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<BODY id=compText>Adele, you are perfectly correct. <BR><BR><BR>
<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: "Audet, Adele (DPH)" <ADELE.AUDET@STATE.MA.US><BR>Sent: Dec 6, 2010 11:09 AM <BR>To: "Matthew C. Mireles" <MIRELESMC@EARTHLINK.NET>, Howard Anderson <NDBOPH@BTINET.NET>, "'Gilliam,Allen'" <GILLIAM@ADEQ.STATE.AR.US>, 'Stevan Gressitt' <GRESSITT@GMAIL.COM>, 'pharmwaste' <PHARMWASTE@LISTS.DEP.STATE.FL.US><BR>Subject: RE: [Pharmwaste] Interestingly large settlement on drug returndiversion <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:st1="urn:schemas-microsoft-com:office:smarttags" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:v="urn:schemas-microsoft-com:vml" xmlns:ZZZhtml="http://www.w3.org/TR/REC-html40"><ZZZhead><ZZZmeta http-equiv="Content-Type" content="text/html; charset=us-ascii"><ZZZmeta content="Microsoft Word 11 (filtered medium)" name="Generator"><ZZZ!--[if !mso]>
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<P class=MsoNormal><FONT color=black size=2 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: black; FONT-SIZE: 10pt">“In certain healthcare setting, nursing homes, hospice, and long-term care facilities, transfer of medicine from one patient to another may be permitted only under the supervision of the attending physicians for both patients. The pharmacist doesn't get involved with this decision.” <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=black size=2 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: black; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=black size=2 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: black; FONT-SIZE: 10pt">This may be the case in TX but not so in MA. The Director of Pharmacy/Pharmacy in a hospital is responsible for the security of drugs. In LTCFs, the prescriptions are the property of the residents (the LTCF holds them in a guardian capacity) and cannot be given to another patient. <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=black size=2 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: black; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=black size=2 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: black; FONT-SIZE: 10pt">There are limited situations where medications can be returned to the pharmacy for redispensing but all are in controlled environments e,g, hospitals and LTCFs using unit-dose. Nothing may be returned from a typical ambulatory patient because the manner of storage and chances for adulteration/tampering are unknowns that the pharmacist cannot determine and therefore not safely dispense. In addition there are issues for crediting unused medications and informing patients that they are receiving medications that have been already dispensed to and returned by another patient. <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=black size=2 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: black; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=black size=2 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: black; FONT-SIZE: 10pt">Returning unused medications is another opportunity for drug diversion, a crime, and as a threat to public health and safety drug diversion needs to be addressed appropriately. <o:p></o:p></SPAN></FONT></P>
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<P class=MsoAutoSig><FONT color=navy size=3 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy; FONT-SIZE: 12pt">Adele D. Audet, R. Ph.<o:p></o:p></SPAN></FONT></P>
<P class=MsoAutoSig><FONT color=navy size=3 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy; FONT-SIZE: 12pt">Assistant Director, Drug Control Program<o:p></o:p></SPAN></FONT></P>
<P class=MsoAutoSig><FONT color=navy size=3 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy; FONT-SIZE: 12pt">MA DPH<o:p></o:p></SPAN></FONT></P>
<P class=MsoAutoSig><?xml:namespace prefix = st1 /><st1:Street w:st="on"><st1:address w:st="on"><FONT color=navy size=3 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy; FONT-SIZE: 12pt">305 South Street</SPAN></FONT></st1:address></st1:Street><FONT color=navy face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoAutoSig><st1:country-region w:st="on"><st1:place w:st="on"><FONT color=navy size=3 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy; FONT-SIZE: 12pt">Jamaica</SPAN></FONT></st1:place></st1:country-region><FONT color=navy face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy"> Plain MA 02130<o:p></o:p></SPAN></FONT></P>
<P class=MsoAutoSig><FONT color=navy size=3 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy; FONT-SIZE: 12pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoAutoSig><FONT color=navy size=3 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy; FONT-SIZE: 12pt">Phone 617-983-6712<o:p></o:p></SPAN></FONT></P>
<P class=MsoAutoSig><FONT color=navy size=3 face="Comic Sans MS"><SPAN style="FONT-FAMILY: 'Comic Sans MS'; COLOR: navy; FONT-SIZE: 12pt">FAX 617-524-8062<o:p></o:p></SPAN></FONT></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"> Matthew C. Mireles [mailto:mirelesmc@earthlink.net] <BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Monday, December 06, 2010 11:36 AM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B> Howard Anderson; 'Gilliam,Allen'; 'Stevan Gressitt'; 'pharmwaste'<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B> RE: [Pharmwaste] Interestingly large settlement on drug returndiversion</SPAN></FONT><o:p></o:p></P></DIV>
<P class=MsoNormal><FONT size=3 face="Times New Roman"><SPAN style="FONT-SIZE: 12pt"><o:p> </o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt">In <st1:State w:st="on"><st1:place w:st="on">Texas</st1:place></st1:State> and most states, I believe it's illegal accept unused and expired medicines from customers and reuse the medicines. In certain healthcare setting, nursing homes, hospice, and long-term care facilities, transfer of medicine from one patient to another may be permitted only under the supervision of the attending physicians for both patients. The pharmacist doesn't get involved with this decision. <o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt">Generally, it is considered a possible issue of "standard care" when medicine is accepted from one patient and given to another. It is illegal to repackage or redistribut medicines beyond their expiry date for any reason. For safety, most retail pharmacies and clinics will not recycle and reuse donated medicines from a customer. And we all know about the DEA regs on narcotics and first registrants. <o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt">Retails pharmacies based on our survey have been accepting unwanted meds for some time, but this practice is not acknowledged or institutionalized widely. In TX, some Walgreens would quietly take customers' unused and expired meds (UEMs) and properly dispose of them as "waste". Recently, a CVS in <st1:City w:st="on"><st1:place w:st="on">Houston</st1:place></st1:City> was discovered to repackage and sale expired meds to customers.<o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt">The United Nations WHO strictly prohibits in its Guideline for Donation of Drugs any medicines from individuals for safety reasons. Donation of drugs can be effective and highly useful in certain circumstances, but WHO only reccomends direct donation from healthcare institutions and drug manufacturers.<o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt">Here's another interesting whistleblower story at the pharmacy. many of you may remember this case in <st1:City w:st="on"><st1:place w:st="on">kansas city</st1:place></st1:City>: A $2.2 billion verdict was "dispensed" through the civil courts. A popular pharmacist was caught diluting chemo drugs for thousands of cancer patients. The whistleblower was an FBI agent who happened to have Pharm.D.<o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt"><A href="http://www.nytimes.com/2002/10/11/us/2.2-billion-verdict-for-diluting-drugs.html?ref=robert_r_courtney">http://www.nytimes.com/2002/10/11/us/2.2-billion-verdict-for-diluting-drugs.html?ref=robert_r_courtney</A><BR><BR>Others great stories involved pharmacists giving saline solution instead of the flu vaccine. <o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt">We study these stories with great interest because they do shed some light on the levels of greed, incompetence and down right criminal activity in our healthcare system. We study patient safety and healthcare quality, including the pharmaceutical component of the system. <o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt"> <o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt">Matthew Mireles<o:p></o:p></SPAN></FONT></P>
<P><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt"><BR> <o:p></o:p></SPAN></FONT></P>
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<P class=MsoNormal><FONT color=black size=1 face=Geneva><SPAN style="FONT-FAMILY: Geneva; COLOR: black; FONT-SIZE: 9pt">-----Original Message----- <BR>From: Howard Anderson <BR><NDBOPH@BTINET.NET>Sent: Dec 6, 2010 9:48 AM <BR>To: "'Gilliam, Allen'" <GILLIAM@ADEQ.STATE.AR.US>, 'Stevan Gressitt' <GRESSITT@GMAIL.COM>, 'pharmwaste' . <BR><PHARMWASTE@LISTS.DEP.STATE.FL.US>bject: RE: [Pharmwaste] Interestingly large settlement on drug returndiversion <BR><BR><BR><o:p></o:p></SPAN></FONT></P><ZZZhtml xmlns="http://www.w3.org/TR/REC-html40" xmlns:st1="urn:schemas-microsoft-com:office:smarttags" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:v="urn:schemas-microsoft-com:vml"><ZZZhead><ZZZmeta http-equiv="Content-Type" content="text/html; charset=us-ascii"><ZZZmeta content="Microsoft Word 11 (filtered medium)" name="Generator"><ZZZ!--[if !mso]><ZZZ![endif]--><?xml:namespace prefix = u1 /><u1:SmartTagType name="country-region" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><u1:SmartTagType name="PlaceType" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><u1:SmartTagType name="PlaceName" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><u1:SmartTagType name="PostalCode" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><u1:SmartTagType name="State" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><u1:SmartTagType name="City" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><u1:SmartTagType name="Street" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><u1:SmartTagType name="address" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><u1:SmartTagType name="place" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><u1:SmartTagType name="PersonName" namespaceuri="urn:schemas-microsoft-com:office:smarttags"></u1:SmartTagType><ZZZ!--[if !mso]><ZZZ![endif]--><ZZZ!--[if 9] mso gte><xml><u1:shapedefaults spidmax="1026" u2:ext="edit"></u1:shapedefaults></xml><ZZZ![endif]--><ZZZ!--[if 9] mso gte><xml><u1:shapelayout u3:ext="edit"><u1:idmap data="1" u3:ext="edit"></u1:idmap></u1:shapelayout></xml><ZZZ![endif]--></ZZZhead><ZZZbody lang=EN-US vlink="blue" link="blue">
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Hi everyone.<u1:p></u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"><u1:p> </u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Perhaps this whistleblower case caught these people doing something which was not legal in MD and perhaps their controls were not good.<u1:p></u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"><u1:p> </u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">In <?xml:namespace prefix = u4 /><u4:State u5:st="on"><u4:place u5:st="on"><st1:State w:st="on"><st1:place w:st="on">North Dakota</u4:place></u4:State></st1:place></st1:State> we allow returns to the pharmacy and credit to the patient or payer, when the drugs are in punch cards. The lot number integrity must be maintained, of course.<u1:p></u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"><u1:p> </u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">We also have a very robust prescription drug repository program that gets donations and reuses quite a few drugs when they come back to our participating pharmacies in cards or unit dose, etc.<u1:p></u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"><u1:p> </u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">I hope a case like this does not throw cold water on our programs to keep these drugs out of the disposal system, by reusing them properly.<u1:p></u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"><u1:p> </u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Check out our we site for <u4:PersonName u5:st="on">info</u4:PersonName>rmation.<u1:p></u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"><u1:p> </u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Sincerely,<u1:p></u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"><u1:p> </u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Howard <u1:p></u1:p></SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
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<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Howard C. Anderson, Jr.,R.Ph.</SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><u1:p></u1:p><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Executive Director</SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><u1:p></u1:p><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><u4:place u5:st="on"><st1:place w:st="on"><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">North Dakota</SPAN></FONT></st1:place></u4:place><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"> Board of Pharmacy</SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><u1:p></u1:p><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><u4:Street u5:st="on"><u4:address u5:st="on"><st1:Street w:st="on"><st1:address w:st="on"><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">1906 E. Broadway Ave.</SPAN></FONT></st1:address></st1:Street></u4:address></u4:Street><FONT color=black><SPAN style="COLOR: black"><u1:p></u1:p><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><u4:address u5:st="on"><u4:Street u5:st="on"><st1:address w:st="on"><st1:Street w:st="on"><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">P.O. Box</SPAN></FONT></st1:Street><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"></u4:Street> 1354</SPAN></FONT></st1:address></u4:address><FONT color=black><SPAN style="COLOR: black"><u1:p></u1:p><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><u4:place u5:st="on"><u4:City u5:st="on"><st1:place w:st="on"><st1:City w:st="on"><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Bismarck</SPAN></FONT></st1:City><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"></u4:City>, <u4:State u5:st="on"><st1:State w:st="on">ND</u4:State></st1:State> <u4:PostalCode u5:st="on"><st1:PostalCode w:st="on">58502-1354</u4:PostalCode></st1:PostalCode></SPAN></FONT></st1:place></u4:place><FONT color=black><SPAN style="COLOR: black"><u1:p></u1:p><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Phone (701) 328-9535</SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><u1:p></u1:p><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Fax (701) 328-9536</SPAN></FONT><FONT color=black><SPAN style="COLOR: black"><u1:p></u1:p><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt">Web site www.nodakpharmacy.com</SPAN></FONT><u1:p></u1:p><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><B><FONT color=black size=2 face=Tahoma><SPAN style="FONT-FAMILY: Tahoma; COLOR: black; FONT-SIZE: 10pt; FONT-WEIGHT: bold">From:</SPAN></FONT></B><FONT color=black size=2 face=Tahoma><SPAN style="FONT-FAMILY: Tahoma; COLOR: black; 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>Gilliam, Allen<BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Monday, December 06, 2010 7:33 AM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B> 'Stevan Gressitt'; pharmwaste<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B> RE: [Pharmwaste] Interestingly large settlement on drug returndiversion</SPAN></FONT><u1:p></u1:p><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><FONT color=blue size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: blue; FONT-SIZE: 10pt">Good story Stevan! </SPAN></FONT><u1:p></u1:p><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><FONT color=blue size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: blue; FONT-SIZE: 10pt">That's one down with how many more left, conducting the same practice?</SPAN></FONT><u1:p></u1:p><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><FONT color=blue size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: blue; FONT-SIZE: 10pt">allen gilliam</SPAN></FONT><u1:p></u1:p><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><FONT color=blue size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: blue; FONT-SIZE: 10pt">adeq state pretreatment coordinator</SPAN></FONT><u1:p></u1:p><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><FONT color=blue size=2 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: blue; FONT-SIZE: 10pt">501.682.0625</SPAN></FONT><u1:p></u1:p><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P></DIV>
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<P style="MARGIN-BOTTOM: 12pt" class=MsoNormal><FONT color=black size=2 face=Tahoma><SPAN style="FONT-FAMILY: Tahoma; COLOR: black; FONT-SIZE: 10pt">-----Original Message-----<BR><B><SPAN style="FONT-WEIGHT: bold">From:</SPAN></B> 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>Stevan Gressitt<BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Friday, December 03, 2010 5:55 PM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B> pharmwaste<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B> [Pharmwaste] Interestingly large settlement on drug return diversion</SPAN></FONT><u1:p></u1:p><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P>
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<P class=MsoNormal><FONT color=black size=3 face="Times New Roman"><SPAN style="COLOR: black; FONT-SIZE: 12pt"><A href="http://www.prweb.com/releases/2010/12/prweb4859734.htm" target=_blank>http://www.prweb.com/releases/2010/12/prweb4859734.htm</A><u1:p></u1:p><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><FONT color=black size=3 face="Times New Roman"><SPAN style="COLOR: black; FONT-SIZE: 12pt">Stevan Gressitt, M.D.<BR>Faculty Associate, University of <u4:place u5:st="on"><u4:PlaceName u5:st="on"><st1:place w:st="on"><st1:PlaceName w:st="on">Maine</u4:PlaceName></st1:PlaceName> <u4:PlaceType u5:st="on"><st1:PlaceType w:st="on">Center</u4:PlaceType></u4:place></st1:PlaceType></st1:place> on Aging<BR>Academic Member, Athens Institute for Education and Research<u1:p></u1:p><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><u4:place u5:st="on"><u4:City u5:st="on"><st1:place w:st="on"><st1:City w:st="on"><FONT color=black size=3 face="Times New Roman"><SPAN style="COLOR: black; FONT-SIZE: 12pt">Athens</SPAN></FONT></st1:City><FONT color=black><SPAN style="COLOR: black"></u4:City>, <st1:country-region w:st="on"><u4:country-region u5:st="on">Greece</st1:country-region></SPAN></FONT></st1:place></u4:country-region></u4:place><u1:p></u1:p><FONT color=black><SPAN style="COLOR: black"><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><FONT color=black size=3 face="Times New Roman"><SPAN style="COLOR: black; FONT-SIZE: 12pt">Founding Director, International Institute for Pharmaceutical Safety<BR><u4:PlaceType u5:st="on"><st1:PlaceType w:st="on">University</u4:PlaceType></st1:PlaceType> of <u4:PlaceName u5:st="on"><st1:PlaceName w:st="on">New England</u4:PlaceName></st1:PlaceName>, <u4:place u5:st="on"><u4:PlaceType u5:st="on"><st1:place w:st="on"><st1:PlaceType w:st="on">College</u4:PlaceType></st1:PlaceType> of <u4:PlaceName u5:st="on"><st1:PlaceName w:st="on">Pharmacy</u4:PlaceName></u4:place></st1:PlaceName></st1:place><BR>Department of Pharmaceutical Sciences <BR>Associate Professor of Clinical Psychiatry<BR><u4:place u5:st="on"><u4:PlaceType u5:st="on"><st1:place w:st="on"><st1:PlaceType w:st="on">University</u4:PlaceType></st1:PlaceType> of <u4:PlaceName u5:st="on"><st1:PlaceName w:st="on">New England</u4:PlaceName></u4:place></st1:PlaceName></st1:place>, College of Osteopathic Medicine<BR><u4:address u5:st="on"><u4:Street u5:st="on"><st1:address w:st="on"><st1:Street w:st="on">716 Stevens Avenue</u4:Street></st1:Street> <BR><u4:City u5:st="on"><st1:City w:st="on">Portland</u4:City></st1:City>, <u4:State u5:st="on"><st1:State w:st="on">Maine</u4:State></st1:State> <u4:PostalCode u5:st="on"><st1:PostalCode w:st="on">04103</u4:PostalCode></u4:address></st1:PostalCode></st1:address><BR><A href="mailto:gressitt@gmail.com" target=_blank>gressitt@gmail.com</A> <BR>Cell: 207-441-0291 <u1:p></u1:p><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><FONT color=black size=3 face="Times New Roman"><SPAN style="COLOR: black; FONT-SIZE: 12pt"><A href="http://www.benzos.une.edu/" target=_blank>www.benzos.une.edu</A> <u1:p></u1:p><o:p></o:p></SPAN></FONT></P></DIV>
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<P style="MARGIN-BOTTOM: 12pt" class=MsoNormal><FONT color=black size=3 face="Times New Roman"><SPAN style="COLOR: black; FONT-SIZE: 12pt"><A href="http://www.safemeddisposal.com/" target=_blank>www.safemeddisposal.com</A> <u1:p></u1:p><o:p></o:p></SPAN></FONT></P></DIV>
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