FROM THE CHAIRMAN
After 2 years of significant growth in our activities collecting unused
medicinal products (MNU), 2015 was marked by a consolidation in our
position, with growth of +0.4%.
a period of significant decline in the consumption of pharmaceutical
products in terms of the number of packs, which is indicative of the
awareness among all users of the health system that medication should
be used in a rational and reasoned way.
In the introduction to our 2014 annual report I set out our objectives for
• Together with our two supervisory Ministries and all the relevant
stakeholders we prepared the re-accreditation of our eco
organisation for the period 2016-2021. Thanks to the involvement
of all parties this re-accreditation was published on 23 December
• The Court of Auditors delivered its final report on Cyclamed and its
summary report on all of the eco-organisations. Cyclamed was the
subject of a particularly positive assessment, which highlights the
quality and rigour of the management provided by the permanent
staff members and the Board of Directors.
• The implementation of the strategy in MAYOTTE was formalised in
April2015.The21 pharmaciesonthatisland nowtake responsibility
for MNU from that distant DOM (Overseas Département).
• A new container, with a plastic lining closed with a drawstring, was
put into operation to hold MNU brought in by patients. This action,
together with an improved safety environment (provision of gloves
for the distributors’ drivers, reminder about the Quality Charter,
etc.) helped to secure the medicinal product distribution chain from
the pharmacy to the wholesalers.
• We took action to optimise our costs still further. It should be noted
that rigorous management is certainly one of the qualities of our
team of permanent staff members since our average prices are
still among the best when compared to the prices offered by new
• Finally, we significantly expanded our digital communication
capabilities and made available an original mobile application,
«My Pharmacy cabinet», which will allow each citizen to manage his
2016 is the first year of a new approval period which will run for
6 years, until 2021. As a result of the work done in preparing for
this accreditation, some objectives, mainly for the long term, have
• Encourage individuals to separate cardboard packaging and paper
notices so that these can be sorted for recycling.
• Improve recycling by patients by improving our communication with
them so that only MNU, and only MNU intended for human use, are
brought back to the pharmacy.
• Make Cyclamed an incentive for the prevention of MNU.
• Continue to strengthen the management and monitoring of our
eco-organisation and of our providers through the development of
monitoring, audit and information activities.
• Undertake R&D actions and studies in order to optimise the
• Complete our set-up in the Oversea Communities by becoming
established in SAINT PIERRE & MIQUELON and SAINT BARTHELEMY
(SAINT MARTIN having already been established during 2015).
• Exchange practices and information with other eco-organisations.
These objectives are thus additional to our standard communication
and results objectives and will also require additional human and
financial investment which we will have to absorb.
demonstrating that it is an eco-organisation of quality and that it is
confident it can count on each one of you.
Thierry MOREAU DEFARGES
The association, which is approved by the public authorities, is tasked with collecting and processing Unused
Medicinal Products (MNU) intended for human use, whether out of date or not, which have been returned to
pharmacies by patients.
Under the terms of the agreement concluded with the company Adelphe (a subsidiary of Eco-Emballages),
empty packaging for medicinal products is sent for separate sorting for recycling.
All French pharmacies are obliged to recover household (MNU) (law no.2007-248, published in the Official
Journal on 27 February 2007). Patients should bring back their MNU after their treatment, and following
verification of the contents by the pharmacy team, these MNU are placed in Cyclamed cartons.
In the course of their daily rounds the wholesale distributors collect the full cartons and deposit them in
units within the Cyclamed partner community. A waste tracking slip is issued and completed by the wholesaler,
the carrier and the incinerator which includes the tonnage of MNU recovered.
Incineration of MNU is the solution that best meets the environmental and public health requirements bearing
in mind the nature of the products to be dealt with. It is also required of us in our specification. The 55 units
provided and distributed in each of the regions comply with environmental standards and enable energy
recovery in the form of heat and/or electricity.
Pharmaceutical companies finance all the costs related to the operation of the strategy through their
contributions to Cyclamed, which are calculated based on the number of boxes of medicinal products placed
on the market.
An Adelphe-Cyclamed-Leem tripartite agreement was signed to ensure exchange of information in order to
enable producers of medicinal products to contribute to each organisation in proportion to the packaging they
collect. A meeting was held on February 24 to share all this information.
CYCLAMED® ACTION PLAN
profession: retail pharmacists, wholesale distributors and pharmaceutical companies.
THE OVERALL BALANCE SHEET
distributors before energy recovery, or an increase of 0.1% compared to 2014.
To assess the actual tonnage of MNU collected, two elements have been subtracted:
- the tonnage of the Cyclamed cartons containing the MNU,
- the tonnage of other waste (essentially parapharmacy products).
Therefore, the actual tonnage of MNU collected in 2015 was 12,108 tonnes, or a change of +0.4%
compared to 2014.
By comparing the tonnage of MNU collected, i.e. 12,108 tonnes, with the supply of MNU assessed by
the CSA study, i.e. 19,000 tonnes, we arrive at a performance rate of 64%.
2012 2013 2014 2015
2015/ 2014 (%)
Total assessed tonnage (t)
14 271 14 730 15 465 15 477 0,1
MNU tonnage (t) 11 309 11 849 12 056 12 108 0,4
Total quantity 23 300 19 200 19 200 19 000 -1
Performance 49 % 62 % 63 % 64 %
Comparative results 2012/2013/2014/2015.
The operating principle
Selective waste sorting
Energy recovery units
UMD (Unused Medicinal Drugs)