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HomeMy WebLinkAboutalamedamed-project2015annualreport-w-producer-list-archive Page 1 2015 ALAMEDA MED-PROJECT ANNUAL REPORT Prepared By: Alameda MED-Project, LLC Submitted To: Alameda County, Department of Environmental Health Date: February 29, 2016 Page 2 TABLE OF CONTENTS 1. EXECUTIVE SUMMARY .............................................................................................. 3 2. REPORTING ON GOALS IN 2015 ............................................................................. 4 2.1. Collection Goals .......................................................................................................... 4 2.2. Education and Public Outreach Goals .................................................................... 6 2.3. Regulatory Outreach Goals ....................................................................................... 7 2.4. Take-Back Events ........................................................................................................ 7 2.5. The Collection System ............................................................................................... 9 3. FUTURE GOALS FOR 2016 ........................................................................................ 12 3.1. Take-Back Events ...................................................................................................... 12 3.2. Kiosk Collection Sites ............................................................................................... 14 3.3. Education and Public Outreach .............................................................................. 14 4. COLLECTION PRACTICES ...................................................................................... 16 5. EDUCATIONAL EFFORTS AND PUBLIC OUTREACH .................................... 16 6. SAFETY AND SECURITY REPORT ........................................................................ 21 7. PARTICIPATING PRODUCERS .............................................................................. 22 8. DISPOSAL FACILITY ................................................................................................. 22 8.1. Disposal Facility Information ................................................................................. 22 8.2. Product Disposal Information ................................................................................ 22 APPENDIX A ....................................................................................................................... 23 APPENDIX B ........................................................................................................................ 24 APPENDIX C ....................................................................................................................... 27 APPENDIX D ....................................................................................................................... 33 Page 3 REPORT NARRATIVE 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. The Alameda County Safe Drug Disposal Ordinance (Ordinance) requires pharmaceutical producers to prepare and submit an annual written report describing their activities to comply with Health and Safety Code Section 6.53.080 and the Alameda County Safe Drug Disposal Regulations (Regulations) Section 15. Alameda MED-Project LLC (Alameda MED-Project) submits this 2015 Alameda 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 approved by the Alameda County, Department of Environmental Health (Alameda County DEH) on February 25, 2015. Accordingly, this Report covers the time period of February 25, 2015 through December 31, 2015. Alameda MED-Project began implementation of the Product Stewardship Program (Program) after the Plan approval date. In keeping with the Plan, Alameda MED-Project is implementing the Program in phases. During 2015, priority was given to developing a sustainable foundation that will allow the Program to expand and grow. This initial phase included establishing new relationships with potential Collection Sites, planning and conducting a first-ever take-back event, performing educational and outreach efforts, developing and enhancing agreements with vendors, LEAs, and pharmacies, developing procedures and informational materials, and monitoring performance to ensure continuous improvement. Kiosk Collection Sites will be established with interested law enforcement agencies and pharmacies that meet all local, state, and federal requirements and subsequently sign agreements with Alameda MED-Project. In addition, outreach and educational efforts include a combination of printed materials (such as signs and brochures), online media (such as the website), video and audio messaging (such as public service announcements) and a call center. The ultimate goal of the Program is to provide county residents with convenient, safe, and accessible methods to dispose of Unwanted Medicine. After approval of the Plan, agreements and contracts were finalized with vendors and other Program participants. In addition, all LEA kiosk Collection Sites identified to Page 4 participate in the first year of the Program were contacted, and a take-back event date and site were established. Several communication and educational tools were put in place, including the website and toolkit. During March of 2015, a point of contact was established at each identified law enforcement agency, and agreements and contracts for kiosk placement and take-back events were distributed in December 2015. Alameda MED-Project continues to communicate with each Collection Site Host, answer questions, gain feedback, and further improve outreach materials, agreements, procedures, and the overall Program design. The Program is continuously monitored and adjustments are made to streamline and simplify processes, as described in the rest of this report. This includes refining informational and educational materials, procedures, and protocols. These efforts improve the Program’s sustainability, and its ability to expand to meet goals effectively and efficiently. 2. REPORTING ON GOALS IN 2015 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 Short-term collection goals, as outlined in the approved Plan, included the placement of approximately 20 kiosks in LEAs, with a goal of installing three kiosks within the first 90 days of implementation, and 12 take-back events, with a goal of conducting the first take-back event within the first 30 days of implementation. In 2015, these goals were not met due to unanticipated delays associated with the establishing of agreements with law enforcement for kiosk collection and take-back events. Agreements to support take-back events were drafted for LEAs shortly after the Plan was approved. Initial agreements were then distributed to the San Leandro and Union City Police Departments in March 2015 in anticipation of a household hazardous waste (HHW) event in late March and a recycling event in early April. Alameda MED-Project was then directed to the Alameda County Sheriff’s Office (ACSO) by both agencies and the agreements were subsequently sent to the ACSO for further review in early April 2015. In April, Alameda MED-Project put take-back agreements with other agencies on hold in order to finalize the agreement with the ACSO, and to establish a standardized approach for agreements going forward. After several discussions with the ACSO and Alameda County Counsel (County Counsel), the take-back agreement was put on the agenda for review by the Alameda Page 5 County Board of Supervisors in July 2015. The ACSO take-back agreement was subsequently approved by the Board of Supervisors on July 28, 2015 (see Appendix A), and the first take-back event was conducted on August 8, 2015. Following the first event, procedural issues were raised by the ACSO to the Alameda MED-Project, and participation in events was further delayed in order to address these issues. Discussions with the ACSO and County Counsel from early September through mid-November 2015 resulted in updates to take-back event operating procedures that will streamline and standardize future events. For more information about this topic, please refer to Section 6. A kiosk collection agreement was also distributed to the ACSO and County Counsel for review in early April 2015. After reaching agreement on the approach to take-back events in November 2015, County Counsel resumed its review of the kiosk collection agreement in late 2015. Based on past experience and challenges associated with finalizing agreements, Alameda MED-Project has adjusted this process in several ways. In order to streamline and accelerate the agreement review process, Alameda MED-Project worked closely with the ACSO to create a template agreement for take-back events that addresses all concerns raised to date. The new template agreement includes additional clarity regarding the handling of materials at events, and reduces the number of review cycles by using one agreement for multiple future events. Kiosk agreements were similarly updated and refined. Collection Sites and LEAs vary widely in their process of agreement review, leading to unpredictable durations and lead times to gain signatures and completed agreements. In an effort to streamline this process and reduce review cycle times, Alameda MED- Project created email templates for frequently asked questions related to kiosk specifications, take-back events, and agreements, and distributes this information to sites upon request. Alameda MED-Project plans to double take-back efforts in 2016 and conduct 24 or more take-back events by hosting events at interested Collection Sites, collaborating with Household Hazardous Waste events, and participating at larger fairs and festivals. For more information about this effort, please see Section 3. Alameda MED-Project intends to increase kiosk placement in 2016 by working with all LEAs that express interest in participating in the Program, and by reaching out to all licensed pharmacies and health systems to assess interest in participating as a Collection Site, with the goal of establishing approximately 100 kiosks by the end of 2017. For more information about this effort, please see Sections 3 and 5. Page 6 2.2. Education and Public Outreach Goals Short-term education and public outreach goals, as outlined in the approved Plan, included the development of baseline statistics for the call center and website, the number of media outlets receiving a press advisory, the percentage of community centers reached, and the number of messages to MED-Project returned within a pre- determined time frame. MED-Project generated these baseline statistics in 2015. Call volume to the call center at baseline was less than five calls per month, with a goal of increasing call volume as the volume of events and kiosk placements increase. All callers that left a voice message were contacted by the call center by the following business day. Website statistics at baseline included a total of 80 new users spending an average of 2.5 minutes on the website, viewing an average of three web pages per visit. By increasing outreach through distribution of brochures and surveys by mail, the placement of brochures and signage at Collection Sites, and advertising prior to take-back events, Alameda MED-Project expects to increase online traffic. The Alameda MED-Project website (www.med-project.org/alameda) went live on March 27, 2015 and includes information about the Program, the text of public service announcements (PSAs), a set of FAQs, a printable brochure, and a tool residents can use to locate take-back events and kiosk Collection Sites. Website page views and unique visitor information captured during this phase will be used to establish a baseline by which usage can be measured as the number of events and Collection Sites increases. The radio and TV PSAs were posted on the website in August 2015, and were available to all members of the community for viewing, download, and reuse. The PSAs can be adjusted and used for radio and TV spots based on the requirements of each media outlet. The toll-free number for the call center was available within the first 30 days after the Plan was approved, and is available in both English and Spanish. Messages left on the voicemail are returned within 24 hours per the approved Plan. LEAs were contacted by phone or email, and brochures were distributed by mail in April 2015 to inform these potential Collection Sites of the new Program (see Table 1 for a listing of LEAs that were contacted). Brochures continue to be distributed to pharmacies, health systems, and community organizations in order to broaden outreach, increase call center and website statistics, and develop interest in participation as a Collection Site. For more information regarding outreach, see Sections 3 and 5. Recent feedback about the website and call center raised concerns regarding download and routing issues, which were subsequently corrected. As a result of this feedback, the website now undergoes weekly quality assurance testing to ensure navigation, content, Page 7 links, and downloads are functioning properly, and the call center also undergoes weekly quality assurance testing to ensure scripts, navigation, call routing, and call attendants are following procedures as outlined in the Plan. Alameda MED-Project will continue to review performance and revise processes, systems, and agreements as needed to improve the infrastructure, quality, efficiency, and sustainability of the Program, and to ensure alignment with county, state, and federal laws and requirements. 2.3. Regulatory Outreach Goals Short-term regulatory outreach goals, as outlined in the approved Plan, included contacting members of the classes of potential collector entities identified, inviting them to participate in the Plan based on relevant template agreements, and setting targets based on identities of classes of collectors. As described in Sections 2 and 5, Alameda MED-Project distributed brochures to all targeted LEAs in April 2015. Section 3 describes Alameda MED-Project’s distribution of brochures promoting the Plan to pharmacies and public health facilities in February 2016. Pharmacies also received surveys at that time. As described in Section 2.1, take- back event contracts were distributed to LEAs in March and April 2015. LEA and pharmacy kiosk collection site agreements were distributed in December 2015 and again in February 2016 to comply with the revised Ordinance.. 2.4. Take-Back Events Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.2. and A.4. The first take-back event facilitated by the Alameda MED-Project was hosted in Castro Valley at Canyon Middle School (19600 Cull Canyon Road) from 8:00 AM to 2:00 PM on August 8, 2015, where approximately 289 residents dropped off 336.2 pounds of Unwanted Medicine. The take-back event was part of a larger recycling event where other materials were collected separately. Advertising for the event is shown in the flyer below, and was performed by the Castro Valley Sanitary District. Page 8 Figure 1: Take-Back Day Promotional Brochure Additional marketing by Alameda MED-Project was not performed at the request of Alameda County DEH out of concern that the event would likely exceed capacity. Page 9 As previously described, procedural concerns at the event were identified by the ACSO, and communicated to the Alameda MED-Project. As a result, Alameda MED-Project held a meeting with the ACSO and County Counsel on September 3, 2015 to discuss policies and procedures. After further review, Alameda MED-Project, ACSO, and County Counsel came to agreement on November 16, 2015 about procedures going forward. The take-back event agreement and operating procedures were then modified to reflect the outcome of these discussions, and are continually refined to ensure alignment with the Ordinance, Regulations, the Plan, and other contracts and agreements. For more information, see Sections 4 and 6 of this report. 2.5. The Collection System Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.3. The Alameda MED-Project safe drug disposal collection system places emphasis on Collection Sites at LEAs and pharmacies to best serve county residents. This is complicated by the broad geography and diverse demographics of Alameda County. In April 2015, approximately 20 law enforcement agency sites (Table 1) were contacted by phone as potential Collection Sites, with the aim of improving access for all county residents. Figure 2: Map of Targeted LEA Sites in Alameda County1 1 http://www.acgov.org/aceh/safedisposal/documents/Alameda_MED-Project_APPROVED_PLAN_as_amended_2-23-2015.pdf Page 10 In December 2015, kiosk collection agreements were distributed to law enforcement agencies in 23 locations. The location of each site and the status of the agreements are outlined in the table below. Agreements 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. LAW ENFORCEMENT AGENCY PENDING REVIEW REVIEW FINAL REVIEW Alameda County Sheriff’s Office (ACSO) 1401 Lakeside Drive Oakland, CA 94612 X Alameda Police Department 1555 Oak Street Alameda, CA 94501 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 Page 11 LAW ENFORCEMENT AGENCY PENDING REVIEW REVIEW FINAL REVIEW 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 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 Oakland Housing Authority (OHA) Police Department 1180 25th Avenue Oakland, CA 94601 X Oakland Unified School District (OUSD) Police Services 1000 Broadway Oakland, CA 94607 X Piedmont Police Department 403 Highland Avenue Piedmont, CA 94611 X Pleasanton Police Department 4833 Bernal Avenue Pleasanton, CA 94566 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 1: Status of LEA Agreements in Alameda County Page 12 3. FUTURE GOALS FOR 2016 Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.iii. 3.1. Take-Back Events Alameda MED-Project is exploring opportunities with several Alameda County health systems in 2016, including Eden Hospital, Washington Hospital Health System (WHHS) and the Alameda Health System (AHS), to conduct one-day take-back events in multiple locations where residents can drop off their Unwanted Medicine. Such events would be held indoors, eliminating problems associated with bad weather, and would enable Alameda MED-Project to promote multi-site take-back days across the county. Conducting indoor multi-site one-day take-back events (which can be offered at any time of the year) would enhance the Program's ability to reach the community more broadly through multiple media channels including radio, television, online, and though printed material. The sites targeted for upcoming one-day multi-site take-back events include: Eden Medical Center 20103 Lake Chabot Road Castro Valley, CA 94546 Washington Hospital 2000 Mowry Ave. Fremont, CA 94538 Washington East 1900 Mowry Ave. Fremont, CA 94538 Washington West 2500 Mowry Ave Fremont, CA 94538 Washington Township Medical Group 33077 Alvarado Niles Road Union City, CA 94587 Washington Township Medical Group at Newark 35500 Dumbarton Court Newark, CA 94560 Washington Township Medical Group at Warm Springs 46690 Mohave Drive Fremont, CA 94539 Page 13 Alameda Hospital 2070 Clinton Ave. Alameda, CA 94501 Eastmont Wellness 6955 Foothill Blvd., Suite 200 Oakland, CA. 94605 Fairmont Hospital 15400 Foothill Blvd. San Leandro, CA. 94578 Hayward Wellness 664 Southland Mall Hayward, CA 94545 Highland Hospital & Highland Wellness 1411 East 31st Street Oakland, CA. 94602 John George Psychiatric Hospital 2060 Fairmont Drive San Leandro, CA. 94578 Newark Wellness 6066 Civic Terrace Avenue Newark, CA 94560 San Leandro Hospital 13855 East 14th St. San Leandro, CA 94578 In addition, Alameda MED-Project will collaborate with local agencies to facilitate take- back events at larger HHW and recycling events, as well as at fairs and festivals. Scheduling is underway, with the following events targeted for 2016: March 3, 2016 – Eastmont Wellness Center Event in Oakland March 12, 2016 – Davis Street Health Fair Event in San Leandro April 2016 – Multi-site Health System Event in Alameda County April 22, 2016 – Bay Area Earth Day Events in Alameda County May 1, 2016 – Pleasanton HHW Event May 15, 2016 – San Leandro HHW Event June 18, 2016 – Alameda County Fair in Pleasanton June 19, 2016 – Albany HHW Event Page 14 June 25, 2016 – Alameda County Fair in Pleasanton July 2, 2016 – Alameda County Fair in Pleasanton July 17, 2016 – Alameda HHW Event July 23, 2016 – Super Safety Saturday in Oakland August 13, 2016 – Castro Valley HHW Event August 2016 – Multi-site Health System Event in Alameda County September 17, 2016 – Tri-CED Union City HHW Event October 9, 2016 – Albany HHW Event Tentative – Healthy Living Festival in Oakland Tentative – Tri-Valley Regional Health Fair in Livermore Take-back agreements have been updated to reflect changes to the Ordinance as approved by the Board of Supervisors on February 2, 20162, and the first of these agreements was issued to the ACSO on February 23, 2016. The agreement is on the March 1. 2016 agenda for the Alameda County Board of Supervisors.3 3.2. Kiosk Collection Sites Alameda MED-Project distributed contracts for LEA kiosk collection sites in December 2015. With changes to the Ordinance that were approved by the Alameda County Board of Supervisors on February 2, 2016, updates to kiosk agreements were also required and the agreements were reissued to 20 LEAs on February 25, 2016, and to six interested pharmacies on March 1, 2016. Priority will be given to interested LEAs and pharmacies, as well as to qualifying sites that currently participate in safe drug disposal programs.4 In 2016 and 2017, Alameda MED-Project will target placement of 100 ore more kiosks at qualifying and interested LEAs, pharmacies, and health systems across Alameda County to offer convenient disposal methods for county residents. 3.3. Education and Public Outreach Alameda MED-Project reached out to pharmacies again in early 2016, issuing outreach letters, surveys, and brochures by mail on February 19, 2016 to determine their interest in participating in the Program as Collection Sites (see Appendix B). The pharmacies that received educational materials, an outreach letter, and a participation survey questionnaire are listed in Appendix C. Site assessments will be conducted by phone and/or in-person for pharmacies that express interest in participating in the Program. A Fact Sheet describing kiosk specifications is under development and will be distributed to all interested Collection Sites beginning in March 2016. Outreach materials will be provided to the following organizations in March 2016 to further extend community education, and to pursue one-day take-back events and kiosk placement at qualifying locations. 2 http://www.acgov.org/aceh/safedisposal/documents/SDDRevisedOrdinance_Final_02-02-2016.pdf 3 http://www.acgov.org/agenda_minutes_app/board/bos_calendar/ag_min.jsp 4 http://www.acgov.org/aceh/safedisposal/ Page 15 Health Systems: Kaiser Permanente Sutter Health 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 A Fact Sheet describing take-back event operations and logistics, along with a brief description of roles and responsibilities, is under development and will be distributed to all interested Collection Site Hosts in March 2016. Social media websites for the Alameda MED-Project, including Facebook and Twitter, will be released in March 2016 to increase online access for Alameda County residents. And in early April 2016, news and press releases will be released prior to the one-day multi-site take-back event through radio, television and online venues. Events and kiosk information will be posted to the www.med-project.org/alameda website as they are scheduled and confirmed. Page 16 Alameda MED-Project will continue to monitor the website and call center to assure quality, and to assess the impact of outreach and education efforts. The data collected will be compared to baseline data as part of the Alameda MED-Project’s commitment to continuous improvement. 4. COLLECTION PRACTICES Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.iv. Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.5. Available documents appear to indicate that Stericycle collected 336.2 pounds of material at the August 8, 2015 take-back event and facilitated the destruction of 328 pounds of this material at the Clean Harbors Aragonite hazardous waste disposal facility on February 23, 2016. These apparent deviations are within a reasonable margin of error. MED-Project will supplement this Report with any relevant additional information it identifies regarding the collection, transport, and disposal of material from the event. Public advertising surrounding the event indicated that controlled substances would not be accepted. To the extent that any controlled substances were collected, however, the transportation and delay in disposal of the collected materials would not meet MED-Project’s requirement that all collection, transport, and disposal requirements of the DEA Rule be met by its vendors. In addition to any counter measures identified by the investigation and to ensure collection and disposal methods meet all applicable legal requirements, MED-Project will, in conjunction with changes necessitated by the recently adopted modifications to the Alameda County Ordinance, which expand the type of materials regulated under the Ordinance, revisit all agreements and standard operating procedures with Stericycle. Participation in the Program by vendors and Collection Sites requires executed agreements. In addition, policies and procedures are in place to ensure that collection, transport, and disposal of Unwanted Medicine are conducted according to the approved Plan. Each site that volunteers to participate in Unwanted Medicine collection by hosting a kiosk is required to sign a kiosk collection agreement prior to installation. 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. Alameda MED-Project uses a combination of printed materials, online media outlets, public service announcements, and other methods such as the call center to expand Page 17 awareness of the Program, and to educate county residents about safe and available methods for disposal of Unwanted Medicine. In April 2015, brochures (Figure 3) were distributed to all targeted LEA Collection Sites (Table 1), and to pharmacies (Appendix C) and health systems (Section 3.3) in February 2016, including sites that supported Unwanted Medicine disposal by residents prior to approval of the Plan, including: • Haller's Pharmacy & Med Supply, 37323 Fremont Boulevard, Fremont • Washington Hospital Main Lobby, 2000 Mowry Avenue, Fremont • Washington Township Medical Group, 33077 Alvarado Niles Road, Union City • Haller's Pharmacy Newark, 6170 Thornton Avenue, Newark • Washington Township Medical Group at Newark, 35500 Dumbarton Court, Newark • Washington Township Medical Group at Warm Springs, 46690 Mohave Drive, Newark • Peralta Outpatient Pharmacy, 3300 Webster Street, Oakland Page 18 A primary objective of outreach efforts in 2015 was to raise awareness of the Ordinance and the new Program. In February 2016, surveys (Appendix B) were sent to all licensed pharmacies in Alameda County (Appendix C) to assess interest in participating in the Program. Figure 3: MED-Project Double-Sided Brochure Page 19 Alameda MED-Project developed a robust website for the Program, which was made available on March 27, 2015 at www.med-project.org/alameda. Figure 4: Alameda MED-Project Website Landing Page Page 20 Brochures, frequently asked questions (FAQs), and public service announcements in video and audio form can be viewed and downloaded from the website. Figure 5: Alameda MED-Project MEDinfo Page A call center that provides information about drug disposal options in English and Spanish is also available for Alameda County residents, businesses, organizations, and agencies at (844) MED-PROJ. Outreach activities are evaluated by capturing and analyzing data from the website and call center and comparing to baseline. During upcoming outreach campaigns, statistics will be compared against baseline to assess online and call center activity. For information on baseline statistics, please see Section 2. Page 21 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. However, ACSO raised procedural issues regarding take-back event collection with Alameda MED-Project after the August 8, 2015 event. These involved a dispute over the interpretation of the take-back agreement between Alameda MED-Project and ACSO regarding Alameda MED-Project’s ability to screen certain materials from collection that did not meet the definition of a Covered Drug (i.e., non-prescription drugs) under Alameda Health & Safety Code, Chapter 6.53.030(3). After the August 8, 2015 take-back event, ACSO informed MED-Project that the screening of these materials potentially led to what ACSO perceived as an increased risk of diversion. No safety or security incident was reported. Alameda MED-Project and the ACSO, through Alameda County Counsel, agreed to end the screening and denial of any non- prescription drugs at take-back events to address ACSO’s concerns. Alameda County has since revised the Ordinance, and an amended take-back agreement reflecting these revisions was subsequently signed by Alameda MED-Project on February 23, 2016. This agreement was sent to Alameda County Counsel for processing. Safety and security is paramount for the Alameda MED-Project Program. Thus, specific language is provided in all agreements with vendors and Collection Sites to emphasize this priority and prevent diversion. Page 22 REPORT DATA 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 the Alameda MED-Project is frequently provided to the Alameda County DEH, and is located in Appendix D. 8. DISPOSAL FACILITY 8.1. Disposal Facility Information Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.iv.a. The permitted hazardous waste incinerator and disposal facility for the Alameda MED- Project was approved as a modification to the Plan on October 6, 2015. Name: Clean Harbors Aragonite, LLC EPA ID: UTD981552177 Website: www.cleanharbors.com Type: Permitted Hazardous Waste Incinerator Phone: (435) 884-8900 Clean Harbors entity 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 8.2. Product Disposal Information Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.iv.b. See Section 4. Page 23 APPENDIX A5 5 http://www.acgov.org/board/bos_calendar/documents/DocsAgendaReg_07_28_15/PUBLIC PROTECTION/Consent Calendar/Sheriff_221579.pdf Page 24 APPENDIX B Alameda MED-Project outreach letter and participation assessment form distributed to pharmacies on February 19, 2016. Page 25 Page 26 Page 27 APPENDIX C Licensed pharmacies 6 in Alameda County (excluding the City of Berkeley and Correctional Facilities) as of February 4, 2016. SITE NAME ADDRESS CITY ZIP CODE ALAMEDA HOSPITAL 2070 CLINTON AVE 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 GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 17657 2700 5TH ST ALAMEDA 94501 KAISER PERMANENTE PHARMACY NO 101 2417 CENTRAL AVE ALAMEDA 94501 SAFEWAY PHARMACY #0951 867 ISLAND DR ALAMEDA 94502 SAFEWAY PHARMACY #2708 2227 S SHORE CENTER ALAMEDA 94501 SAFEWAY PHARMACY #3281 501 WILLIE STARGELL AVE ALAMEDA 94501 VERSAILLES PHARMACY 2801 ENCINAL 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 #09595 1382 SOLANO AVE ALBANY 94706 GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 17044 1057 ESTSHORE HWY ALBANY 94710 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 #3024 7201 REGIONAL ST DUBLIN 94568 GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 16116 7200 AMADOR PLAZA RD DUBLIN 94568 GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 17628 2800 DUBLIN BLVD DUBLIN 94568 SAFEWAY PHARMACY #1932 4440 TASSAJARA RD DUBLIN 94568 SAFEWAY PHARMACY #1953 7499 DUBLIN BLVD DUBLIN 94568 CVS/PHARMACY #09553 4349 SAN PABLO AVENUE EMERYVILLE 94608 GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 17624 1555 40TH STREET EMERYVILLE 94608 SAFEWAY PHARMACY #3125 3889 SAN PABLO AVE EMERYVILLE 94608 6 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 CODE SUTTER INFUSION & PHARMACY SERVICES #2 1900 POWELL ST STE 140 EMERYVILLE 94608 CENTRAL ADMIXTURE PHARMACY SERVICES INC 48006 FREMONT BLVD FREMONT 94538 COSTCO PHARMACY #778 43621 PACIFIC COMMONS BLVD FREMONT 94538 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 GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 17592 43950 PACIFIC COMMONS BLVD FREMONT 94538 HALLER'S LTC PHARMACY 4067 PERALTA BLVD FREMONT 94536 HALLER'S PHARMACY AND MEDICAL SUPPLY 37323 FREMONT BLVD FREMONT 94536 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 #711 40055 MISSION BLVD FREMONT 94539 LUCKY #712 34101 FREMONT BLVD FREMONT 94555 LUCKY #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 3250 ARDEN ROAD HAYWARD 94545 CRESCENT HEALTHCARE 2547 BARRINGTON CT HAYWARD 94545 CVS PHARMACY #10199 26059 MISSION BLVD HAYWARD 94544 CVS/PHARMACY #0816 22501 FOOTHILL BLVD HAYWARD 94541 CVS/PHARMACY #09622 243 W JACKSON ST HAYWARD 94544 Page 29 SITE NAME ADDRESS CITY ZIP CODE GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 16804 2499 WHIPPLE RD HAYWARD 94544 GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 17265 19661 HESPERIAN BLVD HAYWARD 94541 HAYWARD PHARMACY 27212 CALAROGA AVE HAYWARD 94541 KAISER HLTH PLAN SLEEPY HOLLOW PHY 143 27303 SLEEPY HOLLOW AVENUE SOUTH HAYWARD 94545 LUCKY #715 22555 MISSION BLVD HAYWARD 94541 LUCKY #716 25151 SANTA CLARA ST HAYWARD 94544 MISSION PHARMACY 22138 MISSION BLVD HAYWARD 94541 OMNICARE OF HAYWARD 20967 CABOT BLVD HAYWARD 94545 PLEASANT CARE PHARMACY 1652 B ST HAYWARD 94541 RITE AID 5920 31091 MISSION BLVD HAYWARD 94544 RITE AID 5921 24536 HESPERIAN BLVD HAYWARD 94545 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 #02306 1138 WEST TENNYSON 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 #09397 4405 1ST ST LIVERMORE 94551 CVS/PHARMACY #09678 1500 1ST ST LIVERMORE 94550 GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 16275 4300 LAS POSITAS RD LIVERMORE 94551 HOME HEALTH RESOURCE 4361 TECHNOLOGY DR STE C LIVERMORE 94551 KAISER FOUNDATION CPP PHARMACY 251 300 G PULLMAN STREET LIVERMORE 94550 KAISER PERMANENTE PHARMACY #241 3000 LAS POSITAS RD LIVERMORE 94550 LUCKY #721 2000 PORTOLA AVE LIVERMORE 94550 LUCKY #722 1951 HOLMES ST LIVERMORE 94550 RITE AID 5925 968 MURRIETA BLVD LIVERMORE 94550 RITE AID NO 6456 1350 N VACSO RD LIVERMORE 94551 SAFEWAY PHARMACY #1257 4495 FIRST ST LIVERMORE 94550 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 NEWARK 94560 RALEYS PHARMACY #314 6397 JARVIS AVENUE NEWARK 94560 Page 30 SITE NAME ADDRESS CITY ZIP CODE 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 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 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 FOOD MAXX 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 STREET 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 #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 LUCKY PHARMACY #736 247 EAST 18TH ST OAKLAND 94606 MIDTOWN PHARMACY PROFESSIONAL CORPORATION 201 3RD STREET SUITE 102 OAKLAND 94607 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 333 9TH 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 Page 31 SITE NAME ADDRESS CITY ZIP CODE NORTH OAKLAND PHARMACY 5705 MARKET ST OAKLAND 94608 OAKLAND CLINIC PHARMACY 5220 CLAREMONT AVE OAKLAND 94609 OAKLAND PHARMACY 407 8TH STREET OAKLAND 94607 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 #0669 5130 BROADWAY OAKLAND 94611 SAFEWAY PHARMACY #0908 3550 FRUITVALE AVE OAKLAND 94602 SAFEWAY PHARMACY #2870 6310 COLLEGE AVE OAKLAND 94618 THE APOTHECARY 7200 BANCROFT AVE #268 OAKLAND 94605 VIBRANT CARE PHARMACY INC 7400 MACARTHUR BLVD STE B OAKLAND 94605 VITACARE PHARMACY 2447 TELEGRAPH AVE OAKLAND 94612 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 3102 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 WALMART PHARMACY #10-5457 8400 EDGEWATER DR 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 #744 6155 W LAS POSITAS PLEASANTON 94666 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 INC 5918 STONERIDGE MALL 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 Page 32 SITE NAME ADDRESS CITY ZIP CODE 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 #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 GARFIELD BEACH CVS LLC D/B/A TARGET PHARMACY # 16764 15555 E 14TH ST STE 400 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 SAN LEANDRO 94577 KINDRED HSP-SAN FRANCISCO BAY 2800 BENEDICT DR SAN LEANDRO 94577 LUCKY #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 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 #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 D Alameda MED-Project participating producers as of February 11, 2016. Company Parent Company Parent Address 1 Parent Address 2 Party City Party State Parent Zip Parent Country AbbVie Inc. AbbVie Inc. 1 North Waukegan Road North Chicago IL 60064 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 Actavis Elizabeth LLC Allergan, Inc. Morris Corporate Center III 400 Interpace Parkway Parsippany NJ 07054 United States Actavis LLC Allergan, Inc. Morris Corporate Center III 400 Interpace Parkway Building A, 4th Floor Parsippany NJ 07054 United States Actavis Mid Atlantic LLC Allergan, Inc. Morris Corporate Center III 400 Interpace Parkway, Building A, 4th F Parsippany NJ 07054 United States Actavis Pharma, Inc. Allergan, Inc. Morris Corporate Center III 400 Interpace Parkway, Building A, 4th Floor Parsippany NJ 07054 United States Actavis South Atlantic LLC Allergan, Inc. Morris Corporate Center III 400 Interpace Parkway, Building A, 4th Floor Parsippany NJ 07054 United States Actelion Pharmaceuticals USA, Inc. Actelion Pharmaceuticals USA, Inc. 5000 Shoreline Court, Suite 200 South San Francisco CA 94080 United States Advanced Vision Research d.b.a. Akorn Consumer Health Akorn, Inc. C/O Akorn, Inc 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Aegerion Pharmaceuticals, Inc. Aegerion Pharmaceuticals, Inc. 101 Main St. Ste. 1850 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 Animal Health, Inc. Akorn, Inc. C/O Akorn, Inc 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Akorn, Inc. Akorn, Inc. 1925 West Field Court Lake Forest IL 60045 United States Akrimax Pharmaceuticals, LLC Akrimax Pharmaceuticals, LLC 11 Commerce Drive, 1st Floor Cranford NJ 07016 United States Alcon Laboratories, Inc. Novartis Group Companies 6740 Business Parkway Elkridge MD 21075 United States Allergan Sales LLC Allergan, Inc. 2525 Dupont Drive Irvine CA 92612-United States Page 34 Company Parent Company Parent Address 1 Parent Address 2 Party City Party State Parent Zip Parent Country 1531 Allergan USA, Inc. Allergan, Inc. 2525 DuPont Drive Irvine CA 92612 United States Allergan, Inc. Allergan, Inc. 2525 Dupont Drive Irvine CA 92612 United States AMAG Pharmaceuticals, Inc. AMAG Pharmaceuticals, Inc. 1100 Winter Street Waltham MA 02451 United States Amarin Corp. PLC Amarin Pharma, Inc. 1430 Rt. 206 Bedminster NJ 07921 United States Amarin Pharma, Inc. Amarin Pharma, Inc. 1430 Rt. 206 #200 Bedminster NJ 07921 United States Amarin Pharmaceuticals Ireland Ltd. Amarin Pharma, Inc. 1430 Route 206 The Oval, Shelbourne Road Bedminster NJ 07921 United States American Regent, Inc. Daiichi Sankyo, Inc. One Luitpold Drive Shirley NY 11967 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 Amneal Pharmaceuticals LLC Amneal Pharmaceuticals LLC 400 Crossing Boulevard Third Floor Bridgewater NJ 08807 United States Anchen Pharmaceuticals, Inc. (d/b/a Par Pharmaceutical) Endo Pharmaceuticals Inc. 9601 Jeronimo Road Irvine CA 92618- 2025 United States 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 Apotex Holdings, Inc. Apotex Holdings, Inc. 2400 N. Commerce Parkway Suite 400 Weston FL 33326 United States Aptalis Pharma US Inc Allergan, Inc. 400 Interpace Parkway, Building A Parsippany NJ 07054 United States Aqua Pharmaceuticals an Almirall Company Aqua Pharmaceuticals an Almirall Company 158 West Gay Street Darlington Commons Suite 310 West Chester PA 19380 United States AR Scientific, Inc. Sun Pharmaceutical Industries, Inc. 1100 Orthodox St. Philadelphia PA 19124 United States Arbor Pharmaceuticals Ireland Ltd. Arbor Pharmaceuticals, Inc. Unit 7, The Mall, Clare Road Ennis Count y Clare Ireland Arbor Pharmaceuticals Sales, LLC Arbor Pharmaceuticals, Inc. 6 Concourse Parkway Suite 1800 Atlanta GA 30328 United States Arbor Arbor 6 Concourse Parkway Suite 1800 Atlanta GA 30328 United States Page 35 Company Parent Company Parent Address 1 Parent Address 2 Party City Party State Parent Zip Parent Country Pharmaceuticals, Inc. Pharmaceuticals, Inc. Arbor Pharmaceuticals, LLC Arbor Pharmaceuticals, Inc. 6 Concourse Parkway Suite 1800 Atlanta GA 30328 United States Aristos Pharmaceuticals, Inc. Chiesi USA, Inc. 1255 Crescent Green Ste 250 Cary NC 27518 United States Ascend Laboratories, LLC Ascend Laboratories, LLC 180 Summit Avenue, Suite 200 Montvale NJ 07645 United States Ascend Therapeutics US, LLC Ascend Therapeutics US, LLC 607 Herndon Parkway Suite 110 Herndon VA 20170 United States Astellas Pharma US, Inc. Astellas Pharma US, Inc. 1 Astellas Way Northbrook IL 60062 United States AstraZeneca LP AstraZeneca Pharmaceuticals LP 1800 Concord Pike Wilmington DE 15437 United States AstraZeneca Pharmaceuticals LP AstraZeneca Pharmaceuticals LP 1800 Concord Pike Wilmington DE 15437 United States Athena Neurosciences, LLC L. Perrigo Company 515 Eastern Avenue Allegan MI 49010 United States Aurobindo Pharma USA, Inc Aurobindo Pharma USA, Inc 6 Wheeling Road Dayton NJ 08810 United States AuroHealth, LLC Aurobindo Pharma USA, Inc 6 Wheeling Road Dayton NJ 08810 United States AuroLife Pharma LLC Aurobindo Pharma USA, Inc 2400 Rt 130 Dayton NJ 08810 United States AuroMedics Pharma, LLC Aurobindo Pharma USA, Inc 6 Wheeling Road Dayton NJ 08810 United States Avanir Pharmaceuticals, Inc. Avanir Pharmaceuticals, Inc. 30 Enterprise Suite 400 Aliso Viejo CA 92656 United States Aveva Drug Delivery Systems, Inc. Apotex Holdings, Inc. 2400 N. Commerce Parkway Suite 400 Weston FL 33326 United States B.F. Ascher & Co., Inc. B.F. Ascher & Co., Inc. 15501 W. 109th St. Lenexa KS 66219 United States Banner Life Sciences LLC Banner Life Sciences LLC 4125 Premier Drive High Point NC 27265 United States Barr Pharmaceuticals, Inc. Teva Pharmaceuticals USA, Inc. 400 Chestnut Ridge Rd Woodcliff Lake NJ 07677 United States Bausch + Lomb Valeant Pharmaceuticals International 1400 N. Goodman St. Rochester NY 14609 United States Baxalta US Inc. Baxalta US Inc. One Baxter Parkway Deerfield IL 60015- 4625 United States Bayer HealthCare LLC Bayer HealthCare LLC 100 Bayer Boulevard Whippany NJ 07981- 0915 United States Bayer HealthCare Bayer HealthCare 100 Bayer Blvd Whippany NJ 07981 United States Page 36 Company Parent Company Parent Address 1 Parent Address 2 Party City Party State Parent Zip Parent Country Pharmaceuticals Inc. LLC Bedford Laboratories, Inc. Boehringer Ingelheim USA, Inc. 300 Northfield Road Bedford OH 44146 United States BioComp Pharma Mission Pharmacal Company P.O. Box 786099 San Antonio TX 78278- 6099 United States Biogen Inc. Biogen Inc. 225 Binney Street Cambridge MA 02142 United States BioMarin Pharmaceutical Inc. BioMarin Pharmaceutical Inc. 105 Digital Drive Novato CA 94949 United States Blu Caribe, Inc. Blu Pharmaceuticals, LLC Carr 698 km 0.8 Bo Mameyal Dorado Puerto Rico 00646 Puerto Rico Blu Pharmaceuticals, LLC Blu Pharmaceuticals, LLC 301 Robey St. Franklin KY 42134 United States BluePoint Laboratories BluePoint Laboratories Eastgate Business Park Eastgate Road, Bldg. 1 Little Island Cork Ireland Boehringer Ingelheim Fremont, Inc. Boehringer Ingelheim USA, Inc. 6701 Kaiser Drive Fremont CA 94555 United States Boehringer Ingelheim Pharmaceuticals, Inc. Boehringer Ingelheim USA, Inc. 900 Ridgebury Road Ridgefield CT 06877 United States Boehringer Ingelheim Roxane, Inc. Boehringer Ingelheim USA, Inc. 1809 Wilson Road Columbus OH 43216 United States Boehringer Ingelheim USA, Inc. Boehringer Ingelheim USA, Inc. 900 Ridgebury Road Ridgefield CT 06877 United States Boehringer Ingelheim Vetmedica, Inc. Boehringer Ingelheim USA, Inc. 2612 Belt Highway St. Joseph MO 64506 United States Braintree Laboratories Inc. Braintree Laboratories Inc. 60 Columbian Street West P.O. Box 850929 Braintree MA 02185- 0929 United States Bristol-Myers Squibb & Gilead Sciences, LLC Gilead Sciences, Inc. 333 Lakeside Drive Foster City CA 94404 United States Bristol-Myers Squibb Company Bristol-Myers Squibb Company P.O. Box 4500 Princeton NJ 08543 United States Bristol-Myers Squibb Sanofi Pharmaceuticals Holding Partnership Bristol-Myers Squibb Company Route 206 & Province Line Road Princeton NJ 08540- 4000 United States Cangene bioPharma, Inc. doing business as Emergent BioSolutions Cangene bioPharma, Inc. doing business as Emergent BioSolutions 920 Cassatt Rd, ste. 100 Berwyn PA 19096 United States Caraco Pharma, Inc. Sun Pharmaceutical Industries, Inc. 270 Prospect Plains Road Cranbury NJ 08512 United States Celgene Corporation Celgene Corporation 86 Morris Avenue Summit NJ 07901 United States Page 37 Company Parent Company Parent Address 1 Parent Address 2 Party City Party State Parent Zip Parent Country Cephalon, Inc. Teva Pharmaceuticals USA, Inc. 400 Chestnut Ridge Rd Woodcliff Lake NJ 07677 United States Ceptaris Therapeutics, LLC Actelion Pharmaceuticals USA, Inc. 5000 Shoreline Court Suite 200 South San Francisco CA 94080 United States Cetylite Industries, Inc. Cetylite Industries, Inc. 9051 River Road Pennsauken NJ 08110 United States Chattem Chemicals, Inc. Sun Pharmaceutical Industries, Inc. 3708 St. Elmo Avenue Chattanooga TN 37409 United States Cherokee Pharmaceutical LLC Merck & Co., Inc. 100 Avenue C Riverside PA 17868 United States Chiesi USA, Inc. (formerly Cornerstone Therapeutics, Inc.) Chiesi USA, Inc. 1255 Crescent Green Ste 250 Cary NC 27518 United States Citron Pharma, LLC. 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