[Pharmwaste] FW: CPSC's Don't Rush to Flush Newsletter, September 2017

Tue Sep 5 17:14:00 EDT 2017

September 5, 2017

[https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/45801fa8-a234-4238-89b8-92fe2efb5401.jpg]<http://www.dontrushtoflush.org>

In this newsletter we highlight new reports, studies, developments, and resources you can use to promote and enhance your pharmaceutical collection programs and support our efforts to implement sustainably funded collection and public education programs throughout California and beyond! If you have information you want to share in our next newsletter please email jordan at calpc.org<mailto:jordan at calpc.org>.

Pharmaceutical Stewardship Success
in Santa Clara County

CPSC and partners, the City of San Jose and the County of Santa Clara, completed a three year grant project funded by Santa Clara Valley Water District<http://www.valleywater.org/> (SCVWD) to expand Don't Rush to Flush in Santa Clara County in June 2017. The project was immensely successful, resulting in 29 new medication bins resulting in the collection almost 5 tons of medicine since November 2015! Click here<http://calpsc.org/mobius/cpsc-content/uploads/2017/08/Santa-Clara-Med-Bin-Project-Fact-Sheet-FINAL-8-24-17.pdf> to view a project fact sheet.
[https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/_compresseds/e20213cb-2ee5-4632-b0b5-18f8c085140a.jpg]
May 2015 Photo Op Event at Wellness Pharmacy of Los Gatos
Pictured (L to R): Chris Lester, CPSC; Wade Blackard, SCVWD;
Heidi Sanborn, CPSC; Santa Clara County Supervisor Ken Yeager;
Pharmacist Cuong Trihn; Tammy Green, County of Santa Clara;
Eric Dunlavey, City of San Jose; Bill Grimes, County of Santa Clara

With the County of Santa Clara's Safe Drug Disposal pharmaceutical EPR ordinance well into implementation, the bin locations recruited through the project will soon be transitioning to the industry-funded MED Project<http://www.med-project.org/locations/santa-clara> program. MED Project has opted not to use the bins purchased through the grant, so CPSC expects to have 29 bins available for local governments who are starting their own collection programs for free or reduced cost. Please contact CPSC at (916) 706-3420 for more information.

Walgreens Receives CPSC 2017
Infinity Arrow Award for Take Back

CPSC recognized Walgreens with the 2017 Infinity Arrow Award at the CRRA Conference in recognition of Walgreens' immensely successful medication take back program. Walgreens became the first national pharmacy chain to provide this service on an ongoing basis in February 2016 and has since installed over 600 collection bins in some of the 24-hour stores. In its first year, the program has resulted in the collection and disposal of 72 tons of unwanted medication, helping to protect public health and the environment.
[https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/72b86b65-2d03-4f49-8284-33fe1dd79617.jpg]
Pictured (L to R): Jennifer Kurrie, Walgreens; Hayley Park,
Walgreens; Heidi Sanborn, CPSC with the 2017 Infinity Arrow Award. Medicine bin in background at the San Diego store.

CPSC applauds Walgreens for voluntarily providing year-round safe disposal opportunities for the public and encourages pharmacies and other members of the product chain to help better unwanted medication waste.
[https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/5db3a9c5-9508-4dc3-a7a3-3fd134f34dfe.png]<http://news.walgreens.com/presskits/combating-drug-abuse.htm>

CPSC's Summary and Response to
California State Auditor Report on Home-Generated Sharps and Pharmaceutical Waste

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As highlighted in the May 2017 newsletter, the Auditor's report was released on May 9th, 2017 following a year of research and interviews with stakeholders.

CPSC commends the efforts of the Auditors team. Please see our responses and comments here<https://calpsc.org/mobius/cpsc-content/uploads/2014/12/CPSC-State-Auditor-Summary-FINAL-9-5-17.pdf>.
Click to view the Full Report<https://www.bsa.ca.gov/pdfs/reports/2016-127.pdf>; Report Summary<https://www.bsa.ca.gov/reports/2016-127/summary.html>; Fact Sheet<https://www.bsa.ca.gov/pdfs/factsheets/2016-127.pdf>

Monterey County Partnership Places 5 New Bins and Facilitates the Installation of 4 More

CPSC and partners, Monterey Regional Waste Management Agency (MRWMD) and Salinas Valley Solid Waste Authority, completed a 1-year grant project from the Rose Foundation in June 2017. The partners established 5 new bins in Monterey County through the grant, while working with the Prescribe Safe Initiative of Monterey to place 4 bins in South Monterey County outside of the grant scope, nearly doubling the number of medication drop-off locations in the County in one year! Click here<http://calpsc.org/mobius/cpsc-content/uploads/2017/08/Monterey-Med-Bin-Project-Fact-Sheet-FINAL-8-24-17-WEB.pdf> to view a project fact sheet. If you would like to help doing the same please contact us at info at calpsc.org<mailto:info at calpsc.org>.

[https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/9c5a079c-45d1-4188-8e18-9e2e15325247.jpg]
Pictured (L to R): All Care Pharmacy pharmacists Akshai Patel and Donna Ferguson; Community Hospital of the Monterey Peninsula Doctors Casey Grover and Reb Close;
Alisal Pharmacy staff Christy and Jasmin

Board of Pharmacy Pharmacy Take Back Regulations Adopted June 8, 2017

The California Board of Pharmacy (BOP) adopted their long-awaited Prescription Drug Take-Back Services<http://www.pharmacy.ca.gov/laws_regs/1776_oa.pdf> regulations on June 8, 2017, which went into effect immediately. The regulations provide a regulatory framework that BOP licensees must follow in order to provide take back services for unwanted medications.

The regulations closely parallel the DEA Final Rule on Collection of Controlled Substances<https://www.deadiversion.usdoj.gov/fed_regs/rules/2014/2014-20926.pdf> for the most part, but in some instances will exceed what is required by DEA.

CPSC prepared a comparison summary highlighting sections where the BOP regulations differ from those of the DEA as a resource for entities interested in providing drug take back services. The summary is available for download here<http://calpsc.org/mobius/cpsc-content/uploads/2017/08/BOP-Regulations-for-Drug-Take-Back-Summary-of-Differences-from-DEA-7-19-17.pdf>. Please contact CPSC with questions and/or for technical assistance to comply with the new regulations.

Don't Rush to Flush Expands to
Amador and (hopefully) San Joaquin Counties

Following successful expansions into Monterey County and Santa Clara County,
resulting in 37 new <https://rosefdn.org/> [https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/90f0f0af-58fa-4c7d-8872-7fef2ea669ef.jpg] <https://rosefdn.org/> <https://rosefdn.org/> medication bins, CPSC has received grant funding from the Rose Foundation for Communities and the Environment<https://rosefdn.org/> to expand the Don't Rush to Flush program to Amador County through a 1-year grant to place up to 5 bins and to San Joaquin County through a 2-year grant to place up to 20 bins. We look forward to working with our local government partners, local businesses, law enforcement, and other community stakeholders to help increase access to this important service!

MED Project Bin Placement Update
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The pharma industry-operated MED Project<http://www.med-project.org/> continues to place new bins in California counties per their obligation under each jurisdiction's respective pharmaceutical Extended Producer Responsibility (EPR) ordinances.

To date, there are 115 bins paid for by drug companies and more scheduled for placement soon. Below is a list of existing bins:

  *   City/County of San Francisco - 31 bins
  *   County of Alameda - 27 bins
  *   County of San Mateo - 35 bins
  *   County of Marin - 15 bins
  *   County of Santa Cruz - 8 bins
  *   County of Santa Clara - 12 bins expected late 8/2017
San Francisco, San Mateo, Marin, and Santa Cruz also have numerous locations distributing mailback envelopes through MED Project.

Pictured (Above) - MED Project Print Ad in the SF Chronicle, 6/23/17

Kaiser Permanente Hosts Med Bins
Kaiser Permanente has agreed to participate in the MED Project program and is now hosting bins at certain Kaiser pharmacies in the San Francisco Bay Area. A total of 40 locations are placed or will be coming soon!

We have confirmed Kaiser will host bins in the following number of locations by jurisdiction:

  *   Alameda County - 13
  *   [https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/6387f72e-4905-4a23-8aa1-ddd8e89b5cd7.png] Marin County - 3
  *   San Francisco City/County - 3
  *   San Mateo County - 6
  *   Santa Clara County - 12
  *   Santa Cruz County - 2
[https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/_compresseds/91daebe3-4698-49cf-a20a-116f871afdf2.jpg]
Pictured - MED Project Bin at Kaiser Medical Center of Plesanton's Pharmacy
(Photo Credit - County of Alameda)

Next Up? Model EPR Ordinance
for Rural Local Governments

CPSC is working with several local governments to introduce pharmaceutical EPR ordinances and has developed model legislation tailored for the needs of rural jurisdictions. If you are considering an ordinance, we can provide the technical assistance and know-how to get it done! Please contact Heidi Sanborn (Heidi at calpsc.org<mailto:heidi at calpsc.org>) or call (916)706-3420.

National Academies of Sciences,
Engineering and Medicine Recommend
Improving Access to Drug-Take Back

In a new study titled Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use<http://nationalacademies.org/hmd/reports/2017/pain-management-and-the-opioid-epidemic.aspx>, by the National Academies of Sciences, Engineering and Medicine recommends expanding access to year-round, convenient drug-take back to help raise awareness of the issue and prevent misuse:
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The study also highlights the success of Walgreens drug collection program and producer-funded efforts in Canada such as British Columbia's Medications Return Program.
Read more: Report Highlights<https://www.nap.edu/resource/24781/Highlights_071317_Opioids.pdf>; Recommendations<https://www.nap.edu/resource/24781/Recs_071317_Opioids.pdf>; Full Study <https://www.nap.edu/login.php?record_id=24781&page=https%3A%2F%2Fwww.nap.edu%2Fdownload%2F24781>

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Our mailing address is:
California Product Stewardship Council
1822 21st Street, Suite 100
Sacramento, CA 95811

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