UNWANTED/WASTE PHARMACEUTICALSNATIONAL DIALOGUE June 19-20, 2008Sacramento, CA

Post-Consumer Pharmaceutical Stewardship Association

OutlineGovernanceProduct CategoryFundingB.C. Medications Return Program

HistoryPost Consumer Pharmaceutical Stewardship Association (PCPSA) is the association representing the majority of the pharmaceutical and self-care health products industries for stewardship programs.

MembersAbbott Laboratories LimitedBrand NameAbraxis BioScience Inc.GenericActelion Pharma. Canada Inc.Brand NameAdvantage CKNSelf-careAlcon Canada Inc.Brand NameAmgen Canada Inc.Brand NameApotex Inc.GenericAstellas Pharma Canada Inc.Brand NameAstraZeneca Canada Inc.Brand NamAu Naturel Canada Inc.Self-careAxcan Pharma Inc.Brand NameBayer Inc.Brand Name, Self-careBioforce Canada Inc.Self-careBiovail Pharma. CanadaBrand NameBoehringer Ingelheim CanadaBrand Name, Self-careBoiron Canada Inc.Self-careBristol-Myers Squibb Pharma. Group Brand Name, Self-care

MembersCanada Safeway Ltd.Self-careChattem (Canada) Inc.Self-careChurch & Dwight CanadaSelf-careCobalt Pharmaceuticals Inc.GenericCombe IncorporatedSelf-careCV Technologies Inc.Self-careCytex Pharmaceutical Inc.GenericEli Lilly Canada Inc.Brand NameEMD-Serono Canada Inc.Brand NameEnzymatic TherapySelf-careFerring Inc.Brand NameGalderma CanadaBrand NameGeneral Nutrition Centres CanadaSelf-careGenPharm Inc.GenericGlaxoSmithKline Consumer HealthcareSelf-careGlaxoSmithKline Inc.Brand NameGraceway PharmaceuticalsBrand NameHerbalife of CanadaSelf-careHolista Health Canada Inc.Self-care

MembersHospira Healthcare CorporationGenericHudson's Bay CompanySelf-careJamieson LaboratoriesSelf-careJanssen-Ortho Inc.Brand NameJohnson & Johnson Inc.Self-careKatz Group Canada LtdSelf-careKing PharmaceuticalsBrand NameKripps PharmacySelf-careLaboratories Aeterna Inc.Brand NameLeo Pharma Inc.Brand NameLoblaw Companies LtdSelf-careLondon Drugs LimitedSelf-careLundbeck Canada Inc.Brand NameMead Johnson NutritionalsSelf-careMerck Frosst Canada Ltd.Brand Name, Self-careNature's Sunshine ProductsSelf-careNeurochem Inc.Brand NameNovartis Consumer Health Canada Inc.Self-careNovartis Pharma Canada Inc.Brand NameNovo NordiskBrand Name

MembersNovopharm Ltd. / Teva NeuroscienceGenericNu-Pharm IncGenericNycomed Canada Inc.Self-careOdan LaboratoriesGenericOmega Laboratories Ltd.GenericOverwaitea Food Group Ltd PartnershipSelf-carePaladin Labs Inc.Brand NamePeoples Drug Mart (B.C.) LtdSelf-carePfizer Canada IncBrand NamePharmasave National (Drugs) Ltd.Self-carePharmascience Inc.GenericPlatinum NaturalsSelf-careProcter & Gamble Inc.Self-careProctor & Gamble Pharma.s Canada Inc.Brand NamePurdue PharmaBrand Name, Self-careQuixtar Canada CorporationSelf-careRanbaxy Pharma. Canada Inc.GenericRatiopharmGenericRivex Pharma Inc.GenericRoche LimitedBrand Name

MembersSandoz CanadaGenericSanofi-AventisBrand NameSchering-Plough Canada Inc.Brand Name, Self-careServier Canada Inc.Brand NameShaklee Canada Inc.Self-careShire Canada Inc.Brand NameShoppers Drug Mart, PharmaprixSelf-careSISU Inc.Self-careSolvay Pharma Inc.Brand NameStiefel Canada Inc.Brand NameSwiss Herbal Remedies Ltd.Self-careTaro Pharmaceuticals Inc.GenericTianshi Health ProductsSelf-careTrophic CanadaSelf-careUniPHARM Wholesale DrugsSelf-careUSANA Canada Co.Self-careValeant Canada LimitedBrand Name, GenericVita Health Products Inc.Self-careWal-Mart PharmacySelf-careWellSpring Pharma. Canada Corp.Self-careWN Pharmaceuticals Ltd.Self-careWyeth CanadaBrand NameWyeth Consumer Healthcare Inc.Self-care

PCPSA StructureMembersBoard of DirectorsStaffGovernmentsProgramPlanReportingAdministrationPharmacyProgram Administrators

Product CategoryPharmaceuticalPharmaceutical Product is a drug" as defined under the Food and Drug Regulations (Health Canada).

Natural Health Product CategoryNatural health products (NPH) as defined in the Natural Health Products Regulation (Health Canada)

Funding MechanismNo fees for returning medications to pharmacies.We work with the provincial professional association for pharmacists and their regulatory body to advertise and promote the program to their members.Pharmacist participation is voluntary. Upon completing registration, the collection site will get brochures, posters and instructions on how the Medications Return Program operates.

Funding MechanismThe pharmaceutical (80%) and self-care health (20%) sectors contributions are based on collected returns.Budget $100,000 (example)Brand name $45,000Generic$35,000Self-care health$20,000

BudgetRevenueMembers from pharmaceutical and self-care health products industries (102).

ExpensesOfficeCommunicationConsultation/surveys/feesB.C. ProgramAdministrationHandlingStorage CollectionDisposal

B.C. Medications Return ProgramOnce the MRP container is full, the pharmacist fax the Program Administrator to arrange pick up and replacement of containers within 7 days.

A database is maintained; we track the collection from pharmacies; we store products until we can transport to a licensed incinerator for destruction.

In 2007, British Columbia (4.3 pop.), 23,284 kg of medications or 2,129 containers were picked up from pharmacies (913).

QuestionsGinette VanasseExecutive DirectorPCPSA406-1111 Prince of Wales Dr.Ottawa, OntarioCanada1-613-723-72821-613-723-0779ginette.vanasse@medicationsreturn.cawww.medicationsreturn.ca