RxMEDS

1
RxMEDS
Regional eXcess MEdication Disposal
Service Partnership

• 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 Assn
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
Tech
Pharmacist
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
(No Transcript)
14
Public Education

• 20 school age presentations
• Presentations at Area Agencies on Aging
• Marketing the disposal program

15
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