<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"><head><META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=us-ascii"><meta name=Generator content="Microsoft Word 14 (filtered medium)"><!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
{font-family:"Edwardian Script ITC";
panose-1:3 3 3 2 4 7 7 13 8 4;}
@font-face
{font-family:"Trebuchet MS";
panose-1:2 11 6 3 2 2 2 2 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:purple;
text-decoration:underline;}
p
{mso-style-priority:99;
margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
p.MsoAcetate, li.MsoAcetate, div.MsoAcetate
{mso-style-priority:99;
mso-style-link:"Balloon Text Char";
margin:0in;
margin-bottom:.0001pt;
font-size:8.0pt;
font-family:"Tahoma","sans-serif";}
p.msonormal0, li.msonormal0, div.msonormal0
{mso-style-name:msonormal0;
margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
p.msochpdefault, li.msochpdefault, div.msochpdefault
{mso-style-name:msochpdefault;
margin:0in;
margin-bottom:.0001pt;
font-size:10.0pt;
font-family:"Times New Roman","serif";}
span.emailstyle19
{mso-style-name:emailstyle19;
font-family:"Calibri","sans-serif";
color:windowtext;}
span.EmailStyle22
{mso-style-type:personal-reply;
font-family:"Calibri","sans-serif";
color:#1F497D;}
span.BalloonTextChar
{mso-style-name:"Balloon Text Char";
mso-style-priority:99;
mso-style-link:"Balloon Text";
font-family:"Tahoma","sans-serif";}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Charlotte, <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>You are correct in your assessment for consumer receptacle waste. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Jennifer, <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>The Reverse Distributor is to take all collected consumer receptacle waste(liners) to an approved SW incinerator with dual party to prevent diversion. My operation does this every 30 days from first date of receipt of a receptacle liner as these are treated as Schedule II’s due to not being allowed per the regulation to inventory the substances inside the liner.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#4F81BD'>Best Regards,</span></b><b><span style='font-size:14.0pt;font-family:"Arial","sans-serif";color:#4F81BD'><o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:26.0pt;font-family:"Edwardian Script ITC";color:#1F497D'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:26.0pt;font-family:"Edwardian Script ITC";color:#1F497D'>Doug Bowman</span></b><b><span style='font-size:9.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></b></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><img width=158 height=67 id="Picture_x0020_1" src="cid:image001.png@01D24C9A.893BADF0" alt="cid:image001.png@01D04167.051E8EB0"><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>V.P. Operations<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>704-884-0008 Office<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>704-616-9528 Cell<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>704-865-7519 Fax<o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><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>Volkman, Jennifer (MPCA)<br><b>Sent:</b> Friday, December 02, 2016 12:12 PM<br><b>To:</b> pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> Re: [Pharmwaste] New mail back model in Milwaukee?<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>The reverse distributor can't take them to a SW incinerator for witnessed incineration?<o:p></o:p></span></p><div><div class=MsoNormal align=center style='text-align:center'><span style='color:black'><hr size=2 width="100%" align=center></span></div><div id=divRpF751944><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'> Smith, Charlotte [csmith32@wm.com]<br><b>Sent:</b> Friday, December 02, 2016 11:02 AM<br><b>To:</b> Volkman, Jennifer (MPCA); <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: New mail back model in Milwaukee?</span><span style='color:black'><o:p></o:p></span></p></div><div><div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>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. </span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'> </span><span style='color:black'><o:p></o:p></span></p><div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>Best regards,</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'> </span><span style='color:black'><o:p></o:p></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='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Trebuchet MS","sans-serif";color:black'>Senior Regulatory Advisor</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Trebuchet MS","sans-serif";color:black'>WMSS PharmEcology Services</span><span style='color:black'><o:p></o:p></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><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Trebuchet MS","sans-serif";color:black'>713-725-6363</span><span style='color:black'><o:p></o:p></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='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Trebuchet MS","sans-serif";color:#339933'> </span><span style='color:black'><o:p></o:p></span></p><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'> </span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Trebuchet MS","sans-serif";color:#525252'> </span></b><span style='color:black'><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'> </span><span style='color:black'><o:p></o:p></span></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>From:</span></b><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'> 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>Volkman, Jennifer (MPCA)<br><b>Sent:</b> Friday, December 2, 2016 10:54 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> Re: [Pharmwaste] New mail back model in Milwaukee?</span><span style='color:black'><o:p></o:p></span></p></div></div><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><div><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'> </span><span style='color:black'><o:p></o:p></span></p><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> </span><span style='color:black'><o:p></o:p></span></p></div><div><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='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> </span><span style='color:black'><o:p></o:p></span></p></div><div><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='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> </span><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:black'>All good!</span><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> </span><span style='color:black'><o:p></o:p></span></p><div><div class=MsoNormal align=center style='text-align:center'><span style='color:black'><hr size=2 width="100%" align=center></span></div><div id=divRpF322102><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'><o:p></o:p></span></p></div><div><div><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><br>"Considered the first of it's kind." </span><span style='color:black'><o:p></o:p></span></p><div><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. <br>Mail goes to local police for storage until DEA or Wisconsin DoJ take them for incineration.</span><span style='color:black'><o:p></o:p></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><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Industrial Pretreatment Coordinator</span><span style='color:black'><o:p></o:p></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><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Ithaca, NY 14850</span><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>(607) 273-8381</span><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>fax: (607) 273-8433</span><span style='color:black'><o:p></o:p></span></p></div></div></div></div></div></div></div></div></div></div><div class=MsoNormal align=center style='text-align:center'><span style='color:black'><hr size=2 width="100%" align=center></span></div><p><strong><span style='font-family:"Arial","sans-serif";color:green'>Recycling is a good thing. Please recycle any printed emails. </span></strong><span style='color:black'><o:p></o:p></span></p></div></div></div></div></body></html>