A Product Stewardship Plan For Unwanted Medicine From Households King County, Washington December 14, 2015 Table of Contents I. Introduction ............................................................................................................................................4 II. Stewardship Organization ...............................................................................................................4 III. Contact Information .........................................................................................................................4 IV. Definitions ...........................................................................................................................................5 V. Plan and Collection Goals ................................................................................................................6 VI. Unwanted Medicine ..........................................................................................................................8 VII. Collection of Unwanted Medicine ..............................................................................................9 A. Kiosk Drop-Off Sites ....................................................................................................................9 1. Outreach and Locations .........................................................................................................9 2. Implementation ....................................................................................................................... 11 3. Convenience .......................................................................................................................... 12 4. Drop-Off Site Kiosk Placement and Maintenance Program .......................................17 5. Training .....................................................................................................................................17 6. Service Technicians and other Vendor Employees ......................................................17 7. Call Center ............................................................................................................................... 18 8. Kiosk Specifications ............................................................................................................. 18 9. Kiosk Collection ..................................................................................................................... 19 10. Disposal of Kiosk Contents ..............................................................................................20 11. Frequency of Pick-Up .......................................................................................................... 21 12. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up ......................................... 21 13. Patient Privacy ..................................................................................................................... 22 14. Unplanned Event Preparedness .................................................................................... 22 B. Take-Back Events ...................................................................................................................... 23 1. Method ..................................................................................................................................... 23 2. Procedures ............................................................................................................................ 23 3. Fees and Costs ..................................................................................................................... 24 C. Mail-Back Services .................................................................................................................... 24 1. Mail-Back Package Availability .......................................................................................... 25 2. Mail-Back Package Collection and Disposal ................................................................ 25 3. Direct Mailings ...................................................................................................................... 25 4. Law Enforcement Mail-Back Programs .......................................................................... 26 VIII. Transporter and Disposal Facility Information ................................................................... 27 A. Transporter of Unwanted Medicines from Kiosk Drop-Off Sites and Take-Back Events ........................................................................................................................................... 27 B. Disposal Facility for Unwanted Medicines from Kiosk Drop-Off Sites and Take-Back Events ...................................................................................................................... 27 C. Disposal Facilities for Unwanted Medicine from Mail-back Packages........................ 27 IX. Unwanted Medicine Educational and Outreach Programming....................................... 28 A. Overview ...................................................................................................................................... 28 B. Audiences .................................................................................................................................... 28 C. Messages .................................................................................................................................... 29 D. Tools/Communications Channels .......................................................................................... 29 1. Phone ....................................................................................................................................... 29 2. Website ................................................................................................................................... 30 3. Materials ................................................................................................................................. 30 4. Media Outreach .................................................................................................................... 30 E. Collaboration with the County Officials and Community Organizations ...................... 31 F. Disclaimer...................................................................................................................................... 31 X. Survey ................................................................................................................................................... 31 XI. Packaging ........................................................................................................................................... 31 2 XII. Compliance with Applicable Federal, State and Local Legal Requirements ............. 32 A. DEA Controlled Substances Act and Implementing Regulations ................................. 32 B. Washington State Pharmacy Quality Assurance Commission (WSPQAC) ................. 33 C. State of Washington Waste Management Program ......................................................... 33 D. United States Department of Transportation (USDOT) ................................................... 33 XIII. Annual Report................................................................................................................................ 34 Appendix A King County MED-Project Participants ............................................................................................. 35 Appendix B King County MED-Project Kiosk Drop-off Sites with Expressions of Interest ......................... 36 Appendix C King County List of Possible Additional Kiosk Drop-Off Sites .................................................... 42 Appendix D Template Agreement ............................................................................................................................. 45 Exhibit A .................................................................................................................................................... 50 Exhibit B ..................................................................................................................................................... 51 Exhibit C .................................................................................................................................................... 52 Appendix E Detailed Project Plan For Design and Implementation ................................................................ 53 Appendix F A. Picture of Kiosk Prototype ............................................................................................................. 54 B. Sample Kiosk Signage .................................................................................................................... 55 C. Sample Kiosk Signage .................................................................................................................... 56 D. Sample Kiosk Signage .....................................................................................................................57 Appendix G Possible Contact List For Outreach and Education to the Community ................................... 58 Appendix H Sample Mail-Back Package ................................................................................................................. 59 Appendix I Request for Approval for Mail-Back Package Disposal ...............................................................