Table of Contents Introduction .................................................................................................................................................................. 5 Contact Information .................................................................................................................................................... 5 Plan Definitions ............................................................................................................................................................ 5 Unwanted Medicine ................................................................................................................................................... 7 Collection of Unwanted Medicine ........................................................................................................................... 8 A. Unwanted Medicine Collection Program Implementation ............................................................................... 8 1. Outreach ................................................................................................................................................................ 8 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 ...................................................................................................................... 10 3. Kiosk Specifications .......................................................................................................................................... 10 4. Kiosk Collection .................................................................................................................................................. 11 a. Technician-Assisted Collection ............................................................................................................. 12 b. Host-Assisted Collection ......................................................................................................................... 12 C. Take-Back Events ...................................................................................................................................................... 13 1. Method.................................................................................................................................................................. 13 2. Procedures .......................................................................................................................................................... 13 D. Disposal of Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events.............................. 14 E. Mail-Back Services for Unwanted Medicine ...................................................................................................... 14 1. Standard Mail-Back Services for Unwanted Medicine, Excluding Inhalers, Pre-Filled Injector Products, and Iodine-Containing Medications .......................................................................................... 14 2. Standard Mail-Back Services for Iodine-Containing Medications ........................................................ 15 3. Injector Mail-Back Services ............................................................................................................................. 15 4. Inhaler Mail-Back Services .............................................................................................................................. 15 5. Mail-Back Package Availability ...................................................................................................................... 16 6. Mail-Back Package Collection and Disposal ............................................................................................. 16 Plan and Collection Goals ........................................................................................................................................ 17 Patient Privacy ............................................................................................................................................................ 18 Call Center ................................................................................................................................................................... 18 Transporter and Disposal Facility Information ..................................................................................................... 19 A. Vendors ........................................................................................................................................................................ 19 B. Transporters and Shippers ..................................................................................................................................... 19 C. Transfer Facility ......................................................................................................................................................... 23 D. Reverse Distributor Facilities ................................................................................................................................ 23 E. Autoclave Facility...................................................................................................................................................... 24 F. Disposal Facilities ..................................................................................................................................................... 24 Unwanted Medicine Educational and Outreach Programming ....................................................................... 27 A. Overview ......................................................................................................................................................................27 B. Audiences ....................................................................................................................................................................27 C. Messages .....................................................................................................................................................................27 D. Tools/Communications Channels ........................................................................................................................ 28 1. Phones ................................................................................................................................................................. 28 2. MED-Project Website ....................................................................................................................................... 28 3. Materials .............................................................................................................................................................. 29 2 4. Media Outreach ................................................................................................................................................ 29 5. Broadcast Outreach ......................................................................................................................................... 29 E. Collaboration with County Officials and Community Organizations .......................................................... 29 F. Disclaimer ................................................................................................................................................................... 30 Survey ......................................................................................................................................................................... 30 Packaging ................................................................................................................................................................... 30 Compliance with Applicable Laws, Regulations, and Other Legal Requirements ........................................ 31 A. DEA Controlled Substances Act and Implementing Regulations ................................................................ 31 1. DEA Registration Modification ...................................................................................................................... 32 B. United States Department of Transportation ................................................................................................... 32 C. Washington State Pharmacy Quality Assurance Commission (WSPQAC) ............................................... 32 D. State of Washington Waste Management Program ....................................................................................... 32 Reporting ...................................................................................................................................................................