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R egional e X cess ME dication D isposal S ervice Partnership. RxMEDS. Dr. Sterling W. Hayden, ARCHS Nicole M. Gattas, Pharm.D., BCPS.

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Rxmeds

Regional

eXcess

MEdication

Disposal

Service

Partnership

RxMEDS

Dr. Sterling W. Hayden, ARCHS Nicole M. Gattas, Pharm.D., BCPS


Rxmeds

Goal of RxMEDS Partnership: Create an efficient regional model that removes and disposes of unwanted medications and informs the citizens of related health and environmental issues.


Rxmeds

St. Louis:

Missouri &

Mississippi Rivers

converge

  • MO and IL

  • 5 counties


Rxmeds partners

RxMEDS’ Partners

Area Resources for Community and

Human Services (ARCHS)

Schnuck Markets, Inc.

Cintas Corporation

St. Louis College of Pharmacy

Missouri AARP

Mid-East Area Agency on Aging

St. Louis OASIS

Senior Services Plus


Partnerships growing

Partnerships Growing

WK Health

Stericycle

Saint Louis University

St. Louis City on Aging

MO Environmental Water Ass’n

Metropolitan Sewer District

Living Lands and Waters

PhRMA

STL County Waste Management Program

American Water Company


Time line

Time Line

Phase 1

Phase 2

Phase 3

6 months of planning set-up: Controls, policies and procedures, marketing, scheduling

12 months of take-back programs: provide the service and educate the public

Determine feasibility of on-going take-back programs


Rxmeds

Goal: Create an efficient regional model that removes and disposes of unwanted medications and informs the citizens of related health and environmental issues.


Hurdle 1 control medication

Hurdle #1: Control Medication

  • EPA and federal DEA approved plan of separate bins, multiple person check off, and officer picks up immediately following the drop off period.

    • Specifically for this grant

  • State BNDD would not agree

  • Therefore, we will not accept control medications

    • Ambien to Methylphenidate to Xanax

    • Pseudoephedrine


Approvals

Approvals

  • US EPA

  • US EPA Human Subjects Review & St. Louis University IRB Board

  • IL EPA

  • MO EPA

  • Hazardous Materials Information Center (US Dept of Transportation)

  • MO Bureau of Narcotics and Dangerous Drugs (BNDD)

  • US DEA, MO & IL

  • MO Board of Pharmacy


Unwanted medication disposal program set up

Unwanted Medication Disposal Program Set-up

  • 20 locations, 3 hour drop off time once a month

  • Accept non-controls unwanted medications, document controls but do not accept

  • Inform patrons what to do with non-returnable materials

  • Only collect medications during collection times


Personnel

Personnel

Student

Extern

Pharmacist

Tech

Greeter

  • Check drug

    documentation

  • Feedback

  • Market

  • Ready

    materials

  • Assist with

    workflow

  • Document

  • Determine

    drug

  • Discuss

    drug related

    problems

  • Show

    location

  • Manage flow

Liability/reliability of information


Policies and procedures

Policies and Procedures

  • Greet and explain purpose

  • Background

  • Facts & Comparisons 4.0 drug database on students laptop for quick tablet identification

  • Form may be printed out for patron

  • Educational materials offered

  • Incentive offered


Public education

Public Education

  • 20 school age presentations

  • Presentations at Area Agencies on Aging

  • Marketing the disposal program


Rxmeds

RxMEDS

Community Partners:

Schnuck Markets, Inc., St. Louis College of Pharmacy

Cintas, AARP Missouri Chapter, Senior Services Plus

OASIS & Mid-East Area Agency on Aging

stlarchs.org


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