DEA Disposal Trends & Update CalRecycle Conference Sacramento, CA November 3, 2016 Thomas W. Prevoznik, Unit Chief Liaison Liaison & Policy Section Diversion Control Division
Most Frequent Method of Obtaining a Pharmaceutical Controlled Substance for Non Medical Use Friends and Family…For Free!! U.S. Drug Enforcement Administration Office of Diversion Control
Patients Often Prescribed Extra Painkillers, Many Share Them 2 New U.S. studies shed light on opioid epidemic John Hopkins Study: + 60% had leftover opioids they hung on for “future use” 20% shared their medications 8% likely will share w/ friend 14% likely will share w/ relative -10% securely lock their medication University of Penn School of Dental Medicine + 50% of patients following surgical tooth extraction had unused narcotics left over Estimated to general population - 100 million prescribed opioid pills go unused. https://www.nlm.nih.gov/medlineplus/news/fullstory_159336.html www.uphs.upenn.edu/news/news_releases/2016/maughan
National Take Back I-XII Totals: Total Weight Collected (pounds): 7,202,977 (3601 Tons) 160,794 34,463 70,973 VT NH 20,738 4,104 228,700 219,242 97,068 MA 84,322 26,039 RI 403,026 45,496 16,232 448,142 15,192 133,156 71,450 CT 77,541 335,887 177,674 29,558 67,267 298,292 357,071 NJ 60,501 64,210 213,388 56,140 DE 205,715 101,345 224,565 293,539 675,126 86,745 94,457 122,192 MD 12,179 128,822 11,989 DC 111,567 211,136 49,120 46,149 89,797 16,317 47,425 530,164 37,758 13,951 29,346 26,890 PR & VI 219,992 HI & GU Drug Enforcement Administration Diversion Control Program Overseas: 25
National View 1,822 Collectors 1,810 Have receptacles 888 Non-Chain pharmacies 675 Have mail back programs 561 Chain Pharmacies 88 Service LTCFs 349 Hospital/clinics 11 Reverse Distributors 10 NTPs 1 Distributor Source: DEA CSA 10/25/16
California Collectors 130 Total Authorized Collectors o 114 are pharmacies ( 58 chain and 56 non-chain) o 1 6 are hospital/clinics o 3 pharmacies service LTCFs 67 retail pharmacies say they have a receptacle and a mail back program 1 retail pharmacy has mail back only
Authorized Means of Collecting • Law Enforcement • Retail Pharmacies • Hospitals/Clinics with an On-Site Pharmacy
Collection Receptacles Ultimate users shall put the substances directly into the collection receptacle. Controlled and non-controlled substances may be comingled. Collected substances shall not be counted, sorted, inventoried, or otherwise individually handled. Registrants shall not dispose of stock or inventory in collection receptacles. 21 CFR § 1317.75(b) and (c) U.S. Drug Enforcement Administration Office of Diversion Control
Collection Receptacle Location Registered location – immediate proximity of designated area where controlled substances are stored and at which an employee is present. o LTCF – located in secure area regularly monitored by LTCF employees. o Hospital/clinic – located in an area regularly monitored by employees---not in proximity of where emergency or urgent care is provided. o NTP – located in a room that does not contain any other controlled substances and is securely locked with controlled access. 21 CFR § 1317.75(d) U.S. Drug Enforcement Administration Office of Diversion Control
Thomas.W.Prevoznik@usdoj.gov U.S. Drug Enforcement Administration Office of Diversion Control
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