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<div style="direction: ltr;font-family: Tahoma;color: #000000;font-size: 10pt;"><font size="2">The Sheriff wrote to clarify:</font>
<blockquote><font color="black" size="2"><span style="font-size:10pt;" dir="ltr"><span style="font-size:16px;">
<div><span style="font-size:12px;">We were provided information about the DEA and what they would accept as part of the National Prescription Drug Take Back Initiative and what they will [not] accept.</span></div>
</span></span></font></blockquote>
<blockquote><font color="black" size="2"><span style="font-size:10pt;" dir="ltr"><span style="font-size:16px;">
<div><span style="font-size:12px;">Some of the information in the release that was put out involves operational changes I wanted made due to the significant increase in the amount of time my Office was spending going through everything that was being dropped
off.</span></div>
<div><span style="font-size:12px;"> </span></div>
<div><span style="font-size:12px;">I surveyed many other Ohio Sheriffs' and what they were doing in regard to accepting meds. I then used all the information I received from all agencies and determined the best way for my Office to proceed.</span></div>
</span></span></font></blockquote>
<div><font size="2">It seems his operational changes were mistakenly reported as changes to the DEA rule.
</font><font size="2"><font size="2">I thanked the Sheriff for clarifying. <br>
<br>
</font>Sent him documentation showing that the DEA does not require, "going<font color="black"><span style="font-size:10pt;" dir="ltr"><span style="font-size:16px;"><span style="font-size:12px;"> through everything that was being dropped off." Without that
burden, maybe the new restrictions will not be necessary. <br>
<br>
It is possible he does the inventory to meet State Accreditation rules. That was the case in NY until we lobbied to have the rule clarified to exempt take back from the inventory requirement.</span></span></span></font><br>
</font><br>
It is also possible that Scott is correct and the changes,<font size="2"> "</font><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"><font face="Tahoma" size="2">reflect limitations of their service provider to ship certain items,
or concerns about costs due to the weight of liquids". <br>
<br>
<font color="000000">Yesterdays excellent PSI webinar, </font></font></span><font face="Tahoma" size="2">"New Department of Transportation Special Permit for Collected Pharmaceuticals"* made it clear how easy the DOT has made shipping unwanted pharmaceuticals,
with minimal "limitations", using common carrier. Some states may still have more stringent requirements.</font><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span>
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<p class="MsoNormal"><font face="Tahoma" size="2">* PSI has made this webinar available at:
</font><font face="Tahoma,Arial,sans-serif,Helvetica,Geneva" size="2">http://www.productstewardship.us/page/20160727_NDOTSPFCP</font><font face="Tahoma,Arial,sans-serif,Helvetica,Geneva" size="2"><br>
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<p class="MsoNormal"><u><font size="2"><a href="http://www.productstewardship.us/event/DOTspecialpermit" target="_blank"><span style="color:windowtext;mso-bidi-font-weight:bold;
text-decoration:none;text-underline:none"></span></a></font></u><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"><font face="Tahoma" size="2"><font color="000000"><span style="background-color:black;"><font color="black" face="Calibri,Helvetica,Arial,sans-serif" size="6"><span style="font-size:26pt;"><font color="#EF4644" size="6"><span style="font-size:28pt;"><font color="#DA0E0E"><b><a href="http://r20.rs6.net/tn.jsp?f=001UkuckyoAtcS353qx2el2rtyKRIgcufsRjCNSRdu3w4AvQipkHiSbEvFBNCpZ-RjLyyQDl7KQc6oihHe66ct4aAhVfGHGOn2ofC7-c2WdQrodnBv-nRe-cvXK0Ui5jkFAViXhwFKAeV8_Kciv8Lhx5ZqQEMkhvyC_UkRzlaq8tNOvfNGcFSivdKGcYZ1uagTN--c6jQXx8b4GTW1h-Aim1w==&c=v7jg1-B8Z78xUJZ1WH4l-Q54N2ge2htnLRUnIvnBxJ-VVMa8gpzM2Q==&ch=lYQNEAWXhlUxuuH02BRW3njqw-SqEXPR9FF1Qrph4-cUUOJIXAc6Tg==" target="_blank"></a></b></font></span></font></span></font></span></font></font></span><font face="Tahoma" size="2">Ed
Gottlieb</font><br>
</p>
<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>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>
</div>
</div>
<div style="font-family: Times New Roman; color: #000000; font-size: 16px">
<hr tabindex="-1">
<div style="direction: ltr;" id="divRpF152272"><font color="#000000" face="Tahoma" size="2"><b>From:</b> Seery, Scott, Env. Health [scott.seery@acgov.org]<br>
<b>Sent:</b> Thursday, July 28, 2016 2:39 PM<br>
<b>To:</b> 'DeBiasi, Deborah (DEQ)'; Ed Gottlieb; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: DEA limits drugs?<br>
</font><br>
</div>
<div></div>
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Might it reflect limitations of their service provider to ship certain items, or concerns about costs due to the weight of liquids?</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </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""> Pharmwaste [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>DeBiasi, Deborah (DEQ)<br>
<b>Sent:</b> Thursday, July 28, 2016 10:48 AM<br>
<b>To:</b> Ed Gottlieb; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Re: [Pharmwaste] DEA limits drugs?</span></p>
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<p class="MsoNormal"> </p>
<p class="MsoNormal"><span style="color:#0000CC"> My contacts at the DEA said that there have been no changes mandated by the DEA. The sheriff mentioned in the article collects medications with a static drug collection box and may have storage space
constraints. It’s unfortunate that his recommendations were attributed to the DEA.</span></p>
<p class="MsoNormal"><span style="color:#0000CC"> </span></p>
<div>
<p class="MsoNormal"><span style="font-size:9.0pt; color:#000099">Deborah DeBiasi</span></p>
<p class="MsoNormal"><span style="font-size:9.0pt; color:#000099">804-698-4028</span></p>
<p class="MsoNormal"><span style="font-size:9.0pt; color:#000099"><a href="mailto:Deborah.DeBiasi@deq.virginia.gov" target="_blank">Deborah.DeBiasi@deq.virginia.gov</a></span><span style="font-size:11.0pt; color:#0000CC"></span></p>
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<p class="MsoNormal"><span style="color:#0000CC"> </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" target="_blank">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Ed Gottlieb<br>
<b>Sent:</b> Wednesday, July 27, 2016 3:36 PM<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] DEA limits drugs?</span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">The story linked here:<br>
<a href="http://www.thevwindependent.com/news/2016/07/dea-limits-drugs-that-can-be-turned-in/" target="_blank">http://www.thevwindependent.com/news/2016/07/dea-limits-drugs-that-can-be-turned-in/</a><br>
says the Van Wert Co. (OH) Sheriff, "announced new limitations to the U.S. Drug Enforcement Agency’s (DEA) Prescription Drug Turn-In program."
<br>
<br>
"The sheriff’s office will no longer be able to accept liquid medications, new or used needles or syringes, or other non-pill forms of medication, although Sheriff Riggenbach said his office would continue to accept medications in pill form." Has anyone else
heard of any changes (no liquid medications, or other non-pill forms of medication) to the DEA rule or is someone there misinterpreting it? The DEA rule didn't permit sharps in the first place so that change couldn't have come from them.
<br>
<br>
The Sheriff is also asking that pills be removed from bottles and blister packs. That request might be the result of limited storage space. Sadly, any additional limits, mandatory or requested, will likely discourage participation. I know from experience
that removing a large number of pills from blister packs can be quite onerous. <br>
<br>
I've left the Sheriff a message thanking him for doing take back and asking where he got this new information. I haven't heard back.</span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"> </span></p>
<div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal</span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">Industrial Pretreatment Coordinator</span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">Ithaca Area Wastewater Treatment Facility<br>
525 3</span><sup><span style="color:black">rd</span></sup><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black"> Street</span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">Ithaca, NY 14850</span></p>
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<div>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">(607) 273-8381</span></p>
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<div>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:black">fax: (607) 273-8433</span></p>
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