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<div class=Section1>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'>Charlotte</span></font><font color=blue
face=Arial><span style='font-family:Arial;color:blue'>: Does “a movement
afoot” mean that there is finally some traction at or within DEA for a
regulatory change in response to ongoing requests from collection programs? Or
are you referring to the ongoing clatter from community programs continuing to
request a regulatory change? From the email traffic that I’ve seen on
this issue, so far it seems that everybody except DEA has the stomach for a regulatory
change regarding take back of controlled substances. If DEA is getting on
board, that’s progress.</span></font></p>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'>Thanks, Jack.</span></font></p>
<div>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>John L. (Jack) Price</span></font></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Environmental Manager</span></font></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Hazardous Waste Management MS 4555</span></font></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Florida Department of Environmental Protection</span></font></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>2600 Blair Stone Road</span></font></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Tallahassee</span></font><font
color=blue><span style='color:blue'>, FL 32399-2400</span></font></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Phone:850.245.8751</span></font></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Fax: 850.245.8811</span></font></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>john.l.price@dep.state.fl.us</span></font></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>www.dep.state.fl.us/waste</span></font></p>
<p class=MsoNormal><font size=1 color=black face=Arial><span style='font-size:
7.5pt;font-family:Arial;color:black'>Please Note: Florida has a very
broad public records law. Most written communications to or from state
officials regarding state business are public records available to the public
and media upon request. Your e-mail is communications and may therefore
be subject to public disclosure.</span></font></p>
</div>
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text-align:center'><font size=3 face="Times New Roman"><span style='font-size:
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<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>Charlotte A. Smith<br>
<b><span style='font-weight:bold'>Sent:</span></b> Monday, January 30, 2006
4:50 PM<br>
<b><span style='font-weight:bold'>To:</span></b> Lucy Doroshko; Andria Ventura;
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] RE:
Pharmwaste Digest, Vol 3, Issue 12</span></font></p>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font></p>
<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. </span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'> </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></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></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></p>
<p class=MsoNormal><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></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Brookfield</span></font><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>, WI 53005</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></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></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></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></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></p>
</div>
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<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></p>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </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, Andria. 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?</span></font></p>
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face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> </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>
PO Box 30457<br>
Lansing, MI 48909-7957<br>
517/373-1322<br>
FAX: 517/241-0858<br>
<a href="mailto:doroshkl@michigan.gov">doroshkl@michigan.gov</a></span></font></p>
</div>
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<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> </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 >>></span></font></p>
</div>
<div>
<p class=MsoNormal style='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>
Andria Ventura<br>
Clean Water Action</span></font></p>
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