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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">The Michigan’s Board of Pharmacy rules for utilization/disposal are found on-line at
<a href="http://www7.dleg.state.mi.us/orr/Files/AdminCode/1263_2013-071LR_AdminCode.pdf">
http://www7.dleg.state.mi.us/orr/Files/AdminCode/1263_2013-071LR_AdminCode.pdf</a>.
<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">The Michigan solid waste regulations that would apply to household generated unwanted drugs collected at a pharmacy. Those are found under
<a href="http://www.legislature.mi.gov/documents/mcl/pdf/mcl-451-1994-ii-3-115.pdf">
Part 115</a> of the Michigan Natural Resource and Environmental Protection Act. The solid waste provisions of this act were amended on 3/4/14 to formally authorize waste diversion centers to collect pharmaceuticals and divert them from landfills, along with
other household hazardous wastes, so long as they were destined for and environmentally preferred management method. The waste diversion center operating requirements are found under Section 11524b of Part 115. We advocate the pharmaceuticals be incinerated
to destroy the chemicals within the drugs, preventing them from entering our water.
<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">For non-household generated drugs, we have a
<a href="http://www.michigan.gov/deq/0,4561,7-135-3585_57802_4173-285527--,00.html">
tutorial</a>, a <a href="http://www.michigan.gov/documents/deq/deq-p2-MHA-Guide-Rev_393335_7.pdf">
pharmaceutical waste management guide</a>, and a <a href="http://www.michigan.gov/documents/deq/deq-oea-mha-guideexample_396991_7.pdf">
guide example posting</a> to help health care navigate through the various regulations and select a management option that considers the waste handling requirements for the various wastes they generate. All of these resources and more on Michigan regulations
can be found at <a href="http://www.michigan.gov/deqhealthcare">www.michigan.gov/deqhealthcare</a> under the Waste Health Care Resources Web link.<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">Regards,
<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">Christine Grossman, Compliance Assistance Specialist<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Training and Outreach Unit, Office of Environmental Assistance, Michigan Department of Environmental Quality
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Direct Phone: 517-284-6860<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Environmental Assistance Center: 1-800-662-9278 or</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#17365D">
</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black"><a href="mailto:deq-assist@michigan.gov" title="mailto:deq-assist@michigan.gov">deq-assist@michigan.gov</a></span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><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>Tiemeier, Amy<br>
<b>Sent:</b> Thursday, February 12, 2015 10:43 AM<br>
<b>To:</b> Ed Gottlieb; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] Program closes, lack of funds. MO 4th state to not allow pharmacy take back?<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><a name="_MailEndCompose"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Ed,</span></a><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">Currently the MO law does not allow for pharmacies to do take back. That being said, when the new rules and regs came out, the MO Board of Pharmacy as well
as the BNDD and other state agencies started discussing this. My understanding is that they intend to change the state regulations to allow this and there should be an emergency order coming out soon.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">In the St. Louis area we still have law enforcement providing med take back through funds and a partnership with a non-profit (</span><a href="http://www.missourip2d2.org"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">www.missourip2d2.org</span></a><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">)
that pays for incineration for partner law enforcement.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Please let me know if you have any other questions as I am very involved with this issue in St. Louis!<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Amy<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>
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Goudy Old Style","serif";color:black">Amy Tiemeier, Pharm.D., BCPS</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="font-size:11.0pt;font-family:"Goudy Old Style","serif";color:gray">Director, Community Partnerships<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:11.0pt;font-family:"Goudy Old Style","serif";color:gray">Associate Director, Office of Experiential Education</span></i><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="font-size:11.0pt;font-family:"Goudy Old Style","serif";color:gray">Associate Professor, Department of Pharmacy Practice</span></i><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"> <o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Goudy Old Style","serif";color:gray">4588 Parkview Place, St. Louis, MO 63110-1088</span><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:10.0pt;font-family:"Goudy Old Style","serif";color:gray">TEL: 314.446.8554 FAX: 314.446.8386</span><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"> <o:p></o:p></span></p>
<p class="MsoNormal"><a href="http://www.stlcop.edu/"><b><span style="font-size:11.0pt;font-family:"Garamond","serif"">www.stlcop.edu</span></b></a><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><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"">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Ed Gottlieb<br>
<b>Sent:</b> Thursday, February 12, 2015 8:01 AM<br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] Program closes, lack of funds. MO 4th state to not allow pharmacy take back?<o:p></o:p></span></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">Another take back program has been forced to close due to the DEA pull out.
<br>
<br>
<a href="http://www.kfvs12.com/story/28088776/drug-take-back-program-canceled-due-to-funding-shortfalls" target="_blank">http://www.kfvs12.com/story/28088776/drug-take-back-program-canceled-due-to-funding-shortfalls</a><br>
<br>
This story reports that Missouri state law prohibits pharmacy take back. Missouri is not one of the states (Georgia, Oklahoma and Hawaii) previously identified as not permitting pharmacy take back.<br>
<br>
Can anyone confirm if Missouri state law prohibits pharmacy take back? If an response is not forthcoming, would anyone from the Show-Me state volunteer to contact your state Board of Pharmacy to ask about restrictions and, if they exist, find out when they
will change them to be aligned with the new federal rule? Thanks!<o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><br>
Any volunteers from Georgia, Oklahoma and Hawaii willing to do the same? <br>
Maybe the gentle pressure of inquires will help motivate those state pharmacy boards to take action sooner.<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="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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