ph:arm (pharmaceuticals from households: a return mechanism) washington state’s medicine return
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PH:ARM (Pharmaceuticals from Households: A Return Mechanism) Washington State’s Medicine Return. Cheri Grasso King County Hazardous Waste Management 4 th Annual Unused Drug Return Conference Portland, Maine October 31, 2007. PH:ARM Team . Local Governments - PowerPoint PPT PresentationTRANSCRIPT
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PH:ARM(Pharmaceuticals from Households:
A Return Mechanism) Washington State’s Medicine Return
Cheri GrassoKing County Hazardous Waste Management4th Annual Unused Drug Return Conference
Portland, MaineOctober 31, 2007
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PH:ARM Team Local Governments
King County Hazardous Waste Management ProgramInteragency Resource for Achieving Cooperation (IRAC)
Public Health – Seattle & King County King County Department of Natural Resources and Parks
Snohomish County Solid Waste Management Division
State AgenciesState Department of Ecology
State Department of Social and Health ServicesState Board of Pharmacy
Non ProfitsNorthwest Product Stewardship Council
Washington Citizens for Resource Conservation Pacific NW Pollution Prevention Resource Center (PPRC)
Private SectorGroup Health Cooperative
Bartell Drugs
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PH:ARM Goals• Keep drugs out of the environment
• Prevent drug diversion/ abuse • Prevent child poisonings
• As easy to dispose as to buy medicine• Meet regulatory requirements
• Create replicable model for others
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British Columbia’s program: a model
• Since 1996• Serves 4 million people• No fee to user• 856 pharmacies participating• 44,000 lbs annually • Total cost $257,000 in 2006
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Results of Survey
• 74% want to properly dispose of their unwanted medicines if convenient
• 80% would return their meds to a pharmacy
-SoundStats Survey of King County, 2006
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PH:ARM Pilot Project• 25 Clinic pharmacy locations • 39 Retail pharmacy locations• 20 nursing homes• 2 years in length (ongoing)• Includes all pharmaceutical products*______________________*Initially we will not collect controlled substances, pending DEA
agreement
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DEA Waiver Request
Memo of Understanding– Clinical Pharmacy– Retail Pharmacy
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Strong Political SupportU.S. Senator Maria
CantwellU.S. Senator Patty
MurrayGovernor Christine
GregoireAttorney General Rob
McKennaSecretary of Health
Mary SeleckyEPA Region X
Administrator
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1st Phase: Clinical Pharmacy
• HMO in Washington State
• 500,000 Customers; 25 pharmacies
• Started Oct 2006 with 7 locations
• 16 locations October 2007
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Group Health Container
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Results (thus far) of GHC Pilot
Eleven clinics in 10 months– Little advertising– Not open to general public– Collected over 3,000 lbs
• Estimate: 1.5 lbs a day per pharmacy site on average
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Next Phase: Retail Pharmacy
• Bartell Drugs
• 1 central warehouse
• 39 locations
• more returns likely
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Beyond the Pilot
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Financing
• Funding:– $250,000 + grants – in-kind donations
• Washington - 66,000 lbs/year
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Manufacturers in Canada Program
And many more….
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Product Stewardship Is…
• Shared environmental responsibility• Producers, sellers or users
responsible for environ. impact
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Product Stewardship in BC
• Pharm brand owners • Pharmacies• Consumers• Government
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Product Stewardship in WorldLocations
European UnionCanadaJapan South Korea Australia
Products– Batteries
– Electronics
– Pharmaceuticals
– Paint
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Legislation
• Producer responsibility bill• Manufacturer funded take backs
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Additional Information• Information about the Washington pilot: www.medicinereturn.com
• Northwest Product Stewardship Council: www.productstewardship.net
• Information about the BC program: http://www.medicationsreturn.ca/
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Contact Information
Cheri GrassoHealth and Environmental Investigator
Local Hazardous Waste Management Program in King County206-263-3089
Will PerryHealth and Environmental Investigator
Seattle-King County Public Health206-263-8477