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<div class=Section1>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>David,<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 just completed a national survey on drug
take-back and disposal programs and will publish our results in a National Directory.
I’m presenting this Directory at the upcoming conference in <st1:State
w:st="on"><st1:place w:st="on">Maine</st1:place></st1:State>, Nov 10-11. Of
the programs that only collect non-federal controlled substances, most involve
collection at retail pharmacies and contract with a commercial reverse distributor
for final destruction (approved by EPA and DEA). There are about 80 commercial
reverse distributors in the country; not all are registered with the DEA.
Our National Directory contains the most updated list of reverse
distributors. Of course, anyone may contact the DEA for its listing. Again,
my best advice is to always keep your local and state DEA folks in the
loop. <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'>Since we collect data on unused and
expired meds (UEM) from participating take-back programs, we see many FCS items
coming into collections that shouldn’t be collecting them. Simply,
most consumers/patients can’t distinguish between FCS and non-FCS meds.
All the data we collect and code are entered into the National Unused &
Expired Medicines Registry for analysis and comparison. We have samples
from both the west and east coasts. Analysis of a few samples has
indicated that approx 40% of prescription meds are never used and would
normally be thrown away by flushing down the sink or toilet! If you want
more info about this Registry, please contact me.<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'> If you like to have a copy of this
National Directory, let me know. We start printing them and distributing
them in about 2 weeks.<o:p></o:p></span></font></p>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><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 style='margin:0in;margin-bottom:.0001pt'><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 style='margin:0in;margin-bottom:.0001pt'><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 style='margin:0in;margin-bottom:.0001pt'><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>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><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'><o:p> </o:p></span></font></p>
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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>David Banas<br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, November 04, 2008
12:10 PM<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] follow-up
household pharm question</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
color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'>Thanks everyone for the excellent responses to my initial question
about household pharmaceutical collection programs. It appears the
consensus is that we can not accept controlled substances without DEA, or at
least police, involvement.<o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'>How about non-controlled substances? Does anyone have any
experience with collection programs that only accept non-DEA regulated
drugs? Has DEA stepped in and tried to require some kind of DEA or police
or pharmacist related screening system?<o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'>Does this kind of take-back program even make sense?<o:p></o:p></span></font></p>
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<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'>Thanks in advance,<o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'>-David<o:p></o:p></span></font></p>
</div>
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<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'> <o:p></o:p></span></font></p>
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<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><font size=2
color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'>David Banas<br>
Assistant Attorney General<br>
Natural Resources and Environment Section<br>
Colorado Department of Law<br>
<st1:Street w:st="on"><st1:address w:st="on">1525 Sherman St</st1:address></st1:Street>.<o:p></o:p></span></font></p>
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<div>
<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><st1:place w:st="on"><st1:City
w:st="on"><font size=2 color=black face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;color:black'>Denver</span></font></st1:City><font size=2
color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'>, <st1:State w:st="on">CO</st1:State> <st1:PostalCode w:st="on">80203</st1:PostalCode></span></font></st1:place><br>
<font size=2 color=black face=Tahoma><span style='font-size:10.0pt;font-family:
Tahoma;color:black'>303.866.5456<br>
david.banas@state.co.us<o:p></o:p></span></font></p>
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