<HTML xmlns="http://www.w3.org/TR/REC-html40" 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"><HEAD>
<META content="text/html; charset=utf-8" http-equiv=Content-Type>
<META name=GENERATOR content="MSHTML 8.00.6001.19394">
<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:11.0pt;
font-family:"Calibri","sans-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;}
span.EmailStyle17
{mso-style-type:personal;
font-family:"Calibri","sans-serif";
color:windowtext;}
span.EmailStyle18
{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>
</HEAD>
<BODY style="MARGIN: 4px 4px 1px; FONT: 10pt Tahoma" lang=EN-US link=blue vLink=purple>
<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<o:p></o:p></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,<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><o:p> </o:p></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. <o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><o:p> </o:p></SPAN></P>
<DIV>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">Best regards,<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><o:p> </o:p></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.<o:p></o:p></SPAN></B></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">Senior Regulatory Advisor<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">WM Healthcare Solutions <o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">Tel 713-725-6363 <o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">877-247-7430<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><o:p> </o:p></SPAN></P>
<P class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Trebuchet MS','sans-serif'; COLOR: #00673a; FONT-SIZE: 10pt">Waste Management <o:p></o:p></SPAN></B></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">1001 Fannin<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">Houston, TX 77002<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><o:p> </o:p></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><o:p> </o:p></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"><SPAN style="COLOR: #024f33">Follow Waste Management on LinkedIn</SPAN></A><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Trebuchet MS','sans-serif'; COLOR: #024f33; FONT-SIZE: 10pt"><o:p> </o:p></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"><SPAN style="COLOR: #024f33">Join our Healthcare Sustainability group on LinkedIn</SPAN></A><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Trebuchet MS','sans-serif'; COLOR: #024f33; FONT-SIZE: 12pt"><o:p> </o:p></SPAN></P></DIV>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><o:p> </o:p></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<o:p></o:p></SPAN></P></DIV></DIV>
<P class=MsoNormal><o:p> </o:p></P>
<P class=MsoNormal>Hello everyone,<o:p></o:p></P>
<P class=MsoNormal><o:p> </o:p></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.” <o:p></o:p></P>
<P class=MsoNormal><o:p> </o:p></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.<o:p></o:p></P>
<P class=MsoNormal><o:p> </o:p></P>
<P class=MsoNormal>I’m working on some comments, so if you could get back to me soon, that would be much appreciated.<o:p></o:p></P>
<P class=MsoNormal><o:p> </o:p></P>
<P class=MsoNormal>Thank you,<o:p></o:p></P>
<P class=MsoNormal>Deb Hoffman<o:p></o:p></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.
<P></P></SPAN></STRONG>
<P></P>
<P></P></BODY></HTML>