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HomeMy WebLinkAboutalameda-inmar-annual-report-for-2022-3-31-23-archiveInmar Rx Solutions,Inc. Alameda County Safe Drug Disposal Stewardship Program 2022 Annual Report (4/1/22 through 12-31-2022) 3/1/2023 Revised 3/14/2023 EXECUTIVE SUMMARY 01 PARTICIPATING PRODUCERS 02 COLLECTION EFFORTS AND WEIGHT 02 COLLECTION SYSTEM 02 TRANSPORTERS AND DISPOSAL FACILITIES 03 SAFETY OR SECURITY CONCERNS 03 EDUCATIONAL EFFORTS AND PUBLIC OUTREACH 04 STEWARDSHIP PLAN GOALS 06 APPENDICES 09 Appendix A -Participating Producers 10 Appendix B -Collection System 13 Appendix C -Disposal Facilities 16 Appendix D -Kiosk Signage,Mailer Instructions and Educational/Outreach Materials 17 Appendix E -Inmar ’s Website 26 Appendix F -Outreach and Promotion Activities 31 I.Executive Summary Ordinance Sec.6.53.080 -Executive Summary.The purpose of the Executive Summary is to provide a broad understanding of the Plan as a whole and context for the data and information that will follow.This summary should include a brief description of collection and disposal efforts during the reporting period.The executive summary should also include a description of proposals to improve collection efforts and challenges encountered during the reporting period,and how they will be addressed. Inmar Rx Solutions,Inc (“Inmar”)was approved to operate a Drug Stewardship Program (“Program”)on April 1, 2022 pursuant to the Alameda Safe Drug Disposal Ordinance located at Title 6 of the Alameda County Health and Safety Code,Sections 6.53.010 through 6.53.120 (“Ordinance”)and the Alameda County Safe Drug Disposal Regulations (“Regulations'').This Annual Report is for the Reporting Period between April 1,2022 and December 31,2022.All capitalized terminologies not defined in this summary are the same as those used in Inmar ’s approved Drug Stewardship Plan (“Plan”)dated April 10,2020. The following information contained within this Annual Report mirrors the requirements outlined in Ordinance Section 6.53.080 of the Ordinance. A.Collection and Disposal Efforts Inmar ’s primary focus for the first year of operation as stated in the goals section of the Plan was to achieve 100 Kiosks distributed jointly with other Program Operators throughout the County. Inmar intended to do this by expanding the geographical spread of Collection Points and Standard Mail-Back Envelope Distribution Sites.Inmar faced challenges with securing additional Collection Points due to the unforeseen closures of 12 Lucky Store Pharmacy Kiosks.Inmar attempted to supplement Collection Points by securing additional Standard Mail-Back Envelope Distribution Sites.During this Reporting Period,Inmar operated 14 Kiosks (after the Savemart Kiosk closures)at 14 Collection Points and 58 Standard Mail-Back Envelope Distribution Sites for a total of 72 locations.Inmar collected Inner Liners from 24 Kiosks for a total of 49 Inner Liners collected in 2022.Forty-nine collected Inner Liners equated to a total of 1393.5 pounds of Unwanted Products collected. B.Plan Changes Inmar notified Alameda during the Reporting Period of the closure of 12 Collection Points due to the unexpected closure of Lucky Pharmacies in the state of California.Inmar ’s Plan was approved with 26 Collection Points.For the remainder of the Reporting Period,Inmar operated 14 Kiosks. C.Program Outlook Inmar expects an increase in the number of Collection Points and amount of Unwanted Products collected in 2023.To achieve this,Inmar plans to host one-day Collection Events in conjunction with Alameda County Department of Environmental Health Household Hazardous Waste Division. 1 II.Participating Producers Ordinance Sec.6.53.080(a)(1)-A list of Producers participating in the Product Stewardship Program A list of participating Producers can be found in Appendix A. III.Collection Efforts and Weight Ordinance Sec.6.53.010(a)(2)-The amount,by weight,of Unwanted Products collected from Residential Generators collected at each drop-off site and in the entire County of Alameda and,if applicable,the total amount by weight collected by a Mail-Back Program Regulation Sec.15(C)(iv)-The report narrative shall include a brief description of the collection efforts over the past year. Throughout the Reporting Period,Inmar collected Unwanted Products by means of Collection Points (Kiosks)and Standard Mail-Back Envelope Distribution Sites (Mail-Back Services)as well by Mail-Back Services that could be requested via the Program’s website or toll-free phone number which included Standard Mail-Back Envelopes, Inhaler Mail-Back Envelopes and Auto-Injector Mail-Back Packages.The below table represents the total weight collected in pounds by each of these mentioned Collection Methods. Total Unwanted Products Collected in the Reporting Period from all Collection Methods Type #Total Weight (pounds) Drop-off Site Liners 49 1,393.50 Standard Envelope 244 107.21 Inhaler Envelope 0 0 Auto-injector Packages 0 0 Collection Events 0 0 Total Weight Collected (2022)-1,500.71 IV.Collection System Ordinance Sec.6.53.080(A)(3)-A description of the collection system,including the location of each collection site and,if applicable,locations where envelopes for a Mail-Back Program are provided. Regulation Sec.15(D)(ii)-For each Collection Point:(a)location,host site name,and address;(b)collected Unwanted Products by weight over the past year;and (c)number of times Unwanted Products was picked up for transportation per location. Regulation Sec.15(D)(iii)-For any mail-back program:(a)the number of mail-back containers distributed;(b)the number of mail-back containers returned;and (c)collected Unwanted Products by weight A.Collection Points Table 2 in Appendix B lists each of Inmar’s Collection Points in Alameda County.Table 1 in Appendix B lists the weight for each Collection Point and the corresponding number of liners collected.The number of liners in Column titled “Liners Collected”is indicative of the number of times the product was picked up from each location. 2 B.Standard Mail-Back Envelope Distribution Sites Table 3 in Appendix B lists each participating Standard Mail-Back Envelope Distribution Site.In the Reporting Period,Inmar distributed 1 Standard Mail-Back Envelope from a request received via the Program website and distributed 120 Standard Mail-Back Envelopes to Mail-Back Distribution Sites during the reporting period.Inmar collected a total of 107.21 pounds of weight from 244 Standard Mail-Back Envelopes from Mail-Back Distribution Sites in the Reporting Period. V.Transporters and Disposal Facilities Ordinance Sec.6.53.080(A)(4)-The name and location of disposal facilities at which Unwanted Products were disposed of and the weight of Unwanted Products collected from Residential Generators disposed of at each facility Regulation Sec.15(d)(iv)-For each Disposal Facility:(a)the facility name,address and telephone number;and (b)the total weight of collected products at each facility See Appendix C for a list of Disposal Facilities that Inmar uses to dispose of Unwanted Products in accordance with its approved Plan. Due to the widespread incinerator backlog issues at hazardous waste disposal facilities,Inmar’s Service Provider has been unable to ship Unwanted Products out for destruction and is storing packaged Containers in accordance with applicable state and federal regulations.Inmar’s Service Provider was specifically granted an exception from DEA to the 30 calendar days after receipt drug destruction requirements set forth in Title 21 C.F.R.§1317.15(d). Inmar has provided proof of the DEA’s extension to the County along with this report.The DEA did not define an end date to the exception but the Service Provider stays in regular contact with DEA and keeps them updated on disposal activity as they work toward goals and the management of backlog issues. During the Reporting Period,the Service Provider was also granted an exception from DEA to 21 CFR 1317.70(a).Specifically,the Service Provider asked for an exception to the requirement for an on-site method of destruction by an authorized collector who has a mail-back program because the Service Provider became unable to operate at their Agawam,Massachusetts facility.DEA granted the exception for a period of 24 months from August 22,2022 and allowed for the destruction of returned mail-back packages to occur at any of five provided locations,two of which are,according to DEA records,registered reverse distributors (CleanHarbors at Aragonite, Utah;and Clean Harbors at El Dorado,Arkansas).A copy of this exception letter has been provided to the County along with this report. VI.Safety or Security Concerns Ordinance Sec.6.53.080.(a)(5):Whether policies and procedures for collecting,transporting,and disposing of Unwanted Products,as established in the Plan,were followed during the reporting period and a description of any noncompliance Ordinance 6.53.080.(a)(6):Whether any safety or security problems occurred during collection,transportation,or disposal of Unwanted Products during the reporting period and,if so,what changes have or will be made to policies,procedures,or tracking mechanisms to alleviate the problem and to improve safety and security. Policies and Procedures for collecting,transporting and disposing of Unwanted Products,as established in the Plan,were followed in the Reporting Period.There are no Safety or Security Concerns for the reporting period. 3 VII.Educational Efforts and Public Outreach Ordinance Sec.6.53.080(a)(7)-A description of public education and outreach activities implemented during the reporting period,including the methodology used to evaluate the outreach and Program activities; A.Educational Materials In accordance with Ordinance 6.53.070,Inmar provided easily-consumable educational materials for distribution to covered entities including Residential Generators,pharmacists,retailers of Covered Drugs,veterinarians,veterinarian hospitals and health care practitioners upon request and at no charge.Education materials included standardized disposal instructions for Collection Points and Mail-Back Services,an educational brochure that includes safe disposal options,the dangers of improper drug use and disposal,and other program information.Additionally,Inmar hosted a program website and toll-free phone number.All materials are easily understandable with varying levels of English proficiencies and leverage explanatory graphics to aid in understanding.Materials are available in English,Spanish,Vietnamese,Chinese,and Tagalog (Filipino). The materials promote safe storage,inform of the risks of disposing of Unwanted Covered Drugs in inappropriate waste streams (e.g.,solid waste collection,sewer,or septic systems)and the risks of Unwanted Covered Drugs as it pertains to drug abuse and accidental poisoning.The materials provide options on how to participate in the safe disposal of Unwanted Covered Drugs and other Program advocacy. Please see Appendix D for example materials. B.Outreach Activities Inmar administered the following outreach activities during the Reporting Period: 1.Radio Inmar utilized Alameda County radio station KOIT 95.6 FM (“KOIT”)to provide information on safe drug disposal throughout the listening area.KOIT is consistently one of the top stations in Alameda County and the Bay Area radio market.Messaging also ran simulcast across streaming platforms.The radio ads commenced the week of October 24,2022,and ran through January 30th,2023 for a total of 12 weeks (excluding Holidays).Inmar excluded the weeks of Thanksgiving and Christmas due to changes in listener’s priorities and work schedules.There were a total of 44 advertisements each week,and the ads were 15 seconds in length.The goals set for this campaign were 956,300 impressions per week,for a total of 11,475,600 impressions during the 12 week campaign.Alameda County Radio utilized optimization tactics throughout the campaign to deliver the advertisement during heavier listening times to garner more impressions. Advertisements focused on providing education on safe drug disposal and directed listeners to find more information on the Inmar website,www.safemedicinedrop.com.Ads emphasized that safe drug disposal options are free to all residents of Alameda County. 4 Inmar has insight into the scope of the program by identifying total impressions.During the duration of the 12 week radio campaign,Inmar was able to reach approximately 13,249,000 listeners.The total actual impressions for radio advertisements was 260% higher than expected results.The total number of impressions is calculated by determining the number of listeners for each advertisement that was deployed. 2.Newspaper Inmar utilized the East Bay Times to deploy advertisements on safe drug disposal.The messaging encouraged users to remove Unwanted Products from the home to protect the environment and prevent drug abuse.The ad also promoted Inmar ’s website www.safemedicinedrop.com to find local Collection Points.The ad was one eighth (⅛)of a page and ran weekly on Sundays for 12 weeks.The first ad was deployed on October 30,2022 and the last ad was deployed on January 29,2023.For the same reasons as the radio advertisement,the newspaper did not feature the ad on December 25,2022. The newspaper projected approximately 106,750 weekly views for a total of 1,281,000 views throughout the 12 week campaign.During the 12 week newspaper campaign, Inmar was able to reach approximately 4,614,000 readers.The total actual views for the newspaper was 16%higher than expected results.Total views are reported directly from the media outlet.A copy of the advertisement in Figure 4 in Appendix F.The radio advertisement can be provided upon request by the Department. 3.Digital Media -Programmatic Programmatic Media provides targeted display ads on browser sites on internet capable devices (smart phones,computers,tablets,etc.).Inmar ran ads across a prequalified list of over 200,000 domains including a variety of retail websites,Google,and Facebook. The programmatic targeted ads ran for six weeks leading up to the DEA’s National Prescription Take Back Days from October 1,2022 to November 15,2022.Impression metrics are reported directly from the individual websites that the ads are placed on and are reported on a per campaign basis.See Appendix F Table 1 for programmatic results. Table 1 lists all Ad units served to viewers with the corresponding metrics by size of the image.There are different ad sizes listed due to websites having different ad space available across our 200,000 pre-qualified domain list.Examples of the Programmatic ads are in Figure 5.The line items in Table 1 represent the different sizes of images available and used throughout the programmatic campaign.In order to have the ability to have advertisements on the 200,000 website domains,multiple image sizes are required to fit unique website size constraints. 4.Digital Media -Influencer Marketing and Social Media Influencer marketing is a content creation tactic used to drive awareness and education to a targeted audience through blogs and social media outlets.Influencers create authentic content around their everyday lives and interests while weaving the story of prescription drug take-back into their content.Influencer content is converted into paid ad units across social platforms and then targeted to community members across Alameda County. 5 Paid advertisements for influencer content were run on a variety of platforms including Google,Instagram and Facebook and drove towards a specified impression goal.Inmar ran several social media influencer campaigns concurrently with other traditional and digital media campaigns.Inmar posted two social media posts per month per platform (Instagram,Twitter,and Facebook).Influencer campaigns were deployed every quarter that Inmar was approved to operate for a total of two influencer campaigns in 2022. There was not an influencer campaign deployed in quarter two,due to the fact that recruitment for influencer campaigns initiated prior to plan approval. Influencer campaigns in Alameda County were projected to have approximately 1,200,000 impressions.Each quarter that the campaign was run either met or exceeded the number of expected impressions.Images used in the influencer campaigns are included in Appendix F,Figure 1.The dates and results of each campaign are listed in Appendix F,Figure 2 and Figure 3. VIII.Stewardship Plan Goals Ordinance 6.53.080(a)(8):How the Product Stewardship Program complied with all other elements in the product stewardship Plan approved by the Department,including its degree of success in meeting any performance goals set by the Department as part of its approval of the Program. Regulation Sec.15(c)(ii)-Reporting on Goals.The Report Narrative should include a summary of the Plan goals and the degree of success in meeting those goals in the past year.The discussion should include a summary of the efforts to meet the goals,any difficulty in meeting the goals,and if any goals have not been met,what effort will be made to achieve such goals in the next year. Alameda County Safe Drug Disposal Regulations Section 15(c)(iii):Future Goals.The Report Narrative should include proposed goals to be accomplished in the upcoming year.If the proposed goals differ from the original Plan goals,the Annual Report should include a discussion of the reasons for the suggested change(s). A.Program Collection Goals Inmar met short-term collection goals outlined in the approved Plan by securing and placing kiosks spread geographically throughout the County.This was completed within the first 90 days of implementation. Inmar ’s long-term goal was to achieve 100 kiosks jointly with other Program Operators within the first 12 months of Program implementation.As of December 2022,in conjunction with other Program Operators,there are now 115 total Collection Points in Alameda County.In addition to the 115 Collection Points,Inmar secured 58 Standard Mail-Back Envelope Distribution Sites that were identified as underserved areas. Inmar continues to work toward increasing collection and meeting long-term goals by partnering with Alameda County Household Hazardous Waste Division in 2023 to host take-back events. B.Program Promotion Goals Inmar met short-term promotion goals by launching the program website (www.safemedicinedrop.com)and toll-free phone number (1-888-371-0717)within the first 90 6 days of program operation.Educational materials were also developed and distributed to Covered Entities and Authorized Collectors within the first 90 days.Additionally,Authorized Collectors were provided Kiosk training materials and marketing materials that included a sample press release,educational materials,promotional materials,and signage. Inmar met 6 month and 12 month promotion goals by initiating website functionality updates, social influencer and social media posts in July,2022,well within the 12 month goal.Social media posts consisted of two posts per month per platform (Instagram,Twitter,and Facebook).The first social influencer campaign was deployed from September 8,2022 through September 20,2022 and the second influencer campaign ran from October 10,2022 through October 21,2022. Influencer campaigns set goals of 1,200,000 impressions per campaign.Each quarter that the campaign was run either met or exceeded the number of expected impressions.Inmar commenced the print ad marketing and radio advertisement process within the first 90 days of Program approval and was initiated at the six month benchmark,which coincided with the DEA’s Annual Take-Back Day.There were 12 one-eighth of a page newspaper advertisements,one per week on Sundays,for 12 weeks.Inmar ’s first newspaper advertisement was on Sunday,October 30th,2022 and the last advertisement was on January 29,2023.The radio advertisement was 15 seconds in length.There were 44 advertisements per week,for a total of 528 total advertisements over the 12 week campaign.On average,listeners heard the message 6.7 times during the campaign.The first radio advertisement was initiated on October 24,2022 and ran through February 6,2023.Both advertisements ran for a total of 12 weeks (intentionally skipping the weeks of Thanksgiving and Christmas).Both radio and newspaper advertisements were deployed on-time and surpassed the expected number of impressions.The radio advertisements were expected to garner 11,475,600 impressions.Actual impressions post-campaign were 13,249,200,which is about 16%higher than expected.The newspaper advertisements predicted about 1,281,000 total views throughout the 12 week campaign.Actual results were 4,614,000 views throughout the 12 week campaign,which is 260%higher than anticipated results.Inmar successfully met the program promotion goals set for the Reporting Period but has the capacity to increase the amount of advertising per Department request.See Appendix F Table 2 for total outreach campaign results. PROGRAM COLLECTION GOALS GOAL STATUS 90 DAYS Initiate Plan operation Completed Increase Authorized Collection Points in the County Completed 12 MONTHS Inmar’s goal is to achieve 100 Kiosks distributed jointly,in combination with other Plan Owners,across the County to provide equitable and reasonably convenient access to Residents. Continue to work to find available locations that meet the DEA requirements for hosting a Kiosk.Have supplemented with Standard Mail-Back Envelope Distribution Sites. Between both Plan Operators and Mail-Back Service,there are >100 locations. 7 Establish Mail-Back Programs and/or Take-Back Events in areas that are underserved by Collection Points. Completed Provide and communicate systems for pharmacies to request Mail-Back Envelopes. Completed PROGRAM PROMOTION GOALS GOAL STATUS 90 DAYS Website launch Completed Covered entity educational materials Completed Authorized Collector marketing support materials Completed Direct mail communication &print ad marketing commences Completed 6 MONTHS Website functionality updates: o Return Envelope requests o Educational materials uploaded o Authorized Collector Kiosk maintenance resources and requests o Collection Point and Mail-Back Envelope Distribution Site list updated (ongoing) Completed Initiate social influencer and targeted media outreach (1 influencer campaign and 2 promoted LifeInCheckTM posts per month) Completed Television &radio campaigns initiated Completed 12 MONTHS Website functionality updates: o Translation into specified languages o Collection Point and Mail-Back Envelope Distribution Site list updated (ongoing) Completed Continue social influencer and targeted media outreach (1 influencer campaign and 2 promoted LifeInCheckTM posts per month) Completed Continue television &Radio campaigns This continues. 18 MONTHS Website functionality updates: o Collection Point and Standard Mail-Back Envelope Distribution Site list updated (ongoing) In Process as new locations are acquired. Continue social influencer and targeted media outreach (1 influencer campaign and 2 promoted LifeInCheckTM posts per month) This continues. Direct mail and print ad marketing continues This continues. Continue television &radio campaigns This continues. 8 APPENDICES Appendix A -Participating Producers 10 Appendix B -Collection System 13 Appendix C -Disposal Facilities 16 Appendix D -Kiosk Signage,Mailer Instructions and Educational/Outreach Materials 17 Appendix E -Inmar ’s Website 26 Appendix F -Outreach and Promotion Activities 31 9 Appendix A -Participating Producers The following list of Producers participated in Inmar ’s Stewardship Plan during the Reporting Period. Producer Address AAA Pharmaceutical,Inc.681 Main Street Lumberton,NJ 08048 Adare Pharmaceuticals 1200 Lenox Drive,Suite 100,Lawrenceville,NJ 08648 Advagen Pharma Ltd 666 Plainsboro Rd,Suite 605, Plainsboro,NJ 08536 Alcon Vision,LLC 6201 South Freeway,TA625, Fort Worth,TX 76134 Alexso,Inc.2317 Cotner Ave, Los Angeles,CA 90064 Alkermes,Inc.852 Winter Street, Waltham,Massachusetts 02451 ANDA,Inc 2915 Weston Road,Weston,FL 33331 Anda Pharmaceuticals,Inc 8644 Polk Lane Olive Branch,Mississippi 38654 Apnar Pharma,LP 4820 Lanier Road,Chino,CA 91710 Archis Pharma,LLC 15 Corporate Place South,Suite 108 ,Piscataway,NJ 08854 Ascend Laboratories 339 Jefferson Road,Suite 101,Parsippany,NJ 07054 USA ASO LLC 300 Sarasota Center Blvd,Sarasota,FL 34240 Avet Pharmaceuticals Inc.1 Tower Center Boulevard,Suite 1700,East Brunswick,NJ 08816 Bell Pharmaceuticals,Inc 200 W.Beaver St.Belle Plaine,MN 56011 Biocodex,Inc.1850 Gateway Drive,Suite 175 San Mateo,CA 94404 Blairex Laboratories,Inc 1600 Brian Dr,Columbus,IN 47201 Camber Pharmaceuticals,Inc.1031 Centennial Ave.,Piscataway,NJ 08854 Canton Laboratories,LLC 1015 Nine North Dr,Suite 200,Alpharetta,GA 30004 Carlsbad Technology,Inc 5922 Farnsworth Court,Carlsbad,CA 92008 Celltrion USA,Inc.One Evertrust Plaza,suite 1207,Jersey City,NJ 07302 Dr.Reddy's Laboratories Inc.107 College Road East,Princeton,NJ 08540 Florida Pharmaceutical Products,LLC 6111 Broken Sound Parkway NW,Suite 160 Boca Raton,FL 33487 Formulation Technology,Inc.571 Armstrong Way,Oakdale,CA 95361 10 Fosun Pharma USA,Inc 104 Carnegie Center Drive,Suite 204,Princeton,NJ 08540 Genomma Lab USA,Inc 3737 Buffalo Speedway,Houston,TX 77098 Gensco Laboratories,LLC 8550 NW 33rd St,Suite 200,Doral,FL 33122 Granules Pharmaceuticals,Inc.3701 Concorde Parkway,Chantilly,VA 20151 Hetero Labs Limited 1031 Centennial Ave.,Piscataway,NJ 08854 Hikma Pharmaceuticals USA Inc.200 Connell Drive,4th Floor,Berkeley Heights,NJ 07922 i3 Pharmaceuticals,LLC 200 Park Avenue,Warminster,PA 18974 Intercept Pharmaceuticals,Inc.305 Madison Avenue,Morristown,NJ 07960 KC Pharmaceuticals,Inc.3215 Producer Way,Pomona,CA 91768 Lannett Company Inc.1101 C Avenue West,Seymour,IN 47274 Laser Pharmaceuticals,LLC 1015 Nine North Drive,Suite 400,Alpharetta,GA 30305 Leading Pharma,LLC 3 Oak Rd,Fairfield,NJ 07004 Macleods Pharma Usa,Inc 103 College Road East,2nd Floor,Princeton,NJ 08540 Marnel Pharmaceuticals,LLC 635 East Bay St,Bldg G,Charleston,SC 29403 McKeon Products,Inc.25460 Guenther,Warren,MI 48091 Medicure Pharma,Inc 116 Village Blvd.,Suite 200,Princeton,New Jersey Medsource Pharmaceuticals 22521 Avenida Empresa,Ste 109,Rancho Santa Margarita,CA 92688 Micro Labs USA,Inc 220 Davidson Ave,Suite 402,Somerset,NJ 08873 Mirum Pharmaceuticals 950 Tower Lane,Suite 1050,Foster City,CA 94404 Monarch PCM,LLC 7333 Jack Newell Blvd,Suite 100,Fort Worth,TX 76118 Navajo Manufacturing Company Inc.601 W 50th Ave,Denver,CO 80216 Neogen 620 Lesher Place,Lansing,MI 48912 Neurelis,Inc 3430 Carmel Mountain Road,Suite 300,San Diego,CA 92121 New American Therapeutics,Inc 300 Interpace Parkway,Morris Corporate Center I,Building C3 Parsippany,NJ 07054 NextSource Biotechnology 80 SW 8th Street,Suite 2660,Miami,FL 33130 Nivagen Pharmaceuticals 3050 Fite Circle,Suite 100,Sacramento,CA 95827 Noden Pharma DAC D’Olier Chambers,16A D’Olier Street,Dublin 2,Republic of Ireland Novadoz Pharmaceuticals,LLC 20 DUKE ROAD,SUITE A,PISCATAWAY,NJ 08854-3714 Novugen Pharma (USA),LLC 100 Overlook Center,2nd Floor,Princeton,NJ 08540 11 Oyster Point Pharma,Inc.202 Carnegie Center,Princeton,NJ 08540 ParaPRO,LLC 11550 N Meridian St,Suite 290,Carmel,IN 46032-5505 Prasco Laboratories 6125 Commerce Court,Mason,OH 45040 ProvePharm 100 Springhouse Drive Suite 105,Collegeville,PA 19426 Randob Labs,Ltd dba CrossingWell Consumer Health Mailing Address:PO Box 440 Cornwall,NY 12518 Physical Address:45 Quaker Ave,Suite 207,Cornwall,NY 12518 RedHill Biopharma Inc.8041 Arco Corporate Dr,Suite 200,Raleigh,NC 27617 Reese Pharmaceutical Company 10617 Frank Avenue,Cleveland,OH 44106 Reliable 1 Laboratories,LLC 99 West Hawthorne Ave,Suite 610,Valley Stream,NY 11580 Sato Pharmaceutical Co.,Ltd.3625 Del Amo Blvd.Suite 228,Torrance,CA 90503 Sheffield Pharmaceutical,LLC 170 Broad Street,New London,CT 06385 SK Life Science,Inc.461 From Road,5th FL,Paramus,NJ 07652 Socius Care,LLC 320 Northpoint Pkwy SE,Suite J,Acworth,GA 30102 SOLA Pharmaceuticals 655 Highlandia Dr,Baton Rouge,LA 70810 Solco Healthcare,LLC 700 Atrium Dr,Suite A,Somerset,NJ 08873 Somerset Pharma,LLC 300 Franklin Square Dr,Somerset,NJ 08873 Strides Pharma Inc.1 Ram Ridge Rd,Chestnut Ridge,NY 10977 Summers Laboratories,Inc.103 GP Clement Drive,Collegeville PA 19426 Sun (Taro)Pharmaceutical Industries,Inc.2 Independence Way,Princeton,NJ 08540 Time-Cap Laboratories,Inc.7 Michael Ave,Farmingdale,NY 11735 TruPharma,LLC 4100 W Kennedy Blvd,Suite 220,Tampa,FL 33609 TWi Pharmaceuticals USA,Inc.115 West Century Road,Suite 135,Paramus,NJ 07652 Unichem Pharmaceuticals (USA),INC.One Tower Center Boulevard,Suite 2200,East Brunswick,NJ 08816 Upsher-Smith Laboratories,LLC 6701 Evenstad Drive,Maple Grove,MN 55369 Urovant Sciences,Inc.5281 California Ave,Suite 100,Irvine,CA 92617 Westminster Pharmaceuticals,LLC 3450 Buschwood Park Dr,Suite 110,Tampa,FL 33618 XL Care Pharmaceuticals,Inc 400 S.Technology Drive,Central Islip,New York 11722 *All addresses listed are mailing and physical addresses unless otherwise indicated 12 Appendix B:Collection System Table 1-Weight Collected Note:The number of liners in the Column titled “Liners Collected”is indicative of the number of times the product was picked up from each location. Unique Identifier District Status Liners Collected Weight Collected (lbs) 63568 2 Active 0 0 62419 5 Active 5 137 62457 3 Active 2 94.6 62464 2 Active 0 0 62471 1 Active 1 33.35 62113 2 Active 2 60.2 62118 1 Active 1 35.35 62198 1 Active 6 188.25 62319 3 Active 4 107.65 62341 4 Active 2 55.55 62344 5 Active 1 39.1 62366 5 Active 3 97.75 62379 3 Active 2 58.05 42304 5 Active 4 119.6 63384 1 Closed (2022)1 21.9 63385 2 Closed (2022)2 44.4 63386 1 Closed (2022)2 51.5 63387 2 Closed (2022)1 18.1 63388 2 Closed (2022)1 16.75 63389 1 Closed (2022)1 26.7 63390 1 Closed (2022)2 52.65 63391 3 Closed (2022)0 0 63392 4 Closed (2022)2 35.15 63393 3 Closed (2022)1 39.25 63394 3 Closed (2022)1 35 63395 2 Closed (2022)2 25.65 49.00 1393.5 13 Table 2 -Collection Points Pharmacy Name /Dba Name Street City Zip District Status TIB Pharmacy 7999 Gateway Blvd.,Suite 110 Newark 94560 2 Active SAFEWAY PHARMACY #0691 1444 Shattuck Place Berkeley 94709 5 Active SAFEWAY PHARMACY #0951 867 Island Drive Alameda 94502 3 Active SAFEWAY PHARMACY #0971 22280 Foothill Boulevard Hayward 94541 2 Active SAFEWAY PHARMACY #0993 3902 Washington Blvd Fremont 94538 1 Active SAFEWAY PHARMACY #1197 1790 Decoto Road Union City 94587 2 Active SAFEWAY PHARMACY #1257 4495 First St Livermore 94551 1 Active SAFEWAY PHARMACY #1931 46848 Mission Blvd Fremont 94539 1 Active SAFEWAY PHARMACY #2708 2227 South Shore Center Alameda 94501 3 Active SAFEWAY PHARMACY #2856 6790 Bernal Ave Pleasanton 94566 4 Active SAFEWAY PHARMACY #2870 6310 College Ave Oakland 94618 5 Active SAFEWAY PHARMACY #3132 5100 Broadway Oakland 94611 5 Active SAFEWAY PHARMACY #3281 2600 5Th St.Alameda 94501 3 Active University of California at Berkeley 222 Bancroft Way Berkeley 94720 5 Active Lucky Store #711 40055 Mission Blvd Fremont 94539 1 Closed (2022) Lucky Store #712 34101 Fremont Blvd Fremont 94555 2 Closed (2022) Lucky Store #714 5000 Mowry Ave Fremont 94538 1 Closed (2022) Lucky Store #715 22555 Mission Blvd Hayward 94541 2 Closed (2022) Lucky Store #716 25151 Santa Clara St Hayward 94544 2 Closed (2022) Lucky Store #721 2000 Portola Ave Livermore 94550 1 Closed (2022) Lucky Store #722 1951 Holmes St Livermore 94550 1 Closed (2022) Lucky Store #736 247 E 18Th St Oakland 94606 3 Closed (2022) Lucky Store #744 6155 W Las Positas Pleasanton 94566 4 Closed (2022) Lucky Store #767 1300 Fairmont Dr San Leandro 94578 3 Closed (2022) Lucky Store #768 15840 Hesperian Blvd San Lorenzo 94580 3 Closed (2022) Lucky Store #782 32300 Dyer St Union City 94587 2 Closed (2022) 14 Table 3 -Standard Mail-Back Envelope Distribution Sites Site Name Street City Zip District Safeway-1953 7499 Dublin Blvd Dublin 94568 1 Lucky-721 2000 PORTOLA AVE LIVERMORE 94550 1 Haller's LTC Pharmacy 4067 Peralta Boulevard Fremont 94536 1 Lifescript Pharmacy 39039 Paseo Padre Parkway Suite 201 Fremont 94538 1 Lucky California-750 2840 DUBLIN BLVD DUBLIN 94568 1 FoodMaxx -409 39441 FREMONT BLVD FREMONT 94538 1 Lucky-711 40055 MISSION BLVD FREMONT 94539 1 Safeway-1932 4440 Tassajara Rd Dublin 94568 1 Lucky-714 5000 MOWRY AVE FREMONT 94538 1 Lucky California-722 1951 HOLMES ST LIVERMORE 94550 1 Haller's LTC Pharmacy 4067 Peralta Boulevard Fremont 94536 1 Costco Pharmacy #146 2800 Independence Drive Livermore 94550 1 Costco Pharmacy #778 43621 Pacific Commons Blvd Fremont 94538 2 Costco Pharmacy #1061 28505 Hesperian Blvd Hayward 94545 2 FoodMaxx 416 699 Lewelling Blvd San Leandro 94579 2 FoodMaxx -462 39966 CEDAR BLVD NEWARK 94560 2 Lucky California-716 25151 SANTA CLARA ST HAYWARD 94544 2 FoodMaxx -406 27300 HESPERIAN BLVD HAYWARD 94545 2 Lucky-715 22555 MISSION BLVD HAYWARD 94541 2 FoodMaxx -463 30073 INDUSTRIAL PARKWAY SW UNION CITY 94587 2 Lucky-782 32300 DYER ST UNION CITY 94587 2 Lucky-712 34101 FREMONT BLVD FREMONT 94555 2 Lucky California-713 35820 FREMONT BLVD FREMONT 94536 2 Costco Pharmacy #118 1900 Davis St.San Leandro 94577 3 Lucky California-768 15840 HESPERIAN BLVD San Lorenzo 94580 3 MEDICAL ARTS PHARMACY 13847 EAST 14TH STREET SUITE 103 San Leandro 94578 3 Lucky California-767 1300 FAIRMONT DR San Leandro 94578 3 Lucky-736 247 E 18TH ST OAKLAND 94606 3 FoodMaxx -484 3000 EAST 9TH STR OAKLAND 94606 3 Lucky California-700 815 MARINA VILLAGE PKWY ALAMEDA 94501 3 15 FoodMaxx -416 699 LEWELLING BLVD San Leandro 94579 3 Specialty Mental Health -Oakland 310 8th Street,Suite 210 Oakland 94607 3 New Chinatown Pharmacy 719 East 12th Street Oakland 94606 3 Specialty Mental Health -San Leandro 433 Callan Avenue,Suite 301 San Leandro 94577 3 Sutter Care at Home -Hospice 1025 Atlantic Avenue,Suite 350B Alameda 94501 3 California Sinus Center 5924 Stoneridge Drive Suite 207 Pleasanton 94588 4 Safeway-908 3550 Fruitvale Ave Oakland 94602 4 FoodMaxx -417 10950 INTERNATIONAL BLVD OAKLAND 94603 4 Lucky California-734 1963 MOUNTAIN BLVD OAKLAND 94611 4 Safeway-768 20629 Redwood Rd Castro Valley 94546 4 Lucky-744 6155 W LAS POSITAS Pleasanton 94566 4 Healthflex Home Health &Hospice 7677Oakport Dr.Oakland 94621 4 Lucky-704 3443 CASTRO VALLEY BLVD Castro Valley 94546 4 Raley's Pharmacy #316 5420 Sunol Blvd.Pleasanton 94566 4 Prescript Pharmaceuticals 39 California Avenue Pleasanton 94566 4 Crossroads Home Health -Oakland 333 Hegenberger Road,Suite 710 Oakland 94621 4 Lifelong Medical Care 2031 6th Street Berkeley 94710 5 Bonita House Inc.6333 Telegraph Avenue,Suite 102 Oakland 94609 5 Alta Bates Outpatient Pharmacy 2001 Dwight Way Berkeley 94704 5 Safeway-676 1500 Solano Ave Albany 94706 5 Pak 'N Save-3125 3889 San Pablo Ave Emeryville 94608 5 Mindful Health Solutions -Oakland 3300 Webster Street,Suite 402 Oakland 94609 5 Home Care Assistance -Oakland 5275 Broadway Oakland 94618 5 Alegre Home Care -East Bay 5767 Broadway,Suite 201 Oakland 94618 5 Aids Healthcare Foundation -Oakland 400 30th Street,Suite 300 Oakland 94609 5 Albany Police Department 1000 San Pablo Ave Albany 94706 5 Albany Police Department 1000 San Pablo Avenue Albany 94706 5 Safeway Pharmacy #691 1444 Shattuck Pl Berkeley 94709 5 16 Appendix C:Disposal Facilities Company Name Contact Information Registration Information Service Provided Weight Disposed (Lbs) 123 Compliant Logistics,LLC 1888 M Street,Suite B Agawam,MA 01001 Chris Ellis 480-695-2015 DEA Reverse Distributor- Collector: R90595946 DEA Reverse Distributor-Mail- Back Packages N/A 123 Compliant Logistics,LLC 2626 N 29th Ave Phoenix,AZ 85009 Rory Buske 602-612-4140 DEA Reverse Distributor- Collector: R90571264 DEA Reverse Distributor-Kiosk Liners N/A Clean Harbors Aragonite 11600N.Aptus Rd. Aragonite,UT94029 Michael Marlow 435-884-8100 EPA ID: UTD981552177 Hazardous Waste Incinerator - All Unwanted Covered Drugs 0 Clean Harbors El Dorado,LLC 309 American Circle El Dorado,AR 71730 Dan Roblee 870-863-7173 EPA ID: ARD069748192 Hazardous Waste Incinerator - All Unwanted Covered Drugs 0 Veolia ES Technical Solutions, L.L.C 7665 Highway 73 Port Arthur,TX 77640 David Michaelis 281-216-9618 EPA ID: TXD000838896 Hazardous Waste Incinerator -All Unwanted Covered Drugs 0 17 Appendix D -Kiosk Signage,Mailer Instructions and Educational/Outreach Materials Figure 1 -Sample Promotional Signage 18 Figure 2 -Sample Kiosk Signage -Front Figure 3 -Sample Kiosk Signage -Chute Door 19 Figure 4 -Sample Signage and instructions for Standard Mail-Back Envelope Distribution Sites 20 Figure 5 -Educational Brochure -English Figure 6 -Educational Brochure -Spanish 21 Figure 7 -Educational Brochure -Chinese Figure 8 -Educational Brochure -Vietnamese 22 Figure 9 -Educational Brochure -Tagalog 23 Figure 10 -Sample Kiosk including Sample Signage 24 Figure 11 -Sample Standard Envelope Insert Figure 12 -Sample Inhaler Envelope Insert 25 Figure 13 -Auto-Injector Package Insert 26 Appendix E:Inmar ’s Website Figure 1 -www.SafeMedicineDrop.com Landing Page Figure 2 -www.SafeMedicineDrop.com Alameda County Landing Page 27 Figure 3 -www.safemedicinedrop.com Disposal Options Nearby -Alameda County Figure 4 -www.safemedicinedrop.com Mail-Back Request -Alameda County 28 Figure 5 -Frequently Asked Questions (FAQ)Page on www.safemedicinedrop.com 29 Figure 6 -Contact Information on www.safemedicinedrop.com 30 Figure 7 -Educational Materials Location on www.safemedicinedrop.com 31 Appendix F -Outreach Activities and Promotions Figure 1 -Images from Influencer Campaigns 32 Figure 4 -Newspaper Advertisement Featured in East Bay Times 33 Figure 5 -Examples of Programmatic Media 34 Table 1 -Results from Fall 2022 Programmatic Campaign Advertisement Impressions Clicks CTR Find a Kiosk Alameda County 120x600.jpg 2,099 18 0.858% 0003479_Alameda County Zips OS+366,000 727 0.199% Find a Kiosk Alameda County 160x600.jpg 9,002 39 0.433% Find a Kiosk Alameda County 180x150.jpg 300 1 0.333% Find a Kiosk Alameda County 250x250.jpg 1,930 13 0.674% Find a Kiosk Alameda County 300x100.jpg 1,973 18 0.912% Find a Kiosk Alameda County 300x250.jpg 56,159 90 0.160% Find a Kiosk Alameda County 300x50.jpg 22,982 44 0.191% Find a Kiosk Alameda County 300x600.jpg 3,837 32 0.834% Find a Kiosk Alameda County 320x50.jpg 181,142 264 0.146% Find a Kiosk Alameda County 336x280.jpg 2,317 18 0.777% Find a Kiosk Alameda County 728x90.jpg 78,264 134 0.171% Find a Kiosk Alameda County 970x250.jpg 2,821 30 1.063% Find a Kiosk Alameda County 970x90.jpg 3,174 26 0.819% 732,000 1,454 0.541% Table 2 -Results From All Outreach Activities During the Reporting Period Outreach Activity Type of Media Start Date End Date Reach Frequency Q3 Influencer Campaign 1 Digital Promotion 9/8/22 9/20/22 1,253,132 1 Q4 Influencer Campaign 2 Digital Promotion 10/10/22 10/21/22 1,244,204 1 Social Media Posts (2/month)-Instagram, Twitter,Facebook Digital Promotion 4/1/22 12/31/22 142 12 Programmatic Fall Campaign Digital Promotion 10/1/22 11/15/22 732,000 1 Newspaper Advertising Print Ads 10/30/22 1/29/23 4,614,000*12 Radio Advertising Radio 10/24/22 2/5/23 13,249,200*528 *asterisks represent an estimated number of impressions reported by the agency 35