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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:9.0pt;font-family:"Arial",sans-serif">September 5, 2017
</span><o:p></o:p></p>
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<span style="font-family:"Arial",sans-serif"><a href="http://www.dontrushtoflush.org" target="_blank" title=""><span style="text-decoration:none"><img border="0" width="400" id="_x0000_i1025" src="https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/45801fa8-a234-4238-89b8-92fe2efb5401.jpg"></span></a></span><o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.5pt;font-family:"Arial",sans-serif">In this newsletter we highlight new reports, studies, developments, and resources you can use to promote and enhance
 your pharmaceutical collection programs and support our efforts to implement sustainably funded collection and public education programs throughout California and beyond! If you have information you want to share in our next newsletter please email
<span style="color:#202020"><a href="mailto:jordan@calpc.org">jordan@calpc.org</a>.</span></span><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:16.5pt;font-family:"Arial",sans-serif;color:red">Pharmaceutical Stewardship Success</span></u></strong><u><span style="font-size:16.5pt;font-family:"Arial",sans-serif;color:red"><br>
<strong><span style="font-family:"Arial",sans-serif">in Santa Clara County </span>
</strong></span></u><o:p></o:p></h1>
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</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020">CPSC and partners, the City of San Jose and the County of Santa Clara, completed a three year grant project funded by
<a href="http://www.valleywater.org/" target="_blank"><span style="color:#2BAADF">Santa Clara Valley Water District</span></a> (SCVWD) to expand Don't Rush to Flush in Santa Clara County in June 2017. The project was immensely successful, resulting in 29 new
 medication bins resulting in the collection almost 5 tons of medicine since November 2015!
<a href="http://calpsc.org/mobius/cpsc-content/uploads/2017/08/Santa-Clara-Med-Bin-Project-Fact-Sheet-FINAL-8-24-17.pdf" target="_blank">
<span style="color:#2BAADF">Click here</span></a> to view a project fact sheet. </span>
<o:p></o:p></p>
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<strong><span style="font-size:10.5pt;font-family:"Arial",sans-serif">May 2015 Photo Op Event at Wellness Pharmacy of Los Gatos</span></strong><span style="font-family:"Arial",sans-serif"><br>
</span><em><span style="font-size:10.5pt;font-family:"Arial",sans-serif">Pictured (L to R): Chris Lester, CPSC; Wade Blackard, SCVWD;</span></em><i><span style="font-size:10.5pt;font-family:"Arial",sans-serif"><br>
<em><span style="font-family:"Arial",sans-serif">Heidi Sanborn, CPSC; Santa Clara County Supervisor Ken Yeager;</span></em><br>
<em><span style="font-family:"Arial",sans-serif">Pharmacist Cuong Trihn; Tammy Green, County of Santa Clara;</span></em><br>
<em><span style="font-family:"Arial",sans-serif">Eric Dunlavey, City of San Jose; Bill Grimes, County of Santa Clara</span></em></span></i><o:p></o:p></p>
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</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif">With the County of Santa Clara's Safe Drug Disposal pharmaceutical EPR ordinance well into implementation, the bin locations recruited through the project will soon be transitioning to the
 industry-funded <span style="color:#202020"><a href="http://www.med-project.org/locations/santa-clara" target="_blank"><span style="color:#2BAADF">MED Project</span></a>
</span>program. MED Project has opted not to use the bins purchased through the grant, so CPSC expects to have 29 bins available for local governments who are starting their own collection programs for free or reduced cost. Please contact CPSC at (916) 706-3420
 for more information.</span><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red">Walgreens Receives CPSC 2017</span></u></strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red"><br>
<strong><span style="font-family:"Arial",sans-serif">Infinity Arrow Award for Take Back</span></strong></span></u><o:p></o:p></h1>
<h1 align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D"> </span><o:p></o:p></h1>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.5pt;font-family:"Arial",sans-serif">CPSC recognized Walgreens with the 2017 Infinity Arrow Award at the CRRA Conference in recognition of Walgreens' immensely
 successful medication take back program. Walgreens became the first national pharmacy chain to provide this service on an ongoing basis in February 2016 and has since installed over 600 collection bins in some of the 24-hour stores. In its first year, the
 program has resulted in the collection and disposal of 72 tons of unwanted medication, helping to protect public health and the environment.</span><span style="font-family:"Arial",sans-serif">
</span><o:p></o:p></p>
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<b><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020"><img border="0" width="501" height="340" id="_x0000_i1027" src="https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/72b86b65-2d03-4f49-8284-33fe1dd79617.jpg"></span></b><span style="font-family:"Arial",sans-serif;color:#202020"><br>
</span><em><span style="font-size:10.5pt;font-family:"Arial",sans-serif">Pictured (L to R): Jennifer Kurrie, Walgreens; Hayley Park,</span></em><i><span style="font-size:10.5pt;font-family:"Arial",sans-serif"><br>
<em><span style="font-family:"Arial",sans-serif">Walgreens; Heidi Sanborn, CPSC with the 2017 Infinity Arrow Award. Medicine bin in background at the San Diego store.</span></em></span></i><o:p></o:p></p>
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</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif">CPSC applauds Walgreens for voluntarily providing year-round safe disposal opportunities for the public and encourages pharmacies and other members of the product chain to help better unwanted
 medication waste.</span><o:p></o:p></p>
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<span style="font-family:"Arial",sans-serif;color:#202020"><a href="http://news.walgreens.com/presskits/combating-drug-abuse.htm" target="_blank"><span style="color:#2BAADF;text-decoration:none"><img border="0" width="250" height="55" id="_x0000_i1028" src="https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/5db3a9c5-9508-4dc3-a7a3-3fd134f34dfe.png"></span></a></span><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:16.5pt;font-family:"Arial",sans-serif;color:red">CPSC's Summary and Response to</span></u></strong><u><span style="font-size:16.5pt;font-family:"Arial",sans-serif;color:red"><br>
<strong><span style="font-family:"Arial",sans-serif">California State Auditor Report on Home-Generated Sharps and Pharmaceutical Waste</span></strong></span></u><o:p></o:p></h1>
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<span style="font-family:"Arial",sans-serif;color:#202020"><img border="0" width="550" height="139" id="_x0000_i1029" src="https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/6857ecbb-94e4-47a1-b90c-2430774088b6.jpg"></span><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.5pt;font-family:"Arial",sans-serif">As highlighted in the May 2017 newsletter, the Auditor's report was released on May 9th, 2017 following a year of research
 and interviews with stakeholders.<br>
<br>
CPSC commends the efforts of the Auditors team. <span style="color:#202020"><a href="https://calpsc.org/mobius/cpsc-content/uploads/2014/12/CPSC-State-Auditor-Summary-FINAL-9-5-17.pdf" target="_blank"><span style="color:#2BAADF">Please see our responses and
 comments here</span></a>.</span></span><span style="font-family:"Arial",sans-serif;color:#202020">
</span><o:p></o:p></p>
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<strong><span style="font-size:13.5pt;font-family:"Arial",sans-serif">Click to view the
<span style="color:#202020"><a href="https://www.bsa.ca.gov/pdfs/reports/2016-127.pdf" target="_blank"><span style="color:#2BAADF;font-weight:normal">Full Report</span></a>;
<a href="https://www.bsa.ca.gov/reports/2016-127/summary.html" target="_blank"><span style="color:#2BAADF;font-weight:normal">Report Summary</span></a>;
<a href="https://www.bsa.ca.gov/pdfs/factsheets/2016-127.pdf" target="_blank"><span style="color:#2BAADF;font-weight:normal">Fact Sheet</span></a></span></span></strong><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:16.5pt;font-family:"Arial",sans-serif;color:red">Monterey County Partnership Places 5 New Bins and Facilitates the Installation of 4 More
</span></u></strong><o:p></o:p></h1>
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</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif">CPSC and partners, Monterey Regional Waste Management Agency (MRWMD) and Salinas Valley Solid Waste Authority, completed a 1-year grant project from the Rose Foundation in June 2017. The partners
 established 5 new bins in Monterey County through the grant, while working with the Prescribe Safe Initiative of Monterey to place 4 bins in South Monterey County outside of the grant scope, nearly doubling the number of medication drop-off locations in the
 County in one year! <span style="color:#202020"><a href="http://calpsc.org/mobius/cpsc-content/uploads/2017/08/Monterey-Med-Bin-Project-Fact-Sheet-FINAL-8-24-17-WEB.pdf" target="_blank"><span style="color:#2BAADF">Click here</span></a>
</span>to view a project fact sheet. If you would like to help doing the same please contact us at
<span style="color:#202020"><a href="mailto:info@calpsc.org">info@calpsc.org</a>.</span></span><span style="font-family:"Arial",sans-serif;color:#202020"><br>
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<b><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020"><img border="0" width="601" height="232" id="_x0000_i1030" src="https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/9c5a079c-45d1-4188-8e18-9e2e15325247.jpg"></span></b><span style="font-family:"Arial",sans-serif;color:#202020"><br>
</span><em><span style="font-size:10.5pt;font-family:"Arial",sans-serif">Pictured (L to R): All Care Pharmacy pharmacists Akshai Patel and Donna Ferguson; Community Hospital of the Monterey Peninsula Doctors Casey Grover and Reb Close;</span></em><i><span style="font-size:10.5pt;font-family:"Arial",sans-serif"><br>
<em><span style="font-family:"Arial",sans-serif">Alisal Pharmacy staff Christy and Jasmin</span></em></span></i><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red">Board of Pharmacy Pharmacy Take Back Regulations Adopted June 8, 2017</span></u></strong><o:p></o:p></h1>
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</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020">The California Board of Pharmacy (BOP) adopted their long-awaited
<a href="http://www.pharmacy.ca.gov/laws_regs/1776_oa.pdf" target="_blank"><span style="color:#2BAADF">Prescription Drug Take-Back Services</span></a> regulations on June 8, 2017, which went into effect immediately. The regulations provide a regulatory framework
 that BOP licensees <em><span style="font-family:"Arial",sans-serif">must</span></em> follow in order to provide take back services for unwanted medications.<br>
<br>
The regulations closely parallel the <a href="https://www.deadiversion.usdoj.gov/fed_regs/rules/2014/2014-20926.pdf" target="_blank">
<span style="color:#2BAADF">DEA Final Rule on Collection of Controlled Substances</span></a> for the most part, but in some instances will exceed what is required by DEA.<br>
<br>
CPSC prepared a comparison summary highlighting sections where the BOP regulations differ from those of the DEA as a resource for entities interested in providing drug take back services. The summary is available for download
<a href="http://calpsc.org/mobius/cpsc-content/uploads/2017/08/BOP-Regulations-for-Drug-Take-Back-Summary-of-Differences-from-DEA-7-19-17.pdf" target="_blank">
<span style="color:#2BAADF">here</span></a>. Please contact CPSC with questions and/or for technical assistance to comply with the new regulations.</span><span style="font-family:"Arial",sans-serif;color:#202020">
</span><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red">Don't Rush to Flush Expands to</span></u></strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red"><br>
<strong><span style="font-family:"Arial",sans-serif">Amador and (hopefully) San Joaquin Counties</span></strong></span></u><o:p></o:p></h1>
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</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020">Following successful expansions into Monterey County and Santa Clara County,<br>
resulting in 37 new</span> <a href="https://rosefdn.org/"></a><!--[if gte vml 1]><v:shapetype id="_x0000_t75" coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f">
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</v:shape><![endif]--><![if !vml]><a href="https://rosefdn.org/" target="""_blank"""><img border="0" width="125" height="125" src="https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/90f0f0af-58fa-4c7d-8872-7fef2ea669ef.jpg" align="right" v:shapes="_x0000_s1026"></a><![endif]><a href="https://rosefdn.org/"></a><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020">medication
 bins, CPSC has received grant funding from the <a href="https://rosefdn.org/" target="_blank">
<span style="color:#2BAADF">Rose Foundation for Communities and the Environment</span></a> to expand the Don't Rush to Flush program to Amador County through a 1-year grant to place up to 5 bins and to San Joaquin County through a 2-year grant to place up to
 20 bins. We look forward to working with our local government partners, local businesses, law enforcement, and other community stakeholders to help increase access to this important service!</span><span style="font-family:"Arial",sans-serif;color:#202020">
</span><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red">MED Project Bin Placement Update</span></u></strong><o:p></o:p></h1>
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</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020">The pharma industry-operated
</span><span style="font-family:"Arial",sans-serif;color:#202020"><a href="http://www.med-project.org/" target="_blank"><span style="font-size:10.5pt;color:#2BAADF">MED Project</span></a></span><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020">
 continues to place new bins in California counties per their obligation under each jurisdiction's respective pharmaceutical Extended Producer Responsibility (EPR) ordinances.
</span><span style="font-family:"Arial",sans-serif;color:#202020"><br>
<br>
</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020">To date, there are 115 bins paid for by drug companies and more scheduled for placement soon. Below is a list of existing bins:</span><span style="font-family:"Arial",sans-serif;color:#202020">
</span><o:p></o:p></p>
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<span style="font-size:10.5pt;font-family:"Arial",sans-serif">City/County of San Francisco - 31 bins</span><o:p></o:p></li><li class="MsoNormal" style="color:#202020;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l2 level1 lfo1">
<span style="font-size:10.5pt;font-family:"Arial",sans-serif">County of Alameda - 27 bins</span><o:p></o:p></li><li class="MsoNormal" style="color:#202020;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l2 level1 lfo1">
<span style="font-size:10.5pt;font-family:"Arial",sans-serif">County of San Mateo - 35 bins</span><o:p></o:p></li><li class="MsoNormal" style="color:#202020;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l2 level1 lfo1">
<span style="font-size:10.5pt;font-family:"Arial",sans-serif">County of Marin - 15 bins</span><o:p></o:p></li><li class="MsoNormal" style="color:#202020;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l2 level1 lfo1">
<span style="font-size:10.5pt;font-family:"Arial",sans-serif">County of Santa Cruz - 8 bins</span><o:p></o:p></li><li class="MsoNormal" style="color:#202020;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l2 level1 lfo1">
<span style="font-size:10.5pt;font-family:"Arial",sans-serif">County of Santa Clara - 12 bins expected late 8/2017</span><o:p></o:p></li></ul>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020">San Francisco, San Mateo, Marin, and Santa Cruz also have numerous locations distributing mailback envelopes
 through MED Project.</span><span style="font-family:"Arial",sans-serif;color:#202020">
</span><o:p></o:p></p>
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<em><span style="font-size:10.5pt;color:#1F497D"> </span></em><o:p></o:p></p>
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<em><span style="font-size:10.5pt;font-family:"Arial",sans-serif">Pictured (Above) - MED Project Print Ad in the SF Chronicle, 6/23/17</span></em><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red">Kaiser Permanente Hosts Med Bins</span></u></strong><o:p></o:p></h1>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.5pt;font-family:"Arial",sans-serif">Kaiser Permanente has agreed to participate in the MED Project program and is now hosting bins at certain Kaiser pharmacies
 in the San Francisco Bay Area. A total of 40 locations are placed or will be coming soon!<br>
<br>
We have confirmed Kaiser will host bins in the following number of locations by jurisdiction:</span><span style="font-family:"Arial",sans-serif">
</span><o:p></o:p></p>
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<span style="font-size:10.5pt;font-family:"Arial",sans-serif">Alameda County - 13
</span><o:p></o:p></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo2">
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<span style="font-size:10.5pt;font-family:"Arial",sans-serif">San Mateo County - 6</span><o:p></o:p></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo2">
<span style="font-size:10.5pt;font-family:"Arial",sans-serif">Santa Clara County - 12</span><o:p></o:p></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo2">
<span style="font-size:10.5pt;font-family:"Arial",sans-serif">Santa Cruz County - 2</span><o:p></o:p></li></ul>
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<span style="font-family:"Arial",sans-serif;color:#202020"><img border="0" width="500" height="375" id="_x0000_i1031" src="https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/_compresseds/91daebe3-4698-49cf-a20a-116f871afdf2.jpg"></span><o:p></o:p></p>
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<em><span style="font-size:10.5pt;font-family:"Arial",sans-serif">Pictured - MED Project Bin at Kaiser Medical Center of Plesanton's Pharmacy</span></em><i><span style="font-size:10.5pt;font-family:"Arial",sans-serif"><br>
<em><span style="font-family:"Arial",sans-serif">(Photo Credit - County of Alameda)</span></em></span></i><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red">Next Up? Model EPR Ordinance</span></u></strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red"><br>
<strong><span style="font-family:"Arial",sans-serif">for Rural Local Governments</span></strong></span></u><o:p></o:p></h1>
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</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif">CPSC is working with several local governments to introduce pharmaceutical EPR ordinances and has developed model legislation tailored for the needs of rural jurisdictions. If you are considering
 an ordinance, we can provide the technical assistance and know-how to get it done! Please contact Heidi Sanborn (<span style="color:#202020"><a href="mailto:heidi@calpsc.org" target="_blank"><span style="color:#2BAADF">Heidi@calpsc.org</span></a></span>) or
 call (916)706-3420.</span><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
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<h1 align="center" style="text-align:center"><strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red">National Academies of Sciences,</span></u></strong><u><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:red"><br>
<strong><span style="font-family:"Arial",sans-serif">Engineering and Medicine Recommend</span></strong><br>
<strong><span style="font-family:"Arial",sans-serif">Improving Access to Drug-Take Back
</span></strong></span></u><o:p></o:p></h1>
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</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif">In a new study titled
<span style="color:#202020"><a href="http://nationalacademies.org/hmd/reports/2017/pain-management-and-the-opioid-epidemic.aspx" target="_blank"><span style="color:#2BAADF">Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits
 and Risks of Prescription Opioid Use</span></a>, </span>by the National Academies of Sciences, Engineering and Medicine recommends expanding access to year-round, convenient drug-take back to help raise awareness of the issue and prevent misuse:</span><span style="font-family:"Arial",sans-serif">
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<span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#202020"><img border="0" width="400" height="211" id="_x0000_i1032" src="https://gallery.mailchimp.com/80dc739dafd96b0ffcbfafd1b/images/f0719edb-9b12-4224-b176-e9d4216689d9.png"></span><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.5pt;font-family:"Arial",sans-serif">The study also highlights the success of Walgreens drug collection program and producer-funded efforts in Canada such
 as British Columbia's Medications Return Program.<br>
Read more: Report <span style="color:#202020"><a href="https://www.nap.edu/resource/24781/Highlights_071317_Opioids.pdf" target="_blank"><span style="color:#2BAADF">Highlights</span></a>;
<a href="https://www.nap.edu/resource/24781/Recs_071317_Opioids.pdf" target="_blank">
<span style="color:#2BAADF">Recommendations</span></a>; <a href="https://www.nap.edu/login.php?record_id=24781&page=https%3A%2F%2Fwww.nap.edu%2Fdownload%2F24781" target="_blank">
<span style="color:#2BAADF">Full Study </span></a></span></span><o:p></o:p></p>
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<span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Copyright © 2017, California Product Stewardship Council. All rights reserved.<br>
<br>
<strong><span style="font-family:"Arial",sans-serif">Our mailing address is:</span></strong><b><br>
<strong><span style="font-family:"Arial",sans-serif">California Product Stewardship Council</span></strong><br>
<strong><span style="font-family:"Arial",sans-serif">1822 21st Street, Suite 100</span></strong><br>
<strong><span style="font-family:"Arial",sans-serif">Sacramento, CA 95811</span></strong></b></span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#656565"><br>
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