[Pharmwaste] Missouri Rolls Out New Take Back Program

Ed Gottlieb EGottlieb at cityofithaca.org
Thu Sep 5 10:56:59 EDT 2019

The Missouri Board of Pharmacy opened registration for a new take back program, funded with state taxes for this year. 1

Applications are due by October 1st. 2  Pharmacies, narcotic treatment centers, LTCF, and law enforcement agencies are all eligible to apply.

The program provides roughly 100 locations with a kiosk & 12 liners.

"If the program is successful and continues, it could up that number with approval from the General Assembly." 1

"Participants may keep the collection receptacles. However, Participants will need to independently contract with Sharps Compliance and pay any applicable fees to continue with Medsafe® after Program completion (subject to Sharps criteria/approval)." 2

Manufactures pay nothing.

If every location fills all their liners (1,200 total), with an average of 45.2 pounds of medications each 3, approximatly 54,240 pounds will be collected.

This program is a small start considering:

  *       38,462 pounds were collected from 231 Missouri locations in only four hours during the April 27, 2019 DEA Take Back Day. 4
  *       100 locations is only 3.7% of the pharmacies in Missouri (2,728 in FY 2017) 5.  Even less if any eligible, non-pharmacy locations are approved.

It is my opinion that an EPR program could have provided Missouri far more locations while placing the cost where it should be, on the manufactures.

Ed Gottlieb
Chair, Tompkins County Coalition for Safe Medication Disposal
Industrial Pretreatment Coordinator
Ithaca Area Wastewater Treatment Facility
525 3rd Street
Ithaca, NY  14850
(607) 273-8381<tel:(607)%20273-8381>

1 https://themissouritimes.com/64654/missouri-board-of-pharmacy-opens-applications-for-new-drug-take-back-program-to-combat-opioid-crisis/

2 https://pr.mo.gov/boards/pharmacy/FAQ-Doc.pdf

3 Study at VA hospital: 10 liners filled, 452 pounds collected.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370445/

4 https://takebackday.dea.gov/sites/default/files/NTBI%2017%20Totals-April2019.pdf

5 https://nabp.pharmacy/wp-content/uploads/2016/06/Missouri-Newsletter-February-2018.pdf

p.s. Saw a catchy name for a take back event, "Crush the Crisis".    https://wlos.com/news/local/crush-the-crisis-medication-take-back-event-scheduled-for-saturday

Missouri Board of Pharmacy opens applications for
new drug take-back program to combat opioid crisis

JEFFERSON CITY, Mo. — The Missouri Board of Pharmacy has opened the application process for those wishing to participate in a new take-back program for unwanted prescription drugs<https://themissouritimes.com/category/policy/public-safety-and-health/> — a program born out of a 2017 Senate bill aimed at combating the ongoing opioid epidemic.

The RX Cares for Missouri Medication and Disposal Program<https://pr.mo.gov/boards/pharmacy/FAQ-Doc.pdf> has opened applications for law enforcement agencies, hospitals, and other clinics to collect and send the medication to a Texas-based waste management company under contract with the state. It set a suggested deadline of Oct. 1 so the board can anticipate funding needs for next year.

Applicants must be a licensed Missouri pharmacy, hospital or clinic with an onsite pharmacy, narcotic treatment program, or a law enforcement agency, according to guidance from the Department of Commerce & Insurance<https://themissouritimes.com/category/executivebranch/departments/>.

Once approved — done on a rolling basis — those involved with the pilot program will be given a collection receptacle, 12 inner liners, and prepaid shipping containers. It will be up to the participants to mail the collected drugs to Sharps Compliance Inc., for disposal.

The Missouri Board of Pharmacy has agreed to pay for the disposal of up to 12 liners per participant but allows a continuation of the take-back program with Sharps at the expense of the entity. If the program is successful and continues, it could up that number with approval from the General Assembly.

The program is open to a limited number of participants; officials said 100 participants would be a “rough estimate.”

“We take our role in combating the opioid crisis very seriously,” Kimberly Grinston, Missouri Board of Pharmacy executive director, said in a statement. “We’re looking forward to putting the RX Cares for Missouri Medication Destruction and Disposal Program into action and giving Missouri citizens a safe place to dispose of unwanted or unneeded medications.”

Grinston also noted there are resources online for Missourians who wish to dispose of unwanted medication.

“Unused medication is one of the biggest sources of drug abuse and access so we always encourage the public to destroy unused medication,” Grinston told The Missouri Times.

Nearly 1,000 people died from overdoses involving opioids in Missouri in 2017, according to the National Institute on Drug Abuse statistics<https://www.drugabuse.gov/opioid-summaries-by-state/missouri-opioid-summary>. Missouri had a rate of 16.5 deaths per 100,000 people — higher than the national rate of 14.6 deaths.

The program is a result of SB 139<https://www.senate.mo.gov/17info/BTS_Web/Bill.aspx?SessionType=R&BillID=57095316>, championed by Republican Sen. David Sater<https://themissouritimes.com/category/legislature/> and signed into law in 2017. It is funded until the end of this fiscal year.

While this program is new, Missouri has hosted prescription drug take-back days before, most recently in April<https://ago.mo.gov/opioid/drug-take-back-day> and run through the Attorney General’s Office.

“Opioid abuse and addiction have reached near epidemic levels in Missouri. Allowing Missourians to safely dispose of unwanted or unneeded prescription pills is a step in the right direction to quelling the opioid crisis,” Attorney General Eric Schmitt said then.

He has also encouraged Missourians to share their stories and find resources through a website hosted by his office<http://ago.mo.gov/opioid>.

Those wishing to participate in the RX Cares for Missouri program can apply online<http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwOTA0Ljk3OTE4MTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwOTA0Ljk3OTE4MTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNjc5MjY0OCZlbWFpbGlkPXJhY2hhZWxAdGhlbWlzc291cml0aW1lcy5jb20mdXNlcmlkPXJhY2hhZWxAdGhlbWlzc291cml0aW1lcy5jb20mdGFyZ2V0aWQ9JmZsPSZtdmlkPSZleHRyYT0mJiY=&&&103&&&https://pr.mo.gov/pharmacists.asp>.

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