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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Everyone who works with take backs should talk with their Board of Pharmacy to see what is allowed. Most BoP statutes prohibit possession of ALL legend pharms
(not just the controlled substance portion), to the person to whom they are prescribed. Like DEA, their regulations didn’t address take backs because there was no such thing. Pharmacists can possess the stock and distribute, I suppose nurses can possess for
the purpose of dispensing, but pharmacists can’t possess what has been sold. HW transporters can’t possess, WTE’s can’t possess. You can’t possess on behalf of anyone other than your pet or child under 18. Although most state’s statutes restrict both the possession
of pharms and sharps to the person to whom they are prescribed, they have exercised enforcement discretion for waste haulers who dispose of them.
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">We worked with our BoP to revise their statutes several years ago to allow law enforcement, permitted waste management facilities and licensed transporters
to possess legend drugs for the purpose of participating in a waste pharm collection program operated in compliance with rules, regs, ordinances…It also allowed for “people” to possess legend pharms for the purpose of disposal at a registered collection site.
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Now the Board is revising the statutes again to add in pharmacists and to take out “people”, since DEA and many local ordinances don’t allow possession of CS
by anyone other than the person they are prescribed to. We asked the Board if they would do a similar fix for sharps at the same time, but they are concerned it could bollix things up at the legislature. They plan to do it next year. Meantime, they will continue
not to enforce possession limitations for sharps. <o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">I think our BoP has about 10 staff, if that. They cover a lot of territory. They’ve been awesome to work with, I hope that yours are great partners too!<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">JV<o:p></o:p></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>Ed Gottlieb<br>
<b>Sent:</b> Thursday, February 05, 2015 10:08 AM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] Pharmacies in 3 States Can't Take Back Controlled<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:black">I didn't remember that during the Office of National Drug Control Policy (ONDCP)</span><span style="font-size:11.0pt;color:black">
</span><span style="color:black"><a href="http://www.whitehouse.gov/blog/2014/11/17/watch-webinar-dea-s-final-rule-disposal-control-substances" target="_blank">webinar</a> we were told that state board of pharmacy rules did not allow controlled substances to
be taken back in Georgia, Oklahoma and Hawaii. <br>
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I wrote to the National Association of Boards of Pharmacy to get this and related information. My email and their reply are below.<br>
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Ed<br>
<sup> </sup> <br>
Dear Mr. Gottlieb,</span><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="color:black"> </span><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="color:black">Thank you for contacting the National Association of Boards of Pharmacy</span><sup><span style="font-size:10.0pt;color:black">®</span></sup><span style="color:black"> (NABP</span><sup><span style="font-size:10.0pt;color:black">®</span></sup><span style="color:black">).
NABP is the independent, international, and impartial association that assists its member boards and jurisdictions for the purpose of protecting the public health. NABP does not have any regulatory or interpretive authority over its member boards.</span><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="color:black"> </span><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="color:black">Since the DEA Final Rule on Disposal of Controlled Substances is a new federal regulation, unfortunately; the majority of the states that have not previously prohibited community pharmacies from taking back controlled
substances are still silent on the issue and are in the process of reviewing their existing statutes and regulations. Until new laws/regulations are enacted or it is addressed through policy interpretation, we do not have new information to share.
</span><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="color:black"> </span><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="color:black">NABP is following this issue and we are staying vigilant on the matter. We will inform our member boards and the public through our website as more information becomes available. In the meantime, according to the
Office of National Drug Control Policy (ONDCP)</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">
</span><span style="color:black"><a href="http://www.whitehouse.gov/blog/2014/11/17/watch-webinar-dea-s-final-rule-disposal-control-substances" target="_blank">webinar</a>, the following states may not permit pharmacies to take back controlled substances: Georgia,
Oklahoma and Hawaii.</span><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="color:black">Respectfully,</span><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="color:black">Professional Affairs</span><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">Hello,<br>
<br>
It is my understanding that the existing rules (and recommendations?) of many state boards of pharmacy are in conflict with the new DEA rule allowing pharmacies to take back controlled substances.<br>
<br>
If my understanding is correct, do you know which states need to make changes to be in-line with this DEA rule? Can you please provide me with details?<br>
<br>
Has, or will, your organization be encouraging members to make the changes necessary to allow pharmacies to participate in controlled take back? If you have, may I please see a copy of what you did?
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<br>
If you haven't, please consider doing so. Though it is possible that not many pharmacies will participate in this voluntary, unfunded opportunity, it would be unfortunate if those that wanted to provide this important public service were unable to do so because
some state boards of pharmacy's failed to act. <br>
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Thanks for your assistance and consideration.<br>
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Sincerely,<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:10.0pt;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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