[Pharmwaste] New Stericycle and SharpsCompliance med disposal kiosks

Jan Harris jharris at sharpsinc.com
Wed Aug 9 15:34:20 EDT 2017


Thanks Doug. Yes. This is correct. The party SP was an initial stop-gap if you will. Of course if the RD doesn’t have their own, it can/must still be used.


Jan Harris | Director, Environmental Health & Safety

Sharps Compliance, Inc.
d- 713-927-9956 | o- 800-772-5657 | f- 713-660-3596

jharris at sharpsinc.com | <mailto:jharris at sharpsinc.com> http://www.sharpsinc.com


From: Doug Bowman [mailto:DBowman at assuredwaste.com]
Sent: Wednesday, August 09, 2017 2:27 PM
To: Yeman, William (DEC) <william.yeman at dec.ny.gov>; Jan Harris <jharris at sharpsinc.com>; Volkman, Jennifer (MPCA) <jennifer.volkman at state.mn.us>; Jaramillo, Jeanie <Jeanie.Jaramillo at ttuhsc.edu>; pharmwaste at lists.dep.state.fl.us
Cc: Snow, Thomas (DEC) <thomas.snow at dec.ny.gov>; Ottaway, William (DEC) <william.ottaway at dec.ny.gov>
Subject: RE: [Pharmwaste] New Stericycle and SharpsCompliance med disposal kiosks

Hi Bill,

I attended the meeting with the DEA, DOT, EPA in Arlington, VA back in July of 2015 and Mr. Prevoznik was present at this meeting along with Ruth Carter from the DEA.  DOT was just getting involved at that time based on the consumer program as they were wanting to know how the packages would be classified for shipment.  I worked directly with Andrew Eckinrode from the DOT as I am guessing Jan did as well.  Each authorized collector would be required to be party to 20255 if this was the only available permit, however, because DOT approved the Special Permit after 20255 which is a Manufacture, Mark, Sale and Use permit for approved packaging, each authorized collector utilizing this approved packaging would not be required to become a party to this Special Permit, just to keep this Special Permit on hand at their collector site.


Best Regards,

Doug Bowman
[cid:image001.png at 01D04167.051E8EB0]
V.P. Operations
704-884-0008 Office
704-616-9528 Cell
704-865-7519 Fax



From: Yeman, William (DEC) [mailto:william.yeman at dec.ny.gov]
Sent: Wednesday, August 9, 2017 3:15 PM
To: Doug Bowman <DBowman at assuredwaste.com<mailto:DBowman at assuredwaste.com>>; Jan Harris <jharris at sharpsinc.com<mailto:jharris at sharpsinc.com>>; Volkman, Jennifer (MPCA) <jennifer.volkman at state.mn.us<mailto:jennifer.volkman at state.mn.us>>; Jaramillo, Jeanie <Jeanie.Jaramillo at ttuhsc.edu<mailto:Jeanie.Jaramillo at ttuhsc.edu>>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Cc: Snow, Thomas (DEC) <thomas.snow at dec.ny.gov<mailto:thomas.snow at dec.ny.gov>>; Ottaway, William (DEC) <william.ottaway at dec.ny.gov<mailto:william.ottaway at dec.ny.gov>>
Subject: RE: [Pharmwaste] New Stericycle and SharpsCompliance med disposal kiosks

Hi Doug (Bowman) & Jan (Harris) –

Where I’m coming from in my 10:57 email below is based mainly on the attached June 2016 email from DEA’s Tom Prevoznik (which was distributed in a pharmwaste listserv email last July). Mr Prevoznik says in that email:

“If…the retail pharmacy…is shipping via common carrier then the…retail pharmacy…would be the responsible shipper and they would be responsible for obtaining the special permit.”

So when Jan described in her 12:28 email the situation where the collected pharmaceuticals were “…completely under the control of the registered collector (pharmacy), with common carrier …” I wanted to raise the red flag that such an arrangement would definitely appear to require that the pharmacy become a party to 20255 (or to Doug’s 20295 or to Jan’s 20284).

Thanks a lot
Bill Yeman
NYSDEC
Albany NY
William.yeman at dec.ny.gov<mailto:William.yeman at dec.ny.gov>

From: Doug Bowman [mailto:DBowman at assuredwaste.com]
Sent: Wednesday, August 09, 2017 12:38 PM
To: Jan Harris <jharris at sharpsinc.com<mailto:jharris at sharpsinc.com>>; Yeman, William (DEC) <william.yeman at dec.ny.gov<mailto:william.yeman at dec.ny.gov>>; Volkman, Jennifer (MPCA) <jennifer.volkman at state.mn.us<mailto:jennifer.volkman at state.mn.us>>; Jaramillo, Jeanie <Jeanie.Jaramillo at ttuhsc.edu<mailto:Jeanie.Jaramillo at ttuhsc.edu>>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: RE: [Pharmwaste] New Stericycle and SharpsCompliance med disposal kiosks

I concur with Jan on her statement below as Assured Waste Solutions also has its own unique DOT Special Permit (20295) as well as grantee status to 20255.


Best Regards,

Doug Bowman
[cid:image001.png at 01D04167.051E8EB0]
V.P. Operations
704-884-0008 Office
704-616-9528 Cell
704-865-7519 Fax



From: Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Jan Harris
Sent: Wednesday, August 9, 2017 12:28 PM
To: Yeman, William (DEC) <william.yeman at dec.ny.gov<mailto:william.yeman at dec.ny.gov>>; Volkman, Jennifer (MPCA) <jennifer.volkman at state.mn.us<mailto:jennifer.volkman at state.mn.us>>; Jaramillo, Jeanie <Jeanie.Jaramillo at ttuhsc.edu<mailto:Jeanie.Jaramillo at ttuhsc.edu>>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: Re: [Pharmwaste] New Stericycle and SharpsCompliance med disposal kiosks

Thanks William for the question,

Sharps has its own unique Special Permit from DOT (SP 20284). This prevents our collector pharmacy customers from having to get their own SP20255. If a reverse distributor using common carrier does not have their own SP, you are right that the pharmacy would have to apply as party to SP 20255.

From: Yeman, William (DEC) [mailto:william.yeman at dec.ny.gov]
Sent: Wednesday, August 09, 2017 10:57 AM
To: Jan Harris <jharris at sharpsinc.com<mailto:jharris at sharpsinc.com>>; Volkman, Jennifer (MPCA) <jennifer.volkman at state.mn.us<mailto:jennifer.volkman at state.mn.us>>; Jaramillo, Jeanie <Jeanie.Jaramillo at ttuhsc.edu<mailto:Jeanie.Jaramillo at ttuhsc.edu>>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: New Stericycle and SharpsCompliance med disposal kiosks

Jan,

If Sharps Compliance uses a common carrier, doesn’t that then force each pharmacy to get DOT approval to use Special Permit SP 20255 to stay in compliance with DOT regulations?

Jeanie wrote an email on this last year (July 11.)

Bill Yeman
NYSDEC
Albany NY
William.yeman at dec.ny.gov<mailto:William.yeman at dec.ny.gov>

From: Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Jan Harris
Sent: Tuesday, August 08, 2017 4:52 PM
To: Volkman, Jennifer (MPCA) <jennifer.volkman at state.mn.us<mailto:jennifer.volkman at state.mn.us>>; Jaramillo, Jeanie <Jeanie.Jaramillo at ttuhsc.edu<mailto:Jeanie.Jaramillo at ttuhsc.edu>>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: Re: [Pharmwaste] New Stericycle med disposal kiosks

One of the reasons Sharps Compliance chose to use the common carrier method, besides the liability and requirement for two reverse distributor drivers, is that the receptacle fills up often and then has to be locked up for several days until a pickup service arrives. So besides being completely under the control of the registered collector (pharmacy), with common carrier, the pharmacy has back-up liners that can be easily replaced when necessary, which is more convenient for the public.


Jan Harris | Director, Environmental Health & Safety

Sharps Compliance, Inc.
d- 713-927-9956 | o- 800-772-5657 | f- 713-660-3596

jharris at sharpsinc.com | <mailto:jharris at sharpsinc.com> http://www.sharpsinc.com
…
From: Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Jan Harris
Sent: Tuesday, August 08, 2017 4:21 PM
To: Volkman, Jennifer (MPCA) <jennifer.volkman at state.mn.us<mailto:jennifer.volkman at state.mn.us>>; Jaramillo, Jeanie <Jeanie.Jaramillo at ttuhsc.edu<mailto:Jeanie.Jaramillo at ttuhsc.edu>>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: Re: [Pharmwaste] New Stericycle med disposal kiosks

Actually the Sharps Compliance MedSafe program is a common carrier system. Two registered collector, (e.g., retail pharmacy) employees remove the inner liner, close it up, and provide directly to UPS. We do not have a pickup program for our DEA-compliant receptacle program.


Jan Harris | Director, Environmental Health & Safety

Sharps Compliance, Inc.
d- 713-927-9956 | o- 800-772-5657 | f- 713-660-3596

jharris at sharpsinc.com | <mailto:jharris at sharpsinc.com> http://www.sharpsinc.com
From: Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Volkman, Jennifer (MPCA)
Sent: Tuesday, August 08, 2017 2:38 PM
To: Jaramillo, Jeanie <Jeanie.Jaramillo at ttuhsc.edu<mailto:Jeanie.Jaramillo at ttuhsc.edu>>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: Re: [Pharmwaste] New Stericycle med disposal kiosks

That’s how it works. They are permitted by DEA to handle the collected liners, so they replace them, while pharmacy staff watch so everything is above board. I believe they are servicing the Walgreens collection sites here in MN. The Sharps Compliance system operates the same way.

From: Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Jaramillo, Jeanie
Sent: Tuesday, August 08, 2017 1:41 PM
To: pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: [Pharmwaste] New Stericycle med disposal kiosks

http://drugtopics.modernmedicine.com/drug-topics/news/what-do-your-patients-do-unused-meds?GUID=&rememberme=1&ts=08082017

This is interesting. The system is apparently entirely managed by Stericycle. The article indicates a “technician” (i.e. Stericycle rep) will come to empty the kiosk while two people from the pharmacy site are present. It’s not crystal clear, but sounds like that technician then ships the liner. The video panel is interesting with the ability to provide directions in different languages.

Dr. Jeanie Jaramillo-Stametz
Managing Director, Texas Panhandle Poison Center
Asst. Professor, Pharmacy Practice
Director, Medication Cleanout
Texas Tech University Health Sciences Center
School of Pharmacy
jeanie.jaramillo at ttuhsc.edu<mailto:jeanie.jaramillo at ttuhsc.edu>
Office: (806) 414-9402
Voice mail: (806) 414-9299
Mobile: (806) 376-0039

As a leader in healthcare waste management, Sharps Compliance strives to reduce, recycle and repurpose treated materials for a better and sustainable environment.

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