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<body lang=EN-US link=blue vlink=purple style='margin-left:3.0pt;margin-top:
3.0pt;margin-right:3.0pt;margin-bottom:.75pt;WORD-WRAP: break-word;-webkit-nbsp-mode: space;
-webkit-line-break: after-white-space'>

<div class=Section1>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'>Dr. Goldhammer-<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'>I had the opportunity to meet with you in
2010 to discuss PhRMA&#8217;s role of pharmaceutical waste in the <st1:place w:st="on"><st1:country-region
 w:st="on">US</st1:country-region></st1:place> water supply with George Mannina.
<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'>&nbsp;<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'>I applaud PhRMA&#8217;s &nbsp;October 31, 2011 press
release and their continual role in assisting the <st1:country-region w:st="on"><st1:place
 w:st="on">US</st1:place></st1:country-region> with addressing the problem of
unwanted pharmaceuticals.<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'>I was hoping to use your assistance with suggestions
for updating the SMARTRx site as listed below.&nbsp; I know PhRMA is one of three
sponsors for this site and with the advent of take-back programs we (PharmWaste
List Serv) were hoping to assist PHRMA/APhA with updating your shared site with
current options, specifically:<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=black face=Tahoma><span style='font-size:
11.0pt;font-family:Tahoma;color:black'>Modify the message (and that of </span></font><font
size=2 color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'><a href="http://www.smarxtdisposal.net/"><font size=2><span
style='font-size:11.0pt'>http://www.smarxtdisposal.net/</span></font></a></span></font><font
color=black face=Tahoma><span style='font-family:Tahoma;color:black'>) to
suggest folks look to dispose of unused medication at take-back locations
FIRST&nbsp;(resources exist to find these such as: <a
href="http://www.takebacknetwork.com">http://www.takebacknetwork.com</a>)&nbsp;
before opting to throw meds in the trash? <o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=black face=Tahoma><span style='font-size:
11.0pt;font-family:Tahoma;color:black'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=black face=Tahoma><span style='font-size:
11.0pt;font-family:Tahoma;color:black'>The FDA has modified their disposal
message to include the take-back option prior to disposal in the trash at: </span></font><font
size=2 color=black face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
color:black'><a
href="http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm"><font
size=2><span style='font-size:11.0pt'>http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm</span></font></a><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=black face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma;color:black'>&nbsp;<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'>Thank you for your time and assistance and
please feel free to contact me if you have any questions.<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'>Fred Massoomi<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
11.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<div>

<p class=MsoNormal><strong><b><font size=2 color=navy face="Arial Narrow"><span
style='font-size:11.0pt;font-family:"Arial Narrow";color:navy'>Firouzan 'Fred'
Massoomi, Pharm.D., FASHP</span></font></b></strong><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><st1:place w:st="on"><st1:PlaceName w:st="on"><font size=2
  color=navy face="Arial Narrow"><span style='font-size:10.0pt;font-family:
  "Arial Narrow";color:navy'>Nebraska</span></font></st1:PlaceName><font
 size=2 color=navy face="Arial Narrow"><span style='font-size:10.0pt;
 font-family:"Arial Narrow";color:navy'> <st1:PlaceName w:st="on">Methodist</st1:PlaceName>
 <st1:PlaceType w:st="on">Hospital</st1:PlaceType></span></font></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face="Arial Narrow"><span
style='font-size:10.0pt;font-family:"Arial Narrow";color:navy'>Pharmacy
Operations Coordinator</span></font><font color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face="Arial Narrow"><span
style='font-size:10.0pt;font-family:"Arial Narrow";color:navy'>Department of
Pharmacy Services</span></font><font color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><st1:Street w:st="on"><st1:address tabIndex="0"
 style="BACKGROUND-POSITION: left bottom; BACKGROUND-IMAGE: url(res://ietag.dll/#34/#1001); BACKGROUND-REPEAT: repeat-x"
 w:st="on"><font size=2 color=navy face="Arial Narrow"><span style='font-size:
  10.0pt;font-family:"Arial Narrow";color:navy'>8303 Dodge St</span></font></st1:address></st1:Street><font
size=2 color=navy face="Arial Narrow"><span style='font-size:10.0pt;font-family:
"Arial Narrow";color:navy'>.</span></font><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
  color=navy face="Arial Narrow"><span style='font-size:10.0pt;font-family:
  "Arial Narrow";color:navy'>Omaha</span></font></st1:City><font size=2
 color=navy face="Arial Narrow"><span style='font-size:10.0pt;font-family:"Arial Narrow";
 color:navy'>, <st1:State w:st="on">NE</st1:State>&nbsp; <st1:PostalCode w:st="on">68114</st1:PostalCode></span></font></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face="Arial Narrow"><span
style='font-size:10.0pt;font-family:"Arial Narrow";color:navy'><a
href="mailto:fred.massoomi@nmhs.org">fred.massoomi@nmhs.org</a></span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face="Arial Narrow"><span
style='font-size:10.0pt;font-family:"Arial Narrow";color:navy'>(402) 354-4340
office&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (402)
354-3139 fax</span></font><font color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal><strong><b><font size=5 color=green face=Webdings><span
lang=EN-GB style='font-size:18.0pt;font-family:Webdings;color:green'>P</span></font></b></strong><strong><b><font
size=1 color=green face=Arial><span lang=EN-GB style='font-size:7.5pt;
font-family:Arial;color:green'>&nbsp;How do YOU dispose of unwanted drugs?</span></font></b></strong><o:p></o:p></p>

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<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman"'>

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<p class=MsoNormal><font size=2 face=Calibri><span style='font-size:11.0pt'><o:p>&nbsp;</o:p></span></font></p>

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<BR>
This message and any included attachments are from Nebraska Methodist Health System and its affiliates and are intended only for the addressee. The message may contain privileged, confidential and/or proprietary information intended only for the person(s) named.  Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Nebraska Methodist Health System and its affiliates in Omaha, Nebraska, U.S.A at (402)354-2280.