San Francisco Safe Medicine Disposal Program

Proof in the Pilot Program

Safe Drug Disposal Stewardship Ordinance

Requires 5 Drop-off Locations Per District

Producers Required to Promote Program

MED-Project Stewardship Organization

There Have Been Challenges

Reluctant Industry

Picture: Stubborn as a Pack Mule /Marshal Hedin / Creative Commons

Large Pharmacies Slow to Participate

Courtesy of Walgreens

Walgreens Private Program

Courtesy of Walgreens

Board of Pharmacy Regulations

DEA Guidance on Other Medication Formulations

Permanent Residential Program

46 Medicine Drop-off Kiosks

73 Mail-Back Distribution Locations

&

Mail-Back Also Available Online or By Phone

Special Mail-Back - Inhalers

Picture: Medicine Asthma Inhaler Asthmatic Medical/Max Pixel/Creative Commons

Special Mail-Back - Injectors

SF Disposal Options by the Numbers

• 46 drop-off kiosk locations (plus 6 Walgreens kiosks)

• 73 mail-back distribution locations

• Every District has at least 2 kiosks3 of 11 Districts with 5+ kiosks

• 119 total locations (kiosk & mail-back)• *as of 9/2018

Lots More Disposal Options Now!

PILOT NOWNOW

Collection Results – Year 1 (11 months of 2017)

• Total Weight Collected in Kiosks: 12,911 lbs.

• Total Weight Collected at Take-Back Events: 1,715 lbs.

• Total Weight Collected through Mail-Back: 161 lbs.

• Grand Total of Weight Collected: 14,787 lbs.

Ordinance Implementation Milestones

Effective DateApril 25, 2015

First KiosksInstalled

1st Anniversaryof Stewardship

Program

Stewardship Plan is

Operational

MED-Project Submits

First Stewardship Plan

12m 15m 18m 22m 30m 36m. Apr. 25, 2016

July 25, 2016

Oct. 25, 2016

Feb. 25, 2017

Oct. 25, 2017

Apr. 25, 2018

DOE Reviewsand Approves Plan

1st Annual Report

37m

May 31, 2018

MED-Project Submits Revised Plan

for 4 Products Excludedfrom Kiosks

?

What’s Next?

Picture: River Rothay stepping stones/Strobilomyces /Creative Commons

Chain Pharmacy Recruitment

Promotion Push

Picture: Shouting / Sebastiann ter Burg/Creative Commons

Things to Look Out For

Remain Engaged During Regulations Development

Public Domain

Advocate for Explicit Program Requirements

Reach Out to Your Local Pharmacies

Ordinance is Working!

PILOT NOWNOW

SF Environment All Rights ReservedThe author of this document has secured the necessarypermission to use all the images depicted in this presentation.Permission to reuse or repurpose the graphics in this documentshould not be assumed nor is it transferable for any other use.Please do not reproduce or broadcast any content from thisdocument without written permission from the holder of copyright.

Thank you!

© 2018

Christopher LesterSpecial Waste Disposal AnalystSF Department of the EnvironmentChristopher.Lester@sfgov.org(415) 355-3705