6th Annual Prescription Drug 6th Annual Prescription Drug Abuse SymposiumAbuse Symposium

In the Trenches - A Community In the Trenches - A Community ApproachApproach

Medicine Waste Disposal: Take Medicine Waste Disposal: Take Back Programs Are NOT a Waste Back Programs Are NOT a Waste

of Timeof TimeOctober, 2015October, 2015

The ProblemThe Problem

• Flushing unwanted/unused medicationsFlushing unwanted/unused medications• Associated Press StudyAssociated Press Study• US Geological StudyUS Geological Study• Prescription Drug AbusePrescription Drug Abuse• DEA –Controlled SubstancesDEA –Controlled Substances

Why Should We Care ?Why Should We Care ?

Why Should We Care? Cont.Why Should We Care? Cont.Environmental Reasons………Environmental Reasons………Law Enforcement Reasons………Law Enforcement Reasons………Substance Abuse Prevention Reasons……Substance Abuse Prevention Reasons……

Types of Collection of Unwanted Types of Collection of Unwanted MedicationsMedications

• Community Collection Community Collection • Medical Waste Disposal CompaniesMedical Waste Disposal Companies• Municipal ProgramMunicipal Program• Law Enforcement (no more DEA take back) Law Enforcement (no more DEA take back) • Mail backMail back• Mail Box Type CollectionMail Box Type Collection• Collection at PharmaciesCollection at Pharmacies• Yellow Jug Old DrugsYellow Jug Old Drugs

Strategy to Help Address IssueStrategy to Help Address Issue

• Non-Profit Organization ModelNon-Profit Organization Model

Great Lakes Clean Water OrganizationGreat Lakes Clean Water OrganizationUS Clean WaterUS Clean WaterYellow Jug Old Drugs ProgramYellow Jug Old Drugs Program

Able to collect controlled and non-controlledAble to collect controlled and non-controlledCost $300 per year unlimited weightCost $300 per year unlimited weight

Yellow Jugs Old DrugsYellow Jugs Old Drugs®® Program Program• Program overviewProgram overview• Currently serve:Currently serve: Michigan, Illinois, Wisconsin,Michigan, Illinois, Wisconsin, Indiana, Ohio, North DakotaIndiana, Ohio, North Dakota On Demand system in allOn Demand system in all states that allow in 2016 states that allow in 2016

Program support byProgram support by:: Pharmacies-Primary fundingPharmacies-Primary funding State funded NDState funded ND Grants, Local, State, FederalGrants, Local, State, Federal Prevention Task Force INPrevention Task Force IN Individual donationsIndividual donations Pharmaceutical IndustryPharmaceutical Industry Eli Lilly Eli Lilly

Yellow Jugs Old DrugsYellow Jugs Old Drugs®® Program Program

Advantages:Advantages:• Pharmacy based and easily recognizablePharmacy based and easily recognizable• Well thought out, strict protocolWell thought out, strict protocol• Leverage grant funds-Sustainable after grantsLeverage grant funds-Sustainable after grants• Low operational cost Volunteers/Employees Low operational cost Volunteers/Employees • Professional Customer ServiceProfessional Customer Service• Free publicity – News stories, Radio and Video Free publicity – News stories, Radio and Video

public service announcements (PSAs)public service announcements (PSAs)• First Non Profit Reverse Distributor in the First Non Profit Reverse Distributor in the

country. One or 27 in the US country. One or 27 in the US

Program support by:Program support by:

Pharmacies-Primary fundingPharmacies-Primary funding State funded ND, Legislation, VoluntaryState funded ND, Legislation, Voluntary Grants, Local, State, FederalGrants, Local, State, Federal Prevention Task Force INPrevention Task Force IN Individual donationsIndividual donations Pharmaceutical IndustryPharmaceutical Industry Eli Lilly and CompanyEli Lilly and Company

Controlled Substance CollectionControlled Substance Collection• Space Saving Lockable ContainerSpace Saving Lockable Container• Inner Liner-barcodeInner Liner-barcode• Cost effective $200 deposit-Unlimited Jugs $300Cost effective $200 deposit-Unlimited Jugs $300• Dissolving gelDissolving gel• GLCW/USCW Reverse DistributorGLCW/USCW Reverse Distributor

Reasons for Pharmacy to participateReasons for Pharmacy to participate• Customer Service-retain and attract Customer Service-retain and attract • Public SafetyPublic Safety• Environmental Issues/Water Quality Environmental Issues/Water Quality • Reduce exposure to accidently accepting controlled Reduce exposure to accidently accepting controlled

Lockable ContainerLockable ContainerRequired to collect ControlledRequired to collect Controlled

Participating Pharmacy MapParticipating Pharmacy Map

GreatLakesCleanWater.orghttp://www.USCleanWater.org

Participating Pharmacy Map Secure Responsible Drug DisposalSecure Responsible Drug Disposal

Contact InformationContact InformationChris AngelChris AngelPresidentPresidentGreat Lakes Clean Water Great Lakes Clean Water US Clean Water OrganizationUS Clean Water Organizationinfo@greatlakescleanwater.orginfo@greatlakescleanwater.org989-736-8179989-736-8179