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<P>We have been studying this issue for some time now. Our Foundation has a policy not to accept, transfer, or use any donated medicines on patients. If the medicines are expired when they are donated, consider the principle of "standard care" and the ethics and legality of using "expired" medicines on other patients. We understand that this practice exists, but it is right? Under close supervision of physicians and pharmacists in a healthcare facility, some medicines, not expired or tampered with, may be transferred to other patients. I believe it's a state-by-state policy for hospitals, clinics, hospice, and nursing homes. </P>
<P> </P>
<P>We have worked with several international agencies including the United Nations World Health Organization regarding drug donation to other countries. Please refer to the attached WHO documents for donation and disposal of drugs. In the U.S., one Dallas-based company MediSend International (<A href="http://www.medisend.org">www.medisend.org</A>) may provide better insight and guidance to drug donation. Nick Hallack is the CEO of this group.</P>
<P> </P>
<P> </P>
<P>Matthew Mireles, PhD, MPH</P>
<P>President and CEO</P>
<P>Community Medical Foundation for Patient Safety.</P>
<P> </P>
<P> </P>
<P><BR><BR> </P>
<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: "Gainer, Kate (Puetz)" <KGAINER@IARX.ORG><BR>Sent: Nov 19, 2009 5:12 PM <BR>To: "Jaramillo, Jeanie" <JEANIE.JARAMILLO@TTUHSC.EDU>, pharmwaste@lists.dep.state.fl.us <BR>Cc: "Skaggs, Nathan" <NATHAN.SKAGGS@TTUHSC.EDU><BR>Subject: RE: [Pharmwaste] Donation of unused medications <BR><BR><?XML:NAMESPACE PREFIX = [default] http://www.w3.org/TR/REC-html40 NS = "http://www.w3.org/TR/REC-html40" /><ZZZhtml xmlns="http://www.w3.org/TR/REC-html40" xmlns:st="" xmlns:udcp2p="http://schemas.microsoft.com/data/udc/parttopart" xmlns:udcxf="http://schemas.microsoft.com/data/udc/xmlfile" xmlns:udcs="http://schemas.microsoft.com/data/udc/soap" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:sps="http://schemas.microsoft.com/sharepoint/soap/" xmlns:sp="http://schemas.microsoft.com/sharepoint/" xmlns:ec="http://www.w3.org/2001/04/xmlenc#" xmlns:sub="http://schemas.microsoft.com/sharepoint/soap/2002/1/alerts/" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:udc="http://schemas.microsoft.com/data/udc" xmlns:dsp="http://schemas.microsoft.com/sharepoint/dsp" xmlns:ds="http://www.w3.org/2000/09/xmldsig#" xmlns:dir="http://schemas.microsoft.com/sharepoint/soap/directory/" xmlns:ois="http://schemas.microsoft.com/sharepoint/soap/ois/" xmlns:ppda="http://www.passport.com/NameSpace.xsd" xmlns:x2="http://schemas.microsoft.com/office/excel/2003/xml" xmlns:mt="http://schemas.microsoft.com/sharepoint/soap/meetings/" xmlns:Repl="http://schemas.microsoft.com/repl/" xmlns:D="DAV:" xmlns:rtc="http://microsoft.com/officenet/conferencing" xmlns:q="http://schemas.xmlsoap.org/soap/envelope/" xmlns:ZZZhtml="http://www.w3.org/TR/REC-html40" xmlns:oa="urn:schemas-microsoft-com:office:activation" xmlns:odc="urn:schemas-microsoft-com:office:odc" xmlns:c="urn:schemas-microsoft-com:office:component:spreadsheet" xmlns:ss="urn:schemas-microsoft-com:office:spreadsheet" xmlns:b="urn:schemas-microsoft-com:office:publisher" xmlns:z="#RowsetSchema" xmlns:rs="urn:schemas-microsoft-com:rowset" xmlns:s="uuid:BDC6E3F0-6DA3-11d1-A2A3-00AA00C14882" xmlns:dt="uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:a="urn:schemas-microsoft-com:office:access" xmlns:p="urn:schemas-microsoft-com:office:powerpoint" xmlns:x="urn:schemas-microsoft-com:office:excel" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:v="urn:schemas-microsoft-com:vml" xmlns:st1="urn:schemas-microsoft-com:office:smarttags" xmlns:ns13="urn:schemas-microsoft-com:" xmlns:ns12="http://microsoft.com/webservices/SharePointPortalServer/PublishedLinksService" xmlns:ns11="http://schemas.microsoft.com/sharepoint/soap/SlideLibrary/" xmlns:ns10="http://schemas.microsoft.com/exchange/services/2006/messages" xmlns:ns9="http://schemas.microsoft.com/exchange/services/2006/types" xmlns:ns8="http://microsoft.com/sharepoint/webpartpages" xmlns:ns7="http://schemas.openxmlformats.org/package/2006/relationships" xmlns:ns6="http://schemas.microsoft.com/office/2004/12/omml" xmlns:ns5="http://schemas.openxmlformats.org/markup-compatibility/2006" xmlns:ns4="http://schemas.openxmlformats.org/package/2006/digital-signature" xmlns:ns3="http://schemas.microsoft.com/office/2006/digsig" xmlns:ns2="http://schemas.microsoft.com/office/2006/digsig-setup" xmlns:ns1="http://schemas.microsoft.com/sharepoint/soap/workflow/"><ZZZhead><ZZZMETA CONTENT="text/html; charset=us-ascii" HTTP-EQUIV="Content-Type"><ZZZmeta content="Microsoft Word 11 (filtered medium)" name="Generator"><ZZZ!--[if !mso]>
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<P class=MsoNormal><FONT color=navy size=2 face="Trebuchet MS"><SPAN style="FONT-FAMILY: 'Trebuchet MS'; COLOR: navy; FONT-SIZE: 10pt">In <?xml:namespace prefix = st1 /><st1:State w:st="on"><st1:place w:st="on">Iowa</st1:place></st1:State>, there is a repository program that accepts medications of this nature. The information for the repository (which is administered by the Iowa Prescription Drug Corporation) is <A href="http://www.iowapdc.org/" target=_blank>www.iowapdc.org</A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face="Trebuchet MS"><SPAN style="FONT-FAMILY: 'Trebuchet MS'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face="Trebuchet MS"><SPAN style="FONT-FAMILY: 'Trebuchet MS'; COLOR: navy; FONT-SIZE: 10pt">I’m not sure if they’d be able to accept from an out of state provider, but you may be interested in their program. <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face="Trebuchet MS"><SPAN style="FONT-FAMILY: 'Trebuchet MS'; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></FONT></P>
<DIV>
<P class=MsoNormal><EM><I><FONT color=navy size=2 face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; FONT-SIZE: 11pt">Kate Gainer, PharmD</SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><EM><I><FONT color=navy size=2 face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; FONT-SIZE: 11pt">Vice President, Professional Affairs</SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><st1:State w:st="on"><st1:place w:st="on"><EM><I><FONT color=navy size=2 face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; FONT-SIZE: 11pt">Iowa</SPAN></FONT></I></EM></st1:place></st1:State><EM><I><FONT color=navy face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy"> Pharmacy Association</SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><EM><I><FONT color=navy size=2 face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; FONT-SIZE: 11pt">515.270.0713</SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Calibri><SPAN style="COLOR: navy; FONT-SIZE: 11pt"><A href="mailto:kgainer@iarx.org" target=_blank><EM><I><FONT color=navy face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; TEXT-DECORATION: none">kgainer@iarx.org</SPAN></FONT></I></EM></A><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><STRONG><B><I><FONT color=purple size=2 face=Calibri><SPAN style="FONT-STYLE: italic; FONT-FAMILY: Calibri; COLOR: purple; FONT-SIZE: 11pt">Renew your 2010 IPA membership today at </SPAN></FONT></I></B></STRONG><FONT color=navy><SPAN style="COLOR: navy"><A href="http://www.iarx.org" target=_blank><STRONG><B><I><FONT color=purple face=Calibri><SPAN style="FONT-STYLE: italic; FONT-FAMILY: Calibri; COLOR: purple">www.iarx.org</SPAN></FONT></I></B></STRONG></A></SPAN></FONT><STRONG><B><I><FONT color=purple face=Calibri><SPAN style="FONT-STYLE: italic; FONT-FAMILY: Calibri; COLOR: purple">!</SPAN></FONT></I></B></STRONG><EM><I><FONT color=navy face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy"> </SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Calibri><SPAN style="COLOR: navy; FONT-SIZE: 11pt"> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face="Trebuchet MS"><SPAN style="FONT-FAMILY: 'Trebuchet MS'; COLOR: navy; FONT-SIZE: 10pt"> </SPAN></FONT><o:p></o:p></P></DIV>
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<P class=MsoNormal><B><FONT size=2 face=Tahoma><SPAN style="FONT-FAMILY: Tahoma; FONT-SIZE: 10pt; FONT-WEIGHT: bold">From:</SPAN></FONT></B><FONT size=2 face=Tahoma><SPAN style="FONT-FAMILY: Tahoma; FONT-SIZE: 10pt"> 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>Jaramillo, Jeanie<BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Thursday, November 19, 2009 4:04 PM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B> pharmwaste@lists.dep.state.fl.us<BR><B><SPAN style="FONT-WEIGHT: bold">Cc:</SPAN></B> Skaggs, Nathan<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B> [Pharmwaste] Donation of unused medications</SPAN></FONT><FONT size=3 face="Times New Roman"><SPAN style="FONT-FAMILY: 'Times New Roman'; FONT-SIZE: 12pt"><o:p></o:p></SPAN></FONT></P></DIV>
<P class=MsoNormal><FONT size=2 face=Calibri><SPAN style="FONT-SIZE: 11pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=2 face=Calibri><SPAN style="FONT-SIZE: 11pt">Does anyone have a good resource for information on the donation of unused medicines or information that basically prohibits this? I have a pharmacist who supplies meds to long term care facilities in blister packs and is interested in donating unused portions. Also, having recently conducted a take-back program, we collected numerous items from the public that were still factory-sealed. Thank you. <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=2 face=Calibri><SPAN style="FONT-SIZE: 11pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Jeanie Jaramillo, PharmD<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Managing Director, <st1:place w:st="on"><st1:PlaceName w:st="on">Texas</st1:PlaceName> <st1:PlaceName w:st="on">Panhandle</st1:PlaceName> <st1:PlaceName w:st="on">Poison</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType></st1:place><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Assistant Professor, <st1:place w:st="on"><st1:PlaceName w:st="on">Texas</st1:PlaceName> <st1:PlaceName w:st="on">Tech</st1:PlaceName> <st1:PlaceName w:st="on">UHSC</st1:PlaceName> <st1:PlaceType w:st="on">School</st1:PlaceType></st1:place> of Pharmacy<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">1501 S. Coulter St</SPAN></FONT></st1:address></st1:Street><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">. <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Amarillo</SPAN></FONT></st1:City><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">, <st1:State w:st="on">TX</st1:State> <st1:PostalCode w:st="on">79106</st1:PostalCode></SPAN></FONT></st1:place><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">P: (806) 354-1611<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">C: (806) 672-0833<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">F: (806) 354-1667<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Cisco IP: 30412<o:p></o:p></SPAN></FONT></P>
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