<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>RE: [Pharmwaste] NASCA presentation</TITLE>
<META http-equiv=Content-Type content="text/html; charset=us-ascii">
<META content="MSHTML 6.00.2900.2963" name=GENERATOR></HEAD>
<BODY>
<DIV dir=ltr align=left><SPAN class=825052503-15112006><FONT face=Arial
color=#0000ff size=2>Hi Ross,</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=825052503-15112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=825052503-15112006><FONT face=Arial
color=#0000ff size=2>The state controlled substances representatives cannot act
beyond what DEA is willing to authorize. DEA representatives attended as
speakers and discussed primarily other issues. In discussing the issue of
consumer take back options with John Cavendish at DEA prior to the
conference, I did not get any sense of changes to the procedures to which
you refer, but that was not my primary reason for contacting him. You might want
to check with Dr. Steve Gressitt in Maine to see if any additional guidance was
provided at his Consumer Take Back conference which was held Oct 23/24. There
was no discussion at the NASCSA meeting that I am aware of regarding
alternatives to incineration regarding rendering the drugs non-recoverable. My
seminar was the only one focused on consumer take back and that was primarily to
bring them up to speed on EPA issues and propose the reverse distribution model.
</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=825052503-15112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=825052503-15112006><FONT face=Arial
color=#0000ff size=2>I'm sorry I don't have any additional information for you.
</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=825052503-15112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=825052503-15112006><FONT face=Arial
color=#0000ff size=2>Best regards, </FONT></SPAN></DIV>
<DIV> </DIV>
<DIV align=left><FONT face=Arial size=2>Charlotte A. Smith, R. Ph., M.S.,
HEM</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>President</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>PharmEcology Associates,
LLC</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>200 S. Executive Drive, Suite
101</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>Brookfield, WI 53005</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>262-814-2635</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>Fax: 414-479-9941</FONT></DIV>
<DIV align=left><FONT face=Arial size=2><A
href="mailto:csmith@pharmecology.com">csmith@pharmecology.com</A></FONT></DIV>
<DIV align=left><FONT face=Arial size=2><A
href="http://www.pharmecology.com/">www.pharmecology.com</A></FONT></DIV>
<DIV align=left><FONT face=Arial size=2>H2E Champion for Change Award
2004</FONT></DIV>
<DIV> </DIV><BR>
<DIV class=OutlookMessageHeader lang=en-us dir=ltr align=left>
<HR tabIndex=-1>
<FONT face=Tahoma size=2><B>From:</B> Bunnell, Ross
[mailto:Ross.Bunnell@po.state.ct.us] <BR><B>Sent:</B> Tuesday, November 14, 2006
2:27 PM<BR><B>To:</B> Charlotte A. Smith<BR><B>Cc:</B>
pharmwaste@lists.dep.state.fl.us; Tenace, Laurie<BR><B>Subject:</B> RE:
[Pharmwaste] NASCA presentation<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2>Charlotte:</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2>I was particularly interested in the
attendees' expressed willingness to consider policy and/or regulatory
changes to DEA rules as they relate to:</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2>(1) collection of individual consumers' old/unwanted
controlled substances at local pharmaceutical collection events. In Lynn
Rubenstein's collections in New England through NERC, arrangements had to
be made individually to ensure that state and federal controlled substance
programs and local law enforcement were on board, and our first collection in CT
almost got scuttled at the last minute due to an issue that arose with
our state's controlled substance division. And,</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2>(2) alternatives to "witnessed destruction" other
than drain disposal. I know the controlled substance folks have bought
into treatment technologies such as documented incineration as an
alternative, but it seems that it has to be worked out on a case-by-case
basis. It would help all of us if nationwide protocols could be
worked out for any/all acceptable environmentally appropriate alternatives to
drain disposal.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006></SPAN><SPAN
class=234561320-14112006><FONT face=Arial color=#0000ff
size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2>If you can, please "reply to all," so the Pharmwaste
ListServe folks can benefit from your reply as well.
Thanks!</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2>- - Ross.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=234561320-14112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left>
<HR tabIndex=-1>
<FONT face=Tahoma size=2><B>From:</B> Charlotte A. Smith
[mailto:csmith@pharmecology.com] <BR><B>Sent:</B> Monday, November 13, 2006
11:24 PM<BR><B>To:</B> Bunnell, Ross<BR><B>Subject:</B> RE: [Pharmwaste] NASCA
presentation<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV dir=ltr align=left><SPAN class=791132004-14112006><FONT face=Arial
color=#0000ff size=2>Hi Ross,</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=791132004-14112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=791132004-14112006><FONT face=Arial
color=#0000ff size=2>Nice to hear from you! DEA is certainly interested in
the model I discussed regarding consumer take back programs through reverse
distributors, which would require a change in the DEA regulations. I also
submitted draft language for such a change. While they haven't had a chance to
review it seriously yet, I have hopes. With respect to hospital disposal, I did
not specifically address that other than review the options, which include
sewering, transfer to a hazardous waste vendor who is also a DEA registrant, or
transfer to a reverse distributor who is a DEA registrant. Most of the
participants are state controlled substance folks who must follow the DEA lead
first. DEA did present and I did get some time with them, but it focused on
consumer take back. They are still very adamant on the non-recoverable piece. I
doubt this addressed your concerns, did it? </FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=791132004-14112006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=791132004-14112006><FONT face=Arial
color=#0000ff size=2>Best regards, </FONT></SPAN></DIV>
<DIV> </DIV>
<DIV align=left><FONT face=Arial size=2>Charlotte A. Smith, R. Ph., M.S.,
HEM</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>President</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>PharmEcology Associates,
LLC</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>200 S. Executive Drive, Suite
101</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>Brookfield, WI 53005</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>Phone: 262-814-2635</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>Fax: 414-479-9941</FONT></DIV>
<DIV align=left><FONT face=Arial size=2>csmith@pharmecology.com</FONT></DIV>
<DIV> </DIV><BR>
<DIV class=OutlookMessageHeader lang=en-us dir=ltr align=left>
<HR tabIndex=-1>
<FONT face=Tahoma size=2><B>From:</B> Bunnell, Ross
[mailto:Ross.Bunnell@po.state.ct.us] <BR><B>Sent:</B> Monday, November 13, 2006
10:51 AM<BR><B>To:</B> Charlotte A. Smith<BR><B>Cc:</B> Tenace, Laurie;
pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> RE: [Pharmwaste] NASCA
presentation<BR></FONT><BR></DIV>
<DIV></DIV><!-- Converted from text/rtf format -->
<P><SPAN lang=en-us><FONT face=Arial size=2>Charlotte:</FONT></SPAN> </P>
<P><SPAN lang=en-us><FONT face=Arial size=2>I finally got the time to go through
your NASCA presentation. </FONT> <FONT face=Arial size=2>I'm curious to
know how your presentation was received. Was there some willingness to
work with us</FONT><FONT face=Arial size=2> on the disposal issue</FONT><FONT
face=Arial size=2>, or</FONT> <FONT face=Arial size=2>just</FONT> <FONT
face=Arial size=2>lots of skepticism?</FONT></SPAN></P>
<P><SPAN lang=en-us><FONT face=Arial size=2>- - Ross Bunnell, CT
DEP</FONT></SPAN> <BR><SPAN lang=en-us><FONT face=Arial size=2>Bureau of
Materials Management and</FONT> <FONT face=Arial size=2>Compliance
Assurance</FONT></SPAN> <BR><SPAN lang=en-us><FONT face=Arial size=2>Waste
Engineering & Enforcement Division</FONT></SPAN> <BR><SPAN lang=en-us><FONT
face=Arial size=2>79 Elm Street</FONT></SPAN> <BR><SPAN lang=en-us><FONT
face=Arial size=2>Hartford, CT 06106-5127</FONT></SPAN> <BR><SPAN
lang=en-us><FONT face=Arial size=2>Tel. (860) 424-3274 Fax (860)
424-4059</FONT></SPAN> </P><BR>
<P><SPAN lang=en-us><FONT face=Arial size=2>-----Original
Message-----</FONT></SPAN> <BR><SPAN lang=en-us><FONT face=Arial size=2>From:
pharmwaste-bounces@lists.dep.state.fl.us [</FONT></SPAN><A
href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"><SPAN lang=en-us><U><FONT
face=Arial color=#0000ff
size=2>mailto:pharmwaste-bounces@lists.dep.state.fl.us</FONT></U></SPAN></A><SPAN
lang=en-us><FONT face=Arial size=2>] On Behalf Of Tenace,
Laurie</FONT></SPAN></P>
<P><SPAN lang=en-us><FONT face=Arial size=2>Sent: Wednesday, November 01, 2006
9:36 AM</FONT></SPAN> <BR><SPAN lang=en-us><FONT face=Arial size=2>To:
pharmwaste@lists.dep.state.fl.us</FONT></SPAN> <BR><SPAN lang=en-us><FONT
face=Arial size=2>Subject: [Pharmwaste] NASCA presentation</FONT></SPAN> </P>
<P><SPAN lang=en-us></SPAN><A
href="http://www.nascsa.org/Folder2/confer2006.htm"><SPAN lang=en-us><U><FONT
face=Arial color=#0000ff
size=2>http://www.nascsa.org/Folder2/confer2006.htm</FONT></U></SPAN></A><SPAN
lang=en-us><FONT face=Arial size=2> </FONT></SPAN></P>
<P><SPAN lang=en-us><FONT face=Arial size=2>Scroll to see Charlotte Smith's
presentation to the National Association of State Controlled Substance
Authorities, if interested. Cathy Gallagher's presentation from DEA is also
pertinent.</FONT></SPAN></P>
<P><SPAN lang=en-us><FONT face=Arial size=2>Laurie J. Tenace</FONT></SPAN>
<BR><SPAN lang=en-us><FONT face=Arial size=2>Environmental
Specialist</FONT></SPAN> <BR><SPAN lang=en-us><FONT face=Arial size=2>Florida
Department of Environmental Protection 2600 Blair Stone Road, MS 4555
Tallahassee, Florida 32399-2400</FONT></SPAN> <BR><SPAN lang=en-us><FONT
face=Arial size=2>PH: (850) 245-8759</FONT></SPAN> <BR><SPAN lang=en-us><FONT
face=Arial size=2>FAX: (850) 245-8811</FONT></SPAN> <BR><SPAN lang=en-us><FONT
face=Arial size=2>Laurie.Tenace@dep.state.fl.us </FONT></SPAN><BR><SPAN
lang=en-us><FONT face=Arial size=2> </FONT></SPAN> <BR><SPAN
lang=en-us><FONT face=Arial size=2>view our mercury web pages at:
</FONT></SPAN><BR><SPAN lang=en-us></SPAN><A
href="http://www.dep.state.fl.us/waste/categories/mercury/default.htm"><SPAN
lang=en-us><U><FONT face=Arial color=#0000ff
size=2>http://www.dep.state.fl.us/waste/categories/mercury/default.htm</FONT></U></SPAN></A><SPAN
lang=en-us><FONT face=Arial size=2> </FONT></SPAN></P>
<P><SPAN lang=en-us><FONT face=Arial size=2>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.</FONT></SPAN></P><BR>
<P><SPAN lang=en-us><FONT face=Arial size=2></FONT></SPAN><BR><SPAN
lang=en-us><FONT face=Arial size=2> </FONT></SPAN> <BR><SPAN
lang=en-us><FONT face=Arial
size=2>_______________________________________________</FONT></SPAN> <BR><SPAN
lang=en-us><FONT face=Arial size=2>Pharmwaste mailing list</FONT></SPAN>
<BR><SPAN lang=en-us><FONT face=Arial
size=2>Pharmwaste@lists.dep.state.fl.us</FONT></SPAN> <BR><SPAN
lang=en-us></SPAN><A
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"><SPAN
lang=en-us><U><FONT face=Arial color=#0000ff
size=2>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</FONT></U></SPAN></A><SPAN
lang=en-us></SPAN> </P></BODY></HTML>