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HomeMy WebLinkAboutalameda-inmar-annual-report-for-2023-archiveInmar Rx Solutions,Inc. Alameda County Safe Drug Disposal Stewardship Program 2023 Annual Report (1/1/2023 through 12/31/2023) Submitted:3/1/2024 EXECUTIVE SUMMARY 01 PARTICIPATING PRODUCERS 01 COLLECTION EFFORTS AND WEIGHT 02 COLLECTION SYSTEM 02 TRANSPORTERS AND DISPOSAL FACILITIES 03 SAFETY OR SECURITY CONCERNS 04 EDUCATIONAL EFFORTS AND PUBLIC OUTREACH 04 STEWARDSHIP PLAN GOALS 05 APPENDICES 09 Appendix A -Participating Producers 10 Appendix B -Collection System 16 Appendix C -Disposal Facilities 21 Appendix D -Kiosk Signage,Mailer Instructions and Educational/Outreach Materials 22 Appendix E -Inmar ’s Website 31 Appendix F -Outreach and Promotion Activities 36 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 period between January 1,2023 and December 31, 2023 (“Reporting Period”).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 Section 6.53.080 of the Ordinance. A.Collection and Disposal Efforts During this Reporting Period,Inmar operated 15 Collection Points and 60 Standard Mail-Back Envelope Distribution Sites totaling 75 locations.Inmar collected 52 Inner Liners from the 15 Collection Points equaling 1,580.50 pounds of Unwanted Products.Inmar collected a total of 118 Mailers from the Standard Mail-Back Envelope Distribution Sites totaling 47.40 pounds of Unwanted Products.Additionally,Inmar participated in eight collection events which resulted in the collection of 3,339.5 pounds of Unwanted Products.For the 2023 Reporting Period,4,967.40 pounds of Unwanted Products were collected via all collection methods. B.Plan Changes There were no plan changes during the Reporting Period. C.Program Outlook Inmar expects an increase in the number of Collection Points and amount of Unwanted Products collected in 2024.To achieve this,Inmar plans to host one-day collection events in conjunction with Alameda County Department of Environmental Health and Alameda County Department of Environmental Health Household Hazardous Waste Division for the second year in a row.Inmar is continuously seeking additional Collection Points for either Drop-Off Kiosks or Standard Mail-Back Envelope Distribution Sites. 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. 1 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 (Drop-Off Kiosks)and Standard Mail-Back Envelope Distribution Sites as well by Mail-Back Services that could be requested via the Program’s website or toll-free phone number which includes 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 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 Technical specifications concerning Inmar ’s Collection System can be located in the approved Plan dated March 4,2022.Table 1 in Appendix B lists the weight for each Collection Point and the corresponding number of liners collected.Table 2 in Appendix B lists each of Inmar’s Collection Points in Alameda County.The number of Inner Liners in the Column titled “Liners Collected”is indicative of the number of times the Unwanted Products were picked up from each location.Appendix B Table 4 lists all of the one day Collection Events with the corresponding location,number of Inner Liner collected,and amount of Unwanted Product collected. 2 Type #Total Weight (pounds) Drop-off Site Liners 52 1,580.50 Standard Mail-Back Envelope 118 47.40 Inhaler Mail-Back Envelope 0 0 Auto-injector Mail-Back Packages 0 0 Collection Events 8 3,339.50 Total Weight Collected (2023)4,967.40 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 70 Standard Mail-Back Envelopes to Standard Mail-Back Envelope Distribution Sites in addition to existing Mails That were distributed in previous Reporting Periods. Inmar distributed the following from the Program website: ●7 requests resulting in the distribution of 13 Standard Mail-Back Envelopes; ●20 requests resulting in the distribution of 34 Auto-Injector Mail-Back Packages; ●1 request resulting in the distribution of 1 Inhaler Mail-Back Envelope. Inmar collected a total of 47.4 pounds of weight from the 118 Standard Mail-Back Envelopes in the Reporting Period.There were no Auto-Injector Mail-Back Packages or Inhaler Mail-Back Envelopes returned during 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 the name and location of Disposal Facilities at which Unwanted Products were disposed of in accordance with the 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), which Inmar provided and is still in effect.A copy of this email can be found in Appendix G DEA Exception Email. 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 Mailers to occur at any of five provided locations,two of which are,according to DEA records,registered reverse distributors (Clean Harbors at Aragonite,Utah;and Clean Harbors at El Dorado,Arkansas).A copy of this exception letter was provided last year as a separate communication and is still current.A copy of this letter can be found as a separate attachment titled DEA Response Letter.In the event that incinerator backlog issues continue past the current expiration date,Inmar will provide an updated extension letter to the County before the current Exception Letter expires.Inmar is aware of these issues and has discussed this with our Service Provider.Inmar will be provided a renewed DEA exception 3 letter upon receipt and will forward to the County once received. 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. 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 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 Products in inappropriate waste streams (eg solid waste collection,sewer,or septic systems)and the risks of 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 Products and other Program advocacy. Please see Appendix D for example materials. B.Outreach Activities Inmar conducted the following outreach activities during the Reporting Period: 1.Radio Inmar utilized Alameda County radio station KOIT 95.6 FM (“KOIT”)for the second year in a row 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 23,2023, 4 and ran through February 11th,2024 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 43 advertisements each week,and the ads were 15 seconds in length for a total of 516 advertisements.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. Inmar has insight into the scope of the outreach program by identifying total impressions.During the duration of the 12 week radio campaign,Inmar was able to reach approximately 12,206,400 listeners.The total number of impressions is calculated by determining the number of listeners for each advertisement that was deployed.A copy of the advertisement in Figure 4 in Appendix F. 2.Newspaper For the second year in a row,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 29,2023 and the last ad was deployed on February 4,2024.For the same reasons as the radio advertisement,the newspaper did not feature the ad the weeks of Thanksgiving and Christmas.During the 12 week newspaper campaign,Inmar was able to reach approximately 979,248 readers.Total views are reported directly from the media outlet.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 starting April 1,2023 and October 10,2023.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 lines titled “Programmatic Spring Campaign”and “Programmatic Fall Campaign”for programmatic results.Examples of the Programmatic ads are in Figure 3. 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 Residents 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 quarterly for a total of four influencer campaigns in 2023. The four influencer campaigns in Alameda County garnered a total of 3,540,145 impressions throughout the Reporting Period.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,Table 1 line items “Q1 Influencer Campaign”,“Q2 Influencer Campaign”,“Q3 Influencer Campaign”,and “Q4 Influencer Campaign”. 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 2023,Inmar has secured a total of 75 Collection Points,15 Kiosks and 60 Standard Mail-Back Envelope Distribution Sites.In conjunction with the other Program Operator,there are well over 100 Collection Points throughout the County. Inmar continues to work toward increasing collection and meeting long-term goals by partnering with Alameda County Household Hazardous Waste Division in 2024 to host collection 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 continues to meet Program promotion goals by having ongoing social media posts, influencer posts,and radio and newspaper advertising.Social media posts consisted of two posts per month per platform (Instagram,Twitter,and Facebook).The Posts were scheduled as follows: ●The first social influencer campaign was deployed from March 3,2023 through March 24, 2023 the second influencer campaign ran from April 25,2023 through May 16,2023 ●The third influencer campaign was from August 7,2023 through August 28,2023 ●the fourth influencer campaign was from October 11,2023 through November 8,2023 Inmar commenced the print ad marketing in October 2023,coinciding 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 29th, 2023 and the last advertisement was on February 4,2024.Inmar elected to place advertisements in the Sunday newspaper due to Sunday being the highest circulation of the week.As reported from East BayTimes,there were a total of 979,248 impressions.This is based on the number of newspapers circulated in Alameda County. The radio advertisement was 15 seconds in length and began on October 23,2023 and ran through February 11,2024.There were 43 radio advertisements per week,for a total of 516 total advertisements over the 12 week campaign.As reported from KOIT-FM,there were approximately 1,017,200 impressions per week,which resulted in 12,206,400 total impressions throughout the duration of the 12 week campaign.On average,listeners heard the message 6.7 times during the campaign.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.Inmar successfully met the Program promotion goals set for the Reporting Period.All program promotion activities continue each Program year.See Appendix F Table 1 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 7 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. Completed jointly with other Program Operator. 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 annually. 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 This continues annually. 8 month) Direct mail and print ad marketing continues This continues annually. Continue television &radio campaigns This continues annually. 9 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 10 Appendix A -Participating Producers The following list of Producers participated in Inmar ’s Stewardship Plan during the Reporting Period. *All addresses listed are mailing and physical addresses unless otherwise indicated Producer Contact Name TItle Mailing Address Contact Information AAA Pharmaceutical, Inc. Tejash Sheth Vice President 681 Main Street Lumberton,NJ 08048 Email:tsheth@aaapharm.com Phone:609-288-6060 x 202 Adare Pharmaceuticals Babu Lad Global Head of Regulatory Affairs/Executive Director 1200 Lenox Drive,Suite 100, Lawrenceville,NJ 08648 Email:Babu.Lad@adareps.com Phone:609-376-1719 Advagen Pharma Ltd Narendra Borkar President 666 Plainsboro Rd,Suite 605, Plainsboro,NJ 08536 Email: Narendra.Borkar@advagenpharma. com Phone:609-269-8128 Alcon Vision,LLC Herman Blakley Director,Health Safety Environment 6201 South Freeway,TA625, Fort Worth,TX 76134 Email:herman.blakley@alcon.com Phone:610-670-3824 Alexso,Inc.Farbod Melamed Pharmacist, Regulatory Compliance 2317 Cotner Ave, Los Angeles,CA 90064 Email:Farbod@alexso.com Phone:310-282-8086 Alkermes,Inc.Jim Delaney Senior Director, National Channel Accounts 852 Winter Street, Waltham,Massachusetts 02451 Email: James.Delaney@alkermes.com Phone:516-826-1785 ANDA,Inc Emily Hall Sr Mgr,Regulatory Compliance 2915 Weston Road, Weston,FL 33331 Email:emily.hall@andanet.com Phone:800-331-2632 Ext.74579 Anda Pharmaceuticals, Inc Emily Hall Sr Mgr,Regulatory Compliance 8644 Polk Lane Olive Branch,Mississippi 38654 Email:emily.hall@andanet.com Phone:800-331-2632 Ext.74579 Apnar Pharma,LP Vandan Patel IT Manager 4820 Lanier Road, Chino,CA 91710 Email: vandan.patel@apnarpharma.com Phone:844-283-9825 Archis Pharma,LLC Vivin Lukose Director 15 Corporate Place South,Suite 108 , Piscataway,NJ 08854 Email: vmlukose@rkpharmainc.com Phone:732-640-4351 Ascend Laboratories Hindy Schiff Vice President Regulatory Affairs/Compliance 339 Jefferson Road,Suite 101, Parsippany,NJ 07054 USA Email: HSchiff@ascendlaboratories.com Phone:908.612.3079 ASO LLC Federico Juliao Sr.Director of Regulatory Affairs 300 Sarasota Center Blvd, Sarasota,FL 34240 Email:fjuliao@asocorp.com Phone:941-379-0300 Bell Pharmaceuticals, Inc Betty Jo Lorenz VP,Quality & Regulatory Affairs 200 W.Beaver St. Belle Plaine,MN 56011 Email:Bettyjo@bellpharm.com Phone:952-873-2288 Biocodex,Inc.Scott Koppang Senior Director, Pharmaceutical Affairs,Chief Compliance Officer 1850 Gateway Drive,Suite 175 San Mateo,CA 94404 Email:s.koppang@biocodex.com Phone:650-466-6935 Blairex Laboratories,Inc Jeff Legston President 1600 Brian Dr, Columbus,IN 47201 Email:jlogston@blairex.com Phone:812-378-1864 Camber Ron Cerminaro Director,1031 Centennial Ave.,Email: 11 Pharmaceuticals,Inc.Commercial Strategy and Operations Piscataway,NJ 08854 rcerminaro@camberpharma.com Phone:732.529.0430 Canton Laboratories, LLC Jack Melesh Director of Finance 1015 Nine North Dr,Suite 200, Alpharetta,GA 30004 Email:jmelesh@cantonlabs.com Phone:678-867-2900 Carlsbad Technology, Inc Sally Ver Vynck Account Executive 5922 Farnsworth Court, Carlsbad,CA 92008 Email: sally.vervynck@carlsbadtech.com Phone:858-260-9198 Celltrion USA,Inc.Edwin Baras Director Head of Supply Chain One Evertrust Plaza,suite 1207, Jersey City,NJ 07302 Email:Edwin.Baras@celltrion.com Phone:201-600-9241 CivicaScript,LLC Michael Formica Principal,Business Analytics and Operations 2912 West Executive Parkway, Suite 300, Lehi,Utah 84043 Email: michael.formica@civicascript.com Phone:714-315-3038 Dr.Reddy's Laboratories Inc. Dr.Foram Vaishnav Sr.Director,Head - Global PV Regions and Risk Management 107 College Road East, Princeton,NJ 08540 Email:fvaishnav@drreddys.com Phone:(609)375-9079 Duchesnay USA,Inc Gretchen Schottin Product Manager 2 Research Way,Suite 1A, Princeton,NJ 08540 Email: gschottin@duchesnayusa.com Phone:610-937-4429 Epic Pharma,LLC June Zhang Director Operations 517 Rt 1 S,Ste 4002, Iselin,NJ 08830 Email:june.zhang@puracap.com Phone:732-789-3958 Florida Pharmaceutical Products,LLC Gina Campbell SVP Commercial Operations 6111 Broken Sound Parkway NW, Suite 160 Boca Raton,FL 33487 Email: gcampbell@flpharmaproducts.com Phone:561-609-3240 Formulation Technology, Inc. Marie Porter Director of Operations 571 Armstrong Way, Oakdale,CA 95361 Email:marie@formulationtech.com Phone:209-847-0331 Fosun Pharma USA,Inc Huong Nguyen General Counsel 104 Carnegie Center Drive,Suite 204, Princeton,NJ 08540 Email: huong.nguyen@fosunpharmausa.c om Phone:408-200-9891 Genomma Lab USA,Inc Bradley N. Johnson,Ph.D. Director,US Quality &Regulatory Affairs 3737 Buffalo Speedway, Houston,TX 77098 Email: johnson.bradley@genommalab.co m Phone:713-907-6570 Gensco Laboratories, LLC Paul M. Zimmerman,MD CEO 8550 NW 33rd St,Suite 200, Doral,FL 33122 Email:info@genscolabs.com Phone:855-743-6726 Granules Pharmaceuticals,Inc. Tanvi Mane Regulatory Affairs Associate 3701 Concorde Parkway, Chantilly,VA 20151 Email: Tanvi.Mane@granulespharma.com Phone:857 415 0784 Hetero Labs Limited Ron Cerminaro Director, Commercial Strategy and Operations 1031 Centennial Ave., Piscataway,NJ 08854 Email: rcerminaro@camberpharma.com Phone:732.529.0430 Hikma Pharmaceuticals USA Inc. Heather S. Patrick Sr.Analyst,Legal Affairs 200 Connell Drive,4th Floor, Berkeley Heights,NJ 07922 Email:hpatrick@hikma.com Phone:908.673.1030 i3 Pharmaceuticals,LLC Kartik Bhagat Director,Finance & Operations Support 200 Park Avenue, Warminster,PA 18974 Email: kbhagat@i3pharmaceuticals.com Phone:215-443-7000 Intercept Pharmaceuticals,Inc. Robert Satterfield Executive Director, Quality Systems - Process & 305 Madison Avenue, Morristown,NJ 07960 Email: bob.satterfield@interceptpharma.co m 12 Compliance Phone:646-747-1000 KC Pharmaceuticals, Inc. Efren M.Haas Director of Quality 3215 Producer Way, Pomona,CA 91768 Email:ehaas@kc-ph.com Phone:909-598-9499 x 23 Lannett Company Inc.Michael Gankiewicz Director DEA & Security 1101 C Avenue West, Seymour,IN 47274 Email:mgankiewicz@lannett.com Phone:215-333-9000 Laser Pharmaceuticals, LLC Jack Melesh Controller 1015 Nine North Drive,Suite 400, Alpharetta,GA 30305 Email: jmelesh@laserpharmaceuticals.co m Phone:770-754-9846 Leading Pharma,LLC Mark V.Chirico Senior Manager Government Reporting and Contracts 3 Oak Rd, Fairfield,NJ 07004 Email: MCHIRICO@LEADINGPHARMA.C OM Phone:973-276-9600 LXO US Inc (formerly Noden Pharma DAC) Juliana Santos Supply Chain Planner D’Olier Chambers,16A D’Olier Street, Dublin 2,Republic of Ireland Email:jsantos@nodenpharma.com Phone:+353 1 912 15 88 x 588 Macleods Pharma Usa, Inc Jasleen Gupta Director PV/QA 103 College Road East,2nd Floor, Princeton,NJ 08540 Email: jasleeng@macleodspharma.com Phone:609-269-5250 Marnel Pharmaceuticals, LLC Elizabeth Shuttleworth Director of Operations 635 East Bay St,Bldg G, Charleston,SC 29403 Email: eshuttleworth@marnelpharmaceuti cals.com Phone:888-850-2905 McKeon Products,Inc.Tamara Peters Operations Manager 25460 Guenther, Warren,MI 48091 Email: tamara@macksearplugs.com Phone:586-427-7200 ext 12 Medicure Pharma,Inc Leanne Taylor Compliance officer 116 Village Blvd.,Suite 200, Princeton,New Jersey Email:LTaylor@medicure.com Phone:1-888-435-2220 Medsource Pharmaceuticals Raissa Bola Quality Control 22521 Avenida Empresa,Ste 109, Rancho Santa Margarita,CA 92688 Email: Orders@medsourcepharmaceutical s.com Phone:888-612-1965 Micro Labs USA,Inc Gaurang Bhavsar,RAC Associate Director - Regulatory Affairs 220 Davidson Ave,Suite 402, Somerset,NJ 08873 Email: gaurangbhavsar@microlabs.in Phone:908-484-7410 Mirum Pharmaceuticals Mark Jones Counsel 950 Tower Lane,Suite 1050, Foster City,CA 94404 Email:mark.jones@mirumpharma.c om Phone:650-667-4085 Monarch PCM,LLC Sam Rizkal CEO/CFO 7333 Jack Newell Blvd,Suite 100, Fort Worth,TX 76118 Email:samr@monarchpcm.com Phone:682-708-6488 x 127 Navajo Manufacturing Company Inc. Felix Morales Quality Assurance Manager 601 W 50th Ave, Denver,CO 80216 Email:fmorales@navajoinc.com Phone:303-292-3090 Ext 8265 Neogen Luke Brithinee Counsel - Commercial & Compliance 620 Lesher Place, Lansing,MI 48912 Email:lbrithinee@neogen.com Phone:313-670-8934 Neurelis,Inc Joe Duarte VP,Commercial Operations 3430 Carmel Mountain Road,Suite 300, San Diego,CA 92121 Email:jduarte@neurelis.com Phone:858-251-2124 New American Therapeutics,Inc Phil Thompson Chief Operating Officer and General Counsel 300 Interpace Parkway,Morris Corporate Center I,Building C3 Parsippany,NJ 07054 Email: pthompson@newamericantx.com Phone:314-326-6645 13 NextSource Biotechnology Thomas Hunter General Counsel, Chief Compliance Officer,Secretary 80 SW 8th Street,Suite 2660, Miami,FL 33130 Email:tomhunter@trisourceph.com Phone:855-672-2468 Nivagen Pharmaceuticals Genevieve Stevens Operations Director 3050 Fite Circle,Suite 100, Sacramento,CA 95827 Email:gstevens@nivagen.com Phone:916-364-1662 Novadoz Pharmaceuticals,LLC Sherice Koonce Senior Director, Sales Operations 20 DUKE ROAD,SUITE A, PISCATAWAY,NJ 08854-3714 Email: sherice.k@novadozpharma.com Phone:908-202-1854 Noven Pharmaceuticals, Inc./Hisamitsu America, Inc./Grove Pharmaceuticals,a division of Noven Therapeutics, LLC/Noven Therapeutics,LLC Marcos A.Ares Director Supply Chain 11960 SW 144th St, Miami FL 33186 Email:mares@noven.com Phone:305-964-4556 Novugen Pharma (USA), LLC Michael Clark Senior Director, Commercial Operations,USA 100 Overlook Center,2nd Floor, Princeton,NJ 08540 Email:michael.clark@novugen.com Phone:732-857-7766 Oyster Point Pharma, Inc. Lawrence Levey Head of Manufacturing and Supply Chain 202 Carnegie Center, Princeton,NJ 08540 Email:llevey@oysterpointrx.com Phone:732-649-9022 ParaPRO,LLC Bill Culpepper President 11550 N Meridian St,Suite 290, Carmel,IN 46032-5505 Email:billc@parapro.com Phone:317.810.6201 Pharmacy Buying Association,Inc Nick Smock President,CEO 6300 Enterprise Rd, Kansas City,MO 64120 Email: Licensing.team@pbahealth.com Phone:816-245-5700 PLX Opco Inc.DBA PLx Pharma Inc. Natasha Giordano CEO 9 Fishers Lane, Sparta,NJ 07871 Email:NGiordano@plxpharma.com Phone:973-219-1840 ProvePharm Tania Tardif Office Operations Supervisor 100 Springhouse Drive Suite 105, Collegeville,PA 19426 Email: tania.tardif@provepharm.com Phone:610-601-8600 Randob Labs,Ltd dba CrossingWell Consumer Health Jessica Cole Executive Assistant Mailing Address:PO Box 440 Cornwall,NY 12518 Physical Address:45 Quaker Ave, Suite 207,Cornwall,NY 12518 Email:jessica@randob.com Phone:845-534-2197 RedHill Biopharma Inc.Michelle Dague Senior Director, Compliance 8041 Arco Corporate Dr,Suite 200, Raleigh,NC 27617 Email:mdague@redhillus.com Phone:540-406-7460 Reliable 1 Laboratories, LLC David Seltzer CEO 99 West Hawthorne Ave,Suite 610, Valley Stream,NY 11580 Email: david.seltzer@reliable1labs.com Phone:516-341-0666 S.S.S.Co.Lance Taylor Vice President of Regulatory Affairs 71 University Ave, Atlanta,GA 30315 Email:regulatory@ssscompany.net Phone:404-521-0857 x 120 Sarepta Therapeutics Mercedes Forcier Associate Director, Launch Readiness Commercial Operations 215 First St,Cambridge,MA 02142 Email:MForcier@Sarepta.com Phone:617-710-3546 Sato Pharmaceutical Co.,Ltd. Bruce Takano General Manager 3625 Del Amo Blvd.Suite 228, Torrance,CA 90503 Email:stakano@sato-pharmausa.co m Phone:310-787-1877 Scholl's Wellness Company Alex Terranova Director Quality & Regulatory 119 Cherry Hill Road,Suite 200, Parsippany,NJ 07054 Email: alex.terranova@drscholls.com Phone:862-328-1407 14 Sebela Pharmaceuticals Inc. Mike Beckelic Associate Director, Quality Assurance & Regulatory Compliance 645 Hembree Parkway,Suite I, Roswell,GA 30076 Email: Mike.Beckelic@sebelapharma.com Phone:678-736-5219 Sheffield Pharmaceutical,LLC Anthony Sollima CSO and EVP of Regulatory Affairs 170 Broad Street, New London,CT 06385 Email: anthony.sollima@sheffieldpharma.c om Phone:860-442-4451 ext 2281 Socius Care,LLC Ben Ekwalla Managing Member 320 Northpoint Pkwy SE,Suite J, Acworth,GA 30102 Email:bekwalla@sociuscare.com Phone:404-566-8896 x 1100 SOLA Pharmaceuticals Tanna Varner Regulatory Operations Specialist 655 Highlandia Dr, Baton Rouge,LA 70810 Email:tanna@solameds.us Phone:866-747-7365 Solco Healthcare,LLC Julie Couturier OTC Manager 700 Atrium Dr,Suite A, Somerset,NJ 08873 Email: julie.couturier@solcohealthcare.co m Phone:855-581-9688 Somerset Pharma,LLC Arun Menon Chief Commercial Officer 300 Franklin Square Dr, Somerset,NJ 08873 Email: arun.menon@somersetpharma.co m Phone:732-554-1100 Strides Pharma Inc.Michael Altamuro SVP,Sales & Marketing (US) 1 Ram Ridge Rd, Chestnut Ridge,NY 10977 Email: mike.altamuro@stridesusa.com Phone:845-682-3251 Summers Laboratories, Inc. Linda Czeiner General Manager 103 GP Clement Drive, Collegeville PA 19426 Email:lindac@sumlab.com Phone:877-902-3490 Sun (Taro) Pharmaceutical Industries,Inc. Rick Lewellyn Assoc.Dir.Supply Chain 2 Independence Way, Princeton,NJ 08540 Email:Richard.lewellyn@taro.com Phone 914-345-9001 Taro Pharmaceuticals U.S.A.,Inc. Rick Lewellyn Assoc.Dir.Supply Chain 3 Skyline Dr,Suite 120, Hawthorne,NY 10532 Email:Richard.lewellyn@taro.com Phone:914-345-9001 The Tetra Corporation George A.Cioe President &CEO P.O.Box 10, Eaton Rapids,MI 48827 Email:gcioe@TheTetraCorp.com Phone:401-529-130 Time-Cap Laboratories, Inc. James Carroll Division Chief Financial Officer 7 Michael Ave, Farmingdale,NY 11735 Email:jcarroll@timecaplabs.com Phone:631-753-9090 TruPharma,LLC John E.Mooney President 4100 W Kennedy Blvd,Suite 220, Tampa,FL 33609 Email:jmooney@trupharma.com Phone:312-953-2600 TWi Pharmaceuticals USA,Inc. Rick Pallokat President 115 West Century Road,Suite 135, Paramus,NJ 07652 Email: rick.pallokat@twipharmausa.com Phone:201-762-1401 Unichem Pharmaceuticals (USA), INC. Kartik M. Keertikar Senior Manager, Regulatory Affairs One Tower Center Boulevard, Suite 2200, East Brunswick,NJ 08816 Email: kkeertikar@unichemusa.com Phone:732-253-5954 United Exchange Corp Paul Kim Regulatory Affairs Specialist 5836 Corporate Ave.Suite 200 Cypress CA 90630 Email:paul@ueccorp.com Phone:562-977-4500 Upsher-Smith Laboratories,LLC Jennifer Graham Corporate Paralegal -Compliance Specialist 6701 Evenstad Drive, Maple Grove,MN 55369 Email: Jennifer.Graham@upsher-smith.co m Phone:763-315-2000 Veridian Healthcare LLC Steve Bisulca President 1175 Lakeside Dr, Gurnee,IL 60031 Email: sbisulca@veridianhealthcare.com Phone:847-505-1902 15 Westminster Pharmaceuticals,LLC Adrienne Fink Financial Controller 3450 Buschwood Park Dr,Suite 110, Tampa,FL 33618 Email:finance@wprx.com Phone:727-300-1376 16 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.A key in the form of a protected document will be accompanied with the Annual Report for the County’s review. Unique Identifier District Status Liners Collected Weight Collected (lbs) 63568 2 Active 0 0 49738 2 Active 0 0 62471 1 Active 2 54.5 62379 3 Active 2 56.85 62464 2 Active 2 59.65 62113 2 Active 3 82.9 62341 4 Active 4 88.5 42304 5 Active 4 96.6 62344 5 Active 4 109.3 62319 3 Active 4 140.9 62118 1 Active 5 145 62198 1 Active 5 169.5 62366 5 Active 6 179.35 62457 3 Active 3 190 62419 5 Active 8 207.45 52.00 1,580.50 17 Table 2 -Collection Points Pharmacy Name /Dba Name Street City Zip Status TIB Pharmacy 7999 Gateway Blvd.,Suite 110 Newark 94560 Active RUUS VILLA ICF 29255 Ruus Rd Hayward 94544 Active SAFEWAY PHARMACY #0993 3902 Washington Blvd Fremont 94538 Active SAFEWAY PHARMACY #3281 2600 5Th St.Alameda 94501 Active SAFEWAY PHARMACY #0971 22280 Foothill Boulevard Hayward 94541 Active SAFEWAY PHARMACY #1197 1790 Decoto Road Union City 94587 Active SAFEWAY PHARMACY #2856 6790 Bernal Ave Pleasanton 94566 Active University of California at Berkeley 222 Bancroft Way Berkeley 94720 Active SAFEWAY PHARMACY #2870 6310 College Ave Oakland 94618 Active SAFEWAY PHARMACY #2708 2227 South Shore Center Alameda 94501 Active SAFEWAY PHARMACY #1257 4495 First St Livermore 94551 Active SAFEWAY PHARMACY #1931 46848 Mission Blvd Fremont 94539 Active SAFEWAY PHARMACY #3132 5100 Broadway Oakland 94611 Active SAFEWAY PHARMACY #0951 867 Island Drive Alameda 94502 Active SAFEWAY PHARMACY #0691 1444 Shattuck Place Berkeley 94709 Active 18 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 Wild Smiles 4200 East Avenue Livermore 94550 1 Costco Pharmacy #778 43621 Pacific Commons Blvd Fremont 94538 2 Costco Pharmacy #1061 28505 Hesperian Blvd Hayward 94545 2 Costco Pharmacy #1660 350 Newpark Mall Newark 46070 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 St Ste 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 ST Oakland 94606 3 Lucky California-700 815 Marina Village Parkway Alameda 94501 3 FoodMaxx -416 699 Lewelling Blvd San Leandro 94579 3 19 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 Soneridge 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 Hegnberger 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 947042608 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 20 Table 4 -One-Day Drop Off Events Date Location Time Liners Collected Pounds Collected May 21,2023 Pleasanton County Fairgrounds 4501 Pleasanton Ave,Pleasanton CA 94566 9:00 AM -1:00 PM 11 551 June 25,2023 Golden Gate Fields 1100 Eastshore Highway,Albany CA 94710 9:00 AM -1:00 PM 9 462 July 9,2023 Coliseum A Lot 7000 Coliseum Way,Oakland CA 94621 9:00 AM -1:00 PM 7 345 July 22,2023 Canyon Middle School 19600 Cull Canyon Rd,Castro Valley CA 94552 8:00 AM -2:00 PM 8 456 September 10,2023 BART Parking Lot 1 1100 Decoto Rd,Union City CA 94587 9:00 AM -1:00 PM 8 420 September 24,2023 Golden Gate Fields 1100 Eastshore Highway,Albany CA 94710 9:00 AM -1:00 PM 7 418 October 15,2023 Coliseum North Lot 7000 Coliseum Way,Oakland CA 94621 9:00 AM -1:00 PM 5 225 November 12,2023 Spirits Alley W Tower Ave and Monarch St,Alameda CA 94501 9:00 AM -1:00 PM 8 463 TOTAL 63 3,339.50 21 Appendix C:Disposal Facilities Company Name Contact Information Registration Information Service Provided Weight Disposed (Lbs) 123 Compliant Logistics,LLC 2626 N 29th Ave Phoenix,AZ 85009 Operations Manager 602-612-4140 DEA Reverse Distributor- Collector: R90571264 DEA Reverse Distributor-Kiosk Liners N/A Clean Harbors Aragonite 11600N.Aptus Rd. Aragonite,UT94029 Operations Manager 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 Operations Manager 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 Operations Manager 281-216-9618 EPA ID: TXD000838896 Hazardous Waste Incinerator -All Unwanted Covered Drugs 0 *Note:Due to the ongoing hazardous waste backlog issue affecting the country,the destroyed weights outlined here have been collected and held prior to destruction.Inmar collected a total of 4,967.4 pounds of unwanted medication,but is yet to be destroyed. 22 Appendix D -Kiosk Signage,Mailer Instructions and Educational/Outreach Materials Figure 1 -Sample Promotional Signage 23 Figure 2 -Sample Kiosk Signage -Front Figure 3 -Sample Kiosk Signage -Chute Door 24 Figure 4 -Sample Signage and instructions for Standard Mail-Back Envelope Distribution Sites 25 Figure 5 -Educational Brochure -English Figure 6 -Educational Brochure -Spanish 26 Figure 7 -Educational Brochure -Chinese Figure 8 -Educational Brochure -Vietnamese 27 Figure 9 -Educational Brochure -Tagalog 28 Figure 10 -Sample Kiosk including Sample Signage 29 Figure 11 -Sample Standard Mail-Back Envelope Insert Figure 12 -Sample Inhaler Envelope Insert 30 Figure 13 -Sample Auto-Injector Package Insert 31 Appendix E:Inmar ’s Website Figure 1 -www.SafeMedicineDrop.com Landing Page Figure 2 -www.SafeMedicineDrop.com Alameda County Landing Page 32 Figure 3 -www.safemedicinedrop.com Disposal Options Nearby -Alameda County Figure 4 -www.safemedicinedrop.com Mail-Back Request -Alameda County 33 Figure 5 -Frequently Asked Questions (FAQ)Page on www.safemedicinedrop.com 34 Figure 6 -Contact Information on www.safemedicinedrop.com 35 Figure 7 -Educational Materials Location on www.safemedicinedrop.com 36 Appendix F -Outreach Activities and Promotions Figure 1 -Images from Influencer Campaigns 37 Figure 2 -Newspaper Advertisement Featured in East Bay Times 38 Figure 3 -Examples of Programmatic Media 39 Table 1 -Results From All Outreach Activities During the Reporting Period Outreach Activity Type of Media Start Date End Date Impressions Frequency Q1 Influencer Campaign Digital Promotion 3/3/23 3/24/23 508,733 1 Q2 Influencer Campaign Digital Promotion 4/25/23 5/16/23 421,619 1 Q3 Influencer Campaign Digital Promotion 8/7/23 8/28/23 1,389,928 1 Q4 Influencer Campaign Digital Promotion 10/11/23 11/8/23 1,219,865 1 Social Media Posts -Instagram,Twitter,Facebook Digital Promotion 1/19/23 12/29/23 305 24 Programmatic Spring Campaign Digital Promotion 4/1/23 5/18/23 350,000*1 Programmatic Fall Campaign Digital Promotion 10/10/23 12/31/23 250,000*1 Newspaper Advertising Print Ads 10/29/2023 2/4/2023 979248*12 Radio Advertising Radio 10/23/23 2/11/24 12,206,400*516 *Asterisks represent an estimated number of impressions reported by the agency 40 Appendix G -DEA Exception Email DEA Exception Email -Page 1 41 DEA Exception Email -Page 2 42