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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>As far as prevention goes, has anyone yet seen any traction in the
idea that the pharmaceutical industry&#8217;s new focus on &#8220;green chemistry&#8221; could
include designing drugs so that they more rapidly degrade after doing their job?&nbsp;
&nbsp;&nbsp;<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

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<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";
color:windowtext'>From:</span></b><span style='font-size:10.0pt;font-family:
"Tahoma","sans-serif";color:windowtext'>
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>Gressitt,
Stevan<br>
<b>Sent:</b> Tuesday, January 26, 2010 1:34 PM<br>
<b>To:</b> Catherine Zimmer; Holcomb, Sarah, NMENV<br>
<b>Cc:</b> Pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] Radio spots<o:p></o:p></span></p>

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</div>

<p class=MsoNormal><o:p>&nbsp;</o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>From the policy experience here in Maine could I suggest the
following. Inded waste prevention is the best policy, so how and where in the
system does that take place? At the prescriber&#8217;s office. It is a great
opportunity to address 2 populations: prescribers can be asked does the
prescription you write today really need to be that long? And the publican be
asked, when you see your health care professional be empowered to ask do I
really need this much medication for this long? And then what can you do to
help me get rid of it if I can&#8217;t take it or don&#8217;t need it? I&#8217;d also suggest
talking to your state medical association and see if they could co-sponsor as
there might be better public uptake and to your state CDC. <o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Just a few thoughts. <o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>And the reference to policy I made at the outset. After our
Medicaid office recognized that they could save by cutting the first
prescription from unlimited to limited 15 days as a maximum for reimbursement
they instituted it as a policy. One MD called me up and said that they were
going to adopt that policy with all of their patients regardless of the
insurance company. <o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><o:p>&nbsp;</o:p></span></p>

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<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Stevan Gressitt, M.D.,
Medical&nbsp;Director</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Office of Adult Mental
Health Services</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Department of Health and
Human Services</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Marquardt Building, 2nd
Floor</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>11 State House Station</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>32 Blossom Lane</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Augusta, ME&nbsp;
04333-0011</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Ph: (207)287-4273</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Fax: (207)287-1022</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Cell Phone: (207) 441-0291</span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>E-Mail&nbsp;: <a
href="mailto:stevan.gressitt@maine.gov" title="mailto:stevan.gressitt@maine.gov">stevan.gressitt@maine.gov</a><o:p></o:p></span></p>

<p class=MsoNormal style='margin-left:.5in'><u><span style='font-size:9.0pt;
font-family:"Goudy Old Style","serif";color:blue'><a
href="http://www.maine.gov/dhhs/mh/">http://www.maine.gov/dhhs/mh/</a></span></u><span
style='color:navy'><o:p></o:p></span></p>

<p class=MsoNormal style='margin-left:.5in'>&nbsp;<o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in;text-align:justify'><em><b><span
style='font-size:8.0pt;font-family:"Goudy Old Style","serif"'>Confidentiality
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note that any dissemination, distribution or copying of this is strictly
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<p class=MsoNormal style='margin-left:.5in;text-align:justify'><span
style='font-size:8.0pt;font-family:"Goudy Old Style","serif"'>The Department of
Health and Human Services (DHHS) does not discriminate on the basis of
disability, race, color, creed, gender, sexual orientation, age, or national
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and in accordance with the Civil Rights Act of 1964 as amended, Section 504 of
the Rehabilitation Act of 1973, as amended, the Age Discrimination Act of 1975,
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Executive Order Regarding State of Maine Contracts for Services.&nbsp;
Questions, concerns, complaints or requests for additional information
regarding the ADA may be forwarded to DHHS&#8217; ADA Compliance/EEO Coordinators, 11
SHS-221 State Street, Augusta, Maine 04333, 207-287-4289 (V), 207-287-3488 (V),
1-800-606-0215 (TTY).&nbsp; <o:p></o:p></span></p>

<p class=MsoNormal style='margin-left:.5in'><o:p>&nbsp;</o:p></p>

</div>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><o:p>&nbsp;</o:p></span></p>

<div>

<div class=MsoNormal align=center style='text-align:center'><span
style='color:windowtext'>

<hr size=2 width="100%" align=center>

</span></div>

<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:windowtext'>From:</span></b><span style='font-size:10.0pt;font-family:
"Tahoma","sans-serif";color:windowtext'> pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>Catherine
Zimmer<br>
<b>Sent:</b> Tuesday, January 26, 2010 1:04 PM<br>
<b>To:</b> Holcomb, Sarah, NMENV<br>
<b>Cc:</b> Pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Re: [Pharmwaste] Radio spots</span><span style='color:windowtext'><o:p></o:p></span></p>

</div>

<p class=MsoNormal><o:p>&nbsp;</o:p></p>

<p class=MsoNormal style='margin-bottom:12.0pt'>Hi Sarah,<br>
As you know, the best management is no waste, so I would suggest including
source reduction tips. Encourage the public to ask their docs for a
non-pharmaceutical treatment; such as physical therapy, neti pots, exercise and
diet, trial and smaller prescription sizes.&nbsp;&nbsp; <o:p></o:p></p>

<pre>Catherine Zimmer<o:p></o:p></pre><pre>Health Care Specialist<o:p></o:p></pre><pre><o:p>&nbsp;</o:p></pre><pre>Minnesota Technical Assistance Program<o:p></o:p></pre><pre>University of Minnesota<o:p></o:p></pre><pre>612.624.4635, 800.247.0015<o:p></o:p></pre><pre><a
href="http://www.mntap.umn.edu">http://www.mntap.umn.edu</a><o:p></o:p></pre><pre><o:p>&nbsp;</o:p></pre><pre>Helping Minnesota businesses maximize resource efficiency, increase energy efficiency, reduce costs, and prevent pollution<o:p></o:p></pre>

<p class=MsoNormal><br>
<br>
Holcomb, Sarah, NMENV wrote: <o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:blue'>Hi
everyone &#8211; </span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:blue'>&nbsp;</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:blue'>The
NM Environment Department is developing radio spots to educate the general
public on the issue of pharms in water supplies and to encourage folks to
utilize take-back programs if they are available. Has anyone done advertising
like this before, or does anyone have any advice or transcripts that you could
share with me? I&#8217;m finding it difficult to address everything I want to in a 30
second ad. I may have the option to expand it to 60 seconds but only if it&#8217;s
&#8220;interesting&#8221;. </span><span style='font-family:Wingdings;color:blue'>J</span><span
style='font-family:"Calibri","sans-serif";color:blue'> Thanks in advance. </span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:blue'>&nbsp;</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"French Script MT";color:#0080FF'>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Imprint MT Shadow";color:#0080FF'>Sarah
Holcomb</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Imprint MT Shadow";color:#0080FF'>Environmental
Scientist/Specialist</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Imprint MT Shadow";color:#0080FF'>Surface
Water Quality Bureau</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Imprint MT Shadow";color:#0080FF'>New
Mexico Environment Department</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Imprint MT Shadow";color:#0080FF'>5500
</span><span style='font-family:"Imprint MT Shadow";color:windowtext'><ns0:City><span
 style='color:#0080FF'>San Antonio</span></ns0:City></span><span
style='font-family:"Imprint MT Shadow";color:#0080FF'> </span><span
style='font-family:"Imprint MT Shadow";color:windowtext'><ns0:State><span
 style='color:#0080FF'>NE</span></ns0:State></span><span style='font-family:
"Imprint MT Shadow";color:#0080FF'>, </span><span style='font-family:"Imprint MT Shadow";
color:windowtext'><ns0:place><ns0:City><span style='color:#0080FF'>Albuquerque</span></ns0:City><span
 style='color:#0080FF'>, </span><ns0:State><span style='color:#0080FF'>NM</span></ns0:State><span
 style='color:#0080FF'> </span><ns0:PostalCode><span style='color:#0080FF'>87109</span></ns0:PostalCode></ns0:place></span><o:p></o:p></p>

<p class=MsoNormal><span style='font-family:"Imprint MT Shadow";color:#0080FF'>505-222-9587</span><o:p></o:p></p>

<p style='margin:0in;margin-bottom:.0001pt'><b><span lang=EN-AU
style='font-size:18.0pt;font-family:Webdings;color:green'>P</span></b><b><span
style='font-family:"French Script MT";color:#0080FF'>&nbsp;</span></b><b><span
style='font-size:7.5pt;font-family:"Tahoma","sans-serif";color:green'> </span></b><b><span
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<p class=MsoNormal><span style='font-family:"Calibri","sans-serif"'>Confidentiality
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<pre><o:p>&nbsp;</o:p></pre><pre style='text-align:center'><o:p>&nbsp;</o:p></pre><pre
style='text-align:center'><o:p>&nbsp;</o:p></pre><pre style='text-align:center'>

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</pre><pre style='text-align:center'><o:p>&nbsp;</o:p></pre><pre
style='text-align:center'><o:p>&nbsp;</o:p></pre><pre><o:p>&nbsp;</o:p></pre><pre>---<o:p></o:p></pre><pre>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.<o:p></o:p></pre><pre>---<o:p></o:p></pre><pre>TO SUBSCRIBE, go to:&nbsp;&nbsp; <a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a> <o:p></o:p></pre><pre>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <a
href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us">pharmwaste-unsubscribe@lists.dep.state.fl.us</a> -- the subject line and body of the e-mail should be blank.<o:p></o:p></pre><pre>If you believe you may be subscribed with a different email address, please visit the subscriber listing at <a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</a> <o:p></o:p></pre><pre>FOR PROBLEMS:&nbsp; Contact List Administrator <a
href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a> <o:p></o:p></pre><pre>SEND MAIL to the list server at:&nbsp; <a
href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><o:p></o:p></pre><pre>&nbsp; <o:p></o:p></pre></div>

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