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<div style="direction: ltr;font-family: Tahoma;color: #000000;font-size: 10pt;">Great question. We actually limit our events to households due to extensive Texas environmental quality requirements that we would have to follow in order to accept items from
businesses. Plus, we simply do not have the funding to be a free disposal service for pharmacies, physician offices, etc. But, they do try! So, when we have large loads come through, we do a visual screening in which we are looking for individual patient
labels, pharmacy stock bottles, etc.
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<div> With car 188, all of these items did indeed have individual patient labels. The first step in our processing once the meds are brought inside is to use paint pens to mark out patient names and Rx numbers, and I was fortunate to be assigned to that station
on that day (insert sarcasm here). I could even tell you their cat's name because it had meds in there too, but I don't want to violate HIPAA!<br>
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<div style="font-family:Tahoma; font-size:13px"><font face="Verdana"><i>Jeanie Jaramillo, PharmD</i></font>
<div><font face="Verdana"><i>Managing Director, Texas Panhandle Poison Center</i></font></div>
<div><font face="Verdana"><i>Asst. Professor, Texas Tech UHSC School of Pharmacy</i></font></div>
<div><font face="Verdana"><i>1300 S. Coulter St., Suite 105</i></font></div>
<div><font face="Verdana"><i>Amarillo, TX 79106</i></font></div>
<div><font face="Verdana"><i>(office): (806)414-9299</i></font></div>
<div><font face="Verdana"><i>(mobile): (806)376-0039<br>
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<div id="divRpF712018" style="direction: ltr;"><font face="Tahoma" size="2" color="#000000"><b>From:</b> Jeff Hollar [jhollar@pwaste.com]<br>
<b>Sent:</b> Tuesday, October 28, 2014 6:23 AM<br>
<b>To:</b> Jaramillo, Jeanie; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] Take back presentation - overprescribing<br>
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Interesting. Thanks for sharing. Overprescribing is a problem. Regarding Car #188 – Was this actually from an consumer or ultimate user? I’ve heard of
instances where businesses (DEA Registrants) were utilizing the consumer take back programs as a free disposal resource.
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:#1F497D">Jeff Hollar</span><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:#1F497D">President</span><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
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<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:navy">PharmWaste Technologies, Inc.</span></b><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:#1F497D">4164 NW Urbandale Dr., Ste A</span><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:#1F497D">Urbandale, IA 50322</span><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:#1F497D">515-276-5302 (general)</span><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:#1F497D">515-331-7310 (direct)</span></p>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:#1F497D">515-360-9785 (cell)</span><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:blue"><a href="http://cp.mcafee.com/d/2DRPoQ72hJ5x5xwQsLIL3ztPqqb2bzxEVd7bXNJd5x5MtuVEVpdFEI8Ke6zAQsLCzASzuXzNEVou76zAS8_I9vMzItlAuvk5jCSjFrLgrdPCSjFrLgrdCzAQsS7eIcfZvCkT1O9EVWZOWrabDfFTod78XBHEShhlKODOEuvkzaT0QSyrhdTVeZXTLuZXCXCM0iNzqj_BYdy9eFV-N1iNzqj_BPqa8UQsL6Mmd96y0QJxoDIlj6QDVFtd409QHVEw8roGq85E_jUjSsGMd41sQglc_5qfQJ6h2k29JYsrn_-V-DZ" title="http://www.pwaste.com/" target="_blank"><span style="color:blue">www.pwaste.com</span></a></span><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
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<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>Jaramillo, Jeanie<br>
<b>Sent:</b> Monday, October 27, 2014 3:18 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] Take back presentation - overprescribing</span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">Hello All,
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"> </span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">I gave a presentation last week at the National Association of State Controlled Substances Authorities Conference in Savannah. I presented some of the data
that our program has collected over the last 5 years specific to controls. I am working on a manuscript with a group from Maine at current, but wanted to share with this group in case you are interested. I believe the info in the charts within this PowerPoint
are a strong indicator of the prevalence of over-prescribing; particularly of controlled substances. </span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"> </span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt; font-family:"Verdana","sans-serif"; color:black">Jeanie Jaramillo, PharmD</span></i><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">
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<p class="MsoNormal"><i><span style="font-size:10.0pt; font-family:"Verdana","sans-serif"; color:black">Managing Director, Texas Panhandle Poison Center</span></i><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt; font-family:"Verdana","sans-serif"; color:black">Asst. Professor, Texas Tech UHSC School of Pharmacy</span></i><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt; font-family:"Verdana","sans-serif"; color:black">1300 S. Coulter St., Suite 105</span></i><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt; font-family:"Verdana","sans-serif"; color:black">Amarillo, TX 79106</span></i><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt; font-family:"Verdana","sans-serif"; color:black">(office): (806)414-9299</span></i><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt; font-family:"Verdana","sans-serif"; color:black">(mobile): (806)376-0039</span></i><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"></span></p>
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