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<title>Starting a take-back program</title>
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<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Fred,<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>We maintain the national Unused and Expired
Medicines Registry and assist groups that are planning and organizing unwanted
drug take-back programs. As a matter of fact, we have a published manual
of procedures, a how-to, step by step, instructional reference. We consult
with a national steering committee comprising of FDA, DEA, EPA, etc.
Please contact me directly for more info. There are many legal issues
that you should be aware of.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Matthew C. Mireles, PhD, MPH<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>President and CEO<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Community Medical Foundation for Patient
Safety<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a href="http://www.comofcom.com/">www.comofcom.com</a><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>832-778-7777<o:p></o:p></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>Massoomi, Fred<br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, February 19, 2008
3:29 PM<br>
<b><span style='font-weight:bold'>To:</span></b> Lauer, Michelle;
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] Starting
a take-back program</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=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>List</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>I am interested in any information on this
topic.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Thank you.</span></font><o:p></o:p></p>
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<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
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<p class=MsoNormal><strong><b><font size=3 face=Pristina><span
style='font-size:12.0pt;font-family:Pristina'>Firouzan 'Fred' Massoomi,
Pharm.D., FASHP</span></font></b></strong><o:p></o:p></p>
<p class=MsoNormal><st1:place w:st="on"><st1:PlaceName w:st="on"><strong><b><font
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<st1:PlaceName w:st="on">Methodist</st1:PlaceName> <st1:PlaceType w:st="on">Hospital</st1:PlaceType></span></font></b></strong></st1:place><o:p></o:p></p>
<p class=MsoNormal><strong><b><font size=2 face="Arial Narrow"><span
style='font-size:10.0pt;font-family:"Arial Narrow"'>Department of Pharmacy
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<st1:State w:st="on">NE</st1:State> <st1:PostalCode w:st="on">68114</st1:PostalCode></span></font></b></strong></st1:place><o:p></o:p></p>
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<p class=MsoNormal><strong><b><font size=2 face="Arial Narrow"><span
style='font-size:10.0pt;font-family:"Arial Narrow"'>(402) 354-4340
office (402)
354-3139 fax</span></font></b></strong><o:p></o:p></p>
<p class=MsoNormal><strong><b><font size=2 face="Arial Narrow"><span
style='font-size:10.0pt;font-family:"Arial Narrow"'>A proud supporter of the
Multiple Sclerosis Society</span></font></b></strong><o:p></o:p></p>
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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>Lauer, Michelle<br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, February 19, 2008
9:11 AM<br>
<b><span style='font-weight:bold'>To:</span></b> pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> [Pharmwaste] Starting a
take-back program</span></font><o:p></o:p></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'><!-- Converted from text/rtf format -->Hello:
<br>
I am new to the list-serve and on
the environmental stewardship committee of my hospital. Recently, we received a
grant from DNREC to start a medication take back program for the community and
planned to do so at three out-patient hospital pharmacies. The plan is to
purchase secure, locked bins and for the public to come during pharmacy hours
and dispose of meds. We did not want to exclude controlled substances, as there
would really be no one continuously monitoring what was dropped in the bins,
and of course, we want to collect as much as possible in order to divert from
going down the drain. The DEA has stepped in, with controlled substance act in
hand, and said "NO" - stating that even if we said, "No
controlled substances" the public would not be able to distinguish and
therefore not an option. Also, that controlled substances cannot be returned to
a 'registrant', although no one in the pharmacy would be handling the meds. <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>
I am seeking any advice regarding moving forward
with our program. How have other systems or communities navigated this
roadblock? Also, what, if anything, is being done at this time to amend the
controlled substance act? What is the role of the EPA in interfacing with the
DEA to advocate for providing waivers in order to decrease the introduction of<b><span
style='font-weight:bold'> all</span></b> pharmaceuticals into water? <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>Thanks! <o:p></o:p></span></font></p>
<p><i><font size=3 face="Comic Sans MS"><span style='font-size:12.0pt;
font-family:"Comic Sans MS";font-style:italic'>Michelle Lauer, RN, BSN, BC</span></font></i>
<br>
<i><font face="Comic Sans MS"><span style='font-family:"Comic Sans MS";
font-style:italic'>Patient Care Coordinator - Psychiatry</span></font></i> <br>
<i><font face="Comic Sans MS"><span style='font-family:"Comic Sans MS";
font-style:italic'>428-2117 or pager # 884-9440</span></font></i> <o:p></o:p></p>
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face="Times New Roman"><span style='font-size:12.0pt'><o:p> </o:p></span></font></p>
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