[Pharmwaste] FW: American Pharmacists Association promoting a government funded program with voluntary pharmacy participation

Mon Feb 9 13:17:23 EST 2015

From: cpsc-pharmaceuticals-listserv at googlegroups.com [mailto:cpsc-pharmaceuticals-listserv at googlegroups.com] On Behalf Of Heidi Sanborn
Sent: Monday, February 09, 2015 10:54 AM
To: CPSC Pharmaceutical Listserv (cpsc-pharmaceuticals-listserv at googlegroups.com)
Subject: American Pharmacists Association promoting a government funded program with voluntary pharmacy participation

American Pharmacists Association:

https://www.pharmacist.com/who-should-pay-take-back-programs-pharmacies<http://cp.mcafee.com/d/k-Kr6zqb2rbZQnTSjtPqqb2bzxEVd7bXNJd5x5MtuVEVpdFEI8Ke6zAQsLCzASzuXzNEVou76zAS8_I9vMzItlAuvk5jCSjFrLgrdPCSjFrLgrdA4TfugovW_f3C1POvnKnjppuV5dNOXbfbnjIyCHtNzBgY-F6lK1FJ4Sqejt-j79zANOoVcsrKr9PCJhbcasIjSaKSBivbUo9RbQ9RrfgbHqmbPQHVsxJyFtqdictlEnm9X5nri-xKORb5RyuNlSTJPBrjW5PVkDjUCg0A8m88kAuUMb7GOaPCjgrbmySg8BGuHfMkhHkyvV6dmRGsKrjopvsdy2LNBro6y0b4ZyHJFkDgQg25alJbpOH0QgbhGHmsE4jh1FEw8Rc_62LMCq87mU8uwq85ER8NRkQg69j9Cy0PkZK4Zymd42NfoGXoIq85JzelFbrelo6QrL6N4fkybVC>

Who should pay for take-back programs in pharmacies?
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February 06, 2015
State associations weigh in
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Now that pharmacies have the authority to collect unwanted or unused medications<http://cp.mcafee.com/d/avndygsrhojpvKy--OrKrjhohssd79EVvudFEI8K3HTd7b9Jd5x5NMQsCzBYQsCQrTsud7b3MUQsCN7Zxb-4tzGIzPWwGsSOtbtW3pKsSOtbtW3pIwCVXO33_nVUsMeujWZOWrbbT8FKenppVqWtAkRrKcsG7DR8OJMddzzpEVdTVcsCej79zANNKVIDeqR4IMFONfoGXql9YLAaEvwUQsIfcc4Fk5qkGaSQY_Q3AjtBGmbH4ZyHJLrDaSDQbDOFeDNcw18gIggF8ZNwmflAlDcCwSmJ5IwhbkZmvwEzmF4_OcqJHkVsSCMO-Ur45vzaSMd40m9X5nriFexEw4akHqmPBm1EwmzlmIVg8Cy3jh0hGp-c5vxcQgeJMgZ0QgbhGhzGFEwciCjd41CFXs9X4Iq85yuNlSNoQgbr6sHimSsGMdETudE4HLyZEg> from patients through drug take-back programs, some states are grappling with who should be paying for the maintenance and disposal of collection receptacles that would reside in pharmacies.
One California county issued an ordinance putting the cost on drug manufacturers. But when the pharmaceutical industry challenged the ordinance last year, it was rejected<http://cp.mcafee.com/d/5fHCN0e6xASyMCO_t5ZZATsSCyMyUUqejhO-Yrjhohs7nKqemjqqb2bzxEVd7bVEVdETKUYqem7xNEVdyfX2nY8X7lp7DR1kVJAWmXQ6PsVJAWmXQ6Pp1dPTA67-LPMVwsYDRXBQSmnKhjssKOPORQX8FGTsoVkffGhBrwqrudCzATvANOoVcsCej76XCM0p0-F6D6a2fbUIjSaKDRDytQnYKzBTcm9X5ni-QaQbJBW5WdHhZnOZGJNCnDkL7PcLc5XlrxcInDFnOV3r5iWQqAoWHxKORb5RyuNlSTJPBrjW5PVkDjUCg0A8m88kAuUMb7GOaPCjgrbmySg8BGuHfMkhHkyvV6dmRGsKrjopvsdy2LNBro6y0b4ZyHJFkDgQg25alJbpOH0QgbhGHmsE4jh1FEw8Rc_62LMCq87mU8uwq85ER8NRkQg69j9Cy0PkZK4Zymd42NfoGXoIq85JzelFbrelo6QrL6Yvvy7daO> by a federal appeals court.
Costs a concern
Costs are especially a concern for some states that are considering legislation mandating take-back programs in pharmacies, and state pharmacy organizations don’t want pharmacies to be held responsible.
In January, a New Mexico state senator filed a bill that would require the state board of pharmacy to establish a take-back program in community pharmacies to collect unused or unwanted medications from consumers.
Dale Tinker, Executive Director of the New Mexico Pharmacists Association, said they are concerned about what is expected to be an unfunded mandate.
“No one disagrees that there needs to be ways to safely dispose of medications. But how are pharmacists going to manage a take-back program and pay for it?” he told Pharmacy Today.
Take-back programs are currently voluntary in New Mexico, and no pharmacies so far have receptacles onsite, according to Tinker. But some pharmacies provide consumers with envelopes for the option of mailing in unused or unwanted prescription medications, which Tinker thinks is a more reasonable approach since the medication goes directly to a certified incineration location.
The state of New Jersey also has legislation pending; as presently written, it would be an unfunded mandate requiring community and hospital pharmacies to install take-back receptacles.
Elise Barry, CEO of the New Jersey Pharmacists Association, said they are pleased to be working with legislative staff on the issue, but have concerns about the legislation. First, there are both installation and removal costs for take-back programs. For a monthly fee, a certified service must take away the contents for safe disposal. There’s also paperwork involved. Many pharmacists are concerned about security as well.
“An individual could place inappropriate or hazardous materials in the receptacle and you [the pharmacist] are not able to open the dropbox,” Barry told Today.
The Tennessee Pharmacists Association (TPA) is taking a proactive approach by working with members of Congress to draft legislation that complements recent regulatory changes from the Tennessee Board of Pharmacy allowing pharmacists to participate in take-back programs.
“The proposed legislation establishes that a pharmacy’s participation in drug disposal programs would be voluntary, authorizes the pharmacist-in-charge to make the final determination regarding the pharmacy’s participation, and adds certain protections from liability for pharmacists participating in drug disposal programs,” Micah Cost, PharmD, Executive Director of TPA, told Today.
Alternative approaches
Legislation shaping up in California would not require pharmacies to participate in take-back programs—but if they do, it would put the cost of the program as a small fee or tax on all consumer and business sanitation district bills. Jon Roth, CAE, CEO of the California Pharmacists Association (CPhA), said CPhA is not sponsoring the legislation but has been informed about it from the bill sponsor’s office.
Other states have dealt with the issue of cost in other ways.
According to Joni Cover, JD, Executive Director of the Nebraska Pharmacists Association, Nebraska has been part of a statewide drug disposal project that pays for Sharps boxes—which house only noncontrolled substances—for any pharmacy in Nebraska that wants to participate, and at no cost to the pharmacy.
“We are asking the Nebraska legislature for a 2-year funding appropriation beginning in 2016 for a continuation of the grant, which would provide free containers for the pharmacies for both controlled and noncontrolled substances,” said Cover.
Since 2009, Iowa has had a drug disposal program funded by the state, first through an Iowa Department of Natural Resources grant and then more recently from the Iowa Board of Pharmacy.
“The legislature, the board, and IPA [Iowa Pharmacists Association] all see this model as a good one for the public and the profession,” said Kate Gainer, PharmD, Executive Vice President and CEO of IPA.
Loren Bonner<mailto:lbonner at aphanet.org>, MA, Reporter

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