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<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Dear colleagues,<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>The Centers for Medicare and Medicaid Services is issuing a
proposed rulemaking under the healthcare act, with comments due in 60 days. (It
will come out in the Federal Register on November 22<sup>nd</sup> but is
available online now at the link below). The proposal applies to Medicare Part
D in long term care facilities. It includes both a proposal to limit the
dispensing of most branded drugs to 7-day quantities at a time (branded drugs
are considered a first step) and a requirement that Part D sponsors (the health
plans) “include terms in their LTC pharmacy contracts that require any
unused drugs originally dispensed to the Part D sponsor’s enrollees to be
returned to the pharmacy…and reported to the sponsor….Such
contracts will also address contractual obligations for disposal in accordance
with Federal and State regulations…” This section is preceded with
the comment that, “Only when data has been systematically collected will
the extent of waste of Part D drugs be quantifiable on other than an anecdotal
basis.”<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>The full document is here:<o:p></o:p></p>
<p class=MsoNormal><a
href="http://www.ofr.gov/OFRUpload/OFRData/2010-28774_PI.pdf">http://www.ofr.gov/OFRUpload/OFRData/2010-28774_PI.pdf</a><o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>It’s also linked here: <a
href="http://www.ofr.gov/inspection.aspx">http://www.ofr.gov/inspection.aspx</a><o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>If you have other things to do today, I suggest you scroll
down to page 54 to see the language I’ve excerpted above in context.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>PSI will be developing comments and seeking input from our
members and partners. If you are not already receiving emails from me directly
but are interested in being part of our discussions on this topic, please
contact me directly. I think this is an excellent opportunity for state and
local agencies concerned about reducing and managing drug waste to weigh in. <o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Best regards,<br>
Sierra<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif"'>_____________________________<o:p></o:p></span></p>
<p class=MsoNormal><b><i><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";
color:black'>Sierra E. Fletcher</span></i></b><span style='font-size:10.0pt;
font-family:"Verdana","sans-serif";color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";
color:black'>Director of Policy and Programs<o:p></o:p></span></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";
color:black'>Product Stewardship Institute, Inc.<o:p></o:p></span></i></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";
color:black'>29 Stanhope St., 3rd Floor<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";
color:black'>Boston, MA 02116<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";
color:black'>617-236-4886 (phone)<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";
color:black'>sierra@productstewardship.us<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif"'><a
href="http://www.productstewardship.us/"><span style='color:blue'>www.productstewardship.us</span></a><o:p></o:p></span></p>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";
color:#548DD4'><o:p> </o:p></span></b></p>
<p class=MsoNormal><b><span style='color:gray'>Click to follow us on </span></b><b><span
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