1. PH:ARM (Pharmaceuticals from Households: A Return Mechanism) Washington State’s Medicine Return Cheri Grasso King County Hazardous Waste Management 4 th Annual Unused Drug Return Conference Portland, Maine October 31, 2007

2. PH:ARM Team Local Governments King County Hazardous Waste Management Program Interagency Resource for Achieving Cooperation (IRAC) Public Health – Seattle & King County King County Department of Natural Resources and Parks Snohomish County Solid Waste Management Division State Agencies State Department of Ecology State Department of Social and Health Services State Board of Pharmacy Non Profits Northwest Product Stewardship Council Washington Citizens for Resource Conservation Pacific NW Pollution Prevention Resource Center (PPRC) Private Sector Group Health Cooperative Bartell Drugs

3. PH:ARM Goals Keep drugs out of the environment Prevent drug diversion/ abuse Prevent child poisonings As easy to dispose as to buy medicine Meet regulatory requirements Create replicable model for others

4. British Columbia’s program: a model Since 1996 Serves 4 million people No fee to user 856 pharmacies participating 44,000 lbs annually Total cost $257,000 in 2006

5. Results of Survey 74% want to properly dispose of their unwanted medicines if convenient 80% would return their meds to a pharmacy - SoundStats Survey of King County, 2006

6. PH:ARM Pilot Project 25 Clinic pharmacy locations 39 Retail pharmacy locations 20 nursing homes 2 years in length (ongoing) Includes all pharmaceutical products* ______________________ * Initially we will not collect controlled substances, pending DEA agreement

7. DEA Waiver Request Memo of Understanding –Clinical Pharmacy –Retail Pharmacy

8. Strong Political Support U.S. Senator Maria Cantwell U.S. Senator Patty Murray Governor Christine Gregoire Attorney General Rob McKenna Secretary of Health Mary Selecky EPA Region X Administrator

9. 1 st Phase: Clinical Pharmacy HMO in Washington State 500,000 Customers; 25 pharmacies Started Oct 2006 with 7 locations 16 locations October 2007

11. Group Health Container

15. Results (thus far) of GHC Pilot Eleven clinics in 10 months –Little advertising –Not open to general public –Collected over 3,000 lbs Estimate: 1.5 lbs a day per pharmacy site on average

16. Next Phase: Retail Pharmacy Bartell Drugs 1 central warehouse 39 locations more returns likely

17. Beyond the Pilot

18. Financing Funding: –$250,000 + grants –in-kind donations Washington - 66,000 lbs/year

19. Manufacturers in Canada Program

20. Product Stewardship Is… Shared environmental responsibility Producers, sellers or users responsible for environ. impact

21. Product Stewardship in BC Pharm brand owners Pharmacies Consumers Government

22. Product Stewardship in World Locations European Union Canada Japan South Korea Australia Products – Batteries – Electronics – Pharmaceuticals – Paint

23. Legislation Producer responsibility bill Manufacturer funded take backs

24. Additional Information Information about the Washington pilot: www.medicinereturn.com Northwest Product Stewardship Council: www.productstewardship.net Information about the BC program: http://www.medicationsreturn.ca/

25. Contact Information Cheri Grasso Health and Environmental Investigator Local Hazardous Waste Management Program in King County 206-263-3089 Cheri.grasso@kingcounty.gov Will Perry Health and Environmental Investigator Seattle-King County Public Health 206-263-8477 William.perry@kingcounty.gov