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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Here’s another success, also hot off the presses,
<a href="http://patch.com/new-york/westhampton-hamptonbays/decs-first-long-island-take-back-day-healthcare-facilities-success">
http://patch.com/new-york/westhampton-hamptonbays/decs-first-long-island-take-back-day-healthcare-facilities-success</a> (pasted in below), though this isn’t at pharmacies, but rather at healthcare facilities, which supports the hosptial idea on the related
thread.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Jim<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" style="text-autospace:none"><b><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:#1F497D">James Laurenson</span></b><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><i><span style="font-size:8.0pt;font-family:"Arial","sans-serif";color:#1F497D">Toxicologist/Environmental Officer</span></i><span style="font-size:8.0pt;font-family:"Arial","sans-serif";color:#1F497D">
<i><o:p></o:p></i></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:8.0pt;font-family:"Arial","sans-serif";color:#1F497D">Center for Drug Evaluation & Research<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:8.0pt;font-family:"Arial","sans-serif";color:#1F497D">U.S. Food & Drug Administration<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:8.0pt;font-family:"Arial","sans-serif";color:#1F497D">10903 New Hampshire Ave.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:8.0pt;font-family:"Arial","sans-serif";color:#1F497D">Silver Spring, MD 20993<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:8.0pt;font-family:"Arial","sans-serif";color:#1F497D">301-796-4872<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:8.0pt;font-family:"Arial","sans-serif";color:#1F497D"><a href="mailto:james.laurenson@fda.hhs.gov">james.laurenson@fda.hhs.gov</a></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"><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">DEC's First Long Island Take Back Day For Healthcare Facilities a Success<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">The department collected over 52 boxes of medication.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">By Priscila Korb (Patch Staff) February 12, 2015 at 1:50pm<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 New York State Department of Environmental Conservation (DEC) Commissioner Joe Martens announced recently that the DEC collected over 52 boxes of pharmaceutical
medications during the first DEC Long Island Pharmaceutical Take Back Day at healthcare facilities.<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">Twenty-five long-term healthcare facilities throughout Nassau and Suffolk counties participated in the program, including at the Westhampton Beach Police Department
and the Southampton Town Police Department, which collects and responsibly destroys unused or expired pharmaceuticals.<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">“Health care facilities can produce large amounts of expired or unused medications and many have few options for disposal,” Martens said. “The success of this
collection by DEC is a positive step that will help to protect the environment by preventing medications from entering waterways. We are grateful to all the facilities that enthusiastically agreed to participate in this event.”<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">DEC received funding through the Environmental Fund for $150,000 to expand the program, which already exists in the New York City Watershed.<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 program is designed to reduce the amount of pharmaceuticals that are “flushed” by facilities and can end up in Long Island’s groundwater, bays and estuaries.
Pharmaceuticals have been detected at low levels in New York State waterways and Long Island’s shallow groundwater.<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">“We are thrilled that DEC was able to provide this critical service, which benefits all Long Islanders and goes a long way toward protecting Long Island’s drinking
and surface waters from pharmaceutical contaminants,” Adrienne Esposito, Executive Director of Citizens Campaign for the Environment said. “Giving health care facilities a safe and convenient pharmaceutical disposal option has already reduced the number of
institutions flushing unused medications, and now participation in this program needs to be expanded and strengthened in the future.”<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">Participating facilities, made up primarily of nursing, extended care and rehabilitation centers, began storing unused and expired medications in October when
they were first contacted by DEC.<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">Environmental Conservation Officers (ECOs) then visited each of the 25 facilities this week to collect the stored medications and brought them to the Covanta
Waste-to-Energy Plant in Westbury, which volunteered its services to incinerate the products.<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">Prescription drug take back efforts began in the last few years, but before that, the normal disposal practice was to flush unwanted drugs.<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">With technological advances in analytical techniques, it is now possible to detect very low levels of drugs in surface water and groundwater.<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">Some drugs pass largely unaltered through wastewater treatment plants and enter rivers and other waterways.<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">Drugs from heath care facilities, pharmaceutical manufacturing facilities and farms can also find their way into the 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">Flushed medications have been found in New York lakes, rivers and streams which can negatively affect the waterways.<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">A nationwide study done in 1999 and 2000 by the United States Geological Survey (USGS) found low levels of drugs such as antibiotics, hormones, contraceptives
and steroids in 80 percent of rivers and streams tested.<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">Medications adversely affect fish and other aquatic wildlife and increase the development of drug-resistant bacteria.<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 more information on where you can dispose of unused or expired medications, visit DEC’s website at http://www.dec.ny.gov/chemical/63826.html#Long_Island.<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>
<div>
<div style="border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in">
<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>Jan Harris<br>
<b>Sent:</b> Friday, February 13, 2015 9:43 AM<br>
<b>To:</b> Howard Anderson<br>
<b>Cc:</b> Ed Gottlieb; pharmwaste@lists.dep.state.fl.us; Tiemeier, Amy<br>
<b>Subject:</b> Re: [Pharmwaste] Which States Can't Do Pharmacy Take Back? + US SC<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal">A success story: <a href="http://m.ksl.com/index/story/sid/33453402?mobile_direct=y">http://m.ksl.com/index/story/sid/33453402?mobile_direct=y</a><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><o:p> </o:p></p>
</div>
<p class="MsoNormal"><br>
<span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">Jan Harris</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:gray"> | Director, Environmental Health & Safety</span><span style="font-family:"Calibri","sans-serif"">
</span><o:p></o:p></p>
<p><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">Sharps Compliance, Inc.</span><br>
<span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:gray">d- 713-927-9956</span><br>
<br>
<a href="mailto:jharris@sharpsinc.com"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:gray;text-decoration:none">jharris@sharpsinc.com</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black;text-decoration:none">
| </span></a><a href="http://www.sharpsinc.com"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:gray;text-decoration:none">http://www.sharpsinc.com</span></a>
<o:p></o:p></p>
<div>
<p class="MsoNormal" style="margin-bottom:12.0pt">On Feb 13, 2015, at 7:47 AM, "Howard Anderson" <<a href="mailto:NDBoPh@btinet.net">NDBoPh@btinet.net</a>> wrote:<o:p></o:p></p>
</div>
<blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Hello Everyone:
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">May I suggest that we focus on success stories, instead of the three states that need changes. Focusing on success stories has proven to be the best way to
move ideas forward. Even those of us who have allowed takebacks from the beginning still need a lot of help to make them affordable and get them into every pharmacy who wants to participate.
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Sincerely,
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Howard
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Howard C. Anderson, Jr.,R.Ph.</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Retired and Now
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Treasurer/Chief Compliance Officer
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">North Dakota Board of Pharmacy</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">1906 E. Broadway Ave.</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">P.O. Box 1354</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Bismarck, ND 58502-1354</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Phone (701) 328-9535</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Fax (701) 328-9536</span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Web site
<a href="http://www.nodakpharmacy.com">www.nodakpharmacy.com</a></span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">
</span><o:p></o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri","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 10:33 AM<br>
<b>To:</b> Tiemeier, Amy; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] Which States Can't Do Pharmacy Take Back? + US SC </span>
<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"> <o:p></o:p></p>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">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?<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.
<br>
<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.
</span><o:p></o:p></p>
<blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">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><o:p></o:p></p>
</blockquote>
<div>
<p class="MsoNormal" style="margin-bottom:12.0pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">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. </span><o:p></o:p></p>
<div>
<div>
<div>
<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><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Industrial Pretreatment Coordinator
</span><o:p></o:p></p>
</div>
<div>
<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><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Ithaca, NY 14850
</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">(607) 273-8381
</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">fax: (607) 273-8433
</span><o:p></o:p></p>
</div>
</div>
</div>
</div>
<div>
<div class="MsoNormal" align="center" style="text-align:center"><span style="color:black">
<hr size="3" width="100%" align="center">
</span></div>
<div id="divRpF344769">
<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"> Tiemeier, Amy [<a href="mailto:Amy.Tiemeier@stlcop.edu">Amy.Tiemeier@stlcop.edu</a>]<br>
<b>Sent:</b> Thursday, February 12, 2015 10:43 AM<br>
<b>To:</b> Ed Gottlieb; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] Program closes, lack of funds. MO 4th state to not allow pharmacy take back?</span><span style="color:black">
</span><o:p></o:p></p>
</div>
<div>
<div>
<p class="MsoNormal"><a name="_MailEndCompose"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Ed,</span></a><span style="color:black">
</span><o:p></o:p></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><span style="color:black">
</span><o:p></o:p></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><span style="color:black"><a href="http://www.missourip2d2.org"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">www.missourip2d2.org</span></a></span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">)
that pays for incineration for partner law enforcement.</span><span style="color:black">
</span><o:p></o:p></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><span style="color:black">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Amy</span><span style="color:black">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span><span style="color:black">
</span><o:p></o:p></p>
<div>
<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="color:black">
</span><o:p></o:p></p>
<p class="MsoNormal"><i><span style="font-size:11.0pt;font-family:"Goudy Old Style","serif";color:gray">Director, Community Partnerships</span></i><span style="color:black">
</span><o:p></o:p></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="color:black">
</span><o:p></o:p></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="color:black">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span><span style="color:black">
</span><o:p></o:p></p>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Garamond","serif";color:#492F92"><image001.jpg></span></b><span style="color:black">
</span><o:p></o:p></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="color:black">
</span><o:p></o:p></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="color:black">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span><span style="color:black">
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black"><a href="http://www.stlcop.edu/"><b><span style="font-size:11.0pt;font-family:"Garamond","serif"">www.stlcop.edu</span></b></a>
</span><o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span><span style="color:black">
</span><o:p></o:p></p>
<div>
<div style="border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><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> [<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?</span><span style="color:black">
</span><o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><span style="color:black"> </span><o:p></o:p></p>
<div>
<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">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><span style="color:black">
</span><o:p></o:p></p>
<div>
<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><span style="color:black">
</span><o:p></o:p></p>
<div>
<div>
<div>
<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><span style="color:black"> </span>
<o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Industrial Pretreatment Coordinator</span><span style="color:black">
</span><o:p></o:p></p>
</div>
<div>
<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><span style="color:black">
</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Ithaca, NY 14850</span><span style="color:black">
</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">(607) 273-8381</span><span style="color:black">
</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">fax: (607) 273-8433</span><span style="color:black">
</span><o:p></o:p></p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</blockquote>
<blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
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<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">[COLLECT/PROTECT/RESPECT]</span></b><span style="font-size:11.0pt"><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:#99CC33">Sharps Compliance repurposed an estimated 758 million syringes into a material powering over 250 homes per year and collected 320,000 pounds of unused medications,
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