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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='color:black'>Willa:<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'>Here in Connecticut, we regulate biomedical waste as “special waste,” meaning that it cannot be disposed of in the regular trash. In addition, biomedical waste transporters have to be licensed under our rules in CT. In our experience, most medical practices that generate waste medications also generate biomedical waste. Many of the permitted biomedical waste haulers in CT are also permitted to accept hazardous and non-hazardous waste pharmaceuticals. As a result, most medical practices simply have their biomedical waste hauler take away their waste medication while they are picking up the biomedical waste. If you have a similar regulatory situation in Nebraska for biomedical waste, then the medical providers in your state may be able to properly and economically dispose of their excess meds this way. Even if you don’t, companies like Stericycle, Waste Management Healthcare Solutions, Veolia, and Daniels SharpSmart (just to name a few of the larger, national companies) can probably provide waste hauling services in your area for waste meds.<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'>I should also note that medical practices should also undertake efforts to reduce or eliminate the amount of waste medications that they generate. In particular, they should be cautious about accepting samples from drug company reps, especially ones that they are not 100% sure they will be able to distribute to patients for their intended use.<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>--Ross Bunnell<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Senior Sanitary Engineer<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Waste Engineering & Enforcement Division<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Bureau of Materials Management and Compliance Assurance<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Connecticut Department of Energy and Environmental Protection<br>79 Elm Street, Hartford, CT 06105-5127<br></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>P: 860.424.3274</span><span style='font-size:10.0pt;font-family:Webdings;color:black'>|</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>F: 860.424-4059 </span><span style='font-size:10.0pt;font-family:Webdings;color:black'>|</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>E: <a href="mailto:ross.bunnell@ct.gov">ross.bunnell@ct.gov</a> <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial Rounded MT Bold","sans-serif";color:#1F497D'><img border=0 width=674 height=204 id="_x0000_i1027" src="cid:image004.png@01CFC77C.05AB7AB0"><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><a href="http://www.ct.gov/deep">www.ct.gov/deep</a><o:p></o:p></span></p><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><o:p> </o:p></span></i></p><p class=MsoNormal><b><i><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Conserving, improving and protecting our natural resources and environment;<o:p></o:p></span></i></b></p><p class=MsoNormal><b><i><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Ensuring a clean, affordable, reliable, and sustainable energy supply.<o:p></o:p></span></i></b></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>Willa M. Tharnish<br><b>Sent:</b> Wednesday, September 03, 2014 12:48 PM<br><b>To:</b> pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> [Pharmwaste] Dr. Offices and Expired Samples<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Good day to each of you,<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>My name is Willa Tharnish and I’m working with Dan King on the Nebraska MEDS Disposal Pilot Project in Lincoln, Nebraska. Nebraska MEDS is working with local pharmacies to offer safe and legal medication disposal while educating the community about how properly dispose of their leftover medication. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Another focal point of the grant is to better understand how small business dispose of leftover, unused, or expired medication. That being said, I just received a phone call today from a doctor’s office that is challenged with how to properly dispose of leftover pills, diabetic pins, inhalers, and other various liquids. The Assistant Office Manager stated that they have bags of leftover items. In years past she was able to dispose of the pills at DEA Medication Take-back events but they didn’t accept the other items from her. She also stated that the Pharmaceutical Sales Rep would take the medication back for disposal. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>I am wondering if anyone in this list serve has additional information about how their communities have dealt with small business medication disposal? Is there any best practice guidance on small business disposal? Are there any Pharmaceutical Sales Reps that are taking back expired medication? Has anyone else researched the quantities and current practices of doctor’s offices, veterinary clinics, hospice, assisted or independent living communities in their community?<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>The exchange of knowledge, expertise, and guidance on any of these questions would be extremely helpful to point me in the right direction. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Thanks for your time and have a wonderful Wednesday,<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><b><span style='font-family:Baskerville'>Willa Tharnish<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:Baskerville'>Nebraska MEDS Grant Coordinator <o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Baskerville'>Lincoln-Lancaster County Health Department<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Baskerville'>3140 N Street<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Baskerville'>Lincoln, NE 68510<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Baskerville'>402-480-1956<o:p></o:p></span></p><p class=MsoNormal><u><span style='font-family:Baskerville;color:#0070C0'><a href="mailto:wtharnish@lincoln.ne.gov">wtharnish@lincoln.ne.gov</a><o:p></o:p></span></u></p><p class=MsoNormal><u><span style='font-family:Baskerville;color:#0070C0'><a href="http://www.nebraskameds.org/">leftovermeds.com</a><o:p></o:p></span></u></p><p class=MsoNormal><img border=0 width=163 height=63 id="Picture_x0020_1" src="cid:image001.jpg@01CFC76A.B4BAB730" alt="Meds logo"><o:p></o:p></p><p class=MsoNormal>Follow us on <a href="https://twitter.com/NEMEDSCoalition">Twitter</a>! <o:p></o:p></p><p class=MsoNormal>Like us on <a href="https://www.facebook.com/NebraskaMeds">Facebook</a>! <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p> </o:p></span></p><div class=MsoNormal align=center style='text-align:center'><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><hr size=3 width="100%" align=center></span></div><p class=MsoNormal><span style='font-size:7.5pt;font-family:"Arial","sans-serif";color:gray'><br>CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. 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