[Pharmwaste] Pharmaceutical Waste

Proffitt, Leah Leah.Proffitt@dep.state.fl.us
Wed, 19 Jan 2005 11:25:42 -0500 

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Hi everyone,
=20
On a completely different note, has anyone heard what happened to a =
proposal
to amend barcoding on drugs to include RCRA disposal requirements (see
attachment)? I believe our Office of General Counsel commented on this =
on
behalf of Florida DEP (at least I know I forwarded it to them!), but I =
never
heard what, if anything, became of it.=20
Leah D. Proffitt=20
Environmental Specialist=20
FDEP Central District=20
Hazardous Waste=20
(407) 893-3323=20
S/C 325-2283=20
=20
-----Original Message-----
From: pharmwaste-admin@lists.dep.state.fl.us
[mailto:pharmwaste-admin@lists.dep.state.fl.us]On Behalf Of Johnson, =
Emma
(ECY)
Sent: Wednesday, January 19, 2005 10:55 AM
To: pharmwaste@lists.dep.state.fl.us
Subject: RE: [Pharmwaste] Pharmaceutical Waste


Others have tried this approach, I believe.  The way that the Controlled
Substances Act works basically exempts the end user from the closed loop
accounting system that DEA mandates.  However, as soon as you return =
those
substances to a pharmacy (for instance) the DEA is going to care, and =
you
would need to make sure that the regulators are on board for what
'unrecoverable' means.
=20
I'm not sure if the gains of using these kits would pay off either,
especially if you were having a person sort the drugs based on their
'controlled' status (asking the consumer to hand over their medication =
to
you, identifying the pharmaceutical, unscrewing the top, pouring it in, =
etc.)
You may also be adding significant weight to your shipment of hazardous
waste, which would cost more. =20
=20
However, I agree the way out of the DEA Controlled Substances Act is to =
come
up with a take-back scenario that is secure and ensures final disposal, =
with
approval from your state board of pharmacy and the DEA (not particularly
easy).   This is something we're working on in Washington...=20
=20
Emma Johnson
Washington State Department of Ecology
=20
-----Original Message-----
From: Ann Heil [mailto:aheil@lacsd.org]=20
Sent: Wednesday, January 19, 2005 7:33 AM
To: 'Charlotte A. Smith'; 'Chapman, Alice'; 'Bill Lewry';
pharmwaste@lists.dep.state.fl.us
Subject: RE: [Pharmwaste] Pharmaceutical Waste
=20
What if we had a handy way to render controlled substances =
nonrecoverable?
Let's speculate that we had some sort of small kit, containing a bitter
liquid into which liquid drugs could be poured, and a quick setting =
cement
into which solid drugs could be placed. Could we get around controlled
substance regs by having the person dropping them off apply this kit =
prior to
dropping them off? The group that is collecting the pharmaceuticals =
would
then not be subject to controlled substances regs, because the =
controlled
substances would have already been rendered nonrecoverable.
=20
Ann Heil
LACSD
-----Original Message-----
From: pharmwaste-admin@lists.dep.state.fl.us
[mailto:pharmwaste-admin@lists.dep.state.fl.us]On Behalf Of Charlotte A.
Smith
Sent: Tuesday, January 18, 2005 4:49 PM
To: Chapman, Alice; Bill Lewry; pharmwaste@lists.dep.state.fl.us
Subject: RE: [Pharmwaste] Pharmaceutical Waste
Thanks, Alice, that issue about the licensee being a person is correct =
when
it has to do with dispensed controlled substances. That what makes take =
back
to problematic.=20
=20
=20
Charlotte A. Smith, R. Ph., M.S., HEM
President
PharmEcology Associates, LLC
200 S. Executive Drive, Suite 101
Brookfield, WI 53005
262-814-2635
Fax 414-479-9941
H2E Champion for Change Award
-----Original Message-----
From: Chapman, Alice [mailto:Alice.Chapman@METROKC.GOV]=20
Sent: Tuesday, January 18, 2005 6:27 PM
To: Bill Lewry; pharmwaste@lists.dep.state.fl.us
Subject: RE: [Pharmwaste] Pharmaceutical Waste
Just to clarify a side issue mentioned in your question...
=20
Neither the FDA nor the DEA approves or permits incinerators for =
disposal of
drugs.  The DEA regulations require that controlled substances be =
destroyed
"beyond reclamation".  We're accustomed in the world of hazardous waste =
to
having particular sites permitted and approved by EPA.  The DEA looks at =
it
differently.  As long as the drugs are in the custody of an approved
"licensee" (often a person), and "destroyed beyond reclamation", =
everything's
fine.  Incineration is a handy way of making drugs non-reclamable!  =
Every
incinerator I've talked to (I called as many as I could find in the US a
couple of years ago) has burned controlled substances.  Usually the =
licensee
witnesses the drugs as they go into the system.  The drugs can't sit =
around
in storage on-site before burning, that would require facility changes =
to
meet security requirements. =20
=20
The loop you're attributing to FDA, is actually managed by DEA and state
Boards of Pharmacy.
=20
Pharmaceuticals can be found in every category of hazardous waste.  Your
proposal would work for many, but drugs packaged as inhalers (compressed
gases) or as injections (dose of drug in syringe attached to needle & =
ready
to go) would need to be handled differently. =20
=20
The major drawback I see in your proposal is that disposal costs are =
paid for
by local governments, and the relatively low collection rate of =
hazardous
stuff out there that actually makes it's way to government-run =
collection
sites.  I'd like to see what can happen when there are as many =
collection
points for drugs as there are pharmacies.
=20
:)  ac
Alice Chapman, PE
Local Hazardous Waste Management Program in King County
130 Nickerson St, #100
Seattle, WA  98109
http://www.govlink.org/hazwaste/
=20
206-263-3058 phone
206-263-3070 fax
=20
=20

  _____ =20

From: Bill Lewry [mailto:Bill_Lewry@kcmo.org]=20
Sent: Saturday, January 15, 2005 12:53 PM
To: pharmwaste@lists.dep.state.fl.us
Subject: [Pharmwaste] Pharmaceutical Waste
Dear Listserve:

I would appreciate if someone could provide answer to the following =
question.

Simply out of curiosity, I understand the (potential / possible) need to
create a system to deal with this issue, but unlike latex paint, =
electronics
and carpet, amongst others, it would appear to this uninitiated person =
that
there is little reclaimable asset to be gained from spent / out of date
pharmaceuticals.

Allowing that there is little benefit, then we have the issue of these =
not
falling into inappropriate hands. At least in the narcotics area.

Pharmaceuticals once issued to the end user are "out of the loop" of the =
FDA
and would then at end of life become "HHW", and it appears should then =
be
treated as any other HHW.

It would appear that these items would simply be best placed amongst =
other
"toxics", drummed without external indicative labelling (Eg. NOS, Toxic, =
6
(6.1)) and shipped for incineration. They would not then require to go =
to an
FDA approved incinerator.

An alternative would be to place in an A fuel drum (all parties in =
agreement)
and ship in that fashion.

For the amounts and quantities involved in most programs, this would =
seem the
easy solution, for programs specifically chasing these wastestreams as a
revenue source, they could arrange contracts as appropriate under =
auspices of
the FDA if they themselves saw a need to regulate material which was
regulatorily in the vast majority of cases "de-regulated" by age or
condition.

I look forward to the discussion thread this question line may provoke.

Sincerely.

Bill Lewry / KCMO.

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<DIV><SPAN class=3D355221116-19012005><FONT face=3D"Comic Sans MS" =
color=3D#0000ff=20
size=3D2>Hi everyone,</FONT></SPAN></DIV>
<DIV><SPAN class=3D355221116-19012005><FONT face=3D"Comic Sans MS" =
color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D355221116-19012005><FONT face=3D"Comic Sans MS" =
color=3D#0000ff=20
size=3D2>On a completely different note, has anyone heard what happened =
to=20
a&nbsp;proposal to amend barcoding on drugs to include RCRA disposal=20
requirements (see attachment)? I believe our Office of General Counsel =
commented=20
on this on behalf of Florida DEP (at least I know I forwarded it to =
them!), but=20
I never heard what, if anything, became of it. </FONT></SPAN></DIV>
<DIV><SPAN class=3D355221116-19012005>
<P><FONT face=3D"Comic Sans MS" color=3D#0000ff size=3D2>Leah D. =
Proffitt</FONT>=20
<BR><FONT face=3D"Comic Sans MS" color=3D#0000ff size=3D2>Environmental=20
Specialist</FONT> <BR><FONT face=3D"Comic Sans MS" color=3D#0000ff =
size=3D2>FDEP=20
Central District</FONT> <BR><FONT face=3D"Comic Sans MS" color=3D#0000ff =

size=3D2>Hazardous Waste</FONT> <BR><FONT face=3D"Comic Sans MS" =
color=3D#0000ff=20
size=3D2>(407) 893-3323</FONT> <BR><FONT face=3D"Comic Sans MS" =
color=3D#0000ff=20
size=3D2>S/C 325-2283</FONT> </P></SPAN></DIV>
<DIV><SPAN class=3D355221116-19012005><FONT face=3D"Comic Sans MS" =
color=3D#0000ff=20
size=3D2></FONT></SPAN>&nbsp;</DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B>=20
  pharmwaste-admin@lists.dep.state.fl.us=20
  [mailto:pharmwaste-admin@lists.dep.state.fl.us]<B>On Behalf Of =
</B>Johnson,=20
  Emma (ECY)<BR><B>Sent:</B> Wednesday, January 19, 2005 10:55 =
AM<BR><B>To:</B>=20
  pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> RE: [Pharmwaste]=20
  Pharmaceutical Waste<BR><BR></FONT></DIV>
  <DIV class=3DSection1>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Others have =
tried=20
  this approach, I believe.<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN>The way=20
  that the Controlled Substances Act works basically exempts the end =
user from=20
  the closed loop accounting system that DEA mandates. <SPAN=20
  style=3D"mso-spacerun: yes">&nbsp;</SPAN>However, as soon as you =
return those=20
  substances to a pharmacy (for instance) the DEA is going to care, and =
you=20
  would need to make sure that the regulators are on board for what=20
  'unrecoverable' means.<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">I'm not =
sure if the=20
  gains of using these kits would pay off either, especially if you were =
having=20
  a person sort the drugs based on their 'controlled' status (asking the =

  consumer to hand over their medication to you, identifying the =
pharmaceutical,=20
  unscrewing the top, pouring it in, etc.) <SPAN=20
  style=3D"mso-spacerun: yes">&nbsp;</SPAN>You may also be adding =
significant=20
  weight to your shipment of hazardous waste, which would cost =
more.<SPAN=20
  style=3D"mso-spacerun: yes">&nbsp; =
</SPAN><o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">However, I =
agree the=20
  way out of the DEA Controlled Substances Act is to come up with a =
take-back=20
  scenario that is secure and ensures final disposal, with approval from =
your=20
  state board of pharmacy and the DEA (not particularly easy).<SPAN=20
  style=3D"mso-spacerun: yes">&nbsp; </SPAN><SPAN=20
  style=3D"mso-spacerun: yes">&nbsp;</SPAN>This is something we're =
working on in=20
  Washington... <o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Emma=20
  Johnson<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Washington =
State=20
  Department of Ecology<o:p></o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3DTahoma size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
  Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: bold">From:</SPAN></B> =
Ann Heil=20
  [mailto:aheil@lacsd.org<SPAN class=3DGramE>] <BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Sent</SPAN></B></SPAN><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">:</SPAN></B> </SPAN></FONT><st1:date =
Year=3D"2005"=20
  Day=3D"19" Month=3D"1"><FONT face=3DTahoma size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">Wednesday, January 19,=20
  2005</SPAN></FONT></st1:date><FONT face=3DTahoma size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"> =
</SPAN></FONT><st1:time=20
  Minute=3D"33" Hour=3D"7"><FONT face=3DTahoma size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">7:33=20
  AM</SPAN></FONT></st1:time><FONT face=3DTahoma size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"><BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">To:</SPAN></B> 'Charlotte A. Smith'; =
'Chapman,=20
  Alice'; 'Bill Lewry'; pharmwaste@lists.dep.state.fl.us<BR><B><SPAN=20
  style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> RE: [Pharmwaste] =
Pharmaceutical=20
  Waste</SPAN></FONT></P>
  <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
  <DIV>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dblue size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">What if we =
had a=20
  handy way to render controlled substances nonrecoverable?&nbsp; Let's=20
  speculate that we had some sort of small kit, containing a bitter =
liquid into=20
  which liquid drugs could be poured, and a quick setting cement into =
which=20
  solid drugs could be placed. Could we get around controlled substance =
regs by=20
  having the person dropping them off apply this kit prior to dropping =
them off?=20
  The group that is collecting the pharmaceuticals would then not be =
subject to=20
  controlled substances regs, because the controlled substances would =
have=20
  already been rendered =
nonrecoverable.</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN=20
  style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
  <DIV>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dblue size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Ann=20
  Heil</SPAN></FONT><o:p></o:p></P></DIV>
  <DIV>
  <P class=3DMsoNormal><FONT face=3DArial color=3Dblue size=3D2><SPAN=20
  style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">LACSD</SPAN></FONT><o:p></o:p></P></DIV>
  <BLOCKQUOTE style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; =
MARGIN-RIGHT: 0in">
    <P class=3DMsoNormal style=3D"MARGIN-BOTTOM: 12pt"><FONT =
face=3DTahoma=20
    size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: =
Tahoma">-----Original=20
    Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B>=20
    pharmwaste-admin@lists.dep.state.fl.us=20
    [mailto:pharmwaste-admin@lists.dep.state.fl.us]<B><SPAN=20
    style=3D"FONT-WEIGHT: bold">On Behalf Of </SPAN></B>Charlotte A.=20
    Smith<BR><B><SPAN style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> =
Tuesday,=20
    January 18, 2005 4:49 PM<BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">To:</SPAN></B> Chapman, Alice; Bill =
Lewry;=20
    pharmwaste@lists.dep.state.fl.us<BR><B><SPAN=20
    style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> RE: [Pharmwaste]=20
    Pharmaceutical Waste</SPAN></FONT><o:p></o:p></P>
    <DIV>
    <P class=3DMsoNormal><FONT face=3DArial color=3Dblue size=3D2><SPAN=20
    style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Thanks, =
Alice, that=20
    issue about the licensee being a person is correct when it has to do =
with=20
    dispensed controlled substances. That what makes take back to =
problematic.=20
    </SPAN></FONT><o:p></o:p></P></DIV>
    <DIV>
    <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <DIV>
    <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P></DIV>
    <P class=3DMsoAutoSig><FONT face=3D"Times New Roman" size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt">Charlotte A. Smith, R. Ph., M.S.,=20
    HEM<BR>President<BR>PharmEcology Associates, LLC<BR>200 S. Executive =
Drive,=20
    Suite 101<BR>Brookfield, WI 53005<BR>262-814-2635<BR>Fax=20
    414-479-9941<o:p></o:p></SPAN></FONT></P>
    <P class=3DMsoAutoSig><FONT face=3D"Times New Roman" color=3Dblue =
size=3D3><SPAN=20
    style=3D"FONT-SIZE: 12pt; COLOR: blue">H2E Champion for Change=20
    Award</SPAN></FONT><o:p></o:p></P>
    <BLOCKQUOTE=20
      style=3D"MARGIN-TOP: 5pt; MARGIN-BOTTOM: 5pt; MARGIN-RIGHT: =
0in"><P=20
      class=3DMsoNormal style=3D"MARGIN-BOTTOM: 12pt"><FONT =
face=3DTahoma size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">-----Original=20
      Message-----<BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">From:</SPAN></B>=20
      Chapman, Alice [mailto:Alice.Chapman@METROKC.GOV] <BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> Tuesday, January 18, =
2005 6:27=20
      PM<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B> Bill =
Lewry;=20
      pharmwaste@lists.dep.state.fl.us<BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> RE: [Pharmwaste]=20
      Pharmaceutical Waste</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Just to =
clarify a=20
      side issue mentioned in your =
question...</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN =

      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Neither =
the FDA=20
      nor the DEA approves or permits incinerators for disposal of =
drugs.&nbsp;=20
      The DEA regulations require that controlled substances be =
destroyed=20
      "beyond reclamation".&nbsp; We're accustomed in the world of =
hazardous=20
      waste to having particular sites permitted and approved by =
EPA.&nbsp; The=20
      DEA looks at it differently.&nbsp; As long as the drugs are in the =
custody=20
      of an approved "licensee" (often a person), and "destroyed beyond=20
      reclamation", everything's fine.&nbsp; Incineration is a handy way =
of=20
      making drugs non-reclamable!&nbsp; Every incinerator I've talked =
to (I=20
      called as many as I could find in the US a couple of years ago) =
has burned=20
      controlled substances.&nbsp; Usually the licensee witnesses the =
drugs as=20
      they go into the system.&nbsp; The drugs can't sit around in =
storage=20
      on-site before burning, that would require facility changes to =
meet=20
      security requirements.&nbsp; </SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN =

      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">The =
loop you're=20
      attributing to FDA, is actually managed by DEA and state Boards of =

      Pharmacy.</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN =

      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Pharmaceuticals=20
      can be found in every category of hazardous waste.&nbsp; Your =
proposal=20
      would work for many, but drugs packaged as inhalers (compressed =
gases) or=20
      as injections (dose of drug in syringe attached to needle &amp; =
ready to=20
      go) would need to be handled differently.&nbsp;=20
      </SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN =

      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">The =
major=20
      drawback I see in your proposal is that disposal costs are paid =
for by=20
      local governments, and the relatively low collection rate of =
hazardous=20
      stuff out there that actually makes it's way to government-run =
collection=20
      sites.&nbsp; I'd like to see what can happen when there are as =
many=20
      collection points for drugs as there are=20
      pharmacies.</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN =

      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">:)&nbsp;=20
      ac</SPAN></FONT><o:p></o:p></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Alice =
Chapman,=20
      PE<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">Local =
Hazardous=20
      Waste Management Program in King =
County<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial">130 =
Nickerson St,=20
      #100<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">Seattle, WA&nbsp;=20
      98109<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Arial"><A=20
      =
href=3D"http://www.govlink.org/hazwaste/">http://www.govlink.org/hazwaste=
/</A><o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">&nbsp;<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">206-263-3058=20
      phone<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3DArial color=3Dblue =
size=3D2><SPAN=20
      style=3D"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: =
Arial">206-263-3070=20
      fax<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN =

      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P>
      <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN =

      style=3D"FONT-SIZE: 12pt">&nbsp;<o:p></o:p></SPAN></FONT></P>
      <DIV class=3DMsoNormal style=3D"TEXT-ALIGN: center" =
align=3Dcenter><FONT=20
      face=3D"Times New Roman" size=3D3><SPAN style=3D"FONT-SIZE: 12pt">
      <HR align=3Dcenter width=3D"100%" SIZE=3D2>
      </SPAN></FONT></DIV>
      <P class=3DMsoNormal style=3D"MARGIN-BOTTOM: 12pt"><B><FONT =
face=3DTahoma=20
      size=3D2><SPAN=20
      style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
Tahoma">From:</SPAN></FONT></B><FONT=20
      face=3DTahoma size=3D2><SPAN style=3D"FONT-SIZE: 10pt; =
FONT-FAMILY: Tahoma">=20
      Bill Lewry [mailto:Bill_Lewry@kcmo.org] <BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> Saturday, January 15, =
2005=20
      12:53 PM<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>=20
      pharmwaste@lists.dep.state.fl.us<BR><B><SPAN=20
      style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> [Pharmwaste] =
Pharmaceutical=20
      Waste</SPAN></FONT><o:p></o:p></P>
      <P><FONT face=3D"Times New Roman" size=3D3><SPAN =
style=3D"FONT-SIZE: 12pt">Dear=20
      Listserve:<BR><BR>I would appreciate if someone could provide =
answer to=20
      the following question.<BR><BR><B><SPAN style=3D"FONT-WEIGHT: =
bold">Simply=20
      out of curiosity,</SPAN></B> I understand the (potential / =
possible) need=20
      to create a system to deal with this issue, but unlike latex =
paint,=20
      electronics and carpet, amongst others, it would appear to this=20
      uninitiated person that there is little reclaimable asset to be =
gained=20
      from spent / out of date pharmaceuticals.<BR><BR>Allowing that =
there is=20
      little benefit, then we have the issue of these not falling into=20
      inappropriate hands. At least in the narcotics=20
      area.<BR><BR>Pharmaceuticals once issued to the end user are "out =
of the=20
      loop" of the FDA and would then at end of life become "HHW", and =
it=20
      appears should then be treated as any other HHW.<BR><BR>It would =
appear=20
      that these items would simply be best placed amongst other =
"toxics",=20
      drummed without external indicative labelling (Eg. NOS, Toxic, 6 =
(6.1))=20
      and shipped for incineration. They would not then require to go to =
an FDA=20
      approved incinerator.<BR><BR>An alternative would be to place in =
an A fuel=20
      drum (all parties in agreement) and ship in that =
fashion.<BR><BR>For the=20
      amounts and quantities involved in most programs, this would seem =
the easy=20
      solution, for programs specifically chasing these wastestreams as =
a=20
      revenue source, they could arrange contracts as appropriate under =
auspices=20
      of the FDA if they themselves saw a need to regulate material =
which was=20
      regulatorily in the vast majority of cases "de-regulated" by age =
or=20
      condition.<BR><BR>I look forward to the discussion thread this =
question=20
      line may provoke.<BR><BR>Sincerely.<BR><BR>Bill Lewry /=20
      =
KCMO.<o:p></o:p></SPAN></FONT></P></BLOCKQUOTE></BLOCKQUOTE></DIV></BLOCK=
QUOTE></BODY></HTML>

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