1. 6th Annual Prescription Drug Abuse Symposium In the Trenches - A Community Approach In the Trenches - A Community Approach Medicine Waste Disposal: Take Back Programs Are NOT a Waste of Time October, 2015

2. The Problem Flushing unwanted/unused medications Flushing unwanted/unused medications Associated Press Study Associated Press Study US Geological Study US Geological Study Prescription Drug Abuse Prescription Drug Abuse DEA –Controlled Substances DEA –Controlled Substances

3. Why Should We Care ?

4. Why Should We Care? Cont. Environmental Reasons……… Law Enforcement Reasons……… Substance Abuse Prevention Reasons……

5. Types of Collection of Unwanted Medications Community Collection Community Collection Medical Waste Disposal Companies Medical Waste Disposal Companies Municipal Program Municipal Program Law Enforcement (no more DEA take back) Law Enforcement (no more DEA take back) Mail back Mail back Mail Box Type Collection Mail Box Type Collection Collection at Pharmacies Collection at Pharmacies Yellow Jug Old Drugs Yellow Jug Old Drugs

6. Strategy to Help Address Issue Non-Profit Organization Model Non-Profit Organization Model Great Lakes Clean Water Organization US Clean Water Yellow Jug Old Drugs Program Able to collect controlled and non-controlled Cost $300 per year unlimited weight

7. Yellow Jugs Old Drugs ® Program Program overview Program overview Currently serve: Currently serve: Michigan, Illinois, Wisconsin, Michigan, Illinois, Wisconsin, Indiana, Ohio, North Dakota Indiana, Ohio, North Dakota On Demand system in all On Demand system in all states that allow in 2016 states that allow in 2016 Program support by : Program support by : Pharmacies-Primary funding Pharmacies-Primary funding State funded ND State funded ND Grants, Local, State, Federal Grants, Local, State, Federal Prevention Task Force IN Prevention Task Force IN Individual donations Individual donations Pharmaceutical Industry Pharmaceutical Industry Eli Lilly Eli Lilly

8. Yellow Jugs Old Drugs ® Program Advantages: Advantages: Pharmacy based and easily recognizablePharmacy based and easily recognizable Well thought out, strict protocolWell thought out, strict protocol Leverage grant funds-Sustainable after grantsLeverage grant funds-Sustainable after grants Low operational cost Volunteers/EmployeesLow operational cost Volunteers/Employees Professional Customer Service Professional Customer Service Free publicity – News stories, Radio and Video public service announcements (PSAs)Free publicity – News stories, Radio and Video public service announcements (PSAs) First Non Profit Reverse Distributor in the country. One or 27 in the USFirst Non Profit Reverse Distributor in the country. One or 27 in the US

9. Program support by: Pharmacies-Primary funding Pharmacies-Primary funding State funded ND, Legislation, Voluntary State funded ND, Legislation, Voluntary Grants, Local, State, Federal Grants, Local, State, Federal Prevention Task Force IN Prevention Task Force IN Individual donations Individual donations Pharmaceutical Industry Pharmaceutical Industry Eli Lilly and Company Eli Lilly and Company

10. Controlled Substance Collection Space Saving Lockable Container Space Saving Lockable Container Inner Liner-barcode Inner Liner-barcode Cost effective $200 deposit-Unlimited Jugs $300 Cost effective $200 deposit-Unlimited Jugs $300 Dissolving gel Dissolving gel GLCW/USCW Reverse Distributor GLCW/USCW Reverse Distributor Reasons for Pharmacy to participate Reasons for Pharmacy to participate Customer Service-retain and attract Customer Service-retain and attract Public Safety Public Safety Environmental Issues/Water Quality Environmental Issues/Water Quality Reduce exposure to accidently accepting controlled Reduce exposure to accidently accepting controlled

11. Lockable Container Required to collect Controlled

12. Participating Pharmacy Map GreatLakesCleanWater.org http://www.USCleanWater.org Participating Pharmacy Map Participating Pharmacy Map Secure Responsible Drug Disposal

13. Contact Information Chris Angel President Great Lakes Clean Water US Clean Water Organization info@greatlakescleanwater.org989-736-8179