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<DIV dir=ltr align=left><FONT face=Arial color=#0000ff size=2><SPAN
class=781595817-19062009>Thank you for brining up the issue of education for
pharmacists and health professionals. The Teleosis Institute, a program of
Practice Greenhealth, is working on doing exactly that. We have a webinar next
week on this subject and plan to offer a series of webinars throughout the
year. We're also working on getting continuing education credits for health
professionals. Please contact me if you have suggestions for topics
and speakers/presenters.</SPAN></FONT></DIV>
<DIV dir=ltr align=left><FONT face=Arial color=#0000ff size=2><SPAN
class=781595817-19062009></SPAN></FONT> </DIV>
<DIV dir=ltr align=left><FONT face=Arial color=#0000ff size=2><SPAN
class=781595817-19062009>Please share this information with pharmacists, health
professionals, and any others interested in learning more about pharmaceuticals
in the environment:</SPAN></FONT></DIV>
<DIV dir=ltr align=left>
<H2>
<P><SPAN class=781595817-19062009><FONT color=#0000ff><FONT size=2><FONT
face=Arial><FONT color=#000000>Webinar - June 23, 2009 2:00pm EST
</FONT><BR></FONT></FONT></FONT></SPAN><A
href="http://www.practicegreenhealth.org/tools/webinars/calendar/details/481"
target=_blank><FONT face=Arial size=2>An Introduction to Understanding the
Environmental Footprint of Pharmaceuticals<BR></FONT></A><FONT size=2><FONT
face=Arial>Dr. Ilene Ruhoy, MD, PhD, Director of the Institute for Environmental
Medicine of Touro University-NV will discuss sources of pharmaceutical exposure
in the environment and potential mechanisms by which these exposures may be
mitigated. Dr. Ruhoy will present current obstacles to appropriate disposal of
unused medications and offer international examples of successful take-back
programs.</FONT> <BR><SPAN class=781595817-19062009><FONT face=Arial
color=#0000ff>For more information visit: <A
href="http://www.practicegreenhealth.org/tools/webinars/calendar/details/481">http://www.practicegreenhealth.org/tools/webinars/calendar/details/481</A></FONT></SPAN></FONT></P></H2></DIV>
<DIV><FONT face=Arial color=#0000ff size=2></FONT> </DIV>
<DIV align=left><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><STRONG>Evin
Guy</STRONG></SPAN></SPAN></DIV>
<DIV align=left><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><FONT size=1>Program
Manager </FONT></SPAN></SPAN></DIV>
<DIV align=left><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><SPAN
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style="FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><SPAN
style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><FONT size=1>Teleosis
Institute | </FONT><A href="http://www.teleosis.org/"><FONT color=#000080
size=1>www.teleosis.org</FONT></A><FONT size=1> | </FONT><A
href="mailto:evin@teleosis.org"><FONT color=#000080
size=1>evin@teleosis.org</FONT></A><FONT size=1> | (510) 558-7285
x104</FONT></SPAN></SPAN></DIV>
<DIV align=left><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><SPAN
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style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><SPAN
class=062470520-29052009><FONT size=1><EM>A Program of Practice
Greenhealth</EM></FONT></SPAN></SPAN></SPAN></SPAN></SPAN></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> pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of </B>Nicole
Gattas<BR><B>Sent:</B> Friday, June 19, 2009 9:46 AM<BR><B>To:</B>
JenniferVolkman; AllenGilliam; pharmwaste@lists.dep.state.fl.us;
StevanGressitt<BR><B>Cc:</B> Alvin Simmons;
mirelesmc@earthlink.net<BR><B>Subject:</B> RE: [Pharmwaste] Northfield owner
arrested<BR></FONT><BR></DIV>
<DIV></DIV>
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<DIV>List, </DIV>
<DIV>I'm a pharmacist that developed and coordinated a take back program
in 20 chain stores (Schnucks) in St. Louis (MO and IL). We received quite
a bit of press for our program that was supported by a grant from the EPA,
and had many pharmacies calling me to ask how they could set it up.
The demonstration project is now over, and we are currently in data
collection, so have not published results as of yet. </DIV>
<DIV> </DIV>
<DIV>So I'd like to comment from my perspective as a pharmacist... </DIV>
<DIV>The pharmacists interested in this program genuinely want to do
this as a value added service to assist with patient safety and help with
environmental concerns. They do not want to take back drugs to
re-distribute them. (I have only heard of one pharmacist that was
doing something like this with samples from physicians offices, obviously
against the law.) </DIV>
<DIV> </DIV>
<DIV>However, most state pharmacy practice acts do not discuss this, and
within most colleges of pharmacy, we don't teach about pharmaceuticals in
the environment, disposal, hazardous waste regulations, etc... normally
within the curriculum. (I have heard that Midwestern in Chicago
offers an elective.) Therefore, a pharmacist interested in this area
currently has no easily accessible information on how the process should
or must work, and may rely on information from a reverse distributor.
</DIV>
<DIV> </DIV>
<DIV>When chains or pharmacists have asked me, I have recommended they NOT
try to implement a take back program into their pharmacy unless they have
a champion that is willing to get approvals from their board of pharmacy,
state DEA, state EPA, etc and become an expert in the area. Many of
them thought... I'll just take them back and send them back through my
distributor or incineration company, when we on this list know it is not
that simple. </DIV>
<DIV> </DIV>
<DIV>I guess my main point is: pharmacists (and other health care
professionals) are genuinely concerned about this issue, but grossly
undereducated in my opinion. We need to address this at different
levels including curriculum, trade journals, and primary literature. While
we've recieved press on our program, no one has published the down and
dirty details, etc that go along with setting up a program like this and
help pharmacists realize laws and regulations that are involved.
</DIV>
<DIV> </DIV>
<DIV>Hopefully we will be publishing results from our project soon!
</DIV>
<DIV> </DIV>
<DIV>Thanks for reading my 2 cents! </DIV>
<DIV>Nicole Gattas, Pharm.D., BCPS <BR><BR></DIV>
<DIV id=RTEContent>
<DIV>
<DIV>
<DIV><FONT face="Comic Sans MS"><FONT size=4>Nicole M. Gattas, Pharm.D.,
BCPS <BR></FONT></FONT><FONT face="Comic Sans MS">Assistant Professor of
Pharmacy Practice <BR></FONT><FONT face="Comic Sans MS">St. Louis College
of Pharmacy <BR>pager: (314) 253-2294 </FONT></DIV>
<DIV><FONT face="Comic Sans MS">voicemail: (314) 446-8555 <BR>cell: (314)
504-1202 </FONT><FONT face="Comic Sans MS"><BR>email: </FONT><A
href="mailto:nmpeterse@yahoo.com" target=_blank rel=nofollow><FONT
face="Comic Sans MS">nmpeterse@yahoo.com</FONT></A></DIV></DIV></DIV></DIV><BR><BR>---
On <B>Fri, 6/19/09, Gressitt, Stevan
<I><Stevan.Gressitt@maine.gov></I></B> wrote:<BR>
<BLOCKQUOTE
style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: rgb(16,16,255) 2px solid"><BR>From:
Gressitt, Stevan <Stevan.Gressitt@maine.gov><BR>Subject: RE:
[Pharmwaste] Northfield owner arrested<BR>To: "Volkman, Jennifer"
<Jennifer.Volkman@state.mn.us>, "Gilliam, Allen"
<GILLIAM@adeq.state.ar.us>,
pharmwaste@lists.dep.state.fl.us<BR>Cc: "Alvin Simmons"
<alvsim4317@gmail.com>, mirelesmc@earthlink.net<BR>Date: Friday,
June 19, 2009, 11:17 AM<BR><BR>
<DIV class=plainMail>I just had another conversation yesterday with a
pharmacist who who<BR>blithely told me he knew what he was doing with
his take back was<BR>probably against the law but "so what I'm doing the
right thing." <BR><BR>It was so "in my ear" that I just decided not to
even comment.<BR><BR>There is a very very very long way to go
yet.<BR><BR><BR><BR>Stevan Gressitt, M.D., Medical Director<BR>Office of
Adult Mental Health Services<BR>Department of Health and Human
Services<BR>Marquardt Building, 2nd Floor<BR>11 State House
Station<BR>32 Blossom Lane<BR>Augusta, ME 04333-0011<BR>Ph:
(207)287-4273<BR>Fax: (207)287-1022<BR>Cell Phone: (207)
441-0291<BR>E-Mail : <A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=stevan.gressitt@maine.gov"
ymailto="mailto:stevan.gressitt@maine.gov">stevan.gressitt@maine.gov</A><BR><A
href="http://www.maine.gov/dhhs/mh/"
target=_blank>http://www.maine.gov/dhhs/mh/</A><BR><BR>Confidentiality
Notice: This e-mail message, including any attachments,<BR>is for the
sole use of the intended recipient(s). It may
contain<BR>confidential and privileged information. Any
unauthorized review, copy,<BR>use, disclosure, or distribution is
prohibited. If you are not the<BR>intended recipient, please note
that any dissemination, distribution or<BR>copying of this is strictly
prohibited. Please contact me by reply<BR>e-mail or telephone and
destroy all copies of this message.<BR><BR><BR><BR>-----Original
Message-----<BR>From: Volkman, Jennifer [mailto:<A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=Jennifer.Volkman@state.mn.us"
ymailto="mailto:Jennifer.Volkman@state.mn.us">Jennifer.Volkman@state.mn.us</A>]
<BR>Sent: Friday, June 19, 2009 12:04 PM<BR>To: Gilliam, Allen; <A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=pharmwaste@lists.dep.state.fl.us"
ymailto="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</A><BR>Cc:
Alvin Simmons; Gressitt, Stevan; <A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=mirelesmc@earthlink.net"
ymailto="mailto:mirelesmc@earthlink.net">mirelesmc@earthlink.net</A><BR>Subject:
RE: [Pharmwaste] Northfield owner arrested<BR><BR>We had a "reputable"
reverse distributor here in MN that told a pharmacy<BR>they'd take
everything from their household pharm collection and manage<BR>it for
free as a value added service. Well, we know none of
those<BR>pharms can be redistributed and a portion of them will be
hazardous and<BR>a portion will be controlled substances. I was
disappointed at their<BR>lack of knowledge of the HW and DEA
regulations. The pharmacist is one<BR>I've worked with over the
past few years and knew the regulatory issues<BR>and that the deal
sounded too good to be true. She called and we<BR>clarified that the
reverse distributor could not do that, but other<BR>pharmacists that are
pretty comfortable with their RDs might not see a<BR>red flag
here. I think there is plenty of work that needs to be done
to<BR>ensure that RDs understand the regulatory issues so they don't end
up<BR>getting fined for acting as unpermitted RCRA transporters or
facilities.<BR>It is definitely something to go over with those who are
doing HH pharm<BR>collection in your states, we don't want this issue to
cut us off at the<BR>knees as Allen notes. <BR><BR>Another RD we
looked at was doing the same basic thing--taking all,<BR>sorting and
sewering what couldn't be legitimately redistributed. They<BR>are
doing a much better job now with some technical assistance. I'm
not<BR>sure how these entities are licensed, maybe through the state
pharmacy<BR>board? I'm going to check on that to see if we can get
them some<BR>guidance because as far as I know we're 0 for 3 with these
operations
in<BR>MN.<BR><BR>________________________________<BR><BR>From: <A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=pharmwaste-bounces@lists.dep.state.fl.us"
ymailto="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</A>
on behalf of Gilliam,<BR>Allen<BR>Sent: Fri 6/19/2009 7:08 AM<BR>To: <A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=pharmwaste@lists.dep.state.fl.us"
ymailto="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</A><BR>Cc:
Alvin Simmons; Gressitt, Stevan; <A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=mirelesmc@earthlink.net"
ymailto="mailto:mirelesmc@earthlink.net">mirelesmc@earthlink.net</A><BR>Subject:
RE: [Pharmwaste] Northfield owner arrested<BR><BR><BR><BR>I've heard
this is not uncommon even at some of the pharmacies who
are<BR>participating in a customer "take-back" program. Many more
stories like<BR>this come out, the DEA's gonna put a tight plug on the
legit programs, I<BR>fear.<BR><BR>-----Original Message-----<BR>From: <A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=pharmwaste-bounces@lists.dep.state.fl.us"
ymailto="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</A><BR>[mailto:<A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=pharmwaste-bounces@lists.dep.state.fl.us"
ymailto="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</A>]
On Behalf Of Jennifer<BR>Crittenden<BR>Sent: Wednesday, June 17, 2009
11:57 AM<BR>To: <A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=pharmwaste@lists.dep.state.fl.us"
ymailto="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</A><BR>Subject:
[Pharmwaste] Northfield owner arrested<BR><BR><BR>Owner of Northfield
drug disposal service now facing charges<BR><BR>Link:<BR><A
href="http://www.startribune.com/local/south/45486592.html?elr=KArksi8cyaiUgOa"
target=_blank>http://www.startribune.com/local/south/45486592.html?elr=KArksi8cyaiUgOa</A><BR>hccyiUiacyKUnciatkEP7DhUs<BR><BR>The
owner of a Northfield company that collects outdated, recalled
or<BR>excess pharmaceuticals has been indicted in federal court for
allegedly<BR>diverting prescription drugs for sale on the
street.<BR><BR>Mark Andrew Goetz, 40, of Prior Lake, was charged Tuesday
with illegally<BR>distributing Xanax and OxyContin this year. The
transactions, both<BR>during sting operations, involved more than 1,600
tablets, the<BR>indictment alleges.<BR><BR>Goetz owns Pharmaceutical
Returns, a reverse distributor of controlled<BR>substances that is
authorized by the federal Drug Enforcement<BR>Administration (DEA) to
collect the drugs and return them to the<BR>companies for credit or
destroy them at approved incinerators.<BR><BR>According to the
indictment:<BR><BR>In January, members of the Metro Gang Strike Task
Force learned that<BR>Goetz was redirecting controlled substances to his
drug customers just<BR>before or shortly after scheduled destructions.
Officers set up a sting<BR>on Jan. 10 at Goetz's home involving 99
tablets of Xanax, an<BR>anti-anxiety drug. A second "controlled
purchase" of 1,274 tablets of<BR>OxyContin, a painkiller, and 245
tablets of Xanax was conducted by the<BR>DEA and the task force on May 6
in a south Minneapolis apartment parking<BR>lot.<BR><BR>Goetz was
stopped as he was leaving the parking lot; officers seized a<BR>small
amount of a controlled substance and a laptop
computer.<BR><BR><BR><BR>Jennifer Crittenden, M.S.W.<BR>Research
Associate<BR>UMaine Center on Aging<BR>327 Camden Hall<BR>25 Texas
Ave.<BR>Bangor, Maine 04401-4324<BR>Telephone: 207-262-7923<BR>Fax:
207-262-7921<BR>E-mail:<A
href="http://us.mc822.mail.yahoo.com/mc/compose?to=Jennifer.Crittenden@umit.maine.edu"
ymailto="mailto:Jennifer.Crittenden@umit.maine.edu">Jennifer.Crittenden@umit.maine.edu</A><BR><BR>---<BR>Note:
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