from the list 
proposed in the May 2026 notice.
    (Comment 9) One commenter requested clarification regarding product 
code DJG being listed in the non-exempt product codes in the May 2026 
notice and whether fentanyl test systems under product code DJG are 
exempt from 510(k) requirements if they are intended solely for 
employment and insurance testing. A different commenter requested 
clarification regarding whether fentanyl test systems are included in 
this order because fentanyl test systems were not mentioned by name in 
the May 2026 notice.
    (Response 9) While fentanyl test systems and test systems for other 
opioids were not mentioned by name in the May 2026 notice, such test 
systems generally fall within the classification regulation for opiate 
test systems (Sec.  862.3650), which is one of the generic device types 
for which FDA is expanding the 510(k) exemptions in this order. Under 
Sec.  862.3650(a), an opiate test system is a device intended to 
measure any of the addictive narcotic pain-relieving opiate drugs in 
blood, serum, urine, gastric contents, and saliva. Section 862.3650(a) 
also defines an opiate as any natural or synthetic drug that has 
morphine-like pharmacological actions. Test systems intended to test 
for fentanyl generally fall under this regulation. Therefore, fentanyl 
test systems intended for Federal drug testing programs are included in 
the 510(k) exemptions finalized in this order.
    Test systems that previously were designated under product code DJG 
will now fall under product code PVH and are 510(k) exempt if they do 
not exceed the limitations of exemption discussed in section IV of this 
order, including the limitation that the test system be intended for 
use solely in employment or insurance testing. For each product code 
listed in the ``Non-Exempt Product Codes'' column of table 1 of this 
order, there is a corresponding product code under the ``Exempt Product 
Code'' column in the same row. When a device in the generic device type 
does not exceed the limitations of exemption discussed in section IV of 
this order, then that device is 510(k) exempt and falls under the 
corresponding exempt product code.
    (Comment 10) One comment stated that the 510(k) exemption for 
opiate test systems (exempt product code PVH) should not include test 
systems for fentanyl and its analogs. This commenter implied that it is 
uniquely difficult to accurately test for fentanyl and its analogs 
compared to other drugs of abuse, and therefore, fentanyl test systems 
are not appropriate for 510(k) exemption.
    (Response 10) FDA disagrees. FDA's classification of opiate test 
systems includes test systems intended to test for fentanyl (see our 
response to Comment 9), and FDA has previously exempted opiate test 
systems, including test systems intended to test for fentanyl, from 
510(k) requirements subject to certain limitations. FDA does not 
believe that fentanyl test systems raise unique considerations above 
and beyond those that apply to other test systems in this order. In 
consideration of the factors which FDA generally considers to determine 
whether a 510(k) is necessary to provide reasonable assurance of the 
safety and effectiveness of a class II device (see section II of this 
order), FDA has determined to expand the 510(k) exemption that already 
exists for opiate test systems (including test systems intended to test 
for fentanyl) to include test systems intended for Federal drug testing 
programs.
    (Comment 11) Some commenters requested additional specificity 
regarding the labeling language needed to avoid exceeding the partial 
limitations of exemption applicable to all exemptions in this order, 
which state that the exemptions are limited to tests ``for which the 
test system labeling includes a statement that the device is intended 
solely for employment and insurance testing.''
    (Response 11) FDA does not believe it is necessary or appropriate 
to provide further specificity regarding the labeling statement 
identified in the partial limitations of exemption for the clinical 
toxicology test systems covered by this order. The commenters did not 
explain why they thought clarification of this statement was necessary 
or how the partial limitation as proposed in the May 2026 notice was 
unclear. A partial limitation of exemption indicates that FDA has 
determined that premarket notification is necessary to provide a 
reasonable assurance of safety and effectiveness for devices that 
exceed the limitation. Regarding the labeling statement at issue, FDA 
has determined that premarket notification is necessary if the labeling 
for the device does not indicate that the device is intended solely for 
employment and insurance testing, but FDA has not determined

[[Page 63482]]

that specific verbiage must be used for that statement. We therefore 
decline to provide additional specificity regarding the labeling 
statement identified in the partial limitations of exemption for these 
devices.
    (Comment 12) Some commenters requested that FDA exercise 
enforcement discretion regarding compliance with labeling requirements 
for test systems that were previously 510(k) exempt for employment and 
insurance testing, and that are labeled as not intended for use in 
Federal drug testing programs, when now intended for use in Federal 
drug testing programs consistent with the expanded 510(k) exemptions 
finalized by this order.
    (Response 12) FDA declines to adopt a general enforcement 
discretion policy as requested by these commenters. FDA expects the 
clinical toxicology test systems covered by this order, whether exempt 
from 510(k) requirements or not, to be labeled in accordance with all 
applicable labeling requirements under the FD&C Act and 21 CFR parts 
801 and 809, including that the labeling not be false or misleading.
    (Comment 13) Multiple commenters requested that FDA exercise 
enforcement discretion regarding 510(k) requirements for any test 
system used in Federal drug testing programs and subject to NLCP 
requirements, even when such test systems have not been exempted from 
510(k) requirements. Many of these commenters also requested that FDA 
``stop regulating'' devices intended for use in Federal drug testing 
programs and ``transfer'' any FDA authority over Federal drug testing 
programs to NLCP. In contrast, at least one commenter recommended that 
if FDA were ``to stop regulating'' test systems intended for use in 
Federal drug testing programs, FDA should not transfer its 
responsibilities to NLCP.
    (Response 13) FDA declines to adopt a general enforcement 
discretion policy for 510(k) requirements for all test systems used in 
Federal drug testing programs. FDA is expanding the exemptions from 
510(k) requirements for clinical toxicology test systems identified in 
this order to include test systems intended for use in Federal drug 
testing programs based on a determination that a 510(k) is not 
necessary to assure the safety and effectiveness of these devices 
(subject to the general limitations of exemption under Sec.  862.9 and 
the partial limitations of exemption identified in table 1). To the 
extent these comments are requesting or recommending that jurisdiction 
over these tests systems be transferred from FDA to another Federal 
agency, such comments are outside the scope of this final order and 
would require statutory changes by Congress. In addition, FDA considers 
aspects of these comments to arise from a mistaken premise that FDA 
oversees Federal drug testing programs and can transfer that authority 
to another agency. That is not the case. As noted in response 3, FDA 
regulates devices used in Federal drug testing programs but does not 
oversee Federal drug testing programs themselves.
    (Comment 14) Some commenters stated their belief that if the 
expansion of the exemptions proposed in the May 2026 notice is 
finalized, the quality of test systems could decrease, including worse 
accuracy and reliability, because the devices will no longer undergo 
premarket review. One commenter suggested expanding the exemptions 
could lead to decreased confidence in the accuracy of Federal drug 
testing. Other commenters opposed the expansion of the 510(k) 
exemptions because the commenters believed expanding the exemptions 
could lead to increased medical device fraud.
    (Response 14) FDA disagrees that the quality of test systems 
available for Federal drug testing programs will decrease due to the 
expansion of the exemptions from 510(k) requirements finalized in this 
order or that fraudulent devices will enter the market because of the 
expansion of the exemptions. FDA has determined that premarket 
notification is not necessary to assure the safety and effectiveness of 
the class II clinical toxicology test systems subject to the 
limitations outlined in table 1. While 510(k) exempt test systems 
intended for use in Federal drug testing programs generally will no 
longer be subject to FDA premarket review requirements, they remain 
subject to other requirements under the FD&C Act and FDA's regulations 
as discussed in our response to comment 3, including quality management 
system requirements, medical device reporting requirements, and 
labeling requirements. In addition, laboratories that test samples for 
Federal drug testing programs are subject to requirements associated 
with Federal drug testing programs and overseen by SAMHSA, including 
the mandatory guidelines. These requirements may allow interested 
parties to remain confident in the accuracy of Federal drug testing 
programs.
    (Comment 15) Some commenters did not support the expansion of the 
510(k) exemptions proposed in the May 2026 notice because they believed 
that the expansion could lead to increased highway safety incidents, 
including increased crashes, injuries, and/or loss of life. The 
commenters believed that without premarket review, new exempt test 
systems that are not currently on the market may fail to correctly 
detect positive samples that would be detected by test systems 
currently used in Federal drug testing programs. Commenters also 
expressed similar concerns about other industries subject to DOT 
testing, including aviation, rail, transit, and maritime industries.
    (Response 15) FDA disagrees with comments that suggest that 
expanding the 510(k) exemptions to include test systems intended for 
use in Federal drug testing programs will likely cause harm by leading 
to an increased frequency of highway crashes or other mishaps caused by 
impaired/intoxicated workers. These comments appear to be premised on 
the belief that once premarket review of certain test systems intended 
for use in Federal drug testing programs is no longer required, the 
test systems will less accurately detect positive samples. However, as 
noted in our response to comment 14, we disagree with that premise, 
including because other applicable requirements will help to ensure the 
safety and effectiveness of these test systems and the accuracy of 
testing conducted under Federal drug testing programs. In addition to 
the controls imposed by SAMHSA as discussed in response 14, applicable 
requirements under the FD&C Act and FDA regulations besides premarket 
review requirements will continue to apply to the test systems being 
made 510(k) exempt in this order. For example, manufacturers of test 
systems exempted from 510(k) requirements by this order remain subject 
to establishment registration, device listing, quality management 
system, and device labeling requirements, among other requirements and 
as applicable (see generally 21 CFR parts 801, 803, 807, 809, and 820). 
FDA therefore does not believe this order will result in newly exempted 
test systems lacking reasonable effectiveness in detecting positive 
samples.
    (Comment 16) One commenter stated that they were opposed to the 
expansion of the 510(k) exemptions proposed in the May 2026 notice 
because, in their view, FDA caused injury in other contexts by lifting 
restrictions on medications, and they believed that expansion of the 
exemptions could similarly cause injury.
    (Response 16) We are not clear as to what actions or events the 
commenter was referencing when stating that FDA has ``gotten people 
killed or severely sick'' by lifting restrictions on medications. 
Nevertheless, FDA disagrees that expanding the 510(k)

[[Page 63483]]

exemptions for the clinical toxicology test systems identified in this 
order to include when such test systems are intended for use in Federal 
drug testing programs is likely to cause harm to patients. The 
expansion of the exemptions only applies to test systems that are 
intended for employment and insurance testing. While these test systems 
are intended to provide information about a condition, namely, whether 
drugs of abuse are being used or have been used by the subject, these 
test systems are not intended to be used to make treatment decisions. 
Therefore, FDA does not agree that the expansion of the exemptions 
finalized in this order is likely to cause harm to patients.
    (Comment 17) A few commenters stated that finalizing the expansion 
of the exemptions proposed in the May 2026 notice could cause potential 
disruption to existing Federal drug testing programs or unintended 
compliance challenges for interested parties in the drug testing 
industry.
    (Response 17) FDA disagrees with these comments. Tests systems 
intended for use in Federal drug testing programs that were previously 
authorized by FDA can continue to be used in such programs (assuming 
compliance with other applicable laws). The final order will enable 
additional test systems intended for Federal drug testing programs to 
be legally marketed without first obtaining 510(k) clearance from FDA. 
Therefore, FDA does not agree that finalization of this order could 
cause disruption to existing Federal drug testing programs.
    (Comment 18) One commenter alleged that non-Federal workplace drug 
testing programs are often poorly run, and that the expansion of the 
510(k) exemptions for the clinical toxicology test systems identified 
in this order, to include such test systems when intended for use in 
Federal drug testing programs, would open Federal drug testing programs 
to poor management seen in these other programs.
    (Response 18) FDA does not agree that the finalization of the 
exemptions in this order will likely affect the management quality of 
Federal drug testing programs. This order exempts certain clinical 
toxicology test systems intended for use in Federal drug testing 
programs from FDA's 510(k) requirements but does not otherwise affect 
Federal drug testing programs, including the management thereof. FDA 
believes that the only effect this order will have on Federal drug 
testing programs is the possible increase in the number of test systems 
that may be utilized in such programs.
    (Comment 19) Some commenters urged FDA to finalize the expansion of 
the exemptions proposed in the May 2026 notice as soon as possible.
    (Response 19) FDA agrees with the commenters that the expansion of 
the exemptions proposed in the May 2026 notice should be finalized. The 
comment period regarding the expansion of the exemptions proposed in 
the May 2026 notice closed on June 30, 2026. FDA has worked to finalize 
this order as soon as was practicable following consideration of the 
comments submitted on the May 2026 notice.
    (Comment 20) One commenter requested that FDA open a docket 
regarding how it assigns product codes for ``[F]ederally mandated 
workplace drug test system devices.'' This commenter indicated that an 
analyte-specific categorization framework may be inconsistent with 
modern drug testing systems which generally rely on multi-analyte 
platforms.
    (Response 20) As explained in FDA's guidance document titled 
``Medical Device Classification Product Codes'' (the Product Codes 
guidance), ``[c]lassification product codes are a method of internally 
classifying and tracking medical devices'' (Ref. 3). The Product Codes 
guidance states that product codes are assigned and maintained by the 
Agency, and are used to, among other things, ``help to delineate 
technology and indication subgroups within a regulation.'' FDA 
currently does not intend to open a docket regarding product code 
assignment. However, as stated in the Product Codes guidance, ``[a]s 
technology changes and 510(k) review practice evolves, some 
classification product codes may become obsolete. In some cases, 
product code definitions may be updated to accommodate new 
technology.'' As technology continues to evolve, FDA may consider 
modifications to the product codes assigned to the clinical toxicology 
test systems covered in this order.
    (Comment 21) Various comments expressed displeasure with the 
commenters' personal circumstances connected to failed (or invalid) 
drug tests administered as part of a Federal drug testing program and/
or displeasure with how SAMHSA, the NLCP, the DOT, and other non-FDA 
organizations administer and/or regulate Federal drug testing programs. 
Many of these comments were addressed to entities other than FDA. These 
comments did not address the expansion of the exemptions proposed in 
the May 2026 notice.
    (Response 21) These comments are outside the scope of the May 2026 
notice and this order. As discussed in more detail in comment 3, FDA 
does not oversee Federal drug testing programs.

IV. Limitations of Exemptions

    FDA has determined that premarket notification is not necessary to 
assure the safety and effectiveness of the class II clinical toxicology 
test systems subject to the limitations outlined in table 1. This 
determination is based, in part, on the Agency's knowledge of the 
devices, including past experience and relevant reports or studies on 
device performance (as appropriate), the applicability of general and 
special controls, and the Agency's ability to limit an exemption.

A. General Limitations of Exemptions

    The exemptions from premarket notification requirements for the 
class II device types listed in table 1 apply only to those devices 
that have existing or reasonably foreseeable characteristics of 
commercially distributed devices within that generic type or, in the 
case of in vitro diagnostics, only to the extent that misdiagnosis as a 
result of using the device would not be associated with high morbidity 
or mortality (see Sec.  862.9). Thus, a manufacturer of a device listed 
in this order will still be required to submit a premarket notification 
to FDA before introducing a device or delivering it for introduction 
into interstate commerce for commercial distribution when the device 
exceeds any of the limitations of exemptions described in Sec.  862.9.

B. Partial Limitations of Exemptions

    In addition to the general limitations described in section IV.A of 
this notice, partial limitations may limit an exemption from premarket 
notification requirements to specific devices within a device type. In 
such situations where a partial limitation of the exemption has been 
identified, FDA has determined that premarket notification is necessary 
to assure the safety and effectiveness for devices that exceed the 
limitations.
    Prior to issuance of this order, the classification regulations 
listed in table 1 already included an exemption from 510(k) 
requirements (subject to the general limitations in Sec.  862.9 as 
discussed in section IV.A of this notice) ``provided the test system is 
intended for employment and insurance testing and includes a statement 
in the labeling that the device is intended solely for use in 
employment and insurance testing,'' and as long as the device was not 
intended for use in Federal drug testing

[[Page 63484]]

programs.\2\ In this order, FDA is removing the exception to the 510(k) 
exemption for devices intended for Federal drug testing programs. As 
such, devices in the device types listed in table 1 are exempt from 
510(k) requirements even if intended for use in Federal drug testing 
programs as long as they do not exceed any of the general limitations 
of exemptions in Sec.  862.9, and provided the test system is intended 
for employment and insurance testing and includes a statement in the 
labeling that the device is intended solely for use in employment and 
insurance testing, as described in table 1.
---------------------------------------------------------------------------

    \2\ 21 CFR 862.3100, 862.3150, 862.3170, 862.3250, 862.3270, 
862.3580, 862.3610, 862.3620, 862.3630, 862.3640, 862.3650, 
862.3700, 862.3870, and 862.3910; 84 FR 71794. Federal drug testing 
programs include, for example, programs run by the Substance Abuse 
and Mental Health Services Administration (SAMHSA), the Department 
of Transportation (DOT), and the U.S. military.
---------------------------------------------------------------------------

    When FDA finalized the partial exemptions from 510(k) requirements 
that were in effect for the classification regulations listed in table 
1 prior to issuance of this order, FDA assigned new product codes to 
ensure that exempt and non-exempt devices within a device type would 
have separate product codes (82 FR 31976 at 31977). FDA will continue 
to use the previously established product codes; however, the 
definitions of the product codes for exempt devices will be modified to 
accurately reflect the scope of the exemption,\3\ and devices which are 
newly exempt will change from a non-exempt product code to the 
corresponding exempt product code.
---------------------------------------------------------------------------

    \3\ For example, prior to issuance of this order, the definition 
for product code PUX (Test, Amphetamine, Employment and Insurance 
Testing, Exempt) included a reference to 82 FR 31976 (the action 
establishing the exemption). Following publication of this order, 
this reference, and corresponding ones for the other 510(k)-exempt 
product codes, will be replaced with a reference to this order which 
codifies the expanded scope of the exemption.
---------------------------------------------------------------------------

V. List of Class II Devices

    FDA has determined that premarket notification is not necessary to 
assure the safety and effectiveness of clinical toxicology test systems 
of the types listed in table 1 when they are intended for Federal drug 
testing programs (see ``New Partial Limitations'' listed in table 1). 
Devices in the device types listed in table 1 no longer require 
premarket notification under section 510(k) of the FD&C Act when they 
are intended for Federal drug testing programs, so long as they do not 
exceed the partial limitations of exemptions specified in table 1 and 
the corresponding general limitations of exemptions found in Sec.  
862.9.

                                                                Table 1--Class II Devices
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                           Exempt product    Non-exempt product  Partial limitations prior to issuance of this
  21 CFR section    Generic device type         code               codes                             order                       New partial limitations
--------------------------------------------------------------------------------------------------------------------------------------------------------
862.3100..........  Amphetamine test     PUX..............  DIT, DJL, DJP, DKZ,  Exemption is limited to test systems intended  Exemption is limited to
                     system.                                 DNI, DOD, DPJ,       to measure amphetamine for employment and      test systems intended
                                                             NFT, NVI, OIW.       insurance testing and for which the test       to measure amphetamine
                                                                                  system labeling includes a statement that      for employment and
                                                                                  the device is intended solely for employment   insurance testing and
                                                                                  and insurance testing, and does not include    for which the test
                                                                                  devices intended for Federal drug testing      system labeling
                                                                                  programs.                                      includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3150..........  Barbiturate test     PUY..............  DIS, DJN, DKN, DKX,  Exemption is limited to test systems intended  Exemption is limited to
                     system.                                 DLX, DMF, KZY, PTH.  to measure barbiturates for employment and     test systems intended
                                                                                  insurance testing and for which the test       to measure barbiturates
                                                                                  system labeling includes a statement that      for employment and
                                                                                  the device is intended solely for employment   insurance testing and
                                                                                  and insurance testing, and does not include    for which the test
                                                                                  devices intended for Federal drug testing      system labeling
                                                                                  programs.                                      includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3170..........  Benzodiazepine test  PUZ..............  JXM, KZZ, LAA, LAB,  Exemption is limited to test systems intended  Exemption is limited to
                     system.                                 NFV.                 to measure any of the benzodiazepine           test systems intended
                                                                                  compounds for employment and insurance         to measure any of the
                                                                                  testing and for which the test system          benzodiazepine
                                                                                  labeling includes a statement that the         compounds for
                                                                                  device is intended solely for employment and   employment and
                                                                                  insurance testing, and does not include        insurance testing and
                                                                                  devices intended for Federal drug testing      for which the test
                                                                                  programs.                                      system labeling
                                                                                                                                 includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3250..........  Cocaine and cocaine  PVA..............  DIN, DIO, DIR, DLN,  Exemption is limited to test systems intended  Exemption is limited to
                     metabolite test                         DMN, DNG, DOM,       to measure cocaine and a cocaine metabolite    test systems intended
                     system.                                 JXO, KLN, LAC, NFY.  (benzoylecgonine) for employment and           to measure cocaine and
                                                                                  insurance testing and for which the test       a cocaine metabolite
                                                                                  system labeling includes a statement that      (benzoylecgonine) for
                                                                                  the device is intended solely for employment   employment and
                                                                                  and insurance testing, and does not include    insurance testing and
                                                                                  devices intended for Federal drug testing      for which the test
                                                                                  programs.                                      system labeling
                                                                                                                                 includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3270..........  Codeine test system  PVB..............  DLD, LAD, LAE......  Exemption is limited to test systems intended  Exemption is limited to
                                                                                  to measure codeine for employment and          test systems intended
                                                                                  insurance testing and for which the test       to measure codeine for
                                                                                  system labeling includes a statement that      employment and
                                                                                  the device is intended solely for employment   insurance testing and
                                                                                  and insurance testing, and does not include    for which the test
                                                                                  devices intended for Federal drug testing      system labeling
                                                                                  programs.                                      includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3580..........  Lysergic acid        PVC..............  DLB, DOL...........  Exemption is limited to test systems intended  Exemption is limited to
                     diethylamide (LSD)                                           to measure LSD for employment and insurance    test systems intended
                     test system.                                                 testing and for which the test system          to measure LSD for
                                                                                  labeling includes a statement that the         employment and
                                                                                  device is intended solely for employment and   insurance testing and
                                                                                  insurance testing, and does not include        for which the test
                                                                                  devices intended for Federal drug testing      system labeling
                                                                                  programs.                                      includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.

[[Page 63485]]

 
862.3610..........  Methamphetamine      PVD..............  DJC, LAF, LAG, NGG.  Exemption is limited to test systems intended  Exemption is limited to
                     test system.                                                 to measure methamphetamine for employment      test systems intended
                                                                                  and insurance testing and for which the test   to measure
                                                                                  system labeling includes a statement that      methamphetamine for
                                                                                  the device is intended solely for employment   employment and
                                                                                  and insurance testing, and does not include    insurance testing and
                                                                                  devices intended for Federal drug testing      for which the test
                                                                                  programs.                                      system labeling
                                                                                                                                 includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3620..........  Methadone test       PVE..............  DIW, DJR, DKR, DMB,  Exemption is limited to test systems intended  Exemption is limited to
                     system.                                 DNT, DPP, PTG.       to measure methadone for employment and        test systems intended
                                                                                  insurance testing and for which the test       to measure methadone
                                                                                  system labeling includes a statement that      for employment and
                                                                                  the device is intended solely for employment   insurance testing and
                                                                                  and insurance testing, and does not include    for which the test
                                                                                  devices intended for Federal drug testing      system labeling
                                                                                  programs.                                      includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3630..........  Methaqualone test    PVF..............  KXS................  Exemption is limited to test systems intended  Exemption is limited to
                     system.                                                      to measure methaqualone for employment and     test systems intended
                                                                                  insurance testing and for which the test       to measure methaqualone
                                                                                  system labeling includes a statement that      for employment and
                                                                                  the device is intended solely for employment   insurance testing and
                                                                                  and insurance testing, and does not include    for which the test
                                                                                  devices intended for Federal drug testing      system labeling
                                                                                  programs.                                      includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3640..........  Morphine test        PVG..............  DIQ, DJJ, DLR, DMY,  Exemption is limited to test systems intended  Exemption is limited to
                     system.                                 DNA, DNK, DOE,       to measure morphine and its analogs for        test systems intended
                                                             DOK, DPK, NGI.       employment and insurance testing and for       to measure morphine and
                                                                                  which the test system labeling includes a      its analogs for
                                                                                  statement that the device is intended solely   employment and
                                                                                  for employment and insurance testing, and      insurance testing and
                                                                                  does not include devices intended for          for which the test
                                                                                  Federal drug testing programs.                 system labeling
                                                                                                                                 includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3650..........  Opiate test system.  PVH..............  DJF, DJG, DKT, DLT,  Exemption is limited to test systems intended  Exemption is limited to
                                                             LAH, LAI, NGL.       to measure any of the addictive narcotic       test systems intended
                                                                                  pain-relieving opiate drugs for employment     to measure any of the
                                                                                  and insurance testing and for which the test   addictive narcotic pain-
                                                                                  system labeling includes a statement that      relieving opiate drugs
                                                                                  the device is intended solely for employment   for employment and
                                                                                  and insurance testing, and does not include    insurance testing and
                                                                                  devices intended for Federal drug testing      for which the test
                                                                                  programs.                                      system labeling
                                                                                                                                 includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3700..........  Propoxyphene test    PVI..............  DPN, JXN, LAJ, LAK,  Exemption is limited to test systems intended  Exemption is limited to
                     system.                                 QBF.                 to measure propoxyphene for employment and     test systems intended
                                                                                  insurance testing and for which the test       to measure propoxyphene
                                                                                  system labeling includes a statement that      for employment and
                                                                                  the device is intended solely for employment   insurance testing and
                                                                                  and insurance testing, and does not include    for which the test
                                                                                  devices intended for Federal drug testing      system labeling
                                                                                  programs.                                      includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3870..........  Cannabinoid test     PVJ..............  DKE, LAT, LDJ, NFW.  Exemption is limited to test systems intended  Exemption is limited to
                     system.                                                      to measure any of the cannabinoids for         test systems intended
                                                                                  employment and insurance testing and for       to measure any of the
                                                                                  which the test system labeling includes a      cannabinoids for
                                                                                  statement that the device is intended solely   employment and
                                                                                  for employment and insurance testing, and      insurance testing and
                                                                                  does not include devices intended for          for which the test
                                                                                  Federal drug testing programs.                 system labeling
                                                                                                                                 includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
862.3910..........  Tricyclic            PVK..............  LFG, LFH, LFI, MLK,  Exemption is limited to test systems intended  Exemption is limited to
                     antidepressant                          QAW.                 to measure any of the tricyclic                test systems intended
                     drugs test system.                                           antidepressant drugs for employment and        to measure any of the
                                                                                  insurance testing and for which the test       tricyclic
                                                                                  system labeling includes a statement that      antidepressant drugs
                                                                                  the device is intended solely for employment   for employment and
                                                                                  and insurance testing, and does not include    insurance testing and
                                                                                  devices intended for Federal drug testing      for which the test
                                                                                  programs.                                      system labeling
                                                                                                                                 includes a statement
                                                                                                                                 that the device is
                                                                                                                                 intended solely for
                                                                                                                                 employment and
                                                                                                                                 insurance testing.
--------------------------------------------------------------------------------------------------------------------------------------------------------

VI. Analysis of Environmental Impact

    We have determined under 21 CFR 25.30(h) that this action is of a 
type that does not normally have a significant effect on the human 
environment. Therefore, neither an environmental assessment nor an 
environmental impact statement is required.

VII. Paperwork Reduction Act of 1995

    FDA concludes that this final order contains no new collection of 
information. This final order refers to previously approved collections 
of information. These collections of information are subject to review 
by the Office of Management and Budget (OMB) under the Paperwork 
Reduction Act of 1995 (44 U.S.C. 3501-3521). The collections of 
information in part 807, subpart E, regarding premarket notification 
submissions, have been approved under OMB control number 0910-0120, the 
collections of information in 21 CFR parts 801 and 809, regarding 
device labeling, have been approved under OMB control number 0910-0485, 
and the collections of information in 21 CFR part 820, regarding 
quality management system regulation, have been approved under OMB 
control number 0910-0073.

VIII. References

    The following references are on display at the Dockets Management

[[Page 63486]]

Staff, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852, and are 
available for viewing by interested persons between 9 a.m. and 4 p.m., 
Monday through Friday; they are also available electronically at 
<a href="https://www.regulations.gov">https://www.regulations.gov</a>. Although FDA verified the website 
addresses in this document, please note that websites are subject to 
change over time.

1. FDA Guidance, ``Procedures for Class II Device Exemptions from 
Premarket Notification,'' February 19, 1998, available at <a href="https://www.fda.gov/media/72685/download">https://www.fda.gov/media/72685/download</a>.
2. FDA Guidance, ``FDA and Industry Procedures for Section 513(g) 
Requests for Information Under the Federal, Food, Drug, and Cosmetic 
Act,'' August 23, 2024, available at <a href="https://www.fda.gov/media/78456/download">https://www.fda.gov/media/78456/download</a>.
3. FDA Guidance, ``Medical Device Classification Product Codes,'' 
April 11, 2013, available at <a href="https://www.fda.gov/media/82781/download">https://www.fda.gov/media/82781/download</a>.

List of Subjects in 21 CFR Part 862

    Medical devices.

    Therefore, under the Federal Food, Drug, and Cosmetic Act and under 
authority delegated to the Commissioner of Food and Drugs, 21 CFR part 
862 is amended as follows:

PART 862--CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES

0
1. The authority citation for part 862 continues to read as follows:

    Authority: 21 U.S.C. 351, 360, 360c, 360e, 360j, 360l, 371.

0
2. In Sec.  862.3100, revise paragraph (b) to read as follows:


Sec.  862.3100  Amphetamine test system.

* * * * *
    (b) Classification. Class II (special controls). An amphetamine 
test system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
3. In Sec.  862.3150, revise paragraph (b) to read as follows:


Sec.  862.3150  Barbiturate test system.

* * * * *
    (b) Classification. Class II (special controls). A barbiturate test 
system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
4. In Sec.  862.3170, revise paragraph (b) to read as follows:


Sec.  862.3170   Benzodiazepine test system.

* * * * *
    (b) Classification. Class II (special controls). A benzodiazepine 
test system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
5. In Sec.  862.3250, revise paragraph (b) to read as follows:


Sec.  862.3250  Cocaine and cocaine metabolite test system.

* * * * *
    (b) Classification. Class II (special controls). A cocaine and 
cocaine metabolite test system is not exempt if it is intended for any 
use other than employment or insurance testing. The device is exempt 
from the premarket notification procedures in subpart E of part 807 of 
this chapter subject to the limitations in Sec.  862.9, provided the 
test system is intended for employment and insurance testing and 
includes a statement in the labeling that the device is intended solely 
for use in employment and insurance testing.

0
6. In Sec.  862.3270, revise paragraph (b) to read as follows:


Sec.  862.3270   Codeine test system.

* * * * *
    (b) Classification. Class II (special controls). A codeine test 
system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
7. In Sec.  862.3580, revise paragraph (b) to read as follows:


Sec.  862.3580  Lysergic acid diethylamide (LSD) test system.

* * * * *
    (b) Classification. Class II (special controls). A lysergic acid 
diethylamide (LSD) test system is not exempt if it is intended for any 
use other than employment or insurance testing. The device is exempt 
from the premarket notification procedures in subpart E of part 807 of 
this chapter subject to the limitations in Sec.  862.9, provided the 
test system is intended for employment and insurance testing and 
includes a statement in the labeling that the device is intended solely 
for use in employment and insurance testing.

0
8. In Sec.  862.3610, revise paragraph (b) to read as follows:


Sec.  862.3610   Methamphetamine test system.

* * * * *
    (b) Classification. Class II (special controls). A methamphetamine 
test system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
9. In Sec.  862.3620, revise paragraph (b) to read as follows:


Sec.  862.3620  Methadone test system.

* * * * *
    (b) Classification. Class II (special controls). A methadone test 
system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
10. In Sec.  862.3630, revise paragraph (b) to read as follows:


Sec.  862.3630  Methaqualone test system.

* * * * *
    (b) Classification. Class II (special controls). A methaqualone 
test system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and

[[Page 63487]]

includes a statement in the labeling that the device is intended solely 
for use in employment and insurance testing.

0
11. In Sec.  862.3640, revise paragraph (b) to read as follows:


Sec.  862.3640  Morphine test system.

* * * * *
    (b) Classification. Class II (special controls). A morphine test 
system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
12. In Sec.  862.3650, revise paragraph (b) to read as follows:


Sec.  862.3650   Opiate test system.

* * * * *
    (b) Classification. Class II (special controls). An opiate test 
system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
13. In Sec.  862.3700, revise paragraph (b) to read as follows:


Sec.  862.3700  Propoxyphene test system.

* * * * *
    (b) Classification. Class II (special controls). A propoxyphene 
test system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
14. In Sec.  862.3870, revise paragraph (b) to read as follows:


Sec.  862.3870   Cannabinoid test system.

* * * * *
    (b) Classification. Class II (special controls). A cannabinoid test 
system is not exempt if it is intended for any use other than 
employment or insurance testing. The device is exempt from the 
premarket notification procedures in subpart E of part 807 of this 
chapter subject to the limitations in Sec.  862.9, provided the test 
system is intended for employment and insurance testing and includes a 
statement in the labeling that the device is intended solely for use in 
employment and insurance testing.

0
15. In Sec.  862.3910, revise paragraph (b) to read as follows:


Sec.  862.3910   Tricyclic antidepressant drugs test system.

* * * * *
    (b) Classification. Class II (special controls). A tricyclic 
antidepressant drugs test system is not exempt if it is intended for 
any use other than employment or insurance testing. The device is 
exempt from the premarket notification procedures in subpart E of part 
807 of this chapter subject to the limitations in Sec.  862.9, provided 
the test system is intended for employment and insurance testing and 
includes a statement in the labeling that the device is intended solely 
for use in employment and insurance testing.

Grace R. Graham,
Deputy Commissioner for Policy, Legislation, and International Affairs.
[FR Doc. 2026-20448 Filed 10-5-26; 8:45 am]
BILLING CODE 4164-01-P


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Indexed from Federal Register on October 6, 2026.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.