A Product Stewardship Plan For Unwanted Medicine from Households Alameda County, California February 15, 2019; Revised March 27, 2019 Table of Contents Introduction .................................................................................................................................................................. 6 Contact Information .................................................................................................................................................... 6 Plan Definitions ............................................................................................................................................................ 6 Unwanted Medicine ................................................................................................................................................... 8 Collection of Unwanted Medicine ........................................................................................................................... 8 A. Unwanted Medicine Collection Program .............................................................................................................. 8 1. Outreach ................................................................................................................................................................ 8 2. Implementation .................................................................................................................................................... 9 3. Convenience ......................................................................................................................................................... 9 4. Services .................................................................................................................................................................. 9 B. Kiosk Drop-Off Sites ................................................................................................................................................... 9 1. Kiosk Drop-Off Site Locations ........................................................................................................................ 10 2. Drop-Off Site Kiosk Placement and Maintenance Program .................................................................. 10 3. Kiosk Specifications .......................................................................................................................................... 10 4. Kiosk Collection .................................................................................................................................................. 11 a. Technician-Assisted Collection ............................................................................................................. 12 b. Host-Assisted Collection ......................................................................................................................... 12 5. Frequency of Pick-Up ....................................................................................................................................... 13 6. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up ....................................................................... 13 7. Unplanned Event Preparedness ................................................................................................................... 14 C. Take-Back Events ...................................................................................................................................................... 14 1. Method.................................................................................................................................................................. 14 2. Procedures .......................................................................................................................................................... 15 D. Disposal of Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events.............................. 15 E. Mail-Back Services for Unwanted Medicine ...................................................................................................... 16 1. Standard Mail-Back Services for Unwanted Medicine ............................................................................ 16 2. Inhaler Mail-Back Services for Inhalers ....................................................................................................... 17 3. Mail-Back Package Availability ...................................................................................................................... 17 4. Mail-Back Package Collection and Disposal ............................................................................................. 17 Plan and Collection Goals ....................................................................................................................................... 18 Patient Privacy ........................................................................................................................................................... 19 Call Center .................................................................................................................................................................. 19 Training ....................................................................................................................................................................... 19 A. Service Technician Training .................................................................................................................................. 20 Vendor, Transporter, and Disposal Facility Information .................................................................................... 21 Technician-Assisted Collection Kiosk Drop-Off Site and Take-Back Event Collection Services ..................... 21 A. Vendor for Technician-Assisted Collection Kiosk Drop-Off Sites and Take-Back Events .................... 21 B. Carrier for Technician-Assisted Collection Kiosk Drop-Off Sites and Take-Back Events ..................... 21 C. Reverse Distributor Facility & Transporters for Technician-Assisted Collection Kiosk Drop-Off Sites and Take-Back Events ............................................................................................................................................ 22 1. Reverse Distributor Facility ............................................................................................................................ 22 2. Transporter 1 ...................................................................................................................................................... 22 3. Transporter 2 ..................................................................................................................................................... 22 4. Transporter 3 ..................................................................................................................................................... 23 D. Disposal Facilities for Technician-Assisted Collection Kiosk Drop-Off Sites and Take-Back Events23 1. Disposal Facility 1 .............................................................................................................................................. 23 2 2. Disposal Facility 2 ............................................................................................................................................. 23 3. Disposal Facility 3 ............................................................................................................................................. 24 4. Disposal Facility 4 ............................................................................................................................................. 24 Host-Assisted Collection Kiosk Drop-Off Sites ...........................................................................................................24 E. Vendors for Host-Assisted Collection Kiosk Drop-Off Sites......................................................................... 24 1. Vendor 1 .............................................................................................................................................................. 24 2. Vendor 2 ............................................................................................................................................................. 24 F. Carrier for Host-Assisted Collection Kiosk Drop-Off Sites ............................................................................ 25 G. Reverse Distributor Facility & Transporter for Host-Assisted Collection Kiosk Drop-Off Sites .......... 25 1. Reverse Distributor Facility 1 ......................................................................................................................... 25 2. Reverse Distributor Facility 2 ........................................................................................................................ 25 3. Reverse Distributor Facility 3 ........................................................................................................................ 26 4. Transporter 1 ...................................................................................................................................................... 26 5. Transporter 2 ..................................................................................................................................................... 26 6. Transporter 3 ....................................................................................................................................................