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<p class="MsoNormal">Hi Bill,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I attended the meeting with the DEA, DOT, EPA in Arlington, VA back in July of 2015 and Mr. Prevoznik was present at this meeting along with Ruth Carter from the DEA. DOT was just getting involved at that time based on the consumer program
as they were wanting to know how the packages would be classified for shipment. I worked directly with Andrew Eckinrode from the DOT as I am guessing Jan did as well. Each authorized collector would be required to be party to 20255 if this was the only available
permit, however, because DOT approved the Special Permit after 20255 which is a Manufacture, Mark, Sale and Use permit for approved packaging, each authorized collector utilizing this approved packaging would not be required to become a party to this Special
Permit, just to keep this Special Permit on hand at their collector site.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></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""><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:26.0pt;font-family:"Edwardian Script ITC"">Doug Bowman</span></b><b><span style="font-size:9.0pt"><o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="color:#1F497D"><img width="158" height="67" style="width:1.6458in;height:.6979in" id="_x0000_i1026" src="cid:image001.png@01D31123.B41BBA80" alt="cid:image001.png@01D04167.051E8EB0"><o:p></o:p></span></p>
<p class="MsoNormal">V.P. Operations<o:p></o:p></p>
<p class="MsoNormal">704-884-0008 Office<o:p></o:p></p>
<p class="MsoNormal">704-616-9528 Cell<o:p></o:p></p>
<p class="MsoNormal">704-865-7519 Fax<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Yeman, William (DEC) [mailto:william.yeman@dec.ny.gov]
<br>
<b>Sent:</b> Wednesday, August 9, 2017 3:15 PM<br>
<b>To:</b> Doug Bowman <DBowman@assuredwaste.com>; Jan Harris <jharris@sharpsinc.com>; Volkman, Jennifer (MPCA) <jennifer.volkman@state.mn.us>; Jaramillo, Jeanie <Jeanie.Jaramillo@ttuhsc.edu>; pharmwaste@lists.dep.state.fl.us<br>
<b>Cc:</b> Snow, Thomas (DEC) <thomas.snow@dec.ny.gov>; Ottaway, William (DEC) <william.ottaway@dec.ny.gov><br>
<b>Subject:</b> RE: [Pharmwaste] New Stericycle and SharpsCompliance med disposal kiosks<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Hi Doug (Bowman) & Jan (Harris) –<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Where I’m coming from in my 10:57 email below is based mainly on the attached June 2016 email from DEA’s Tom Prevoznik (which was distributed in a pharmwaste listserv email last July). Mr Prevoznik says in that email:<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">“<span style="font-size:12.0pt">If…the retail pharmacy…is shipping via common carrier then the…retail pharmacy…would be the responsible shipper and they would be responsible for obtaining the special permit.</span>”<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">So when Jan described in her 12:28 email the situation where the collected pharmaceuticals were “…completely under the control of the registered collector (pharmacy), with common carrier …” I wanted to raise the red flag that such an arrangement
would definitely appear to require that the pharmacy become a party to 20255 (or to Doug’s 20295 or to Jan’s 20284).<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thanks a lot<o:p></o:p></p>
<p class="MsoNormal">Bill Yeman<o:p></o:p></p>
<p class="MsoNormal">NYSDEC<o:p></o:p></p>
<p class="MsoNormal">Albany NY<o:p></o:p></p>
<p class="MsoNormal"><a href="mailto:William.yeman@dec.ny.gov">William.yeman@dec.ny.gov</a><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Doug Bowman [<a href="mailto:DBowman@assuredwaste.com">mailto:DBowman@assuredwaste.com</a>]
<br>
<b>Sent:</b> Wednesday, August 09, 2017 12:38 PM<br>
<b>To:</b> Jan Harris <<a href="mailto:jharris@sharpsinc.com">jharris@sharpsinc.com</a>>; Yeman, William (DEC) <<a href="mailto:william.yeman@dec.ny.gov">william.yeman@dec.ny.gov</a>>; Volkman, Jennifer (MPCA) <<a href="mailto:jennifer.volkman@state.mn.us">jennifer.volkman@state.mn.us</a>>;
Jaramillo, Jeanie <<a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a>>;
<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] New Stericycle and SharpsCompliance med disposal kiosks<o:p></o:p></p>
</div>
</div>
<div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I concur with Jan on her statement below as Assured Waste Solutions also has its own unique DOT Special Permit (20295) as well as grantee status to 20255.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></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""><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:26.0pt;font-family:"Edwardian Script ITC"">Doug Bowman</span></b><b><span style="font-size:9.0pt"><o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="color:#1F497D"><img border="0" width="158" height="67" style="width:1.6458in;height:.6979in" id="Picture_x0020_1" src="cid:image001.png@01D31123.B41BBA80" alt="cid:image001.png@01D04167.051E8EB0"><o:p></o:p></span></p>
<p class="MsoNormal">V.P. Operations<o:p></o:p></p>
<p class="MsoNormal">704-884-0008 Office<o:p></o:p></p>
<p class="MsoNormal">704-616-9528 Cell<o:p></o:p></p>
<p class="MsoNormal">704-865-7519 Fax<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> 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>Jan Harris<br>
<b>Sent:</b> Wednesday, August 9, 2017 12:28 PM<br>
<b>To:</b> Yeman, William (DEC) <<a href="mailto:william.yeman@dec.ny.gov">william.yeman@dec.ny.gov</a>>; Volkman, Jennifer (MPCA) <<a href="mailto:jennifer.volkman@state.mn.us">jennifer.volkman@state.mn.us</a>>; Jaramillo, Jeanie <<a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a>>;
<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> Re: [Pharmwaste] New Stericycle and SharpsCompliance med disposal kiosks<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thanks William for the question, <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Sharps has its own unique Special Permit from DOT (SP 20284). This prevents our collector pharmacy customers from having to get their own SP20255. If a reverse distributor using common carrier does not have their own SP, you are right that
the pharmacy would have to apply as party to SP 20255. <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Yeman, William (DEC) [<a href="mailto:william.yeman@dec.ny.gov">mailto:william.yeman@dec.ny.gov</a>]
<br>
<b>Sent:</b> Wednesday, August 09, 2017 10:57 AM<br>
<b>To:</b> Jan Harris <<a href="mailto:jharris@sharpsinc.com">jharris@sharpsinc.com</a>>; Volkman, Jennifer (MPCA) <<a href="mailto:jennifer.volkman@state.mn.us">jennifer.volkman@state.mn.us</a>>; Jaramillo, Jeanie <<a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a>>;
<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> New Stericycle and SharpsCompliance med disposal kiosks<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Jan,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">If Sharps Compliance uses a common carrier, doesn’t that then force each pharmacy to get DOT approval to use Special Permit SP 20255 to stay in compliance with DOT regulations?
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Jeanie wrote an email on this last year (July 11.)<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Bill Yeman<o:p></o:p></p>
<p class="MsoNormal">NYSDEC<o:p></o:p></p>
<p class="MsoNormal">Albany NY<o:p></o:p></p>
<p class="MsoNormal"><a href="mailto:William.yeman@dec.ny.gov">William.yeman@dec.ny.gov</a><b><o:p></o:p></b></p>
<p class="MsoNormal"><b><o:p> </o:p></b></p>
<p class="MsoNormal"><b>From:</b> 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>Jan Harris<b><o:p></o:p></b></p>
<p class="MsoNormal"><b>Sent:</b> Tuesday, August 08, 2017 4:52 PM<br>
<b>To:</b> Volkman, Jennifer (MPCA) <<a href="mailto:jennifer.volkman@state.mn.us">jennifer.volkman@state.mn.us</a>>; Jaramillo, Jeanie <<a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a>>;
<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><o:p></o:p></p>
<p class="MsoNormal"><b>Subject:</b> Re: [Pharmwaste] New Stericycle med disposal kiosks<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">One of the reasons Sharps Compliance chose to use the common carrier method, besides the liability and requirement for two reverse distributor drivers, is that the receptacle fills up often and then has to be locked up for several days
until a pickup service arrives. So besides being completely under the control of the registered collector (pharmacy), with common carrier, the pharmacy has back-up liners that can be easily replaced when necessary, which is more convenient for the public.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><br>
</span><span style="color:black">Jan Harris</span><span style="color:gray"> | Director, Environmental Health & Safety</span><span style="font-size:12.0pt">
</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p><span style="color:black">Sharps Compliance, Inc.</span><br>
<span style="color:gray">d- 713-927-9956 | o- 800-772-5657 | f- 713-660-3596</span><br>
<br>
<a href="mailto:jharris@sharpsinc.com"><span style="color:gray;text-decoration:none">jharris@sharpsinc.com</span><span style="color:black;text-decoration:none"> |
</span></a><a href="http://www.sharpsinc.com"><span style="color:gray;text-decoration:none">http://www.sharpsinc.com</span></a>
<o:p></o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>…<o:p></o:p></b></p>
<p class="MsoNormal"><b>From:</b> 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>Jan Harris<br>
<b>Sent:</b> Tuesday, August 08, 2017 4:21 PM<br>
<b>To:</b> Volkman, Jennifer (MPCA) <<a href="mailto:jennifer.volkman@state.mn.us">jennifer.volkman@state.mn.us</a>>; Jaramillo, Jeanie <<a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a>>;
<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> Re: [Pharmwaste] New Stericycle med disposal kiosks<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Actually the Sharps Compliance MedSafe program is a common carrier system. Two registered collector, (e.g., retail pharmacy) employees remove the inner liner, close it up, and provide directly to UPS. We do not have a pickup program for
our DEA-compliant receptacle program.<o:p></o:p></p>
</div>
</div>
<div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><br>
</span><span style="color:black">Jan Harris</span><span style="color:gray"> | Director, Environmental Health & Safety</span><span style="font-size:12.0pt">
</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p><span style="color:black">Sharps Compliance, Inc.</span><br>
<span style="color:gray">d- 713-927-9956 | o- 800-772-5657 | f- 713-660-3596</span><br>
<br>
<a href="mailto:jharris@sharpsinc.com"><span style="color:gray;text-decoration:none">jharris@sharpsinc.com</span><span style="color:black;text-decoration:none"> |
</span></a><a href="http://www.sharpsinc.com"><span style="color:gray;text-decoration:none">http://www.sharpsinc.com</span></a>
<o:p></o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> 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> Tuesday, August 08, 2017 2:38 PM<br>
<b>To:</b> Jaramillo, Jeanie <<a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a>>;
<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> Re: [Pharmwaste] New Stericycle med disposal kiosks<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D">That’s how it works. They are permitted by DEA to handle the collected liners, so they replace them, while pharmacy staff watch so everything is above board.
I believe they are servicing the Walgreens collection sites here in MN. The Sharps Compliance system operates the same way.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D"><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>From:</b> 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> Tuesday, August 08, 2017 1:41 PM<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 Stericycle med disposal kiosks<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><a href="http://drugtopics.modernmedicine.com/drug-topics/news/what-do-your-patients-do-unused-meds?GUID=&rememberme=1&ts=08082017">http://drugtopics.modernmedicine.com/drug-topics/news/what-do-your-patients-do-unused-meds?GUID=&rememberme=1&ts=08082017</a><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">This is interesting. The system is apparently entirely managed by Stericycle. The article indicates a “technician” (i.e. Stericycle rep) will come to empty the kiosk while two people from the pharmacy site are present. It’s not crystal
clear, but sounds like that technician then ships the liner. The video panel is interesting with the ability to provide directions in different languages.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><i>Dr. Jeanie Jaramillo-Stametz<o:p></o:p></i></p>
<p class="MsoNormal"><i>Managing Director, Texas Panhandle Poison Center<o:p></o:p></i></p>
<p class="MsoNormal"><i>Asst. Professor, Pharmacy Practice<o:p></o:p></i></p>
<p class="MsoNormal"><i>Director, Medication Cleanout<o:p></o:p></i></p>
<p class="MsoNormal"><i>Texas Tech University Health Sciences Center<o:p></o:p></i></p>
<p class="MsoNormal"><i>School of Pharmacy<o:p></o:p></i></p>
<p class="MsoNormal"><a href="mailto:jeanie.jaramillo@ttuhsc.edu"><i>jeanie.jaramillo@ttuhsc.edu</i></a><i><o:p></o:p></i></p>
<p class="MsoNormal"><i>Office: (806) 414-9402<o:p></o:p></i></p>
<p class="MsoNormal"><i>Voice mail: (806) 414-9299<o:p></o:p></i></p>
<p class="MsoNormal"><i>Mobile: (806) 376-0039<o:p></o:p></i></p>
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<p class="MsoNormal"><strong><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#99CC33">As a leader in healthcare waste management, Sharps Compliance strives to reduce, recycle and repurpose treated materials for a better and sustainable
environment.</span></strong><span style="font-family:"Times New Roman",serif"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;color:gray">PRIVACY NOTICE: This information is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure
under applicable federal or state law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying
of communication is strictly prohibited. If you have received this communication in error, contact the sender and delete the material from any computer.</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
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