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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:#1F497D'>Hi Deb and all,<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Unfortunately, FDA has a disconnect when it comes to pharmaceuticals in our drinking water sources and exposure to wildlife living in that water. Their feeling is the potential for abuse, is of higher risk, hence pouring them down the drain is ok. Technically under EPA rules, any wastewater treatment plant discharging to surface waters is prohibited from sending pollutants that “pass through”,e.g. pharmaceuticals and other chemicals. However pharmaceuticals are not explicitly prohibited. <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'>DEA in their new rules calls for “irretrievable” in their standard for destruction of controlled substances. They do not go so far as to define irretrievable, but suggest incineration and chemical digestion as examples. Flushing CS to the sewer does not meet the irretrievable standard. Also in the new rules, hospital pharmacies and long term care facility pharmacies are permitted to collect and dispose of controlled substances. With the new rules there is no legitimate reason for healthcare facilities to be sewering drugs. Waste pharmaceuticals can be legitimately and securely collected, no inventorying is required (if the drugs have been dispensed), and the waste incinerated. Costs can be minimized by enacting waste reduction procedures. Its not rocket science, just better management and attention to environmental and public health impact. <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'>P.S. DEA only permits the flushing of the FDA list by “ultimate users”, that is, patients. <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'>Very truly yours,<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'>Catherine Zimmer, MS, BSMT<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Zimmer Environmental Improvement, LLC<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>St. Paul, MN <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Ph: 651.645.7509<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><a href="mailto:zenllc@usfamily.net"><span style='color:blue'>zenllc@usfamily.net</span></a><o:p></o:p></span></p></div><p class=MsoNormal><span style='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>Hauser, Deborah<br><b>Sent:</b> Thursday, November 13, 2014 7:00 AM<br><b>To:</b> pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> [Pharmwaste] inconsistent message<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Good morning,<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>I’ve gotten the occasional question from hospital workers here in Ohio about policies to rinse Schedule IV drugs down the drain. As I generally work with the residential side of things, I’m not as well-versed on hospital practices. However, it seems to me there is a serious disconnect between the message from the environmental folks (like my agency, Ohio EPA) and the FDA. The FDA’s most recent guidance still suggests flushing a lengthy list of pharms (see below). Has anyone had any experience with hospitals making it a policy to NOT flush pharmaceuticals? As far as I know, it is still legal to flush the pharmaceuticals that FDA advises. But I guess I’d like to see some sort of solution that involves incinerating ALL pharms, even the ones that have historically been flushed. Do any of you have any suggestions I could pass on to Ohio hospitals?<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Thanks,<o:p></o:p></p><p class=MsoNormal>Deb <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><o:p> </o:p></p><table class=MsoNormalTable border=0 cellpadding=0 summary=layout><thead><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal align=center style='text-align:center'><em><b><span style='font-family:"Calibri","sans-serif"'>Medicine</span></b></em><b><span style='font-size:12.0pt'><o:p></o:p></span></b></p></td><td style='padding:.75pt .75pt .75pt .75pt'><h5 align=center style='text-align:center'><em>Active Ingredient</em><o:p></o:p></h5></td></tr></thead><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM239930.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Abstral </span></strong>(PDF - 1M)</a><strong><span style='font-family:"Calibri","sans-serif"'>, </span></strong>tablets (sublingual)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Fentanyl<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM085817.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Actiq </span></strong>(PDF - 251KB)</a>, oral transmucosal lozenge <strong><span style='font-family:"Calibri","sans-serif"'>*</span></strong><span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Fentanyl Citrate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM311346.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Avinza </span></strong>(PDF - 51KB)</a>, capsules (extended release)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Morphine Sulfate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Buprenorphine Hydrochloride</span></strong>, tablets (sublingual) <strong><span style='font-family:"Calibri","sans-serif"'>*</span></strong><span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Buprenorphine Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Buprenorphine Hydrochloride; Naloxone Hydrochloride</span></strong>, tablets (sublingual) *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Buprenorphine Hydrochloride; Naloxone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM219146.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Butrans</span></strong> (PDF - 388KB)</a>, transdermal patch system<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Buprenorphine<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088581.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Daytrana</span></strong> (PDF - 281KB)</a>,<strong><span style='font-family:"Calibri","sans-serif"'> </span></strong>transdermal patch system<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Methylphenidate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Demerol</span></strong>, tablets *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Meperidine Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Demerol</span></strong>, oral solution *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Meperidine Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'><a href="http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm?fuseaction=Search.Overview&DrugName=DIASTAT" target="_blank">Diastat/Diastat AcuDial</a></span></strong>, rectal gel [for disposal<br>instructions: click on link, then go to "Label information"<br>and view current label] <span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Diazepam<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Dilaudid</span></strong>, tablets *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Hydromorphone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Dilaudid</span></strong>, oral liquid *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Hydromorphone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM311370.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Dolophine Hydrochloride</span></strong> (PDF - 48KB)</a>, tablets *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Methadone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088584.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Duragesic</span></strong> (PDF - 179KB)</a>, patch (extended release) <strong><span style='font-family:"Calibri","sans-serif"'>*</span></strong><span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Fentanyl<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM179172.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Embeda</span></strong> (PDF - 39KB)</a>, capsules (extended release)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Morphine Sulfate; Naltrexone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM204267.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Exalgo</span></strong> (PDF - 83KB)</a>, tablets (extended release)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Hydromorphone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088597.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Fentora</span></strong> (PDF - 338KB)</a>, tablets (buccal)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Fentanyl Citrate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM311373.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Kadian</span></strong> (PDF - 135KB)</a>, capsules (extended release)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Morphine Sulfate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Methadone Hydrochloride</span></strong>, oral solution *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Methadone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Methadose</span></strong>, tablets *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Methadone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Morphine Sulfate</span></strong>, tablets (immediate release) *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Morphine Sulfate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM199333.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Morphine Sulfate</span></strong> (PDF - 282KB)</a>, oral solution *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Morphine Sulfate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM311374.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>MS Contin</span></strong> (PDF - 433KB)</a>, tablets (extended release) *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Morphine Sulfate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM270268.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Nucynta ER</span></strong> (PDF - 38KB)</a>, tablets (extended release)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Tapentadol<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM285397.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Onsolis </span></strong>(PDF - 297KB)</a>, soluble film (buccal)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Fentanyl Citrate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Opana</span></strong>, tablets (immediate release)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Oxymorphone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM283820.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Opana ER</span></strong> (PDF - 56KB)</a>, tablets (extended release)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Oxymorphone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Oxecta</span></strong>, tablets (immediate release)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Oxycodone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Oxycodone Hydrochloride</span></strong>, capsules<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Oxycodone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM289880.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Oxycodone Hydrochloride</span></strong> (PDF - 100KB)</a>, oral solution<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Oxycodone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM208530.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Oxycontin</span></strong> (PDF - 417KB)</a>, tablets (extended release)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Oxycodone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Percocet</span></strong>, tablets *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Acetaminophen; Oxycodone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'>Percodan</span></strong>, tablets *<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Aspirin; Oxycodone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><strong><span style='font-family:"Calibri","sans-serif"'><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM225677.pdf">Suboxone</a></span></strong><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM225677.pdf"> (PDF - 83KB</a><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM225677.pdf">)</a>, film (sublingual)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Buprenorphine Hydrochloride; Naloxone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM089830.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Xyrem</span></strong> (PDF - 185KB)</a>, oral solution<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Sodium Oxybate<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr><tr><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal><a href="http://www.fda.gov/downloads/Drugs/DrugSafety/UCM362203.pdf"><strong><span style='font-family:"Calibri","sans-serif"'>Zubsolv </span></strong>(PDF - 354KB)</a>, tablets (sublingual)<span style='font-size:12.0pt'><o:p></o:p></span></p></td><td style='padding:.75pt .75pt .75pt .75pt'><p class=MsoNormal>Buprenorphine Hydrochloride; Naloxone Hydrochloride<span style='font-size:12.0pt'><o:p></o:p></span></p></td></tr></table><p class=MsoNormal><o:p> </o:p></p></div></body></html>