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A Product Stewardship Plan
for Unwanted Medicine from Households
Alameda County, California
June 29, 2022 ; Revised August 31, 2022
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Table of Contents
I. Contact Information ............................................................................................................ 5
II. Introduction ........................................................................................................................ 6
III. Plan Definitions ................................................................................................................... 7
IV. Unwanted Medicine ............................................................................................................. 9
V. Collection of Unwanted Medicine ...................................................................................... 10
A. Unwanted Medicine Collection Program ................................................................................ 10
1. Outreach ..................................................................................................................... 10
2. Implementation ............................................................................................................ 10
3. Convenience ................................................................................................................ 10
4. Services ....................................................................................................................... 10
B. Kiosk Drop-Off Sites ........................................................................................................... 11
1. Kiosk Drop-Off Site Locations ........................................................................................ 11
2. Drop-Off Site Kiosk Placement and Maintenance Program ................................................ 12
3. Kiosk Specifications ...................................................................................................... 12
4. Kiosk Collection ............................................................................................................ 13
5. Collection Methods ....................................................................................................... 13
6. Kiosk Service ............................................................................................................... 14
7. Frequency of Pick-Up .................................................................................................... 14
8. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up .................................................... 15
C. Rapid Response Support ..................................................................................................... 15
D. Take-Back Events ................................................................................................................ 15
1. Method ........................................................................................................................ 16
2. Procedures .................................................................................................................. 16
E. Disposal of Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events ....................... 17
F. Mail-Back Services for Unwanted Medicine ............................................................................. 17
1. Standard Mail-Back Services for Unwanted Medicine ........................................................ 17
2. Inhaler Mail-Back Services for Inhalers ........................................................................... 18
3. Mail-Back Package Availability ....................................................................................... 18
4. Mail-Back Package Collection and Disposal ..................................................................... 18
VI. Goals .................................................................................................................................. 19
VII. Patient Privacy .............................................................................................................. 20
VIII. Call Center .................................................................................................................... 21
IX. Training ............................................................................................................................. 22
X. Vendor, Transporter, and Disposal Facility Information ................................................... 23
A. Vendors............................................................................................................................. 23
B. Reverse Distributors ........................................................................................................... 23
C. Carriers & Transporters ....................................................................................................... 24
D. Disposal Facilities ............................................................................................................... 26
XI. Unwanted Medicine Educational and Outreach Programming.......................................... 28
A. Overview ........................................................................................................................... 28
B. Audiences .......................................................................................................................... 28
C. Messages .......................................................................................................................... 28
D. Tools/Communications Channels ......................................................................................... 28
1. Phone ......................................................................................................................... 29
2. MED-Project Website .................................................................................................... 29
3. Materials ..................................................................................................................... 29
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4. Social Media ................................................................................................................ 30
5. Broadcast Outreach ...................................................................................................... 30
E. Collaboration with County Officials and Community Organizations .......................................... 30
F. Effectiveness ..................................................................................................................... 30
G. Disclaimer ......................................................................................................................... 30
XII. Compliance with Applicable Laws, Regulations, and other Legal Requirements ......... 31
H. DEA Controlled Substances Act and Implementing Regulations ............................................... 31
1. DEA Registration Modification ........................................................................................ 32
I. United States Department of Transportation (DOT) ............................................................... 32
J. California Board of Pharmacy .............................................................................................. 32
XIII. Annual Report ............................................................................................................... 33
Appendix A .............................................................................................................................. 34
MED-Project Participants ........................................................................................................... 34
Appendix B .............................................................................................................................. 35
Contact List for Outreach and Education to the Community .......................................................... 35
Appendix C .............................................................................................................................. 36
Interested Sites and Participating Kiosk Drop-Off Sites ................................................................ 36
Appendix D .............................................................................................................................. 42
Potential Additional Kiosk Drop-Off Sites .................................................................................... 42
Appendix E .............................................................................................................................. 52
Sample Kiosk Mock-Up ............................................................................................................. 52
Sample Kiosk Signage ............................................................................................................... 53
Sample Kiosk Signage ............................................................................................................... 54
Sample Kiosk Signage ............................................................................................................... 55
Appendix F ............................................................................................................................... 57
Media List ................................................................................................................................ 57
Appendix G .............................................................................................................................. 64
Sample Standard Mail-Back Package .......................................................................................... 64
Sample Inhaler Mail-Back Package ............................................................................................. 65
Appendix H .............................................................................................................................. 66
Clean Harbors Aragonite, LLC Enforcement Action Summary Report ............................................. 66
Covanta Environmental Solutions, LLC Penalty Record ................................................................. 73
Curtis Bay Energy Penalty Record .............................................................................................. 75
Heritage Thermal Services – Ohio Penalty Record ....................................................................... 78
Ross Incineration Services Penalty Record .................................................................................. 82
Stericycle, Inc., Warren, Ohio Facility Penalty Record .................................................................. 86
Veolia – Port Arthur Penalty Record ........................................................................................... 88
Appendix I ............................................................................................................................... 95
Sample Education and Outreach Call Center ............................................................................... 95
Appendix J ............................................................................................................................... 96
Sample MED-Project Website Home Page ................................................................................... 96
Sample MED-Project Website Check The Package Page ............................................................... 97
Sample MED-Project Website Convenient Locations Pages ........................................................... 98
Sample MED-Project Website Mail Back Page ............................................................................ 100
Sample MED-Project Website Take-Back Events Page ................................................................ 101
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Sample MED-Project Website MEDfaq Page .............................................................................. 102
Sample MED-Project Website Contact Page .............................................................................. 103
Appendix K ............................................................................................................................ 104
Sample Brochure .................................................................................................................... 104
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I. Contact Information
The primary contact person for MED-Project is:
Dr. Victoria Travis, PharmD, MS, MBA
National Program Director
MED-Project LLC
4096 Piedmont Ave Unit 174
Oakland, CA 94611
Phone: (833) 633-7765
Fax: (866) 633-1812
alamedacounty@med-project.org
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II. Introduction
MED-Project LLC (“MED-Project”), on behalf of the participating companies identified in Appendix A,
submits this Product Stewardship Plan (“Plan”) for Unwanted Medicine to the Alameda County
Department of Environmental Health (“Department”) in compliance with the Alameda County Safe Drug
Disposal Ordinance, Title 6 of the Alameda County Health and Safety Code Sections 6.53.010 through
6.53.120, as amended February 2, 2016 (“Ordinance”) and the Alameda County Safe Drug Disposal
Regulations, as amended October 16, 2013 (“Regulations”). The Ordinance requires pharmaceutical
Producers1 to develop a Product Stewardship Program to finance and manage the collection,
transportation, and disposal of Unwanted Medicine from Alameda County households.
1 All capitalized terms used but not otherwise defined herein shall have their respective meanings set forth in the Ordinance and Regulations.
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III. Plan Definitions
Board of Pharmacy is the California State Board of Pharmacy.
Call Center is the MED-Project call center for Residents, which can be reached by callers at the toll-free
number of 1-844-MED-PROJECT or 1-844-633-7765.
Carrier is the common carrier used to transport Unwanted Medicine from Kiosk Drop-Off Sites and/or
Take-Back Events.
County means Alameda County, California.
DEA is the U.S. Drug Enforcement Administration.
DEA Rule is the DEA Final Rule, “Disposal of Controlled Substances,” 79 Fed. Reg. 53,520 et seq.,
adopted on September 9, 2014.
DOT is the U.S. Department of Transportation.
FDA is the U.S. Food and Drug Administration.
Help Desk is the MED-Project call center and email-in database for Kiosk Drop-Off Sites that can be
reached by callers at a toll-free number and/or by email at alamedacounty@med-project.org.
Inhaler Mail-Back Services is the provision of pre-paid, pre-addressed packages for the collection and
disposal of inhalers (“Inhaler Mail-Back Packages”) by Vendor.
Kiosk Drop-Off Site is a location that is accessible to the public, hosting a MED-Project kiosk for the
collection of Unwanted Medicine, including On-Demand Collection Service Kiosk Drop-Off Sites and
Scheduled Collection Service Kiosk Drop-Off Sites.
Kiosk Drop-Off Site Host is the designated contact person or persons at the Kiosk Drop-Off Site,
including On-Demand Collection Service Kiosk Drop-Off Site Hosts and Scheduled Collection Service
Kiosk Drop-Off Site Hosts.
Law Enforcement Agency or LEA is a federal, state, tribal, or local law enforcement office or agency.
Mail-Back Services is the provision of pre-paid, pre-addressed containers, envelopes, or packages
(“Mail-Back Packages”) to Residents for the collection and disposal of Unwanted Medicine by Vendor.
MED-Project Website is the Internet website located at www.med-project.org or www.medproject.org.
Plan or Product Stewardship Plan is the product stewardship plan presented in this submittal by
MED-Project.
Program or Product Stewardship Program is the product stewardship program set forth in this
Product Stewardship Plan.
On-Demand Collection Service is a service model where Unwanted Medicine Kiosk Drop-Off Site staff
manage removal and packaging of full Unwanted Medicine inner liners prior to transfer to a common
carrier for transport to a reverse distributor.
Residents means human beings residing in the County. “Residents” does not include nonresidential
generators of pharmaceutical waste, such as businesses, hospitals, clinics, doctor’s offices, veterinary
clinics, pharmacies, or airport security and law enforcement drug seizures.
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Scheduled Collection Service is a service model where MED-Project provides for a vendor service
technician to help prepare Unwanted Medicine inner liners at Unwanted Medicine Kiosk Drop-Off Sites for
transfer to a common carrier for transport to a reverse distributor.
Unwanted Medicine Service Technicians are personnel trained to service Program kiosks and/or
Take-Back Events.
Standard Mail-Back Services is the provision of pre-paid, pre-addressed envelopes for the collection
and disposal of Unwanted Medicine (“Standard Mail-Back Packages”) by Vendor.
Specified Languages are English, Spanish, Chinese, Vietnamese, and Tagalog (Filipino).
Take-Back Event is a one-day event at a location accessible to the public, conducted by MED-Project,
with oversight by law enforcement, for the collection of Unwanted Medicine from Residents.
Unwanted Medicine is defined in Section IV of this Plan.
Vendor is any vendor retained by MED-Project to carry out its obligations under the Program.
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IV. Unwanted Medicine
For the purposes of the Plan, “Unwanted Medicine” includes all materials identified as “Covered Drugs”
under Ordinance § 6.53.030(3) that qualify as “Unwanted Products” under Ordinance § 6.53.030(21).
According to the Ordinance, Covered Drugs means “a Drug sold, offered for sale, or dispensed in
Alameda County in any form including prescription and nonprescription drugs, drugs in medical devices
and combination products, brand name and generic drugs, and drugs for veterinary use.” Unwanted
Medicine does not include the following:
i. Expired and/or undispensed samples direct from physicians’ offices;
ii. Unused or expired drugs from hospitals and institutions;
iii. Bulk animal pharmaceuticals from farms (business use);
iv. Vitamins or supplements;
v. Herbal-based remedies and homeopathic drugs, products, or remedies;
vi. Compressed cylinders and mercury-containing thermometers;
vii. Cosmetics, shampoos, sunscreens, toothpaste, lip balm, antiperspirants, or other personal care
products that are regulated as both cosmetics and nonprescription drugs under the federal Food,
Drug, and Cosmetic Act (Title 21 U.S.C. Chapter 9);
viii. Hard surface and toilet disinfectant cleaners;
ix. Drugs administered in a healthcare setting;
x. Drugs for which Producers provide a pharmaceutical product stewardship or take-back program
as part of an FDA managed risk evaluation and mitigation strategy (Title 21 U.S.C. Sec. 355-1);
xi. Drugs that are biological products, as defined by 21 C.F.R. 600.3(h) as it existed on February 2,
2016, if the Producer already provides a pharmaceutical product stewardship or take-back
program;
xii. Medical devices or their component parts or accessories;
xiii. Used, empty containers, vials, and pouches;
xiv. Sharps (e.g., needles, auto-injectors); and
xv. Schedule I or other illicit drugs.
See Section XII.A for collection limitations imposed by the DEA Rule.
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V. Collection of Unwanted Medicine
The Plan provides services to collect Unwanted Medicine, including controlled substances. The Program
accepts Unwanted Medicine regardless of who produced it unless excused from this requirement by the
Department. The collection methods and any applicable legal requirements are described below.
A. Unwanted Medicine Collection Program
1. Outreach
MED-Project continues to periodically perform outreach to potential collection sites through calls, emails,
and/or site visits with the goal of establishing Kiosk Drop-Off Sites distributed throughout the County.
LEAs and Pharmacies that currently host kiosks in the County may transition into the Program upon
entering into an agreement with MED-Project.
2. Implementation
MED-Project continues to implement the Program through executed agreements with Kiosk Drop-Off Site
Hosts. Take-Back Events will also be conducted in coordination with scheduled Alameda County
Department of Environmental Health Household Hazardous Waste (“HHW”)2 events throughout the
County.
Collection of Unwanted Medicine begins at Kiosk Drop-Off Sites once agreements have been executed
with each location, kiosks have been installed, sites have been trained, and, in the case of pharmacies, all
requirements of the DEA and Board of Pharmacy have been met.
3. Convenience
Mail-Back Services are available upon request by disabled and home-bound Residents, or persons
providing services to such Residents, via the Call Center and MED-Project Website, thereby offering more
opportunities to dispose of Unwanted Medicine.
4. Services
MED-Project routinely assesses performance, gauges feedback, and revises its approach to services and
convenience as appropriate. As implementation proceeds, MED-Project shall continue to approach
organizations that may be available as future Kiosk Drop-Off Sites on a periodic basis, such as those
listed in Appendix B.
The Program is implemented in a flexible manner, offering coverage to Residents through a combination
of Kiosk Drop-Off Sites, Mail-Back Services, and/or Take-Back Events. Over the course of implementation,
additional Kiosk Drop-Off Sites have been established to the extent that (1) additional eligible LEAs
and/or DEA-registered collector pharmacies agree to participate, and (2) contracts can be executed with
such entities. For every engagement with LEAs and pharmacies, including the establishment of Kiosk
Drop-Off Sites and/or the conducting of Take-Back Events, contracts outlining the responsibilities of all
involved parties are drafted, reviewed by appropriate entities, and signed by all parties before MED-
Project installs kiosks and/or schedules Take-Back Events.
For more information regarding Take-Back Event scheduling, coverage, and frequency, see Section V.C.
2 http://stopwaste.org/recycling/residents/household-hazardous-waste/one-day-event
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Mail-Back Services are available to disabled and home-bound Residents, or to persons providing services
to such Residents, via the Call Center and MED-Project Website. See Section V.F for more information
about the availability of Mail-Back Services.
B. Kiosk Drop-Off Sites
Kiosk Drop-Off Sites will continue to be strategically placed across the County in order to best serve
Residents. All Kiosk Drop-Off Site Hosts shall provide Residents with access to Program kiosks during
regular business hours.
1. Kiosk Drop-Off Site Locations
Kiosk Drop-Off Sites that are currently interested in and participating in the Program are identified in
Appendix C.
MED-Project continues outreach to potential Kiosk Drop-Off Site Hosts that are not interested in or
participating in the Program, such as sites listed in Appendix D.
As required under Ordinance § 6.53.070(E), the Plan includes as a Kiosk Drop-Off Site any eligible site
willing to serve voluntarily as a Kiosk Drop-Off Site for Unwanted Medicine and able to meet all applicable
laws, regulations, and other legal requirements. Locations currently serving as a drop-off site may
participate in the MED-Project Program by signing agreements with MED-Project and modifying their DEA
registrations if required. MED-Project will work with the Kiosk Drop-Off Site Host to transition to the
Program and Vendor.
A map of existing Kiosk Drop-Off Sites is below.
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2. Drop-Off Site Kiosk Placement and Maintenance Program
Kiosk installation shall be the responsibility of MED-Project at LEAs and pharmacy Kiosk Drop-Off Sites
when the Kiosk Drop-Off Site Host has identified a compliant placement location. All kiosks in the
Program must be securely placed and maintained inside a collector’s registered location or LEA’s physical
location in accordance with DEA Rule §§ 1317.75(d)(1) and 1317.35(a). At pharmacies, kiosks are placed
in the immediate proximity of a designated area where controlled substances are stored and at which an
employee is present (i.e., can be seen from the counter), pursuant to DEA Rule § 1317.75(d)(2). Kiosk
placement will also comply with any applicable Board of Pharmacy requirements. Costs associated with
installation and maintenance are paid by MED-Project per the contracts with the Kiosk Drop-Off Site
Hosts.
The maintenance program addresses items such as:
− Periodic inspection of kiosks to monitor general wear and tear;
− Unwanted Medicine Service Technician access to the kiosks at Scheduled Collection Service Kiosk
Drop-Off Sites during the regularly scheduled Collection Service;
− Reporting by the Kiosk Drop-Off Site Host of damage to a kiosk or requested maintenance
service.
All Kiosk Drop-Off Site Hosts are able to notify MED-Project of the need for kiosk service or maintenance
via the Help Desk.
3. Kiosk Specifications
A blue kiosk is offered to eligible host locations. Pursuant to DEA Rule § 1317.75, MED-Project kiosks at
pharmacies must:
− Be securely fastened to a permanent structure;
− Be securely locked, substantially constructed containers with a permanent outer container and
removable inner liner;
− Include a small opening in the outer container that allows contents to be added to the inner liner,
but does not allow removal of the inner liner’s contents;
− Prominently display a sign indicating that only Schedule II-V controlled and non-controlled
substances are acceptable to be placed in the kiosk; and
− Have the small opening in the outer container locked or made inaccessible to the public when a
Kiosk Drop-Off Site employee is not present.
The design of the pharmacy kiosk and signage (Appendix E) satisfies these requirements through the use
of heavy gauge steel; multiple locking mechanisms, including a locking mechanism on the drop-slot; a
tamper-resistant slot; and commercial hinges. The design increases the likelihood of consumer
participation by providing easy access to wheelchair users. The locking mechanism on the drop-slot
prevents kiosk overflow once the container has reached its maximum level and is locked by the Kiosk
Drop-Off Site employee. MED-Project pharmacy kiosks come with appropriate regulatory signage and
instructions, including an instruction to remove personal information from any Unwanted Medicine and
packaging before depositing them and language required under the DEA Rule3 and by the Board of
Pharmacy. Kiosk signage provides information about what is and is not accepted in the kiosk.
Additionally, under DEA Rule § 1317.60(a), MED-Project kiosk inner liners will:
3 Specifically, as required under DEA Rule § 1317.75(e)(4), all kiosks will prominently display a sign stating that:
“Only Schedule II-V controlled and non-controlled substances that are lawfully possessed by the ultimate user are acceptable to be placed in the kiosk. Schedule I controlled substances, illicit or dangerous substances, and any controlled substances not lawfully possessed by the ultimate user may not be placed in the kiosk.”
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− Be waterproof, tamper-evident, and tear-resistant;
− Be removable and sealable immediately upon removal without emptying or touching kiosk
contents;
− When sealed, make the contents of the inner liner not viewable from the outside;
− Clearly indicate the size of the inner liner; and
− Bear a permanent, unique identifier for tracking purposes.
MED-Project kiosks and inner liners will also comply with the Board of Pharmacy requirements.
While the DEA Rule does not require LEA kiosks to meet these same requirements, MED-Project will offer
these kiosks and inner liners to LEAs. See Disposal of Controlled Substances, 79 Fed. Reg. 53,520, 53,531
(Sept. 9, 2014).
4. Kiosk Collection
Under DEA Rule § 1317.05(c)(2)(iv), pharmacy Kiosk Drop-Off Site Hosts must dispose of sealed inner
liners and their contents either on-site, through common or contract carrier delivery to, or pick-up by a
reverse distributor or distributor, or with DEA assistance.
DEA Rule § 1317.75(c) prohibits the counting, sorting, inventorying, or individual handling of any
substances deposited into a pharmacy kiosk. Additionally, DEA Rule § 1317.60 limits inner liner access to
employees of the collector and requires two employees to immediately seal the inner liner upon its
removal from the pharmacy kiosk’s permanent outer container. See DEA Rule § 1317.60(b), (c). DEA
Rule § 1317.75(g) provides that pharmacy kiosk inner liner installation or removal shall be performed “by
or under the supervision of at least two employees of the authorized collector.” The pharmacy kiosk
sealed inner liner must not be opened, x-rayed, analyzed, or otherwise penetrated. See DEA Rule §
1317.60(c).
At LEA Kiosk Drop-Off Sites, Vendor and/or LEA will maintain any records of removal, storage, or
destruction of the collected Unwanted Medicine in a manner consistent with the LEAs’ recordkeeping
requirements for illicit controlled substances evidence pursuant to DEA Rule § 1317.35. LEAs will record
the unique identifier and size of the sealed inner liner transferred to Vendor. See DEA Rule § 1317.35.
Additionally, any Unwanted Medicine will be stored in a manner to prevent the diversion of controlled
substances and consistent with the LEA’s standard procedures for storing illicit controlled substances.
Collected Unwanted Medicine will be transferred to the disposal facility in a manner to prevent the
diversion of Unwanted Medicine and consistent with the LEA’s standard procedures for transferring illicit
controlled substances. See DEA Rule § 1317.35.
MED-Project’s Kiosk Drop-Off Site collection system complies with these DEA requirements for pharmacy
and LEA Kiosk Drop-Off Sites. Vendor, pharmacies, and LEAs participating in the Program will keep all
records required under the DEA Rule, including those required under DEA Rule §§ 1304 and 1317.35.
Pharmacies participating in the Program will also keep all records required under Board of Pharmacy
requirements. Pharmacy Kiosk Drop-Off Sites and Vendor will be instructed never to count, sort,
inventory, or individually handle kiosk contents. MED-Project’s Kiosk Drop-Off Site collection system will
also comply with all applicable Board of Pharmacy requirements.
5. Collection Methods
A Kiosk Drop-Off Site Host may choose to participate in the program via either the Scheduled Collection
Service method or On-Demand Collection Services method, the latter of which is dependent upon the
Department’s approval of a Petition for Exception. For both methods, MED-Project provides for the
collection, transport, and disposal of Unwanted Medicine at no cost to the Kiosk Drop-Off Site.
If a Kiosk Drop-Off Site Host elects to participate via the On-Demand Collection Services method and
receives Departmental approval of a Petition for Exception, the Kiosk Drop-Off Site employees shall
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prepare the inner liner for shipment. On-Demand Collection Services enables a Kiosk Drop-Off Site Host
to directly control the timing for servicing the kiosk and are able to seal the liner for packaging and
transport at a time of their choosing. The Kiosk Drop-Off Site employees can schedule a common carrier
to pick up the packaged inner liner or can offer the packaged inner liner during a regular common carrier
pick up. This method enables the Kiosk Drop-Off Site to avoid disruptions to operations that may result
from Vendor-scheduled visits or storage limitations.
If a Kiosk Drop-Off Site Host elects to participate via the Scheduled Collection Service method, an
Unwanted Medicine Service Technician will regularly come to the Kiosk Drop-Off Site to help prepare the
inner liner for shipment and disposal.
Kiosk Drop-Off Sites that are taking part in the Scheduled Collection Service pick-up method will have
regular year-round scheduled time for pick up by a common carrier based on the specific location’s
business hours and weight of collected medications.
6. Kiosk Service
When servicing a kiosk at a Kiosk Drop-Off Site, two On-Demand Collection Services Kiosk Drop-Off Site
employees or an Unwanted Medicine Service Technician under the supervision of two Scheduled
Collection Service Kiosk Drop-Off Site employees following instructions provided by Vendor will:
− Check the kiosk for any damage.
− Remove the inner liner and box from the kiosk and seal them at once following procedures
meeting all DEA requirements.
− Replace the removed inner liner and box with a replenishment inner liner and box provided by
Vendor.
− Match the unique identifier of the inner liner to the tracking number on the shipping label,
− Package the inner liner for transport.
− Prepare the materials for shipment and perform applicable pre-transportation functions to
following the DOT HMR.
− Schedule a pick-up from the Carrier to be completed within a few business days or offer the
packaging holding the sealed inner liner for pick-up by routine Carrier service at the Kiosk Drop-
Off Site.
If the package with the sealed inner liner is prepared before pick-up, the Kiosk Drop-Off Site Host store
the inner liner in compliance with all applicable laws, regulations, and other legal requirements until
Carrier pick-up.
7. Frequency of Pick-Up
Initially, all Scheduled Collection Kiosk Drop-Off Sites will be scheduled for a monthly pick-up from the
kiosk. The Vendor will communicate with MED-Project in the event that the frequency of pick-up needs to
be changed based on the volumes collected over time. As needed, MED-Project will communicate with
the Scheduled Collection Kiosk Drop-Off Site Host in the event the frequency of pick-up needs to be
changed. Vendor will monitor the volumes per service to ensure that all sites are receiving the
appropriate service frequency. Vendor will manage pick-up services as frequently as necessary to prevent
overflow of the kiosk without providing unnecessary interruption to the participating Scheduled Collection
Kiosk Drop-Off Site. On-Demand Collection Kiosk Drop-Off Sites will be instructed to service the kiosk and
request a pick-up by Carrier, as needed. Vendor will monitor the weight of Unwanted Medicine generated
at each participating Kiosk Drop-Off Site.
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8. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up
The Scheduled Collection Service Kiosk Drop Off Site Host shall be instructed to lock the drop slot of the
kiosk and notify MED-Project of the need for service prior to the scheduled date.
Vendor shall provide a network of trained Unwanted Medicine Service Technicians. Vendor will
communicate service requests to field managers responsible for Unwanted Medicine Service Technicians.
Vendor will direct service to the trained Service Technician who is in closest proximity to the Scheduled
Collection Service Kiosk Drop Off Site requesting the service. This process provides for a timely response
to Scheduled Collection Service Kiosk Drop Of Sites requiring service prior to the scheduled date.
Service timelines will be assessed based on the specific characteristics of the Scheduled Collection Kiosk
Drop-Off Site’s need. If necessary, Vendor will be able to respond within hours of the request. If the
request does not require an urgent response, Vendor will respond within two business days of the
request. In the interim, pharmacy Scheduled Collection Kiosk Drop-Off Site Hosts shall be instructed to
secure the kiosk and its contents in accordance with DEA requirements.
On-Demand Collection Kiosk Drop-Off Sites will be instructed to service the kiosk and request a pick-up
by Carrier, as needed.
C. Rapid Response Support
An unplanned event may necessitate a service at a Kiosk Drop-Off Site. A major event, such as a flood,
earthquake, or fire, may jeopardize the security characteristics of the kiosk as well as the structural
integrity of the Kiosk Drop-Off Site. Such events may require the involvement of law enforcement, fire, or
other emergency service personnel. Kiosk Drop-Off Site employees will be directed to call 911 in
situations posing an immediate threat to the environment or health. Once the area is safe for access, if
needed, Vendor will dispatch Rapid Responders to secure the kiosk and remove its contents.
Vendor maintains a network of Rapid Responders that can be contacted in the case of an incident or
other event requiring a Rapid Response. Vendor is able to respond within two to three hours in most
cases when notified of a need for a Rapid Response. Rapid Responders will bring all necessary equipment
to manage the specific needs of the Kiosk Drop-Off Site requiring a Rapid Response.
Along with major event preparedness, Vendor provides timely responses to events that may cause an
inconvenience to the Kiosk Drop-Of Site. In situations requiring Rapid Response that do not require the
involvement of emergency service personnel, the Kiosk Drop-Off Site Host will place a service request
through the Help Desk. If the request does not require a Rapid Response, Vendor will typically respond
within two to three business days of the event.
An event may occur, such as a site requiring an emergency response or an LEA that is unwilling or unable
to securely store inner liners prepared for shipment, that necessitates a direct transport of a sealed inner
liner from a Kiosk Drop-Off Site to a disposal facility listed in Section X. In such cases, a Service
Technician will seal the kiosk inner liner for packaging and transport according to the process outlined in
Section V.B.4.a. The packaged inner liner will then be transported to one of the disposal facilities listed in
Section X.
D. Take-Back Events
MED-Project will conduct Take-Back Events in coordination with HHW events throughout the County.
MED-Project may also conduct Take-Back Events upon request by LEAs. LEA employees shall oversee all
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Take-Back Events. MED-Project will confirm and/or finalize the locations and dates to conduct Take-Back
Events once contracts with overseeing LEAs have been executed.
Due to the changing schedule of Take-Back Events, the list of dates and locations will be maintained on
the MED-Project Website as events are scheduled and confirmed. Annually, MED-Project will review the
gaps in coverage and convenience that may exist, as well as progress being made against set collection
goals to determine the need for Take-Back Events.
1. Method
The conducting of Take-Back Events by MED-Project is contingent upon participation and oversight by
LEAs. MED-Project will work with participating LEAs to ensure Take-Back Events are compliant and
successful. Events will be promoted and communicated to the public through local communication
channels as outlined in Appendix F.
MED-Project Take-Back Events will meet all applicable laws, regulations, and other legal requirements.
MED-Project will contract with LEAs to oversee Take-Back Events. MED-Project will work with LEAs to
accommodate any reasonable requirements.
2. Procedures
MED-Project will partner with LEAs to ensure that at least one law enforcement officer oversees collection
at all Take-Back Events pursuant to DEA Rule § 1317.65(a), (b). The law enforcement officers will
maintain control and custody of all Unwanted Medicine collected at Take-Back Events from collection until
secure transfer, storage, or destruction of the Unwanted Medicine, as required by DEA Rule § 1317.65(b).
Only ultimate users and persons authorized to dispose of an ultimate user decedent’s property in lawful
possession of controlled substances in Schedules II-V may transfer these substances to the LEA during
the event. No other person will handle controlled substances at Take-Back Events under DEA Rule §
1317.65(e); however, Vendor may assist LEAs in the collection of Unwanted Medicine at Take-Back
Events. See Disposal of Controlled Substances, 79 Fed. Reg. 53,520, 53,539 (Sept. 9, 2014).
Take-Back Events will typically be staffed by at least two Vendor employees. Vendor will work in
coordination with MED-Project, the County, and LEAs to monitor and ensure collection of all material at
Take-Back Events is compliant with all applicable laws, regulations, and other legal requirements and
meets the published expectations of the planned event. Vendor will work in conjunction with law
enforcement to ensure all material is placed in a compliant collection receptacle and securely shipped to
meet all applicable laws, regulations, and other legal requirements. Any material that is not Unwanted
Medicine or does not meet legal requirements will be rejected.
Vendor and the LEA will maintain all records of collection, storage, or destruction of the collected
Unwanted Medicine in a manner consistent with the LEA’s recordkeeping requirements for illicit controlled
substances evidence pursuant to DEA Rule § 1317.35. Any collected Unwanted Medicine will be stored to
prevent the diversion of controlled substances and consistent with the LEA’s standard procedures for
storing illicit controlled substances. Any storage of Unwanted Medicine by Vendor will also comply with
the applicable security requirements of DEA Rule §§ 1301 and 1317, including the requirement that
Unwanted Medicine is securely stored in a manner consistent with the security requirements for Schedule
II controlled substances.
Following the completion of each event, containers will be weighed, securely packaged, labeled,
transported from the event site to the LEA site, and shipped in compliance with all applicable laws,
regulations, and other legal requirements. Law enforcement officers will maintain control and custody of
all Unwanted Medicine collected at Take-Back Events while it is transported to the point of secure
transfer, storage or destruction. Containers and inner liners will be tracked via unique identifiers to a
17
facility identified in Section X, where they shall be incinerated. Vendor will ship the containers (and inner
liners) in accordance with the requirements outlined in Section XII.B.
E. Disposal of Unwanted Medicine from Kiosk Drop-Off Sites and Take-
Back Events
Kiosk Drop-Off Site Host Employees, (or the LEA for Take-Back Events), Vendor, and Carrier shall
manage the Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events in compliance with all
applicable laws, regulations, and other legal requirements. Carrier shall deliver Unwanted Medicine
collected from Kiosk Drop-Off Sites and/or Take-Back Events to the respective facilities identified in
Section X.
Unwanted Medicine is destroyed in accordance with all applicable laws, regulations, and other legal
requirements at the disposal facilities identified in Section X.
F. Mail-Back Services for Unwanted Medicine
MED-Project will provide two types of Mail-Back Services:
− Standard Mail-Back Services for disabled and home-bound Residents or persons providing
services to such Residents as described in Section V.F.1;
− Inhaler Mail-Back Services for the collection of inhalers for disabled and home-bound Residents
or persons providing services to such Residents as described in Section V.F.2.
Mail-Back Packages will be pre-paid and pre-addressed, and Mail-Back Services shall comply with all
applicable laws, regulations, and other legal requirements.
1. Standard Mail-Back Services for Unwanted Medicine
For Unwanted Medicine, MED-Project offers Standard Mail-Back Services at no cost to disabled and
home-bound Residents, or to persons providing services to such Residents, via the Call Center and MED-
Project Website. Standard Mail-Back Packages will also be available to Residents in underserved areas of
the County until MED-Project has met its long-term kiosk installation goals. The pre-paid shipping label
directs the Standard Mail-Back Package to the facility identified in Section X. Standard Mail-Back Packages
for Unwanted Medicine shall comply with all applicable laws, regulations, and other legal requirements.
Pursuant to DEA Rule § 1317.70(c), the Standard Mail-Back Packages are:
− Nondescript and without any markings or information potentially indicating that they contain
Unwanted Medicine, including controlled substances;
− Water and spill-proof, tamper-evident, tear-resistant, and sealable;
− Pre-addressed with and delivered to Vendor’s registered address;
− Pre-paid;
− Provided with a unique identifier enabling tracking; and
− Provided with instructions indicating the process for mailing back the packages, accepted
substances, a notice about mailing restrictions, and a notice that only packages provided by
Vendor will be accepted for destruction.
Ultimate users and persons lawfully entitled to dispose of an ultimate user decedent’s property will not be
required to provide any personally identifiable information when using Standard Mail-Back Services to
dispose of Unwanted Medicine. See DEA Rule § 1317.70(d). As required under DEA Rule § 1317.70(e),
Vendor will only accept Standard Mail-Back Packages it made available (or packages lawfully forwarded
under DEA requirements). Within three business days of receipt, Vendor will notify the DEA if it receives
Standard Mail-Back Packages likely containing controlled substances that Vendor did not make available
or did not agree to receive pursuant to DEA requirements. In accordance with DEA Rule § 1317.70(f),
18
when Standard Mail-Back Packages are received, only employees of Vendor will handle the Standard Mail-
Back Packages. Standard Mail-Back Packages will not be opened, x-rayed, analyzed, or otherwise
penetrated upon receipt by Vendor. See DEA Rule § 1317.70(f). Vendor will keep all records required
under the DEA Rule, including those identified in DEA Rule § 1304.22(f).
See Appendix G for Standard Mail-Back Package image and package specifications.
2. Inhaler Mail-Back Services for Inhalers
For inhalers, MED-Project offers Inhaler Mail-Back Services at no cost to disabled and home-bound
Residents, or persons providing services to such Residents, via the Call Center and MED-Project Website.
The pre-paid shipping label directs the Inhaler Mail-Back Packages to an approved facility identified in
Section X. An instruction sheet is included with the Inhaler Mail-Back Package that describes how to
properly dispose of inhalers, explains what materials may be placed in the Inhaler Mail-Back Package,
and how to return the Inhaler Mail-Back Package.
See Appendix G for an Inhaler Mail-Back Package image and package specifications.
3. Mail-Back Package Availability
Disabled and home-bound Residents or persons providing services to such Residents may request
Standard Mail-Back Packages and/or Inhaler Mail-Back Packages by calling the Call Center or through a
link on the MED-Project Website. Upon request, such Residents are provided Mail-Back Packages.
Standard Mail-Back Packages will also be available to Residents in underserved areas of the County until
MED-Project has met its long-term kiosk installation goals.
Each Mail-Back Package contains an insert with instructions for use and information about other options
for disposing of Unwanted Medicine in the Specified Languages. See Appendix G for Mail-Back Package
images.
4. Mail-Back Package Collection and Disposal
Requests to receive Mail-Back Packages are taken through the Call Center and the MED-Project Website.
Residents are directed to follow the instructions provided in the Mail-Back Package and to place their
Unwanted Medicine in the pre-addressed, pre-paid package. The Mail-Back Package shall be sent to an
approved disposal facility in compliance with all applicable laws, regulations and other legal requirements.
Each Mail-Back Package has a unique identifier for tracking.
For Standard Mail-Back Packages, upon arriving at the disposal facility, the Mail-Back Packages are
scanned for receipt verification and incinerated at the disposal facilities listed in Section X. Any storage of
filled Standard Mail-Back Packages by Vendor complies with the applicable security requirements of DEA
Rule § 1317, including the requirement that Unwanted Medicine is securely stored in a manner consistent
with the security requirements for Schedule II controlled substances. All Unwanted Medicine in Standard
Mail-Back Packages are destroyed promptly.
19
VI. Goals
The short- and long-term goals of the Plan are described generally as follows. Additional detail on
implementation is provided in Section V.A.2.
Goal Area Short-Term Goals (12 to 18
months Post Approval) (19 to 36 months
Post Approval)
MED-Project’s goal is to achieve 100
Kiosk Drop-Off Sites, distributed
jointly, in combination with other
approved product stewardship
programs, across the County to
provide equitable and reasonably
convenient access to Residents.
Accept any additional
potential Kiosk Drop-
Off Sites that are
eligible and request
participation in the
Program.
Reduce collection via
Take-Back Events
and/or Mail-Back
Services by
establishing
additional Kiosk
Drop-Off Sites
throughout the
County.
Education & Public Outreach Continue media Program consistent
with Regulations § 8.A.viii via the
following:
• Website
• Call Center
• Media campaigns (for
example, digital television,
radio, and social media)
Continue media
Program consistent
with Regulations §
8.A.viii via the
following:
• Website
• Call Center
• Media
campaigns
(for example
digital
television,
radio, and
social media)
MED-Project continues to implement Kiosk Drop-Off Sites in eligible locations that best serve the
demographics and distribution of Residents. See Section V.B for more information about Kiosk Drop-Off
Site collection.
MED-Project Mail-Back Packages will be made available to disabled and home-bound Residents, persons
providing services to such Residents, and Residents in underserved areas of the County by request
through the Call Center and MED-Project Website
20
VII. Patient Privacy
Instructions at each Kiosk Drop-Off Site informs Residents who deposit Unwanted Medicine that they
should completely cross out, remove, or otherwise make unreadable any and all personally identifiable
information on the containers and packaging before depositing them in the kiosk. In cases where people
follow the instructions, there will be no personally identifiable information.
In addition to kiosk signage, MED-Project promotional and educational materials encourage Residents to
protect their information by ensuring that identifiable information is not present before depositing
containers into kiosks or Mail-Back Packages.
Materials to help Residents cross out any personally identifiable information will also be available at Take-
Back Events. This will ensure any patient information on drug packaging will be unreadable.
Vendor has additional protections available for keeping Residents’ personally identifiable information safe
and secure. Unwanted Medicine Service Technicians are trained in managing items containing sensitive
patient information. Privacy training is part of an Unwanted Medicine Service Technician’s prerequisite for
field services. As an added protection, inner liners for the kiosks are opaque rather than clear, in
compliance with DEA Rule.
21
VIII. Call Center
MED-Project has established a toll-free telephone number for Residents to obtain information about Kiosk
Drop-Off Sites, Mail-Back Services, educational materials, and other aspects of the Program. Callers with
medical emergencies are directed to call 911. Patients with medication-related questions are directed to
contact their health care provider(s).
The Call Center provides information about:
− Items that can be disposed of;
− Disposal options;
− Unwanted Medications Kiosk Drop-Off Sites and disposal options in the caller’s specified zip code;
− The MED-Project website; and
− How to obtain Mail-Back Packages.
To increase access to the Program for Residents, MED-Project has included dialing options for TTY and
711 services.
A sample Call Center outline is included in Appendix I.
22
IX. Training
Vendor certifies training of Unwanted Medicine Service Technicians on the following:
− DOT HMR training to meet the requirements of 49 CFR Part 172.704(a).
− DEA controlled substances handling protocols.
− Emergency Spill Response and Contingency Plan
− Health Insurance Portability and Accountability Act (HIPAA) requirements.
− OSHA Blood Borne Pathogens Standards.
− Safety Training
− Security awareness Training
− Communication Devices
− PPE Utilization
− Alarm Systems
− General Awareness/Familiarization
− In-Depth Security Training (if applicable)
− Function Specific Training
At a Kiosk Drop-Off Site, operational procedures, including annual training, are the responsibility of the
Kiosk Drop-Off Site Host. MED-Project provides a Help Desk to answer questions and monitor comments
for participating Kiosk Drop-Off Sites.
23
X. Vendor, Transporter, and Disposal Facility Information
All Vendors, transporters, and disposal facilities utilized by the Program will operate in accordance with all
applicable laws, regulations, and other legal requirements.4
A. Vendors
Name Address Phone Website Type Penalty
Record (5
years)
Solutions, LLC
190
Shellyland
Road,
Manheim,
PA 17545
(717) 653-
8882
www.cova
nta.com
Vendor None
PureWay Compliance, Inc.
Freeway,
Suite 206,
Katy, TX
77450
3030 way.com
Stericycle, Inc.
Waukegan
Road,
Bannockbu
rn, IL
60015
5910 ycle.com
B. Reverse Distributors
Name Address Phone Website Type Issued
Permits
Penalty
Record
(5 years)
Environmental
Solutions, LLC
2515 S Holt
Rd,
Indianapolis,
IN 46241
(317)
719-
6397
https://ww
w.covanta.
com/Our-
Facilities/C
ES-Indy
DEA
Registered
Collector
and
Reverse
Distributor
DEA
Registratio
n No:
RC0561628
See
Appendix
H
4 Two witnesses of the registrant will witness destruction at the disposal facilities.
24
Name Address Phone Website Type Issued
Permits Record
(5 years)
Covanta Manheim,
Pennsylvania
Facility
190
Shellyland
Road,
Manheim, PA
17545
(717)
653-
8882
www.cova
ntaes.com
DEA
Registered
Collector
and
Reverse
Distributor
DEA
Registratio
n No:
RC0322595
None
Stericycle, Inc.
Warren, Ohio
Facility
1901 Pine
Avenue, SE,
Warren, OH
44483
(330)
393-
0370
www.steric
ycle.com/s
ervice-
locations/o
hio/warren
DEA
Registered
Collector
and
Reverse
Distributor
DEA
Registratio
n No:
RS0498130
See
Appendix
H
Sedgwick Claims
Management
Services, Inc
2670
Executive
Drive, Suite
A,
Indianapolis,
IN 46241
317-
250-
4353
Sedgwick.c
om
Registered
Reverse
Distributor
Registratio
n No:
RS0629874
Appendix
H
C. Carriers & Transporters
Record
(5
years)
Covanta
Environment
al Solutions
dba
Chesapeake
Waste
Solutions,
LLC
190
Shellyland
Road,
Manheim,
PA 17545
(336)
683-0809
www.cova
ntaes.com
Carrier PADEP
Registration
PA-HC0283
None
25
Name Address Phone Website Type Issued Permits Penalty
Record
(5
years)
Covanta
Environment
al Solutions
Carriers II,
LLC
5300 N
33rd St,
Milwaukee,
WI 53209
(336)
683-0809
www.cova
ntaes.com
Hazardous
Waste
Transporter
DOT No: 508337 None
Doncin
Transport,
Inc.
3478
Sunnyside
Rd,
Manheim,
PA 17545
(602)
344-4536
None
provided
Contract
Carrier
DOT No:
1625457
None
EMS
Dispatch,
Inc.
316 W Mt
Vernon St,
Lansdale,
PA 19446
689-5129 ww.facebo
ok.com/pa
ges/Ems-
Dispatch/1
37953629
908858
Carrier 000743959
Heritage
Transport
1626
Research
Way,
Indianapoli
s, IN 46231
(317)
486-2973
http://ww
w.heritage
-
enviro.co
m/
Hazardous
Waste
Transporter
DOT No: 314460 None
Stericycle
Inc.
2850 100th
Court NE,
Blaine, MN
55449
(612)
285-9865
www.steri
cycleenvir
onmental.
com
Hazardous
Waste
Transporter
DOT No:
1348411
None
Tri-State
Motor
Transit Co.
8141 E 7th
St, Joplin,
MO 64801
860-1600 tatesecure
d.com/
Waste
Transporter
1007292
26
Name Address Phone Website Type Issued Permits Penalty
Record
(5
years)
United
Parcel
Service, Inc.
55 Glenlake
Parkway
NE, Atlanta,
GA 30328
(800)
PICK-UPS
www.UPS.
com/
Common
Carrier
DOT No: 121058
Closed
Case
9/18/201
9 VA-
2019-
0057-
US1436
United
States Postal
Service
475
L’Enfant
Plaza SW,
Washington
, DC 20260
(202)
268-2000
www.USP
S.com/
Common
Carrier
N/A See USPS
SEC
filings
D. Disposal Facilities
Permits Record (5
years)
Harbors
Aragonite,
LLC
11600
North
Aptus Rd,
Grantsville,
UT 84029
884-8900 nharbors.
com/locat
ion/arago
nite-
incinerati
on-facility
Waste
Incinerator
UTD98155217
7
Title V
Operating
Permit No:
4500048003
H
Curtis Bay
Energy, LP
3200
Hawkins
Point
Road,
Baltimore,
MD 21226
(855)
228-1715
www.curti
sbaymws.
com
Medical
Waste
Incinerator
EPA ID No:
MDD98540431
8
Refuse
Disposal
Permit No:
2017-WMI-
0036
See Appendix
H
27
Name Address Phone Website Type Issued
Permits Record (5
years)
Heritage
Thermal
Services –
Ohio
1250 Saint
George
Street,
East
Liverpool,
OH 43920
(800)
545-7655
http://ww
w.heritag
e-
thermal.c
om/
Hazardous
Waste
Incinerator
EPA ID No:
OHD98061354
1
Title V
Operating
Permit No:
OH000000021
5020233
See Appendix
H
Ross
Incineration
Services,
Inc.
36790
Giles Road,
Grafton,
OH 44044
(440)-
748-5800
http://ww
w.rossenv
ironmenta
l.com/
Hazardous
Waste
Incinerator
EPA ID No:
OHD04841566
5
Title V
Operating
Permit No:
OH000000024
7050278
See Appendix
H
Stericycle,
Inc.,
Warren,
Ohio Facility
1901 Pine
Avenue SE,
Warren,
OH 44483
393-0370 ww.steric
ycle.com/
service-
locations/
ohio/warr
en
Waste
Incinerator
OHD98079528
0
Title V
Operating
Permit No:
OH000000027
8080634
H
Veolia –
Port Arthur
7665
Highway
73,
Beaumont,
TX 77705
(409)
736-2821
www.veol
ianortham
erica.com
Hazardous
Waste
Incinerator
EPA ID No:
TXR00003625
1
Title V
Operating
Permit No:
TX0000004824
500118
See Appendix
H
28
XI. Unwanted Medicine Educational and Outreach
Programming
A. Overview
MED-Project will perform public education and outreach to educate Residents about the collection and
disposal of Unwanted Medicine from households.
B. Audiences
To effectively educate the public about the Program, MED-Project will continue to implement a
comprehensive communications campaign featuring both broad communications tactics as well as
targeted outreach to audiences directly involved in the distribution and use of medicines to Residents.
These audiences may include:
• General public.
• Pharmacies, including education for dispensers of Unwanted Medicine.
• Retailers of Unwanted Medicine.
• Health care providers and their patients.
• Veterinary providers and animal owners.
• Public health facilities; and/or
• LEAs.
The Program will include efforts to reach the varied cultural, linguistic, geographic, and age
demographics, including through outreach to ethnic, community, and alternate-language media; outreach
to community organizations serving a broad range of audiences; availability of alternate language phone
lines (Section XI.D.1); and availability of educational information through a broad range of media
platforms.
Survey results will be utilized in order to inform improvements to the design of the outreach program and
educational materials where necessary (see Section XI.F).
C. Messages
MED-Project anticipates that messaging will:
• Educate Residents about the appropriate use, storage, and disposal of Unwanted Medicine.
• Educate Residents about available Mail-Back Services; and
• Provide Residents with information about available locations and events in their area that offer
disposal of Unwanted Medicine.
Key points of emphasis might include:
• The importance of taking medicines as prescribed by your health care provider.
• The importance of adhering to and completing your provider-prescribed therapy.
• The importance of properly and securely storing medicines.
• The importance of promptly and properly disposing of Unwanted Medicine.
• How to find and use Kiosk Drop-Off Sites.
• How to properly dispose of Unwanted Medicine; and
• Privacy issues (removing personally identifiable information from labeled prescription containers).
D. Tools/Communications Channels
The MED-Project Program will include a number of components designed to reach consumers and provide
consistent access to timely and relevant information. Distribution of materials will likely include audiences
29
such as LEAs, retail pharmacies, health care providers and systems, health associations, local government
agencies, and other community organizations.
MED-Project will design and execute a measurable public education and outreach strategy aimed at
driving awareness of take-back of Unwanted Medicine and in line with Ordinance §§ 6.53.050 (A) (8) and
6.53.070. MED-Project will evaluate and Plan media tactics based on the needs of the campaign and
media usage within the target audience, and these may include a combination of digital media
campaigns, print ads, out-of-home ads, digital video, and traditional broadcast media based on budget.
The quantity and frequency will be confirmed as activities are completed.
MED-Project expects that the tools and communication channels will include:
1. Phone
The Program will provide a toll-free telephone number for Residents to obtain information about Kiosk
Drop-Off Sites, Take-Back Events, Mail-Back Services, educational materials, and other aspects of the
Program for the take-back of Unwanted Medicine from households. The toll-free number will provide:
• Call Center in the Specified Languages. The telephone line will also provide an option for callers
to be transferred to a staffed Call Center. Live operators will be available in English and Spanish.
If a caller requires assistance in Chinese, Vietnamese or Tagalog, an operator will be available to
provide additional assistance. Operators providing services in over 200 languages are available 24
hours a day, seven days a week.
• Basic information about the Program, such as where to obtain more information (e.g., the MED-
Project Website) and an option to talk with an agent to find or utilize Kiosk Drop-Off Sites, Mail-
Back Services, and/or Take-Back Events, if applicable, in the caller’s zip code or local area.
• A recorded call script directing callers with medical emergencies to call 911 and directing callers
with medication-related questions to contact their health care provider(s).
Please see Appendix I for the Call Center IVR flow.
2. MED-Project Website
MED-Project will update the mobile-friendly MED-Project Website with translations in the Specified
Languages. MED-Project expects information available to users will include pages to help Residents find
locations of Kiosk Drop-Off Sites, Mail-Back Services, as well as educational materials, frequently asked
questions and responses, and Take-Back Event dates and locations.
• The Plan currently includes a mockup of the types of information a MED-Project Website and its
supporting pages might contain. Appendix J provides proof of concept samples for a possible
MED-Project Website with subpages.
• The MED-Project Website may also include access to a public relations toolkit in a printable
format (see Section XI.D.3) and contact information for Residents. A toolkit could include items
such as a flyer/brochure (See Appendix K for an example) and a frequently asked questions
(FAQ) document. Translations of the brochure and FAQ will be available in the Specified
Languages.
• Community and government organizations and other public interest groups seeking materials to
promote the Program will be encouraged to access these resources.
3. Materials
Educational materials about the Program and how to properly dispose of Unwanted Medicine will be
available through the MED-Project Website, through potential third-party partners, community
organizations, and at Kiosk Drop-Off Sites.
30
The Plan includes the information and educational brochure (Appendix K). Educational materials will use
plain language and explanatory images to promote consumer education and collection options to
Residents with limited English proficiency.
4. Social Media
MED-Project has established social media accounts to communicate outreach information. Outreach is
based on the establishment of Kiosk Drop-Off Sites, Mail-Back Services, and the scheduling of Take-Back
Events. Posts will be utilized as needed to reflect the most up-to-date information.
5. Broadcast Outreach
Outreach through local print, online, radio, and television outlets, including through outlets specifically
targeting the diverse demographic communities within the County, will continue upon Plan approval.
Please see Appendix F for a media list of key outlets. Broadcast outreach will be scheduled to reflect the
learnings and needs of the campaign based on the biennial survey outcomes and budget.
E. Collaboration with County Officials and Community Organizations
MED-Project expects that the Program will work in collaboration with the County as appropriate to build
on existing community outreach resources, such as local organizations, media lists, available public media
outlets, etc. Activities like the following will continue upon Plan approval:
• Briefing Materials Provided to Support Coordination with County Officials:
o The Program will provide access to updated educational and outreach materials,
including the brochure (see Appendix K), to relevant departments and officials.
• Outreach through Community Organizations:
o The Program will engage relevant stakeholders and community organizations by
providing selected community organizations identified in Appendix B with the updated
brochure included in Appendix K.
F. Effectiveness
MED-Project will conduct a biennial survey of Residents and pharmacists, veterinarians, and health
professionals in the County who interact with patients to measure awareness of the take-back of
Unwanted Medicine from households and to evaluate the effectiveness of its education and outreach
activities. The survey will be conducted in conjunction with the biennial survey conducted under MED-
Project’s stewardship program for the collection of sharps from households. The first survey was
conducted after the first full year of operation of MED-Project’s program for sharps.
G. Disclaimer
The written and verbal educational materials and public outreach tools that are required by the Ordinance
and disseminated under this Product Stewardship Plan will include a disclaimer similar to the following:
“This material has been provided for the purpose of compliance with legislation and does not necessarily
reflect the views of MED-Project or the Producers participating in the MED-Project Product Stewardship
Plan.”
31
XII. Compliance with Applicable Laws, Regulations, and
other Legal Requirements
As described in more detail below, the Plan is designed such that all entities participating in the Program
shall comply with all applicable laws, regulations, and other legal requirements.
H. DEA Controlled Substances Act and Implementing Regulations
On October 12, 2010, the United States Congress enacted the Secure and Responsible Drug Disposal Act
of 2010 (“Disposal Act”) as amendments to the Controlled Substances Act (“CSA”). The Disposal Act
amended the CSA to allow for the expansion of entities to which users can deliver pharmaceutical
controlled substances for disposal, subject to regulations to be promulgated. On September 9, 2014, the
DEA adopted a rule entitled “Disposal of Controlled Substances” (referred to herein as the “DEA Rule”) to
implement the Disposal Act.
Under the DEA Rule, collection of controlled substances is limited to Schedule II, III, IV, or V controlled
substances that are lawfully possessed by an ultimate user or person entitled to dispose of an ultimate
user decedent’s property. See DEA Rule §§ 1317.75(b) (Kiosk Drop-Off Sites)5; 1317.65(d) (Take-Back
Events); 1317.70(b) (Mail-Back Services). Schedule I controlled substances, controlled substances that
are not lawfully possessed as described above, and other illicit or dangerous substances will not be
collected. Additionally, as these provisions of the DEA Rule limit collection of controlled substances to
those lawfully possessed by an ultimate user or certain other persons, pharmacies are prohibited from
disposing their own inventory or stock through the MED-Project Program. See also DEA Rule § 1317.05.
The DEA Rule provides that LEAs can continue to accept controlled substances for disposal. However, the
DEA Rule also provides that pharmacies, reverse distributors, hospitals/clinics with on-site pharmacies,
and certain other entities, can register with the DEA as “collectors” and become authorized at their
discretion on a voluntary basis to accept controlled substances. The DEA Rule:
• Provides for the collection of controlled substances at Kiosk Drop-Off Sites at LEAs, pharmacies,
and hospitals with on-site pharmacies;
• Provides for collection of controlled substances at Take-Back Events;
• Provides for the use of mail-back programs to collect controlled substances;
• Allows for the commingling of controlled and non-controlled substances;
• Establishes detailed collection, recordkeeping, security, and other measures for all approved
collection methods; and
• Provides that all collected pharmaceutical products be destroyed so that the products are
rendered non-retrievable.
The Plan is designed such that all entities that are part of the Program, including Vendor, are individually
responsible to comply with their respective compliance obligations under the DEA Rule. Vendor will
ensure that the collection, transportation, and disposal of Unwanted Medicine collected from Kiosk Drop-
Off Sites, Mail-Back Services, and Take-Back Events, including controlled substances, complies with all
DEA requirements, including those in DEA Rule § 1317.
Controlled substances collected pursuant to the Plan may be commingled with non-controlled substances
at Kiosk Drop-Off Sites, Take-Back Events, and through Mail-Back Services per the DEA Rule. See DEA
5 For Kiosk Drop-Off Site collection, only certain substances “that are lawfully possessed by an ultimate user or other
authorized non-registrant person may be collected.” DEA Rule § 1317.75(b). This language is similar to, but slightly
different than, provisions limiting collection at Take-Back Events and through Mail-Back Services to ultimate users or other persons (lawfully) entitled to dispose of an ultimate user decedent’s property. See DEA Rule §§ 1317.65(d); 1317.70(b).
32
Rule §§ 1317.75(b) (Kiosk Drop-Off Sites); 1317.65(d) (Take-Back Events); 1317.70(b) (Mail-Back
Services).
1. DEA Registration Modification
Pursuant to DEA Rule § 1301.51(b), pharmacies may modify their registrations to become authorized
collectors by submitting a written request to the DEA or online at www.DEAdiversion.usdoj.gov. This
request must contain:
• The registrant’s name, address, and registration number (as printed on the registration
certificate);
• The collection methods the registrant intends to conduct; and
• A signature in accordance with 21 C.F.R. § 1301.13(j).
See DEA Rule § 1301.51(b). MED-Project will consult with participating pharmacies, as requested,
regarding how to modify DEA registrations to become authorized collectors.
I. United States Department of Transportation (DOT)
When transporting Unwanted Medicine, Vendor will ensure compliance with the U.S. DOT HMR and other
applicable DOT requirements.
J. California Board of Pharmacy
On June 8, 2017, the Board of Pharmacy adopted the Board of Pharmacy Regulations, Article 9.1 of
Division 17 of Title 16 of the California Code of Regulations. Largely based on the DEA Rule, the Board of
Pharmacy Regulations establish requirements applicable to pharmacies, hospitals/clinics with on-site
pharmacies, distributors, and reverse distributors conducting certain drug take-back services. Among
other things, the Board of Pharmacy Regulations provide:
• That California-licensed pharmacies and hospitals/clinics with on-site pharmacies must be in good
standing with, and notify, the Board of Pharmacy to host a drug kiosk. See 16 CCR §§ 1776,
1776.1(i).
• That pharmacies must “know and adhere” to all applicable “federal, state, and local requirements
governing the collection and destruction of dangerous drugs” when operating a drug take-back
program. See 16 CCR § 1776.1(b).
• Drug kiosk placement and monitoring requirements. See 16 CCR §§ 1776.3(b)–(d).
• Drug kiosk inner liner, container, and signage requirements. See 16 CCR §§ 1776.3(f), (h), (m).
• Inner liner handling, storage, and destruction requirements for drug kiosks. See, e.g., 16 CCR §§
1776.3(h)–(j), 1776.5(a)–(c).
• Pharmacy and reverse distributor recordkeeping requirements. See 16 CCR §§ 1776.5(e)–(f),
1776.6.
• Pharmacy drug mail-back program requirements. See 16 CCR § 1776.2.
The Plan is designed such that all entities that are part of the Program, including Vendor, are individually
responsible for complying with their respective compliance obligations under the Board of Pharmacy
Regulations.
33
XIII. Annual Report
An annual report will be provided to the Director on or before the date set by the Department and
annually thereafter. Ordinance § 6.53.080. This report will be provided in the format required by the
Ordinance § 6.53.080 and Regulations § 15. The total amount by weight collected by a Mail-Back
Program will be provided using an average weight per Mail-Back Package, as provided by Vendor.
34
Appendix A
MED-Project Participants
The list of participating Producers in MED-Project’s Program in the County is provided to the County on a
periodic basis to satisfy Ordinance requirements.
35
Appendix B
Contact List for Outreach and Education to the Community
The following is a representative list of Associations, Agencies, and Organizations that may be contacted
for assistance with outreach and education to the community.
Health Systems:
Alameda County Medical Center
Children’s Hospital and Research Center
Fremont Hospital
Kaiser Foundation Hospital
St. Rose Hospital
Sutter Health
Stanford Health
Washington Hospital
Health Associations and Societies:
California State Board of Pharmacy
California Pharmacists Association
The Medical Board of California
California Nurses Association
National Association of Social Workers California
Chapter
California Board of Registered Nursing
California Board of Vocational Nursing
California Department of Health Care Services
California Health and Human Services Agency
Organizations, Districts, and Agencies:
Alameda County Public Health Department
Alameda County Department of Environmental
Health
Alameda County Public Works Agency
Alameda County Board of Supervisors
Alameda County Fire Department
American Medical Response Alameda County
CalRecycle
36
Appendix C
Interested Sites and Participating Kiosk Drop-Off Sites as of June 29, 2022
MED-Project will provide the County with a list of participating Kiosk Drop-Off Sites on a periodic basis, as
requested by the County. Kiosk Drop-Off Sites marked with an asterisk have received an exception from
Alameda County Department of Environment Health to operate as an On-Demand Collection Service Kiosk
Drop-Off Site.
Site Name Address City Zip
Code
2693 FRUITVALE AVENUE OAKLAND 94601 ACTIVE SITE*
ALAMEDA COUNTY
SHERIFF’S OFFICE
15001 FOOTHILL BLVD. SAN LEANDRO 94578 INTERESTED
ALAMEDA HOSPITAL 2070 CLINTON AVENUE ALAMEDA 94501 ACTIVE SITE
ALAMEDA POLICE
DEPARTMENT
1555 OAK ST. ALAMEDA 94501 ACTIVE SITE*
DEPARTMENT
101 8TH ST. OAKLAND 94607 ACTIVE SITE
BERKELEY POLICE
DEPARTMENT (1st
kiosk)
2100 MARTIN LUTHER KING
JR. WAY
BERKELEY 94704 ACTIVE SITE
BERKELEY POLICE
DEPARTMENT (2nd
kiosk)
2100 MARTIN LUTHER KING
JR. WAY
BERKELEY 94704 ACTIVE SITE
California State
University, East Bay
25800 Carlos Bee Boulevard Hayward 94542 ACTIVE SITE*
PANSMART, INC. 2557 MOWRY AVE. FREMONT 94538 ACTIVE SITE
CLOVER PHARMACY 6170 THORNTON AVE. NEWARK 94560 ACTIVE SITE*
CVS/PHARMACY #0331
CVS/PHARMACY #0816 22501 FOOTHILL BLVD. HAYWARD 94541 ACTIVE SITE*
CVS/PHARMACY
#09397
4405 1ST ST. LIVERMORE 94551 ACTIVE SITE*
37
Site Name Address City Zip
Code
CVS/PHARMACY
#09494
35080 NEWARK BLVD. NEWARK 94560 ACTIVE SITE*
CVS/PHARMACY
#09553
4349 SAN PABLO AVENUE EMERYVILLE 94608 ACTIVE SITE*
CVS/PHARMACY
#09600
35720 FREMONT BLVD. FREMONT 94536 ACTIVE SITE*
CVS/PHARMACY
#09622
243 W JACKSON ST. HAYWARD 94544 ACTIVE SITE*
CVS/PHARMACY
#09635
1550 E 14TH STREET SAN LEANDRO 94577 ACTIVE SITE*
CVS/PHARMACY
#09678
1500 1ST ST. LIVERMORE 94550 ACTIVE SITE*
CVS/PHARMACY
#09876
699 LEWELLING BLVD. SAN LEANDRO 94579 ACTIVE SITE*
CVS/PHARMACY
#09904
3667 CASTRO VALLEY BLVD. CASTRO
VALLEY
94546 ACTIVE SITE*
CVS/PHARMACY
#09941
1451 SHATTUCK AVE. BERKELEY 94709 ACTIVE SITE*
#09942
1401 WASHINGTON AVE. SAN LEANDRO 94577 ACTIVE SITE*
CVS/PHARMACY
#10119
6750 BERNAL AVE. PLEASANTON 94566 ACTIVE SITE*
CVS/PHARMACY
#10121
2655 TELEGRAPH AVE. BERKELEY 94704 ACTIVE SITE*
CVS/PHARMACY
#10199
26059 MISSION BLVD. HAYWARD 94544 ACTIVE SITE *
CVS/PHARMACY
#10475
2964 BROADWAY OAKLAND 94611 ACTIVE SITE*
CVS/PHARMACY
#10924
3010 BERNAL AVE. PLEASANTON 94566 ACTIVE SITE*
38
Site Name Address City Zip
Code
CVS/PHARMACY #3024 7201 REGIONAL ST. DUBLIN 94568 ACTIVE SITE*
CVS/PHARMACY #3026 2300 SHATTUCK AVE. BERKELEY 94704 ACTIVE SITE*
CVS/PHARMACY #8431
CVS/PHARMACY #9099 4020 FREMONT HUB FREMONT 94538 ACTIVE SITE*
CVS/PHARMACY #9128 2314 SANTA CLARA AVE. ALAMEDA 94501 ACTIVE SITE*
CVS/PHARMACY #9130
CVS/PHARMACY #9226
CVS/PHARMACY #9234 46445 MISSION BLVD. FREMONT 94539 ACTIVE SITE*
CVS/PHARMACY #9250 885 ISLAND DR. STE. A ALAMEDA 94502 ACTIVE SITE*
CVS/PHARMACY #9251
CVS/PHARMACY #9255 931 MARINA VILLAGE PKWY ALAMEDA 94501 ACTIVE SITE *
CVS/PHARMACY #9378 4100 REDWOOD RD. OAKLAND 94619 ACTIVE SITE *
DUBLIN POLICE
SERVICES
100 CIVIC PLAZA DUBLIN 94568 ACTIVE SITE
Dublin Police Services 6361 Clark Avenue DUBLIN 94568 ACTIVE SITE*
SUTTER HEALTH EDEN
MEDICAL CENTER (1ST
KIOSK)
20103 LAKE CHABOT ROAD CASTRO
VALLEY
94546 ACTIVE SITE
EDEN HOSPITAL (2ND
KIOSK)
20103 LAKE CHABOT ROAD CASTRO
VALLEY
EMERYVILLE POLICE
DEPARTMENT
2449 POWELL ST. EMERYVILLE 94608 ACTIVE SITE*
AND MEDICAL SUPPLY
37323 FREMONT BLVD. FREMONT 94536 ACTIVE SITE *
HIGHLAND HOSPITAL
OUTPATIENT
1411 E 31ST ST. OAKLAND 94602 ACTIVE SITE
39
Site Name Address City Zip
Code
PHARMACY (1ST
KIOSK)
34460 FREMONT BLVD.,
SUITE B
FREMONT 94555 ACTIVE SITE
KAISER HEALTH PLAN
OHLONE PHY 162 (1st
kiosk)
39400 PASEO PADRE PKWAY FREMONT 94538 ACTIVE SITE*
KAISER HEALTH PLAN
OHLONE PHY 162 (2nd
kiosk)
39400 PASEO PADRE PKWAY FREMONT 94538 ACTIVE SITE*
KAISER DUBLIN MOB
PHARMACY 061
3100 DUBLIN BLVD., FL. 1 DUBLIN 94568 ACTIVE SITE*
KAISER HEALTH PLAN
SOUTH 1 PHY 471
7601 STONERIDGE PLEASANTON 94588 ACTIVE SITE*
KAISER PERMANENTE
PHARMACY #102
3701 BROADWAY OAKLAND 94611 ACTIVE SITE*
KAISER PERMANENTE
PHARMACY #105
3600 BROADWAY OAKLAND 94611 ACTIVE SITE *
KAISER PERMANENTE
PHARMACY #241
3000 LOS POSITAS LIVERMORE 94551 ACTIVE SITE
KAISER PERMANENTE
PHARMACY NO 101
2417 CENTRAL AVE. ALAMEDA 94501 ACTIVE SITE*
KAISER UNION CITY
MAIN MOB 2 PHY
#132 (1st kiosk)
3553 WHIPPLE RD. UNION CITY 94587 ACTIVE SITE*
KAISER UNION CITY
MAIN MOB 2 PHY #132
(2nd kiosk)
3553 WHIPPLE RD. UNION CITY 94587 ACTIVE SITE*
KAISER PERMANENTE
PHARMACY #923 (1st
kiosk)
2500 MERCED ST., BLDG H,
FL 1, ROOM 1436
40
Site Name Address City Zip
Code
KAISER PERMANENTE
PHARMACY #923 (2nd
kiosk)
2500 MERCED ST., BLDG H,
FL 1, ROOM 1436
SAN LEANDRO 94577 ACTIVE SITE*
Kaiser Berkeley #910 OP Pharmacy 2621 Tenth Street, FL 2 Room
2505
MISSION PHARMACY
MOWRY MEDICAL
PHARMACY
1999 MOWRY AVE., STE A FREMONT 94538 ACTIVE SITE*
NEW OAKLAND
PHARMACY - LAKE
MERRITT
250 E. 18TH ST. OAKLAND 94606 ACTIVE SITE
NEW OAKLAND
PHARMACY #2
388 9TH ST. OAKLAND 94607 ACTIVE SITE
NEW OAKLAND
PHARMACY #1
333 9TH ST. OAKLAND 94607 ACTIVE SITE
PIEDMONT POLICE
DEPARTMENT
403 HIGHLAND AVE. PIEDMONT 94611 ACTIVE SITE
PLEASANTON / BART
POLICE SERVICES
CENTER
6050 STONERIDGE MALL
ROAD
PLEASANTON 94588 ACTIVE SITE
PLEASANTON POLICE
DEPARTMENT
4833 BERNAL AVE. PLEASANTON 94566 ACTIVE SITE
RITE AID 05918 3744 MOWRY AVENUE FREMONT 94538 INTERESTED
RITE AID 05920 31091 MISSION BOULEVARD HAYWARD 94544 ACTIVE SITE*
RITE AID 05922
BOULEVARD VALLEY
RITE AID 05925 968 MURRIETA BOULEVARD LIVERMORE 94550 ACTIVE SITE*
RITE AID 05937 1355 MACARTHUR
BOULEVARD
SAN LEANDRO 94577 ACTIVE SITE*
41
Site Name Address City Zip
Code
RITE AID 05942 31836 ALVARADO
BOULEVARD
UNION CITY 94587 ACTIVE SITE*
RITE AID 05943 1650 DECOTO ROAD UNION CITY 94587 ACTIVE SITE*
RITE AID 05944
RITE AID 05952 1991 MOUNTAIN BOULEVARD OAKLAND 94611 ACTIVE SITE*
RITE AID 06456 1350 NORTH VASCO ROAD LIVERMORE 94551 ACTIVE SITE*
SAN LEANDRO
HOSPITAL
13855 EAST 14TH ST. SAN LEANDRO 94578 ACTIVE SITE
TEDS DRUGS 27453 HESPERIAN HAYWARD 94545 ACTIVE SITE*
TENNYSON PHARMACY 589 W. TENNYSON HAYWARD 94544 ACTIVE SITE*
UNITED PHARMACY
WASHINGTON
HOSPITAL PHARMACY
2000 MOWRY AVE. FREMONT 94538 ACTIVE SITE
WELLSPRING
PHARMACY
4184 C PIEDMONT AVE. OAKLAND 94611 ACTIVE SITE*
42
Appendix D
Potential Additional Kiosk Drop-Off Sites
Site Name Address City Zip
400 THIRTIETH ST. STE 300 OAKLAND 94609
AIRPORT POLICE SERVICES
ALAMEDA PHARMACY LLC
ALBANY POLICE DEPARMTNET 1000 SAN PABLO AVE. ALBANY 94706
ALTA BATES SUMMIT MED CTR-
HERRICK CAMPUS
2001 DWIGHT WY. BERKELEY 94704
ALTA BATES SUMMIT MEDICAL CENTER
- ALTA BATES CAMPUS
2450 ASHBY AVE. BERKELEY 94705
ALTA BATES SUMMIT MEDICAL CENTER
350 HAWTHORNE AVE. OAKLAND 94609
ALTA BATE@S SUMMIT OUTPATIENT
PHARMACY
2001 DWIGHT WAY STE. 2182 BERKELEY 94704
BART POLICE DEPARTMENT
BRADFORD PHARMACY INC. 445 8TH STREET OAKLAND 94607
CALIFORNIA DEPARTMENT OF TOXIC
SUBSTANCES CONTROL
700 HEINZ AVE., #200 BERKELEY 94710
CALIFORNIA STATE UNIVERSITY, EAST
BAY
25800 CARLOS BEE BLVD. HAYWARD 94542
CENTRAL ADMIXTURE PHARMACY
48006 FREMONT BLVD. FREMONT 94538
CHILDREN'S HOSPITAL & RESEARCH
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
CLEAR CHOICE PHARMACY 3059 HOPYARD RD. STE. C PLEASANTON 94588
COMMUNITY A WALGREENS PHARMACY
#16477
3009 BROADWAY OAKLAND 94611
43
CORAM CVS/SPECIALTY INFUSION
SERVICES
3160 CORPORATE PLACE HAYWARD 94545
COSTCO PHARMACY #1061 28505 HESPERIAN BLVD. HAYWARD 94545
COSTCO PHARMACY #146 2800 INDEPENDENCE DRIVE LIVERMORE 94550
COSTCO PHARMACY #778 43621 PACIFIC COMMONS
BLVD.
FREMONT 94538
COSTCO PHARMACY 118 1900 DAVIS STREET SAN LEANDRO 94577
CPP PET CARE 3157 CORPORATE PL. HAYWARD 94545
CRESCENT HEALTHCARE 2547 BARRINGTON CT. HAYWARD 94545
7200 AMADOR PLAZA RD. DUBLIN 94568
4300 LAS POSITAS RD. LIVERMORE 94551
CVS/PHARMACY # 16764 15555 E 14TH ST STE 400 SAN LEANDRO 94578
CVS/PHARMACY # 16804 2499 WHIPPLE RD. HAYWARD 94544
CVS/PHARMACY # 17044 1057 ESTSHORE HWY. ALBANY 94710
CVS/PHARMACY # 17265 19661 HESPERIAN BLVD HAYWARD 94541
CVS/PHARMACY # 17592 43950 PACIFIC COMMONS
BLVD
FREMONT 94538
CVS/PHARMACY # 17624 1555 40TH STREET EMERYVILLE 94608
CVS/PHARMACY # 17628 2800 DUBLIN BLVD DUBLIN 94568
CVS/PHARMACY # 17657 2700 5TH ST. ALAMEDA 94501
CVS/PHARMACY # 17673 2187 SHATTUCK AVE. BERKELEY 94704
CVS/PHARMACY # 17781 2650 BROADWAY OAKLAND 94612
CVS/PHARMACY # 09595
CVS/PHARMACY # 09929
DAYSMAN PHARMACY LLC 3760 MOWRY AVE. FREMONT 94538
DELIVERCARERX PHARMACY LLC 3095 INDEPENDENCE DR., STE LIVERMORE 94551
44
EAST BAY AIDS CENTER OUTPATIENT
3100 SUMMIT ST. OAKLAND 94609
EAST BAY REGIONAL PARK POLICE 17930 LAKE CHABOT ROAD CASTRO 94546
EAST OAKLAND HEALTH PHARMACY
ENTIRELYPETS PHARMACY 34571 SEVENTH ST. UNION CITY 94587
FAIRMONT HOSPITAL PHARMACY 15400 FOOTHILL BOULEVARD SAN LEANDRO 94578
FOODMAXX PHARMACY #484 3100 EAST 9TH ST. OAKLAND 94601
15400 FOOTHILL BLVD. SAN LEANDRO 94578
39001 SUNDALE DR. FREMONT 94538
FREMONT POLICE DEPARTMENT 94538
GARFIELD BEACH CVS LLC D/B/A
CVS/PHARMACY # 17712
1414 UNIVERSITY AVE. BERKELEY 94702
HALLER'S LTC PHARMACY 4067 PERALTA BLVD. FREMONT 94536
HAYWARD POLICE DEPARTMENT 300 WEST WINTON AVE. HAYWARD 94544
HAYWARD SISTERS HOSPITAL DBA ST
ROSE HOSPITAL
27200 CALAROGA AVE. RM A1-
108
HAYWARD 94545
HERRICK CAMPUS PHARMACY 2100 DWIGHT WAY RM 2113 BERKELEY 94704
HIGHLAND HOSPITAL POLICE SERVICES 1411 E 31ST ST. OAKLAND 94606
HIGH STREET PHARMACY 4248 MACARTHUR BLVD. OAKLAND 94619
10500 MACARTHUR BLVD.
#103
OAKLAND 94605
2060 FAIRMONT DRIVE SAN LEANDRO 94578
KABAFUSION LLC
KAISER FDN HSP INP PHY 16A 39400 PASEO PADRE
PARKWAY
FREMONT 94538
45
KAISER FDN HLT PLAN FABIOLA 1 PHY
115
KAISER FOUNDATION CPP PHARMACY
300 G PULLMAN STREET LIVERMORE 94550
KAISER FOUNDATION HOSPITAL
PHARMACY #10A
275 W MACARTHUR BLVD. OAKLAND 94611
KAISER FOUNDATION HOSPITAL
PHARMACY #92A
2500 MERCED ST HOSPITAL
BLDG
SAN LEANDRO 94577
KAISER FOUNDATION HOSPITAL PHY
7601 STONERIDGE DR. RM PLEASANTON 94588
KAISER HEALTH PLAN NILES 3 PHY 164 39400 PASEO PADRE FREMONT 94538
KAISER HEALTH PLAN NILES PHY 161 39400 PASEO PADRE
PARKWAY
FREMONT 94538
39400 PASEO PADRE PKWY.,
NILES BLDG FL 2, RM. 7210
FREMONT 94538
5600 STONERIDGE MALL PLEASANTON 94588
KAISER HLTH PLAN SLEEPY HOLLOW
PHY 143
27303 SLEEPY HOLLOW
AVENUE SOUTH
HAYWARD 94545
3701 BROADWAY FLR 3 OAKLAND 94611
KAISER ONCOLOGY PHARMACY #165 39400 PASEO PADRE PKWY
ND
FREMONT 94538
KAISER PERMANENTE PHARMACY #181 1795 SECOND ST., SUITE B BERKELEY 94710
KAISER PERMANENTE PHARMACY #470
KAISER PERMANENTE PHARMACY #921 2500 MERCED ST. FL 1 SAN LEANDRO 94577
KAISER PERMANENTE PHARMACY #922 2500 MERCED ST. 2ND FL RM SAN LEANDRO 94577
KINDRED HSP-SAN FRANCISCO BAY 2800 BENEDICT DR. SAN LEANDRO 94577
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
46
LIVERMORE POLICE DEPARTMENT
LUCKY PHARMACY #711 40055 MISSION BLVD. FREMONT 94539
LUCKY PHARMACY #712 34101 FREMONT BLVD. FREMONT 94555
LUCKY PHARMACY #714 5000 MOWRY AVE. FREMONT 94538
LUCKY PHARMACY #715 22555 MISSION BLVD. HAYWARD 94541
LUCKY PHARMACY #716 25151 SANTA CLARA ST. HAYWARD 94544
LUCKY PHARMACY #721 2000 PORTOLA AVE. LIVERMORE 94550
LUCKY PHARMACY #722 1951 HOLMES ST. LIVERMORE 94550
LUCKY PHARMACY #736 247 E 18TH ST. OAKLAND 94606
LUCKY PHARMACY #744 6155 W LAS POSITAS BLVD. PLEASANTON 94588
1300 FAIRMONT DR. SAN LEANDRO 94578
LUCKY PHARMACY #768 15840 HESPERIAN BLVD. SAN LORENZO 94580
LUCKY PHARMACY #782 32300 DYER ST. UNION CITY 94587
MASONIC HOME PHARMACY 34400 MISSION BLVD. UNION CITY 94587
MAXOR CORRECTIONAL PHARMACY
C/O SANTA RITA JAIL DUBLIN 94568
MEDICAL ARTS PHARMACY 13847 E 14TH ST., STE. 103 SAN LEANDRO 94578
MED-PLUS PHARMACY INC.
MIDTOWN PHARMACY PROFESSIONAL
CORPORATION
MOWRY PLAZA PHARMACY 668 MOWRY AVE. FREMONT 94536
NEWARK POLICE DEPARTMENT 94560
NEW CHINA TOWN PHARMACY 719 EAST 12TH STREET OAKLAND 94606
NEW TIBURCIO VASQUEZ HEALTH
33255 9TH STREET UNION CITY 94587
NICHOLS HILL PRESCRIPTION
PHARMACY
2844 SUMMIT STREET OAKLAND 94609
47
NOWRX INC
NOWRX INC 7067 COMMERCE CIRCLE PLEASANTON 94588
OAKLAND CLINIC PHARMACY 5220 CLAREMONT AVE. OAKLAND 94618
OAKLAND CITY HOUSING AUTHORITY
POLICE DEPARTMENT
OAKLAND POLICE DEPARTMENT 455 7TH STREET OAKLAND 94607
OAKLAND UNIFIED SCHOOL DISTRICT
POLICE DEPARTMENT
1000 BROADWAY, SUITE 680 OAKLAND 94607
OHLONE COMMUNITY COLLEGE
DISTRICT POLICE DEPARTMENT
OMNICARE OF HAYWARD 20967 CABOT BLVD. HAYWARD 94545
ONEPOINT PATIENT CARE 1599 FACTOR AVE. STE. B SAN LEANDRO 94577
PACIFIC PHARMACY 650 INTERNATIONAL BLVD. OAKLAND 94606
3300 WEBSTER ST., GROUND
FL
OAKLAND 94609
PETNET PHARMACEUTICAL 26563 CORPORATE AVE., STE HAYWARD 94545
PHARMACA INTEGRATIVE PHARMACY
INC
5729 COLLEGE AVE. OAKLAND 94618
PHARMACA INTEGRATIVE PHARMACY
INC
1744 SOLANO AVE. BERKELEY 94707
PHARMERICA 32980 ALVARADO NILES RD. UNION CITY 94587
PLEASANT CARE PHARMACY 1652 B ST. HAYWARD 94541
RALEYS PHARMACY #316 5420 SUNOL BLVD. PLEASANTON 94566
1500 SOLANO AVE. ALBANY 94706
1444 SHATTUCK PLACE BERKELEY 94709
SAFEWAY PHARMACY #0768 20629 REDWOOD RD. CASTRO
VALLEY
94546
SAFEWAY PHARMACY #0908 3550 FRUITVALE AVE. OAKLAND 94602
48
SAFEWAY PHARMACY #0951 867 ISLAND DR. ALAMEDA 94502
SAFEWAY PHARMACY #0971 22280 FOOTHILLS BLVD. HAYWARD 94541
SAFEWAY PHARMACY #0993 3902 WASHINGTON BLVD. FREMONT 94538
SAFEWAY PHARMACY #1197 1790 DECOTO RD. UNION CITY 94587
SAFEWAY PHARMACY #1257 4495 FIRST ST. LIVERMORE 94551
SAFEWAY PHARMACY #1931 46848 MISSION BLVD. FREMONT 94539
SAFEWAY PHARMACY #1932 4440 TASSAJARA RD. DUBLIN 94568
SAFEWAY PHARMACY #1953 7499 DUBLIN BLVD. DUBLIN 94568
SAFEWAY PHARMACY #2708 2227 S SHORE CENTER ALAMEDA 94501
SAFEWAY PHARMACY #2856 6790 BERNAL AVE. PLEASANTON 94566
6310 COLLEGE AVE. OAKLAND 94618
SAFEWAY PHARMACY #3125 3889 SAN PABLO AVE. EMERYVILLE 94608
SAFEWAY PHARMACY #3132 5100 BROADWAY OAKLAND 94611
SAFEWAY PHARMACY #3281 2600 5TH ST. ALAMEDA 94501
SAN LENADRO POLICE DEPARTMENT 835 EAST 14TH ST. SAN LEANDRO 94577
SAVE MART SUPERMARKETS #73 105 W HANFORD-ARMONA RD LIVERMORE 93245
SKILLED NURSING PHARMACY 21150 CABOT BLVD. HAYWARD 94545
SOLEO HEALTH INC 1324 W WINTON AVE. HAYWARD 94545
STANFORD EMERYVILLE HEALTH
CENTER PHARMACY
5800 HOLLIS ST., RM 2325 EMERYVILLE 94608
SUTTER INFUSION & PHARMACY
SERVICES
1105 ATLANTIC AVE. STE 102 ALAMEDA 94501
THE MEDICINE SHOPPE 5860 OWENS DRIVE, STE. 130 PLEASANTON 94588
TIB PHARMACY LLC 5886 MOWRY SCHOOL RD. NEWARK 94560
49
TRUEPILL
UC BERKELEY POLICE DEPARTMENT 1 SPROUL HALL (BASEMENT) BERKELEY 94720
UNION CITY POLICE DEPARTMENT 34009 ALVARADO NILES RD. UNION CITY 94587
UNIVERSAL COMPOUNDING PHARMACY
UNIVERSITY HEALTH SERVICE
2222 BANCROFT AVE RM. 1115 BERKELEY 94702
VALLEY MEMORIAL HOSPITAL
PHARMACY
1111 EAST STANLEY LIVERMORE 94550
VALLEYCARE MEDICAL CENTER
PHARMACY
5555 W LAS POSITAS BLVD.
1ST FL
PLEASANTON 94588
VALOR COMPOUNDING PHARMACY 2461 SHATTUCK AVENUE BERKELEY 94720
VERSAILLES PHARMACY 2801 ENCINAL ALAMEDA 94501
VIBRANT CARE PHARMACY INC 7400 MACARTHUR BLVD STE. OAKLAND 94605
WAL MART PHARMACY 10 2031 30600 DYER STREET UNION CITY 94587
WAL-MART PHARMACY 10-1972 2700 LAS POSITAS RD. LIVERMORE 94551
WAL-MART PHARMACY 10-5434 15555 HESPERIAN BLVD. SAN LEANDRO 94579
WAL-MART PHARMACY 10-5611 3112 SANTA RITA RD. PLEASANTON 94566
WALGREEN CO D/B/A WALGREENS
5809 FOOTHILL BLVD. OAKLAND 94605
WALGREENS #00101 3382 CASTRO VALLEY BLVD. CASTRO 94546
WALGREENS #01536 3434 HIGH STREET OAKLAND 94619
WALGREENS #01537 3232 FOOTHILL BLVD. OAKLAND 94601
WALGREENS #01625 5055 TELEGRAPH AVE. OAKLAND 94609
WALGREENS #02150 1763 SANTA RITA RD. PLEASANTON 94566
WALGREENS #02306 1138 W TENNYSON_RD. HAYWARD 94544
WALGREENS #02314 1050 GILMAN ST. BERKELEY 94710
50
WALGREENS #02366 3860 DECOTO ROAD FREMONT 94555
WALGREENS #02401 21463 FOOTHILL BLVD. HAYWARD 94541
WALGREENS #02426 15500 WASHINGTON AVE. SAN LEANDRO 94579
WALGREENS #02609 2995 SAN PABLO AVE. BERKELEY 94702
WALGREENS #02660 41400 BLACOW RD. FREMONT 94538
WALGREENS #03170 3400 TELEGRAPH AVE. OAKLAND 94609
WALGREENS #04050 1916 WEBSTER ST. ALAMEDA 94501
WALGREENS #04517 2600 MOWRY AVE. FREMONT 94538
WALGREENS #04614 2801 ADELINE ST. BERKELEY 94703
WALGREENS #04659 164 W JACKSON ST. HAYWARD 94544
23958 HESPERIAN BLVD. HAYWARD 94541
WALGREENS #07274 1456 136TH AVE. SAN LEANDRO 94578
WALGREENS #09248 2300 OTIS DRIVE ALAMEDA 94501
WALGREENS #10045 2310 TELEGRAPH AVE. BERKELEY 94704
WALGREENS #10526 3250 LAKESHORE AVE. SUITE OAKLAND 94610
WALGREENS #11706 301 EAST 18TH STREET OAKLAND 94606
WALGREENS #13595 1333 BROADWAY OAKLAND 94612
2190 SHATTUCK AVE. BERKELEY 94704
WALGREENS #15163 1620 FIRST STREET LIVERMORE 94550
WALMART PHARMACY #10-2989 44009 OSGOOD RD. FREMONT 94539
WALMART PHARMACY #10-5426 40580 ALBRAE ST. FREMONT 94538
WALMART PHARMACY 10 2161 4501 ROSEWOOD DRIVE PLEASANTON 94588
WALMART PHARMACY NO 10 2648 1919 DAVIS STREET SAN LEANDRO 94577
51
WEST OAKLAND HEALTH CENTER
PHARM
700 ADELINE ST. OAKLAND 94607
52
Appendix E
Sample Kiosk Mock-Up
53
Sample Kiosk Signage1
Drop-Slot Panel Kiosk Art
1 Household Hazardous Waste facilities do not accept illicit drugs.
54
Sample Kiosk Signage
Front Door Panel Kiosk Art
55
Sample Kiosk Signage
Side Panel Kiosk Art
56
57
Appendix F
Media List
The following is a representative list of key media outlets to help educate Residents about proper disposal
of expired or Unwanted Medicine. The list includes local print, online, television, and radio outlets, as well
as outlets specifically targeting the diverse demographic communities within the County.
Print Outlets Coverage Area Website
Alameda Sun Alameda County http://alamedasun.com/
Berkeley Daily Planet
Berkeley Voice
Berkeleyside Berkeley http://www.berkeleyside.com
California Magazine Berkeley https://alumni.berkeley.edu/california-magazine
Castro Valley Times
Center for Investigative
Reporting
Berkeley https://revealnews.org/
Contra Costa Times Alameda County http://www.eastbaytimes.com/
Dublin Tri Valley Herald
E'ville Eye Community
News
Alameda County http://www.evilleeye.com/
Nichi Bei Times
(Japanese/English)
Alameda County https://www.nichibei.org
East Bay Express
East Bay Times
Fremont Bulletin Alameda County http://www.mercurynews.com/fremont
Fremont Tribune Alameda County http://www.fremonttribune.com/
The Independent
Pleasanton
Inter-City Express Oakland www.intercityexpress.news
58
Print Outlets Coverage Area Website
La Opinion (Spanish) Alameda County http://www.laopinion.com/
Pleasanton Weekly Alameda County https://www.pleasantonweekly.com
San Francisco Chronicle
The Argus Alameda County argus/
The Daily Californian (UC
Berkeley)
Alameda County http://www.dailycal.org
The Montclarion Oakland http://themontclarion.org
Tri-Valley Times
Tri-City Voice Alameda County http://www.tricityvoice.com/
Vision Hispana Oakland, Hayward http://www.visionhispanausa.com
Your Town Monthly
59
Television Outlets Network
BAVC Public Access
KDTV Univision
KEMO
KGO ABC
KNTV NBC
KPIX
KQED PBS
KRON Media General
KSTS
KTVU
60
Radio Outlets City/County/Coverage Area
KALW FM 91.7 San Francisco
KCBS AM 740 San Francisco
KCSF (College app radio)
KGO AM 810 San Francisco
KQED FM 88.5 San Francisco
KSFO AM 560
KUSF (College online radio) San Francisco
KPFB FM 89.3 Berkeley
KALX FM 90.7
KNGY FM 92.7
KPFA FM 94.1 Berkeley
KKIQ FM 101.7 Livermore
KBLX FM 102.9
KNEW AM 910 Oakland
KMKY AM 1310 Oakland
KVTO AM 1400
KPIG AM 1510 Piedmont
KACR FM 96.1 Alameda
KCRH FM 89.9
KPOO 89.5
KSMC 89.5 Moraga
KCSM 91.1 San Mateo
KKDV 92.1
61
Radio Outlets City/County/Coverage Area
KRZZ 93.3 San Francisco
KYLD 94.9 San Francisco
KBWF 95.7
KOIT 96.5 San Francisco
KLLC 97.3 San Francisco
KISQ 98.1
KSOL 98.9 San Francisco
KMVQ 99.7 San Francisco
KBRG 100.3
KVVZ 100.7
KIOI 101.3 San Francisco
KDFC 190.3 San Francisco
KKSF 103.7
KFOG 104.5 San Francisco
KITS 105.3 San Francisco
KVVF 105.7
KMEL 106.1 San Francisco
KFRC 106.9 San Francisco
KSTN 107.3
KSAN 107.7
KSFO 560 AM San Francisco
KEAR 610 AM San Francisco
KSTE 650 AM
62
Radio Outlets City/County/Coverage Area
KNBR 680 AM San Francisco
KFIA 710 AM Carmichael
KCBC 770 AM
KTRB 860 AM San Francisco
KATD 990 AM Pittsburg
KIQI 1010 AM
KTCT 1050 AM San Mateo
KFAX 1100 AM San Francisco
KHTK 1140 AM
KLOK 1170 AM
KDYA 1190 AM Vallejo
KNTS 1220 AM Palo Alto
KSRO 1350 AM
KZSF 1370 AM San Jose
KEST 1450 AM San Francisco
KFBK 1530 AM
KLIV 1590 AM San Jose
KDIA 1640 AM Vallejo
KEBR 88.1
KECG 88.1
KXPR 88.9 Sacramento
KOHL 89.3 Fremont
KREV 92.7
63
Radio Outlets City/County/Coverage Area
KSFN 1510 AM Piedmont
64
Appendix G
Sample Standard Mail-Back Package
Description:
Plastic envelope with return label and instructional flyer.
Package Size:
Outer dimensions: 8.25” x 12”
Inner dimensions: 7.375” x 10.375”
MED-Project may choose to change its Vendor for Mail-Back Services at any time. Any proposed changes
to Vendor will be submitted in writing to the Department and approved by the Department in writing
prior to implementation of any change.
65
Sample Inhaler Mail-Back Package
Description:
Inhaler Mail-Back Package including container with mail-back packaging, return label, and instructional
flyer.
Package Size:
Outer dimensions: 9”x 11.5”x 4.5”
Inhaler Mail-Back Services are an example of complete, turnkey systems to provide for the safe return of
inhaler waste through Carrier.
MED-Project may choose to change its Vendor for Mail-Back Services at any time. Any proposed changes
to Vendor will be submitted in writing to the Department and approved by the Department in writing
prior to implementation of any change.
66
Appendix H
Clean Harbors Aragonite, LLC Enforcement Action Summary Report
67
68
69
70
71
72
73
Covanta Environmental Solutions, LLC Penalty Record
74
75
Curtis Bay Energy Penalty Record
76
77
78
Heritage Thermal Services – Ohio Penalty Record
79
80
81
82
Ross Incineration Services Penalty Record
83
84
85
86
Stericycle, Inc., Warren, Ohio Facility Penalty Record
87
88
Veolia – Port Arthur Penalty Record
89
90
91
92
93
94
95
Appendix I
Sample Education and Outreach Call Center
96
Appendix J
Sample MED-Project Website Home Page
97
Sample MED-Project Website Check The Package Page
98
Sample MED-Project Website Convenient Locations Pages
99
100
Sample MED-Project Website Mail Back Page
101
Sample MED-Project Website Take-Back Events Page
102
Sample MED-Project Website MEDfaq Page
103
Sample MED-Project Website Contact Page
104
Appendix K
Sample Brochure
105
106
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