<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"><head><meta http-equiv=Content-Type content="text/html; charset=utf-8"><meta name=Generator content="Microsoft Word 14 (filtered medium)"><!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
{font-family:"Trebuchet MS";
panose-1:2 11 6 3 2 2 2 2 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:purple;
text-decoration:underline;}
p
{mso-style-priority:99;
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
p.MsoAcetate, li.MsoAcetate, div.MsoAcetate
{mso-style-priority:99;
mso-style-link:"Balloon Text Char";
margin:0in;
margin-bottom:.0001pt;
font-size:8.0pt;
font-family:"Tahoma","sans-serif";}
span.BalloonTextChar
{mso-style-name:"Balloon Text Char";
mso-style-priority:99;
mso-style-link:"Balloon Text";
font-family:"Tahoma","sans-serif";}
span.EmailStyle20
{mso-style-type:personal;
font-family:"Calibri","sans-serif";
color:#1F497D;}
span.EmailStyle21
{mso-style-type:personal;
font-family:"Calibri","sans-serif";
color:#1F497D;}
span.EmailStyle22
{mso-style-type:personal;
font-family:"Calibri","sans-serif";
color:#1F497D;}
span.EmailStyle23
{mso-style-type:personal;
font-family:"Calibri","sans-serif";
color:#1F497D;}
span.EmailStyle25
{mso-style-type:personal-reply;
font-family:"Calibri","sans-serif";
color:#1F497D;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>After speaking with Fred Gabriel this morning, it appears the issue I referred to has been resolved.<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'>Fred<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><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>Gabriel, Fred A<br><b>Sent:</b> Tuesday, February 05, 2013 12:47 PM<br><b>To:</b> Fred Miller; 'Smith, Charlotte'; pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> RE: [Pharmwaste] Re: Pharmwaste Digest, Vol 88, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Presently, Clean Harbors is not having any difficulties living with the DEA requirements from a logistical standpoint.<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:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Fred Gabriel<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>VP Vertical Sales, Education and HHW Services<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>706-847-3279</span><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'><o:p> </o:p></span></p><div><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"'> Fred Miller [<a href="mailto:millerfl@tricity.wsu.edu">mailto:millerfl@tricity.wsu.edu</a>] <br><b>Sent:</b> Monday, February 04, 2013 8:03 PM<br><b>To:</b> 'Smith, Charlotte'; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] Re: Pharmwaste Digest, Vol 88, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>I believe Charlotte is correct but they (Clean Harbors) were having difficulties working out how to live with the DEA requirements from a logistical standpoint. WTE plants are a good option as well, and likely offer an easier path due to the absence of RCRA permit restrictions.<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'>Fred<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><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"'> Catherine Zimmer [<a href="mailto:zenllc@usfamily.net">mailto:zenllc@usfamily.net</a>] <br><b>Sent:</b> Monday, February 04, 2013 4:27 PM<br><b>To:</b> Smith, Charlotte; Fred Miller; 'Tanya Roberts'; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> Re: [Pharmwaste] Re: Pharmwaste Digest, Vol 88, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Hi Everyone,<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Tanya, what would help the most to minimize the waste and risk of diversion is to reduce the amount of pharmaceuticals in circulation. Our elected officials need to encourage physicians and other practitioners to follow the recommendations of CMS’ new rules calling on new prescriptions to be a trial dose, and to minimize prescribing in general. Everyone can point to an instance of where they were prescribed 30 days worth of Vicodin, when they needed less than a week’s worth. Practitioners should also rely more on non-pharmaceutical interventions such as physical therapy, Neti pots, exercise, etc., rather than being so quick to “take a pill”. <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'><o:p> </o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>PSC LLC is another hazardous waste hauler that can dispose of controlled substances using its DEA reverse distribution registration. <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Very truly yours,<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Catherine Zimmer, MS, BSMT<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>ZEn LLC<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <o:p></o:p></span></p></div><div><div><p class=MsoNormal style='background:whitesmoke'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <a href="mailto:csmith@pharmecology.com" title="csmith@pharmecology.com">Smith, Charlotte</a> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:whitesmoke'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Sent:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> Monday, February 04, 2013 11:02 AM<o:p></o:p></span></p></div><div><p class=MsoNormal style='background:whitesmoke'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>To:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <a href="mailto:millerfl@tricity.wsu.edu" title="millerfl@tricity.wsu.edu">Fred Miller</a> ; <a href="mailto:tanyaproberts@gmail.com" title="tanyaproberts@gmail.com">'Tanya Roberts'</a> ; <a href="mailto:pharmwaste@lists.dep.state.fl.us" title="pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:whitesmoke'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Subject:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> RE: [Pharmwaste] Re: Pharmwaste Digest, Vol 88, Issue 1<o:p></o:p></span></p></div></div></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div></div><div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>It’s my understanding that Clean Harbors, Veolia, and Heritage all have DEA reverse distribution registrations and are therefore already set for at least one of each of their locations to handle controlled substances. We are recommending that mailback options be extended to reverse distributors who do not have incineration facilities so there are more options. The returns can be consolidated at the reverse distributors and hauled to the incinerators in a more economical fashion. This would also open up the waste-to-energy incinerators, not just RCRA, for those not living in states that require RCRA incineration. <o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> </span><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='color:black'> </span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Trebuchet MS","sans-serif";color:#00673A'>Charlotte A. Smith, R. Ph., M.S.<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Senior Regulatory Advisor<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 <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Tel 713-725-6363 <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>877-247-7430<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> </span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Trebuchet MS","sans-serif";color:#00673A'>Waste Management <o:p></o:p></span></b></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>1001 Fannin<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Houston, TX 77002<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> </span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> </span><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:10.0pt;font-family:"Trebuchet MS","sans-serif";color:#024F33'><a href="http://www.linkedin.com/company/wm-healthcare-solutions/products"><span style='color:#024F33'>Follow Waste Management on LinkedIn</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> </span><span style='font-size:10.0pt;font-family:"Trebuchet MS","sans-serif";color:#024F33'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Trebuchet MS","sans-serif";color:#024F33'><a href="http://www.linkedin.com/groups/Sustainable-Healthcare-Solutions-4024202?goback=%2Eanp_4024202_1312471264838_1%2Egna_4024202"><span style='color:#024F33'>Join our Healthcare Sustainability group on LinkedIn</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> </span><span style='font-family:"Trebuchet MS","sans-serif";color:#024F33'><o:p></o:p></span></p></div><p class=MsoNormal><span style='color:black'> </span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p><div><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:black'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Fred Miller<br><b>Sent:</b> Monday, February 04, 2013 10:46 AM<br><b>To:</b> 'Tanya Roberts'; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] Re: Pharmwaste Digest, Vol 88, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>In my perfect world someone would direct the DEA to work with any/all RCRA permitted incineration facilities to establish them as allowable outlets for disposal of controlled substances. Such a program would entail sensible, workable, economically viable means for the incinerators to accomplish this so they have the economic incentive to get into the business. Further, transportation to such facilities would be addressed in a similar manner.<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> </span><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'>Fred Miller<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> </span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> </span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p><div><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:black'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Tanya Roberts<br><b>Sent:</b> Friday, February 01, 2013 1:15 PM<br><b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> [Pharmwaste] Re: Pharmwaste Digest, Vol 88, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Next week I am heading to D.C. and will be on Capital Hill to advocate for substance abuse prevention issues. One of my primary issues will be the prescription drug epidemic and concerns about the proposed DEA regulations for the take back events. What recommendations do you have for requests of our federal elected officials? What can they as our legislators actually assist us in doing? I want to be prepared to ask for things they CAN do. Thank you for your insights!<o:p></o:p></span></p><div><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='color:black'>Tanya<o:p></o:p></span></p><div><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></div></div><div class=MsoNormal align=center style='text-align:center'><span style='font-family:"Calibri","sans-serif";color:black'><hr size=2 width="100%" align=center></span></div><p><strong><span style='font-family:"Arial","sans-serif";color:green'>Waste Management recycles enough paper every year to save 41 million trees. Please recycle any printed emails. </span></strong><span style='font-family:"Calibri","sans-serif";color:black'><o:p></o:p></span></p><div class=MsoNormal align=center style='text-align:center'><span style='font-family:"Calibri","sans-serif";color:black'><hr size=2 width="100%" align=center></span></div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>---<br>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.<br>---<br>TO SUBSCRIBE, go to: <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> <br>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.<br>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> <br>FOR PROBLEMS: Contact List Administrator <a href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a> <br>SEND MAIL to the list server at: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><o:p></o:p></span></p></div></div></div><p class=MsoNormal><o:p> </o:p></p><div class=MsoNormal align=center style='text-align:center'><hr size=2 width="100%" align=center></div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact Clean Harbors Environmental Services at 781.792.5555 and delete the material from any computer.</span><o:p></o:p></p></div></body></html>