[Pharmwaste] RE: Pharmwaste digest, Vol 1 #153 - 1 msg
Charlotte A. Smith
csmith@pharmecology.com
Mon, 10 Oct 2005 17:06:42 -0500
Unfortunately the markings for a controlled substance are only on the
original manufacturer's package, indicating a CII, CIII, etc. There are
no specific markings on the prescription label. That is why a
pharmacist is needed to identify which drugs can be accepted at a
collection site. A change in the Controlled Substances Act is needed and
the Drug Enforcement Administration is beginning to consider such as
change.=20
Charlotte A. Smith, R. Ph., M.S., HEM
President
PharmEcology Associates, LLC
200 S. Executive Drive, Suite 101
Brookfield, WI 53005
Phone: 262-814-2635
Fax: 414-479-9941
csmith@pharmecology.com
-----Original Message-----
From: pharmwaste-admin@lists.dep.state.fl.us
[mailto:pharmwaste-admin@lists.dep.state.fl.us] On Behalf Of Andria
Ventura
Sent: Monday, October 10, 2005 4:57 PM
To: pharmwaste@lists.dep.state.fl.us
Subject: [Pharmwaste] RE: Pharmwaste digest, Vol 1 #153 - 1 msg
One question - how do people know if their prescription is controlled?
For instance, Ritalin is a controlled substance, but many
parents/patients do not know that. This adds to the problem in that it
requires public education to keep these pharmaceuticals separate.
-----Original Message-----
From: pharmwaste-admin@lists.dep.state.fl.us
[mailto:pharmwaste-admin@lists.dep.state.fl.us]On Behalf Of
pharmwaste-request@lists.dep.state.fl.us
Sent: Saturday, October 08, 2005 4:07 AM
To: pharmwaste@lists.dep.state.fl.us
Subject: Pharmwaste digest, Vol 1 #153 - 1 msg
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Today's Topics:
1. RE: Pharmwaste digest, Vol 1 #152 - 1 msg (Richard Verch)
--__--__--
Message: 1
To: pharmwaste@lists.dep.state.fl.us
From: Richard Verch <Richard@StrongServices.com>
Date: Fri, 7 Oct 2005 08:17:45 -0400
Subject: [Pharmwaste] RE: Pharmwaste digest, Vol 1 #152 - 1 msg
--Apple-Mail-5-56409802
Content-Transfer-Encoding: quoted-printable
Content-Type: text/plain;
charset=3DWINDOWS-1252;
delsp=3Dyes;
format=3Dflowed
Tammy and Jennifer:
Regarding the Thu, 6 Oct 2005 e-mail about local pharmacy take-backs:
Some clarification and amplification of the statement: "If they [the =
=3D20
pharmacy] are accepting controlled substances..." needs to be made.
Pharmacies cannot accept controlled substances from citizens =3D20
legally. DEA will not allow it, as the CSA only allows for transfer =
=3D20
of controlled substances with in a closed-loop framework: from one =3D20
DEA Registrant to another. Once dispensed to a citizen, it is =3D20
outside of the DEA's closed-system of distribution. A citizen is not
=3D20=3D
a Registrant of the DEA, and therefore it is not legal to transfer =3D20
the controlled substances to the pharmacy.
However, the DEA, in 21 CFR 1301.24 waives the registration =3D20
requirement for local law enforcement acting in official duty. **The
=3D20=3D
police department you mention would be accepting controlled =3D20
substances (versus the pharmacy.)** This little distinction is =3D20
important for all to know.
Additionally, there has been some correspondence from the DEA that =3D20
indicates "..controlled substances cannot be commingled with the =
non-=3D20
controlled substances..." during these unwanted medication disposal =
=3D20
projects.
We call this issue "the DEA obstacle", and we brought this matter up =
=3D20
two weeks ago with the DEA. While on an invited panel discussion =3D20
with the headquarter DEA folks, Strong characterized the current laws
=3D20=3D
as a regulatory roadblock, not allowing for an efficient means of =3D20
recapturing unwanted controlled substances - thus hindering the =3D20
entire pharmaceutical collection effort.
DEA's response was well received, and we believe that DEA recognizes =
=3D20
more each year that this as an issue that must be addressed. DEA is =
=3D20
hand-tied because the law simply doesn't allow for distribution/=3D20
transaction between the consumer (non-registrant) and any other =3D20
entity (except law enforcement as we have seen).
DEA, understandably, has reason to be wary of this sort of =
'reverse-=3D20
distribution; however, they also clearly see the net benefit.
So, a change must be made to the law that restricts the transactions =
=3D20
from consumers. Specifically, we are suggesting 21 CFR part 1307.21, =
=3D20
and related affected sections, be modified to achieve the goal. =3D20
Strong will work with DEA to suggest and implement a regulatory =3D20
mechanism that achieves the mutual goals of properly governed disposal.
Regards,
Richard Verch, CHMM
President
770.409.1500 x111
770.409.1449 fax
www.StrongServices.com
---
Supported by:
Beth Batelaan
770.409.1500 x142
Beth@StrongServices.com
Founded over a decade ago, Strong Environmental, Inc. is the =3D20
recognized industry leader in providing treatment and disposal =3D20
services for a broad spectrum of industrial, non-hazardous, EPA =3D20
hazardous, DEA controlled substances and special waste materials. We =
=3D20
offer our clients the industry=3D92s most comprehensive network of waste
=3D20=3D
disposal and treatment facilities and a management team of =3D20
experienced service-focused professionals.
This message is sent in confidence for the addressee only. It may =3D20
contain confidential or sensitive information. The contents are not =
=3D20
to be disclosed to anyone other than the addressee. Unauthorized =3D20
recipients are requested to preserve this confidentiality and to =3D20
advise us of any errors in transmission. Thank you
--Apple-Mail-5-56409802
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html;
charset=3DWINDOWS-1252
<HTML><BODY style=3D3D"word-wrap: break-word; -khtml-nbsp-mode: space; =
=3D
-khtml-line-break: after-white-space; "><DIV style=3D3D"margin-top: 0px; =
=3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Tammy and =3D
Jennifer:</DIV><DIV style=3D3D"margin-top: 0px; margin-right: 0px; =3D
margin-bottom: 0px; margin-left: 0px; "><BR =3D
class=3D3D"khtml-block-placeholder"></DIV><DIV style=3D3D"margin-top: =
0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Regarding =3D
the=3DA0Thu, 6 Oct 2005 e-mail about local pharmacy =
take-backs:</DIV><DIV
=3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; "><BR class=3D3D"khtml-block-placeholder"></DIV><DIV =
=3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; ">Some clarification and amplification of the =3D
statement: "If they [the pharmacy] are accepting controlled =3D
substances..." needs to be made.=3DA0=3DA0</DIV><DIV =
style=3D3D"margin-top: =3D
0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><BR =3D
class=3D3D"khtml-block-placeholder"></DIV><DIV style=3D3D"margin-top: =
0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Pharmacies =
=3D
cannot accept controlled substances from citizens legally.=3DA0 DEA will =
=3D
not allow it, as the CSA only allows for transfer of controlled =3D
substances with in a closed-loop framework: from one DEA Registrant to =
=3D
another.=3DA0 Once dispensed to a citizen, it is outside of the DEA's =
=3D
closed-system of distribution.=3DA0=3DA0A citizen is not a Registrant of =
the
=3D DEA, and therefore it is not legal to transfer the controlled
substances =3D to the pharmacy.=3DA0</DIV><DIV style=3D3D"margin-top: =
0px;
margin-right: =3D 0px; margin-bottom: 0px; margin-left: 0px; "><BR =3D
class=3D3D"khtml-block-placeholder"></DIV><DIV style=3D3D"margin-top: =
0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">However, the
=3D DEA, in 21 CFR 1301.24 waives the registration requirement for local
law =3D enforcement acting in official duty.=3DA0 **The police =
department
you =3D mention would be accepting controlled substances (versus the =3D
pharmacy.)**=3DA0 This little distinction is important for all to =3D
know.</DIV><DIV style=3D3D"margin-top: 0px; margin-right: 0px; =3D
margin-bottom: 0px; margin-left: 0px; "><BR =3D
class=3D3D"khtml-block-placeholder"></DIV><DIV style=3D3D"margin-top: =
0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Additionally,
=3D there has been some correspondence from the DEA that indicates =3D
"..controlled substances cannot be commingled with the non-controlled =
=3D
substances..." during these unwanted medication disposal =3D
projects.</DIV><DIV style=3D3D"margin-top: 0px; margin-right: 0px; =3D
margin-bottom: 0px; margin-left: 0px; "><BR =3D
class=3D3D"khtml-block-placeholder"></DIV><DIV style=3D3D"margin-top: =
0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><BR =3D
class=3D3D"khtml-block-placeholder"></DIV><DIV style=3D3D"margin-top: =
0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">We call this
=3D issue "the DEA obstacle", and we brought this matter up two weeks =
ago
=3D with the DEA.=3DA0 While on an invited panel discussion with the =3D
headquarter DEA folks, Strong characterized the current laws as a =3D
regulatory roadblock, not allowing for an efficient means of recapturing
=3D unwanted controlled substances - thus hindering the entire =3D
pharmaceutical collection effort.</DIV><DIV style=3D3D"margin-top: 0px; =
=3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal =
=3D
normal normal 12px/normal Helvetica; min-height: 14px; "><BR></DIV><DIV
=3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; ">DEA's response was well received, and we believe =3D
that DEA recognizes more each year that this as an issue that must be =
=3D
addressed. DEA is hand-tied because the law simply doesn't allow for =3D
distribution/transaction between the consumer (non-registrant) and any =
=3D
other entity (except law enforcement as we have =
seen).=3DA0=3DA0</DIV><DIV =3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; font: normal normal normal 12px/normal Helvetica; =3D
min-height: 14px; "><BR></DIV><DIV style=3D3D"margin-top: 0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">DEA, =3D
understandably, has reason to be wary of this sort of =3D
'reverse-distribution; however, they also clearly see the net =3D
benefit.=3DA0=3DA0</DIV><DIV style=3D3D"margin-top: 0px; margin-right: =
0px; =3D
margin-bottom: 0px; margin-left: 0px; font: normal normal normal =3D
12px/normal Helvetica; min-height: 14px; "><BR></DIV><DIV =3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; ">So, a change must be made to the law that restricts
=3D the transactions from consumers. Specifically, we are suggesting 21
CFR =3D part 1307.21, and related affected sections, be modified to
achieve the =3D goal.=3DA0 Strong=3DA0will work with DEA to suggest and
implement a =3D regulatory mechanism that achieves the mutual goals of
properly governed =3D disposal.=3DA0=3DA0</DIV><DIV =
style=3D3D"margin-top: 0px;
margin-right: 0px; =3D
margin-bottom: 0px; margin-left: 0px; font: normal normal normal =3D
12px/normal Helvetica; min-height: 14px; "><BR></DIV><DIV =3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; font: normal normal normal 12px/normal Helvetica; =3D
min-height: 14px; "><BR></DIV><DIV style=3D3D"margin-top: 0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; =3D
">Regards,</DIV><DIV style=3D3D"margin-top: 0px; margin-right: 0px; =3D
margin-bottom: 0px; margin-left: 0px; font: normal normal normal =3D
12px/normal Helvetica; min-height: 14px; "><BR></DIV><DIV =3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; ">Richard Verch, CHMM</DIV><DIV style=3D3D"margin-top: =
=3D
0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">=3DA0 =
=3DA0
=3D President</DIV><DIV style=3D3D"margin-top: 0px; margin-right: 0px; =
=3D
margin-bottom: 0px; margin-left: 0px; ">=3DA0 =3DA0 770.409.1500 =3D
x111</DIV><DIV style=3D3D"margin-top: 0px; margin-right: 0px; =3D
margin-bottom: 0px; margin-left: 0px; ">=3DA0 =3DA0 770.409.1449 =3D
fax</DIV><DIV style=3D3D"margin-top: 0px; margin-right: 0px; =3D
margin-bottom: 0px; margin-left: 0px; ">=3DA0 =3DA0 <A =3D
href=3D3D"http://www.StrongServices.com/"><FONT =
class=3D3D"Apple-style-span"
=3D color=3D3D"#000FED">www.StrongServices.com</FONT></A></DIV><DIV =3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; font: normal normal normal 12px/normal Helvetica; =3D
min-height: 14px; "><BR></DIV><DIV style=3D3D"margin-top: 0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">---</DIV><DIV
=3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; ">Supported by:</DIV><DIV style=3D3D"margin-top: 0px; =
=3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">=3DA0 =3DA0 =
Beth
=3D Batelaan</DIV><DIV style=3D3D"margin-top: 0px; margin-right: 0px; =
=3D
margin-bottom: 0px; margin-left: 0px; ">=3DA0 =3DA0 770.409.1500 =3D
x142</DIV><DIV style=3D3D"margin-top: 0px; margin-right: 0px; =3D
margin-bottom: 0px; margin-left: 0px; ">=3DA0 =3DA0 <A =3D
href=3D3D"mailto:Beth@StrongServices.com"><FONT =
class=3D3D"Apple-style-span"
=3D color=3D3D"#000FED">Beth@StrongServices.com</FONT></A></DIV><DIV =3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; font: normal normal normal 12px/normal Helvetica; =3D
min-height: 14px; "><BR></DIV><DIV style=3D3D"margin-top: 0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Founded over
=3D a decade ago, Strong Environmental, Inc. is the recognized industry =
=3D
leader in providing treatment and disposal services for a broad spectrum
=3D of industrial, non-hazardous, EPA hazardous, DEA controlled =
substances
=3D and special waste materials. We offer our clients the industry=3D92s
most =3D comprehensive network of waste disposal and treatment =
facilities
and a =3D management team of experienced service-focused
professionals.</DIV><DIV =3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; font: normal normal normal 12px/normal Helvetica; =3D
min-height: 14px; "><BR></DIV><DIV style=3D3D"margin-top: 0px; =3D
margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal =
=3D
normal normal 12px/normal Helvetica; min-height: 14px; "><BR></DIV><DIV
=3D
style=3D3D"margin-top: 0px; margin-right: 0px; margin-bottom: 0px; =3D
margin-left: 0px; ">This message is sent in confidence for the addressee
=3D only. It may contain confidential or sensitive information. The
contents =3D are not to be disclosed to anyone other than the addressee.
Unauthorized =3D recipients are requested to preserve this =
confidentiality
and to advise =3D us of any errors in transmission. Thank you</DIV><DIV
style=3D3D"margin-top:=3D 0px; margin-right: 0px; margin-bottom: 0px;
margin-left: 0px; "><BR =3D
class=3D3D"khtml-block-placeholder"></DIV></BODY></HTML>=3D
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