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<P>Caution advised...</P>
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<P>Most patients and consumers cannot distinguish OTC from controlled substances. If you are collecting non-controlled substance, make sure you don't include controlled substances. And PLEASE don't refer folks to someone else who doesn't have any idea or business in drug take back. have you seen the latest ONDCP guidelines?</P>
<P> </P>
<P>The best advice is to consult with your local DEA or law enforcement and keep them in the loop. Whether they support your endeavor or not, ignorance will not get out of jail! </P>
<P> </P>
<P>If you need assistance, contact us. You may already have heard about the initiative in Maine to limit prescription drugs....</P>
<P>Good luck!</P>
<P> </P>
<P class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt">From:</SPAN></B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt"> provider-bounces@informe.org [mailto:provider-bounces@informe.org] <B>On Behalf Of </B>Provider Notification<BR><B>Sent:</B> Friday, July 31, 2009 3:59 PM<BR><B>To:</B> List Serve <BR><B>Subject:</B> [Provider] 15-day limit on first-time prescriptions for certaindrugs</SPAN><?xml:namespace prefix = o /><O:P></O:P></P>
<P class=MsoNormal><O:P> </O:P></P>
<P class=MsoNormal>MaineCare has begun instituting measures to ensure cost effectiveness through the use of Drug Benefit Management, Drug-Drug editing to ensure education and patient safety, recent PPI limitations and Intensive Benefit Management with controlled substances. <O:P></O:P></P>
<P class=MsoNormal><O:P> </O:P></P>
<P class=MsoNormal>For a number of years in Maine, research from the Maine Benzodiazepine Study Group, The University of Maine Center on Aging, and in part funded by the only Federal Grant in the US on unused drug return mail back programming has suggested that adherence to medication and other variables may lead to large amounts of unused and discarded medication. Closer evaluation of side effects and efficacy may lead to better patient outcome and better safety for patients with closer evaluation of initial response.<O:P></O:P></P>
<P class=MsoNormal><O:P> </O:P></P>
<P class=MsoNormal>With that, MaineCare will institute new 15 day limits on initial prescriptions for various medication that have been identified with high side effect profiles, high discontinuation rates, or frequent dose adjustments to ensure cost effectiveness without “wasting” or “discarding” of used medications. Effective 8/6/09 MaineCare will begin limiting initial prescriptions on the following medications, Suboxone, Subutex, Chantix and Nicotine replacement products to 15 day supplies. Initial prescriptions for preferred products over the initial 15 day supply will require prior authorization. Subsequent refills of these products will be allowed at the usual MaineCare allowable days supply.<O:P></O:P></P>
<P class=MsoNormal><O:P> </O:P></P>
<P class=MsoNormal>For further questions please contact Goold Health Systems at 1-888-4450497.<O:P></O:P></P>
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<P class=MsoNormal><I><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 10pt">Is your mailing address up to date with MaineCare? Please keep MaineCare up to date so your Remittance Statements and checks arrive on time. Call Provider Enrollment at 1-800-321-5557 Option #6. <O:P></O:P></SPAN></I></P>
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<P>------------------------------------ Address messages to: PATIENTSAFETY-L@listserv.npsf.org For additional information and subscription commands, visit: <A href="http://www.npsf.org/psf/" target=_blank>http://www.npsf.org/psf/</A> Visit the searchable archives or adjust your subscription at: <A href="http://listserv.npsf.org/archives/patientsafety-l.html" target=_blank>http://listserv.npsf.org/archives/patientsafety-l.html</A> Moderator: Anita Spielman aspielman@npsf.org, National Patient Safety Foundation </P>
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<P> </P>
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<P>Matthew C. Mireles, PhD, MPH</P>
<P>President and CEO</P>
<P>Community Medical Foundation for Patient Safety</P>
<P> </P>
<P><BR><BR><BR> </P>
<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: "Tenace, Laurie" <LAURIE.TENACE@DEP.STATE.FL.US><BR>Sent: Aug 5, 2009 12:02 PM <BR>To: pharmwaste@lists.dep.state.fl.us <BR>Subject: FW: [Pharmwaste] RE: Texas Pharmaceutical Disposal Programs <BR><BR><ZZZHTML><ZZZHEAD><ZZZMETA content="text/html; charset=us-ascii" http-equiv="Content-Type"><ZZZMETA content="Microsoft Word 12 (filtered medium)" name="Generator"><ZZZ!--[IF !mso]>
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<DIV style="FONT-FAMILY: Courier New; FONT-SIZE: 9pt"><EM><FONT size=2 face=Arial>The Department of Environmental Protection values your feedback as a customer. DEP Secretary Michael W. Sole is committed to continuously assessing and improving the level and quality of services provided to you. Please take a few minutes to comment on the quality of service you received. <?xml:namespace prefix = eXclaimer /><eXclaimer:ZZZHTML_ONLY>Simply click on <A href="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us" target=_blank>this link to the DEP Customer Survey</A>.</eXclaimer:ZZZHTML_ONLY> Thank you in advance for completing the survey.</FONT></EM></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt">From:</SPAN></B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt"> Karen Bartkowiak [mailto:karen.bartkowiak@dvault.com] <BR><B>Sent:</B> Wednesday, August 05, 2009 12:25 PM<BR><B>To:</B> 'Matthew C. Mireles'; 'Tony Madruga'; 'McKinley,Gena'; pharmwaste@lists.dep.state.fl.us<BR><B>Cc:</B> john.r.prince@dvault.com; easmith@communityofcompetence.com<BR><B>Subject:</B> RE: [Pharmwaste] RE: Texas Pharmaceutical Disposal Programs<o:p></o:p></SPAN></P></DIV></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">Just for further clarity, the DEA has no legal jurisdition over non-controlled substances.<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">As all are aware, there is much activity surrounding this subject. In particular and to mention a few, legislative action in The House (#1191) and in The Senate (#1359).<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">More information can be found at:<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><A href="http://www.regulations.gov/search/Regs/home.html#home">http://www.regulations.gov/search/Regs/home.html#home</A><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><A href="http://www.deadiversion.usdoj.gov/links/index.html">http://www.deadiversion.usdoj.gov/links/index.html</A><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><A href="http://www.gpoaccess.gov/fr/">http://www.gpoaccess.gov/fr/</A><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><A href="http://www.takebackexpress.com/Articles.asp?ID=132">http://www.takebackexpress.com/Articles.asp?ID=132</A><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">Take Back Express is owned and Operated by dVault® Companies, Inc.<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">Sincerely,<o:p></o:p></SPAN></P>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">Karen Bartkowiak<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">Administrative Assistant<BR>dVault® Companies, Inc.<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><BR>voice: 720.895.1908<BR>fax: 720.895.1909<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><U><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><A title=mailto:tony.madruga@dvault.com href="mailto:tony.madruga@dvault.com" target=_blank>karen.bartkowiak@dvault.com</A></SPAN></U><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 8pt">**** dVault® Confidential *******************************************<BR>This email and any files transmitted with it are confidential<BR>and intended solely for the individual or entity to<BR>whom they are addressed. If you have received this email<BR>in error destroy it immediately.<BR>**********************************************************************</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 8pt"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="COLOR: navy"> </SPAN><SPAN style="FONT-FAMILY: 'Times New Roman','serif'; FONT-SIZE: 12pt"><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt">From:</SPAN></B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt"> Matthew C. Mireles [mailto:mirelesmc@earthlink.net] <BR><B>Sent:</B> Wednesday, August 05, 2009 8:44 AM<BR><B>To:</B> Tony Madruga; McKinley,Gena; 'pharmwaste@lists.dep.state.fl.us'<BR><B>Cc:</B> john.r.prince@dvault.com; Karen Bartkowiak (karen.bartkowiak@dvault.com); easmith@communityofcompetence.com<BR><B>Subject:</B> Re: [Pharmwaste] RE: Texas Pharmaceutical Disposal Programs</SPAN><SPAN style="FONT-FAMILY: 'Times New Roman','serif'; FONT-SIZE: 12pt"><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">Gena,<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">We run the </SPAN><EM><B><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: blue; FONT-SIZE: 9pt">National Unused and Expired Medicines Registry</SPAN></B></EM><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"> 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-FAMILY: 'Arial','sans-serif'; COLOR: blue; FONT-SIZE: 9pt">National Directory of Drug Take-Back and Disposal Programs</SPAN></B></EM><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">. 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 style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">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 style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">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 style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">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 style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">We also publish a comprehensive </SPAN><EM><B><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: blue; FONT-SIZE: 9pt">manual of procedures</SPAN></B></EM><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"> 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 style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">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 style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">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>
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<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">Matthew C. Mireles, PhD, MPH<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">President and CEO<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">Community Medical Foundation for Patient Safety<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">6300 West Loop South, Suite 288<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">Bellaire, TX 77401<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">832-778-7777<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"><A href="http://www.communityofcompetence.com" target=_blank>www.communityofcompetence.com</A><o:p></o:p></SPAN></P>
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<BLOCKQUOTE style="BORDER-BOTTOM: medium none; BORDER-LEFT: blue 1.5pt solid; PADDING-BOTTOM: 0in; MARGIN-TOP: 5pt; PADDING-LEFT: 4pt; PADDING-RIGHT: 0in; MARGIN-BOTTOM: 5pt; MARGIN-LEFT: 0in; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0in">
<P style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt">-----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><o:p></o:p></SPAN></P>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Hi Gena,<o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt"> <o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">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>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt"> <o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">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>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt"> <o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Regards,<o:p></o:p></SPAN></P></DIV></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Tony O. Madruga</SPAN><SPAN style="COLOR: black"><BR></SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">President</SPAN><SPAN style="COLOR: black"><BR></SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">dVault® Companies, Inc.</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Times New Roman','serif'; COLOR: black; FONT-SIZE: 12pt"><A title=http://www.dvault.com href="http://www.dvault.com/" target=_blank><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 8pt">www.dvault.com</SPAN></A></SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt"><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 7.5pt">voice: 720.895.1908<BR>fax: 720.895.1909</SPAN><SPAN style="COLOR: black"><BR><BR></SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: blue; FONT-SIZE: 7.5pt"><A title=mailto:tony.madruga@dvault.com href="mailto:tony.madruga@dvault.com" target=_blank><SPAN style="COLOR: black">tony.madruga@dvault.com</SPAN></A></SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 7.5pt"><o:p></o:p></SPAN></P>
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<P style="MARGIN-LEFT: 0.5in"><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 7.5pt">**** dVault®</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt"> </SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 7.5pt"> Confidential ****************************************<BR>This email and any files transmitted with it are confidential<BR>and intended solely for the individual or entity to<BR>whom they are addressed. If you have received this email<BR>in error destroy it immediately.<BR>**********************************************************************</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt"><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; COLOR: black; FONT-SIZE: 10pt">From:</SPAN></B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; COLOR: black; FONT-SIZE: 10pt"> 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-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 9pt"><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="COLOR: black">Hello!<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="COLOR: black"> <o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" 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 style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="COLOR: black"> <o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="COLOR: black">Thanks!<o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="COLOR: black">Gena<o:p></o:p></SPAN></P>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Gena McKinley, MPH</SPAN></B><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Environmental Planner</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Houston-Galveston Area Council</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Tel: 713-993-4529</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Fax: 713-993-4503</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt"><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>
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