PCPSA 2012 -2016 Program Plan Post

Transcription

PCPSA 2012 -2016 Program Plan
Prepared and submitted by
Post-consumer Pharmaceutical Stewardship Association
1
Post-consumer Pharmaceutical Stewardship Association
1.
Product Stewardship Plan ....................................................................................................................... 4
2.
Recycling Regulation Requirements ....................................................................................................... 4
3.
The Stewardship Association................................................................................................................... 5
4.
Stakeholder Consultation [Section 5 (1) (b)] .......................................................................................... 6
5.
a)
b)
c)
Medications Return Program- overview ................................................................................................... 7
Pharmacies [Section 5 (1)(c)(iii)] ................................................................................... 8
Program administrator .................................................................................................... 9
Funding .......................................................................................................................... 9
a)
b)
c)
Educational Materials and Strategies ................................................................................................... 10
Publicity ........................................................................................................................10
Printed materials ............................................................................................................10
Other resources ..............................................................................................................10
a)
b)
c)
d)
e)
Program Performance Measurement ................................................................................................... 11
Consumer awareness [Section 5 (1) (c) (iv)] .................................................................11
Number of collection points [Section 5 (1) (c) (iii)]......................................................12
Product recovery target .................................................................................................12
Promotion ......................................................................................................................13
Waste composition studies ............................................................................................14
6.
7.
8.
Compliance Process ................................................................................................................................ 15
9.
Dispute Resolution [Section 5 (1) (c) (vi)] ............................................................................................. 16
10.
Pollution prevention hierarchy [Section 5(1)(c)(viii)].......................................................................... 16
11.
Environmental impact throughout product lifecycle [Section 5 (1) (c) (v)]....................................... 16
12.
Waste Disposal Sites ............................................................................................................................... 17
13.
Annual Report ........................................................................................................................................ 17
NEW PHARMACY REGISTRATION FORM ................................................................................................. 18
PROTOCOL/AGREEMENT .............................................................................................................................. 19
PHARMACY E-NEWS ........................................................................................................................................ 22
2011 STEWARDS ................................................................................................................................................. 24
POPULATION SURVEY .................................................................................................................................... 26
CONSULTATION SUMMARY .......................................................................................................................... 28
PARTICIPATING PHARMACIES .................................................................................................................... 38
PATIENT MONOGRAM .................................................................................................................................... 48
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Terminology
The following terminology is used throughout the recycling regulation and this document
Collection Sites:
Community pharmacies who are registered in the program to
collect unused and expired health products from the public.
Consumer health products: Health products sold to consumers.
Health products:
Prescription drugs, nonprescription drugs and consumer
health products.
Member:
Brand-owner/steward who is a member of the association
Natural health products:
Vitamins and minerals, herbal remedies, homeopathic
medicines, traditional medicines such as traditional Chinese
medicines, probiotics, and other products like amino acids
and essential fatty acids.
Program Administrator:
The individual or business who is contracted to manage the
BC Medications Return Program in British Columbia.
Regulation:
Recycling Regulation, B.C. 449/2004
Stewards:
Stakeholders:
(i)
A person who manufactures a pharmaceutical product and
sells, offers for sale or distributes a pharmaceutical product in
British Columbia under its own brand, or;
(ii)
A person who is not the manufacturer of a pharmaceutical
product but is the owner or licensee of a trademark under
which the pharmaceutical product is sold or distributed in
British Columbia, whether or not they own the Drug
Identification Number.
(iii)
If subparagraphs (i) and (ii) do not apply, a person who
imports the product in the province for sale or distribution.
Person or organization whose interests will be or are affected
by the provisions of a proposed plan.
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1. Product Stewardship Plan
This plan is designed to collect and properly dispose of unused or expired health products
from the residential sector. Products included in this plan are:
 All prescriptions drugs
All dosage forms
 Over-the-Counter medications
Units sold in oral dosage form
 Natural Health Products
The Program includes both products clearly attributable to an existing steward, and orphan
products. Orphan products are those that are no longer in production, the steward is no
longer in business or products purchased outside Canada. The Program‟s goals are:
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to run a province-wide, industry-administered product stewardship program in
compliance with the Regulation
to ensure that the public is able to return expired and unused health products for
disposal throughout the province
to provide a convenient system for the collection and disposal of expired and unused
health products
to provide the public with information on the location of collection sites
to ensure that collection sites accept products from the public free of charge
to achieve performance requirements or targets established in the plan
to ensure environmentally sound disposal of expired and unused health products.
Since 2000, the program has grown from 575 to 1,025 collection sites across the whole
province and the public has returned approximately 296,836 kg of unused or expired health
products for environmentally responsible disposal.
2. Recycling Regulation Requirements
In accordance with the requirements of their approved stewardship plan, there must be a
review of the program plan every five years. According to Section 6 of the Recycling
Regulation: A producer must review its approved plan and
(a) submit to a director proposed amendments to the approved plan, or
(b) advise a director in writing that no amendments to the approved plan are
necessary,
The BC Medications Return Program has developed and delivered an effective, cost
efficient, environmentally and socially responsible health products return program for
consumers on behalf of more than 140 members.
This Plan describes the current program and the priorities for the next 5-year period in the
context of the approval criteria set forth in the Regulation.
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3. The Stewardship Association
Mandate & Purpose
The Post-Consumer Pharmaceutical Stewardship Association (PCPSA) is a not-for-profit
association; meets its obligations, as outlined in the BC extra provincial Society Act, and
files the required reports with the Corporate Property Registry Branch of the Ministry of
Finance and is also registered with Industry Canada since 2000.
The PCPSA has been appointed as the agency to meet producer‟s obligations ashealth
products stewards. PCPSA‟s role is to perform on behalf of each member certain duties
required under the Regulation. As of December 2010, PCPSA‟s membership was
established at 140 members.
The Program is accountable to its members, the general public and the government of
British Columbia, through the Ministry of Environment. The Program is publically
accountable through its Annual Report.
Governance
The Association is a member-based association representing obligated stewards of health
products, as defined in the Recycling Regulation. The Association operates according to the
Bylaws approved by the Board to manage the affairs of the Association. A nine-member
Board of Directors is elected by the members.
The Board members are committed to maintaining a high standard of corporate
governance. The directors have the responsibility for the overall stewardship of the
association, establishing the overall policies and standards for the association. The current
list of the Board of Directors is available on the association‟s website. An Executive
Director reports to the Board and is responsible for operations management, financial
management, communications and general administrative duties. In order to streamline
operations and minimize costs, PCPSA shares an office in Ottawa with Consumer Health
Products Canada.
As required by regulation, PCPSA has operated a province-wide BC Medications Return
Program for prescriptions drugs, nonprescription drugs and natural health products since
April 1998.
The pharmaceutical product category is regulated in Canada under the Food and Drugs Act
and Regulations and the Natural Health Products Regulations. Unlike other programs
developed under the Recycling Regulation (Product Care, Electronics, Oil etc) the BC
Medications Return Program is fully funded by the health product industries.
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4. Stakeholder Consultation [Section 5 (1) (b)]
The producer has undertaken satisfactory consultation with stakeholders prior to
submitting the plan for approval and will provide opportunity for stakeholder input in the
implementation and operation of the product stewardship program.
For the first time ever, stakeholders were invited to attend joint public consultation
meetings for the review of four BC product stewardship plans: Tire Stewardship BC, the
Electronic Stewardship Association of BC, Product Care Association and the PostConsumer Pharmaceutical Stewardship Association.
The joint consultation sessions were held as follow:
• Prince George - Wednesday May 25, 2011 – Ramada Inn
• Kelowna - Friday May 27, 2011 – Coast Capri Hotel
• Nanaimo - Monday May 30, 2011 – Coast Bastion Inn
• New Westminster - Tuesday May 31, 2011 – Inn at the Quay
People could register online at bcstewardconsultations.ca and could download a copy of the
product stewardship plans from each agency`s website. PCPSA`s stewardship plan was
posted by May 5th and available for public comment and the deadline for submission of
written comments on PCPSA‟s plan was June 17, 2011.
Advance notifications were sent out on April 18th to 329 common stakeholders such as
senior government, stewardship associations, ENGOs including RCBC, regional districts
and municipalities. A notice was also sent to PCPSA`s members, collection sites on May
15th. A total of 84 individuals participated in the four consultation sessions and eight
written submissions were received by the deadline.
PCPSA‟s presentation at the consultation sessions provided an overview of the Plan as well
as opportunities to ask questions and provide feedback. Appendix 5 provides a summary of
the questions and comments received and where possible, like comments have been
grouped together for ease of response. In doing so, we have tried to maintain the essence of
the public‟s input without distortion.
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5. Medications Return Program- overview
The collection sites for the BC Medications Return Program are community pharmacies.
Pharmacy managers interested in participating must complete a registration form. Details
on the program are provided to ensure that management and their staffs are knowledgeable
on the program and its operation. All participating community pharmacies receive
information with instructions on the program, order form and containers (Appendix 1).
Once the registration form is completed and faxed to our office, the pharmacist is contacted
by phone to discuss the following points:
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The program is for returns from the public.
Large quantities from individuals are acceptable.
All dry health products can be dropped directly into the plastic container, including
blister packs and inhalers in their original package
All liquid products are accepted, they are not to be poured into the container.
This program does not accept sharps, needles and syringes.
All extra packaging should be removed; including personal information.
Once the container is full, the pharmacist contacts the program administrator to schedule a
delivery and pick up. All containers received from a pharmacy are tracked by weight,
pickup date and location and re-packaged for safe destruction through a licensed
incineration facility.
Table 1.Collection in kilograms
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a) Pharmacies [Section 5 (1)(c)(iii)]
The plan adequately provides for reasonable and free consumer access to collection facilities
Since 2000, we increased the number of registered pharmacies from 575 to 1,025,
representing 94.5% of licensed community pharmacies in the province. PCPSA provides
promotional items (posters, brochures, flyers, etc.) for display and has developed a news
bulletin circulated in the spring and fall (Appendix 2). There is no charge to the consumer
to return products. Community pharmacies currently participating in the program can be
easily located by the public on the Association‟s website at www.medicationssreturn.ca or
by accessing the Recycle Council of British Columbia Encyclopedia at http://rcbc.bc.ca/. In
addition:
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Pharmacies are a natural, logical and safe site for the public to return health products.
They also offer easy access to those with special needs and varying degrees of personal
mobility.
Pharmacists are very knowledgeable about dispensing health products and do provide
advice on individual medical condition and proper use of health products.
Many of these pharmacies are open during extended hours, offering a convenient place
for consumer disposal year-round.
The following lists provide an example of materials that would be acceptable. Note that this
list is not exhaustive.
Accepted
 All prescription drugs
 Nonprescription health products
 Natural health products
 Vitamin and mineral supplements
Not accepted
 Sharps, needles or syringes
 Cosmetics
 Antiperspirants, antiseptic
 Skin cleansers
 Mouthwashes
 Hard surface and disinfectant cleaners
 Expired samples from physicians‟
offices
 Unused or expired drugs from
hospitals and institutions
 Pharmaceuticals from farms and
veterinary products
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b) Program administrator
The PCPSA contracts with a program administrator for the following.
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Maintain and update database on participating community pharmacies
Collection of expired and unused health products from pharmacies
Storage and disposal of products
Ensuring all necessary environmental permits and licenses are obtained
c) Funding
 To ensure that brand-owners/producers who sell, offer for sale or distribute health
products in British Columbia are covering their share of the costs to the Program.
Funding from the industry covers all expenses incurred in the collection, transportation,
storage, promotion and disposal of products within the BC program.
The cost of operating the BC Medications Return Program is shared between brand owners
of health products (prescriptions drugs and natural health products). Updated lists of
participating brand-owners are also published on the Association‟s website. Yearly reviews
are done to identify and confirm brand-owners/producers selling health products in British
Columbia (Appendix 3).
Prescription Drugs
The fee to brand owners of prescription drugs is based on all products dispensed in British
Columbia in the previous calendar year. The minimum rate is $200.00 + applicable taxes.
Natural Health Products/OTC‟s
The rate to brand owners for over-the-counter drugs and natural health products is based on
sales in previous calendar year at $0.20 per $1,000 of BC sales of affected natural health
products. The minimum rate is $200.00 + applicable taxes.
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6. Educational Materials and Strategies
 To ensure citizens know where and how to dispose of unused or expired medications
when necessary.
a) Publicity
The program has posters, brochures, flyers, bookmarks, etc. that can quickly be supplied to
participating pharmacies, special events or other associates such as Regional District Service
offices and municipalities. The brochures provide clear directions on what is accepted and
not accepted, how to return the unused or expired health products and where returns are
accepted in an easy fashion. PCPSA offers its support to health awareness events and health
trade shows with advertising responsible disposal of unused or expired health products.
b) Printed materials
Take-aways: Brochures and point of purchase signage is distributed to pharmacies and other
locations such as clinics and doctor‟s offices through a reorder system by fax, email or
through the website. Brochures are presently available in English, while bookmarks are
available in four languages (English, French, Punjabi and Chinese).
Municipal Garbage and Recycling calendars: PCPSA will continue to promote the
Medications Return Program in the recycling calendar published by regional districts and
municipalities informing residents about municipal services.
Mailouts: PCPSA will provide promotional material to regional districts and municipalities
or other groups/organizations interested in promoting the program.
A News bulletin is currently available on a quarterly basis to our members. We also have a
bi-annual e-bulletin for the community pharmacy managers.
Local Newspapers: PCPSA has produced articles in community newspapers promoting the
Medications Return Program. Other initiatives are taking place during the Pharmacist
Awareness Week and other health related events during the year.
c) Other resources
Web Site: The medicationsreturn.ca website provides the public with information on the
program and locations of collection sites for the disposal of health products. The site also
provides a searchable database of participating pharmacies and details on products accepted
by the program.
As we continue to build our membership base, we are able to utilize our members‟ own
promotional network to advertize the Medications Return Program. These initiatives are
described in Annual Reports.
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RCBC Toll-Free and Recyclopedia: PCPSA has partnered with the Recycling Council of
British Columbia recycling hotline service and sponsored the newly expended on-line
recycling information database called Recyclopedia.
Consumer information: Information on the safe use, storage and disposal is provided to the
consumer at the time of purchase.
PCPSA sends regular updates to regional districts and municipalities including key messages
and logos that can be used to promote safe disposal of unused or expired health products.
7. Program Performance Measurement
The Regulation requires that the plan make adequate provisions for informing consumers
of the producer‟s product stewardship program, the location of collection facilities and
how to handle products in a safe manner as well as the environmental and economic
benefits of participating in the program.
While we agree that recovery rate can provide a way to measure program success, the
recovery/capture rate is not a meaningful performance measure for health products in
determining the effectiveness of this stewardship plan. As a result, PCPSA will evaluate the
success of the program through the following five categories: awareness indicators,
accessibility indicators, quantity collected, promotion indicators and waste composition
studies. The Program has been tracking and reporting on many of these key indicators since
2006.
a) Consumer awareness [Section 5 (1) (c) (iv)]
A consumer awareness survey was developed in 2007 and used again in September 2010,
and shows significant improvements in both consumer behavior and awareness of the
program (Appendix 4: Full report).
Awareness Indicators
Target until 2017:
Increase public awareness by 25% and usage of Program
by 10%:
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Performance measures:
Strategies:
60% of British Columbians are able to identify
pharmacies as a place where consumers may dispose
of unwanted health products.
61% have used the Program to dispose of health
products in the last 6 month.
Measure changes in awareness and behaviour
Work with BC Stewards to increase exposure through
communications and other events.
Year 1
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Year 2 - 3
Year 4
Year 5
Promote program through advertising, 3 special events
such as community pharmacy events.
Maintain publicity in annual recycling calendars (12) and
continue to support special events (2).
Measure awareness and usage of program with public
survey.
To be developed based on results in year 4.
b) Number of collection points [Section 5 (1) (c) (iii)]
Since 1997, the Program has established a comprehensive network of permanent collection
sites where the public can conveniently return health products for responsible disposal. This
network consists of community pharmacies as well as some clinics, hospitals, community
centers and other collections sites with a large volume of consumers‟ returns.
Accessibility Indicators
Target until 2017:
Performance measure:
Strategies: Year 1
Maintain or exceed participation rate of 95 % on a threeyear rolling average.
Report percentage of sites who have returned containers
in the last 24 months
Contact new licensed community pharmacies on a
quarterly basis; contacts obtained through the College of
Pharmacists in B.C.
Contact existing pharmacies with ownership and/or
manager changes on a quarterly basis.
Year 2 - 3
Year 4
Year 5
Contact pharmacies with a significant change in
collection pattern.
Review and adjust to maintain participation
c) Product recovery target
Quantity Collected
Target until 2017
Strategies: Year 1
Year 2
Year 3 and 4
Maintain a minimum collected quantity of 65 tons on a
three-year rolling average.
Report total quantity collected on a yearly basis with
quarterly results by regional districts.
Promote program at special events (e.g. Pharmacy
Awareness, retailer‟s own promotional initiatives).
Continue to work with members and participating
pharmacies to organize special collection events and
publicize program. Promote program in different media.
Continue to work with members and community
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Year 5
pharmacies with special collection events and publicity
from retailers.
To be developed based on public survey results in year 4.
d) Promotion
Promotion Indicators
Target until 2017
Strategies: Year 1
Publicity on the Medications Return Program in 25
regional districts or municipalities‟ websites with
recycling sections.
Promotion of program in participating pharmacies and
other sites.
Increase in awareness of Medications Return Program.
Contract out website development and design.
PCPSA will maintain a website to locate collection sites
with easy access to information on the program.
Maintain contact with waste coordinators in regional
districts/municipalities with promotional material (video)
and key messages for their websites/display area.
Indication of program in recycling calendars or with
information distributed directly to households.
Work with pharmacists and their professional
associations to craft messages about the program.
Connect with other health professionals‟ organizations,
such as nurses, physicians and home-care personnel.
Year 2 and 3
Display signage in pharmacy on the BCMRP.
Track traffic to BC page and access to locations.
Work with communication firm for the promotion and
advertising plan development on the program
Year 4
Connect with pharmacists and help disseminate
information on the program through the Ambassador or
similar initiatives.
Follow up on advertising on regional
district/municipality websites and annual calendars.
Evaluate the outcome of our promotional program
through a public survey.
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Year 5
Evaluate the participation/awareness of pharmacists on
promoting the program to their customer.
TBD
e) Waste composition studies
We have joined with the BC Stewards Group to formalize a working partnership with
Regional Districts to conduct detailed waste audits to determine the makeup of the waste
stream. It is anticipated that the reports derived from these audits will be analyzed and used
by stewards as one of many tools to establish the effectiveness of their programs in
accordance with the requirements of the Recycling Regulation. The resulting information
will assist the partners in achieving the long-term goal of zero waste
For the Regional Districts that conduct waste composition studies, these studies should be
statistically significant to establish the presence of health products within the Household
Hazardous Waste categories.
Waste Composition Study
Target until 2017:
Strategies:
Year 1
Year 2 - 3
Year 4-5
Decrease the presence of health products in waste
composition studies.
Report amounts of regulated products estimated in
statistically significant waste composition studies.
Draft and approve the BC Stewards waste audit proposal.
Establish a partnership agreement for participating in
scheduled waste audits performed in five regional
districts.
Review and develop a guide for participating in Waste
Composition Study
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8. Compliance Process
Compliance process and enforcement measures are central to ensure full compliance of all
obligated parties. For the purposes of initiating actions with the British Columbia Ministry of
Environment; non-compliance is defined as a lack of responsiveness from a brandowner/producer after more than two notices on producers‟ responsibilities have been sent
from PCPSA. Exceptions can be made if the Board determines that the producer/brandowner is not covered by the regulations (excluded products) or fees are paid by a third party.
In the event that PCPSA does not receive a financial contribution from stewards within the
prescribed timeframe(s), PCPSA management may utilize the following notifications to
underscore the importance of timely submission:
 1st contact (60 days prior): Letter is sent to obligate stewards under the Recycling
Regulation, informing them of their responsibilities. PCPSA‟s role is to advise
any potential stewards and offer the approved Medications Return Program as a
way to fulfill their regulatory requirements.
 2nd contact (90 days): A second letter is sent to a steward for lack of reply from
the previous correspondence. At this point in time, PCPSA will point out that they
are liable if their company contravenes the Act.
 3rd contact (120 days): A final letter with a deadline for submitting membership
documents and payments toward the plan is sent by PCPSA. At this point, the
Board will consider each steward on a case-by-case basis to approve final step.
 4th contact: A request for non-compliance actions is sent to the Ministry of
Environment with a copy to the steward.
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9. Dispute Resolution [Section 5 (1) (c) (vi)]
The Recycling Regulation requires that a plan provide for a dispute resolution procedure.
Any person or organization believing that the responsibilities of parties participating in the
Medications Return Program do not meet the program plan should immediately provide a
detailed description of the complaint to PCPSA:
By e-mail to [email protected]
By fax to 613-723-0779
By phone to 613-723-7282
PCPSA will within five days seek to resolve the dispute through a co-operative approach and
voluntary resolution. In the absence of a successful resolution, PCPSA will convene a
threeparty adjudication panel within two weeks. One individual will be chosen by PCPSA,
one individual chosen by the pharmacy and one individual chosen by the complainant (not
the complainant). The panel will consider the dispute and offer a binding decision on all
parties involved. Should the decision not be accepted, legal recourse is available to the
complainant.
10.
Pollution prevention hierarchy [Section 5(1)(c)(viii)]
The pollution prevention hierarchy (recycle, recover, residual disposal) requirements outlined
in the Recycling Regulation to reduce the environmental impact of health products are not
feasible without affecting pharmaceutical product safety, efficacy, and quality. Health
products are consumable products. Health products are taken for specific conditions or
symptoms and should be fully consumed unless otherwise indicated by a health professional.
Health products cannot be reused or recycled, as other products covered under this
regulation. Some manufacturers/producers have been able to give excess health products with
adequate shelf life (usually 6 months) for humanitarian use. This unique situation eliminates
or reduces a product that is consumable; however it does not apply to products that have been
purchased by a consumer.
Products collected under this program will be disposed through incineration at governmentapproved facilities. A certificate of destruction, as well as 3rd party verification is obtained.
11.
Environmental impact throughout product lifecycle [Section 5 (1) (c) (v)]
Over the last 5 years, members have undertaken environmental initiatives that have improved
the environmental impact of health products. As a performance measure, individual stewards
have also made some changes to product monograms which reflect the program‟s ability to
influence change in a positive manner. Product Monograms (patient medication information
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sheer) are starting to indicate safe disposal options (appendix 7). In addition, since 2010, all
MRP containers have been replaced with reusable 30 L containers.
PCPSA has also partnered with some chains (Shoppers Drug Mart) to distribute paper bags to
help with medicine cabinet clean-up and reduce the impact of pharmaceuticals entering the
environment. This medications return campaign will be evaluated.
12.
Waste Disposal Sites
It is not appropriate for health products to be returned with other household hazardous waste
and handled by individuals not used to handling health products. PCPSA prefers that health
products are returned to a pharmacy location. Pharmacies are more knowledgeable in
handling health products and offer a secure environment for safe disposal.
PCPSA only partners with licensed service providers with a proven record of using
established, approved and verifiable procedures for the final treatment and processing of
residuals in compliance with all applicable environmental regulations.
13.
Annual Report
On or before July 1 each year the Association shall submit to the Director a report of the
Association‟s activities for the preceding calendar year. The report will document the
performance in relation to the plan. The report will also be available on the Association‟s
web site.
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Appendix 1
NEW PHARMACY REGISTRATION FORM
Pharmacy Name: :_________________________________________________________
(eg: ABC Pharmacy)
Address: ________________________________________________________________
_________________________________________ License Number (12345): _________
City: ______________________, British Columbia Postal Code: ___________________
Phone Number: (
) ___________________
Contact Name: ___________________________
Responsible for the BCMRP
Fax Number: (
) ______________
Email: ________________________
Date: ___________________________
I UNDERSTAND THE CONDITIONS AND AGREE TO FOLLOW THEM IN AN EFFORT TO
CONTRIBUTE TO THE SAFE DISPOSAL OF MEDICATIONS. I CERTIFY THAT THE WASTE
COLLECTED AT THIS FACILITY AND PLACED IN THE MMRP CONTAINER IS COMPRISED
ONLY OF ACCEPTABLE PUBLIC WASTE AS DESCRIBED IN THIS DOCUMENT AND DOES
NOT CONTAIN ANY OTHER WASTE.
Signature:
______________________________
Please fax this registration form to 866-783-7432 or e-mail at [email protected] in order to register
your site with the BC Medications Return Program. Keep original signed copy of the agreement on file at the
pharmacy. Your location will be listed at http://www.medicationsreturn.ca/british_columbia_en.php
You will be contacted within a few weeks of receipt to arrange for delivery of program documentation and container
For more information contact PCPSA at [email protected]
Thank you for your interest in the BC Medications Return Program. We look forward to working with
you!
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Appendix 1
PROTOCOL/AGREEMENT
1) This agreement applies only to the collection and disposal of pharmaceutical waste generated by the
public—i.e. public waste.
2) Pharmacist will determine if the waste is acceptable or not. Only returned health products from the
public are acceptable.
a) All prescriptions drugs
b) Over-the-Counter Medications;
c) Natural Health Products;
 Including medicated patches
 Including topical antibiotics and fungal creams
Examples of dosage forms are:
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solids, semi-solids and powders
o caplets, capsules, tablets, granules, mixtures, powders for injection, creams, lotions,
gels, suppositories, etc.
liquids
o solutions, suspensions, syrups, ampoules, etc.
aerosol canisters
o sprays and inhalers ( maximum 10 full canisters per container)
novel dosage forms
o strips, gums, patches, etc
3) All solids should be poured/placed directly in the container; outer packaging is removed.
4) All liquid products are accepted, they are not to be poured into the container. The vial/bottle is placed
directly into the container without any transfer of content.
The MAXIMUM weight for a full container is 23 kg.
5) The vial /bottle (except liquid medications) should be recycled where facilities exist. Where recycling
options are not available, the containers are disposed in the regular waste stream.
6) This program is for returns from the public and not from hospitals, institutions, doctor‟s offices or your
own pharmacy operations.
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Appendix 1
7) This program does not accept sharps, needles and syringes.
8) The Pharmacy shall train and inform its employees in the terms and condition of this program and the
proper handling and disposal of public waste. All employees working at the site must be
knowledgeable about the program offered to the public.
9) Once full the liner must be tied and the lid securely closed. (See instruction sheet)
10) The waste is to be stored at all times in a location where access is controlled, restricted to trained
employees only.
11) To register, complete enclosed registration form or download form at
http://www.medicationsreturn.ca/british_columbia_en.php and fax to 1-866-783-7432.
12) Once registered for the BC Medications Returns Program, you will need to schedule a pickup, please
complete service request form or contact STERICYLE at:
Phone
604-552-1011
1-866-783-7422
Fax:
1-866-783-7432
[email protected]
The Pharmacy shall inform the program administrator (Stericycle) of any change in its operations
that could affect the nature or the origin of the waste collected
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Appendix 1
21
Appendix 2 Pharmacy e-news
PHARMACY E-NEWS
22
Appendix 3 Participating Stewards in 2011
23
2011 STEWARDS
Abbott Laboratories Limite
AA Pharma Inc.
Abbott Laboratories Limited
Abraxis BioScience Inc.
Actelion Pharmaceuticals Canada Inc.
Advantage Sales and Marketing Canada
Aeterna Zentaris Inc.
Afexa Life Sciences Inc.
Alcon Canada Inc.
Amgen Canada Inc.
Amway Canada Corporation
Apotex Inc.
Ascendia Brands (Canada) Ltd.
Ashbury Biologicals Inc.
Astellas Pharma Canada Inc.
AstraZeneca Canada Inc.
Avon Canada Inc.
Axcan Pharma Inc.
Baxter Canada
Bayer HealthCare, Consumer Care
BELLUS Health
Bioforce Canada Inc.
Biogen Idec Canada Inc
Biovail Pharmaceuticals Canada
Blistex Corporation
Boehringer Ingelheim Canada Ltd.
Boiron Canada Inc.
Bristol-Myers Squibb Pharmaceutical Group
Canada Safeway Ltd.
CanReg Inc.
Chattem (Canada) Inc.
Church & Dwight Canada
Cobalt Pharmaceuticals Inc.
Combe Incorporated
Contract Pharmaceuticals Limited Canada
Costco
Cytex Pharmaceutical Inc.
Dormer Laboratories Inc.
Dr. J.O. Lambert Ltd.
E-Z-EM Canada Inc.
Eli Lilly Canada Inc.
EMD-Serono Canada Inc.
Environmental Advisory Group
Enzymatic Therapy
Ferring Inc.
Gaia Garden Herbals Inc.
Galderma Canada
General Nutrition Centres Canada
GlaxoSmithKline Consumer Healthcare Inc.
GlaxoSmithKline Inc.
Graceway Pharmaceuticals
Helix BioPharma Corp.
Herbalife of Canada
Hospira Healthcare Corporation
HPI Health Products/Lakota
Hudson's Bay Company
Indigene Pharma Inc.
Institut Rosell-Lallemand
Jamieson Laboratories
Janssen Inc.
Johnson & Johnson Inc.
Katz Group Canada Ltd
King Pharmaceuticals
Kripps Pharmacy
Laboratoire Atlas Inc.
Laboratoires Riva
Leo Pharma Inc.
Loblaw Companies Ltd
London Drugs Limited
Lorus Therapeutics Inc.
Lundbeck Canada Inc.
MDS Inc.
Mead Johnson Nutrition (Canada) Co.
Mentholatum Company of Canada Limited
Merck Canada Inc.
Mint Pharmaceuticals Inc
Mylan Canada
Natural Factors Nutritional Products Ltd.
Nature's Sunshine Products of Canada Ltd.
Nature's Way Canada Ltd
Northwest Natural Products
Novartis Consumer Health Canada Inc.
Novartis Pharma Canada Inc.
Novo Nordisk
Nu-Pharm Inc
Nucro-Technics
Nycomed Canada Inc.
Odan Laboratories Ltd.
Omega Alpha Pharmaceuticals
Omega Laboratories Ltd.
Organika Health Products Inc.
Overwaitea Food Group Ltd Partnership
Paladin Labs Inc.
Patheon Inc.
Peoples Drug Mart (B.C.) Ltd
Pfizer Canada Inc
Pfizer Consumer Healthcare, Division of Pfizer
Canada Inc.
24
Pharmasave Drugs (National) Ltd.
Pharmascience Inc.
PharmEng Technology, a division of PE Pharma
Platinum Naturals
Procter & Gamble Inc.
ProMedics Nutraceutical Ltd
Purdue Pharma
Ranbaxy Pharmaceuticals Canada Inc.
Ratiopharm
Reckitt Benckiser (Canada) Inc.
Roche Limited
Ropack Inc.
Sandoz Canada
Sanis Health Inc.
Sanofi-Aventis
Schering-Plough Canada Inc.
Seaford Pharmaceuticals Inc.
Sepracor Pharmaceuticals Inc.
Servier Canada Inc.
SFBC New Drug Services Canada
Shaklee Canada Inc.
Shire Canada Inc.
Shoppers Drug Mart, Pharmaprix
SISU Inc.
Solvay Pharma Inc.
Stiefel Canada Inc., a GSK Company
Swiss Herbal Remedies Ltd.
Taro Pharmaceuticals Inc.
Teva Canada / Novopharm
Theramed Corporation
Theratechnologies Inc.
Tianshi Health Products
Triton Pharma Inc.
Trophic Canada
UniPHARM Wholesale Drugs
USANA Canada Co.
Valeant Canada Limited
Vita Health Products Inc.
Wal-Mart Pharmacy
Warner Chilcott Canada Co.
WellSpring Pharmaceutical Canada Corp.
Westcoast Naturals
WN Pharmaceuticals Ltd.
Wyeth Canada
25
Appendix 4 Population Survey
POPULATION SURVEY
This summary provides an overview of a survey undertaken with 509 adult British
Columbians in September 2010.

Ninety percent of British Columbians report that they have health products in their home,
including 30% who have unused or expired health products.

Without prompting, almost one-half of British Columbians (48%) are able to identify
pharmacies as a place where consumers may dispose of unwanted health products. This is
up significantly from 31% in 2007.

Asked directly whether health products may be returned to a pharmacy, 60% of British
Columbians say they may. About one half (51%) of British Columbians claim they were
aware of this before completing the survey.

Thirty-three percent of British Columbians say they have disposed of health products in
the last six months. This marks a 10% decrease since 2007.

Since 2007, there has been a remarkable increase in the percentage of British Columbians
who returned their unwanted health products to pharmacies. This percentage has more than
doubled, from 21% to 51%. There has also been a large corresponding decline in the use of
garbage to dispose of health products.

Three-quarters of all British Columbians who claim to be aware that pharmacy disposal is
an option actually used this option the last time they had unwanted health products. Thus,
awareness is a very powerful driver of behavior in British Columbia.

Among those British Columbians who disposed of health products at a pharmacy, the
experience was both convenient (93% agree) and satisfactory (94% agree).

Unprompted, 43% of British Columbians say they would return health products to a
pharmacy in the future (up 19 points since 2007), while 51% would use either the regular
garbage or a household drain (down 17 points since 2007).

When prompted, the overwhelming majority of British Columbians (86%) say they would
be likely to use pharmacy disposal if it were available. Specifically, 70% say they are very
likely to use a pharmacy and 16% say they are somewhat likely.

There are no major barriers in the minds of consumers to using pharmacies to dispose of
unwanted health products. More than two-thirds of consumers (69%) say they can see no
reason why they would not use a pharmacy for this purpose. For most others, the potential
barriers are convenience, distance, laziness or forgetfulness.
26
Appendix 5 Stakeholder consultation summary

From a demographic perspective, women are generally more aware and more active in the
proper disposal of health products. Older consumers are also more aware and more
proactive.
27
Appendix 5Stakeholder consultation summary
CONSULTATION SUMMARY
LIST OF ATTENDEES AT PUBLIC CONSULTATION MEETINGS
NAME
POSITION
COMPANY OR ORGANIZATION
NEW WESTMINSTER MEETING
Andrew Doi.
Environmental Planner
Ann Johnston.
Director
Bill Reid
Executive Director
Brigitte Pronovost.
.Supervisor, Solid Waste
Buddy Boyd/Barb Hetherington.
Cassandra Caunce.
Section Head, EM, Business & Standards.
Chris Falloon
Principal Stonehouse
David Ellwood
Sales.....
Don Blythe
Chair
Donna Bucsis.
Operations Assistant.
Ela Lukowska
Waste Diversion Supervisor.
Emy Lai.....
Greg Tyson...
Analyst...
Jack Liu.
Senior Business/Financial Development Officer.
Jason Lee.....
Project Engineer...
Jennifer Lukianchuk.... Environmental Coordinator
Jim Favaro.
Vice-President
Ken Falconer
General Manager Operations..
Kim Day.
Executive Director
Kim Harris
Leanne Koelin..
Lisa Sullivan
Manager
Mark Den Harder
Account Manager..
Martin Oconnon
Sale.
Maury MCIntosh..
Administrator.
Mike Marocchi..
Director, Scientific & Technical Affairs
Monica Kosmak
Zero Waste Planning Program Manager
Neil Hastie
CEO
Richard Aikema
Manager
Rod Lotzkar
Scott Temreck.
Business Development.
Tauseef Waraich..
General Manager..
Tom Madigan.
Superintendent Street Cleaning
Metro Vancouver
Mayne Island Recycling Society
Cloverdale District Chamber of Commerce
City of Port Moody
Owners Gibsons Recycling Depot
Ministry of Environment
Management Services
Newalta
Tire Stewardship BC
City of Port Moody
City of Surrey
City of Richmond
BC Ministry of Environment
Mansonville Plastics
Metro Vancouver
City of New Westminster
PCPSA
ToxFree Energy Canada
Ridge Meadows Recycling Society
Mayne Island Recycling society
Ridge Meadows Recycling Society
Abbotsford Community Services Recycling
Stericycle
Newalta
London Drugs
SISU Inc.
City of Vancouver
Encorp Pacific
Abbotsford Community Services
Regional Recycling
Action Environmental
TRI - Technology Resource Inc.
City of Vancouver
PRINCE GEORGE MEETING
Dave Fuller...
Helen Sherrard
Janine Dougall
Kevin Grose..
Lyn Smirl
Mike Hennessy.
Petra Wildaur
Rachael Ryder
Rachel Simpson
Terri McClymont
Owner....
President
Director of Environmental Services....
Owner/Manager....
Environmental Management Analyst.
Executive Director
Vic Caron
President
Waste Diversion Program Leader
Business Manager
Executive Director
Ave Maria Specialties
Canadian Health Food Association
Regional District of Bulkley-Nechako
OK Tire Auto Service
Tire Stewardship BC
Regional District of Fraser-Fort George
Regional District of Fraser-Fort George
Selen Anita Securities Inc. (Canadian Tire)
REAPS
Recycling & Envi. Action Planning Society)
Victor Surplus Equipment Ltd.
28
PRINCE GEORGE MEETING
Casey Mitchell..
Cathy Kenny.
Dave Ross.....
David Brown.
Ed Walsh......
Gary Franssen..
Henry Lee.....
Jennifer Crabbe..
Kathleen Milward
Kristi MacMillan..
Lyn Smirl......
Michael Schellinck.
Michael Schellinck....
Michele Patterson..
Mike Johnson
Rob Williams
Sharon Horsburgh.
Sophy Roberge.
Steve McKerrell..
Tom Watkins.
Wendy Dunn..
Will Burrows
Co-owner
Solid Waste Management Coordinator
Operations Manager, North Island......
V.P. Operations BC.
Manager of Sanitation and Recycling.
Supervisor, Outreach and Partnerships. C
Operations Manager..
Environmental Technologist.
Executive Director
Manager, Environment & Sustainability.
Environmental Technologist.
Senior Zero Waste Coordinator..
Public Relations....
Executive Chairman
Executive Director
Island Natural Markets
Sunshine Coast Regional District
Enterra Environmental
Former MoE
Enterra Environmental
City of Nanaimo
apital Regional District
Cowichan Valley Bottle Depot
Cowichan Valley Regional District
BC Ministry of Environment
Nanaimo Recycling Exchange
Nanaimo Recycling Exchange
Vancouver Island University
Harbourview Volkswagen
CVRD
RDN
Cowichan Valley Bottle Depot
Swiss Natural
Capital Regional District
Capital Regional District
Coast Waste Management Association
KELOWNA MEETING
Paul Marois
Alan Stanley.
Allan Miedema.
Ben Van Nostrand
Bert Monesmith
Don Hamilton.
Jay Aarsen
Jongjin Lee
Karen Oh
Ken .Westbank
Ken Muller
Kristi MacMillan
Lyn Smirl
Nicole Kohnert
Peter Rotheisler
Rick Monahan.
Shaun Daniels.
Wendy Bennett.
President
Director of Environmental Services.....
Owner/Operator.....
Waste Management Coordinator.
Senior Market Director..
Solid Waste Facilities Coordinator.
Interior Freight & Bottle Depot
Owner.
Environmental Management Analyst...
Analyst
Manager Regional Engineering Services
Corporate General Manager
Solid Waste Facilities Assistant.
Planet Earth Recycling Ltd.
Regional District of Kootenay Boundary
KP Tirecraft (1977) Ltd.
Columbia Shuswap Regional District
EBA, A Tetra Tech Company
Regionl District of Okanagan-Similkameen
J&C Bottle Depot
Boucherie Bottle Depot
Bottle Depot
City of Kelowna
Regional District of North Okanagan
Regional District of Central Okanagan
Natures Fare Markets
Nature’s Fare Markets
Regional District of Okanagan Similkameen
29
We have distilled four hours of discussion and eight written comments into the following
table.
Terminology
Comment/Questions
Term medication is misleading as natural health
products are not considered medications.
Answer
The expression health product is frequently
accompanied by additional clarification such
as: including prescription drugs,
nonprescription drugs and natural health
products.
„Consumer health product‟ should be replaced, or
natural health product should be explicitly stated.
This program was established before Health
Canada created (in the nineties) a separate
regulatory framework for natural health
products.
Based on consultation, we will add in the
glossary:
Term “consumer health products” not clearly
understood to consumers
Consumer health products: health products
sold to consumers.
Health products: prescription drugs,
nonprescription drugs and natural health
products.
Natural health products:
Vitamins and minerals
Herbal remedies
Homeopathic medicines
Traditional Chinese medicines
Probiotics
Other products like amino acids and
essential fatty acids
What is the risk associated with misuse of
This Recycling Regulation appliesproducts
supplements?
under NHP‟s definition, not specific to natural
supplements. Program is designed to meet the
requirements of the Recycling Regulation
which stipulates that all types of
pharmaceuticals be included in the program
The Recycling Regulation, B.C. 449/2004 refers to the The purpose of the program plan is to be a
Pharmaceutical product category and not to
bridge between the language in the regulation
medications. Unclear if the regulations require that
and more explicit working language. NHP‟s
Natural Health Products be included in this program.
are clearly included in the definition of
products captured by the program.
Does the program include sharps?
Program does not include sharps. Different
Does program include Epi-Pens?
product category that is yet to be regulated.
Should not e in our containers as medications
are shipped as non-bio hazard waste.
Will there be something on website of how to get rid
We direct people to BCPhA. But we could put
of other materials (sharps)? Put a link.
link on the website.
30
Appendix 6 Participating Pharmacies
Expand range of products to include hospitals,
doctor‟s office, institutions, farms and veterinary
products.
Packaging/containers
Can the stewards in the natural health industry meet
the requirements of the regulation by only providing
education to the public about safe disposal options?
Will there be a program in place for packaging?
B.C. regulations exempts those sectors
Vials and packaging are excluded from the
program plan. This program was established
to provide a safe disposal options for
medications through pharmacies; Public is
encouraged to bring in medications in original
container and place medications in our
containers. The original regulatory obligation
referred to the product and not the packaging.
Recommend to pharmacies and the public to
recycle the containers.
Public education is only one component. Also
need a collection system that follows the 5 Rs.
A public education program, on its own,
would not meet the requirements of the
regulation.
Yes, they will be included in the new
packaging and printed materials program that
was just announced this week.
Answer
Board of Directors
Comment/Questions
Explicit representation from the natural health product PCPSA is a member (health products
and small business sector should be stipulated in the
industries) based association; election and
bylaws and be made publicly available.
appointment of all directors are held during
AGM. Equal representation of sectors (brand
name, generic and consumer health industries)
is in the by-laws.
CHFA represents 1000 members that are fully
Notice to PCPSA‟s members was circulated,
engaged in the natural health product sector with our
in our newsletters (January/April) and through
members ranging from suppliers to independent
direct e-mail announcement in April.
health food store retailers.
The majority of industries affected by this
Despite this fact, we were only afforded 4 days notice regulation are currently registered and
prior to this consultation session.
participating in the program.
Following our attendance at the consultation session,
Suppliers and retailers, unless they own a
CHFA does not feel that our concerns with the
brand and private label are not targeted by this
program and the inclusion of natural health products
regulation.
have been addressed appropriately by either PCPSA
Questions on the product definition should be
or the BC Ministry of the Environment.
addressed to the Ministry and not through
public consultation; these sessions are to
evaluate program plans.
Believe that the fee base is unfair for NHP‟s. Fee base Fess is not based on risks but on quantity
should be proportional to environmental risk.
generated/sales. Fee structure is reviewed by
Board of Directors If membership disagrees;
they can propose a change in the funding
model through elected directors on the board.
Members can vote on a proposed revised
revenue model.
Collection
Answer
31
Comment/Questions
What assurance can be provided or checks and
balances are in place to ensure that pre-consumer
damaged products, whose disposal is paid for as part
of a commercial transaction between the vendor and
the retailer, are not disposed of through the postconsumer mechanism and hence double paid for by
suppliers of natural health products.
CHFA strongly recommends that the option to act as
a collection location for natural health products be
expanded beyond pharmacies to include all locations
for where natural health products are sold.
There is no need to involve a pharmacist for
unscheduled natural health products
Add clarity that damaged pre-consumer goods as a
result of normal retail and distribution practices are
not accepted into the return program described in this
document
Independent Health food Stores should also be
specifically listed
Unused or expired drugs from hospitals and
institutions are excluded from the program
Is there a diversion rate target?
Numbers that are returned that are natural health
products versus prescription drugs?
Do weights in per-capita figures include weights of
containers?
Is there a financial incentive for pharmacies to
participate?
I have never been told when I purchase drugs that the
unused medications can be returned.
How does the BC collected numbers compare to other
provinces?
If 10-15% of medication is unused, how much of that
We do verify containers to ensure compliance
both with product definition
(cosmetics)/consumer returns vs pharmacy
waste (stale dated product).
Suppliers are not funding the program, only
brand owners.
PCPSA advocates community pharmacies for
the public to return unused or expired health
products. Nonetheless, we have expanded our
collection sites to other locations such as
clinics, health center and, hospitals when
applicable. New locations are assessed based
on completing an application form available
on our website at www.medicationsreturn.ca .
That is correct; however the program covers a
wide range of products in addition to NHP‟s.
80% of products returned are prescription
drugs.
Clarification on acceptable products is found
in the protocol and agreement, provided upon
registration. Appendix 1
All registered collection sites are listed,
regardless of type of business.
B.C. Regulation exempts these sectors.
No. Only consumer access, consumer
awareness, and % of people that have used the
program. Report on quantity collected by
regional district.
Survey indicated 80% prescription drugs
versus 20% consumer health products,
including natural health products.
Yes, a small percentage of packaging with
liquids, gels, powder etc ,
No, there is no financial incentive.
Participation is fully voluntary.
Drugs are generally prescribed for a specific
treatment period and should be used
completely. Education and outreach inform
the public of medications return programs.
The other comparable programs in Canada are
Alberta and Manitoba. Other international
programs collect different products. BC
collection is currently in line with Alberta but
we will have to wait until 2012 to compare
with Manitoba.
All numbers are estimates only. Therefore this
32
is the program collecting?
calculation is difficult to perform.
Want a performance measure that allows current
collection rate to compare to what is available for
collection.
Waste audit in CO showed diversion rate of about
4%. Lowest of all EPR programs. Doesn‟t even show
stuff that was put down the drain. Need way more
communications. Maybe door to door would be
required.
Can‟t compare what is sold (in units) to what
is returned (in kg).
What was the change in relation to the containers in
2009?
Disposal/Incineration
Comment/Questions
There is no research that shows that it is necessary to
incinerate natural health products vs. composting
There is no literature or research that suggests that
NHPs are dangerous to the environment. NHPs can be
recycled in other manners (composted as an example)
or can be given to friends/family unlike prescription
pharmaceuticals (since they don‟t require a
prescription).
A separate assessment of NHPs entering the
environment should also be conducted/reviewed prior
to the inclusion of these products in this program.
What science suggests it is harmful to handle natural
health products, or that they are harmful to the
environment?
All product stewardship programs should include
disposal hierarchy on the material collected.
I would have to look at the methodology used
to identify health products to comment.
However, when comparing BC results with
other programs such as Alberta, Ontario,
Australia, Spain, UK, our recovery per capita
at .0134 kg is lower but within a 20 % range.
Changed containers from single use to reusable. The public encouraged to bring in
health products in original container, place it
in container and encourage pharmacy to
recycle the container. Regulatory obligation
refers to the medication, not the packaging.
Answer
We do not separate returns; all dry
medications are placed in our containers
regardless of type and chemicals ingredients.
Not all NHP‟s are suitable for composting,
similar to not all health products present a
danger to the environment.
This program is for safe disposal of health
products and has no specific recommendation
for recycling or reuse of any products.
We have no information suggesting that
composting/recycling is a viable option.
Substance division for new substance
notification regulation applies to NHP‟s.
The program is intended to assist the public
with responsible disposal of all health
products, including products that have been
deemed safe for human health and the
environment. This program was not designed
to educate the public on product safety but to
offer an alternative to flushing or throwing in
the garbage.
The pollution prevention hierarchy (recycle,
recover, residual disposal requirements
outlined in the Recycling Regulation is not
feasible without affecting pharmaceutical
product safety, efficacy, and quality. There are
very few licensed facilities (3) capable of
handling health products. All products are
33
Fee
Comment/Questions
This document should clearly articulate a fee and
category for NHPs so as to not mislead consumers.
An across the board minimum fee unfairly penalizes
small businesses and the thousands of multi-level
marketing companies or direct sellers who import into
the province and sell small quantities of natural health
products. We recommend that no fee be payable for
those companies whose sales of captured products are
less than $1 million (a person who sells $5,000 worth
of product vs. $1 million worth of product and both
pay $200 is unfair).
We support the funding ;mechanism for the program,
with direct fees to brandowners and no eco-fee to
consumers
Educational Materials and Strategies
Comment/Questions
Should also include naturopathic doctors.
disposed through incineration In 2012; we
will be sending our products to Brampton
Ontario. There is no energy recovery available
from approved sites in Canada. Our products
recovered represent less than 1 % of the total
load destroyed yearly.
Answer
There is no fee to the consumer.
Companies that are doing business in Canada
under their own private label with products
captured under the definition are rarely under
the $1 million threshold. Retailers/ suppliers
unless they own their private label, are not
charged a fee.
Fees are reviewed by the board (elected by the
members); members can request changes to
the revenue model.
Maintaining funding formula
Answer
All request for printed material are assessed;
including doctor‟s office
Outline the events that have been considered that
include natural health products.
Events are listed in the annual report available
on our website at www.medicationsreturn.ca
Adopt Results based goal
Changes were made as recommended
Clarify the target
Changes were made as recommended public
awareness to 60% and usage of the program to
61%.
A newsletter to individual pharmacies to
remind them of what is included is now part
the program plan. New brochures for
pharmacy will be available in2012.
PCPSA is working with the BC Pharmacists
Association and a marketing firm in
promoting the program to pharmacists. Yearly
campaigns to engage the pharmacist‟s
community and clear messages on the benefit
of the program have been develop. Additional
financial resources have been allocated to
further engage pharmacists.
Pharmacies are often the weak link, and don‟t know
about the program. Do you anticipate a program to
educate front line staff?
Actively engage pharmacists as ambassadors of the
program
34
A key role identified for pharmacists was to
This is outside the scope of this program and
understand why residents chose not to consume all the might be part of the pharmacist‟s mandate.
medications.
One of our objectives is to ensure pharmacists
do understand the scope of the program,
however, following therapy is not one of our
responsibilities.
Training material for pharmacy staff
Already available with pharmacy with
protocol and agreement. Appendix 2
Consider training pharmacists on the environmental
health hazard associated with improperly disposing of
medications down the toilet or in the garbage
Expand the range of communications tools.
This is part of the ongoing joint effort with the
BCPhA and the BC college of Pharmacists.
Product monographs (patient information
sheet) have been changing to include
instruction for disposal.
Do not flush medications down the drain or
pour them into a drain unless instructed to do
so. Properly discards this product when it is
expired or no longer needed. Consult your
pharmacists or local waste disposal company
for more details about how to safely discard
your product.
Since material is so easy to throw away and put down
the drain, perhaps it needs door to door service.
Survey shows that people still throw away, despite no
barriers.
Product Recovery Target
Comment/Questions
Work with local government to develop a target
related to the amount of medications disposed of
through solid waste and sewerage systems.
Conduct regular waste audit
If sale triple is the tonnage still appropriate target.
Social media contest for short video on health
products safety was initiated in 2011. Video
on our website at medicationsreturn.ca.
People‟s behavior changes over time. The
2010 survey results shows progress in both
awareness and usage. We will continue to
reach out with promotion and educational
material.
Answer
PCPSA along with the BC Stewards, the
Ministry and some RD‟s representatives are
working on municipal solid waste
characterisation project to facilitate reliable
municipal solid waste characterisation studies
through use of a standardised tool.
Recovery rate with consumable products such
as health products is not necessarily related to
sales. The rate of increase of prescriptions
dispensed in Canada have decrease from 7.4%
in 2007 to 4.5% in 2010.
Source: IMS Brogan, CompuScript.
www.imsbrogan.com
35
Program is very low profile. Don‟t see posters,
communications etc.
Program is low volume when compared with
other programs. Percent of people who have
reported using it is high.
Is there a diversion rate target?
Need to be able to evaluate what you are missing.
We are reporting on consumer access and
consumer awareness, and % of people that
have used the program in the past 6 months
with full report on quantity collected by
regional districts.
Answer
Consumer awareness
Comment/Questions
Is consumer awareness determined through prompted
or unprompted questions
September Ipso Reid survey questions were:
A) Can you name any specific places or
facilities where consumers can dispose of
their unwanted or expired medications?
(Unprompted) 48% pharmacies
B) As far as you know, can unwanted and
expired medications can be returned to a
pharmacy near you for safe disposal? 60%
reported yes
Promotion
Comment/Questions
Concerns the options for promotion rely solely on
regional districts and municipalities to convey
message.
Increase public promotion; social marketing
Signage at entrance of pharmacy
Answer
Stickers.
Information advising of return options with packaging
Products Monogram, are starting to indicate
safe disposal options (appendix 7 )
Visible signage in Dr offices, clinics, care facilities
etc.
Added to the plan under Promotion:
Connect with other health professionals such
as nurses and home care personnel
We have used BCPhA promotion during
Pharmacists Awareness Week in March to
promote the program for the past 3 years.
Answer
Well promoted events should be done for this
program.
Misc.
Comment/Questions
How do you ensure privacy of information on labels
etc ?
Any outreach to trade schools and universities to talk
with those being trained in the profession
Strategies to reach beyond those markets will
be address by contracting out marketing and
promotion to suitable agency.
Display signage on the MRP will be available
to registered sites.
Program instructs public to remove personal
information. Pharmacy code of conduct
requires them to remove or overwrite
information (like with a black marker) before
they can be discarded.
Yes, we advertise in the pharmacists
association newsletter and licensing
36
authorities
37
PARTICIPATING PHARMACIES
PharmacyName
Aaroson's Pharmacy
Abbott (renuka)Pharmacy Ltd.
Ackroyd Pharmacy
Alberto Pharmacy #1
Alberto Pharmacy No.2
Aldergrove Community Pharmacy
Alert Bay Drug Store
All Care Pharmacy
Alouette Pharmacy
Anderson's Pharmacy #1
Andreen's Lakeview Pharmacy
Anita's Pharmacy
Apple Pharmacy
Apple Prescriptions Centre
Armstrong Pharmacy and Wellness Centre
Barriere IDA Pharmacy
Barry's Drugs
Black's Pharmacy
Blueridge Pharmacy
Bond Street Pharmacy
Bonsor Pharmacy
Boundary Pharmacy
Broadway Pharmacy Ltd.
Buckshon Pharmacy
Burke Mountain Pharmacy
Cadboro Bay Peoples Pharmacy
Calea Pharmacy
Cambell River Health & Drug Store
Campus Medicine Centre Pharmacy
Candrug
Canpharm Drugs
Care In Motion Pharmacy
Carepoint Pharmacy
Cates Medicine Centre
Cedar Park Pharmacy
Central Drug
Central Drug Store
Central drug Store
Central Drugs
Central Drugs-Beban Plaza
Central Park Pharmacy
Central Pharmacy
City Centre Pharmacy
Clearbrook Pharmacy
Clinic Drugstore
Columbia Prescription Xpress
Columbia Street Pharmacy
Community Care Pharmacy and Ostomy
Supplies
Consumers Drug Mart
Continental Pharmacy
Coolaid Dispensary
Cooper's Foods Pharmacy #160
Corning Drugs Ltd. #1
Corning Pharmacy #2
Costco Pharmacy #051
Crystal Pharmacy & Medical Supplies
Davies Prescriptions-St. Georges
Deep Cove Pharmacy
Delta Natural Health Centre & Pharmacy
Delta Prescription Clinic
Donex Pharmacy
Downtown Clinic Pharmacy
Drugstore Pharmacy #1517
38
Dyck's Medicine Centre-Gordon
Dyck's Medicine Centre-Springfield
Dyck's Medicine Centre-St. Pauls-#299
Dycks Pharmacists
Eagle Ridge Drugs
Eagle Valley I.D.A. Pharmacy Ltd.
East End Pharmacy
Eastside Pharmacy Ltd.
Edmonds Pharmadrugs
Elements Compounding Pharmacy
Enderby Pharmacy and Wellness Centre
Estevan Pharmacy Limited
Fairway Drug Mart
Family Care Pharmacy
Ferraro Foods
Festubert Pharmacy
Finlandia Pharmacy
Forbes IDA Pharmacy #001
Forbes IDA Pharmacy #2
Fort Nelson IDA Pharmacy
Fort St. John Pharmacy and Wellness Centre
Fraser Heights Pharmacy Ltd.
Fraser Lake Medicine Centre
Fraser Pharmacy
Fraserview Pharmacy Ltd.
Front Street Pharmacy
Frontier Street Pharmacy-IDA
Fruitvale Pharmacy (2003) Ltd.
Gain Pharmacy
Gant's Pharmacy #2
Garden Park Pharmacy
Garlane Pharmacy #1
Garlane Pharmacy #2
Gateway Pharmacy
Glen Pharmacy
Glover Medicine Centre Pharmacy
Glover's Medicine Centre Pharmacy
Golden Life Pharmacy
Gonzales Pharmacy
Good Health Pharmacy
Gourlay's Golden Pharmacy
Haney Pharmacy
Hart Drug Mart
Harvard Pharmacy
Harvest Drive Pharmacy
Hastings Pharmacy
HealthPlus Pharmacy
Healthside Pharmacy
High Gate pharmacy Ltd.
Hogarth's Clinic Pharmacy Ltd
Hollyburn Medicine Centre Pharmacy
Howe Sound Pharmacy Ltd
Howe Street Pharmacy
I.G.S. Value Drug Mart
IDA Plaza Pharmacy
Ideal Drug Mart Ltd.
Imperial Pharmacy
Ingram Clinic Pharmacy
Isand Pharmacy #06
Island Crisis Care Society
Island Pharmacy
Island Pharmacy #08
Jay's Pharmacy Ltd.
Jeff's I.D.A. Pharmacy
Jericho Pharmacy & Health Food Store
Kaslo drugs (1980) Ltd.
Kenneth Street Pharmacy
Kerrisdale Pharmacy
King George Medic Pharmacy
Kipp-Mallery Pharmacy
Knights Medicine Centre
Knowlton's Drugstore
Kootenay Boundary Regional Hospital
Pharmacy
Kornak & Hamm's Pharmacy
Koscan Pharmacy
Kroll's Surrey Pharmacy Ltd.
La Vie Remedy's Pharmacy
Lake Cowichan Drug Store
Lakeside Medicine Centre
Lakeside pharmacy
Lallicare Pharmacy #1
Lallicare Pharmacy #2
Lambert-Kipp Pharmacy Ltd.
Lancaster Medical Suppl. & Presc. #1
Lancaster Medical Suppl. & Presc. #4
Lancaster Prescriptions #2
Langley Pharmacy
Laurel Prescriptions
Lillooet I.D.A. Pharmacy
Linda Pharmacy
Living Room Pharmacy
Loblaw Pharmacy #1520
39
Lock's Prescription Pharmacy Ltd.
Logan Lake I.D.A. Drugmart
London Drugs
London Drugs #02
London Drugs #03
London Drugs #04
London Drugs #05
London Drugs #06
London Drugs #07
London Drugs #08
London Drugs #09
London Drugs #10
London Drugs #11
London Drugs #12
London Drugs #14
London Drugs #15
London Drugs #16 - Clearbrook
London Drugs #17
London Drugs #18
London Drugs #19
London Drugs #25
London Drugs #28
London Drugs #29
London Drugs #35
London Drugs #36
London Drugs #37
London Drugs #39
London Drugs #41
London Drugs #42
London Drugs #44
London Drugs #46
London Drugs #47
London Drugs #50
London Drugs #51
London Drugs #52
London Drugs #53
London Drugs #54
London Drugs #55
London Drugs #56
London Drugs #61
London Drugs #67
London Drugs #70
London Drugs #71-Marine & Byrne
London Drugs #72
London Drugs #73
London Drugs #74
London Drugs #75
London Drugs #76
London Drugs #77
London Drugs #78
London Drugs #80
London Drugs #81
Loomis Express - Maureen Adams - F.S.C.
Dept.
Low Cost Western pharmacy
Low Cost Western Pharmacy #2
Lumby Pharmacy
Lynnvalley Pharmacy
MacDonald's Prescriptions #3
MacDonald's Prescriptions #4
Macdonald's Prescriptions #5
MacDonald's Prescriptions Ltd
Maggie's Pharmacy
Main Prescriptions
Main Station Pharmacy
Main Street Remedy's RX
Mann's Prescription Pharmacy
Maple Pharmacy
Marigold Natural Pharmacy
Marina Pharmacy
Mark's Marine Pharmacy
Mark's Pharmacy
Mark's Pharmacy #4
Marshall Pharmacy Ltd.
McCallum Pharmacy
McCue Drugs
McKesson Specialty Prescription Services
Meadows Pharmacy
Medesis Pharmacy
Medical Centre Pharmacy
Medical Centre Prescriptions
Medical Pharmacy
Medical Tower Drugs Ltd.
Medicare Pharmacy
Medicine Centre #4
Medicine Shoppe #116
Medicine Shoppe #142 (The)
Medicine Shoppe Pharmacy #166
Mediglen Pharmacy
Medisave Pharmacy #1
40
Memorial Compounding Medical Center
Metrocare Pharmacy
Minoru Pharmacy
MJ'S Natural Pharmacy
MJ''s Natural Pharmacy no. 2
Morgan Creek Medicine Centre
Mount IDA Pharmacy
Munro's Sorrento Pharmacy
Murrayville Healthcentre Pharmacy
Murrayville Pharmacy #2
Nanaimo Pharmacy
Nanoose Medicine Centre
Naz's Prescription Plus Pharmacy
Naz''s Prescription Plus Pharmacy #2
Nesters Pharmacy
Nesters Pharmacy SFU
New West Drugs
Nolan's Clinic Pharmacy
Nolan's Pharmasave drugs #222
North Fraser Drugs
North West Pharmacy
Northburn Prescriptions Ltd.
Northmount Pharmacy Ltd.
Oakridge South Tower Pharmacy
Ocean Walk Pharmacy
Oh Pharmacy
Okanagan Resident Plus Pharmacy
Otter Co-op Pharmacy
Out Reach Pharmacy
Overwaitea Foods & Drugs #70
Overwaitea Pharmacy #21 Fort Nelson
Overwaitea Pharmacy #219
Owl Drugs
P & A Pharmacy Ltd
Pacific Compounding Pharmacy
Pacific Compounding Pharmacy #2
Pacific Pharmacy & Medical Supplies #2
Pacific Prescriptions & Medical Supplies
Pandora Pharmacy
Paragon Central Fill Pharmacy
Paragon Centuria Pharmacy
Paragon Columbia Pharmacy
Paragon Crestview Pharmacy
Paragon GlenPark Pharmacy
Paragon Lake Country Pharmacy
Paragon Mission Centre Pharmacy
Paragon Pharmacy #1
Paragon Pharmacy #2
Park Pacific Pharmacy
Parkridge Pharmacy & Health Centre
PDC Pharmacy
Peachland Pharmacy
Pender Island Pharmacy
Peoples Drug Mart #027
Peoples Drug mart #146
Peoples Pharmacy #057
People's Pharmacy #356
People's Pharmacy #380
Pharmacity Drugstore
Pharmacity Drugstore #2
Pharmasave #006
Pharmasave #008 - Diamond Drugs
Pharmasave #022 - D
Pharmasave #022 - H
Pharmasave #022-M
Pharmasave #028
41
Pharmasave #031
Pharmasave #032
Pharmasave #034
Pharmasave #036
Pharmasave #037 (Cambie)
Pharmasave #040
Pharmasave #042
Pharmasave #043
Pharmasave #045 - Newport Village
Pharmasave #057
Pharmasave #059
Pharmasave #060
Pharmasave #065
Pharmasave #066
Pharmasave #068
Pharmasave #070
Pharmasave #071
Pharmasave #072
Pharmasave #077
Pharmasave #088
Pharmasave #099
Pharmasave #102
Pharmasave #105
Pharmasave #107
Pharmasave #108
Pharmasave #115
Pharmasave #129
Pharmasave #131
Pharmasave #139
Pharmasave #148
Pharmasave #151
Pharmasave #154
Pharmasave #158
Pharmasave #162
Pharmasave #173
Pharmasave #178
Pharmasave #179
Pharmasave #182
Pharmasave #183
Pharmasave #190
Pharmasave #198
Pharmasave #202
Pharmasave #203
Pharmasave #205
Pharmasave #206
Pharmasave #211
Pharmasave #213
Pharmasave #214
Pharmasave #221
Pharmasave #229
Pharmasave #231
Pharmasave #232
Pharmasave #234
Pharmasave #241
Pharmasave #242
Pharmasave #244
Pharmasave #246
Pharmasave #248
Pharmasave #249
Pharmasave #250
Pharmasave #252
Pharmasave #253
Pharmasave #255
Pharmasave #256
Pharmasave #257
Pharmasave #259
Pharmasave #260
Pharmasave #263
Pharmasave #264
Pharmasave #265
Pharmasave #266
Pharmasave #267
Pharmasave #270
Pharmasave #275
Pharmasave #277
Pharmasave #278
Pharmasave #282
Pharmasave #284
Pharmasave #286
Pharmasave #288
Pharmasave #290
Pharmasave #291
Pharmasave #299
Pharmasave & Food #142
Pharmasave Ganges #120
Pharmasave Health Centre #001
42
Pharmasave James Bay #130
Pharmasave Oak Bay #152
Pharmasave Scott Town #167
Pharmatrust Pharmacy
Pharmawest Pharmacy
Pharmax Health
Phoenix Dispensary Ltd.
Point Grey Pharmacy
Pratt's Compounding Pharmacy Inc.
Prerscription Depot
Pricesmart Foods Pharmacy #2207-King
George
Pricesmart Foods Pharmacy #2208
Pricesmart Foods Pharmacy #2235 - White
Rock
PriceSmart Foods Pharmacy #2249
PriceSmart Foods Pharmacy #2256
Pricesmart Foods Pharmacy #2263-Fraser
HWY
Prostate Centre
Public Trustees Office
Pure Pharmacy
Pure Pharmacy - Cordova Bay
Pure Pharmacy at Meinhardt
Pure Pharmacy Health Centre #01
Quadra Maple Pharmacy
Qualicum Medicine Centre
Queen Charlotte Islands Pharmacy
Queensborough Community Pharmacy
R.E.A.C.H. Centre
Regency #6 Medicine Centre
Regency Medicine Centre
Regency Prescriptions #1
Regency Prescriptions #3
Reid's Prescriptions
Remedy's Custom Compounding
Remedy's Health Co-Operative Pharmacy
Resident Plus Pharmacy
Rexall #7154
Rexall Drug Store #7104
Rexall Drugstore # 7121
Rexall Drugstore #7102
Rexall Drugstore #7139 (Sooke Rd.)
Rexall Drugstore #7150 - Meditrust
Rexall Drugstore (Royal Centre)
Richmond Pharmacy #25058
Richport Pharmacy
Ridgeway I.D.A. Pharmacy
Robin's Pharmacy
Robson Valley Pharmacy
Roots Pharmacy
Royal City Drugs
Royal Oak Drugs Ltd
RX R US Pharmacy
RX Ram Pharmacy Specialists
Safeway Food & Drug Pharmacy #1
Safeway Food & Drug -Pharmacy #110
Safeway Food & Drug- Pharmacy #14
Safeway Food & Drug-Pharmacy # 62
Safeway Food & Drug-Pharmacy #109
43
Safeway Food & Drug-Pharmacy#142
Safeway Food & Drug-Pharmacy#185
Safeway Food & Drug-Pharmcay #47
Saigon Pharmacy
Salmon Arm Prescription Centre
Sam's Pharmacy
Sandell I.D.A. Pharmacy
Satnam Pharmacy
Save On Foods Pharmacy
Save-On Drugs (Indep.)
Save-On Food & Drugs #97
Save-On Food & Drugs #972
Save-On Foods & Drugs #973
Save-On Foods & Drugs #984-Walnut Grove
Save-On Foods and Drugs #935-E.
Save-On Foods Pharmacy #952
Save-On Foods Pharmacy #959-French Creek
Save-On Foods Pharmacy #989 Lynn Valley
Save-On-Foods Pharmacy #902
Save-On-Foods Pharmacy #928-W.
Save-On-Foods Pharmacy #931-Shahali
Save-On-foods Pharmacy #932-Lakeshore
Save-On-Foods Pharmacy #948-Woodgrove
Save-On-Foods Pharmacy #951-Country Club
Save-On-Foods Pharmacy #965 - College
Heights
Save-On-Foods Pharmacy #967-Spruceland
Save-On-Foods Pharmacy #968-Hart Highway
Save-On-foods Pharmacy #969-Ironwood Mall
Save-On-Foods Pharmacy #977-Saanich
Sav-On-foods Pharmacy #939-Nordel
Sav-On-Foods Pharmacy #998
Sav-On-Foods Pharmacy#949-Terminal Park
Script Care Pharmacy
Service Drugs
Service Plus #3
Seymour Peoples Drug Mart #174
Shawnigan Lake Peoples Pharmacy #304
Shiraz Pharmacy
Shoppers Drug Mart #201
44
Shopper's Drug Mart #2256
45
Shopper's Drug Mart #3007
Sidney Pharmacy ll
Silvermere Pharmacy
Similkameen Pharmacy
Skaha Pharmacy
Somerset Pharmacy Services
St. Anthony's Clinic Pharmacy
St. Paul''s Hospital
Steveston Pharmacy
Sukh's Phamacy
Sukh's Pharmacy #2
Summerland Pharmacy
Sunnyside Evergreen Pharmacy
Sunset Pharmacy Limited
Super Grocer & Pharmacy
Surlang Med.Centre
The Antidote Pharmacy #001
The Bay Pharmacy
The Bay Pharmacy
The Bay Pharmacy #1101
The Chemist #1
The Chemist #2
The Chemist #4
The Chemist #6
Third Avenue Evergreen Pharmacy
Thrifty Foods and Pharmacy #06
Thrifty Foods And Pharmacy #16
Tofino Phamacy
Town Centre Pharmacy
Toy's Pharmacy
Tsawwassen Pharmacy
Tux Pharmacy #1
Unicare Pharmacy
Universal Pharmacy
University Pharmacy (1987) Ltd.
Urban Fare Pharmacy #7615
Urban Fare Pharmacy #914-Yaletown
Valemont IDA Pharmacy
Valley Evergreen Pharmacy
Value Drug Mart-Grand Forks
Victoria Compounding Pharmacy
Victoria Health Unit Clinical Pharmacist
View Pharmacy
Village Pharmacy
Village Pharmacy (The)
Vita Vie Pharmacy Inc.
Viva Med Pharmacy
Viva Med Pharmacy #02
Wal-Mart Pharmacy #1011
Wescana Pharmacy #03
West 10th Medical Pharmacy
46
West Coast Central Fill
West End Medicine Centre
Westview Pharmacy
Whalley Pharmacy
Whistler IDA Pharmacy
White Clinic Pharmacy
Wilson Pharmacy
Winfield IDA Pharmacy
Yale Central Pharmacy
Yale Pharmacy
Yyoung Medicine Mart
Yyoung Medicint Mart
Zellers Pharmacy #022
47
Appendix 7 Patient Monograms
48
49

PCPSA 2012 -2016 Program Plan Post

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