A Product Stewardship Plan For Unwanted Medicine From Households King County, Washington July 13, 2015 Table of Contents I. Introduction ........................................................................................................................................4 II. Stewardship Organization ............................................................................................................4 III. Contact Information ....................................................................................................................... 4 IV. Plan Definitions ................................................................................................................................5 V. Plan Goals ..........................................................................................................................................6 VI. Unwanted Medicine .......................................................................................................................8 VII. Unwanted Medicine Collection Description .............................................................................9 A. Flexible Implementation of Unwanted Medicine Collection .............................................9 1. Flexible Implementation Overview .....................................................................................9 2. King County Demographics ...............................................................................................12 3. Initial Implementation Strategy ..........................................................................................13 4. Flexible Expansion ................................................................................................................15 5. Drop-Off Site Locations .......................................................................................................16 6. Drop-Off Site Kiosk Placement and Maintenance Program .......................................16 7. Training .....................................................................................................................................17 8. Service Technicians ..............................................................................................................17 9. Call Center ..............................................................................................................................17 10. Kiosk Collection ..................................................................................................................18 11. Procedures for Kiosk Drop-off Site Pick-Up and Disposal .........................................18 12. Frequency of Pick-Up .........................................................................................................19 13. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up ..........................................19 14. Patient Privacy .................................................................................................................... 20 15. Unplanned Event Preparedness ......................................................................................21 B. Take-Back Events ...................................................................................................................... 22 1. Method .................................................................................................................................... 22 2. Procedures .............................................................................................................................23 3. Fees and Costs .....................................................................................................................23 C. Mail-Back Services .....................................................................................................................23 1. Mail-Back Package Availability ..........................................................................................23 2. Mail-Back Package Collection and Disposal .................................................................23 VIII. Transporter and Disposal Facility Information .....................................................................24 A. Transporter of Unwanted Medicines from Kiosk Drop-Off Sites and Take-Back Events .......................................................................................................................24 B. Disposal Facility for Unwanted Medicines from Kiosk Drop-Off Sites and Take-Back Events .......................................................................................................................24 IX. Unwanted Medicine Educational and Outreach Programming........................................ 25 A. Overview ......................................................................................................................................25 B. Audiences ....................................................................................................................................25 C. Messages .................................................................................................................................... 25 D. Tools/Communications Channels ..........................................................................................26 1. Phone ...................................................................................................................................... 26 2. Website .................................................................................................................................. 26 3. Materials .................................................................................................................................27 4. Media Outreach ....................................................................................................................27 E. Collaboration with the County Officials and Community Organizations ......................27 F. Disclaimer ......................................................................................................................................28 X. Survey ....................................................................................................................................................28 XI. Packaging ............................................................................................................................................28 2 XII. Compliance with Applicable Federal, State and Local Legal and Requirements ......29 A. DEA Controlled Substances Act and Implementing Regulations .................................29 B. Washington State Pharmacy Quality Assurance Commission (WSPQAC) ..................29 C. State of Washington Waste Management Program ..........................................................30 D. United States Department of Transportation (USDOT).....................................................30 XIII. Annual Report..................................................................................................................................30 Appendix A .................................................................................................................................................31 King County MED-Project Participants Appendix B ................................................................................................................................................32 Detailed Project Plan For Design and Implementation Appendix C ................................................................................................................................................33 Interested Kiosk Drop-Off Sites Appendix D ...............................................................................................................................................39 King County Initial Drop-Off Site List Appendix E ................................................................................................................................................42 Past Community Events That May Serve as Future Take-Back Events Appendix F ................................................................................................................................................43 Possible Contact List For Outreach and Education to the Community Appendix G A. Picture of Kiosk Prototype ...............................................................................................................44 B. Sample Kiosk Signage ......................................................................................................................45 C. Sample Kiosk Signage ......................................................................................................................46 D. Sample Kiosk Signage ......................................................................................................................47 Appendix H ...............................................................................................................................................48 Sample Media List Appendix I ..................................................................................................................................................51 Sample Mail-back Package Appendix J ............................................................................................................................................... 52 Sample Template: Education and Outreach Call Script [1-800-MED-Proj] Appendix K ...............................................................................................................................................55