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HomeMy WebLinkAboutalamedamed-project-2016-annualreport-archive 2016 ALAMEDA COUNTY, CALIFORNIA MED-PROJECT ANNUAL REPORT Prepared By: MED-Project, LLC Submitted To: Alameda County, Department of Environmental Health Date: February 25, 2017 Page 2 TABLE OF CONTENTS 1. EXECUTIVE SUMMARY .............................................................................................. 3 2. REPORTING ON 2016 GOALS ................................................................................... 4 2.1. Collection Goals .......................................................................................................... 4 2.2. Education and Public Outreach Goals ..................................................................... 6 2.3. Take-Back Events ........................................................................................................ 7 2.4. The Collection System ................................................................................................ 9 3. 2017 GOALS ................................................................................................................... 15 3.1. Take-Back Events ...................................................................................................... 15 3.2. Kiosk Collection Sites ............................................................................................... 16 3.3. Education and Public Outreach .............................................................................. 16 4. COLLECTION PRACTICES ....................................................................................... 17 5. EDUCATIONAL EFFORTS AND PUBLIC OUTREACH .................................... 18 6. SAFETY AND SECURITY REPORT ......................................................................... 23 7. PARTICIPATING PRODUCERS .............................................................................. 24 8. COLLECTION POINTS ............................................................................................... 24 8.1. Collection Point Information ................................................................................... 24 9. MAIL-BACK PROGRAMS ......................................................................................... 24 9.1. Mail-Back Services .................................................................................................... 24 10. DISPOSAL FACILITY ................................................................................................. 25 10.1. Disposal Facility Information .................................................................................. 25 10.2. Product Disposal Information ................................................................................. 26 APPENDIX A ........................................................................................................................ 27 APPENDIX B ........................................................................................................................ 33 Page 3 1. EXECUTIVE SUMMARY Alameda Health & Safety Code, Chapter 6.53.080 – Report. A. and B. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.i. Alameda County Safe Drug Disposal Ordinance (“Ordinance”) Section 6.53.080 and Alameda County Safe Drug Disposal Regulations (“Regulations”) Section 15 require MED-Project LLC (“MED-Project”) to prepare and submit an annual written report describing activities between January 1, 2016 and December 31, 2016. MED-Project submits this 2016 Alameda County, California MED-Project Annual Report (“Report”) on behalf of its participating producers and in compliance with the Ordinance and Regulations. The Alameda MED-Project Product Stewardship Plan (“Plan”) was submitted on January 30, 2015 and approved by the Alameda County, Department of Environmental Health (“Alameda County DEH”) on February 25, 2015. MED-Project began implementation of the Product Stewardship Program (“Program”) after the Plan approval date. On February 2, 2016, a revised Ordinance was approved by the Alameda County Board of Supervisors that, among other revisions, added controlled substances and over-the-counter medicines to the definition of a Covered Drug.1 The revised Ordinance became effective on March 3, 2016.2 MED-Project immediately thereafter began the collection of Covered Drugs at take-back events. The call center, website, and materials were updated to comply with the revised Ordinance. In mid-August 2016, MED-Project submitted a request, which was subsequently approved by Alameda County DEH, to modify kiosk signage in order to help direct residents to disposal options for Covered Drugs that are not accepted in kiosks. On October 26, 2016, Alameda County DEH approved in part and denied in part a MED-Project request for modification to the approved Plan proposing changes to the transport method for sealed inner liners containing Unwanted Medicine from households. Alameda County DEH approved the transport of sealed inner liners by a common carrier from certain kiosk drop-off sites to the disposal facility as an additional option to the transport method described in the approved Plan. In keeping with the Plan, MED-Project is implementing the Program in phases. During 2016, priority was given to establishing kiosk drop-off sites throughout Alameda County (“County”), conducting take-back events in alignment with approved Plan goals, and performing outreach to eligible pharmacies and Law Enforcement Agencies (“LEAs”) throughout the County. Kiosks were activated in pharmacies and LEAs that met all local, state, and federal 1 Alameda Health & Safety Code, Section 6.53.030 (3) 2 https://www.acgov.org/aceh/safedisposal/documents/SDDRevisedOrdinance_Final_02-02-2016.pdf Page 4 requirements and that signed agreements with MED-Project prior to kiosk installation and activation. In addition, outreach and educational materials were distributed to all interested and participating sites, including signage and/or brochures. Online media (such as the website), video and audio messaging (such as public service announcements) and the call center continue to be revised to meet the needs of County residents. The ultimate goal of the Program is to provide County residents with convenient, safe, and accessible methods to dispose of Unwanted Medicine. While operational challenges, including Ordinance revisions and Plan modifications, delayed kiosk installation and activation in 2016, Plan modifications simultaneously led to the stabilization of collection, transport, and disposal procedures. MED-Project anticipates a more stable and steady increase in Collection Sites throughout 2017 as a result of Plan modifications in 2016. MED-Project continues to communicate with Collection Site Hosts to improve outreach materials, agreements, procedures, and overall Program design. 2. REPORTING ON 2016 GOALS Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.8. and A.9. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.ii. 2.1. Collection Goals Medium-term collection goals, as outlined in the approved Plan, include the expansion of kiosk placement to additional eligible LEAs and pharmacies during the second year of Program operations, with a goal of establishing more than 20 kiosk drop-off sites. Program goals set an ongoing target of 12 take-back events per year. MED-Project held 23 take-back events in 2016, 11 of which were conducted to make-up for the single take- back event held in 2015. Agreements to support take-back events were executed with several LEAs including the Alameda County Sheriff’s Office (“ACSO”), and four (4) police departments (“PDs”) in the cities of Oakland, Pleasanton, San Leandro, and Alameda. In 2016, law enforcement oversight of events was performed by ACSO for 19 of the events and by PDs for four (4) of the events. See Table 1 for more details. # TYPE DATE EVENT NAME CITY LEA 1 Festival 03/03/2016 Eastmont Self Sufficiency Center Oakland ACSO 2 Festival 03/12/2016 Davis Street Health Fair San Leandro ACSO 3 Festival 04/23/2016 Earth Day San Lorenzo ACSO 4 HHW 05/01/2016 Alameda County Fairgrounds Pleasanton Pleasanton PD 5 HHW 05/15/2016 City of San Leandro Public Works San Leandro San Leandro PD Page 5 # TYPE DATE EVENT NAME CITY LEA 6 HHW 06/19/2016 Golden Gate Fields Albany ACSO 7 Festival 06/21/2016 Alameda County Fair Pleasanton ACSO 8 Festival 06/22/2016 Alameda County Fair Pleasanton ACSO 9 Festival 06/23/2016 Alameda County Fair Pleasanton ACSO 10 Festival 06/24/2016 Alameda County Fair Pleasanton ACSO 11 Festival 06/25/2016 Alameda County Fair Pleasanton ACSO 12 Festival 06/26/2016 Alameda County Fair Pleasanton ACSO 13 HHW 07/17/2016 Alameda Point Alameda Alameda PD 14 Festival 07/23/2016 Super Safety Saturday Castro Valley ACSO 15 HHW 07/31/2016 Novartis Parking Lot Emeryville ACSO 16 HHW 08/13/2016 Canyon Middle School Castro Valley ACSO 17 HHW 08/28/2016 Oak Knoll Naval Hospital Oakland Oakland PD 18 Festival 09/15/2016 Healthy Living Festival Oakland ACSO 19 HHW 09/24/2016 Tri-CED Union City Union City ACSO 20 HHW 10/02/2016 Golden Gate Fields Albany ACSO 21 Festival 10/07/2016 Eden Night Live Castro Valley ACSO 22 Festival 10/08/2016 Eden Night Live Castro Valley ACSO 23 Festival 10/15/2016 FamFest San Leandro ACSO Table 1: Take-Back Day Events in 2016 MED-Project plans to conduct 12 or more take-back events in 2017 by collaborating with Alameda County Household Hazardous Waste (“HHW”) drive-through events, and participating at fairs and festivals. For more information about this effort, please see Section 3. Agreements to host kiosk collection services in 2016 were updated and executed with nine (9) organizations and agencies, including two (2) Law Enforcement Agencies and seven (7) healthcare organizations, consisting of a total of 14 kiosk drop-off sites. Kiosks were subsequently installed in ten (10) sites and became available to the public in late 2016. The four (4) additional kiosk drop-off sites had kiosks scheduled for installation in early 2017 to accommodate for site renovations, facility approvals for installation, or site schedules. See Table 2 for more details. During 2016, MED-Project submitted a request for a Plan modification to Alameda County DEH in order to modify the method of transport of Unwanted Medicine to the disposal facility via common carrier transport. This modification was approved in part and denied in part by the Alameda County DEH and is now implemented at all active kiosk drop-off sites. Page 6 SITE NAME ADDRESS CITY ZIP Alameda Police Department 1555 Oak Street Alameda 94501 Clayworth Healthcare Pharmacy 20353 Lake Chabot Rd Ste 101 Castro Valley 94546 Haller's Pharmacy and Medical Supply 37323 Fremont Blvd Fremont 94536 Mission Pharmacy 22138 Mission Blvd Hayward 94541 Tennyson Pharmacy 589 W Tennyson Rd Hayward 94544 Newark Haller's Pharmacy 6170 Thornton Ave Newark 94560 New Oakland Pharmacy - Lake Merritt 250 E 18th St 3rd FL Oakland 94606 New Oakland Pharmacy #1 333 9th St Oakland 94607 Piedmont Police Department 403 Highland Avenue Piedmont 94611 Teds Drugs 27453 Hesperian Blvd Hayward 94545 Table 2: Active Kiosk Drop-Off Sites Using Common Carrier Transport in 2016 MED-Project intends to increase the number of active kiosk drop-off sites in 2017 by continuing to work with all eligible LEAs and pharmacies that express interest in participating in the Program. For more information about this effort, please see Sections 3 and 5 and Appendix A. The Executive Summary describes challenges MED- Project encountered in meeting its kiosk installation goals for 2016. 2.2. Education and Public Outreach Goals The Plan’s medium-term education and public outreach goals provide that MED-Project may revise or add communication materials based on Plan modifications and that MED-Project will collect feedback to continuously improve operations. The toll-free number for the call center continues to be available in both English and Spanish for County residents. Messages left on the voicemail are returned within one business day per the approved Plan. In an effort to increase website visits, MED-Project continued outreach through social media websites, such as Twitter and Facebook. Brochures and materials were distributed to nearby pharmacies, law enforcement agencies, clinics, veterinary facilities, hospitals, and community groups, and other media outlets were contacted to increase outreach prior to events. Website statistics for 2016 can be viewed in Table 3. WEB PAGE NAME WEB PAGE URL VISITS Take-Back Events http://www.med-project.org/locations/alameda/events 836 Home Page http://www.med-project.org/locations/alameda 750 Convenient Kiosks http://www.med-project.org/locations/alameda/kiosks 263 MEDinfo http://www.med-project.org/locations/alameda/info 178 MEDfaq http://www.med-project.org/locations/alameda/faqs 107 Check The Package http://www.med-project.org/locations/alameda/package 97 Contact http://www.med-project.org/locations/alameda/contact 75 Table 3: Number of Unique Web Page Visits During 2016 Page 7 The MED-Project website (http://www.med-project.org/locations/alameda) has been live for nearly two years, and is periodically updated to ensure alignment with the revised Ordinance and approved Plan. The website now provides contact information County residents, Collection Site Hosts, and producers can use to obtain Program information. In addition, any kiosks that are installed and active are displayed on the website after the kiosk is available to the public. Information regarding kiosk drop-off sites is available in both map and list format at http://www.med-project.org/locations/alameda/kiosks. And take-back events are listed at the following site: http://www.med-project.org/locations/alameda/events. MED-Project will continue to review website and call center performance and statistics, and revise processes, systems, and agreements as needed to improve the infrastructure, quality, efficiency, and sustainability of the Program, and to ensure alignment with local, state, and federal laws, regulations, and other legal requirements. 2.3. Take -Back Events Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.2. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.ii. Over 4,700 pounds of Unwanted Medicine was collected at the 2016 events and subsequently incinerated. MED-Project collaborated with five (5) Law Enforcement Agencies and held events at 15 different venues. Nine (9) of the events were in collaboration with County Household Hazardous Waste drive-through events, and 14 of the events were conducted at festivals or fairs. In March 2016, MED-Project submitted a request for exception to reimburse law enforcement for the transportation and disposal of Unwanted Medicine due to an unexpected disposal facility closure, which was granted in part by Alameda County DEH. For more information regarding take-back events conducted by MED-Project in 2016, please see Tables 1 and 4. DATE EVENT NAME ADDRESS WEIGHT (LBS) 03/03/2016 Eastmont Self Sufficiency Center Alameda County Social Services Agency 6955 Foothill Blvd Suite 100 Oakland, CA 94605 51 03/12/2016 2nd Annual Davis Street Health Fair 3081 Teagarden Street San Leandro, CA 94577 124 04/23/2016 San Lorenzo Village Homes Association (SLVHA) Annual Earth Day Event SLVHA Community Hall 377 Paseo Grande San Lorenzo, CA 94580 300 Page 8 DATE EVENT NAME ADDRESS WEIGHT (LBS) 05/01/2016 Alameda County Household Hazardous Waste Program Alameda County Fairgrounds 4501 Pleasanton Ave Pleasanton, CA 94566 279 05/15/2016 City of San Leandro Public Works City of San Leandro Public Works Corporation Yard 14200 Chapman Street San Leandro, CA 94578 212 06/19/2016 Alameda County Household Hazardous Waste Program Golden Gate Fields 1100 Eastshore Highway Albany, CA 94710 337 06/21/2016 Alameda County Fair Alameda County Fairgrounds 4501 Pleasanton Ave Pleasanton, CA 94566 31 06/22/2016 Alameda County Fair Alameda County Fairgrounds 4501 Pleasanton Ave Pleasanton, CA 94566 27 06/23/2016 Alameda County Fair Alameda County Fairgrounds 4501 Pleasanton Ave Pleasanton, CA 94566 25 06/24/2016 Alameda County Fair Alameda County Fairgrounds 4501 Pleasanton Ave Pleasanton, CA 94566 28 06/25/2016 Alameda County Fair Alameda County Fairgrounds 4501 Pleasanton Ave Pleasanton, CA 94566 28 06/26/2016 Alameda County Fair Alameda County Fairgrounds 4501 Pleasanton Ave Pleasanton, CA 94566 19 07/17/2016 Alameda County Household Hazardous Waste Program Alameda Point 51 W Trident Ave Alameda, CA 94501 159 07/23/2016 Super Safety Saturday Health & Safety Expo Eden Medical Center 20103 Lake Chabot Road Castro Valley, CA 94546 266 07/31/2016 Alameda County Household Hazardous Waste Program Novartis Parking Lot 4501 Horton Street Emeryville, CA 94608 188 08/13/2016 Alameda County Household Hazardous Waste Program Canyon Middle School 19600 Cull Canyon Rd Castro Valley, CA 94552 1,298 08/28/2016 Alameda County Household Hazardous Waste Program Oak Knoll Naval Hospital 8750 Mountain Blvd Oakland, CA 94627 196 09/15/2016 Healthy Living Festival Oakland Zoo 9777 Golf Links Road Oakland, CA 94605 131 Page 9 DATE EVENT NAME ADDRESS WEIGHT (LBS) 09/24/2016 Alameda County Household Hazardous Waste Program Tri-CED Community Recycling 33377 Western Ave Union City, CA 94587 318 10/02/2016 Alameda County Household Hazardous Waste Program Golden Gate Fields 1100 Eastshore Highway Albany, CA 94710 573 10/07/2016 Eden Nights Live 20095 Mission Blvd Hayward, CA 94541 44 10/08/2016 Eden Nights Live 20095 Mission Blvd Hayward, CA 94541 51 10/15/2016 Ashland Cherryland FamFest 2016 Ashland Youth Complex 16335 E. 14th Street San Leandro, CA 94578 38 Table 4: Collection Point Statistics for 2016 2.4. The Collection System Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.3. The MED-Project safe drug disposal collection system places emphasis on Collection Sites at LEAs and pharmacies to best serve County residents. In December 2016, kiosks were installed and became available to the public at ten (10) locations throughout the County. Please see Figure 1 and Table 2 for more information regarding active kiosk drop-off site locations in Alameda County in 2016. Figure 1: Map of Active Kiosk Drop-Off Sites in Alameda County as of 20163 3 http://med-project.org/locations/alameda/kiosks Page 10 Updated signage describes products that are accepted and not accepted in kiosks, with additional information directing residents toward disposal options for items that are not accepted in kiosks. For more information on approved kiosk signage, please see Figures 2, 3, 4, and 5. Figure 2: Mock-Up of Kiosk With Approved Signage Page 11 Figure 3: Signage on Front Door of Kiosk Page 12 Figure 4: Signage Desribing Accepted Products on Drawer of Kiosk Figure 5: Signage Directing Residents to Other Disposal Options for Items that are Not Accepted in Kiosks Kiosk collection agreements continue to be distributed to interested sites and are under review by several agencies and organizations. The location of each site and the status of the agreements are outlined in Tables 4 and 5 below. Agreements with LEAs that are “pending review” include sites that have not reviewed the documents to date or may not be able to host kiosks. Agreements that are under “review” include sites that have acknowledged receipt and are in the process of reviewing the document. Agreements that are under “final review” include sites that have reviewed the documents and provided information to finalize the agreement. Page 13 LAW ENFORCEMENT AGENCY PENDING REVIEW REVIEW FINAL REVIEW Alameda County Sheriff’s Office 15001 Foothill Blvd San Leandro, CA 94578 X Albany Police Department 1000 San Pablo Avenue Albany, CA 94706 X BART Police Department 800 Madison Street Oakland, CA 94607 X California Highway Patrol Golden Gate Division Castro Valley Location (375) 21020 Redwood Road Castro Valley, CA 94546 X California Highway Patrol Golden Gate Division Dublin Location (390) 4999 Gleason Drive Dublin, CA 94568 X California Highway Patrol Golden Gate Division Hayward Location (345) 2434 Whipple Road Hayward, CA 94544 X California Highway Patrol Golden Gate Division Oakland Location (370) 3601 Telegraph Avenue Oakland, CA 94609 X California State University East Bay Police Services 25800 Carlos Bee Boulevard Hayward, CA 94542 X Dublin Police Services 100 Civic Plaza Dublin, CA 94568 X East Bay Regional Parks Police Department 17930 Lake Chabot Road Castro Valley, CA 94546 X Emeryville Police Department 2449 Powell Street Emeryville, CA 94608 X Fremont Police Department 2000 Stevenson Boulevard Fremont, CA 94538 X Page 14 LAW ENFORCEMENT AGENCY PENDING REVIEW REVIEW FINAL REVIEW Hayward Police Department 300 W Winton Avenue Hayward, CA 94544 X Livermore Police Department 1110 S Livermore Avenue Livermore, CA 94550 X Newark Police Department 37101 Newark Boulevard Newark, CA 94560 X Oakland Police Department 455 7th Street Oakland, CA 94607 X San Leandro Police Department 835 E 14th Street San Leandro, CA 94577 X Union City Police Department 34009 Alvarado Niles Road Union City, CA 94587 X Table 5: Status of LEA Agreements in Alameda County as of 2016 Agreements with the following pharmacies and hospitals/clinics with on-site pharmacies are all under “review” and include sites that have acknowledged receipt and are in the process of reviewing the document. SITE NAME ADDRESS CITY ZIP KAISER PERMANENTE PHARMACY NO 101 2417 CENTRAL AVE ALAMEDA 94501 EDEN MEDICAL CENTER 20103 LAKE CHABOT RD CASTRO VALLEY 94546 FREMONT HOSPITAL 39001 SUNDALE DR FREMONT 94538 KAISER FDN HSP INP PHY 16A 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER HEALTH PLAN NILES 3 PHY 164 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER HEALTH PLAN NILES PHY 161 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER HEALTH PLAN OHLONE PHY 162 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER ONCOLOGY PHARMACY #165 39400 PASEO PADRE PKWY 2ND FL FREMONT 94538 LUCKY PHARMACY #711 40055 MISSION BLVD FREMONT 94539 LUCKY PHARMACY #712 34101 FREMONT BLVD FREMONT 94555 LUCKY PHARMACY #714 5000 MOWRY AVE FREMONT 94538 WASHINGTON HOSPITAL PHARMACY 2000 MOWRY AVENUE FREMONT 94538 KAISER HLTH PLAN SLEEPY HOLLOW PHY 143 27303 SLEEPY HOLLOW AVENUE SOUTH HAYWARD 94545 LUCKY PHARMACY #715 22555 MISSION BLVD HAYWARD 94541 LUCKY PHARMACY #716 25151 SANTA CLARA ST HAYWARD 94544 KAISER FOUNDATION CPP PHARMACY 251 300 G PULLMAN STREET LIVERMORE 94550 Page 15 SITE NAME ADDRESS CITY ZIP KAISER PERMANENTE PHARMACY #241 3000 LAS POSITAS RD LIVERMORE 94550 LUCKY PHARMACY #721 2000 PORTOLA AVE LIVERMORE 94550 LUCKY PHARMACY #722 1951 HOLMES ST LIVERMORE 94550 FOODMAXX PHARMACY #484 3100 EAST 9TH ST OAKLAND 94601 KAISER FDN HLT PLAN FABIOLA 1 PHY 115 3801 HOWE ST 1ST FLR OAKLAND 94611 KAISER FOUNDATION HOSPITAL PHY #10A 275 W MACARTHUR BLVD OAKLAND 94611 KAISER HEALTH PLAN PEDIATRIC PHY 118 3505 BROADWAY OAKLAND 94611 KAISER ONCOLOGY PHARMACY #104 3701 BROADWAY FLR 3 OAKLAND 94611 KAISER PERMANENTE PHARMACY #100 3801 HOWE ST FL 3 OAKLAND 94611 KAISER PERMANENTE PHARMACY #102 3701 BROADWAY FLR 1 OAKLAND 94611 KAISER PERMANENTE PHARMACY #105 3600 BROADWAY FL 1 OAKLAND 94611 LUCKY PHARMACY #736 247 E 18TH ST OAKLAND 94606 KAISER FOUNDATION HOSPITAL PHY #47B 7601 STONERIDGE DR RM 218 PLEASANTON 94588 KAISER HEALTH PLAN NORTH 1 PHY 473 5600 STONERIDGE MALL ROAD PLEASANTON 94588 KAISER HEALTH PLAN SOUTH 1 PHY 471 7601 STONERIDGE DRIVE PLEASANTON 94588 KAISER HEALTH PLAN SOUTH 2 PHY 472 7601 STONERIDGE DR PLEASANTON 94588 LUCKY PHARMACY #744 6155 W LAS POSITAS BLVD PLEASANTON 94588 KAISER FOUNDATION HOSPITAL PHY #92A 2500 MERCED ST HOSPITAL BLDG SAN LEANDRO 94577 KAISER PERMANENTE PHARMACY #921 2500 MERCED ST FL 1 SAN LEANDRO 94577 KAISER PERMANENTE PHARMACY #922 2500 MERCED ST 2ND FL RM 2966 SAN LEANDRO 94577 LUCKY PHARMACY #767 1300 FAIRMONT DR SAN LEANDRO 94578 LUCKY PHARMACY #768 15840 HESPERIAN BLVD SAN LORENZO 94580 KAISER UNION CITY MAIN MOB 2 PHY #132 3553 WHIPPLE RD UNION CITY 94587 LUCKY PHARMACY #782 32300 DYER ST UNION CITY 94587 Table 6: Agreements Under Review by Pharmacies and Hospitals/Clinics with On- Site Pharmacies in Alameda County 3. 2017 GOALS Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.iii. 3.1. Take -Back Events MED-Project is working closely with Alameda County DEH to conduct take-back events in collaboration with up to 11 HHW drive-through events throughout the County in 2017. In addition, MED-Project is exploring several options for hosting take- back events at festivals and fairs throughout the coming year, including: • March – Davis Street Health Fair Event in San Leandro • April – Bay Area Earth Day Event in San Lorenzo Page 16 • July – Super Safety Saturday in Oakland • August – Tri-Valley Regional Health Fair in Livermore • September – Healthy Living Festival in Oakland Take-back event services agreements were updated to reflect changes to the revised Ordinance and will continue to be issued to LEAs that are interested in overseeing take- back events. 3.2. Kiosk Collection Sites MED-Project continues to work closely with LEAs, pharmacies, and hospitals/clinics with on-site pharmacies that are interested in becoming kiosk drop-off sites. Agreements have been distributed to 18 LEA sites and 40 pharmacies or hospitals/clinics with on-site pharmacies for review. See Tables 4 and 5 for more information. MED-Project continues to schedule kiosk installation and activation at eligible sites with signed agreements, with the goal of establishing an aggregate of approximately 100 kiosks by 2018. Pharmacies that are targeted for continued outreach as potential Collection Sites are listed in Appendix A. Additional kiosk installations are being scheduled during 2017 for Collection Site Hosts that have signed agreements in 2016 with MED-Project. Please see Table 7 for more information. SITE NAME ADDRESS CITY STATE ZIP New Oakland Pharmacy #2 388 9th St #108 Oakland CA 94607 Wellspring Pharmacy 4184 C Piedmont Ave Oakland CA 94611 Oakland Clinic Pharmacy 5220 Claremont Ave Oakland CA 94618 Midtown Pharmacy Professional Corp 2173 Harbor Bay Parkway Alameda CA 94502 Table 7: Sites With 2016 Signed Kiosk Agreements Pending Activation in 2017 3.3. Education and Public Outreach MED-Project supports kiosk drop-off sites with printed materials, including brochures and posters, as well as posted information on the website. Outreach materials, including brochures and fact sheets, will continue to be provided to sites interested in participating in the Program, as well as the following organizations, in order to further educate the community and pursue kiosk placement at eligible locations. Health Systems: Kaiser Permanente Sutter Health Page 17 Alta Bates Summit Health Care ValleyCare Health System Children’s Hospital and Research Center Alameda Health System Eden Township Healthcare District Fremont Hospital St. Rose Hospital Washington Hospital Healthcare System Health Associations: California State Board of Pharmacy The Medical Board of California California Board of Registered Nursing California Board of Vocational Nursing California Department of Health Care Services California Health and Human Services Agency Alameda County Pharmacy Association Organizations, Districts, and Agencies: Alameda County Social Services Agency Alameda County Public Health Department Municipal Utilities Districts Water Quality and Water Agencies School Districts CalRecycle Sunol Citizen’s and Advisory Council Social media websites for the MED-Project, including Facebook and Twitter, will post news and events for Alameda County residents. Events and kiosk information will also be posted to the MED-Project website as they are confirmed and available to the public. MED-Project will continue to monitor the website and call center to assure quality and customer satisfaction, and to assess the impact of outreach and education efforts. 4. COLLECTION PRACTICES Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.5. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.iv. MED-Project implemented a combination of take-back events and kiosk drop-off sites to support collection efforts in 2016. Policies and procedures for collecting, transporting, and disposing of Unwanted Products, as described in the approved Plan, were followed during the reporting period, except with respect to one circumstance described in Page 18 Section 10.2. Take-back events were conducted from March through October with 23 separate events hosted at 15 separate venues. Over 4,700 pounds in total were collected during 2016, with an average of approximately 205 pounds collected per event. Oversight was performed by five (5) Law Enforcement Agencies that had signed agreements with MED-Project. Kiosk services agreements were signed with a total of nine (9) agencies representing 14 sites, including two (2) LEAs and 12 pharmacies. Kiosk drop-off sites were implemented at LEAs and pharmacies in late 2016 with a total of ten (10) kiosk installations and activations at two (2) LEAs and eight (8) pharmacies. Kiosks were available to the public within one week of installation. MED-Project continues to capture data from take-back events and kiosk drop-off sites to evaluate performance on an ongoing basis. 5. EDUCATIONAL EFFORTS AND PUBLIC OUTREACH Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.7. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.v. MED-Project uses a combination of printed materials, online media outlets, public service announcements, and other methods, such as the call center, to increase awareness of the Program, and to educate County residents about safe and available methods for disposal of Unwanted Medicine. In late 2016 brochures (Figure 6) and posters were distributed to all active Collection Sites (Table 2), to ensure materials an information are available for residents. A primary objective of outreach efforts in 2016 was to raise awareness of the revised Ordinance and the new Program. Materials will continue to be sent to active Collection Sites, community organizations, agencies, associations, and health systems to increase awareness and recruit additional sites for potential kiosk placement. Page 19 Figure 6: MED-Project Double-Sided Brochure MED-Project developed a robust website for the Program, which was made available in 2015, and is updated periodically. The landing page for the website is at http://www.med-project.org/locations/alameda. Page 20 Figure 7: MED-Project Website Landing Page for Alameda County Brochures, frequently asked questions (FAQs), and public service announcements in video and audio form can be viewed and downloaded from the website Page 21 Figure 8: MED-Project MEDinfo Page for Alameda County A call center that provides information about drug disposal options in English and Spanish is available to Alameda County residents, businesses, organizations, and agencies at (844) MED-PROJ. Contact information is provided for current Collection Sites as well as sites interested in hosting a kiosk. Contact information for residents, pharmacies, Law Enforcement Agencies, and producers can be found at http://www.med-project.org/locations/alameda/contact. Page 22 Figure 9: MED-Project Contact Page for Alameda County MED-Project utilizes qualitative feedback as well as statistics from the website and call center to monitor and evaluate outreach and Program activities. Page 23 6. SAFETY AND SECURITY REPORT Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.6. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.vi. No safety or security incidents were identified during the collection, transport, or disposal of Unwanted Medicine during the reporting period. Page 24 7. PARTICIPATING PRODUCERS Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.1. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.i. Information on producers that participate in MED-Project is frequently provided to the Alameda County DEH, and is located in Appendix B. 8. COLLECTION POINTS 8.1. Collection Point Information Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.2. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.ii For information on Collection Sites and collected Unwanted Products by weight over the past year, please see Section 2.3. Unwanted Products were picked up for transportation one time per unique take-back event location and date specified in Table 4. Collection services at kiosk drop-off sites began after kiosk installation and activation, in January 2017. 9. MAIL-BACK PROGRAMS 9.1. Mail -Back Services Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.2. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.iii MED-Project has not implemented mail-back services in Alameda County. Page 25 10. DISPOSAL FACILITY 10.1. Disposal Facility Information Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.4. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.iv.a. The disposal facilities MED-Project used in 2016 include: Name: Covanta Stanislaus Phone: (209) 837-4423 Covanta Stanislaus disposal facility: Covanta Stanislaus 4040 Fink Rd Crows Landing, CA 95313 Name: Clean Harbors Aragonite, LLC Phone: (435) 884-8900 Clean Harbors business address: Clean Harbors Environmental 3 Miles E 7 Miles N Of Knolls Wendover, UT 84083 Clean Harbors disposal facility: Clean Harbors Aragonite 11600 N Aptus Road Aragonite, UT 84029 Name: Heritage Thermal Services Inc.4 Phone: (800) 545-7655 Heritage Thermal Services headquarters address: Heritage Environmental 7901 W Morris St. Indianapolis, IN 46231 Heritage Thermal Services disposal facility: Heritage Thermal Services 1250 Saint George Street East Liverpool, Ohio, 43920 4 Approved by Alameda County DEH on October 26, 2016 as an additional disposal facility. Page 26 10.2. Product Disposal Information Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.4. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.iv.b. The total weight of collected products incinerated at the Covanta Stanislaus disposal facility totaled 175 pounds. This amount reflects Unwanted Medicine destroyed from the March 3, 2016 and March 12, 2016 take-back events. On March 8, 2016, MED-Project informed Alameda County DEH that its designated disposal facility was closed for maintenance and that, as a result, MED-Project had reimbursed ACSO for the transportation and disposal of Unwanted Medicine from the March 3, 2016 take-back event. MED-Project requested approval from Alameda County DEH to use this same arrangement when its designated disposal facility is unavailable to accept Unwanted Medicine. Alameda County DEH approved this request in part, allowing MED-Project to use ACSO (and thus the Covanta Stanislaus facility) for the destruction of Unwanted Medicine from the March 12, 2016 take-back event. The total weight of collected products incinerated at the Clean Harbors Aragonite disposal facility in 2016 totaled 4,548 pounds. Page 27 APPENDIX A Licensed pharmacies 5 in Alameda County (excluding the City of Berkeley and Correctional Facilities) as of February 16, 2017. SITE NAME ADDRESS CITY ZIP ALAMEDA HOSPITAL 2070 CLINTON AVE ALAMEDA 94501 CVS/PHARMACY # 17657 2700 5TH ST ALAMEDA 94501 CVS/PHARMACY #9128 2314 SANTA CLARA AVE ALAMEDA 94501 CVS/PHARMACY #9250 885 ISLAND DR STE A ALAMEDA 94502 CVS/PHARMACY #9255 931 MARINA VILLAGE PKWY ALAMEDA 94501 KAISER PERMANENTE PHARMACY NO 101 2417 CENTRAL AVE ALAMEDA 94501 MIDTOWN PHARMACY PROFESSIONAL CORPORATION 2173 HARBOR BAY PARKWAY ALAMEDA 94502 SAFEWAY PHARMACY #0951 867 ISLAND DR ALAMEDA 94502 SAFEWAY PHARMACY #2708 2227 S SHORE CENTER ALAMEDA 94501 SAFEWAY PHARMACY #3281 2600 5TH ST ALAMEDA 94501 SUTTER INFUSION & PHARMACY SERVICES 1105 ATLANTIC AVE STE 102 ALAMEDA 94501 VERSAILLES PHARMACY 2801 ENCINAL AVE ALAMEDA 94501 WALGREENS #04050 1916 WEBSTER ST ALAMEDA 94501 WALGREENS #09248 2300 OTIS DRIVE ALAMEDA 94501 WALGREENS #15666 1600 PARK ST ALAMEDA 94501 CVS/PHARMACY # 17044 1057 EASTSHORE HWY ALBANY 94710 CVS/PHARMACY #09595 1382 SOLANO AVE ALBANY 94706 SAFEWAY PHARMACY #0676 1500 SOLANO AVE ALBANY 94706 CLAYWORTH HEALTHCARE PHARMACY 20353 LAKE CHABOT RD STE 101 CASTRO VALLEY 94546 CVS/PHARMACY #09904 3667 CASTRO VALLEY BLVD CASTRO VALLEY 94546 EDEN MEDICAL CENTER 20103 LAKE CHABOT RD CASTRO VALLEY 94546 RITE AID 5922 3848 CASTRO VALLEY BOULEVARD CASTRO VALLEY 94546 SAFEWAY PHARMACY #0768 20629 REDWOOD RD CASTRO VALLEY 94546 WALGREENS #00101 3382 CASTRO VALLEY BLVD CASTRO VALLEY 94546 CVS/PHARMACY # 16116 7200 AMADOR PLAZA RD DUBLIN 94568 CVS/PHARMACY # 17628 2800 DUBLIN BLVD DUBLIN 94568 CVS/PHARMACY #3024 7201 REGIONAL ST DUBLIN 94568 SAFEWAY PHARMACY #1932 4440 TASSAJARA RD DUBLIN 94568 SAFEWAY PHARMACY #1953 7499 DUBLIN BLVD DUBLIN 94568 CVS/PHARMACY # 17624 1555 40TH STREET EMERYVILLE 94608 CVS/PHARMACY #09553 4349 SAN PABLO AVENUE EMERYVILLE 94608 SAFEWAY PHARMACY #3125 3889 SAN PABLO AVE EMERYVILLE 94608 CAPSULE PHARMACY 2557 MOWRY AVE #11 FREMONT 94538 CENTRAL ADMIXTURE PHARMACY SERVICES INC 48006 FREMONT BLVD FREMONT 94538 COSTCO PHARMACY #778 43621 PACIFIC COMMONS BLVD FREMONT 94538 CVS/PHARMACY # 17592 43950 PACIFIC COMMONS BLVD FREMONT 94538 5 http://www2.dca.ca.gov/pls/wllpub/wllqryna$lcev2.startup?p_qte_code=PHX&p_qte_pgm_code=7200 Page 28 SITE NAME ADDRESS CITY ZIP CVS/PHARMACY #0331 2000 DRISCOLL RD FREMONT 94539 CVS/PHARMACY #09600 35720 FREMONT BLVD FREMONT 94536 CVS/PHARMACY #9099 4020 FREMONT HUB FREMONT 94538 CVS/PHARMACY #9234 46445 MISSION BLVD FREMONT 94539 FREMONT HOSPITAL 39001 SUNDALE DR FREMONT 94538 HALLER'S LTC PHARMACY 4067 PERALTA BLVD FREMONT 94536 HALLER'S PHARMACY AND MEDICAL SUPPLY 37323 FREMONT BLVD FREMONT 94536 JADE PHARMACY 34460 FREMONT BLVD SUITE B FREMONT 94555 KAISER FDN HSP INP PHY 16A 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER HEALTH PLAN NILES 3 PHY 164 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER HEALTH PLAN NILES PHY 161 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER HEALTH PLAN OHLONE PHY 162 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER ONCOLOGY PHARMACY #165 39400 PASEO PADRE PKWY NILES BLDG 2ND FL FREMONT 94538 LUCKY PHARMACY #711 40055 MISSION BLVD FREMONT 94539 LUCKY PHARMACY #712 34101 FREMONT BLVD FREMONT 94555 LUCKY PHARMACY #714 5000 MOWRY AVE FREMONT 94538 MOWRY MEDICAL PHARMACY 1999 MOWRY AVENUE FREMONT 94538 MOWRY PLAZA PHARMACY 668 MOWRY AVE FREMONT 94536 RALEYS PHARMACY #315 39200 PASEO PADRE PARKWAY FREMONT 94538 RITE AID 5918 3744 MOWRY AVENUE FREMONT 94538 SAFEWAY PHARMACY #0993 3902 WASHINGTON BLVD FREMONT 94538 SAFEWAY PHARMACY #1931 46848 MISSION BLVD FREMONT 94539 WALGREENS #02366 3860 DECOTO ROAD FREMONT 94555 WALGREENS #02660 41400 BLACOW RD FREMONT 94538 WALGREENS #04517 2600 MOWRY AVE FREMONT 94538 WALMART PHARMACY #10-2989 44009 OSGOOD RD FREMONT 94539 WALMART PHARMACY #10-5426 40580 ALBRAE ST FREMONT 94538 WASHINGTON HOSPITAL PHARMACY 2000 MOWRY AVENUE FREMONT 94538 CALIFORNIA STATE UNIVERSITY, EAST BAY 25800 CARLOS BEE BLVD HAYWARD 94542 CORAM CVS/SPECIALTY INFUSION SERVICES 3160 CORPORATE PLACE HAYWARD 94545 COSTCO PHARMACY #1061 28505 HESPERIAN BLVD HAYWARD 94545 CPP PET CARE 3157 CORPORATE PL HAYWARD 94545 CRESCENT HEALTHCARE 2547 BARRINGTON CT HAYWARD 94545 CVS PHARMACY #10199 26059 MISSION BLVD HAYWARD 94544 CVS/PHARMACY # 16804 2499 WHIPPLE RD HAYWARD 94544 CVS/PHARMACY # 17265 19661 HESPERIAN BLVD HAYWARD 94541 CVS/PHARMACY #0816 22501 FOOTHILL BLVD HAYWARD 94541 CVS/PHARMACY #09622 243 W JACKSON ST HAYWARD 94544 KAISER HLTH PLAN SLEEPY HOLLOW PHY 143 27303 SLEEPY HOLLOW AVENUE SOUTH HAYWARD 94545 LUCKY PHARMACY #715 22555 MISSION BLVD HAYWARD 94541 LUCKY PHARMACY #716 25151 SANTA CLARA ST HAYWARD 94544 MISSION PHARMACY 22138 MISSION BLVD HAYWARD 94541 Page 29 SITE NAME ADDRESS CITY ZIP OMNICARE OF HAYWARD 20967 CABOT BLVD HAYWARD 94545 PLEASANT CARE PHARMACY 1652 B ST HAYWARD 94541 POSTMEDS INC 31123 MISSION BLVD #201 HAYWARD 94544 RITE AID 5920 31091 MISSION BLVD HAYWARD 94544 SAFEWAY PHARMACY #0971 22280 FOOTHILLS BLVD HAYWARD 94541 SKILLED NURSING PHARMACY 21150 CABOT BLVD HAYWARD 94545 SOLEO HEALTH INC 1324 W WINTON AVE HAYWARD 94545 ST ROSE HOSPITAL PHARMACY 27200 CALAROGA AVENUE HAYWARD 94545 TEDS DRUGS 27453 HESPERIAN BLVD HAYWARD 94545 TENNYSON PHARMACY 589 WEST TENNYSON ROAD HAYWARD 94544 WALGREENS #02401 21463 FOOTHILL BLVD HAYWARD 94541 WALGREENS #04659 164 W JACKSON ST HAYWARD 94544 WALGREENS #06502 23958 HESPERIAN BLVD HAYWARD 94541 COSTCO PHARMACY #146 2800 INDEPENDENCE DRIVE LIVERMORE 94550 CVS/PHARMACY # 16275 4300 LAS POSITAS RD LIVERMORE 94551 CVS/PHARMACY #09397 4405 1ST ST LIVERMORE 94551 CVS/PHARMACY #09678 1500 1ST ST LIVERMORE 94550 KAISER FOUNDATION CPP PHARMACY 251 300 G PULLMAN STREET LIVERMORE 94550 KAISER PERMANENTE PHARMACY #241 3000 LAS POSITAS RD LIVERMORE 94550 LUCKY PHARMACY #721 2000 PORTOLA AVE LIVERMORE 94550 LUCKY PHARMACY #722 1951 HOLMES ST LIVERMORE 94550 RITE AID 5925 968 MURRIETA BLVD LIVERMORE 94550 RITE AID NO 6456 1350 N VASCO RD LIVERMORE 94551 SAFEWAY PHARMACY #1257 4495 FIRST ST LIVERMORE 94551 VALLEY MEMORIAL HOSPITAL PHARMACY 1111 EAST STANLEY BOULEVARD LIVERMORE 94550 WAL-MART PHARMACY 10-1972 2700 LAS POSITAS RD LIVERMORE 94551 WALGREENS #15163 1620 FIRST STREET LIVERMORE 94550 CVS/PHARMACY #09494 35080 NEWARK BLVD NEWARK 94560 NEWARK HALLER'S PHARMACY 6170 THORNTON AVENUE SUITE E NEWARK 94560 AHF PHARMACY 400 THIRTIETH ST STE 300 OAKLAND 94609 ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS 350 HAWTHORNE AVE OAKLAND 94609 BRADFORD PHARMACY INC. 445 8TH STREET OAKLAND 94607 CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND 747 52ND ST OAKLAND 94609 CHILDREN'S HSP MED CTR AMBULATORY CARE 744 52ND ST OAKLAND 94609 CHILDRENS CLINIC PHARMACY 747 52ND STREET OAKLAND 94609 COMMUNITY A WALGREENS PHARMACY #16477 3009 BROADWAY OAKLAND 94611 CVS/PHARMACY #09378 4100 REDWOOD RD OAKLAND 94619 CVS/PHARMACY #09929 2000 MOUNTAIN BLVD OAKLAND 94611 CVS/PHARMACY #09957 344 THOMAS L BERKLEY WAY OAKLAND 94612 CVS/PHARMACY #1283 3236 LAKESHORE AVE OAKLAND 94610 CVS/PHARMACY #8431 7200 BANCROFT AVE OAKLAND 94605 CVS/PHARMACY #9130 175 41ST ST OAKLAND 94611 Page 30 SITE NAME ADDRESS CITY ZIP CVS/PHARMACY #9226 3320 FRUITVALE AVE OAKLAND 94602 DOLPHIN HEALTH PHARMACY 7400 MACARTHUR BLVD NO A OAKLAND 94605 EAST BAY AIDS CENTER OUTPATIENT PHARMACY 3100 SUMMIT ST OAKLAND 94609 FOODMAXX PHARMACY #484 3100 EAST 9TH ST OAKLAND 94601 FRUITVALE AVENUE PHARMACY 2693 FRUITVALE AVE OAKLAND 94601 GARFIELD BEACH CVS LLC CVS/PHARMACY #10475 2964 BROADWAY OAKLAND 94611 HIGH STREET PHARMACY 4248 MACARTHUR BLVD OAKLAND 94619 HIGHLAND HOSPITAL OUTPATIENT PHARMACY 1411 EAST 31ST STREET OAKLAND 94602 HIGHLAND HOSPITAL PHARMACY 1411 EAST 31ST STREET OAKLAND 94602 INTEGRATED MEDICAL ASSOCIATES PHARMACY INC 10500 MACARTHUR BLVD #103 OAKLAND 94605 KAISER FDN HLT PLAN FABIOLA 1 PHY 115 3801 HOWE ST 1ST FLR OAKLAND 94611 KAISER FOUNDATION HOSPITAL PHARMACY #10A 275 W MACARTHUR BLVD OAKLAND 94611 KAISER HEALTH PLAN PEDIATRIC PHY 118 3505 BROADWAY OAKLAND 94611 KAISER ONCOLOGY PHARMACY #104 3701 BROADWAY FLR 3 OAKLAND 94611 KAISER PERMANENTE PHARMACY #100 3801 HOWE ST FL 3 OAKLAND 94611 KAISER PERMANENTE PHARMACY #102 3701 BROADWAY FLR 1 OAKLAND 94611 KAISER PERMANENTE PHARMACY #105 3600 BROADWAY FL 1 OAKLAND 94611 LA CLINICA DE LA RAZA 3451 E 12TH ST OAKLAND 94601 LA CLINICA DE LA RAZA, INC. 1030 INTERNATIONAL BLVD OAKLAND 94606 LIFESCRIPT PHARMACY 7700 EDGEWATER DR #220 OAKLAND 94621 LUCKY PHARMACY #736 247 E 18TH ST OAKLAND 94606 MY LAN PHARMACY 401 EAST 18TH STREET - SUITE B OAKLAND 94606 NEW CHINA TOWN PHARMACY 719 EAST 12TH STREET OAKLAND 94606 NEW OAKLAND PHARMACY 822 WEBSTER STREET OAKLAND 94607 NEW OAKLAND PHARMACY - LAKE MERRITT 250 E 18TH ST 3RD FL OAKLAND 94606 NEW OAKLAND PHARMACY #2 388 9TH ST #108 OAKLAND 94607 NEW OAKLAND PHARMACY_#1 333 9TH STREET OAKLAND 94607 NICHOLS HILL PRESCRIPTION PHARMACY 2844 SUMMIT STREET OAKLAND 94609 NORTH OAKLAND PHARMACY 5705 MARKET ST OAKLAND 94608 OAKLAND CLINIC PHARMACY 5220 CLAREMONT AVE OAKLAND 94609 PACIFIC PHARMACY 650 E. 14TH STREET OAKLAND 94606 PERALTA OUTPATIENT PHARMACY 3300 WEBSTER ST GROUND FL OAKLAND 94609 PHARMACA INTEGRATIVE PHARMACY 5729 COLLEGE AVE OAKLAND 94618 RITE AID 5952 1991 MOUNTAIN BOULEVARD OAKLAND 94611 RITE AID NO 6212 1400 BROADWAY OAKLAND 94612 ROCKFORTH PHARMACY 10500A INTERNATIONAL BLVD OAKLAND 94603 SAFEWAY PHARMACY #0908 3550 FRUITVALE AVE OAKLAND 94602 SAFEWAY PHARMACY #2870 6310 COLLEGE AVE OAKLAND 94618 SAFEWAY PHARMACY #3132 5100 BROADWAY OAKLAND 94611 VIBRANT CARE PHARMACY INC 7400 MACARTHUR BLVD STE B OAKLAND 94605 VITACARE PHARMACY 2447 TELEGRAPH AVE OAKLAND 94612 Page 31 SITE NAME ADDRESS CITY ZIP WALGREENS #01536 3434 HIGH STREET OAKLAND 94619 WALGREENS #01537 3232 FOOTHILL BLVD OAKLAND 94601 WALGREENS #01625 5055 TELEGRAPH AVE OAKLAND 94609 WALGREENS #03170 3400 TELEGRAPH AVE OAKLAND 94609 WALGREENS #03295 8102 INTERNATIONAL BLVD OAKLAND 94621 WALGREENS #10526 3250 LAKESHORE AVE SUITE B OAKLAND 94610 WALGREENS #11706 301 EAST 18TH STREET OAKLAND 94606 WALGREENS #13595 1333 BROADWAY OAKLAND 94612 WELLSPRING PHARMACY 4184 C PIEDMONT AVE OAKLAND 94611 WEST OAKLAND HEALTH CENTER PHARM 700 ADELINE ST OAKLAND 94607 CVS/PHARMACY #10119 6750 BERNAL AVE PLEASANTON 94566 CVS/PHARMACY #9251 3999 SANTA RITA ROAD PLEASANTON 94588 KAISER FOUNDATION HOSPITAL PHY #47B 7601 STONERIDGE DR RM 218 PLEASANTON 94588 KAISER HEALTH PLAN NORTH 1 PHY 473 5600 STONERIDGE MALL ROAD PLEASANTON 94588 KAISER HEALTH PLAN SOUTH 1 PHY 471 7601 STONERIDGE DRIVE PLEASANTON 94588 KAISER HEALTH PLAN SOUTH 2 PHY 472 7601 STONERIDGE DR PLEASANTON 94588 LUCKY PHARMACY #744 6155 W LAS POSITAS BLVD PLEASANTON 94588 PLEASANTON CUSTOM CARE PHARMACY 4271 FIRST ST PLEASANTON 94566 RALEYS PHARMACY #316 5420 SUNOL BLVD. PLEASANTON 94566 RITE AID 5944 2819 HOPYARD ROAD PLEASANTON 94588 SAFEWAY PHARMACY #2856 6790 BERNAL AVE PLEASANTON 94566 STONERIDGE PROFESSIONAL PHARMACY 5720 STONERIDGE MALL RD STE 150 PLEASANTON 94588 VALLEY CARE MEDICAL CENTER PHARMACY 5555 WEST LAS POSITAS PLEASANTON 94588 WAL-MART PHARMACY 10-5611 3112 SANTA RITA RD PLEASANTON 94566 WALGREENS #02150 1763 SANTA RITA RD PLEASANTON 94566 WALMART PHARMACY 10 2161 4501 ROSEWOOD DRIVE PLEASANTON 94588 ALAMEDA PHARMACY LLC 1555 DOOLITTLE DRIVE #160 SAN LEANDRO 94577 COSTCO PHARMACY 118 1900 DAVIS STREET SAN LEANDRO 94577 CVS/PHARMACY # 16764 15555 E 14TH ST STE 400 SAN LEANDRO 94578 CVS/PHARMACY #0414 14869 E 14TH ST SAN LEANDRO 94578 CVS/PHARMACY #09635 1550 E 14TH STREET SAN LEANDRO 94577 CVS/PHARMACY #09876 699 LEWELLING BLVD SAN LEANDRO 94579 CVS/PHARMACY #09942 1401 WASHINGTON AVE SAN LEANDRO 94577 FAIRMONT HOSPITAL PHARMACY 15400 FOOTHILL BOULEVARD SAN LEANDRO 94578 JOHN GEORGE PSYCHIATRIC PAVILION PHY 2060 FAIRMONT DRIVE SAN LEANDRO 94578 KAISER FOUNDATION HOSPITAL PHARMACY #92A 2500 MERCED ST HOSPITAL BLDG SAN LEANDRO 94577 KAISER PERMANENTE PHARMACY #921 2500 MERCED ST FL 1 SAN LEANDRO 94577 KAISER PERMANENTE PHARMACY #922 2500 MERCED ST 2ND FL RM 2966 SAN LEANDRO 94577 KINDRED HSP-SAN FRANCISCO BAY 2800 BENEDICT DR SAN LEANDRO 94577 LUCKY PHARMACY #767 1300 FAIRMONT DR SAN LEANDRO 94578 MEDICAL ARTS PHARMACY 13847 E 14TH STREET SAN LEANDRO 94578 RITE AID 5937 1355 MAC ARTHUR BOULEVARD SAN LEANDRO 94577 Page 32 SITE NAME ADDRESS CITY ZIP SAN LEANDRO HOSPITAL 13855 EAST 14TH ST SAN LEANDRO 94578 WAL-MART PHARMACY 10-5434 15555 HESPERIAN BLVD SAN LEANDRO 94579 WALGREENS #02426 15500 WASHINGTON AVE SAN LEANDRO 94579 WALGREENS #03032 15850 E 14TH STREET SAN LEANDRO 94578 WALGREENS #07274 1456 136TH AVE SAN LEANDRO 94578 WALMART PHARMACY NO 10 2648 1919 DAVIS STREET SAN LEANDRO 94577 LUCKY PHARMACY #768 15840 HESPERIAN BLVD SAN LORENZO 94580 ENTIRELYPETS PHARMACY 34571 SEVENTH ST UNION CITY 94587 KAISER UNION CITY MAIN MOB 2 PHY #132 3553 WHIPPLE RD UNION CITY 94587 LUCKY PHARMACY #782 32300 DYER ST UNION CITY 94587 MASONIC HOME PHARMACY 34400 MISSION BLVD UNION CITY 94587 NEW TIBURCIO VASQUEZ HEALTH CENTER PHY 33255 9TH STREET UNION CITY 94587 PHARMERICA 32980 ALVARADO-NILES RD STE 836 UNION CITY 94587 RITE AID 5942 31836 ALVARADO BLVD UNION CITY 94587 RITE AID 5943 1650 DECOTO ROAD UNION CITY 94587 SAFEWAY PHARMACY #1197 1790 DECOTO RD UNION CITY 94587 WAL MART PHARMACY 10 2031 30600 DYER STREET UNION CITY 94587 Page 33 APPENDIX B The Participants in the MED-Project in Alameda County are provided to Alameda County DEH on an ongoing basis. The list below was last submitted to Alameda County DEH on February 9, 2017. COMPANY PARENT COMPANY PARENT ADDRESS 1 PARENT ADDRESS 2 PARENT CITY PARENT STATE PARENT ZIP PARENT COUNTY 3M Corporation 3M Corporation 3M Center 275- 5W-06 Saint Paul MN 55144 United States 3M Critical and Chronic Care 3M Corporation 3M Center 275- 5W-06 Saint Paul MN 55144 United States 3M Drug Delivery Systems 3M Corporation 3M Center 275-3E-02 St. Paul MN 55144 United States 3M Infection Prevention 3M Corporation 3M Center 275-3E-02 St. Paul MN 55144 United States 3M Oral Care 3M Corporation 3M Center 275-2W-08 St. Paul MN 55144 United States AbbVie Inc. AbbVie Inc. 1 North Waukegan Road North Chicago IL 60064 United States Pharmacyclics, subsidiary of AbbVie Inc. AbbVie Inc. 999 East Arques Avenue Sunnyvale CA 94085 United States ACADIA Pharmaceuticals Inc. ACADIA Pharmaceuticals Inc. 3611 Valley Centre Drive, Suite 300 San Diego CA 92130 United States Accord Healthcare Inc. Accord Healthcare Inc. 1009 Slater Road Suite 210-B Durham NC 27703 United States Acorda Therapeutics, Inc. Acorda Therapeutics, Inc. 420 Saw Mill River Road Ardsley NY 10502 United States Acorda Therapeutics, Inc. Acorda Therapeutics, Inc. 420 Saw Mill River Road Ardsley NY 10502 United States Civitas Therapeutics, Inc. Acorda Therapeutics, Inc. 420 Saw Mill River Road Ardsley NY 10502 United States Page 34 COMPANY PARENT COMPANY PARENT ADDRESS 1 PARENT ADDRESS 2 PARENT CITY PARENT STATE PARENT ZIP PARENT COUNTY Actelion Pharmaceuticals US, Inc. Actelion Pharmaceuticals US, Inc. 5000 Shoreline Court, Suite 200 South San Francisco CA 94080 United States Ceptaris Therapeutics, LLC Actelion Pharmaceuticals US, Inc. 5000 Shoreline Court Suite 200 South San Francisco CA 94080 United States CoTherix, Inc. Actelion Pharmaceuticals US, Inc. 5000 Shoreline Court Suite 200 South San Francisco CA 94080 United States Aegerion Pharmaceuticals, Inc. Aegerion Pharmaceuticals, Inc. One Main Street Ste. 800 Cambridge MA 02142 United States Afaxys Inc. Afaxys Inc. PO Box 20639 Charleston SC 29413 United States Afaxys Pharmaceuticals (a division of Afaxys Inc.) Afaxys Inc. PO Box 20639 Charleston SC 29413 United States Akorn, Inc. Akorn, Inc. 1925 West Field Court Suite 300 Lake Forest IL 60045 United States Advanced Vision Research Inc. d.b.a. Akorn Consumer Health Akorn, Inc. C/O Akorn, Inc. 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Akorn Animal Health, Inc. Akorn, Inc. C/O Akorn, Inc 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Clover Pharmaceuticals Corp. Akorn, Inc. C/O Akorn, Inc. 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Hi-Tech Pharmacal Co., Inc. Akorn, Inc. 369 Bayview Avenue Amityville NY 11701 United States Oak Pharmaceuticals, Inc. Akorn, Inc. C/O Akorn, Inc. 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Olta Pharmaceuticals Corp. Akorn, Inc. C/O Akorn, Inc. 1925 West Field Court Suite 300 Lake Forest IL 60045 United States Page 35 COMPANY PARENT COMPANY PARENT ADDRESS 1 PARENT ADDRESS 2 PARENT CITY PARENT STATE PARENT ZIP PARENT COUNTY Versapharm, Incorporated Akorn, Inc. C/O Akorn, Inc. 1925 West Field Court,Suite 300 Lake Forest IL 60045 United States Akrimax Pharmaceuticals, LLC Akrimax Pharmaceuticals, LLC 11 Commerce Drive First Floor Cranford NJ 07016 United States Allergan, Inc. Allergan, Inc. 400 Interpace Pkwy Bldg D Parsippany NJ 07054 United States Actavis Pharma, Inc. (only for labeler code 52544) Allergan, Inc. 400 Interpace Pkwy Bldg A Parsippany NJ 07054 United States Allergan Sales LLC Allergan, Inc. 400 Interpace Pkwy Bldg D Parsippany NJ 07054 United States Allergan USA, Inc. Allergan, Inc. 400 Interpace Pkwy Bldg D Parsippany NJ 07054 United States Aptalis Pharma US Inc Allergan, Inc. 400 Interpace Pkwy Bldg D Parsippany NJ 07054 United States Durata Therapeutics US Limited Allergan, Inc. c/o Durata Therapeautics, Inc. 200 S. Wacker Drive, Suite 2550 Chicago IL 60606 United States Forest Laboratories LLC (formerly Inc.) Allergan, Inc. Corporation Trust Centre 1209 Orange St Wilmington New Castle DE 19801 United States Pacific Pharma, Inc. Allergan, Inc. 400 Interpace Pkwy Bldg D Parsippany NJ 07054 United States Warner Chilcott (US), LLC Allergan, Inc. 400 Interpace Pkwy Bldg D Parsippany NJ 07054 United States Watson Laboratories Inc. (only for labeler code 52544) Allergan, Inc. 400 Interpace Pkwy Bldg A Parsippany NJ 07054 United States Alva-Amco Pharmacal Companies, Inc. Alva-Amco Pharmacal Companies, Inc. 7711 N Merrimac Avenue Niles IL 60714- 3423 United States AMAG Pharmaceuticals, Inc. AMAG Pharmaceuticals, Inc. 1100 Winter Street Waltham MA 02451 United States Page 36 COMPANY PARENT COMPANY PARENT ADDRESS 1 PARENT ADDRESS 2 PARENT CITY PARENT STATE PARENT ZIP PARENT COUNTY AMAG Pharma USA, Inc. AMAG Pharmaceuticals, Inc. 1100 Winter Street Suite 3000 Waltham MA 02451 United States Amarin Pharma, Inc. Amarin Pharma, Inc. 1430 Rt. 206 Bedminster NJ 07921 United States Amarin Corp Amarin Pharma, Inc. 1430 Rt. 206 Bedminster NJ 07921 United States Amarin Corp. PLC Amarin Pharma, Inc. 1430 Rt. 206 Bedminster NJ 07921 United States Amarin Pharmaceuticals Ireland Ltd. Amarin Pharma, Inc. 1430 Route 206 Bedminster NJ 07921 United States Kowa Pharmaceuticals America Amarin Pharma, Inc. 530 Industrial Park Boulevard Montgomery AL 36117 United States Amerisource Health Services Corporation DBA: American Health Packaging Amerisource Health Services Corporation DBA: American Health Packaging 2550-A John Glenn Avenue Columbus OH 43217 United States Amgen Inc. Amgen Inc. One Amgen Center Drive Thousand Oaks CA 91320 United States Amgen USA Amgen Inc. One Amgen Center Drive Thousand Oaks CA 91320 United States Immunex Corporation Amgen Inc. One Amgen Center Drive Thousand Oaks CA 91320 United States Onyx Pharmaceuticals Amgen Inc. 249 N. Grand Avenue South San Francisco CA 94080 United States Amneal Pharmaceuticals LLC Amneal Pharmaceuticals LLC 400 Crossing Boulevard Third Floor Bridgewater NJ 08807 United States Apotex Holdings, Inc. Apotex Holdings, Inc. 150 Signet Drive Toronto Ontario M9L 1T9 Canada ApoPharma USA, Inc. Apotex Holdings, Inc. 2400 N. Commerce Parkway Suite 400 Weston FL 33326 United States Apotex Corp. Apotex Holdings, Inc. 2400 N. Commerce Parkway Suite 400 Weston FL 33326 United States Page 37 COMPANY PARENT COMPANY PARENT ADDRESS 1 PARENT ADDRESS 2 PARENT CITY PARENT STATE PARENT ZIP PARENT COUNTY Aveva Drug Delivery Systems, Inc. Apotex Holdings, Inc. 2400 N. 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