A Product Stewardship Plan For Unwanted Medicine from Households City and County of San Francisco, California May 31, 2018 Table of Contents I. Introduction ...................................................................................................................................................... 5 II. Contact Information ........................................................................................................................................ 5 III. Plan Definitions ................................................................................................................................................ 6 IV. Unwanted Medicine ....................................................................................................................................... 8 V. Collection of Unwanted Medicine ............................................................................................................... 9 A. Unwanted Medicine Collection Program ................................................................................................ 9 1. Outrh eac ................................................................................................................................................... 9 2. Implementation ....................................................................................................................................... 9 3. Convenience ........................................................................................................................................... 9 4. Services ..................................................................................................................................................... 9 B. Kiosk Drop-Off Sites ..................................................................................................................................... 10 1. Kiosk Drop-Off Site Locations ............................................................................................................ 10 2. Drop -Off Site Kiosk Placement and Maintenance Program ....................................................... 11 3. Kiosk Specifications .............................................................................................................................. 12 4. Kiosk Collection ..................................................................................................................................... 12 5. Frequency of Pick-Up ........................................................................................................................... 14 6. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up ........................................................... 14 7. Unplanned Event Preparedness ....................................................................................................... 14 C. Take -Back Events ......................................................................................................................................... 15 1. Method ..................................................................................................................................................... 15 2. Pro cedures .............................................................................................................................................. 15 3. Fees and Costs ...................................................................................................................................... 16 D. Disposal of Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events ................. 16 E. Mail -Back Services for Unwanted Medicine .......................................................................................... 16 1. Standard Mail-Back Services ............................................................................................................. 16 2. Standard Mail-Back Services for Iodine-Containing Medications ........................................... 17 3. Injector Mail-Back Services for Pre-filled Injector Products ...................................................... 17 4. Inhaler Mail-Back Services for Inhalers ........................................................................................... 17 5. Mail -Back Package Availability .......................................................................................................... 18 6. Mail -Back Package Collection and Disposal ................................................................................. 18 VI. Plan and Collection Goals ............................................................................................................................ 19 VII. Patient Privacy ................................................................................................................................................ 21 VIII. Call Center ....................................................................................................................................................... 21 IX. Training ........................................................................................................................................................... 22 A. Service Technician Training ...................................................................................................................... 23 X. Vendor, Transporter, and Disposal Facility Information ........................................................................ 23 A. Vendor for Kiosk Drop-Off Sites and/or Take-Back Events ............................................................. 23 B. Carri er for Kiosk Drop-Off Sites and/or Take-Back Events .............................................................. 23 C. Reverse Distributor Facility & Transporter for Kiosk Drop-Off Sites and Take-Back Events . 23 1. Reverse Distributor Facility ................................................................................................................ 23 2. Transporter............................................................................................................................................. 24 D. Disposal Facility for Kiosk Drop-Off Sites and/or Take-Back Events ............................................. 24 1. Disposal Facility .................................................................................................................................... 24 2. Direct Transport Disposal Facility .................................................................................................... 24 3. Secondary Disposal Facility .............................................................................................................. 24 E. Vendor for Standard Mail-Back Packages ............................................................................................ 24 2 F. Shipper of Standard Mail-Back Packages ............................................................................................. 24 G. Disposal Facilities for Standard Mail-Back Packages ........................................................................ 25 1. Disposal Facility .................................................................................................................................... 25 H. Vendor for Injector Mail-Back Packages ............................................................................................... 25 I. Shipper of Injector Mail-Back Packages ................................................................................................ 25 J. Transfer Facility for Injector Mail-Back Packages ............................................................................... 25 K. Transporter(s) for Injector Mail-Back Packages ................................................................................... 25 1. Transporter 1 .......................................................................................................................................... 25 2. Transporter 2 ......................................................................................................................................... 25 L. Disposal Facilities for Injector Mail-Back Packages ........................................................................... 26 1. Disposal Facility 1 ................................................................................................................................. 26 2. Disposal Facility 2 ................................................................................................................................ 26 3. Disposal Facility 3 ................................................................................................................................ 26 M. Vendor for Inhaler Mail-Back Packages ................................................................................................ 26 N. Shipper of Inhaler Mail-Back Packages ................................................................................................. 26 O. Transfer Station for Inhaler Mail-Back Packages ................................................................................ 26 P. Transporter(s) for Inhaler Mail-Back Packages .................................................................................... 27 1. Transporter 1 .......................................................................................................................................... 27 2. Transporter 2 ........................................................................................................................................