[Pharmwaste] San Antonio - Texas / MedDropSA results

Charlotte A. Smith csmith at pharmecology.com
Tue Jun 8 21:44:08 EDT 2010


With all due respect, the process of de-constructing dosage forms and
re-formulating to FDA standards would be so complex and costly it would
not be conceivable, even if you could actually get the products back to
the manufacturing plants, many of which are overseas. If you really want
to reduce pharm waste, focus on changing prescribing habits, encourage
positive life-style changes, and other interventions to reduce the
amount of drugs wasted. 

Best regards, 

Charlotte A. Smith, R. Ph., M.S., HEM
Director, PharmEcology Services
WM Healthcare Solutions, Inc.
12229 W. North Ave., Suite 2
Wauwatosa, WI 53226
414-292-3959
713-725-6363 (cell)
414-479-9941 (fax)
csmith at pharmecology.com

Waste Management's renewable energy projects create enough energy to
power over 1 million homes.


-----Original Message-----
From: pharmwaste-bounces at lists.dep.state.fl.us
[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Gabriel,
Fred A
Sent: Tuesday, June 08, 2010 1:03 PM
To: Volkman, Jennifer (MPCA); Mark; pharmwaste at lists.dep.state.fl.us
Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results

Jennifer,

I spoke with the former manager of a reverse distributor in Conyers, GA.
I worked with this individual as far back as 1995, so he has quite a few
years experience with the reverse distribution process.  He informed me
the percentage of medicines through the reverse distribution process
which are routed to an incinerator is more like 99.5%.  Historically the
material being routed to the manufacturers from the reverse distributor
were incinerated in the captive units operated by the manufacturers
rather than reformulated or recycled.  With the passage of MACT the
volume of material moving to the commercial incineration market
increased over the years.  Over the years cetain materials have been
'recycled' or 're-used' by the manufacturers; however, this is the
historical exception not the rule.

Fred
________________________________
From: Volkman, Jennifer (MPCA) [Jennifer.Volkman at state.mn.us]
Sent: Tuesday, June 08, 2010 12:55 PM
To: Mark; pharmwaste at lists.dep.state.fl.us
Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results

Excellent!  I support product stewardship and I agree the scenario you
describe would be better than incineration, hands down.  I think
electronics manufacturers have learned a lot about product design,
minimizing waste and hopefully some distribution efficiencies also.

I am wondering if you think we should put language directing pharms to
be recycled by manufacturers in all product stewardship legislation?  Do
you think it is best to start with that or work it in later?  I like the
idea.  I also like the idea that people could send unused pharms right
back to the mfg, but I'm not sure people would be willing to cover
postage.  Maybe they could do something like 360 Vodka does, which is to
attach an envelope to return the lock cap for reuse for any first time
prescription. I am also thinkikng about the supplements I took back to
GNC. Nothing they have is controlled or prescribed, it seems like they'd
be in a great position to guide that stuff back to the manufacturer.

Also, although manufacturers do have reverse distribution in place and
do give credit to pharmacies for returned pharms, I have talked with
Veolia, a licensed redistributor, and they have stated that the vast
majority, 90% plus is disposed of through them vs. routed on to the
manufacturer.  I am guessing that decision is based on cost and
simplicity vs. anything to do with the environment and sustainability.
As Rick notes, there is a learning curve. I have not talked to other
redistributors that are not also waste management firms, so I am not
sure whether that is true for them too.  We did have one in MN for
awhile and they managed for disposal.  Does anyone have a good idea what
percentage that is redistributed actually makes it back to the
manufacturer?


Maybe we could work with a "green" manufacturer of a line of supplements
to see how that would work.  It would be a great grant project.

________________________________
From: pharmwaste-bounces at lists.dep.state.fl.us
[pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Reibstein, Rick
(EEA) [Rick.Reibstein at state.ma.us]
Sent: Tuesday, June 08, 2010 11:44 AM
To: Matthew Mccarron; Mark; gressitt
Cc: 'Jeff Hollar'; pharmwaste at lists.dep.state.fl.us; 'Matthew C.
Mireles'
Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results

Well said.  The benefits of a full-out takeback program could be
considerable, including the good will it would generate.  I think it is
also not inconceivable that the more that is learned by developing
recovery of useful active ingredients the more the industry will advance
processing technologies that will benefit the front end as well.

From: pharmwaste-bounces at lists.dep.state.fl.us
[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Matthew
Mccarron
Sent: Tuesday, June 08, 2010 12:18 PM
To: Mark; gressitt
Cc: 'Jeff Hollar'; pharmwaste at lists.dep.state.fl.us; 'Matthew C.
Mireles'
Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results

I've said this on this list serv several years ago, manufacturer take
back is the most protective way to manage this problem.  You already
have reverse distribution in place.  The manufacturer and their
production facility already has pollution control for air,water and
waste in place at their production facility.  If they can formulate,
they can deconstruct and recycle chemicals and as an added bonus protect
any proprietary formulations due to better product distribution control.
Since most of the product sold is consumed cost should be pennies per
item sold.

Granted it is cheaper to burn, and currently this industry does not know
what the costs for this activity will be.  The Pharm industry should
take a lesson from the electronics industry by evaluating the cost
impact, build it into the product cost and get out ahead of a hodgepodge
of well intended but poorly designed and executed state legislation (20
different versions), before it falls into the same trap.  The biggest
challenge is the overseas manufacturer willingness to comply, which is
why Federal legislation is needed to control products sold in the US.

Matt McCarron
Pollution Prevention/Green Business
CA Dept. of Toxic Substances Control
700 Heinz Ave. Suite 300  MS R2 - 2-3
Berkeley, CA 94710

510-540-3828

Green Business = Good Business


>>> gressitt <gressitt at zoho.com> 6/7/2010 4:13 PM >>>
Why? What is better?

---- On Mon, 07 Jun 2010 16:04:13 -0700 Mark
<mdonahue3 at charter.net<mailto:mdonahue3 at charter.net>> wrote ----
But the *solution* is still incineration. Not good!

Mark Donahue
ListServe Contributor

________________________________
From:
pharmwaste-bounces at lists.dep.state.fl.us<mailto:pharmwaste-bounces at lists
.dep.state.fl.us> [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On
Behalf Of Matthew C. Mireles
Sent: Monday, June 07, 2010 6:16 PM
To: Jeff Hollar;
pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us
>
Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results
That actually may qualify each household as small waste generator...  :
)

-----Original Message-----
From: Jeff Hollar
Sent: Jun 7, 2010 2:47 PM
To:
pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us
>
Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results



Wow - That's over 10 pounds of pharmaceutical waste per vehicle!  That
seems high for a single consumer household.



Jeff Hollar

President

 PharmWaste Technologies, Inc.

 (P) 515-276-5302 Ext. 316

 (W) www.pwaste.com



From: Tenace, Laurie [mailto:Laurie.Tenace at dep.state.fl.us]
Sent: Monday, June 07, 2010 1:41 PM
To:
pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us
>
Subject: [Pharmwaste] San Antonio - Texas / MedDropSA results





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From: Ken Diehl [mailto:Ken.Diehl at saws.org]
Sent: Monday, June 07, 2010 12:17 PM
To: 'pharmwaste at lists.dep.state.fl.us'
Subject: FW: San Antonio - Texas / MedDropSA results

May I ask this List Group if any other Program of it's kind has exceeded
1,336 lbs. for a one time collection of unused/unwanted medicines
collected in the US?  Thanks.



Ken Diehl, Environmental Protection Specialist IV

Resource Protection & Compliance Department

San Antonio Water System

P.O. Box 2449

San Antonio, Texas  78298

Work: (210) 233-3535

Fax:    (210) 233-4797

ken.diehl at saws.org<mailto:ken.diehl at saws.org>



From: Ken Diehl
Sent: Monday, June 07, 2010 9:02 AM
To: 'Smith, Helen E.'; 'Georgia Zannaras'; 'judy at restorativehealth.com';
'wiesner.dennis at heb.com'; 'Afamia El-Nakat'; 'pgoodwin at homeinstead.com'
Cc: 'pharmwaste at lists.dep.state.fl.us'; Mike Gonzales; 'Jessica
Huybregts'; Donovan Burton; William Peche; 'Winter, Andrew'; Dave Diehl;
'eljohnso at tceq.state.tx.us'; David Newman; 'Joseph Krupa'; 'Guzman, John
A'; 'James Miertschin'; 'Joe Gildersleeve'; 'Danny Siebeneicher'; Ken
Diehl; Erik Hobson; Kirk Nixon; Robert Martinez; Sarah Gatewood
Subject: San Antonio - Texas / MedDropSA results

I wanted to share the results provided by the San Antonio Police
Department/Narcotics Division of "MedDropSA" that was held this last
Sat. (June 5th) in San Antonio Texas.  MedDropSA is the name for the
City of San Antonio's residential pharmaceutical drug disposal program.
See Flyer attached.



The San Antonio Water System has partnering with the San Antonio Police
Department and the City's Solid Waste Management Division on a new
initiative, MedDropSA.  This program is designed to collect unwanted or
unused medications, both prescription and over-the-counter.  The event
was scheduled in conjunction with the City's Household Hazardous Waste
collection day to collect old/unneeded pharmaceuticals, providing a
safe, free alternative to disposal.



Error! Filename not specified.Weight:

*        Pills - 1,007 lbs

*        Liquids/powders/creams - 329 lbs



          GRAND TOTAL: 1,336 lbs



Approximate number of vehicles participated:

*       110



Boxes to be incinerated by Law enforcement at a permitted facility:

*       Total of 36 boxes




Please feel free to contact me with any questions you may have.



Ken Diehl, Environmental Protection Specialist IV

Resource Protection & Compliance Department

San Antonio Water System

P.O. Box 2449

San Antonio, Texas  78298

Work: (210) 233-3535

Fax:    (210) 233-4797

ken.diehl at saws.org<mailto:ken.diehl at saws.org>




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