<html dir="ltr">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=Windows-1252">
<style>
<!--
@font-face
{font-family:Calibri}
@font-face
{font-family:Tahoma}
@font-face
{font-family:"Trebuchet MS"}
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:11.0pt;
font-family:"Calibri","sans-serif"}
a:link, span.MsoHyperlink
{color:blue;
text-decoration:underline}
a:visited, span.MsoHyperlinkFollowed
{color:purple;
text-decoration:underline}
span.EmailStyle17
{font-family:"Calibri","sans-serif";
color:windowtext}
span.EmailStyle18
{font-family:"Calibri","sans-serif";
color:#1F497D}
.MsoChpDefault
{font-size:10.0pt}
@page WordSection1
{margin:1.0in 1.0in 1.0in 1.0in}
-->
</style><style type="text/css" id="owaParaStyle"></style>
</head>
<body lang="EN-US" link="blue" vlink="purple" style="margin: 4px 4px 1px;" fpstyle="1" ocsi="0">
<div style="direction: ltr;font-family: Calibri;color: #000000;font-size: 12pt;">
<font face="Tahoma" size="2">I read the DEA's summary of why they preferred to allow collection bins in retail and hospital pharmacies. I think it is reasonable. DEA is allowing more collection opportunities with the proposed rule, as they intended when they
started the process. </font><span style="font-family: Tahoma; font-size: small;">Pharmacies are the most logical collection point for convenience for household participation. We know that the general public doesn't participate if collection isn't convenient.
</span><span style="font-family: Tahoma; font-size: small;">There are thousands more pharmacies than hospitals. Every hospital I've been in has a pharmacy. If you consider implementation and oversight, DEA will have much to do to evaluate the safety and security
of the additional opportunities they are allowing with the draft rule. </span><span style="font-family: Tahoma; font-size: small;">I would argue that to ensure household participation, they've offered enough.
</span><span style="font-family: Tahoma; font-size: small;"> </span>
<div>
<div>
<div style="font-family: 'Times New Roman'; font-size: 16px; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; color: rgb(0, 0, 0);">
<hr tabindex="-1">
<div id="divRpF36534" style="direction: ltr;"><font face="Tahoma" size="2" color="#000000"><b>From:</b> pharmwaste-bounces@lists.dep.state.fl.us [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of Ed Gottlieb [egottlieb@cityofithaca.org]<br>
<b>Sent:</b> Thursday, February 14, 2013 5:58 AM<br>
<b>To:</b> Deb Hoffman; Pharmwaste@lists.dep.state.fl.us; Charlotte Smith<br>
<b>Subject:</b> [Pharmwaste] RE: question about hospitals in DEA rules<br>
</font><br>
</div>
<div></div>
<div>
<div>Deb,</div>
<div> </div>
<div>You pose an interesting question. If Charlotte's understanding is correct, then why not directly address DEA's concerns?
</div>
<div> </div>
<div>Couldn't we suggest that DEA allow hospitals to install duel-lock, secure drop-boxes in nurses stations? That would put collected medications in a highly tamper resistant container in a monitored location, away from visitors and patients. For that matter,
don't many hospitals have locked storage closets for medical supplies that would also be secure enough to house a drop-box?</div>
<div> </div>
<div>
<div> </div>
<div>
<div>Ed Gottlieb</div>
<div>Chair Coalition for Safe Medication Disposal</div>
<div>Industrial Pretreatment Coordinator</div>
<div>Ithaca Area Wastewater Treatment Facility<br>
525 3<sup><font size="3"><font face="Times New Roman">rd</font></font></sup> Street</div>
<div>Ithaca, NY 14850</div>
<div>(607) 273-8381</div>
<div>fax: (607) 273-8433</div>
<br>
<br>
</div>
</div>
<div>>>> "Smith, Charlotte" <csmith@pharmecology.com> 2/13/2013 3:38 PM >>><br>
</div>
<div class="WordSection1">
<p class="MsoNormal"><span style="color:#1f497d">Hi Deb,</span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><span style="color:#1f497d">It is my understanding from the discussion in the proposed regs that DEA feels that the hospital environment is too open and unsecured. Visitors may be in the area for hours, whereas people are usually in and
out of a retail pharmacy, making it easier to keep an eye on those who might pose a risk.
</span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<div>
<p class="MsoNormal"><span style="color:#1f497d">Best regards,</span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><b><span style="font-family:'Trebuchet MS','sans-serif'; color:#00673a; font-size:10pt">Charlotte A. Smith, R. Ph., M.S.</span></b></p>
<p class="MsoNormal"><span style="color:#1f497d">Senior Regulatory Advisor</span></p>
<p class="MsoNormal"><span style="color:#1f497d">WM Healthcare Solutions </span></p>
<p class="MsoNormal"><span style="color:#1f497d">Tel 713-725-6363 </span></p>
<p class="MsoNormal"><span style="color:#1f497d">877-247-7430</span></p>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<p class="MsoNormal"><b><span style="font-family:'Trebuchet MS','sans-serif'; color:#00673a; font-size:10pt">Waste Management
</span></b></p>
<p class="MsoNormal"><span style="color:#1f497d">1001 Fannin</span></p>
<p class="MsoNormal"><span style="color:#1f497d">Houston, TX 77002</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="font-family:'Trebuchet MS','sans-serif'; color:#024f33; font-size:10pt"><a href="http://www.linkedin.com/company/wm-healthcare-solutions/products" target="_blank"><span style="color:#024f33">Follow Waste Management on LinkedIn</span></a></span></p>
<p class="MsoNormal"><span style="font-family:'Trebuchet MS','sans-serif'; color:#024f33; font-size:10pt"> </span></p>
<p class="MsoNormal"><span style="font-family:'Trebuchet MS','sans-serif'; color:#024f33; font-size:10pt"><a href="http://www.linkedin.com/groups/Sustainable-Healthcare-Solutions-4024202?goback=%2Eanp_4024202_1312471264838_1%2Egna_4024202" target="_blank"><span style="color:#024f33">Join
our Healthcare Sustainability group on LinkedIn</span></a></span></p>
<p class="MsoNormal"><span style="font-family:'Trebuchet MS','sans-serif'; color:#024f33; font-size:12pt"> </span></p>
</div>
<p class="MsoNormal"><span style="color:#1f497d"> </span></p>
<div>
<div style="border-bottom:medium none; border-left:medium none; padding-bottom:0in; padding-left:0in; padding-right:0in; border-top:#b5c4df 1pt solid; border-right:medium none; padding-top:3pt">
<p class="MsoNormal"><b><span style="font-family:'Tahoma','sans-serif'; font-size:10pt">From:</span></b><span style="font-family:'Tahoma','sans-serif'; font-size:10pt"> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>Hoffman, Deb<br>
<b>Sent:</b> Wednesday, February 13, 2013 2:17 PM<br>
<b>To:</b> Pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] question about hospitals in DEA rules</span></p>
</div>
</div>
<p class="MsoNormal"> </p>
<p class="MsoNormal">Hello everyone,</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">I have been contacted a few times over the years about whether or not hospitals could collect pharms and I’ve always had to say “No.”
</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">Can someone tell me why DEA specifically excluded hospitals from being allowed to collect in the proposed rules? I know retail pharmacies in hospitals can collect, but I’d like to know why nowhere else.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">I’m working on some comments, so if you could get back to me soon, that would be much appreciated.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">Thank you,</p>
<p class="MsoNormal">Deb Hoffman</p>
</div>
<hr>
<p><strong><span style="font-family:Arial; color:green; font-size:12pt">Waste Management recycles enough paper every year to save 41 million trees. Please recycle any printed emails.
</span></strong></p>
<strong>
<p></p>
</strong>
<p></p>
<p></p>
</div>
</div>
</div>
</div>
</div>
</body>
</html>