1. the importance of drug take-back programs: protecting our health and environment [TEMPLATE PRESENTATION] prepared by the product stewardship institute

2. the problem with leftover pharmaceuticals

3. accidental poisonings
drug abuse
accidental poisonings
health + safety

4. aquatic impacts
water quality
environmental health

5. trashing or flushing meds is NOT the solution
trashing should be used only as a last resort

6. the solution

7. drug take-back
on-site receptacles
mail-back envelopes

8. drug take-back U.S. support for drug enforcement administration (DEA)
eleven national prescription drug take-back days
office of national drug control policy (ONDCP)
part of its national drug control strategy
food and drug administration (FDA)
developed guidelines with ONDCP for drug disposal
environmental protection agency (EPA)
promotes consumer use of take-back programs
States
nearly all state agency websites provide information either on their own state programs and/or federal DEA take-back days

9. where do collections take place?
the 2014 DEA rule allowed more entities to collect controlled substance. these include convenient locations such as:
hospitals with a built-in pharmacy
police stations
mail-back programs by DEA-authorized entities
pharmacies (most convenient)

10. independent pharmacies
local, independent, retail pharmacies volunteer nationwide to provide critical
take-back services to their communities.

11. chain pharmacies envelopes for sale in stores
receptacles provided free to
police stations
free access in 500 stores in 40 states

12. drug take-back approaches + funding sources voluntary programs
government funded programs
retail pharmacy initiatives
law enforcement initiatives
legislation
laws requiring program funding from pharmaceutical industry with government oversight

13. voluntary drug take-back programs
provide helpful services, but funding can be insecure

14. extended producer responsibility (EPR) laws provide sustainable funding for community take-back

15. legislative activity at local, state, & federal levels
pharmaceuticals EPR in the united states
legislative activity at local, state, & federal levels

17. pharmaceuticals EPR programs in canada and europe
manitoba
established in 2011
france
established in 1993
canada: 4 programs
europe: 15 programs
hungary
established in 2005
british columbia
established in 1996
portugal
established in 2001
spain
established in 2003
Source: Health Products Stewardship Association, 2015; Health Care Without Harm Report, 2013

18. how do we move forward?

19. build diverse stakeholder coalitions to pass pharmaceuticals EPR legislation

20. follow psi’s step-by-step guide:
how-to-guide for implementing a pharmacy-based drug take-back program
bit.ly/drug-take-back

21. educate the public on proper disposal
safe drug disposal flier
bit.ly/leftover-meds

22. questions?