4 fletcher presentation get the meds out 5 18-10
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    4 fletcher presentation get the meds out 5 18-10 4 fletcher presentation get the meds out 5 18-10 Presentation Transcript

    • SIERRA FLETCHER, SENIOR ASSOCIATE PRODUCT STEWARDSHIP INSTITUTE, INC. National Snapshot
    • What is the Product Stewardship Institute?
        • Non-profit founded in 2000
      • Membership
          • 45 States
          • 100+ Local governments
          • 50+ Corporate, Organizational, Academic
          • Partners
      • Board of Directors: 7 states, 4 local agencies
      • Multi-stakeholder product stewardship network
    • Today’s Topics
      • Status of the Issue
      • Disposal Recommendations – Who says what?
      • Source Reduction
      • Federal Legislation to Amend the CSA
      • State-level Extended Producer Responsibility
    • What is the size of the problem? Household Trash Disposal Flushing (some) Take-backs Source Reduction Reduce Regulatory Barriers to Cut Cost, Ensure Safety, Enhance Environment Preferred Disposal Facilities The Problem Disposal Options for Waste Pharmaceuticals
    • Clear & Consistent Message
      • States & locals
      • Federal government
      • Many say do not flush
      • Vary somewhat in first choice given
        • Take-back
        • Trash disposal
      • Don’t distinguish different types of drugs
        • Ex: Take-back programs vary
      • Use take-back programs
      • Trash disposal
        • “ Undesirable substance”
      • FDA list of drugs to be flushed
      What’s a consumer to do?
    • Source Reduction
      • PSI Workgroup: need for “Source Reduction Summit”
        • Philadelphia, Oct 2010
      • Dr. Julie Becker’s qualitative research
        • Pennsylvania
        • Florida
        • Illinois
      • Many others advancing this issue
        • Alliance for the Great Lakes summer meeting
    • “ Source Reduction”: For discussion
      • Reducing direct-to-consumer advertising
      • Re-examining the expiration date
      • Improved inventory management
      • Database of prescriptions
      • Changing co-pay structures
      • Restricting automatic re-fill mail-order programs
      • Limit amount dispensed at first (certain medications)
      • Voucher program for sample medications
    • Buuuttt…
      • Considering environmental/toxicity data when prescribing
      • Still need to figure out how to make these things happen – time for the nitty-gritty
    • Controlled Substances Act
      • Leads us to law enforcement as the only take-back option for a small # of important drugs
      • Works for some, but not all
      • Confuses messaging to public
      • Costs money
      • Competing with other local law enforcement priorities
      • HR 1191 & S 1336
      • HR 1359 & S 1292
      • More prescriptive
      • Specifies range of people able to dispose
      • Requires different collection methods
        • Urban/rural
        • Cost
      • More prescriptive
      • Favored by DEA
      • “ Ultimate user” & long-term care facilities
      • What would the regulations look like?
      Federal Legislation: Changing the CSA
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    • Pharm EPR Legislation 2009 & 2010
      • SIERRA FLETCHER
      • [email_address]
      • (617) 236 4886
      Thank you