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<p class="MsoNormal"><span style="color:#1F497D">The wastes are pharmaceuticals from households. We actually can’t characterize them because the DEA prohibits going through these items.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Thank you for your information. I’ll do some more digging.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Jeanie Jaramillo-Stametz, PharmD</span><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Managing Director, Texas Panhandle Poison Center</span><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Asst. Professor, Texas Tech UHSC School of Pharmacy<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Director, Medication Cleanout</span><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">1300 S. Coulter St., Suite 105</span><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Amarillo, TX 79106</span><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">(voicemail): (806)414-9299<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">(poison center office): (806)414-9402; 9404</span><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">(mobile): (806)376-0039</span><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></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""> Catherine Zimmer [mailto:zenllc@usfamily.net]
<br>
<b>Sent:</b> Monday, July 11, 2016 11:13 AM<br>
<b>To:</b> Jaramillo, Jeanie; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] New DOT requirement for authorized collectors<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="color:#1F497D">Hi Jeanie and all,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">I just did a regulatory review for a client re: transport of waste pharmaceuticals. There may be some exemptions for your facility under Materials of Trade or even under consumer commodity, but without knowing
more about the waste, I can’t say. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Yes, employee training may or may not be free. There are training modules on the DOT’s PHMSA website.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="color:#1F497D">Very truly yours,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Catherine Zimmer, MS, BSMT<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:13.0pt;font-family:Pristina;color:#00B050">Reducing and managing healthcare related waste and costs for fifteen years.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Executive director, HEARRT Midwest<o:p></o:p></span></p>
<p class="MsoNormal"><u><span style="color:#00B050"><a href="http://www.hearrtmidwest.wildapricot.org">www.hearrtmidwest.wildapricot.org</a><o:p></o:p></span></u></p>
<p class="MsoNormal"><span style="color:#1F497D">Principal, Zimmer Environmental Improvement, LLC<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">St. Paul, MN <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Ph: 651.645.7509<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#00B050"><a href="mailto:zenllc@usfamily.net"><span style="color:#00B050">zenllc@usfamily.net</span></a><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></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 [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Jaramillo, Jeanie<br>
<b>Sent:</b> Monday, July 11, 2016 10:55 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] New DOT requirement for authorized collectors<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Hello All,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">We have a permanent medication disposal receptacle at the pharmacy located on our University campus. I assist with its management (and finding funding for it!) We were recently notified that we are now required to obtain a DOT permit in
order to ship these med-containing boxes. I’m attaching a letter from the DOT for your review and I’m hopeful that some of you are more knowledgeable on this and can help.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">While the DOT permit has no related fee, the underlying theme seems to be that the meds are considered “hazardous” and there is a statement that “<span style="font-size:11.5pt">Each "Hazmat employee", as defined in § 171.8, who performs
a function subject to this special permit must receive training on the requirements and conditions of this special permit in addition to the training required by §§ 172.700 through 172.704”. My guess is the training won’t be free.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt">From the DOT letter, it appears that this action has resulted from a request by Stericycle. Yet, household generated pharmaceutical waste is exempt from RCRA, so I’m at a loss. It also seems a conflict of
interest that a medical waste vendor has pushed for this. These are the same meds that mail order companies are shipping to patients nationwide.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt">This is yet another barrier to participation as “authorized collectors”.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt">Any thoughts? </span><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Jeanie Jaramillo-Stametz, PharmD
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Managing Director, Texas Panhandle Poison Center<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Asst. Professor, Texas Tech UHSC School of Pharmacy<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Director, Medication Cleanout<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">1300 S. Coulter St., Suite 105<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">Amarillo, TX 79106<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">(voicemail): (806)414-9299<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">(poison center office): (806)414-9402; 9404<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">(mobile): (806)376-0039<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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