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RxMEDS

RxMEDS Partnership aims to create an efficient regional model for removing and disposing of unwanted medications while educating citizens on related health and environmental issues. The program involves controlled medication disposal, personnel training, public education, and collaborations with community partners.

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RxMEDS

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  1. Regional eXcess MEdication Disposal Service Partnership RxMEDS Dr. Sterling W. Hayden, ARCHS Nicole M. Gattas, Pharm.D., BCPS

  2. 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.

  3. St. Louis: Missouri & Mississippi Rivers converge • MO and IL • 5 counties

  4. 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

  5. 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

  6. 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

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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. Public Education • 20 school age presentations • Presentations at Area Agencies on Aging • Marketing the disposal program

  14. 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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