<div dir="ltr">I'm dealing with this issue right now in Colorado as we are about to launch our statewide medication take-back program.<div><br></div><div>Our approved collectors - law enforcement, pharmacies, and hospitals/clinics - will be shipping inner liners to our reverse distributor via UPS. We were told by DOT that this method of operation will require each collector to obtain the special permit. I'm still waiting for clarification from DOT on items in Section 10 of the permit, specifically whether or not the security plan, registration, and hazmat training are required. Our RD was told by DOT that the permit could take from 14 to 30 days to obtain from the date of application.</div><div><br></div><div>If a reverse distributor is physically picking up inner liners at collection sites, the reverse distributor needs the special permit, not the collectors. This is the Stericycle scenario. </div><div><br></div><div>The DOT contact is Andrew Eckenrode.</div><div><a href="mailto:andrew.eckenrode@dot.gov">andrew.eckenrode@dot.gov</a></div><div><br></div><div> <br><div class="gmail_extra"><br><div class="gmail_quote">On Mon, Jul 11, 2016 at 9:54 AM, <span dir="ltr"><<a href="mailto:pharmwaste-request@lists.dep.state.fl.us" target="_blank">pharmwaste-request@lists.dep.state.fl.us</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">Send Pharmwaste mailing list submissions to<br>
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<br>Today's Topics:<br>
<br>
1. Opioid Marketing Legal Decisions (Ed Gottlieb)<br>
2. New DOT requirement for authorized collectors (Jaramillo, Jeanie)<br>
<br><br>---------- Forwarded message ----------<br>From: Ed Gottlieb <<a href="mailto:EGottlieb@cityofithaca.org">EGottlieb@cityofithaca.org</a>><br>To: "<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>" <<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>><br>Cc: <br>Date: Mon, 11 Jul 2016 14:12:54 +0000<br>Subject: [Pharmwaste] Opioid Marketing Legal Decisions<br>
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<div style="direction:ltr;font-family:Tahoma;color:#000000;font-size:10pt"><font size="3">News items not directly linked to pharm waste that may be of interest:<br>
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<a href="https://www.statnews.com/pharmalot/2016/07/06/pfizer-opioids-chicago-painkiller/" target="_blank">https://www.statnews.com/pharmalot/2016/07/06/pfizer-opioids-chicago-painkiller/</a><br>
To avoid a lawsuit, d<span style="background-color:white"><font color="black"><span style="font-size:16px">rug manufacturer Pfizer has agreed to start disclosing, in promotional materials for its opioid painkiller Embeda, that narcotic drugs come with a serious
risk of addiction even when used according to directions. Will others follow suit?<br>
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<a href="https://www.statnews.com/2016/05/11/oxycontin-records-sought-stat-ordered-unsealed-kentucky-judge/" target="_blank">https://www.statnews.com/2016/05/11/oxycontin-records-sought-stat-ordered-unsealed-kentucky-judge/</a><br>
In May, a Kentucky judge ruled in a lawsuit, brought by STAT, that secret documents tied to the marketing of OxyContin must be released. The drug maker is appealing that decision which has postponed the release.
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<div style="font-family:Tahoma;font-size:13px"><font><span lang="en-US"><font size="3"></font>
<div><font size="3">Ed Gottlieb</font><br>
<font size="3">Chair, Coalition for Safe Medication Disposal</font><br>
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<div><font size="3">Industrial Pretreatment Coordinator</font></div>
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<div><font size="3">Ithaca Area Wastewater Treatment Facility</font><br>
<font size="3">525 3</font><font face="Times New Roman"><sup>rd</sup></font><font size="3"> Street</font></div>
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<div><font size="3">Ithaca, NY 14850</font></div>
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<div><font size="3"><a href="tel:%28607%29%20273-8381" value="+16072738381" target="_blank">(607) 273-8381</a></font></div>
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<div><font size="3">fax: <a href="tel:%28607%29%20273-8433" value="+16072738433" target="_blank">(607) 273-8433</a></font></div>
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<br><br>---------- Forwarded message ----------<br>From: "Jaramillo, Jeanie" <<a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a>><br>To: "<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>" <<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>><br>Cc: <br>Date: Mon, 11 Jul 2016 15:54:26 +0000<br>Subject: [Pharmwaste] New DOT requirement for authorized collectors<br>
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<p class="MsoNormal">Hello All,<u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></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.
<u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></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.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt"><u></u> <u></u></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.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt">This is yet another barrier to participation as “authorized collectors”.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt">Any thoughts? </span><u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<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">
<u></u><u></u></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"><u></u><u></u></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<u></u><u></u></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"><u></u><u></u></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"><u></u><u></u></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"><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">(voicemail): <a href="tel:%28806%29414-9299" value="+18064149299" target="_blank">(806)414-9299</a><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">(poison center office): <a href="tel:%28806%29414-9402" value="+18064149402" target="_blank">(806)414-9402</a>; 9404</span><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black"><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black">(mobile): <a href="tel:%28806%29376-0039" value="+18063760039" target="_blank">(806)376-0039</a></span><span style="font-size:10.0pt;font-family:"Lucida Calligraphy";color:black"><u></u><u></u></span></p>
<p class="MsoNormal"><u></u> <u></u></p>
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SEND MAIL to the list server at: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br></blockquote></div><br><br clear="all"><div><br></div>-- <br><div class="gmail_signature" data-smartmail="gmail_signature"><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><font color="#1e487c" face="Calibri" size="4"><span style="white-space:pre-wrap"><b>Greg Fabisiak</b></span></font><div><font face="Calibri" size="3"><span style="white-space:pre-wrap"><b>Environmental Integration Coordinator</b></span></font></div><div><img src="https://6bc585c3ac975c15d2250e882c44ab669f6363cd.googledrive.com/host/0B8gdupL6hOgVNDVKVVJBcXhoaWs/images/co_cdphe_div_env_72_rgb_email.png" width="200" height="60"><font face="Calibri" size="3"><span style="white-space:pre-wrap"><b><br></b></span></font></div><div><font face="Calibri" size="3"><span style="white-space:pre-wrap">Colorado Department of Public Health and Environment</span></font></div><div><font face="Calibri" size="3"><span style="white-space:pre-wrap">4300 Cherry Creek Drive South, DEHS-A2</span></font></div><div><font face="Calibri" size="3"><span style="white-space:pre-wrap">Denver, CO 80246-1530</span></font></div><div><font face="Calibri"><span style="white-space:pre-wrap"><font size="3">office: 303.692.2903 | fax: 303.753.6809</font></span></font></div><div><font face="Calibri" size="3"><span style="white-space:pre-wrap">e-mail:<font color="#1e487c"> </font><a href="mailto:greg.fabisiak@state.co.us" style="color:rgb(30,72,124)" target="_blank">greg.fabisiak@state.co.us</a></span></font></div></div></div></div></div></div></div>
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