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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Hi John,<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'>At the <st1:place w:st="on"><st1:State
w:st="on">Maine</st1:State></st1:place> conference hosted by Dr. Gressitt I
presented a model for consumer take-back using reverse distributors. During the
discussion period, several of us asked the DEA representative specifically if
they would consider a modification in the regulations to enable that process to
take place. Andy McFaul from DEA said that a well drafted letter from
representatives of RDs to DEA describing the process and supported by other
regulatory bodies, such as state boards of pharmacy and controlled substances
boards, would be considered. He encouraged actual draft language. I believe
that process has begun although I am not involved with it at this time. I
suspect the willingness to consider such a proposal is being driven by the
incessant questions being received by DEA as to how best to bring unused controlled
substances back out of the market. <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>
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text-align:center'><font size=3 face="Times New Roman"><span style='font-size:
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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'> Price,
John L. [mailto:John.L.Price@dep.state.fl.us] <br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, January 31, 2006
8:18 AM<br>
<b><span style='font-weight:bold'>To:</span></b>
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Cc:</span></b> Charlotte A. Smith; Lucy
Doroshko; Andria Ventura; Scott@ProductStewardship.US<br>
<b><span style='font-weight:bold'>Subject:</span></b> DEA regulatory change:
some real traction?</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>
<p class=MsoNormal><st1:City w:st="on"><st1:place w:st="on"><font size=3
color=blue face=Arial><span style='font-size:12.0pt;font-family:Arial;
color:blue'>Charlotte</span></font></st1:place></st1:City><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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></p>
<p class=MsoAutoSig><st1:Street w:st="on"><st1:address w:st="on"><font size=3
color=blue face="Times New Roman"><span style='font-size:12.0pt;color:blue'>2600
Blair Stone Road</span></font></st1:address></st1:Street><o:p></o:p></p>
<p class=MsoAutoSig><st1:place w:st="on"><st1:City w:st="on"><font size=3
color=blue face="Times New Roman"><span style='font-size:12.0pt;color:blue'>Tallahassee</span></font></st1:City><font
color=blue><span style='color:blue'>, <st1:State w:st="on">FL</st1:State>
<st1:PostalCode w:st="on">32399-2400</st1:PostalCode></span></font></st1:place><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></p>
<p class=MsoNormal><font size=1 color=black face=Arial><span style='font-size:
7.5pt;font-family:Arial;color:black'>Please Note: <st1:State w:st="on"><st1:place
w:st="on">Florida</st1:place></st1:State> 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><o:p></o:p></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>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><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>
<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><o:p></o:p></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'> </span></font><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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><o:p></o:p></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?</span></font><o:p></o:p></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'> </span></font><o:p></o:p></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></span></font><o:p></o:p></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'> </span></font><o:p></o:p></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><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal style='margin-bottom:12.0pt'><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</span></font><o:p></o:p></p>
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