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<p class="MsoNormal"><span style="color:#1F497D">I think you’re right Ed. <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"><a href="http://www.deadiversion.usdoj.gov/fed_regs/rules/2014/2014-20926.pdf">§1317.75(d)</a> also says:
</span><span style="color:red">Collection receptacles <span style="background:yellow;mso-highlight:yellow">
shall</span> be securely placed and maintained</span><span style="color:#1F497D">: (1) Inside a collector’s registered location,
</span><span style="color:red;background:yellow;mso-highlight:yellow">inside</span><span style="color:red"> law enforcement’s physical location</span><span style="color:#1F497D">, or at an authorized long-term care facility;<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">Apparently, it’s not enough to do a once-through reading of the DEA’s regs. I do appreciate your willingness to get the word out to those folks who may be missing it.
<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">Happy Holidays!<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">Burke<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<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>Ed Gottlieb<br>
<b>Sent:</b> Monday, December 22, 2014 11:11 AM<br>
<b>To:</b> Jaramillo, Jeanie; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] Interesting 'destruction' of controlled substances<o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">I agree that the transfer from a collection box to a "disposal bottle" would be labor intensive. Did the manufactures website even mention blister packs of sealed
pills? I can't image anyone sitting down to pop them out, not when they can show up by the bag-full.<br>
<br>
It is correct that the word "may", in § 1317.35 (a), gives permission for law enforcement to not collect controlled substances. If they decide to, they "may" use one or more of the three collection methods are listed. Methods (1) & (2) are to be done in accordance
with § 1317.65 & § 1317.70 respectively. The paragraphs for take back events (§ 1317.65) are full of the word "should". The details for mail back programs (§ 1317.70) uses the word "shall", which I read as "must". Method (3), "Collection receptacles located
inside law enforcement’s physical address." does not use the word "should". My conclusion is that if law enforcement uses collection boxes they must be placed inside their building and that outside locations would not be permitted. The word "should" again
appears in many paragraphs following this, in reference to: record keeping, storage, and disposal of the collected medications.
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<br>
Deborah, thanks for the suggestion for what state associations we can contact to help ensure that law enforcement in our state understands the new rule.<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Industrial Pretreatment Coordinator<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ithaca Area Wastewater Treatment Facility<br>
525 3</span><sup><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black">rd</span></sup><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> Street<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ithaca, NY 14850<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">(607) 273-8381<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">fax: (607) 273-8433<o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of Jaramillo, Jeanie [Jeanie.Jaramillo@ttuhsc.edu]<br>
<b>Sent:</b> Saturday, December 20, 2014 1:32 PM<br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] Interesting 'destruction' of controlled substances</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">I would guess this would be quite a cumbersome process that is labor intensive and requires extensive handling of the medications. They won't be able to leave liquids
in their containers when they transfer them to the "disposable bottle", which means someone would have to be pouring them into the disposal containers. Same thing with pills; assuming that they aren't having the public pour pills loosely into the collection
receptacle. <o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Looks like this is in West Virginia...? Anyone there interested perhaps offering them some help? Maybe a call commending them on their program and an offer for
alternative disposal if they find this method isn't working. Or maybe a partnership... Certainly, don't want to offend them when their working to be part of the solution.<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></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">
<o:p></o:p></span></p>
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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"><o:p></o:p></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"><o:p></o:p></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"><o:p></o:p></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"><o:p></o:p></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"><o:p></o:p></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"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> Lucy, Burke@CalRecycle [Burke.Lucy@CalRecycle.ca.gov]<br>
<b>Sent:</b> Friday, December 19, 2014 11:22 AM<br>
<b>To:</b> 'pharmwaste@lists.dep.state.fl.us'<br>
<b>Subject:</b> [Pharmwaste] Interesting 'destruction' of controlled substances</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="color:black">WPD receives ‘drop off box’ for disposal of medicine</span></b><span style="color:black">, December 18, 2014<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black"><a href="http://www.williamsondailynews.com/news/home_top-news/150936594/WPD-receives-drop-off-box-for-disposal-of-medicine" target="_blank">http://www.williamsondailynews.com/news/home_top-news/150936594/WPD-receives-drop-off-box-for-disposal-of-medicine</a>
<o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN" style="color:black">“The drugs will be destroyed by transferring them to an Element MDS system. The system consists of a disposable bottle where the drugs will be transferred to and an MDS powder packet will be added along
with water. The lid is then tightened on the bottle which will auto lock and cannot be removed. The bottle will be shaken to mix the contents and all medicine inside the bottle will dissolve. The bottle is then ready to be placed in a trash receptacle for
safe disposal.”</span><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">According to the manufacturer’s brochure apparently for “many people in medical, environmental, and regulatory groups,” (<a href="http://elementmds.com/wp-content/themes/ABC-basic/images/2014%20EMDS%20WP.pdf" target="_blank">http://elementmds.com/wp-content/themes/ABC-basic/images/2014%20EMDS%20WP.pdf</a>)
the benefits of Element® MDS include: “Can accommodate controlled substances unlike mail-in kits.”<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">Burke<o:p></o:p></span></p>
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