<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:st1="urn:schemas-microsoft-com:office:smarttags" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=us-ascii">
<meta name=Generator content="Microsoft Word 11 (filtered medium)">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><o:SmartTagType
namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PostalCode"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="State"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="City"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="place"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="Street"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="address"/>
<!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
/* Font Definitions */
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman";
mso-believe-normal-left:yes;}
a:link, span.MsoHyperlink
{color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{color:blue;
text-decoration:underline;}
span.EmailStyle17
{mso-style-type:personal-reply;
font-family:Arial;
color:navy;}
@page Section1
{size:8.5in 11.0in;
margin:1.0in 1.25in 1.0in 1.25in;}
div.Section1
{page:Section1;}
-->
</style>
<![if mso 9]>
<style>
p.MsoNormal
{margin-left:3.0pt;}
</style>
<![endif]>
</head>
<body lang=EN-US link=blue vlink=blue style='margin-left:3.0pt;margin-top:3.0pt;
margin-right:3.0pt;margin-bottom:.75pt'>
<div class=Section1>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Hello! There is a movement afoot to get
DEA to change the regulations to enable reverse distributors to be able to
accept controlled substances from consumer via the mail. This already happens
to some extent with product recalls. Some of the reverse distributors, such as
Capital Returns, are researching this approach. Consumers could receive
mailback instructions when they pick up their prescriptions at the pharmacy.
Once the DEA hurdle is overcome, funding is the next challenge. Product
stewardship would seem a logical choice, since reverse distributors could
document which drug company manufactured the drug if it was in the original
container and a chargeback could be issued. Original containment will not
always be the case but could account for a majority of the returns. Otherwise
we still haven’t solved the issue of controlled substances being
diverted, involved in poisonings, and entering the ecosystem. <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<div>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Charlotte A. Smith, R. Ph., M.S., HEM</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>President</span></font><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>PharmEcology Associates, LLC</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>200 S. Executive Drive, Suite 101</span></font></st1:address></st1:Street><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>Brookfield</span></font></st1:City><font size=2 color=navy
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:navy'>, <st1:State
w:st="on">WI</st1:State> <st1:PostalCode w:st="on">53005</st1:PostalCode></span></font></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>262-814-2635</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Fax: 414-479-9941</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><a href="mailto:csmith@pharmecology.com">csmith@pharmecology.com</a></span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><a href="http://www.pharmecology.com">www.pharmecology.com</a></span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>H2E Champion for Change Award 2004</span></font><o:p></o:p></p>
</div>
<div>
<div class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
text-align:center'><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>
<hr size=2 width="100%" align=center tabindex=-1>
</span></font></div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;font-weight:bold'>From:</span></font></b><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b><span style='font-weight:
bold'>On Behalf Of </span></b>Lucy Doroshko<br>
<b><span style='font-weight:bold'>Sent:</span></b> Monday, January 30, 2006
3:44 PM<br>
<b><span style='font-weight:bold'>To:</span></b> Andria Ventura;
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> [Pharmwaste] RE:
Pharmwaste Digest, Vol 3, Issue 12</span></font><o:p></o:p></p>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>I know that DEA
is becoming more aware of this problem and the fact that so many community
programs are being asked by residents to manage their waste
pharmaceuticals. I like your idea, <st1:City w:st="on"><st1:place w:st="on">Andria</st1:place></st1:City>.
What about different colored containers (dayglo purple or some such) so that
patients would remember that the drug is a controlled substance? I
already know the negative part of that idea ... then the criminal element would
more easily be able to identify discarded medication in the trash. But,
has the idea of different colored containers for controlled substances been put
forth?<o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> <o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>Lucy Doroshko,
Recycling Specialist<br>
Pollution Prevention and Compliance Assistance Section<br>
MDEQ Environmental Science and Services Division<br>
525 W. Allegan, One North<br>
<st1:address w:st="on"><st1:Street w:st="on">PO Box</st1:Street> 30457</st1:address><br>
<st1:place w:st="on"><st1:City w:st="on">Lansing</st1:City>, <st1:State w:st="on">MI</st1:State>
<st1:PostalCode w:st="on">48909-7957</st1:PostalCode></st1:place><br>
517/373-1322<br>
FAX: 517/241-0858<br>
<a href="mailto:doroshkl@michigan.gov">doroshkl@michigan.gov</a><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> <o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>Check the DEQ
Recycling Website at <a href="http://www.michigan.gov/deqrecycling">www.michigan.gov/deqrecycling</a><br>
<br>
<br>
>>> "Andria Ventura" <aventura@cleanwater.org>
1/30/2006 4:40 PM >>><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:0in'><font size=2 color=black face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma;color:black'>Regarding the issue of
controlled substances, would it be possible to<br>
institute a policy requiring pharmacists to inform patients that a<br>
prescription is controlled, and therefore, not acceptable for drop off later<br>
on when they dispense the drug?<br>
<br>
<st1:City w:st="on">Andria</st1:City> <st1:City w:st="on"><st1:place w:st="on">Ventura</st1:place></st1:City><br>
Clean Water Action<o:p></o:p></span></font></p>
</div>
</div>
</body>
</html>