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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'>Deb:<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'>You said that “as far as I know, it is still legal to flush the pharmaceuticals that FDA advises.”<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’m not sure which portion of Ohio EPA you are with (e.g., waste, water, pollution prevention), but some state water programs (such as ours here in Connecticut) have direct jurisdiction over discharges to city sewer, including discharges from hospitals. Alternatively, the local sewer authority should have jurisdiction over discharges to city sewer, and may prohibit discharges of drugs without a permit or authorization to discharge such drugs. As a result, it may not, in fact, be “legal” to flush schedule IV drugs – or other drugs – depending on what your state’s laws are for discharges to city sewer.<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="Picture_x0020_1" src="cid:image003.png@01CFFF30.99F7A310"><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>Hauser, Deborah<br><b>Sent:</b> Thursday, November 13, 2014 7:56 AM<br><b>To:</b> pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> [Pharmwaste] inconsistent message<o:p></o:p></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 cellspacing=3 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>