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<P>We have been studying this issue for some time now.&nbsp; Our Foundation has a policy not to accept, transfer, or use any donated medicines on patients.&nbsp; If the medicines are expired when they are donated, consider the principle of "standard care" and the ethics and&nbsp;legality of using "expired" medicines on other patients.&nbsp; We understand that this practice exists, but it is right?&nbsp; Under close supervision of physicians and pharmacists in a healthcare facility, some medicines, not expired or tampered with, may be transferred to other patients.&nbsp; I believe it's a state-by-state policy for hospitals, clinics, hospice, and nursing homes.&nbsp; </P>
<P>&nbsp;</P>
<P>We have worked with several international agencies including the United Nations World Health Organization regarding drug donation to other countries.&nbsp; Please refer to the attached WHO documents for donation and disposal of drugs.&nbsp; In the U.S., one Dallas-based company MediSend International (<A href="http://www.medisend.org">www.medisend.org</A>) may provide better insight and guidance to drug donation.&nbsp; Nick Hallack is the CEO of this group.</P>
<P>&nbsp;</P>
<P>&nbsp;</P>
<P>Matthew Mireles, PhD, MPH</P>
<P>President and CEO</P>
<P>Community Medical Foundation for Patient Safety.</P>
<P>&nbsp;</P>
<P>&nbsp;</P>
<P><BR><BR>&nbsp;</P>
<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: "Gainer, Kate (Puetz)" <KGAINER@IARX.ORG><BR>Sent: Nov 19, 2009 5:12 PM <BR>To: "Jaramillo, Jeanie" <JEANIE.JARAMILLO@TTUHSC.EDU>, pharmwaste@lists.dep.state.fl.us <BR>Cc: "Skaggs, Nathan" <NATHAN.SKAGGS@TTUHSC.EDU><BR>Subject: RE: [Pharmwaste] Donation of unused medications <BR><BR><?XML:NAMESPACE PREFIX = [default] http://www.w3.org/TR/REC-html40 NS = "http://www.w3.org/TR/REC-html40" /><ZZZhtml xmlns="http://www.w3.org/TR/REC-html40" xmlns:st="&#1;" xmlns:udcp2p="http://schemas.microsoft.com/data/udc/parttopart" xmlns:udcxf="http://schemas.microsoft.com/data/udc/xmlfile" xmlns:udcs="http://schemas.microsoft.com/data/udc/soap" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:sps="http://schemas.microsoft.com/sharepoint/soap/" xmlns:sp="http://schemas.microsoft.com/sharepoint/" xmlns:ec="http://www.w3.org/2001/04/xmlenc#" xmlns:sub="http://schemas.microsoft.com/sharepoint/soap/2002/1/alerts/" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:udc="http://schemas.microsoft.com/data/udc" xmlns:dsp="http://schemas.microsoft.com/sharepoint/dsp" xmlns:ds="http://www.w3.org/2000/09/xmldsig#" xmlns:dir="http://schemas.microsoft.com/sharepoint/soap/directory/" xmlns:ois="http://schemas.microsoft.com/sharepoint/soap/ois/" xmlns:ppda="http://www.passport.com/NameSpace.xsd" xmlns:x2="http://schemas.microsoft.com/office/excel/2003/xml" xmlns:mt="http://schemas.microsoft.com/sharepoint/soap/meetings/" xmlns:Repl="http://schemas.microsoft.com/repl/" xmlns:D="DAV:" xmlns:rtc="http://microsoft.com/officenet/conferencing" xmlns:q="http://schemas.xmlsoap.org/soap/envelope/" xmlns:ZZZhtml="http://www.w3.org/TR/REC-html40" xmlns:oa="urn:schemas-microsoft-com:office:activation" xmlns:odc="urn:schemas-microsoft-com:office:odc" xmlns:c="urn:schemas-microsoft-com:office:component:spreadsheet" xmlns:ss="urn:schemas-microsoft-com:office:spreadsheet" xmlns:b="urn:schemas-microsoft-com:office:publisher" xmlns:z="#RowsetSchema" xmlns:rs="urn:schemas-microsoft-com:rowset" xmlns:s="uuid:BDC6E3F0-6DA3-11d1-A2A3-00AA00C14882" xmlns:dt="uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:a="urn:schemas-microsoft-com:office:access" xmlns:p="urn:schemas-microsoft-com:office:powerpoint" xmlns:x="urn:schemas-microsoft-com:office:excel" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:v="urn:schemas-microsoft-com:vml" xmlns:st1="urn:schemas-microsoft-com:office:smarttags" xmlns:ns13="urn:schemas-microsoft-com:" xmlns:ns12="http://microsoft.com/webservices/SharePointPortalServer/PublishedLinksService" xmlns:ns11="http://schemas.microsoft.com/sharepoint/soap/SlideLibrary/" xmlns:ns10="http://schemas.microsoft.com/exchange/services/2006/messages" xmlns:ns9="http://schemas.microsoft.com/exchange/services/2006/types" xmlns:ns8="http://microsoft.com/sharepoint/webpartpages" xmlns:ns7="http://schemas.openxmlformats.org/package/2006/relationships" xmlns:ns6="http://schemas.microsoft.com/office/2004/12/omml" xmlns:ns5="http://schemas.openxmlformats.org/markup-compatibility/2006" xmlns:ns4="http://schemas.openxmlformats.org/package/2006/digital-signature" xmlns:ns3="http://schemas.microsoft.com/office/2006/digsig" xmlns:ns2="http://schemas.microsoft.com/office/2006/digsig-setup" xmlns:ns1="http://schemas.microsoft.com/sharepoint/soap/workflow/"><ZZZhead><ZZZMETA CONTENT="text/html; charset=us-ascii" HTTP-EQUIV="Content-Type"><ZZZmeta content="Microsoft Word 11 (filtered medium)" name="Generator"><ZZZ!--[if !mso]>
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<P class=MsoNormal><FONT color=navy size=2 face="Trebuchet MS"><SPAN style="FONT-FAMILY: 'Trebuchet MS'; COLOR: navy; FONT-SIZE: 10pt">In <?xml:namespace prefix = st1 /><st1:State w:st="on"><st1:place w:st="on">Iowa</st1:place></st1:State>, there is a repository program that accepts medications of this nature. &nbsp;The information for the repository (which is administered by the Iowa Prescription Drug Corporation) is <A href="http://www.iowapdc.org/" target=_blank>www.iowapdc.org</A> <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face="Trebuchet MS"><SPAN style="FONT-FAMILY: 'Trebuchet MS'; COLOR: navy; FONT-SIZE: 10pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face="Trebuchet MS"><SPAN style="FONT-FAMILY: 'Trebuchet MS'; COLOR: navy; FONT-SIZE: 10pt">I’m not sure if they’d be able to accept from an out of state provider, but you may be interested in their program. <o:p></o:p></SPAN></FONT></P>
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<P class=MsoNormal><EM><I><FONT color=navy size=2 face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; FONT-SIZE: 11pt">Kate Gainer, PharmD</SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><EM><I><FONT color=navy size=2 face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; FONT-SIZE: 11pt">Vice President, Professional Affairs</SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><st1:State w:st="on"><st1:place w:st="on"><EM><I><FONT color=navy size=2 face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; FONT-SIZE: 11pt">Iowa</SPAN></FONT></I></EM></st1:place></st1:State><EM><I><FONT color=navy face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy"> Pharmacy Association</SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><EM><I><FONT color=navy size=2 face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; FONT-SIZE: 11pt">515.270.0713</SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Calibri><SPAN style="COLOR: navy; FONT-SIZE: 11pt"><A href="mailto:kgainer@iarx.org" target=_blank><EM><I><FONT color=navy face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy; TEXT-DECORATION: none">kgainer@iarx.org</SPAN></FONT></I></EM></A><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><STRONG><B><I><FONT color=purple size=2 face=Calibri><SPAN style="FONT-STYLE: italic; FONT-FAMILY: Calibri; COLOR: purple; FONT-SIZE: 11pt">Renew your 2010 IPA membership today at </SPAN></FONT></I></B></STRONG><FONT color=navy><SPAN style="COLOR: navy"><A href="http://www.iarx.org" target=_blank><STRONG><B><I><FONT color=purple face=Calibri><SPAN style="FONT-STYLE: italic; FONT-FAMILY: Calibri; COLOR: purple">www.iarx.org</SPAN></FONT></I></B></STRONG></A></SPAN></FONT><STRONG><B><I><FONT color=purple face=Calibri><SPAN style="FONT-STYLE: italic; FONT-FAMILY: Calibri; COLOR: purple">!</SPAN></FONT></I></B></STRONG><EM><I><FONT color=navy face=Calibri><SPAN style="FONT-FAMILY: Calibri; COLOR: navy"> </SPAN></FONT></I></EM><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=navy size=2 face=Calibri><SPAN style="COLOR: navy; FONT-SIZE: 11pt">&nbsp;<o:p></o:p></SPAN></FONT></P>
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<P class=MsoNormal><B><FONT size=2 face=Tahoma><SPAN style="FONT-FAMILY: Tahoma; FONT-SIZE: 10pt; FONT-WEIGHT: bold">From:</SPAN></FONT></B><FONT size=2 face=Tahoma><SPAN style="FONT-FAMILY: Tahoma; FONT-SIZE: 10pt"> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B><SPAN style="FONT-WEIGHT: bold">On Behalf Of </SPAN></B>Jaramillo, Jeanie<BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Thursday, November 19, 2009 4:04 PM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B> pharmwaste@lists.dep.state.fl.us<BR><B><SPAN style="FONT-WEIGHT: bold">Cc:</SPAN></B> Skaggs, Nathan<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B> [Pharmwaste] Donation of unused medications</SPAN></FONT><FONT size=3 face="Times New Roman"><SPAN style="FONT-FAMILY: 'Times New Roman'; FONT-SIZE: 12pt"><o:p></o:p></SPAN></FONT></P></DIV>
<P class=MsoNormal><FONT size=2 face=Calibri><SPAN style="FONT-SIZE: 11pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=2 face=Calibri><SPAN style="FONT-SIZE: 11pt">Does anyone have a good resource for information on the donation of unused medicines or information that basically prohibits this?&nbsp; I have a pharmacist who supplies meds to long term care facilities in blister packs and is interested in donating unused portions.&nbsp; Also, having recently conducted a take-back program, we collected numerous items from the public that were still factory-sealed.&nbsp; Thank you. <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=2 face=Calibri><SPAN style="FONT-SIZE: 11pt"><o:p>&nbsp;</o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Jeanie Jaramillo, PharmD<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Managing Director, <st1:place w:st="on"><st1:PlaceName w:st="on">Texas</st1:PlaceName> <st1:PlaceName w:st="on">Panhandle</st1:PlaceName> <st1:PlaceName w:st="on">Poison</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType></st1:place><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Assistant Professor, <st1:place w:st="on"><st1:PlaceName w:st="on">Texas</st1:PlaceName> <st1:PlaceName w:st="on">Tech</st1:PlaceName> <st1:PlaceName w:st="on">UHSC</st1:PlaceName> <st1:PlaceType w:st="on">School</st1:PlaceType></st1:place> of Pharmacy<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">1501 S. Coulter St</SPAN></FONT></st1:address></st1:Street><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Amarillo</SPAN></FONT></st1:City><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">, <st1:State w:st="on">TX</st1:State> <st1:PostalCode w:st="on">79106</st1:PostalCode></SPAN></FONT></st1:place><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">P: (806) 354-1611<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">C: (806) 672-0833<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">F: (806) 354-1667<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Monotype Corsiva"><SPAN style="FONT-FAMILY: 'Monotype Corsiva'; FONT-SIZE: 12pt">Cisco IP: 30412<o:p></o:p></SPAN></FONT></P>
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