1. San Francisco’s Safe Medicine Disposal Pilot Program June 2013 - One Year Update

2. Voluntary Collaborative Pilot Program Funding ($110,000) From PhRMA and Genentech Collection (independent pharmacies & police stations) Using California Model Program Guidelines (SB966) Program Logistics City accepts funds, recruits sites, contracts with hauler for bins/disposal, and conducts outreach City Sponsors: SF Environment, SFPD, SFPUC, Mayor’s Office Outreach Program Launch Event, billing inserts, community centers, doctors offices, social media, grassroots outreach “Safe Drug Disposal Information Ordinance” Research Medicine Waste Characterization Study

3. Pilot Program Collection Sites

4. Collection Bins for Non-Controlled Meds

5. Police Stations Take Both Over The Counter

6. 13 Independent Pharmacies

7. One Community Center

8. Two-key Collection Bins

9. Pharmacist Has One Key

10. Med Waste Hauler Driver has other key

11. Secure “Non-retrievable” Storage

12. Bin Signage

13. Site Signage

14. Education and Advertising

15. Medical Waste Generator Permit

16. Licensed Medical Waste Hauler

17. Weights Collected 18,950 pounds collected in first 13 months

18. Pilot Program Budget - $110,000

19. Pilot Program Launch Event April 23, 2012

20. HHW Collection Facility 1990-2005

21. Temporary Pharmacy Collection 2006

22. DEA Collection Events since 2010

23. Mail-In Program 2009-2011

24. SF’s EPR Ordinance for Pharmaceuticals  Indefinitely Suspended in favor of Collaborative Pilot Program Introduced in April 2010 to address disposal of residential meds Passed committee in October 2010 Required producer stewardship plan and annual reporting Phased-in approach for prescription medication, non prescription, and then controlled substances.

25. And in addition … 100 non-participating pharmacies Point of sale materials informing public of how to safely and legally dispose of medicines “…posted in an area visible to the public & adjacent to the area where prescription drugs are dispensed” Safe Drug Disposal Information Ordinance

26. Poster for Non-participating Pharmacies

27. Lesson #1: City contracting is slow July 2011 October 2011 January 2012 April 2012

28. Lesson #2: Find a Good Hauler

29. Lesson #3: The Police are Great Partners

30. But Residents Prefer Pharmacies

31. Lesson #4: Celebrate Your Partners

32. Lesson #5: Loose pills are hard to count

33. Medicine Waste Characterization Study

34. What’s Next?

35. © 2013 SF Environment All Rights Reserved The author of this document has secured the necessary permission to use all the images depicted in this presentation. Permission to reuse or repurpose the graphics in this document should not be assumed nor is it transferable for any other use. Please do not reproduce or broadcast any content from this document without written permission from the holder of copyright. Maggie Johnson Residential Toxics Reduction Coordinator margaret.johnson@sfgov.org 415-355-5006