Lessons Learned from the Reverse Distribution Industry and

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Transcript Lessons Learned from the Reverse Distribution Industry and

Lessons Learned from the Reverse Distribution Industry and Implications for National Consumer Take-Back Programs 5th Annual Maine Benzodiazepine Study Group Conference & 4th Annual Unused Drug Return Conference Improving Patient Safety through Informed Medication Prescribing and Disposal Practices November 1, 2007 Portland, Maine Mark Harvey Director of Operations EXP Pharmaceutical Services Corp.

© 2007 EXP Pharmaceutical Services Corp.

Industry Overview

• What is a Reverse Distributor?

– Returning Potentially Creditable Pharmaceuticals – Waste Determination and Management at Reverse Distributor’s Facility – Assisting Current Customers in Waste Management and Education by: • Initial training of Pharmacy staff by Reverse Distributor personnel • Processing report data that includes reasons for credit ineligibility • Non-compliance incident reports

Regulatory Challenges

– DEA: • Memorandum of Understanding • Allow Bay Area pilot program – USPS: • Packaging & Labeling • Acceptable Materials – State: • MWMA (Medical Waste Management Act) • LTC Homes • SB966 (signed by Governor Schwarzenegger)

Differing Opinions

– Materials Collected: • Non-Controlled Substances • Controlled Substances • Medical Waste – Type Of Program: • Drop-Off vs. Mail-Back – Type Of Treatment: • Incineration • Hazardous Waste Treatment

Financing

Who?: • Consumers?

• Waste Water Agencies?

• Retailers?

• Insurance Companies?

• Local, State or Federal Government?

• Manufacturers?

How?: • Surcharge On Prescriptions?

• Higher Utility Bills?

• Higher Insurance Rates?

• Higher Taxes?

How Much?: • Per Pound?

• Per Script?

• Per Mailer?

Implications

Reduces Teen PharmingIncreases Patient SafetyEnvironmental ImpactChild and Elder Safety

Partnerships

Waste Water AgenciesCity and State GovernmentCounty HealthPublic/Private OrganizationsBAPPG EPAUSPSDEADHSDTSC

(Bay Area Pollution Prevention Group)

Save The Bay (NGO)Pharmacies

Questions?

Mark Harvey Director of Operations 48021 Warm Springs Blvd Fremont, CA 94539 Phone: 510-933-0936 Email: [email protected]