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<p class=MsoNormal><span style='color:#1F497D'>I am from the Texas Panhandle
Poison Center which is in Amarillo (not Lubbock). We are having our first take
back program on September 12<sup>th</sup>. Law enforcement is involved. DEA
has been our most significant obstacle, but we are finally getting there. We’ve
also had discussions with the TX State Board of Pharmacy. It is my belief that
there are programs in the State that are conducted without law enforcement
involvement. From my correspondence with the DEA, they are beginning to “crack
down” on these. There are many groups who do not understand all of the
regulations and unfortunately, they are not summarized in any one place. <o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<div>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Monotype Corsiva";
color:#1F497D'>Jeanie Jaramillo, PharmD<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Monotype Corsiva";
color:#1F497D'>Managing Director, Texas Panhandle Poison Center<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Monotype Corsiva";
color:#1F497D'>Assistant Professor, Texas Tech UHSC School of Pharmacy<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Monotype Corsiva";
color:#1F497D'>1501 S. Coulter St. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Monotype Corsiva";
color:#1F497D'>Amarillo, TX 79106<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Monotype Corsiva";
color:#1F497D'>P: (806) 354-1611<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Monotype Corsiva";
color:#1F497D'>C: (806) 672-0833<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Monotype Corsiva";
color:#1F497D'>F: (806) 354-1667<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Monotype Corsiva";
color:#1F497D'>Cisco IP: 30412<o:p></o:p></span></p>
</div>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<div>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span
style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Matthew C. Mireles
[mailto:mirelesmc@earthlink.net] <br>
<b>Sent:</b> Wednesday, August 05, 2009 9:44 AM<br>
<b>To:</b> Tony Madruga; McKinley,Gena; 'pharmwaste@lists.dep.state.fl.us'<br>
<b>Cc:</b> john.r.prince@dvault.com; easmith@communityofcompetence.com; Karen
Bartkowiak (karen.bartkowiak@dvault.com)<br>
<b>Subject:</b> Re: [Pharmwaste] RE: Texas Pharmaceutical Disposal Programs<o:p></o:p></span></p>
</div>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Gena,<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>We
run the </span><em><b><span style='font-size:9.0pt;font-family:"Arial","sans-serif";
color:blue'>National Unused and Expired Medicines Registry</span></b></em><span
style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> and
conduct an annual survey of all the drug take-back programs in the
US. We publish the survey data in our </span><em><b><span
style='font-size:9.0pt;font-family:"Arial","sans-serif";color:blue'>National
Directory of Drug Take-Back and Disposal Programs</span></b></em><span
style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>.
The Directory lists all the programs in the nation. Please contact me if
you wish to have a copy.<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Our
group is based in Houston, but most of our work in drug return system are in
Maine and CA. We also are consulting with federal agencies in designing a
national drug take back system.<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>There
are a few take-back programs in TX (Plano, Dallas area). One is beginning
in Corpus I believe. All of these are small community-based
programs. In Houston, we ran one pilot study with senior citizens.
One for-profit company in Houston has a mail-back system set up with shipping
kits and an incineration unit in Carthage TX. Another large company
in anticipation for a business venture has purchased a large industrial
incineration facility in Chamber Co. <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Since
we provide technical assistance in designing these programs around the country,
we highly encourage the involvement of law enforcement whenever there's a
possibility of collecting controlled substances. Most of the programs in
TX mentioned above all have law enforcement involvement. <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>We
also publish a comprehensive </span><em><b><span style='font-size:9.0pt;
font-family:"Arial","sans-serif";color:blue'>manual of procedures</span></b></em><span
style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> for drug
take back. This manual has been selected as the official reference of
instructions for an upcoming international conference on drug disposal in Maine
(mainebenzo.org).<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>As
far as partnership between city govt and retail pharmacies in TX, we have not
seen this in our survey. CA, OR, and WA use this model for their
take back system. In TX, the most promising initiative and partnership
are coming from the Poison Center (Lubbock, Galveston, etc.) You may want
to join the listserv and get involved right away. My advice for now
is to proceed carefully. The DEA is keeping a close eye on
TX. Our programs are in compliance with DEA regs.<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>I
hope my info is useful. Please contact me if you have questions. By
the way, I worked at UTMB before I move to Houston for grad school.<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Matthew
C. Mireles, PhD, MPH<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>President
and CEO<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Community
Medical Foundation for Patient Safety<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>6300
West Loop South, Suite 288<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Bellaire,
TX 77401<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>832-778-7777<o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'><a
href="http://www.communityofcompetence.com">www.communityofcompetence.com</a><o:p></o:p></span></p>
<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'><br>
<br>
<o:p></o:p></span></p>
<blockquote style='border:none;border-left:solid blue 1.5pt;padding:0in 0in 0in 4.0pt;
margin-left:0in;margin-top:5.0pt;margin-bottom:5.0pt'>
<p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial","sans-serif";
color:black'>-----Original Message----- <br>
From: Tony Madruga <br>
Sent: Aug 4, 2009 4:18 PM <br>
To: "McKinley, Gena" , "'pharmwaste@lists.dep.state.fl.us'"
<br>
Cc: "john.r.prince@dvault.com" , "Karen Bartkowiak
(karen.bartkowiak@dvault.com)" <br>
Subject: [Pharmwaste] RE: Texas Pharmaceutical Disposal Programs <br>
<br>
<br>
<o:p></o:p></span></p>
<div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Hi Gena,<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>I am not aware of any current programs in your area, however we
can provide all of your unattended collection unit needs through our sister
company Take Back Express.com.<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>More information can be found at: <a
href="http://www.takebackexpress.com/" target="_blank">http://www.takebackexpress.com</a><o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Regards,<o:p></o:p></span></p>
</div>
</div>
<div>
<div>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";
color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Tony O. Madruga</span><span style='color:black'><br>
</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>President</span><span style='color:black'><br>
</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>dVault® Companies, Inc.</span><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";
color:black'><a href="http://www.dvault.com/" target="_blank"
title="http://www.dvault.com"><span style='font-size:8.0pt;font-family:"Arial","sans-serif";
color:black'>www.dvault.com</span></a></span><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
</div>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";
color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:7.5pt;font-family:"Arial","sans-serif";
color:black'>voice: 720.895.1908<br>
fax: 720.895.1909</span><span style='color:black'><br>
<br>
</span><span style='font-size:7.5pt;font-family:"Arial","sans-serif";
color:blue'><a href="mailto:tony.madruga@dvault.com" target="_blank"
title="mailto:tony.madruga@dvault.com"><span style='color:black'>tony.madruga@dvault.com</span></a></span><span
style='font-size:7.5pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
<p><span style='font-size:7.5pt;font-family:"Arial","sans-serif";color:black'>**** </span><span
style='font-size:7.5pt;font-family:"Arial","sans-serif";color:black'>dVault®</span><span
style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> </span><span
style='font-size:7.5pt;font-family:"Arial","sans-serif";color:black'>
Confidential ****************************************<br>
This email and any files transmitted with it are confidential<br>
and intended solely for the individual or entity to<br>
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style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
</div>
<div id=divRpF115272>
<div class=MsoNormal align=center style='text-align:center'><span
style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>
<hr size=2 width="100%" align=center>
</span></div>
<p class=MsoNormal style='margin-bottom:12.0pt'><b><span style='font-size:10.0pt;
font-family:"Tahoma","sans-serif";color:black'>From:</span></b><span
style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> pharmwaste-bounces@lists.dep.state.fl.us
[pharmwaste-bounces@lists.dep.state.fl.us] On Behalf Of McKinley, Gena
[Gena.McKinley@h-gac.com]<br>
<b>Sent:</b> Tuesday, August 04, 2009 2:01 PM<br>
<b>To:</b> 'pharmwaste@lists.dep.state.fl.us'<br>
<b>Subject:</b> [Pharmwaste] Texas Pharmaceutical Disposal Programs</span><span
style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
</div>
<div>
<div>
<p class=MsoNormal><span style='color:black'>Hello!<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'>I am in the process of working on
a BMP guide for the management of pharmaceutical waste, and am looking for
example programs in the State of Texas. I am also interested to know if
any pharmacies in the State of Texas have partnered with municipalities in the
collection of pharmaceuticals. Please contact me if you have any
information. <o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'>Thanks!<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'>Gena<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Gena McKinley, MPH</span></b><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Environmental Planner</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Houston-Galveston Area Council</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Tel: 713-993-4529</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Fax: 713-993-4503</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'><a href="http://www.h-gac.com/recycleguide" target="_blank">www.RecycleInfo.org</a>
</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
</div>
</div>
</blockquote>
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