Home Generated Non-controlled Pharmaceutical and Sharps Collection

1. Home Generated Non-controlled Pharmaceutical and Sharps Collection CIWMB Model Program Implementation Curbside Inc. 500 South Jefferson St. Placentia, CA 92870 714-223-3937 x 115 www.curbsideinc.com

2. Program Design • A drop-box will be placed at a participating pharmacy (or other location) • Current and new customers will visit the box to deposit their pharms with a high degree of possible incremental purchases (if at retail location i.e., pharmacy) • One key held by management, one by Curbside, it takes two keys to open the box • List of controlled substances attached to box • Curbside visits periodically and removes pharms or sharps.

3. The Drop-Box • Two std sizes, 24 and 44 gallon, used for either pharmsor sharps. Custom sizes avail.

4. Security • Pharms are secured inside of 12 gauge steel box with two locks. • When the Curbside employee arrives, the box is opened under the supervision of a pharmacy employee. • No pharmacy or Curbside employee will physically touch a container or sort through them • Protects pharmacy license • Does not conflict with DEA CSA

5. Drop-box - Pharms or Sharps • 12 gauge steel • Site opening to determine when full • Light inside to help in darker areas • Tab to lock consumer door when full • Two locks • Feet to allow for cleaning under box and eliminate moisture. • Can be bolted to floor or to wall • Powder coated, variety of colors available • Selection of sizes

6. Security • The container in the drop-box is removed, a lid placed on top and both individuals walk to the parking lot with the container. • The Curbside employee will pour the contents of the larger container into the disposal machine as the pharmacy employee watches. Entire process should take less than five minutes.

7. Security • The materials poured into the machine are crushed and shredded into powder and plastic/glass pieces. • The pharmacy employee signs a document indicating that they witnessed the destruction of the materials. • The destroyed materials are transported to a facility where they will be incinerated.

9. Regulatory Environment • Non-controlled, non-hazardous substances are not controlled by any government entity • Hazardous pharms generated by households are not federally regulated, however, we destroy them by incineration. • This material is not a medical waste.

10. Sharps • The internal 20 or 44 gallon container is removed. Lid placed on top for shipping. • Reconditioned container placed inside and box is locked. • Waste is shipped to medical waste transfer station or medical waste treatment facility for destruction.

11. CA.GOV |

12. Documentation • Waste pharms are weighed before they are destroyed on the vehicle • A D.O.T. shipping document will list all details, a copy left at the store • Curbside retains copies of manifests for all waste pharms shipped for final incineration • Sharps transported on approved shipping document

13. Orange County Pharmacists Association Program • OCPhA launched a program in the Spring, four pharmacies have joined the program. • All 4 accept non-controlled pharmaceuticals and sharps in separate boxes • Estimated service interval at 6-8 weeks • Estimated average collection weight 25 pounds Jack Silberstein Garden Grove CA Grove Harbor Medical Center Pharmacy Scott Parker – Orange CA Watson’s Drug Store

14. Non-controlled Pharm Results • Service about once each six weeks • Average quantity collected about 20# • Use will vary widely depending upon public education • All boxes placed inside buildings open to the public • Boxes located at pharmacies, libraries, senior centers, police stations, free clinic, city hall.

15. Sharps - Results • Average service interval, five weeks • Public education efforts significantly affect outcome. • Accepts any rigid, sealed container, box opening is large enough for soap and other bottles. • “No medical professionals” on box is necessary to prevent nurses and other medical professionals from filling the box.

16. Program Cost - Pharms • Service fee consists of a stop charge and fee for disposal of pharms on a per pound basis • Drop-box loaned, no fee if there is one service each month, there is small per month fee for each month without a service. • Three year agreement that fixes service fee, disposal price for two years. • 90 day termination clause • Never pay a service fee unless the box is serviced • No set schedule, call center will work with pharmacy to set ideal service interval or call for service.

17. Program Cost - Sharps • Service fee – One price to remove container and destroy contents. • Service fee includes transportation and all other costs • Box is loaned at no charge as long as there is a monthly service. If not, a very small charge for use of the box. • 3 year agreement with 90 day termination clause. Never a termination fee or other cost. • Service fee guaranteed for first two years.