A Product Stewardship Plan For Unwanted Medicine from Households Pierce County, Washington May 26, 2020; Revised September 17, 2020 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 B. Outreach ................................................................................................................................ 8 1. Implementation ................................................................................................................ 8 2. Convenience ..................................................................................................................... 8 3. Services............................................................................................................................ 9 C. Kiosk Drop-Off Sites ................................................................................................................ 9 1. Kiosk Drop-Off Site Locations ............................................................................................. 9 2. Drop-Off Site Kiosk Placement and Maintenance Program .................................................. 11 3. Kiosk Specifications ......................................................................................................... 11 4. Kiosk Collection ............................................................................................................... 12 5. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up ..................................................... 14 6. Unplanned Event Preparedness ........................................................................................ 14 Take-Back Events .............................................................................................................. 14 A. Method ................................................................................................................................. 15 B. Procedure ............................................................................................................................. 15 C. Fees and Cost ....................................................................................................................... 16 Disposal of Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events ..... 16 Unwanted Medicine Mail-Back Services ....................................................................... 16 A. Standard Mail-Back Services for Unwanted Medicine, Excluding Inhalers and Pre-filled Injector Products ............................................................................................................................... 17 B. Injector Mail-Back Services .................................................................................................... 17 C. Inhaler Mail-Back Services ..................................................................................................... 17 D. Mail-Back Package Availability ................................................................................................ 18 E. Mail-Back Package Collection and Disposal ............................................................................. 18 Plan and Collection Goals .................................................................................................. 19 Patient Privacy .................................................................................................................. 20 Call Center ......................................................................................................................... 21 Training......................................................................................................................... 21 Vendor, Transporter, and Disposal Facility Information .............................................. 22 A. Vendors ................................................................................................................................ 22 B. Carriers and Transporters ...................................................................................................... 22 C. Reverse Distributor Facilities .................................................................................................. 24 D. 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. Phone ............................................................................................................................ 28 2. MED-Project Website ....................................................................................................... 28 3. Materials ........................................................................................................................ 28 2 4. Media Outreach .............................................................................................................. 29 5. Broadcast Outreach ......................................................................................................... 29 Collaboration with County Officials and Community Organizations ................................. 29 Disclaimer ..................................................................................................................... 29 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 (USDOT) ............................................................. 32 C. Washington State Pharmacy Quality Assurance Commission (WSPQAC).................................... 32 D. State of Washington Waste Management Program .................................................................. 32 Annual Report .................................................................................................................... 32 Appendix A .............................................................................................................................. 34 MED-Project Participants ............................................................................................................. 34 Appendix B .............................................................................................................................. 35 Sample Contact List for Outreach and Education to the Community ............................................... 35 Appendix C .............................................................................................................................. 36 Kiosk Drop-Off Sites with Expressions of Interest .......................................................................... 36 Appendix D .............................................................................................................................. 39 Potential Additional Kiosk Drop-Off Sites ....................................................................................... 39 Appendix E .............................................................................................................................. 43 Sample Kiosk Mock-Up ................................................................................................................ 43 Sample Kiosk Signage ................................................................................................................. 44 Sample Kiosk Signage ................................................................................................................. 45 Sample Kiosk Signage ................................................................................................................. 46 Appendix F..............................................................................................................................