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<div style="direction: ltr;font-family: Tahoma;color: #000000;font-size: 10pt;"><font size="2">Thanks Amy! It sounds like multiple state agencies, including the Board of Pharmacy, need to change their rules to allow for pharmacy take back of controlled substances
in MO. I wonder if the National Association of Boards of Pharmacy missed listing any other states?<font size="1"><span lang="en-US"><span style="font-size:12pt"><span lang="en-US"><span style="font-size:12pt"><span lang="en-US"><span style="font-size:12pt"></span></span></span></span></span></span></font><br>
<br>
I also learned that here in New York, there is a Health Department rule that prohibits pharmacy take back. They are working to change it so that pharmacies can take advantage of the new DEA rule. I will try to get a time line from them ASAP.
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<br>
This leaves me with the question of how many other states have departments with rules that currently prevent pharmacy take back?
<br>
<br>
Finally, a list serve member who is a lawyer was kind enough to send me this explanation of the process happening at the Supreme Court.</font><br>
<blockquote><span lang="en-US"><font face="Times New Roman,serif" size="3"><span style="font-size:12pt;"><font face="Calibri,sans-serif" size="2"><span style="font-size:11pt;">A very brief explanation is that this means that the case has been distributed and
the court is reviewing whether to consider taking the case. At this stage, the Court staff will prepare a memo which the justices will review with the filed papers to make a determination if they anyone wishes to discuss whether to hear the case or not.
If no justice indicates they want to discuss the case, the Court will issue an order that the case will not be considered, and the writ denied. This could occur as early as the following week. If any justice decides they do want to consider hearing the
case, the Court will ask for more information before they discuss it. If that is the case, the Court will issue an order, likely in March, that they want a full brief from the County before making a decision on whether hear the case. There are some other
things that can occur, however, these two scenarios are the most likely. </span>
</font></span></font></span></blockquote>
<div>It is my understanding that if, after getting the full brief, three or more justices vote to hear the case it will be scheduled on their docket.<br>
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<div style="font-family:Tahoma; font-size:13px">
<div style="font-family:Tahoma; font-size:13px"><font><span style="font-size:" lang="en-US">
<div>Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal<br>
</div>
<div>Industrial Pretreatment Coordinator</div>
<div>Ithaca Area Wastewater Treatment Facility<br>
525 3<font face="Times New Roman" size="3"><sup>rd</sup></font> Street</div>
<div>Ithaca, NY 14850</div>
<div>(607) 273-8381</div>
<div>fax: (607) 273-8433</div>
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<div style="direction: ltr;" id="divRpF344769"><font color="#000000" face="Tahoma" size="2"><b>From:</b> Tiemeier, Amy [Amy.Tiemeier@stlcop.edu]<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?<br>
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<p class="MsoNormal"><a name="_MailEndCompose"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Ed,</span></a></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.</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" target="_blank"><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.</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!</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Amy</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </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"></span></p>
<p class="MsoNormal"><i><span style="font-size:11.0pt; font-family:"Goudy Old Style","serif"; color:gray">Director, Community Partnerships</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"></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"></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><b><span style="font-size:11.0pt; font-family:"Garamond","serif"; color:#492F92"><img id="Picture_x0020_1" src="cid:image001.jpg@01D046A8.5A6C9560" alt="Description: EmailSignatureLogo" border="0" height="35" width="240"></span></b><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
<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"></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"></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><a href="http://www.stlcop.edu/" target="_blank"><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"></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 12, 2015 8:01 AM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] Program closes, lack of funds. MO 4th state to not allow pharmacy take back?</span></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.
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<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!</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.</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</span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">Industrial Pretreatment Coordinator</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</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</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</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</span></p>
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