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<p class="MsoNormal">Hi All,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Below is PSI’s News Alert about the new NY DEC report on pharmaceuticals stewardship, including a link to the press release from our coalition of organizations working to support pharmaceuticals stewardship in NY State.<o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Century Gothic",sans-serif;color:black">June 4, 2018</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:17.0pt;font-family:"Century Gothic",sans-serif;color:#19365E"> Landmark NY DEC Report Calls for Pharmaceutical Industry to Fund Safe Drug Disposal in New York State <o:p></o:p></span></b></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">On June 1, the New York State Department of Environmental Conservation (DEC) released its report on
<a href="http://r20.rs6.net/tn.jsp?f=001TwcXu3g-ZW_fm4EYlcmnkNCk3SFy_LZ7meZsCBMuJL2wpNSmC4bVgNEjEL2tsoujnhvvxatv5UP0kQq9J5mxrs6XHPzmhTbr8ndKoKXUdxgG0gbC5G40TWU5LZe2hmnEvGYg9e7FpLrdXCkyrvsknfcmdHDeag9lzdz73W747W0H1wvibjgh6H9l5MgkFkMQruERH9RYTMU=&c=ylRxHd3W3YGcc0IrT9HXtKDvfdzF388aW_OkecEvjbhbqzjpKy70Bw==&ch=6mB3ItHfSq13Iqgu0tnlWZVwx9jkaTDVYn237yih6_YeEcWcdjsThg==" target="_blank">
The Feasibility of Creating and Implementing a Statewide Pharmaceutical Stewardship Program in NYS</a> recommending an independent stewardship organization to implement a statewide take-back program funded by pharmaceutical manufacturers. The report also recommends
 that all pharmacies (chain and independent) host take-back receptacles and provide mail-back envelopes unless the pharmacy obtains a hardship waiver.  <o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">PSI participated actively in DEC stakeholder meetings that informed development of the report, which referenced PSI's technical resources and NY pilot projects. PSI is working closely with a growing
 coalition of organizations, including Citizens Campaign for the Environment, that supports the report findings as well as the NY State legislature efforts to pass a strong pharmaceuticals EPR bill (<a href="http://r20.rs6.net/tn.jsp?f=001TwcXu3g-ZW_fm4EYlcmnkNCk3SFy_LZ7meZsCBMuJL2wpNSmC4bVgNEjEL2tsoujs1BO5e7K6cScAVdaCraUnxx_fSBiM0iJ0pH310JPNnPVFpM3S_dy75ikkzuYReUtK6Xn5NHC_iGpr1ckZHGyUpQ8J88rAoG-ScrPKYVb9Rvc_FKk9kE2dp9h7YnCkHAcdck1q2cgDBr4tncssqLu__qBkT_gZtSMcJJ4GBMlRUVZsNtF9O36ZlN-syZEu6V-wT8U7Zhz-S3acQAm4bF_Jg==&c=ylRxHd3W3YGcc0IrT9HXtKDvfdzF388aW_OkecEvjbhbqzjpKy70Bw==&ch=6mB3ItHfSq13Iqgu0tnlWZVwx9jkaTDVYn237yih6_YeEcWcdjsThg==" target="_blank">S.7354</a>/<a href="http://r20.rs6.net/tn.jsp?f=001TwcXu3g-ZW_fm4EYlcmnkNCk3SFy_LZ7meZsCBMuJL2wpNSmC4bVgNEjEL2tsoujW2Y7OZKaq8MqmWClRYcj78E5R9hHWHUkmbog2fzLVO-ifWQT24-cXVGccKKce5uaOh1IMvv3Z4PkPSIn09a1Joe5PUTllDdC40XEK0C3r5bqPa9TUwgLWZXoiWB6B9JETxxSkjqAcJcmKqk392psznUOcK8HVh9VAwayDv2EWL5XNzD-rC5RfVqBqlg5eUH4q4ZqOI1RmmcyX5weYrDXoA==&c=ylRxHd3W3YGcc0IrT9HXtKDvfdzF388aW_OkecEvjbhbqzjpKy70Bw==&ch=6mB3ItHfSq13Iqgu0tnlWZVwx9jkaTDVYn237yih6_YeEcWcdjsThg==" target="_blank">A.9576a</a>).
 This group issued a press release in support of the DEC report. <o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:12.0pt;font-family:"Century Gothic",sans-serif;color:white"><a href="http://r20.rs6.net/tn.jsp?f=001TwcXu3g-ZW_fm4EYlcmnkNCk3SFy_LZ7meZsCBMuJL2wpNSmC4bVgNEjEL2tsouj3vosrl8HY2rNaK234dbX11p0Wuv2oPMRCp5zAtG6sref3vL3H3D49Kc3evz5043yeaAUw-vT52klYPfSgn8Og3s1mwTV4SzlTu8PPf5db4sf97dbJHsUgL0iD5XyqYPYtm7D1IB3erX0ZNf2bvu_jhUn8hNFYzg2zDlynLClnoo=&c=ylRxHd3W3YGcc0IrT9HXtKDvfdzF388aW_OkecEvjbhbqzjpKy70Bw==&ch=6mB3ItHfSq13Iqgu0tnlWZVwx9jkaTDVYn237yih6_YeEcWcdjsThg==" target="_blank"><span style="color:white;text-decoration:none">View
 the press release</span></a><o:p></o:p></span></b></p>
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<span style="color:#333333">29 Stanhope Street | Boston, MA | 02116<br>
617.236.4855<o:p></o:p></span></p>
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<em><span style="font-family:"Calibri",sans-serif;color:#333333">The Product Stewardship Institute, Inc. is an equal opportunity employer and provider. Persons with disabilities who require alternatively formatted materials to ensure effective communication
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<p class="MsoNormal">Best,<o:p></o:p></p>
<p class="MsoNormal">Vivian<o:p></o:p></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;color:#333333">______________________________<br>
Vivian Fuhrman, Ph.D.<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:10.0pt;color:#404040">Sr. Associate for Policy and Programs</span><span style="color:#404040"><o:p></o:p></span></p>
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<p class="MsoNormal"><b>From:</b> Pharmwaste <pharmwaste-bounces@lists.dep.state.fl.us>
<b>On Behalf Of </b>Ed Gottlieb<br>
<b>Sent:</b> Monday, June 4, 2018 11:44 AM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] NYS DEC Releases Report on Pharmaceutical Stewardship<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">Dear Pretreatment Coordinators, Pharmwaste Listserv, & Others,</span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">NYS Governor Cuomo's December veto, of a weak pharmaceutical extended producer responsibility (EPR) bill, directed the New York State Department of Environmental Conservation (DEC)
 to meet with stakeholders and investigate the feasibility of creating and implementing a statewide pharmaceutical stewardship program "provided by manufacturers, at no cost to consumers"
<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">I recommend reading the DEC report, issued on June 1, available at: 
<a href="http://www.dontflushyourdrugs.net" target="_blank">www.dontflushyourdrugs.net</a> &</span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black"><a href="http://www.dec.ny.gov/docs/materials_minerals_pdf/pharmastewardshipreport.pdf" target="_blank">http://www.dec.ny.gov/docs/materials_minerals_pdf/pharmastewardshipreport.pdf</a></span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">Reducing environmental impacts is given almost as much emphasis as combating the opioid epidemic.</span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">The DEC report and Press Release (bottom) include this quote from DEC Commissioner Seggos:</span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">“An accessible, statewide program ensuring the safe disposal of expired and unused pharmaceuticals would protect communities already burdened by the opioid crisis while also safeguarding
 our waterways from contamination. New York is taking every possible step to combat this addiction crisis and protect our waters from drug waste. A safe and convenient way to get rid of expired and unwanted drugs will help both reduce the risk of new Yorkers
 misusing pharmaceuticals and protect our environment by preventing these medications from being irresponsibly flushed or tossed in the trash.”
</span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">The DEC, in consultation with the DOH, issued recommendations that are stronger than I expected,
<u>requiring all pharmacies to participate</u>.  Note: they define "authorized collector" as, "businesses and facilities allowed to collect pharmaceuticals pursuant to DEA regulations."  It is my understanding that this includes law enforcement agencies.  Report
 excerpt: <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><strong><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">A. Collection
</span></strong><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">[pg. 26]<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">DEC and DOH recommend that all pharmacies be required to house a permanent collection receptacle in accordance with federal requirements as part of a manufacturer-run program, unless
 they fall into an exception as described below. In addition, any other authorized collector who wishes to participate as a collection location should be allowed to join the manufacturer-run program. Collection at all locations should be fully funded by the
 manufacturers. <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">For those counties where there is no pharmacy, or other authorized collector, the pharmaceutical stewardship organization would need to provide a minimum of two authorized collection
 events per year. <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Prepaid, pre-addressed, nondescript mail-back envelopes should be available from all pharmacies and authorized collection locations, provided by the stewardship organization free
 of charge to the collection locations and to consumers. In addition, consumers should be able to request prepaid, pre-addressed mail-back envelopes directly from the pharmaceutical stewardship organization via the public education website.
<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">The program must include a mechanism to waive the collection receptacle requirement for pharmacies where hosting a collection receptacle would pose an undue hardship. If a waiver
 is granted, these locations would not be required to host a collection receptacle, but should be required to provide pharmaceutical stewardship program information and offer prepaid, pre-addressed mail-back envelopes.
<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Mail-order and online pharmacies are also major distributors of pharmaceuticals and should be required to participate in a manufacturer-run stewardship program. We recommend that
 all mail-order and online pharmacies that fill prescriptions for delivery in New York be required offer a mail-back envelope, at the time of sale, for each sale for delivery in the state.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">A pharmaceutical EPR bill is currently under consideration by the State Senate and Assembly (<a href="http://r20.rs6.net/tn.jsp?f=001yqYqpny2RTPIOGop1Ij0-l-NYb92weKZ0kid0wRpaZ8tnAP8XpEDfn5p3bZrudCthyvl3fVgHYpF2i1nFzztGmYYtdB7Lz3wA9Vd8FBtAOIX7Z1X7MeRaslEd9Sli-ara0w-ezlUk3sckhXhynetRAqHNGMJmKofqB9hrbbI0FwBwdKzpKeShxpj-A2h1sT4JRq0jiX2ZtASpws0AdSVy-W3kUSHx2SnCOuM8K2MD_47Zp7juc1V9vsxqO-dDMRbZ2Go24jGoBF7Ls_uIN5clOzDMQVQyn9NWlVogsfk7-E=&c=PW6HKlNbqwkOsJx7hZiw2qsGoAQ2aEtbosFaCrSs4YpXw0S07fIqZg==&ch=1bBSbvMPG4Qu4meIau_X2h9yJAY0d3XvTIgJQazCVIWOr_NLUcdTlA==" target="_blank">A
 9576</a> & <a href="http://r20.rs6.net/tn.jsp?f=001yqYqpny2RTPIOGop1Ij0-l-NYb92weKZ0kid0wRpaZ8tnAP8XpEDfn5p3bZrudCt568JHrSfhpIcyaxKF-tN8R6TqPpfXN9__O4NukeFfXL02yHVUu9CfcFuNkrYnhBdZyGylsdlmA1CzBFsbT61maoL0rZPTAlt2bHBHz8DhL_jtRVUoS_h2HcyP9odfePER5Pi1SJ9kGUoTA1zXfyRNOemsLDVpU4Y&c=PW6HKlNbqwkOsJx7hZiw2qsGoAQ2aEtbosFaCrSs4YpXw0S07fIqZg==&ch=1bBSbvMPG4Qu4meIau_X2h9yJAY0d3XvTIgJQazCVIWOr_NLUcdTlA==" target="_blank">
S 7354</a>).  Though not as strong as the just released DEC recommendations, many organizations support passage.  With the legislative session ending soon, passage of this bill is up in the air.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">This DEC report gives me hope that if the current bill does not pass, an even stronger state bill will pass next session.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ed Gottlieb
<br>
Chair, Tompkins County Coalition for Safe Medication Disposal<br>
Board Member, New York Product Stewardship Council<br>
Member, National Association of Clean Water Agencies Pretreatment & Pollution Prevention Committee<br>
Member, Product Stewardship Institute Pharmaceuticals’ Policy & Coordination Work Group <br>
Member, New York Water Environment Association Government Affairs Committee<br>
Industrial Pretreatment Coordinator<br>
Ithaca Area Wastewater Treatment Facility<br>
525 3<sup>rd</sup> Street<br>
Ithaca, NY  14850<br>
</span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:blue"><a href="tel:(607)%20273-8381" target="_blank">(607) 273-8381</a><br>
</span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">fax:
<a href="tel:(607)%20273-8433" target="_blank"><span style="color:#0066CC">(607) 273-8433</span></a><o:p></o:p></span></p>
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