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<p class=MsoNormal><font size=3 color=black face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:black'>Hi all- The Washington State PH:ARM team
considered using a mail back program for collection of household
pharmaceuticals initially. Our idea was to provide some sort of mailer to
consumers and they could mail the material directly to the Waste to Energy
facility in our state. We ran into three logistical barriers, which I wanted
to share, perhaps they do or do not apply in your situation.</span></font></p>
<p class=MsoNormal><font size=3 color=black face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:black'> </span></font></p>
<ol style='margin-top:0in' start=1 type=1>
<li class=MsoNormal style='color:black'><font size=3 color=black face=Arial><span
style='font-size:12.0pt;font-family:Arial'>There needs to be some
authorized entity (if the mix of material contains controlled substances, you
need law enforcement) to receive the medications. Our incinerator could
not receive the medications directly, as they had no law enforcement
capabilities there, nor were they able to accept any sort of waste by mail.
We imagined some sort of secure PO box located near the facility, and
someone would have to take the material from the PO box to the Waste to
Energy facility. DEA may desire inventory control in this system, which
could be quite a barrier. </span></font></li>
<li class=MsoNormal style='color:black'><font size=3 color=black face=Arial><span
style='font-size:12.0pt;font-family:Arial'>Volume issues. The idea of a
mailer works great for the half of a vial that is left over, but how do
you deal with the large quantity of meds from a death in the family?</span></font></li>
<li class=MsoNormal style='color:black'><font size=3 color=black face=Arial><span
style='font-size:12.0pt;font-family:Arial'>Cost. At $1.00-$5.00 per
mailer (weight, volume) in postage, that is a lot of money. If you want 2
million people in your state to use the program (less than half of the
population in Washington) it adds up to $2 to $10 million just in postage
alone. We weren’t sure if consumers would be willing to pay postage…
And we weren’t envisioning manufacturers paying for that cost at
this early point in time.</span></font></li>
</ol>
<p class=MsoNormal><font size=3 color=black face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:black'> </span></font></p>
<p class=MsoNormal><font size=3 color=black face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:black'>Best regards</span></font></p>
<p class=MsoNormal><font size=3 color=black face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:black'> </span></font></p>
<p class=MsoNormal><font size=3 color=black face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:black'>Emma Johnson</span></font></p>
<p class=MsoNormal><font size=3 color=black face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:black'>Washington State Department of Ecology</span></font></p>
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<p class=MsoNormal><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>Volkman, Jennifer<br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, August 15, 2006
4:50 PM<br>
<b><span style='font-weight:bold'>To:</span></b> Price, John L.; Charlotte A.
Smith<br>
<b><span style='font-weight:bold'>Cc:</span></b> Hickle, Garth;
pharmwaste@lists.dep.state.fl.us; Schreifels, Susan; Countryman, Linda; Tenace,
Laurie; Fran Kurk<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] Do DEA
regulations allow municipal waste combustortoreceive mailed back controlled
substances from households?Wouldcombustors want to?</span></font></p>
</div>
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12.0pt'> </span></font></p>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Hello Jack and all,</span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>I don't know if this information will be
helpful, but we are also considering applying for a grant here, so I've been
thinking about what might work. Ideas...some maybe not that well thought
out...</span></font></p>
</div>
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<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>For households located in areas where we
know their waste is directed to mixed-muni incinerators, I think we can safely
educate HH's to put old/unused pharms, including controlled
substances, in their garbage (tape up the jars, mix them with the nasties,
etc first). There is no need to collect/mail them separately and bump
into all of the regulatory and operational issues. Pharms generated
in areas where waste goes to landfills would be worth collecting separately and
mailing in or redirecting to a mixed-muni incinerator. In this case,
there could be considerable transportation cost and operational barriers
to get them from the law enforcement office to the MM incinerator and it
may be simpler to render the pharms inedible/unrecognizable at the law
enforcement office and ship them with a HW contractor as a standard HW
labpack. You'd have to comply with DOT regulations and you'd want to
work with your HW contractor to see what the options are for packaging.</span></font></p>
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<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Some of our HHW programs collect pharms,
but not controlled substances. I'll ask whether they ship the
non-haz pharms in a separate lab pack or if they just mix them in with their
oil based paint. I believe they properly lab pack the hazardous
pharms, but I know I've heard of programs that handle the non-haz pharms in a
more economical manner. If local law enforcement could take a bag o'
pharms down to the county public works garage and dump it in the oil paint
drum, things would be greatly simplified. There is, however, much to
know about what is haz, non-haz and controlled.</span></font></p>
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<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Oh! another idea. They could
be mailed in to a controlled mailbox at the law enforcement office(s) closest
to the MM incinerator, not every one in the state. Manufacturers could
fund the system. </span></font></p>
</div>
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<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>We still need to ask DEA questions and
work with them on practical, safe options. We still need to work with the
medical community on ways to reduce the amount of unused pharms.</span></font></p>
</div>
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12.0pt'> </span></font></p>
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<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Jnifr</span></font></p>
</div>
<blockquote style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt'>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'>-----Original Message-----<br>
<b><span style='font-weight:bold'>From:</span></b>
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>Price, John L.<br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, August 15, 2006 10:05
AM<br>
<b><span style='font-weight:bold'>To:</span></b> Charlotte A. Smith<br>
<b><span style='font-weight:bold'>Cc:</span></b> Tenace, Laurie;
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] Do DEA
regulations allow municipal waste combustorto receive mailed back controlled
substances from households?Would combustors want to?</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, Charlotte. While the request
worms its way through DEA, I’m thinking we’ll need a “Plan
B” in case DEA says “no.” We’re on a pretty short
time line. Even if DEA says “yes,” it still may be something
that a combustor could or would not want to do. These plants are built and
operated to receive municipal solid waste by the truckload. They may not
have (or want to have) the operational expertise or mindset to receive waste by
the envelope-load, particularly if it has to go to a secure location pretty quickly.
On the other hand, it would be no different than their office staff
receiving and processing mail to the appropriate location, so maybe I am
worrying about a non-problem. We’ll see . . . that’s
what pilots are for . . . and now I’ll end my ramblings on this topic. </span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font></p>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'>Jack.</span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </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>
<div>
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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><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'> Charlotte A.
Smith [mailto:csmith@pharmecology.com] <br>
<b><span style='font-weight:bold'>Sent:</span></b> Monday, August 14, 2006
10:29 PM<br>
<b><span style='font-weight:bold'>To:</span></b> Price, John L.;
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Cc:</span></b> Tenace, Laurie; Clarke, Raoul<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] Do DEA
regulations allow municipal waste combustor to receive mailed back controlled
substances from households?</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=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Hi Jack,</span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>That is definitely a question for DEA in
Wash DC and your regional DEA office. It certainly is not an accepted procedure
at this time. Unless the incinerator itself is a DEA registrant, and I don't
know of any municipal incinerators that are, the returned controlled substances
need to be received by a law enforcement officer. I suggest you write a letter
to your regional DEA and they can pass it up the chain of command for a
response. You can contact them by visiting the Diversion Office directory at <a
href="http://www.deadiversion.usdoj.gov/drugreg/offices/index.html">http://www.deadiversion.usdoj.gov/drugreg/offices/index.html</a>.
Please keep us posted as to their response! Hope this helps. </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><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Charlotte A. Smith, R. Ph., M.S., HEM</span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>President</span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>PharmEcology Associates, LLC</span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>200 S. Executive Drive, Suite 101</span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Brookfield</span></font><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>, WI 53005</span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>262-814-2635</span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Fax: 414-479-9941</span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'><a href="mailto:csmith@pharmecology.com">csmith@pharmecology.com</a></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'><a href="http://www.pharmecology.com/">www.pharmecology.com</a></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>H2E Champion for Change Award 2004</span></font></p>
<div>
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12.0pt'> </span></font></p>
</div>
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12.0pt'> </span></font></p>
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face="Times New Roman"><span style='font-size:12.0pt'>
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<p class=MsoNormal style='margin-bottom:12.0pt'><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>Price, John L.<br>
<b><span style='font-weight:bold'>Sent:</span></b> Monday, August 14, 2006 9:51
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> Tenace, Laurie; Clarke, Raoul<br>
<b><span style='font-weight:bold'>Subject:</span></b> [Pharmwaste] Do DEA
regulations allow municipal waste combustor to receive mailed back controlled
substances from households?</span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>Our agency is submitting a grant proposal under an EPA aging
initiative for, among other things, a pilot mail back program for household
pharmaceuticals. [You may want to submit a proposal as well, proposal
deadline in 9/29/06. See attached for details.]</span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>One issue with our proposal is whether DEA regulations would
permit a municipal waste combustor to receive household unused pharmaceuticals,
including controlled substances, into a secure area of the facility. This
would be much more efficient than having the pharms returned to a law
enforcement controlled mailbox, then transshipping to the combustor that will
do the destruction, witnessed for controlled substances, regular burn for
non-controlled. </span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'> As I understand the Maine mailback pilot under
development, “As long as the postal box that accepts the returned
pharmaceuticals is in law-enforcement control, there is a specific exemption in
DEA regs for possession of controlled drugs by law-enforcement in the line of
duty (community policing for instance, or substance abuse prevention.)”
[email post to list serve 4/11/06 by Gressitt].</span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'> </span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>Are there exemptions or flexibilities in the DEA controlled
substances regulations that could be interpreted to allow direct return of
mailed back unused pharms from household users to the combustor that will do
the destruction? Could a secure location at the combustor be “controlled
by law enforcement” as that is defined in the controlled substances regulations?
Or is that scenario, even as a pilot program, definitely not doable under said
controlled substances regulations?</span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>Any information will be appreciated.</span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>Jack.</span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font></p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>John L. (Jack) Price</span></font></p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Environmental Manager</span></font></p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Hazardous Waste Management MS 4555</span></font></p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Florida Department of Environmental Protection</span></font></p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>2600 Blair Stone Road</span></font></p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Tallahassee</span></font>, FL 32399-2400</p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Phone:850.245.8751</span></font></p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Fax: 850.245.8811</span></font></p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>john.l.price@dep.state.fl.us</span></font></p>
<p class=MsoAutoSig><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>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>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font></p>
</blockquote>
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