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<div style="direction: ltr;font-family: Tahoma;color: #000000;font-size: 10pt;"><font size="2"><span style="font-size:10pt;">Brian,<br>
<br>
Not sure if my reply yesterday was posted. So, I expanded on it and am sending it again.
<br>
<br>
Also, I will try to share a spreadsheet with information on all the disposal products I located.
<br>
You and others are welcome to edit or add to it. <br>
<br>
</span></font><font size="2"><span style="font-size:10pt;"><font color="000000"><span style="font-family: "Trebuchet MS","sans-serif";"><font face="Tahoma">Charlotte</font></span><span style="font-family: "Trebuchet MS","sans-serif";"> and
</span></font>Stephen are correct, the DEA has bailed on their highly successful take back initiative.
<br>
<br>
The product you mention, and similar products, claim to meet the DEA's non-retrievable standard. Most use some form of activated carbon and water as their primary method.
</span></font><font size="2"><span style="font-size:10pt;">Bentonite clay is also used. Some use a gelling agent to solidify the dissolved/adsorbed/absorbed medications.
<br>
<br>
I have spoken with Disposaltechnologies and other manufactures (</span></font><font size="2"><span style="font-size:10pt;">DrugBusters,
</span></font><font size="2"><span style="font-size:10pt;">CACTUS Smart Sink.) The evidence two provided (DrugBusters didn't send info), to show they meet the
</span></font><font size="2"><span style="font-size:10pt;"><font size="2"><span style="font-size:10pt;">non-retrievable standard,
</span></font>has not (yet) been peer reviewed. They told me that the DEA sent agents to their factory and arranged to test their product, concluding that they were effective.
</span></font><font size="2"><span style="font-size:10pt;"><font size="2"><span style="font-size:10pt;">They</span></font> expressed frustration that the DEA has not provided them with a written statement to this effect.
<br>
<br>
My guess is that the DEA is concerned that if they certify a product, it will appear to be an endorsement, something they are probably forbidden to do. I left a message with
</span></font><font size="2"><span style="font-size:10pt;"><font size="2"><span style="font-size:10pt;"><font size="2"><span style="font-size:10pt;">Disposaltechnologies</span></font></span></font> DEA contact, who I have spoken to before. Maybe I'll have
better luck in getting a response. Not holding my breath... <br>
</span></font><br>
<font size="2"><span style="font-size:10pt;"><span lang="en-US"><font color="black" face="Tahoma" size="2"><span style="font-size:10pt;" dir="ltr">Liquids have been a side discussion here. My program (nine boxes) accepts them and we have had no problems.
<br>
<br>
As another aside, pills in blister packs </span></font></span></span></font><font size="2"><span style="font-size:10pt;"><span lang="en-US"><font color="black" face="Tahoma" size="2"><span style="font-size:10pt;" dir="ltr"><font size="2"><span style="font-size:10pt;"><span lang="en-US"><font color="black" face="Tahoma" size="2"><span style="font-size:10pt;" dir="ltr">would
be a problem </span></font></span></span></font>for these types of products. </span>
</font></span></span></font><font size="2"><span style="font-size:10pt;"><span lang="en-US"><font color="black" face="Tahoma" size="2"><span style="font-size:10pt;" dir="ltr"><font size="2"><span style="font-size:10pt;"><span lang="en-US"><font color="black" face="Tahoma" size="2"><span style="font-size:10pt;" dir="ltr"><font size="2"><span style="font-size:10pt;"><span lang="en-US"><font color="black" face="Tahoma" size="2"><span style="font-size:10pt;" dir="ltr">Pills
would need to be removed</span></font></span></span></font></span></font></span></span></font> before adding them.<br>
<br>
</span></font></span>Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal<br>
Industrial Pretreatment Coordinator<br>
Ithaca Area Wastewater Treatment Facility<br>
525 3rd Street<br>
Ithaca, NY 14850<br>
(607) 273-8381<br>
fax: (607) 273-8433</span></font>
<div><br>
<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>
</span></font></div>
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<div style="direction: ltr;" id="divRpF240715"><font color="#000000" face="Tahoma" size="2"><b>From:</b> pharmwaste-bounces@lists.dep.state.fl.us [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of veora little [veoralittle@gmail.com]<br>
<b>Sent:</b> Thursday, April 09, 2015 4:09 PM<br>
<b>To:</b> Volkman, Jennifer (MPCA)<br>
<b>Cc:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Re: [Pharmwaste] RE: Destruction Product<br>
</font><br>
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<li>We collect medications in Collier County Florida with Operation Medicine Cabinet and the Collier County Sheriff's Office. We tighten the lids and tube containers and accept liquids. Our boxes are lined and easy to handle. They are taken to Covanta for
incineration. We have not had any issue with liquids (i.e. Codeine, milk of magnesia, some eye drop medications) etc. Veora Little<br>
</li></ol>
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<div><font color="#000099" face="Arial" lang="0"><i style="font-size:small"><b>If I am not home accepting the things I can not change, </b></i></font></div>
<div><font color="#000099" face="Arial" lang="0"><i style="font-size:small"><b>I am out changing the things I can not accept. </b></i></font></div>
<div><font color="#000099" face="Arial" lang="0"><i style="font-size:small"><b><a href="mailto:veoralittle@gmail.com" target="_blank">veoralittle@gmail.com</a></b></i></font></div>
<div><i style="color:rgb(0,0,153); font-family:Arial"><b>home 239-649-6042, cell 239-450-2883</b></i></div>
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<div class="gmail_quote">On Wed, Apr 8, 2015 at 7:10 PM, Volkman, Jennifer (MPCA)
<span dir="ltr"><<a href="mailto:jennifer.volkman@state.mn.us" target="_blank">jennifer.volkman@state.mn.us</a>></span> wrote:<br>
<blockquote class="gmail_quote" style="margin:0 0 0 .8ex; border-left:1px #ccc solid; padding-left:1ex">
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<div>
<p class="MsoNormal"><span style="color:#1f497d">These disposal systems are acceptable for households to use, probably in any jurisdiction.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Tangent…<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Brian noted that law enforcement doesn’t accept liquids in FL. In MN, the MPCA doesn’t prohibit putting liquids in collection bins, because the inner liners are supposed to be puncture proof and contain liquids.
I’m not sure why anyone prohibits liquids unless law enforcement is not concerned about codeine cough syrup and other liquid CS, like the liquid muscle relaxer prescribed to my mother. I have heard this stated a few places and I don’t understand the origin
of a liquids prohibition. Many of the free bins from NADDI are printed with a no liquids symbol or statement and I believe they specify that recipients may not collect liquids in order to receive the free bin. I suppose I could call them to find out why. Other
than the few NADDI boxes around here, some prohibit infectious waste including IV bags, but not ampules, aerosols, syringes, etc. I know I don’t want any of them to accept liquid chemo in any type of container/IV bag/ampule. OH! Maybe I answered my own question…still
working with our Board to make the prescribing clinic or hospital take that back.<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
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<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"">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a> [mailto:<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Smith, Charlotte<br>
<b>Sent:</b> Wednesday, April 08, 2015 12:48 PM<br>
<b>To:</b> Brian Usher; <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">
pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] RE: Destruction Product<u></u><u></u></span></p>
</div>
</div>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal"><span style="color:#1f497d">Hi Brian,<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">It is my understanding the Disposal system is based on activated charcoal to which the drug molecules can adhere, making it difficult to divert. The contents would then be disposed by the homeowner into the trash,
so it would still be landfilled but leaching would be greatly reduced. I do not know if long term leaching could occur. So it may make sense for the homebound to use such a system. It does concern me that the unit is also being marketed to institutions with
no consideration for RCRA hazardous waste regulations or landfill waste acceptance procedures from businesses. I do not know of any approvals issued by DEA for this type of technology.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">DEA will not be funding any additional take-back days. The State of Wisconsin, where I am located, will be funding biannual take-back days to assist law enforcement in the disposal of their collected materials.
Perhaps other states will step into the gap. <u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<div>
<p class="MsoNormal"><span style="color:#1f497d">Best regards,<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="font-family:"Trebuchet MS","sans-serif"; color:#00693c">Charlotte A. Smith, R. Ph., M.S.</span></b><span style="font-family:"Trebuchet MS","sans-serif"; color:#00693c"><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-family:"Trebuchet MS","sans-serif"; color:black">Senior Regulatory Advisor<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-family:"Trebuchet MS","sans-serif"; color:black">WMSS PharmEcology Services<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-family:"Trebuchet MS","sans-serif"; color:#0d0d0d"><a href="mailto:msmith@wm.com" target="_blank"><span style="color:#0d0d0d; text-decoration:none">csmith@pharmecology.com</span></a><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-family:"Trebuchet MS","sans-serif"; color:black"><a href="tel:713-725-6363" value="+17137256363" target="_blank">713-725-6363</a><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-family:"Trebuchet MS","sans-serif"; color:#0d0d0d"><u></u> <u></u></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt; font-family:"Trebuchet MS","sans-serif"; color:black"> </span></b><span style="font-size:12.0pt; font-family:"Trebuchet MS","sans-serif"; color:black">
</span><span style="font-family:"Trebuchet MS","sans-serif"; color:black"><u></u><u></u></span></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Trebuchet MS","sans-serif"; color:#4f6228"><u></u> <u></u></span></b></p>
</div>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
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<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"">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Brian Usher<br>
<b>Sent:</b> Wednesday, April 08, 2015 9:30 AM<br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] Destruction Product<u></u><u></u></span></p>
</div>
</div>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal">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><u></u><u></u></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. <u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"; color:#1f497d"><u></u> <u></u></span></b></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"; color:#1f497d">Brian Usher, CHMM<u></u><u></u></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">Operations Manager<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">Sarasota County Solid Waste<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">8750 Bee Ridge Road, Sarasota, FL 34241<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">Cell:
<a href="tel:%28941%29%20650-8078" value="+19416508078" target="_blank">(941) 650-8078</a><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Baskerville Old Face","serif"">Fax:
<a href="tel:%28941%29%20316-1300" value="+19413161300" target="_blank">(941) 316-1300</a><u></u><u></u></span></p>
<p class="MsoNormal"><u></u> <u></u></p>
<div class="MsoNormal" style="text-align:center" align="center"><span style="font-size:12.0pt; font-family:"Times New Roman","serif"">
<hr align="center" size="3" width="100%">
</span></div>
<p><strong><span style="font-family:"Arial","sans-serif"; color:green">Recycling is a good thing. Please recycle any printed emails.
<u></u><u></u></span></strong></p>
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