Finally, and having been fearful that drug disposal would not be part of it...relief.<br><br><div class="gmail_quote">On Mon, Jul 9, 2012 at 4:29 PM, Lucy, Burke <span dir="ltr">&lt;<a href="mailto:Burke.Lucy@calrecycle.ca.gov" target="_blank">Burke.Lucy@calrecycle.ca.gov</a>&gt;</span> wrote:<br>

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<p class="MsoNormal"><span style="color:#1f497d">Speaking of </span><span style="color:#1f497d">minimizing drug prescriptions…</span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><b><span style="color:#1f497d">FDA introduces new safety measures for extended-release and long-acting opioid medications</span></b></p>
<p class="MsoNormal"><a href="http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm310870.htm?source=govdelivery" target="_blank">http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm310870.htm?source=govdelivery</a></p>


<p class="MsoNormal"><span style="color:#1f497d">“The U.S. Food and Drug Administration today approved a risk evaluation and mitigation strategy…part of a federal initiative to address the prescription drug abuse, misuse, and overdose epidemic.”</span></p>


<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><span style="color:#1f497d">Burke</span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><span style="color:#1f497d">Mr. Burke Lucy</span></p>
<p class="MsoNormal"><span style="color:#1f497d">Integrated Waste Management Specialist</span></p>
<p class="MsoNormal"><span style="color:#1f497d">Department of Resources Recycling and Recovery (CalRecycle)</span></p>
<p class="MsoNormal"><span style="color:#1f497d">1001 I Street, PO Box 4025</span></p>
<p class="MsoNormal"><span style="color:#1f497d">Sacramento, CA 95812</span></p>
<p class="MsoNormal"><span style="color:#1f497d"><a href="mailto:Burke.Lucy@CalRecycle.ca.gov" target="_blank">Burke.Lucy@CalRecycle.ca.gov</a></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><a href="tel:916.341.6592" value="+19163416592" target="_blank">916.341.6592</a></span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </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:&quot;Tahoma&quot;,&quot;sans-serif&quot;">From:</span></b><span style="font-size:10.0pt;font-family:&quot;Tahoma&quot;,&quot;sans-serif&quot;"> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a> [mailto:<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Zimmer, Catherine (PSC)<br>
<b>Sent:</b> Monday, July 09, 2012 8:34 AM<br>
<b>To:</b> Galvin, Dave; <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] Comment on ONDCP&#39;s 2013 National Drug Control Strategy by 7/20</span></p>
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<p class="MsoNormal"> </p>
<p class="MsoNormal"><span style="color:#1f497d">Hi Dave and all,</span></p>
<p class="MsoNormal"><span style="color:#1f497d">Dave, thank you for the prompt and summary re: ONDCP’s comment period.  I would add that the best way to minimize drug waste is to minimize drug prescriptions.  So, including language to support CMS’ recent ruling
 regarding pro-rated copays for trial prescriptions and advocacy for non-drug interventions is a key tool to minimizing waste and the risk of diversion. 
</span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><span style="color:#1f497d">Very truly yours,</span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><span style="color:#1f497d">Catherine Zimmer, MS, BSMT</span></p>
<p class="MsoNormal"><span style="color:#1f497d">Industry Leader, Environmental and Regulatory</span></p>
<p class="MsoNormal"><span style="color:#1f497d">PSC Healthcare Services</span></p>
<p class="MsoNormal"><span style="color:#1f497d">Office:  <a href="tel:651.645.7509" value="+16516457509" target="_blank">651.645.7509</a></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Mobile: <a href="tel:713.829.6365" value="+17138296365" target="_blank">713.829.6365</a></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><a href="http://www.pscnow.com/" target="_blank">www.pscnow.com</a></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><a href="mailto:Catherine.zimmer@pscnow.com" target="_blank">Catherine.zimmer@pscnow.com</a></span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><b><span style="color:#65c060">Live green now!</span></b></p>
<p class="MsoNormal"><b><span style="color:#65c060">Reduce, reuse, repair, recycle.</span></b></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
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<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:&quot;Tahoma&quot;,&quot;sans-serif&quot;">From:</span></b><span style="font-size:10.0pt;font-family:&quot;Tahoma&quot;,&quot;sans-serif&quot;">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a>
<a href="mailto:[mailto:pharmwaste-bounces@lists.dep.state.fl.us]" target="_blank">[mailto:pharmwaste-bounces@lists.dep.state.fl.us]</a>
<b>On Behalf Of </b>Galvin, Dave<br>
<b>Sent:</b> Monday, July 09, 2012 10:21 AM<br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] Comment on ONDCP&#39;s 2013 National Drug Control Strategy by 7/20</span></p>
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<p class="MsoNormal"> </p>
<p class="MsoNormal">A reminder that the White House Office of National Drug Control Policy is soliciting input for its 2013 update to the National Drug Control Strategy.  Comments are due by July 20, 2012.  Comments can be entered on-line at 
<a href="http://www.whitehouse.gov/ondcp/2013strategycomments" target="_blank">http://www.whitehouse.gov/ondcp/2013strategycomments</a> or sent via email to
<a href="mailto:2013Strategy@ondcp.eop.gov" target="_blank">2013Strategy@ondcp.eop.gov</a> .</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">The <i>2012 National Drug Control Strategy</i> (available here:
<a href="http://www.whitehouse.gov/sites/default/files/ondcp/2012_ndcs.pdf" target="_blank">http://www.whitehouse.gov/sites/default/files/ondcp/2012_ndcs.pdf</a> ) references the separate
<i>Prescription Drug Abuse Prevention Plan</i> issued in April 2011 (available here:
<a href="http://www.whitehouse.gov/sites/default/files/ondcp/issues-content/prescription-drugs/rx_abuse_plan.pdf" target="_blank">
http://www.whitehouse.gov/sites/default/files/ondcp/issues-content/prescription-drugs/rx_abuse_plan.pdf</a> ).  This latter plan includes “proper medication disposal” as one of its four main elements for reducing prescription drug abuse.  In addition to supporting
 take-back activities and events, the plan recommends that the federal government “…engage PhRMA and others in the private sector to support community-based medication disposal programs.” 
</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">I interpret such “support” to include producer responsibility for funding take-back programs following a product stewardship model.  Neither the Secure and Responsible Drug Disposal Act of 2010 nor the pending DEA regulations to implement
 it contains any funding for local take-back initiatives.   We need the support of the drug manufacturers in order to create a robust take-back network that will help to reduce prescription drug abuse and protect the environment.  That’s Galvin’s editorial
 comment.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">The 2012 National Drug Control Strategy references the prescription drug abuse prevention plan in its final “policy focus” section, pages 47-50.  It’s whole description of proper disposal is all of two short paragraphs on page 49.</p>


<p class="MsoNormal"> </p>
<p class="MsoNormal">I am going to submit a comment in order to reinforce this reference and the need for a robust (safe, secure, convenient, funded) system for the take-back and proper disposal of unused medicines.  I encourage you to consider adding your
 own voice during this brief comment period, so that the ONDCP hears loud-and-clear that safe, adequately-funded medicine take-back is an important component of the country’s drug control policy.  It’s time.  We’ve been talking about this for nearly ten years. 
</p>
<p class="MsoNormal"> </p>
<p><span style="font-family:Wingdings"><span>n<span style="font:7.0pt &quot;Times New Roman&quot;"> 
</span></span></span>Dave Galvin</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal"><b><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">_________________________________________________________</span></b></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Dave Galvin</span></b><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">
</span><span style="font-size:7.5pt;font-family:Symbol">o </span><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">King County Department of Natural Resources and Parks
</span><span style="font-size:7.5pt;font-family:Symbol">o </span><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">130 Nickerson Street, Seattle, WA 98109-1658
</span><span style="font-size:7.5pt;font-family:Symbol">o </span><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">(w) <a href="tel:206-263-3085" value="+12062633085" target="_blank">206-263-3085</a> </span><span style="font-size:7.5pt;font-family:Symbol">o
</span><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">(fax) <a href="tel:206-263-3070" value="+12062633070" target="_blank">206-263-3070</a>
</span><span style="font-size:7.5pt;font-family:Symbol">o </span><a href="mailto:dave.galvin@kingcounty.gov" target="_blank"><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">dave.galvin@kingcounty.gov</span></a><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"> </span><span style="font-size:7.5pt;font-family:Symbol">o
</span><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Local Hazardous Waste Management Program in King County
</span><span style="font-size:7.5pt;font-family:Symbol">o </span><a href="http://www.lhwmp.org/" target="_blank"><span style="font-size:7.5pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">www.lhwmp.org</span></a><span style="font-size:7.5pt"> </span></p>


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<br></blockquote></div><br><br clear="all"><br>-- <br>Stevan Gressitt, M.D., D.F.A.P.A.<br>Faculty Associate, University of Maine Center on Aging<br>Academic Member, Athens Institute for Education and Research<br>Athens, Greece<br>

Founding Director, International Institute for Pharmaceutical Safety<br>University of New England, College of Pharmacy<br>Department of Pharmaceutical Sciences<br>Associate Professor of Clinical Psychiatry<br>University of New England, College of Osteopathic Medicine<br>

314 Clark Road<br>Unity, Maine, 04988<br><a href="mailto:gressitt@gmail.com" target="_blank">gressitt@gmail.com</a>  <br>Cell: 207-441-0291<br><a href="http://www.benzos.une.edu" target="_blank">www.benzos.une.edu</a><br>

<a href="http://www.safemeddisposal.com" target="_blank">www.safemeddisposal.com</a><br>