A Product Stewardship Plan For Unwanted Medicine from Households Marin County, California January 29, 2017 Table of Contents I. Introduction ................................................................................................................................................................5 II. Stewardship Organization .....................................................................................................................................5 III. Contact Information .................................................................................................................................................5 IV. Plan Definitions .........................................................................................................................................................6 V. Unwanted Medicine ................................................................................................................................................. 7 VI. Collection of Unwanted Medicine .......................................................................................................................8 A. Unwanted Medicine Collection Program Implementation ......................................................................8 1. Outreach .......................................................................................................................................................8 2. Implementation ...........................................................................................................................................8 3. Convenience ...............................................................................................................................................9 4. Flexible Expansion .....................................................................................................................................9 B. Kiosk Drop-Off Sites ........................................................................................................................................ 10 1. Kiosk Drop-Off Site Locations ............................................................................................................... 10 2. Drop-Off Site Kiosk Placement and Maintenance Program ...........................................................12 3. Kiosk Specifications ..................................................................................................................................12 4. Kiosk Collection .........................................................................................................................................13 5. Frequency of Pick-Up ...............................................................................................................................15 6. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up ...............................................................15 7. Unplanned Event Preparedness ...........................................................................................................15 C. Take-Back Events .............................................................................................................................................16 1. Method .........................................................................................................................................................16 2. Procedures ..................................................................................................................................................17 3. Fees and Costs ..........................................................................................................................................17 D. Disposal of Unwanted Medicine ...................................................................................................................18 E. Unwanted Medicine, Iodine-containing medication and Sharps Mail-Back Services ....................18 1. Mail-Back Package Availiability .............................................................................................................19 2. Mail-Back Package Collection and Disposal .................................................................................... 20 F. Accumulation Drums for Medical Aerosols and Inhalers ..................................................................... 20 VII Plan and Collection Goals .....................................................................................................................................21 VIII. Patient Privacy .........................................................................................................................................................23 IX. Call Center ................................................................................................................................................................23 X. Training ......................................................................................................................................................................24 A. Service Technician Training ..........................................................................................................................24 XI. Transporter and Disposal Facility Information ............................................................................................. 25 A. Vendor ............................................................................................................................................................... 25 B. Transporter of Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events ............... 25 1. Carrier ......................................................................................................................................................... 25 2. Transporter ................................................................................................................................................ 25 C. Disposal Facility for Unwanted Medicines from Kiosk Drop-Off Sites and Take-Back Events .. 26 1. Reverse Distributor Facility ................................................................................................................... 26 2. Disposal Facility ....................................................................................................................................... 26 3. Secondary Disposal Facility.................................................................................................................. 26 D. Disposal Facility for Unwanted Medicine from Mail-Back Services ...................................................27 1. Primary Disposal Facility .........................................................................................................................27 2. Secondary Disposal Facility...................................................................................................................27 2 E. Disposal Facilities for Sharps from Mail-Back Services .........................................................................27 1. Primary Autoclave Facility ......................................................................................................................27 2. Primary Disposal Facility ........................................................................................................................ 28 3. Secondary Autoclave Facility ............................................................................................................... 28 4. Secondary Disposal Facility.................................................................................................................. 28 5. Tertiary Autoclave Facility ..................................................................................................................... 28 6. Tertiary Disposal Facility ........................................................................................................................ 28 F. Disposal Facility for Medical Aerosols and Inhalers .............................................................................. 29 1. Transporter ................................................................................................................................................ 29 2. Disposal Facility ....................................................................................................................................... 29 XII. Unwanted Medicine Educational and Outreach Programming .............................................................. 29 A. Overview ........................................................................................................................................................... 29 B. Audiences ......................................................................................................................................................... 29 C. Messages .......................................................................................................................................................... 30 D. Tools/Communications Channels ............................................................................................................... 30 1. Phone ......................................................................................................................................................... 30 2. Website ........................................................................................................................................................31