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<p class="MsoNormal"><span style="font-size:11.0pt;line-height:110%;color:#1F497D;mso-fareast-language:EN-US">Dear Pharma Listserv:<br>
<br>
No matter where you are in the country, this report will provide background and options on how to safely collect home generated medications.
</span><span style="font-size:11.0pt;line-height:110%;color:#1F497D">Below is the Fact Sheet for the Pharmaceutical Report and the full report can accessed from the Pharmaceutical page of the CPSC website at the following link:
<a href="http://calpsc.org/mobius/cpsc-content/uploads/2016/01/CPSC-Report-Managing-Home-Generated-Medications-in-SJ-County-Web.pdf">
http://calpsc.org/mobius/cpsc-content/uploads/2016/01/CPSC-Report-Managing-Home-Generated-Medications-in-SJ-County-Web.pdf</a>. We hope you find it useful and we thank The City of Stockton and San Joaquin County California for funding us to develop this report.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;line-height:110%;color:#1F497D">Heidi<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:normal">
<span style="font-family:"Arial",sans-serif;color:#1F497D;mso-fareast-language:EN-US">********************************************************************</span><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:normal">
<b><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US">Heidi Sanborn, Executive Director
<br>
</span></b><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US">(916) 706-3420 office (916) 402-3911 cell
</span><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US"><a href="mailto:Heidi@CalPSC.org"><span style="color:#0F26CF">Heidi@CalPSC.org</span></a></span><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US"> <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:12.0pt;line-height:normal"><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:black;mso-fareast-language:EN-US"><img border="0" width="250" height="86" id="_x0000_i1032" src="cid:image010.jpg@01D16EFE.0DED2950" alt="cpsc_logo_350_pix">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:12.0pt;line-height:normal"><a href="http://www.calpsc.org/"><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:black;mso-fareast-language:EN-US;text-decoration:none"><img border="0" width="18" height="18" id="Picture_x0020_3" src="cid:image005.jpg@01D16EFE.0DE07F20" alt="cid:image001.png@01CC57C5.8223CD60"></span></a><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US"><a href="http://www.calpsc.org/"><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:blue">Web</span></a></span><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:black;mso-fareast-language:EN-US">
</span><a href="http://www.youtube.com/calpsc"><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:black;mso-fareast-language:EN-US;text-decoration:none"><img border="0" width="18" height="18" id="Picture_x0020_4" src="cid:image006.jpg@01D16EFE.0DE07F20" alt="cid:image002.png@01CC57C5.8223CD60"></span></a><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:black;mso-fareast-language:EN-US"> </span><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US"><a href="http://www.youtube.com/calpsc"><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:blue">YouTube</span></a></span><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:black;mso-fareast-language:EN-US">
</span><a href="http://www.facebook.com/pages/California-Product-Stewardship-Council/260410326394"><span style="color:gray;mso-fareast-language:EN-US;text-decoration:none"><img border="0" width="17" height="17" id="Picture_x0020_5" src="cid:image007.jpg@01D16EFE.0DE07F20" alt="cid:image011.png@01CC47A7.7F3D5C20"></span></a><span style="color:gray;mso-fareast-language:EN-US">
</span><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US"><a href="http://www.facebook.com/pages/California-Product-Stewardship-Council/260410326394"><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:blue">Facebook</span></a></span><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:black;mso-fareast-language:EN-US">
</span><a href="http://twitter.com/CalPSC"><span style="color:#404040;mso-fareast-language:EN-US;text-decoration:none"><img border="0" width="17" height="17" id="Picture_x0020_6" src="cid:image008.jpg@01D16EFE.0DE07F20" alt="cid:image012.png@01CC47A7.7F3D5C20"></span></a><span style="color:#404040;mso-fareast-language:EN-US"> </span><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US"><a href="http://twitter.com/CalPSC"><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:blue">Twitter</span></a></span><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:black;mso-fareast-language:EN-US">
</span><a href="http://linkedin.com/companies/275758/california+product+stewardship+council"><span style="color:#404040;mso-fareast-language:EN-US;text-decoration:none"><img border="0" width="17" height="17" id="Picture_x0020_7" src="cid:image009.jpg@01D16EFE.0DE07F20" alt="cid:image013.png@01CC47A7.7F3D5C20"></span></a><span style="color:#404040;mso-fareast-language:EN-US"> </span><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US"><a href="http://linkedin.com/companies/275758/california+product+stewardship+council"><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:blue">Linked
In</span></a></span><span style="font-size:8.0pt;font-family:"Verdana",sans-serif;color:black;mso-fareast-language:EN-US"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:12.0pt;line-height:normal"><span style="font-family:"Arial",sans-serif;color:#1F497D;mso-fareast-language:EN-US">*********************************************************************</span><span style="font-size:11.0pt;color:#1F497D;mso-fareast-language:EN-US"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:18.0pt;line-height:110%;font-family:"Times New Roman",serif">Fact Sheet for the Report on Options for Managing Home Generated Medications in San Joaquin County<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><i><span style="font-size:13.0pt;line-height:110%;font-family:"Times New Roman",serif">Prepared by the California Product Stewardship Council
<o:p></o:p></span></i></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-family:"Times New Roman",serif;color:#7F7F7F;mso-fareast-language:EN-US"> <img border="0" width="242" height="312" id="_x0000_i1025" src="cid:image004.png@01D16EFB.CDABCC90"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><i><span style="font-size:13.0pt;line-height:110%;font-family:"Times New Roman",serif">Funded by the City of Stockton and San Joaquin County<o:p></o:p></span></i></p>
<div style="border:none;border-bottom:solid #5B9BD5 1.0pt;padding:0in 0in 1.0pt 0in">
<h1 align="center" style="text-align:center"><span style="mso-fareast-language:EN-US"><img border="0" width="352" height="108" id="Picture_x0020_1" src="cid:image003.png@01D16EFB.6B8CA0C0"></span><span style="font-family:"Times New Roman",serif"><o:p></o:p></span></h1>
<h1><span style="font-family:"Times New Roman",serif">What People Are Saying About It!<o:p></o:p></span></h1>
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<p class="MsoListParagraphCxSpFirst"><span class="MsoSubtleEmphasis"><span style="font-size:5.0pt;line-height:110%;color:black"><o:p> </o:p></span></span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-indent:-.25in;mso-list:l2 level1 lfo2">
<![if !supportLists]><span class="MsoSubtleEmphasis"><span style="font-size:12.0pt;line-height:110%;font-family:Wingdings;color:black;font-style:normal"><span style="mso-list:Ignore">Ø<span style="font:7.0pt "Times New Roman"">
</span></span></span></span><![endif]><span class="MsoSubtleEmphasis"><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif;color:black"> “A great guide to managing the safe disposal of leftover medicines!”
<o:p></o:p></span></span></p>
<p class="MsoListParagraphCxSpMiddle"><span class="MsoSubtleEmphasis"><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif;color:black">– Tim Goncharoff, County of Santa Cruz<o:p></o:p></span></span></p>
<p class="MsoListParagraphCxSpMiddle"><span class="MsoSubtleEmphasis"><span style="font-size:5.0pt;line-height:110%;font-family:"Times New Roman",serif;color:black"><o:p> </o:p></span></span></p>
<p class="MsoListParagraphCxSpLast" style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;mso-list:l2 level1 lfo2">
<![if !supportLists]><span class="MsoSubtleEmphasis"><span style="font-size:12.0pt;line-height:110%;font-family:Wingdings;color:black;font-style:normal"><span style="mso-list:Ignore">Ø<span style="font:7.0pt "Times New Roman"">
</span></span></span></span><![endif]><span class="MsoSubtleEmphasis"><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif;color:black">“Even though it was written for the City of Stockton and San Joaquin County, this report is
a useful resource for any local government grappling with how to provide safe disposal options for unwanted home generated medications.”
<o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-indent:35.4pt">
<span class="MsoSubtleEmphasis"><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif;color:black">– Lisa Steinman, Sonoma County Waste Management Agency<o:p></o:p></span></span></p>
<p class="MsoListParagraphCxSpFirst"><span class="MsoSubtleEmphasis"><span style="font-size:5.0pt;line-height:110%;font-family:"Times New Roman",serif;color:black"><o:p> </o:p></span></span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-indent:-.25in;mso-list:l2 level1 lfo2">
<![if !supportLists]><span class="MsoSubtleEmphasis"><span style="font-size:12.0pt;line-height:110%;font-family:Wingdings;color:black;font-style:normal"><span style="mso-list:Ignore">Ø<span style="font:7.0pt "Times New Roman"">
</span></span></span></span><![endif]><span class="MsoSubtleEmphasis"><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif;color:black"> “This document provides a clear path for an economically sustainable management option for
unwanted pharmaceuticals for the City of Stockton and San Joaquin County, one that that does not put the burden of disposal costs on their communities.”
<o:p></o:p></span></span></p>
<p class="MsoListParagraphCxSpLast"><span class="MsoSubtleEmphasis"><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif;color:black">– Manuel Medrano, City of Chula Vista</span></span><o:p></o:p></p>
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<h1><span style="font-family:"Times New Roman",serif">Purpose<o:p></o:p></span></h1>
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<p class="MsoListParagraphCxSpFirst" style="text-indent:-.25in;mso-list:l0 level1 lfo4">
<![if !supportLists]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif"><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">Provide a comprehensive review of the current status of medication management in the region and beyond, and offer recommended strategies for managing
home-generated medication.<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-indent:-.25in;mso-list:l0 level1 lfo4">
<![if !supportLists]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif"><span style="mso-list:Ignore">2.<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">Outline the concerns about home-generated medications which can result in drug abuse and poisonings as well as be a source of water pollution,
the safest way to manage medications, how other jurisdictions are managing medications, San Joaquin County’s current management of medication and options for managing medications in the County.
<o:p></o:p></span></p>
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<![if !supportLists]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif"><span style="mso-list:Ignore">3.<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">Provide in-depth resource for all local governments and policy makers.<o:p></o:p></span></p>
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<h1><span style="font-family:"Times New Roman",serif">Key Content<o:p></o:p></span></h1>
</div>
<p class="MsoListParagraphCxSpFirst" style="text-indent:-.25in;mso-list:l3 level1 lfo6">
<![if !supportLists]><span style="font-size:12.0pt;line-height:110%;font-family:Wingdings"><span style="mso-list:Ignore">Ø<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">Background information regarding current disposal options and environmental health, water quality and public health concerns. Consolidation of
information from diverse sources including reports, case studies, and presentations from: Centers for Disease Control and Prevention (CDC), United States Environmental Protection Agency (EPA), United States Geological Survey (USGS), U.S. Centers for Medicare
& Medicaid Services (CMS), Research in Social and Administrative Pharmacy (RSAP), IMS Institute for Healthcare Informatics and the Teleosis Institute.
<o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">Cost categories of managing a medicine collection programs.<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-indent:-.25in;mso-list:l3 level1 lfo6">
<![if !supportLists]><span style="font-size:12.0pt;line-height:110%;font-family:Wingdings"><span style="mso-list:Ignore">Ø<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">Examples of how medications are managed through a range of voluntary programs and mandatory programs established by Retail Take-Back and Extended
Producer Responsibility ordinances including seven passed in California since 2008.<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpLast" style="text-indent:-.25in;mso-list:l3 level1 lfo6">
<![if !supportLists]><span style="font-size:12.0pt;line-height:110%;font-family:Wingdings"><span style="mso-list:Ignore">Ø<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">Description of how medications are managed in San Joaquin County, program options and recommendations for County of San Joaquin policy makers
and others to consider.<o:p></o:p></span></p>
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<h1><span style="font-family:"Times New Roman",serif">For More Information<o:p></o:p></span></h1>
</div>
<p class="MsoListParagraphCxSpFirst" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;mso-list:l1 level1 lfo8">
<![if !supportLists]><span style="font-size:12.0pt;line-height:110%;font-family:Wingdings"><span style="mso-list:Ignore">Ø<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">Download the full report at
</span><a href="http://calpsc.org/mobius/cpsc-content/uploads/2016/01/CPSC-Report-Managing-Home-Generated-Medications-in-SJ-County-Web.pdf"><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">http://calpsc.org/mobius/cpsc-content/uploads/2016/01/CPSC-Report-Managing-Home-Generated-Medications-in-SJ-County-Web.pdf</span></a><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">
<o:p></o:p></span></p>
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<![if !supportLists]><span style="font-size:12.0pt;line-height:110%;font-family:Wingdings"><span style="mso-list:Ignore">Ø<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">Contact
</span><a href="mailto:jordan@CalPSC.org"><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif">jordan@CalPSC.org</span></a><span style="font-size:12.0pt;line-height:110%;font-family:"Times New Roman",serif"> or (916) 706-3420<o:p></o:p></span></p>
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