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<div style="direction: ltr;font-family: Tahoma;color: #000000;font-size: 10pt;">Hi Brian,<br>
<br>
The manufacturer says the DEA ran tests and orally agreed the product achieved the non-retrievable standard. Though they have made many requests, over many months, the DEA has not provided a letter they can use to back-up this claim.
<br>
<br>
I left a message with the DEA administrator who was their contact person for product testing. I don't have much hope that I will have better luck than they did in getting a response.<br>
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Pills would need to be removed from blister packs for this type of products to be effective.<br>
<br>
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<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>
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<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="divRpF467653"><font color="#000000" face="Tahoma" size="2"><b>From:</b> Lotzer Donna M [DLotzer@uwhealth.org]<br>
<b>Sent:</b> Thursday, April 09, 2015 2:17 PM<br>
<b>To:</b> 'Brian Usher'; Lotzer Donna M<br>
<b>Subject:</b> RE: [Pharmwaste] Destruction Product Rx Destroyer<br>
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<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#270399">Hi again Brian – have been trying to look more at the Rx Destroyer product and the “samples” I received this week. It reminds me in many ways of the DrugDisposeAll
one you originally asked about. However their “secret” formula (meaning they refuse to tell me what is in it and the MSDS does not give anything away) appears much more benign than the DDA one (no methanol in the formula that I can determine).</span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#1F497D"> </span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#1F497D">The information sent to me on Rx Destroyer says it is
</span></b><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"">“a drug disposal device formulated to quickly inactivate and adsorb medications to a harmless form. The free-floating molecules <span style="color:#002060">(??)</span> are adsorbed
and neutralized by the activated charcoal which is the main ingredient in the Rx Destroyer”.
<span style="color:#270399">That being said there is nothing I could see that tells me the adsorptive capacity of a bottle of this stuff (e.g. it will inactivate X tablets of drug Z /8 oz bottle). I got 3 bottles, including one which is 2.5 gallon!!! The darn
thing weighs a ton.</span><span style="color:#1F497D"></span></span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#1F497D"> </span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#270399">The cover letter with the product states</span></b><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#1F497D">
</span></b><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"">“Rx Destroyer is used for wasting of non-hazardous substances.”
<span style="color:#270399">There is also an email exchange with a person from the WI DNR where it is stated</span><span style="color:#002060"> that
</span>if no hazardous drugs are included then ”the WI DNR rules for hazardous waste do not apply and the disposal units may be disposed in a licensed solid waste landfill.” It also states “the ingredients are pharmacist developed, trade secret, biodegradable,
non-toxic and include: a dissolving agent, activated charcoal, anti-mold agent, anti-freezing agent, anti-foaming agent, and
<span style="color:red">FASCINATINGLY</span> an anti-abuse agent to induce vomiting if ingested<span style="color:#270399">” (makes me wonder if they put Bitrex in it, but when I tasted it cautiously I did not notice any taste, good or bad). The letter also
states that </span>“Rx Destroyer meats EPA, FDA and the new DEA controlled substance destruction regulations by deeming non-hazardous substances as non-retrievable.”
<span style="color:#270399">Another qualifier: </span>Rx Destroyer is not used for the hazardous u-listed or p-listed drugs”.</span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#1F497D"> </span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"">The MSDS on the Rx Destroyer says it contains no hazardous ingredients which makes me wonder if it is just charcoal in water. States it is non-combustible, irritant only because
of the charcoal, has no apparent odor that I could detect, and the stated pH = 6.5 so essentially neutral. Specific gravity is 1.004, again making me lean to just water.</span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#1F497D"> </span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#270399">The paperwork included a sheet prepared by the company and intended to address the non-retrievable DEA requirement. Pretty much it paraphrases the DEA rule and
then says Rx Destroyer meets those requirements.</span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#270399"> </span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#270399">Looking at the actual bottle the label includes this information:
</span></b><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"">“Pharmacist approved and recommended”; “Do not ingest – will induce vomiting”; “Active ingredient – Carbon”; “Rx Destroyer can be used for all non-hazardous medications. Effervescent
medications are not recommended. Please go to <a href="http://www.rxdestroyer.com" target="_blank">
<span style="color:windowtext">www.rxdestroyer.com</span></a> for federal and state guidelines on how to determine if medications are hazardous waste and how to dispose of them”.
<span style="color:#270399">No further details on any of these statements.</span></span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#270399"> </span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#270399">Don’t know if any of this helps you but it is what I have dug out…Donna</span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#984806">Donna Lotzer, Senior Clinical Pharmacist</span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#984806">Poison Education Coordinator</span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#984806">University of WI Hospital & Clinics Poison Prevention Center</span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#984806">600 Highland Ave, MC# 9475, Madison, WI 53792</span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#050599"><a href="mailto:dlotzer@uwhealth.org" target="_blank"><span style="color:#050599">dlotzer@uwhealth.org</span></a></span></b><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#984806">
Phone: 608-265-8160</span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#002060">Please encourage others to save 800-222-1222 in both cell and home phones.</span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#002060">This number will connect callers anywhere in the U.S. to a poison center.</span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#002060">Calls are free, confidential and answered 24/7/365.</span></b><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#984806"></span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#984806">Please help me educate your community about poison prevention.</span></b></p>
<p class="MsoNormal"><b><span style="font-size:8.0pt; font-family:"Tahoma","sans-serif"; color:#984806">Call or email me for materials or program opportunities.</span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:#1F497D"> </span></b></p>
<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""> Brian Usher [mailto:busher@scgov.net]
<br>
</span>I was hoping someone else might have more extensive knowledge and could provide insight of this product:
<a href="http://disposaltechnologies.com/for-institutions/" target="_blank">http://disposaltechnologies.com/for-institutions/</a></p>
<p class="MsoNormal">This is being considered as a product to provide to homebound residents through a local drug coalition. The only “proper” collection options currently available in the area are drop boxes at law enforcement offices which only accept solids
or waiting for a DEA take-back day. </p>
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<p class="MsoNormal"><b><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"; color:#1F497D"> </span></b></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"; color:#1F497D">Brian Usher, CHMM</span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">Operations Manager</span></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">Sarasota County Solid Waste</span></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">8750 Bee Ridge Road, Sarasota, FL 34241</span></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">Cell: (941) 650-8078</span></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">Fax: (941) 316-1300</span></p>
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