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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Please note that consumer drug waste is not regulated under RCRA
by EPA. Some states do bring the 5% of RCRA drugs back into regulation if
consolidated at collection events. There has been a great deal of recent
discussion on the safety and cost-efficienty of utilizing waste to energy
plants and regulated medical waste incinerators for these collected wastes as a
cost-effective and safe method of disposal. Those who have tried to segregate
at collection events found it unworkable.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<div>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Best regards, <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Charlotte A. Smith, R. Ph., M.S., HEM<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Director, PharmEcology Services<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>WM Healthcare Solutions, Inc.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>12229 W. North Ave., Suite 2<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Wauwatosa, WI 53226<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>414-292-3959<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>713-725-6363 (cell)<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>414-479-9941 (fax)</span><span style='font-size:11.0pt;
font-family:"Calibri","sans-serif";color:red'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>csmith@pharmecology.com<o:p></o:p></span></p>
<p class=MsoNormal><b><i><span style='font-size:14.0pt;font-family:"Calibri","sans-serif";
color:#4F6228'><o:p> </o:p></span></i></b></p>
<p class=MsoNormal style='text-autospace:none'><b><i><span style='font-size:
11.0pt;font-family:Univers-Oblique;color:green'>Waste Management’s renewable
energy projects create enough energy to power over 1 million homes.<o:p></o:p></span></i></b></p>
<p class=MsoNormal><b><i><span style='font-family:"Calibri","sans-serif";
color:#76923C'><o:p> </o:p></span></i></b></p>
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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </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"'>From:</span></b><span
style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>
pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>Gilliam, Allen<br>
<b>Sent:</b> Friday, April 16, 2010 8:11 AM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] RE: Managing RcRa Hazard pharmaceutical waste<o:p></o:p></span></p>
</div>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:blue'>but, the software's going to be worth diddly isn't
it, if hundreds of pills arrive inside a couple quart plastic
bags without their original containers and you don't have a highly trained
pharmacist sitting right there eyeballing every pill to identify it by color,
shape and any numbers/letters on them? Is there an easy/in-expensive way
to handle these situations?</span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal> <o:p></o:p></p>
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<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:blue'>all good ideas below if they're taken back in their original
bottles.</span><o:p></o:p></p>
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<p class=MsoNormal> <o:p></o:p></p>
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<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:blue'>allen g</span><o:p></o:p></p>
</div>
<blockquote style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt'>
<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"'> returnco
[mailto:returnco@yahoo.com] <br>
<b>Sent:</b> Thursday, April 15, 2010 1:57 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Managing RcRa Hazard pharmaceutical waste<o:p></o:p></span></p>
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<div>
<p class=MsoNormal style='margin-left:.5in'><o:p> </o:p></p>
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<div id=yiv542689140>
<p class=MsoNormal><o:p> </o:p></p>
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<div>
<p class=MsoNormal>Hi everyone,<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>This is my first post on the subject of handling RcRa
pharmaceutical waste.<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>I have developed a software program that is capable of
sorting out RcRa, control, and non-haz itemes. It also creates
a seperate inventory list to dispose of them properly.<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>This program is very effective in seperating the waste
stream, however, it is not efficient in seperatings already dispensed
drug without the NDC.<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>The Question I have is this:<o:p></o:p></p>
</div>
<ol start=1 type=1>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:
auto;mso-list:l0 level1 lfo1'>Can pharmacy be regulated to put
NDC# on prescription bottles or <span class=yshortcuts>blister packs</span>?
<o:p></o:p></li>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:
auto;mso-list:l0 level1 lfo1'>Why not have Pharmaceutical mfg identify
RcRa haz on their product, like they do on control items.( example
Warfarin P001) ? . <o:p></o:p></li>
</ol>
<div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>This would allow someone like us to manage the <span
class=yshortcuts>hazard waste</span> like we would on DEA controlled drugs.
I know my program can definitely help sort out all the <span
class=yshortcuts>Hazardous drugs</span> and <span class=yshortcuts>control
drugs</span> without much effort. <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>And with NDC /UPC code on dispensed drugs, it would be so
easy to sort out drugs by its waste code and create useful report
during the take back events.<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>Thank you,<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>Young Ko<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>VP of operation<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>Pharma-Mate Inc DBA Returnco<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>Pharmaceutical returns and disposal service<o:p></o:p></p>
</div>
</div>
<div>
<p class=MsoNormal>Phone: (727) 861-1100<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>E-mail : <a
href="http://us.mc304.mail.yahoo.com/mc/compose?to=returnco@yahoo.com"
target="_blank">returnco@yahoo.com</a><o:p></o:p></p>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<div>
<p class=MsoNormal> <o:p></o:p></p>
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<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt'><o:p> </o:p></span></p>
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