Wedgewood Village Pharmacy, Inc., in the Matter of Establishment Inspection Of: D/B/A Wedgewood Pharmacy v. United StatesWedgewood Village Pharmacy, Inc., in the Matter of Establishment Inspection Of: D/B/A Wedgewood Pharmacy v. United States
Wеdgewood Village Pharmacy appeals the District Court’s order affirming the Magistrate Judge’s denial of Wedgewood’s motion to quash an administrative warrant issued to agents of the Food and Drug Administration. Wedgewood argues that it is exempt from FDA inspection under provisions of the Food, Drug, and Cosmetic Act (the “FDCA”), 21 U.S.C. § 301 et seq. Wedgewood also contends that it was denied procedural due process. For the reasons that follow, we hold that Wedge-wood was not exempt from FDA inspection under the FDCA, and that issuance of the warrant did not deny Wedgewood procedural due process. Accordingly, we will affirm the decision of the District Court.
I. Background
Wedgewood is a pharmacy specializing in compounding drugs used for treating humans and animals. “Comрounding” refers to the process of modifying prescription drugs to meet the specific needs of individual patients.
Drug compounding is a process by which a pharmacist or doctor combines, mixes, or alters ingredients to create a medication tailored to the needs of an individual patient. Compounding is typically used to prepare medications that are not commercially available, such as medication for a patient who is allergic to an ingredient in a mass-produced product. It is a traditional component of the practice of pharmacy, and is taught as part of the standard curriculum at most pharmacy schools....
Pursuant to the regulatory authority of the FDCA and concerns that had been raised about the scope and nature of Wedgewood’s drug compounding and related activities, on March 10, 2003, FDA Agent Margaret Sands applied for a warrant to inspect Wedgewood’s facilities. In her warrant application, Sands stated that the FDA sought to:
have access to production and distribution records to determine the extent to which [Wedgewood’s] activities are consistent with those of a drug manufacturer rather than a retail pharmacy, and to evaluate the extent of violations of the [FDCA], including the new drug and new animal drug approval requirements, and the Act’s adulteration provisions.”
App. A14.
In the warrant application, the FDA cited several reasons for the inspection, and noted that the DEA had requested FDA assistance for an inter-agency investigation of Wedgewood because of the pharmacy’s failure to report the theft of certain controlled substances that were believed to have been consumed in several overdoses by high school students in October, 2001. App. A03. 1
Although the FDCA provides pharmacies with a limited exemption from intrusive inspection subject to certain conditions, the FDA asserted in its application that Wedgewood did not qualify for the exemption because Wedgewood was not operating strictly as a retail business as is required for the statutory exemption. The application asserted that: in early 1998, Wedgewood had shipped over 1,000 vials of Poison Ivy Extract without receiving the requisite prescriptions for specific patients; in May 2002, Wedgewood had acquired an encapsulation machine which could be used for large-scale drug manufacturing; in 2001 and 2002, it had purchased bulk quantities of substances in excess of the amounts normally associated with a retail pharmacy, including enough diazepam (the active ingredient in Valium) to manufacture over one million 10 mg doses during a six-month period, an amount “typical of a commercial drug manufacturer”; and it routinely produced veterinary drugs in bulk, without receiving specific veterinary prescriptions. App. 06-09.
Each of these acts suggested to the FDA that Wedgewood’s operations exeeed-
A Magistrate Judge granted the application on March 10, 2003, and the warrant was served on Wedgewood two days later. Wedgewood’s owner, George Malmberg, initially refused to cooperate with the inspection. However, when informed that he would be arrested pursuant to 21 U.S.C. § 331(e) if he continued to deny access, Malmberg acquiesced. In acquiescing, he attached a statement to the records he turned оver to the FDA stating that he was complying because of the “actually stated threat” that he would “be immediately taken into custody and all the pharmacy’s computers, records and more will be immediately seized and removed from the pharmacy.” App. A23.
On March 17, 2003, Wedgewood filed a motion to quash the warrant. In its motion, Wedgewood claimed that 21 U.S.C. § 374(a)(2)(A) grants state-licensed pharmacies a total exemption from inspection by the FDA. Wedgewood also argued that the FDA had acted in bad faith in obtaining the warrant and that the FDA had not shown probable cause to search the pharmacy. App. A32. After the motion was filed, the FDA agreed to suspend its search pending resolution of the dispute. Thereafter, the Magistrate Judge ordered Wedgewood to preserve documents and other items within the scope of the warrant, but he denied Wedgewood’s motion to quash the warrant. In a well reasoned and comprehensive opinion, Magistrate Judge Rosen concluded that Wedgewood was not exempt from inspection, and that the warrant did not abridge Wedgewood’s right to procedural due process of law.
In Re Wedgewood,
II. Jurisdiction.
Before addressing the merits of this appeal, we must first decide if we have jurisdiction. Our jurisdiction is limited to “final decisions of the district courts,” and the decision before us is arguably interlocutory.
See
28 U.S.C. § 1291. The District Court relied upon
In re Consolidated Rail Corp.
Several Circuit Courts of Appeals have relied upon
Cobbledick
when holding that orders enforcing warrants and subpoenas are final and appealable orders.
See Doe v. United States (In re Admin. Subpoena),
In
International Brotherhood of Electrical Workers v. United States EEOC,
Yet, in
Shea v. Office of Thrift Supervision,
However, our analysis cannot end there because the jurisprudence in this area rests upon a party being able to challenge the validity of the warrant in the subsequent contempt proceeding. If the party cannot do so, we may exercise jurisdiction over an appeal directly from the denial of the initial motion without requiring that the subpoenaed party endure a contempt citation. As the Court observed in
Cob-bledick,
“[d]ue regard for efficiency in litigation must not be carried so far as to deny all opportunity for the appeal contemplated by the statutes.”
Under 21 U.S.C. §§ 331(e), (f) and 333(a)(1), refusing to permit an inspection authorized by the FDCA is a criminal offense punishable by up to one year of imprisonment and a fine of up to $1000. Although one whо refuses to permit such an administrative inspection could conceivably challenge the validity of the warrant in a subsequent criminal prosecution, we see no reason to require Wedgewood to risk criminal prosecution merely to obtain appellate review of an administrative warrant. Moreover, penalties for civil contempt are limited to measures that may be appropriate to compel compliance with the underlying- order and to compensate the opposing party for losses sustained as a result of the noncompliance.
See United States v. United Mine Workers,
III. Discussion. 5
A. Wedgewood Is Not Exempt From Inspection Under the FDCA.
Wedgewood argues that it is exempt from all FDA inspections under 21 U.S.C. § 374(a). That section provides that employees and agents designated by
[T]he inspection shall extend to all things therein (including records, files, papers, processes, controls, and facilities) bearing on whether prescription drugs, nonprescription drugs intended for human use, or restricted devices which are adulterated or misbranded within the meaning of this chapter, or which may not be manufactured, introduced into interstate commerce, or sold, or offered for sale by reason of any provision of this chapter, have been or are being manufactured, processed, packed, transported, or held in any such place, or otherwise bearing on violation of this chapter.
Id. However, the statute specifically exempts certain types of pharmacies from this enhanced inspection authority (the enhanced inspection authority set forth above is hereafter referred to as the “records provision”). 6 The exemption provides as follows:
(2) The provisions of the third sentence of paragraph (1) [the records provision] shall not apply to—
(A) pharmacies which maintain establishments in conformance with any applicable local laws regulating the practice of pharmacy and medicine and which are regularly engaged in dispensing prescription drugs or devices, upon prescriptions of practitioners licensed to administer such drugs or devices to patients under the care of such practitioners in the course of their professional practice, and which do not, either through a subsidiary or otherwise, manufacture, prepare, propagate, compound, or process drugs or devices for sale other than in the regular course of their business of dispensing or selling drugs or devices at retail ...
Id. § 374(a).
Wedgewoоd argues that it is exempt from inspection under the records provision pursuant to the exemption of § 374(a)(2)(A), and that this applies to the general inspection authority contained in the first sentence. According to Wedge-wood, since the inspection authority under the records provision extends “to all things therein,” it follows that the exemption from that authority necessarily means that the FDA has no inspection authority over pharmacies such as Wedgewood. We disagree.
Wedgewood’s reading of the statute is inconsistent with the text of § 374(a). Even assuming
arguendo
that Wedgewood is exempt from the records provision, the text of the statute does not justify extending that provision to the FDA’s general authority to inspect “any factоry, warehouse, or establishment in which food,
Despite the clarity of the statute, Wedgewood argues that “there is nothing in the legislative history indicating that Congress intended to create distinct inspection rights. Once FDA has inspected for ‘all things therein,’ pray tell, for what else ... can the FDA inspect, since there is not theoretically, grammatically, mathematically, or actually more than ‘all.’ ” Appellant’s Br. at 17-18. Our statutory construction inquiry need not include legislative history when, as here, the text of a statute is unambiguous.
See Malloy v. Eichler,
The general inspection authority contained in the first sentence of § 374(a) was originally enacted by Congress as part of the Federal Food, Drug, and Cosmetic Act of 1938.
See
Pub.L. No. 75-717, 52 Stat. 1040.
7
Both the enhanced inspection authority under the third sentence of § 374(a)(1) and the exemption granted to pharmaсies under § 374(a)(2)(A) were enacted as part of the Drug Amendments of 1962, Pub.L. No. 87-781, 76 Stat. 780. That statute specifically stated that “[njothing in the amendments made by subsections (a) and (b) of this section [including the exemption granted to compliant pharmacies] shall be construed to negate or derogate from any authority of the Secretary existing prior to the enactment of this Act.”
See id.
§ 201(d),
Wedgewood nonetheless argues that Congress enacted the 1962 amendments in response to
United States v. Herold,
Herold
did hold that 21 U.S.C. § 374(a) grants FDA the authority to inspect pharmacies. However, the analysis did not stop there. Rather, the court went further and held that the authority to inspect extended to a pharmacy’s records, provided that “permission to inspect the records is given by an authorized person.”
Id.
at 16.
9
B. Wedgewood Is Not Entitled To The Records Exemption.
Our conclusion that the FDA possesses some authority to inspect pharmacies such as Wedgewood does not end our inquiry because the inspection authority contained in the first sentence of § 374(a)(1) is quite limited and clearly does not extend to a pharmacy’s books and records. Since the FDA seeks access to Wedgewood’s records, it must demonstrate that it has the authority to search Wedge-wood under both the first and third sentences of § 374(a)(1). The exemption contained in § 374(a)(2)(A) prohibits the FDA from relying on the records inspection authority contained in the third sentence in searching pharmacies that meet the requirements of that section. Thus, if Wedgewood is a “compliant pharmacy”— meaning that it meets these requirements — it is exempt from the records provision. In its warrant application, the FDA claimed that it had probable cause to believe that Wedgewood does not, in fact, qualify for the exemption. Wedgewood has insisted throughout this litigation that not only does it qualify for the exemption but that the FDA has no authority to determine if Wedgewood is exempt from the records provision.
A pharmacy qualifies for the exemption under § 374(a)(2)(A) if it (1) complies with “applicable local laws regulating the practice of pharmacy and medicine”; (2) is “regularly engaged in dispensing prescription drugs or devices, upon prescriptions of practitioners licensed to administer such drugs or devices to patients under the care of such practitioners in the course of their professional practice”; and (3) does not “manufacture, prepare, propagate, compound, or process drugs or devices for sale other than in the regular course of their business of dispensing or selling drugs or devices at retail.”
The FDA contends that it has probаble cause to believe that Wedgewood engages in practices that qualify as “largescale” compounding or manufacturing and therefore the third requirement is not met. Wedgewood admits that it engages in compounding but asserts that it does so “in the regular course of [its] business of dispensing or selling drugs or devices at retail.” Therefore, it argues that it qualifies for the exemption under § 374(a)(2)(A).
Nowhere in § 374 does Congress define “compounding” or a pharmacy’s “regular course of business.” In 1997, however, Congress enacted a statute which both exempted compounded drugs from the new drug approval requirements of the FDCA and simultaneously defined the extent to which pharmacies were permitted to engage in the practice without violating the FDCA.
See
Food and Drug Administration Modernization Act of 1997 (“FDAMA”) § 127, Pub.L. No. 105-115, 111 Stat. 2296, 2328 (1997). Under the language of the FDAMA, pharmacies were permitted to compound only “for an identified individual
The provision did not remain law for long. As a result of two court decisions, Section 127 of the statute, which contained the compounding language, was invalidated on unrelated grounds.
See Western States,
Here, Magistrate Judge Rosen afforded the CPG deference under the standards of
Chevron, U.S.A., Inc. v. NRDC, Inc.,
C. Wedgewood Was Not Denied Procedural Due Process of Law.
Determining the extent to which a pharmacy may compound drugs in its “regular course of business” does not address the level of process due Wedgewood when the FDA attempts an inspection under the records provision. Here, Wedge-wood asserts that the
ex parte
proceeding violated its due process rights.
Before
Magistrate Judge Rosen, Wedgewood apparently argued that it is entitled to a proceeding that is tantamount to a full declaratory judgment action in order to have an appropriate opportunity to demonstrate that it is eligible for the exemption contained in § 374(a)(2)(A).
See In Re Wedgewood,
We agree that the statute poses a dilemma of sorts in that it will often be impossible to determine with precision whether a pharmacy qualifies for the § 374(a)(2)(A) exception without first conducting an administrative inspection of that facility. Magistrate Judge Rosen aptly described the situation as “a statutory paradox” because “the exemption in Section 374(a)(2)(A) divests the FDA of authority to inspect in some limited fashion, but the FDA cannot establish whether or not the exemption applies without obtaining information.”
In re Wedgewood,
Although Wedgewood correctly notes that it did not have an opportunity to be heard before the wаrrant issued and the inspection began, Wedgewood did have an opportunity to challenge that inspection before it was concluded, and it did so before the Magistrate Judge in proceedings on its motion to quash. Magistrate Judge Rosen correctly concluded that the FDA had probable cause to obtain the warrant and denied Wedgewood’s motion, thus allowing the FDA to proceed with the inspection.
We are therefore hard-pressed to understand how Wedgewood can now argue that it was denied due process of law by an
ex parte
application for an inspection warrant before a neutral Magistrate Judge when
Furthermore, we agree that the FDA’s reliance on the apparent volume of compounding is a reasonable means of determining whether that pharmacy is compounding in the “regular course of its business of dispensing or selling drugs or devices at retail.” Indeed, were we to adopt Wedgewood’s view that the volume of compounding is irrelevant, much of the FDCA would become a nullity. If a pharmacy could compound an unlimited quantity of drugs, supposedly in anticipation of individual prescriptions, then it could essentially act as a commercial drug manufacturer and totally circumvent the approval requirements of the FDCA. 14
Moreover, as Magistrate Rosen noted, the standard of probable cause required for an administrative warrant is less than required for a criminal warrant.
See Camara v. Municipal Court of San Francisco,
Agent Sands’ warrant application was detailed and specific, and (with the possible exception of issues of the staleness of some of her averments) might easily have satisfied even the higher standard required to obtain a criminal search warrant under the Fourth Amendment. Wedge-wood’s history, its failure to report a theft of drugs as required by state law, its acquisition of equipment used in commercial manufacturing of drugs, and the volume of substances it was purchаsing certainly established grounds to believe that it may be engaged in commercial compounding in violation of the FDCA.
15
Wedgewood does
III. Conclusion.
For the reasons set forth above, we hold that Magistrate Judge Rosen correctly found that probable cause existed to conclude that Wedgewood did not satisfy the requirements of the exemption contained in § 374(a)(2)(A), and he therefore correctly denied Wedgewood’s motion to quash. Accordingly, we will affirm the District Court’s decision upholding Magistrate Judge Rosen’s order.
Notes
. The DEA obtained a separate warrant to search Wedgewood’s facilities. The legality of that warrant is not at issue in this appeal.
. For a detailed recitation of the averments in the warrant application, see
In the Matter of Establishment Inspection of: Wedgewood Village Pharmacy, Inc. ("In Re Wedgewood"),
. Had the District Court found the motion to be dispositive, the role of the Magistrate
. Although at least one Court of Appeals has questioned the logic of this distinction,
see Reich
v.
National Eng’g & Contracting Co.,
. We review the denial of a motion to quash an administrative warrant or subpоena for abuse of discretion.
Cf. NLRB v. Frazier,
. Wedgewood correctly notes that the provision authorizes the FDA to search more than a pharmacy’s records. In referring to the third sentence as the “records” provision, we do not mean to suggest that the search authority granted by that provision is limited to records.
. For an in depth discussion of the legislative history of the FDCA,
see In Re Wedgewood,
. As enacted in 1938, the inspection authority now contained in the first sentence оf § 374(a) provided that a designated official was authorized to enter a covered facility “after first making request and obtaining permission of the owner, operator, or custodian thereof.” This provision was amended in 1953 to remove the consent requirement. See Pub.L. No. 83-217, 67 Stat. 476 (1953).
.The defendant in
Herold
had argued that the FDA could only examine a pharmacy's records under a related provision, 21 U.S.C. § 373, which permits inspection of records on the condition that the evidence obtained not be used in any subsequent prosecution.
See
. The issue in
Western States
concerned a provision of the FDAMA that prohibited pharmacies from advertising compounded drugs. The Court of Appeals for the Ninth Circuit had held the provision unconstitutional and, finding it not severable from the rest of Section 127, struck down the entire section.
See
. The entire list of factors include:
1. Compounding of drugs in anticipation of receiving prescriptions, except in very limited quantities in relation to the amounts of drugs compounded after receiving valid prescriptions.
2. Compounding drugs that were withdrawn or removed from the market for safety reasons....
3. Compounding finished drugs from bulk active ingredients that are not components of FDA approved drugs without an FDA sanctioned investigational new drug application (IND) in accordance with 21 U.S.C. § 355(i) and 21 CFR312.
4. Receiving, storing, or using drug substances without first obtaining written assurance from the supplier that each lot of thе drug substance has been made in an FDA-registered facility.
5. Receiving, storing, or using drug components not guaranteed or otherwise determined to meet official compendia requirements.
6. Using commercial scale manufacturing or testing equipment for compounding drug products.
7. Compounding drugs for third parties who resell to individual patients or offering compounded drug products at wholesale to other state licensed persons or commercial entities for resale.
8. Compounding drug products that are commercially available in the marketplace or that are essentially copies of commercially available FDA-approved drug products. In certain circumstances, it may be appropriate for a pharmacist to compound a small quantity of a drug that is only slightly different than an FDA-approved drug that is commercially available. In these circumstances, FDA will consider whether there is documentation of the medical need for the particular variation of the compound for the particular patient.
9. Failing to operate in conformance with applicable state law regulating the practice of pharmacy.
. As the opinion by the Magistrate Judge explains, the current language is a successor to an earlier CPG (CPG 7132.16, which dates to 1992) issued by the FDA prior to the passage of the FDAMA.
. That claim is sufficiently frivolous on its face that its lack of merit is self evident. It may, in fact, be an example of what Magistrate Judge Rosen had in mind in referring to Wedgewood's statutory argument as "a lesson in obfuscation.”
In Re Wedgewood,
. Wedgewood argues throughout its brief that the regulation of pharmacies is a matter that has been traditionally left to the states. This argument misses the point of the FDA’s efforts. The FDA, as its brief makes clear, wanted to inspect Wedgewood because it believes that the pharmacy is engaged in the large-scale manufacture of drugs. Although regulation of pharmacies may traditionally have been left to the states, regulation of the manufacture of prescription drugs is an area where the federal government has primary authority pursuant to the FDCA.
. As noted earlier, Wedgewood had recently purchased an encapsulation machine, which is used in large-scale manufacturing, as well as a "commercial scale mixture.” In addition, as also noted above, the warrant alleged that the pharmacy had purchased enough dia-zepam to produce over one million 10 mg tablets. In its brief, Wedgewood explains the quantities of drugs by stating that a large