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<div style="direction: ltr;font-family: Tahoma;color: #000000;font-size: 10pt;">The reverse distributor can't take them to a SW incinerator for witnessed incineration?<br>
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<div id="divRpF751944" style="direction: ltr;"><font face="Tahoma" size="2" color="#000000"><b>From:</b> Smith, Charlotte [csmith32@wm.com]<br>
<b>Sent:</b> Friday, December 02, 2016 11:02 AM<br>
<b>To:</b> Volkman, Jennifer (MPCA); pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: New mail back model in Milwaukee?<br>
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif">It’s my understanding the contents of the kiosks must go through a reverse distributor to be in compliance with the DEA regulations, so neither the pharmacy nor the vendor
can take the drugs directly to an incinerator. This keeps two DEA registrants in the process to avoid diversion.
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif">Best regards,</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif"> </span></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="font-size:11.0pt; font-family:"Trebuchet MS",sans-serif; color:#00693C">Charlotte A. Smith, R. Ph., M.S.</span></b><span style="font-size:11.0pt; font-family:"Trebuchet MS",sans-serif; color:#00693C"></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Trebuchet MS",sans-serif; color:black">Senior Regulatory Advisor</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Trebuchet MS",sans-serif; color:black">WMSS PharmEcology Services</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; 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></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Trebuchet MS",sans-serif; color:black">713-725-6363</span></p>
<p class="MsoNormal"><b><i><span style="font-size:11.0pt; font-family:"Trebuchet MS",sans-serif; color:#CC0000">Test drive our new state-specific Waste Wizard at Booth 2110 at the ASHP Clinical Midyear!</span></i></b><span style="font-size:11.0pt; font-family:"Trebuchet MS",sans-serif; color:#CC0000"></span></p>
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<p class="MsoNormal"><b><span style="font-family:"Trebuchet MS",sans-serif; color:black"> </span></b><span style="font-family:"Trebuchet MS",sans-serif; color:black">
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<p class="MsoNormal"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif"> Pharmwaste [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>Volkman, Jennifer (MPCA)<br>
<b>Sent:</b> Friday, December 2, 2016 10:54 AM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Re: [Pharmwaste] New mail back model in Milwaukee?</span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">I'm glad CVS is in the game! I thought YJOD was prevalent in WI, so I'm kind of surprised CVS went with what is likely a more expensive option. I guess if they
target prescription medications only, it might not be too expensive.</span><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">I suppose corporate makes decisions nationwide on what type of system they will use. Walgreens is installing bins here in MN and using their current reverse distributors
to manage pharm waste from their pharmacies. </span><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black"></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">In MN retail pharmacies could use the permitted WTE/SW incinerators within the state if they choose. So their contractors (Stericycle, Sharps or whoever) could
use local incineration options, which are likely cheaper per pound, but would be a change in those companies current reverse distribution model, which overall might not result in savings... Just thinking about how to keep costs down...there is also at least
one SW incinerator in WI that could take these without the out of state trip to a HW incinerator...</span><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black"></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">All good!</span><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black"></span></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><b><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">From:</span></b><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black"> Pharmwaste [pharmwaste-bounces@lists.dep.state.fl.us]
on behalf of Ed Gottlieb [EGottlieb@cityofithaca.org]<br>
<b>Sent:</b> Friday, December 02, 2016 9:02 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] New mail back model in Milwaukee?</span><span style="color:black"></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black"><a href="http://www.tmj4.com/news/local-news/drug-mail-in-initiative-eases-disposal-of-unused-meds" target="_blank">http://www.tmj4.com/news/local-news/drug-mail-in-initiative-eases-disposal-of-unused-meds</a><br>
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"Considered the first of it's kind." </span></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">10 CVS pharmacies distributing envelopes.
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Mail goes to local police for storage until DEA or Wisconsin DoJ take them for incineration.</span></p>
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<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>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">Industrial Pretreatment Coordinator</span></p>
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<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>
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<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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<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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<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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<p><strong><span style="font-size:12pt; color:green; font-family:Arial">Recycling is a good thing. Please recycle any printed emails.
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