1 UNWANTED/WASTE PHARMACEUTICALS NATIONAL DIALOGUE June 19-20, 2008 Sacramento, CA Post-Consumer Pharmaceutical Stewardship Association

2 Governance Product Category Funding B.C. Medications Return Program Outline

3 Post Consumer Pharmaceutical Stewardship Association (PCPSA) is the association representing the majority of the pharmaceutical and self-care health products industries for stewardship programs. History

4 Members Abbott Laboratories LimitedBrand Name Abraxis BioScience Inc.Generic Actelion Pharma. Canada Inc.Brand Name Advantage CKNSelf-care Alcon Canada Inc.Brand Name Amgen Canada Inc.Brand Name Apotex Inc.Generic Astellas Pharma Canada Inc.Brand Name AstraZeneca Canada Inc.Brand Nam Au Naturel Canada Inc.Self-care Axcan Pharma Inc.Brand Name Bayer Inc.Brand Name, Self-care Bioforce Canada Inc.Self-care Biovail Pharma. CanadaBrand Name Boehringer Ingelheim CanadaBrand Name, Self-care Boiron Canada Inc.Self-care Bristol-Myers Squibb Pharma. Group Brand Name, Self-care

5 Members Canada Safeway Ltd.Self-care Chattem (Canada) Inc.Self-care Church & Dwight CanadaSelf-care Cobalt Pharmaceuticals Inc.Generic Combe IncorporatedSelf-care CV Technologies Inc.Self-care Cytex Pharmaceutical Inc.Generic Eli Lilly Canada Inc.Brand Name EMD-Serono Canada Inc.Brand Name Enzymatic TherapySelf-care Ferring Inc.Brand Name Galderma CanadaBrand Name General Nutrition Centres CanadaSelf-care GenPharm Inc.Generic GlaxoSmithKline Consumer HealthcareSelf-care GlaxoSmithKline Inc.Brand Name Graceway PharmaceuticalsBrand Name Herbalife of CanadaSelf-care Holista Health Canada Inc.Self-care

6 Members Hospira Healthcare CorporationGeneric Hudson's Bay CompanySelf-care Jamieson LaboratoriesSelf-care Janssen-Ortho Inc.Brand Name Johnson & Johnson Inc.Self-care Katz Group Canada LtdSelf-care King PharmaceuticalsBrand Name Kripps PharmacySelf-care Laboratories Aeterna Inc.Brand Name Leo Pharma Inc.Brand Name Loblaw Companies LtdSelf-care London Drugs LimitedSelf-care Lundbeck Canada Inc.Brand Name Mead Johnson NutritionalsSelf-care Merck Frosst Canada Ltd.Brand Name, Self-care Nature's Sunshine ProductsSelf-care Neurochem Inc.Brand Name Novartis Consumer Health Canada Inc.Self-care Novartis Pharma Canada Inc.Brand Name Novo NordiskBrand Name

7 Members Novopharm Ltd. / Teva NeuroscienceGeneric Nu-Pharm IncGeneric Nycomed Canada Inc.Self-care Odan LaboratoriesGeneric Omega Laboratories Ltd.Generic Overwaitea Food Group Ltd PartnershipSelf-care Paladin Labs Inc.Brand Name Peoples Drug Mart (B.C.) LtdSelf-care Pfizer Canada IncBrand Name Pharmasave National (Drugs) Ltd.Self-care Pharmascience Inc.Generic Platinum NaturalsSelf-care Procter & Gamble Inc.Self-care Proctor & Gamble Pharma.s Canada Inc.Brand Name Purdue PharmaBrand Name, Self-care Quixtar Canada CorporationSelf-care Ranbaxy Pharma. Canada Inc.Generic RatiopharmGeneric Rivex Pharma Inc.Generic Roche LimitedBrand Name

8 Members Sandoz CanadaGeneric Sanofi-AventisBrand Name Schering-Plough Canada Inc.Brand Name, Self-care Servier Canada Inc.Brand Name Shaklee Canada Inc.Self-care Shire Canada Inc.Brand Name Shoppers Drug Mart, PharmaprixSelf-care SISU Inc.Self-care Solvay Pharma Inc.Brand Name Stiefel Canada Inc.Brand Name Swiss Herbal Remedies Ltd.Self-care Taro Pharmaceuticals Inc.Generic Tianshi Health ProductsSelf-care Trophic CanadaSelf-care UniPHARM Wholesale DrugsSelf-care USANA Canada Co.Self-care Valeant Canada LimitedBrand Name, Generic Vita Health Products Inc.Self-care Wal-Mart PharmacySelf-care WellSpring Pharma. Canada Corp.Self-care WN Pharmaceuticals Ltd.Self-care Wyeth CanadaBrand Name Wyeth Consumer Healthcare Inc.Self-care

9 PCPSA Structure Members Board of Directors Staff Governments Program Plan Reporting Administration Pharmacy Program Administrators

10 Product Category Pharmaceutical Pharmaceutical Product is a “drug" as defined under the Food and Drug Regulations (Health Canada). Natural Health Product Category Natural health products (NPH) as defined in the Natural Health Products Regulation (Health Canada)

11 Funding Mechanism No fees for returning medications to pharmacies. We work with the provincial professional association for pharmacists and their regulatory body to advertise and promote the program to their members. Pharmacist participation is voluntary. Upon completing registration, the collection site will get brochures, posters and instructions on how the Medications Return Program operates.

12 Funding Mechanism The pharmaceutical (80%) and self-care health (20%) sectors contributions are based on collected returns. Budget $100,000 (example) Brand name $45,000 Generic$35,000 Self-care health$20,000

13 Budget Revenue Members from pharmaceutical and self-care health products industries (102). Expenses Office Communication Consultation/surveys/fees B.C. Program Administration Handling Storage Collection Disposal

14 Once the MRP container is full, the pharmacist fax the Program Administrator to arrange pick up and replacement of containers within 7 days. A database is maintained; we track the collection from pharmacies; we store products until we can transport to a licensed incinerator for destruction. In 2007, British Columbia (4.3 pop.), 23,284 kg of medications or 2,129 containers were picked up from pharmacies (913). B.C. Medications Return Program

15 Questions Ginette Vanasse Executive Director PCPSA Prince of Wales Dr. Ottawa, Ontario Canada