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Inmar Rx Solutions, Inc.
Alameda County
Safe Drug Disposal Stewardship Program
2025 Annual Report
(1/1/2025 through 12/31/2025)
Submitted: 2/27/2026
EXECUTIVE SUMMARY 01
PARTICIPATING PRODUCERS 02
COLLECTION EFFORTS AND WEIGHT 02
COLLECTION 02
DISPOSAL FACILITIES 04
POLICIES AND PROCEDURES 05
SAFETY OR SECURITY CONCERNS 05
EDUCATIONAL EFFORTS AND PUBLIC OUTREACH 05
STEWARDSHIP PLAN GOALS 07
SURVEYS 09
APPENDICES 14
Appendix A - Collection 15
Appendix B - Disposal Facilities 20
Appendix C - Kiosk Signage, Mailer Instructions and
Educational/Outreach Materials 21
Appendix D - Program Website 30
Appendix E - Outreach and Promotion Activities 47
I. Executive Summary
Ordinance Sec. 6.53.080 - Executive Summary. The purpose of the Executive Summary is to provide a broad understanding of the
Plan as a whole and context for the data and information that will follow. This summary should include a brief description of
collection and disposal efforts during the reporting period. The executive summary should also include a description of proposals to
improve collection efforts and challenges encountered during the reporting period, and how they will be addressed.
Inmar Rx Solutions, Inc. (“Inmar”) was approved to operate a Drug Stewardship Program (“Program”) on
April 1, 2022 pursuant to the Alameda Safe Drug Disposal Ordinance located at Title 6 of the Alameda
County Health and Safety Code, Sections 6.53.010 through 6.53.120 (“Ordinance”) and the Alameda
County Safe Drug Disposal Regulations (“Regulations”). This Annual Report covers the period January
1, 2025 through December 31, 2025 (“Reporting Period”). During the Reporting Period, Inmar operated
the Program in accordance with the Department-approved revised Drug Stewardship Plan dated March
1, 2025, which was approved by the Department on April 30, 2025 (“Plan”). Accordingly, Program
operations from April 30, 2025 through December 31, 2025 were conducted under the revised Plan. All
capitalized terms not defined in this Annual Report have the meanings set forth in the Plan.
The following information contained within this Annual Report mirrors the requirements outlined in
Section 6.53.080 of the Ordinance.
A. Collection and Disposal Efforts
During this Reporting Period, Inmar operated 15 Collection Points and 34 Standard Mail-Back
Envelope Distribution Sites totaling 49 locations. Note that during the Reporting Period, Inmar
conducted regular check-ins with Standard Mail-Back Envelope Distribution Sites and closed 15
sites due to a lack of participation, resulting in 19 total active sites at the end of the Reporting
Period. Inmar collected 68 Inner Liners from the 15 Collection Points equaling 2,184 pounds of
Unwanted Covered Drugs. Inmar collected a total of 603 Mailer envelopes (Standard and Inhaler)
totaling 310.87 pounds of Unwanted Covered Drugs. Inmar collected 655 Auto-Injector packages,
for a total of 825.65 pounds of Unwanted Covered Drugs, which is a 325% increase in weight
collected from all Mailers (Standard Envelopes, Inhaler Envelopes, and Auto-Injectors).
Additionally, Inmar participated in ten Collection Events which resulted in the collection of 3,352
pounds of Unwanted Covered Drugs. During the 2025 Reporting Period, a total of 6,672.52
pounds of Unwanted Covered Drugs were collected across all Collection Methods, representing a
27% increase compared to the 2024 Reporting Period.
B. Plan Changes
During the Reporting Period, the Department approved Inmar’s revised Stewardship Plan on April
30, 2025. Other than implementation actions consistent with the approved Plan, no additional
changes requiring prior written approval under Ordinance 6.53.050(B)(6) were made during the
Reporting Period.
C. Program Outlook
Inmar expects to gradually increase the amount of Unwanted Covered Drugs collected in 2026.
To achieve this, Inmar plans to continue hosting one-day Collection Events in conjunction with
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Alameda County Department of Environmental Health and Alameda County Department of
Environmental Health Household Hazardous Waste Division for the fourth year in a row. Inmar
has implemented standardized engagement protocols with Standard Mail-Back Envelope
Distribution Sites to ensure ongoing participation and to support measurable year-over-year
increases in Unwanted Covered Drugs collected. Inmar is continuously seeking additional
locations to serve as Collection Points and/or Standard Mail-Back Envelope Distribution Sites.
II. Participating Producers
Ordinance Sec. 6.53.080(a)(1) - A list of Producers participating in the Product Stewardship Program
Information regarding participating Producers can be found in Attachment A: Participating Producers.
III. Collection Efforts and Weight
Ordinance Sec. 6.53.010(a)(2) - The amount, by weight, of Unwanted Covered Drugs collected from Residential Generators
collected at each drop-off site and in the entire County of Alameda and, if applicable, the total amount by weight collected by a
Mail-Back Program
Regulation Sec. 15(C)(iv) - The report narrative shall include a brief description of the collection efforts over the past year.
Throughout the Reporting Period, Inmar collected Unwanted Covered Drugs by means of Collection
Points, one-day take-back collection events, and Standard Mail-Back Envelope Distribution Sites as well
by Mail-Back Services that could be requested via the Program’s website or toll-free phone number which
includes Standard Mail-Back Envelopes, Inhaler Mail-Back Envelopes and Auto-Injector Mail-Back
Packages. The below table represents the total weight collected in pounds by each of these mentioned
Collection Methods.
Total Unwanted Covered Drugs Collected in the Reporting Period from all Collection Methods
IV. Collection
Ordinance Sec. 6.53.080(A)(3) - A description of the collection system, including the location of each collection site and, if
applicable, locations where envelopes for a Mail- Back Program are provided.
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Type # Total Weight (pounds)
Drop-off Site Liners 68 2,184.00
Standard Envelope 595 308.17
Inhaler Envelope 8 2.7
Auto-injector Packages 655 825.65
Collection Event Liners 74 3,352.00
Total Weight Collected (2025) 6,672.52
Regulation Sec. 15(D)(ii) - For each Collection Point: (a) location, host site name, and address; (b) collected Unwanted Covered
Drugs by weight over the past year; and (c) number of times Unwanted Covered Drugs was picked up for transportation per location.
Regulation Sec. 15(D)(iii) - For any mail-back program: (a) the number of mail-back containers distributed; (b) the number of
mail-back containers returned; and (c) collected Unwanted Covered Drugs by weight
A. Collection Points
Technical specifications concerning Inmar’s Collection System can be located in the approved Plan dated
March 1, 2025. Table 1 in Appendix A lists the weight for each Collection Point and the corresponding
number of Inner Liners collected. Table 2 in Appendix A lists each of Inmar’s Collection Points in Alameda
County. The number of Inner Liners in the Column titled “Liners Collected” is indicative of the number of
times the Unwanted Covered Drugs were picked up from each location. Appendix A Table 4 lists all of the
one day Collection Events with the corresponding location, number of Inner Liner collected, and amount
of Unwanted Covered Drugs collected.
Inmar signed an agreement with Piedmont Police Department (location listed below) on April 23, 2025 to
host a Collection Point, however, the Police Department underwent a remodel and the Collection Point
was not open to the public until 12/18/25.
Piedmont Police Department
403 Highland Avenue, Piedmont CA 94611
Inmar’s Collection Point deployment remains proportional to the market share of Plan participants,
consistent with Ordinance 6.53.050(A)(9).
B. Standard Mail-Back Envelope Distribution Sites
Table 3 in Appendix A lists each participating Standard Mail-Back Envelope Distribution Site. In the
Reporting Period, Inmar distributed 2,700 Standard Mail-Back Envelopes to Standard Mail-Back Envelope
Distribution Sites.
Inmar distributed the following from the Program website:
● 101 requests resulting in the distribution of 205 Standard Mail-Back Envelopes;
● 1,256 requests resulting in the distribution of 2,485 Auto-Injector Mail-Back Packages;
● 22 requests resulting in the distribution of 43 Inhaler Mail-Back Envelopes.
Inmar collected a total of 308.17 pounds of weight from the 595 Standard Mail-Back Envelopes, 2.7
pounds of weight from 8 Inhaler envelopes, and 825.65 pounds of weight from the 655 returned
Auto-Injector Packages in the Reporting Period.
Please note that 15 Standard Mail-Back Envelope Distribution sites were disenrolled from the Program
due to declined participation resulting from a newly implemented contractual process in the Mail-Back
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Program.
Mailer Type Total # Requested Total # Returned Total Weight (pounds)
Standard Envelope 2,905 595 308.17
Inhaler Envelope 43 8 2.70
Auto-injector Packages 2,485 655 825.65
Total 5,433 1,258 1,136.52
C. One-Day Collection Events
Table 4 in Appendix A lists each one-day Collection Event that Inmar participated in as well as the
corresponding number of Liners and Pounds of Unwanted Covered Drugs collected. During the Reporting
Period, Inmar worked with Alameda County Department of Household Hazardous Waste Division to
participate in eight one-day collection events, totaling 3,352 pounds of Unwanted Covered Drugs. Inmar
was approached by the City of Fremont Environmental Services Division to host a take-back event at the
Fremont Earth Day event on April 19 in conjunction with Washington Hospital. Additionally, Inmar was
approached by the City of Fremont Fire Department to host a collection event for the City of Fremont Fire
Safety Fair on October 11. Inmar fulfilled both of these requests, as well as eight household hazardous
waste one-day take-back events for a total of ten collection events.
V. Disposal Facilities
Ordinance Sec. 6.53.080(A)(4) - The name and location of disposal facilities at which Unwanted Covered Drugs were disposed of
and the weight of Unwanted Covered Drugs collected from Residential Generators disposed of at each facility
Regulation Sec. 15(d)(iv) - For each Disposal Facility: (a) the facility name, address and telephone number; and (b) the total weight
of collected products at each facility
During the Reporting Period, Unwanted Covered Drugs collected through the Program were transported
and disposed of in accordance with applicable federal, state, and local laws, including the Alameda
County Safe Drug Disposal Ordinance and Regulations.
Inmar utilized the permitted disposal facilities identified in the Department-approved revised Plan dated
March 1, 2025. Appendix B of this Annual Report provides, for each disposal facility utilized during the
Reporting Period, the following required information:
● Business name
● Business address
● Business telephone number
● Total weight of Unwanted Covered Drugs disposed during the Reporting Period
All disposal facilities used were properly permitted and authorized to receive and destroy Unwanted
Covered Drugs in compliance with applicable law. All weights reported reflect materials received and
processed for destruction during the Reporting Period.
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VI. Policies and Procedures
Ordinance Sec. 6.53.080.(a)(5): Whether policies and procedures for collecting, transporting, and disposing of Unwanted Covered
Drugs, as established in the Plan, were followed during the reporting period and a description of any noncompliance.
As outlined in Inmar's approved Plan, Collection Points are required to comply with 21 CFR § 1317 and
the California Board of Pharmacy, Title 16, Article 9.1. Inmar has implemented rigorous standard
operating procedures that mandate adherence to these regulations, and all Authorized Collector
agreements explicitly require compliance. Inmar remains committed to ensuring that all Collection Points
operate in strict accordance with these standards and would take corrective actions as necessary in line
with its compliance framework and applicable laws.
VII. Safety or Security Concerns
Ordinance 6.53.080.(a)(6): Whether any safety or security problems occurred during collection, transportation, or disposal of
Unwanted Covered Drugs during the reporting period and, if so, what changes have or will be made to policies, procedures, or
tracking mechanisms to alleviate the problem and to improve safety and security.
Inmar did not encounter any safety or security issues during the collection, transportation, or disposal of
Unwanted Covered Drugs during the Reporting Period. As a result, no changes were made to policies,
procedures, or tracking mechanisms related to safety and security. No safety or security incidents, law
enforcement investigations, regulatory violations, or litigation arose from Collection Points during this
reporting period.
VIII. Educational Efforts and Public Outreach
Ordinance Sec. 6.53.080(a)(7) - A description of public education and outreach activities implemented during the reporting period,
including the methodology used to evaluate the outreach and Program activities;
A. Educational Materials
In accordance with Ordinance 6.53.070, Inmar provided easily-consumable educational materials
for distribution to Residential Generators, pharmacists, retailers of Covered Drugs, veterinarians,
veterinarian hospitals, and health care practitioners upon request and at no charge. Education
materials included standardized disposal instructions for Collection Points and Mail-Back
Services, an educational brochure that includes safe disposal options, the dangers of improper
drug use and disposal, and other Program information. Additionally, Inmar hosted a Program
website and toll-free phone number. All materials are easily understandable with varying levels of
English proficiencies and leverage explanatory graphics to aid in understanding. Materials are
available in Required Languages (English, Spanish, Chinese, Vietnamese, Tagalog).
The materials promote safe storage, inform of the risks of disposing of Unwanted Covered Drugs
in inappropriate waste streams (e.g. solid waste collection, sewer, or septic systems) and the
risks of Covered Drugs as it pertains to drug abuse and accidental poisoning. The materials
provide options on how to participate in the safe disposal of Unwanted Covered Drugs and other
Program advocacy.
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Please see Appendix C for example materials.
B. Outreach Activities
Inmar conducted the following outreach activities during the Reporting Period:
1. Radio
Inmar utilized Alameda County radio station KOIT 95.6 FM (“KOIT”) for the fourth year in a row to
provide information on safe drug disposal throughout the listening area. KOIT is consistently one
of the top stations in Alameda County and the Bay Area radio market. Messaging also ran
simulcast across streaming platforms. The radio ads commenced September 29th and ran
through December 21st for a total of 12 weeks. There were a total of 43 advertisements each
week, and the ads were 15 seconds in length for a total of 516 advertisements. KOIT Radio
utilized optimization tactics throughout the campaign to deliver the advertisement during heavier
listening times to garner more impressions. Advertisements focused on providing education on
safe drug disposal and directed listeners to find more information on the Inmar website,
www.safemedicinedrop.com. Ads emphasized that safe drug disposal options are free to all
Residents of Alameda County.
Inmar has insight into the scope of the outreach Program by identifying total impressions. During
the duration of the 12 week radio campaign, Inmar was able to reach approximately 9,516,000
listeners. The total number of impressions is calculated by determining the number of listeners for
each advertisement that was deployed. The radio advertisement can be provided upon request
by the Department.
2. Newspaper
For the fourth year in a row, Inmar utilized the East Bay Times to deploy advertisements on safe
drug disposal. The messaging encouraged users to remove Unwanted Covered Drugs from the
home to protect the environment and prevent drug abuse. The ad also promoted Inmar’s website
www.safemedicinedrop.com to find local Collection Points. The ad was one eighth (⅛) of a page
and ran weekly on Sundays for 12 weeks. The first ad was deployed on June 1st and the last ad
was deployed on August 17th. During the 12 week newspaper campaign, Inmar was able to
reach approximately 1,202,400 readers. Total views are reported directly from the media outlet. A
copy of the advertisement can be seen in Figure 2 in Appendix E.
3. Digital Media - Programmatic
Programmatic Media provides targeted display ads on browser sites on internet capable devices
(smart phones, computers, tablets, etc.). Inmar ran ads across a prequalified list of over 200,000
domains including a variety of retail websites, Google, and Facebook. The programmatic targeted
ads ran for six weeks leading up to the DEA’s National Prescription Take Back Days starting in
April and October. Impression metrics are reported directly from the individual websites that the
ads are placed on and are reported on a per campaign basis. See Appendix E, Table 1 line titled
“Programmatic Campaigns” for programmatic results. Examples of the Programmatic ads are in
Appendix E, Figure 3.
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4. Digital Media - Influencer Marketing and Social Media
Influencer marketing is a content creation tactic used to drive awareness and education to a
targeted audience through blogs and social media outlets. Influencers create authentic content
around their everyday lives and interests while weaving the story of prescription drug take-back
into their content. Influencer content is converted into paid ad units across social platforms and
then targeted to Residents across Alameda County.
Paid advertisements for influencer content were run on a variety of platforms including Google,
Instagram and Facebook and drove towards a specified impression goal. Inmar ran several social
media influencer campaigns concurrently with other traditional and digital media campaigns.
Inmar posted two social media posts per month per platform (Instagram, Twitter, and Facebook).
Influencer campaigns were deployed quarterly for a total of four influencer campaigns in 2025.
The four influencer campaigns in Alameda County garnered a total of 24,435,816 impressions
throughout the Reporting Period. See Appendix E, Table 1 lines titled “Influencer Campaign” for
programmatic results by quarter.
5. Direct Mail Campaign
Inmar mailed direct-mail postcards twice annually, on April 14 and October 17, in advance of the
DEA’s National Prescription Take Back Days. A total of 7,500 postcards were sent for each
campaign, delivered directly to Residents’ homes. A copy of the postcard is included in Appendix
C, Figure 5.
IX. Stewardship Plan Goals
Ordinance 6.53.080(a)(8): How the Product Stewardship Program complied with all other elements in the product stewardship Plan
approved by the Department, including its degree of success in meeting any performance goals set by the Department as part of its
approval of the Program.
Regulation Sec. 15(c)(ii) - Reporting on Goals. The Report Narrative should include a summary of the Plan goals and the degree of
success in meeting those goals in the past year. The discussion should include a summary of the efforts to meet the goals, any
difficulty in meeting the goals, and if any goals have not been met, what effort will be made to achieve such goals in the next year.
Alameda County Safe Drug Disposal Regulations Section 15(c)(iii): Future Goals. The Report Narrative should include proposed
goals to be accomplished in the upcoming year. If the proposed goals differ from the original Plan goals, the Annual Report should
include a discussion of the reasons for the suggested change(s).
A. Program Collection Goals
Inmar met the short-term collection goals outlined in the approved Plan dated March 1, 2025, by
continuing its participation in collection events with the Alameda County Department of
Environmental Health, Household Hazardous Waste Division. Inmar collected Unwanted Covered
Drugs at ten one-day take-back collection events during the reporting period.
Inmar’s long-term goal is to achieve 100 Kiosks distributed jointly with other Program Operators
following the first 18 months of Plan approval. This 100-Kiosk objective is a shared, Countywide
goal across all approved Program Operators and is dependent upon voluntary participation by
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Authorized Collectors, including Retail Pharmacies and Law Enforcement Agencies. As such,
kiosk placement is influenced by operational, logistical, and business considerations beyond the
direct control of any individual Program Operator.
As of December 2025, Inmar has secured a total of 34 Collection Points, including 15 Kiosks and
19 Standard Mail-Back Envelope Distribution Sites. In conjunction with the other approved
Program Operator, there are well over 100 Collection Points operating throughout Alameda
County. These figures do not include one-day collection events in which Inmar participates.
Consistent with Ordinance 6.53.050(A)(9), Inmar’s deployment of Collection Points remains
proportional to the market share of Covered Drugs sold in the County by participating Program
Operators. Inmar continues to work toward expanding access and supporting long-term goals by
partnering with the Alameda County Household Hazardous Waste Division to host Collection
Events and by seeking additional voluntary kiosk placement opportunities.
B. Program Promotion Goals
Inmar met short-term promotion goals by continually making updates to the Program website
(www.safemedicinedrop.com) and toll-free phone number (1-888-371-0717).
Inmar continues to meet Program promotion goals for digital and traditional media by having
ongoing social media posts, influencer posts, and radio and newspaper advertising. Social media
posts consisted of two posts per month per platform (Instagram, Twitter, and Facebook). The
Posts were scheduled as follows:
● The first social influencer campaign ran March 20 through March 31
● The second influencer campaign ran from April 20 through June30
● The third influencer campaign was from July 8 through September 30
● The fourth influencer campaign was from October 3 through December 31
● The first programmatic campaign started on April 7 and ran through June 30
● The second programmatic campaign started October 23 and ran through December 31
● The first direct mail campaign was on April 14 and the second was on October 17. A copy
of the mailer can be found in Appendix E, figure 5.
● Inmar initiated traditional print ad marketing on June 1. There were 12 one-eighth of a
page newspaper advertisements, one per week on Sundays, for 12 weeks.
● Inmar initiated the radio advertisement on September 29. The radio advertisement was
15 seconds in length and ran through December 31st. There were 43 radio
advertisements per week, for a total of 516 total advertisements over the 12 week
campaign.
Inmar successfully met the Program promotion goals set for the Reporting Period. All Program
promotion activities continue each Program year. See Appendix E Table 1 for total outreach
campaign results.
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PROGRAM COLLECTION GOALS
Short-Term Goals (12-18 Months After Approval) Long-Term Goals (19+ Months After Approval)
Continue partnership with Alameda County
Department of Environmental Health to participate in
household hazardous waste events.
Inmar’s goal is to achieve 100 Kiosks distributed jointly,
in combination with other Program Operators, across the
County to provide equitable and reasonably convenient
access to Residents.
PROGRAM PROMOTION GOALS
Short-Term Goals (12-18 Months After Approval) Long-Term Goals (19+ Months After Approval)
Website functionality updates:
o Collection Point and Standard Mail-Back Envelope
Distribution Site list updated (ongoing) In Process as new locations are acquired.
Continue digital media tactics throughout the year
which can include, but are not limited to, influencer
marketing and programmatic advertising.
Explore additional promotional avenues based on
feedback from the biennial survey.
Continue traditional media tactics throughout the
year which can include, but are not limited to, radio,
newspaper ads, and direct mail.
X. Surveys
To measure the effectiveness of the comprehensive and measurable public outreach strategy, Inmar conducted a
biennial survey of County Residents as well as pharmacists, veterinarians, and health professionals. The aim of
the survey questions was to measure the percent awareness of the Stewardship Plan, assess to what extent
Kiosks and other Collection Methods are convenient and easy to use, and assess knowledge and attitudes about
risks of abuse, poisonings, and overdoses from prescription and non-prescription drugs used in the home.
Inmar conducted two surveys using a digital platform to gather insights from healthcare professionals (including
pharmacists) and Residents. The platform utilized a contact method that delivers surveys directly within popular
mobile apps, reaching users organically while they are actively engaged rather than redirecting them to a
separate survey site. This approach ensured a randomized delivery method and a mobile-optimized experience,
sending in-app invitations to potential participants seamlessly. To maximize participation and demographic
representation, the survey leveraged a digital platform designed to facilitate immediate, unbiased responses from
the targeted groups. A double opt-in process was implemented to ensure the accuracy of the participant pool,
requiring individuals to confirm their interest twice—once at the start and again before completing the survey—to
prevent sampling errors. The platform also collected demographic information, such as age. Eligible participants
were then placed in a designated pool and invited to complete the survey. The full survey can be provided to The
Department if requested.
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Provider Survey – Summary of Results
Demographic highlights
● 113 participants
● Preferred communication channels:
○ Direct mail: 48%
○ Email: 47%
○ Pharmacies, doctor’s office, hospitals, healthcare professionals: 44%
○ Online news sources: 44%
○ Social media: 43%
Awareness
● 65% of healthcare professionals reported being aware of the Drug Take-Back program.
● 83% of healthcare professionals are either actively encouraging safe disposal or were already doing so.
● 85% reported that they have talked to their patients about drug abuse, misuse, and/or inappropriate
disposal of medications.
Convenience
The most convenient option among providers is the ability to request a mail-back envelope online.
● 65% of healthcare professionals report kiosks as convenient
● 73% of healthcare providers report using a pre-paid mail-back envelope or kit as convenient
● Only 33% of healthcare providers report taking unwanted medications to a one-day event (e.g., National
Drug Take-Back Day) as convenient
● 85% of healthcare professionals report the ability to request a mail-back envelope online as convenient
Knowledge and Attitudes
While over 90% of healthcare providers identify kiosks, mail-back envelopes and one-day takeback events as
safe, there is room for improvement in understanding methods as not safe:
● 23% of healthcare professions stated that flushing unwanted medication down the toilet is safe
● 15% reported that throwing unwanted medication in the trash as-is is
● Only 53% of healthcare professionals reported taking unwanted medication to a police station as safe
● 96% indicated they would likely encourage use of mail-back services, drop-off sites, or take-back events if
available near their office
Resident Survey – Summary of Results
Demographic highlights:
● 712 participants
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● Preferred communication channels:
○ Social media: 58%
○ Direct mail: 40%
○ Pharmacies, doctor’s office, hospitals, healthcare professionals: 40%
○ Television: 40%
○ Online news sources: 40%
○ Email: 36%
● The income distribution is broad, with strong representation across middle- and upper-income
households.
○ 26% report household income less than $50,000
○ 38% report incomes of $50,000 - $99,999
○ 34% report incomes of $100,000 or more.
Awareness
Program awareness is solid but not universal. Approximately 4 in 10 Residents remain unaware or uncertain,
indicating continued need for outreach. Overall program perception is favorable among Residents who are aware
of it. Lack of awareness and perceived convenience remain primary barriers.
● 60% reported being aware of the program.
● 65% reported having seen or heard about the program at some point (recently or in the past).
● Only 53% reported that messaging discouraged improper disposal (flushing or throwing in the trash).
Convenience
● 71% of Residents report kiosks as convenient
● 73% of Residents report using a pre-paid mail-back envelope or kit as convenient
● Only 38% of Residents report taking unwanted medications to a one-day event (e.g., National Drug
Take-Back Day) as convenient
● 74% of Residents report the ability to request a mail-back envelope online as convenient
Knowledge and Attitudes
While drop-off use is strong, a meaningful portion of Residents still dispose improperly or retain medications at
home. Environmental contamination resonates most strongly, followed by safety concerns related to children and
pets.
● 60% have used drop-off locations (bins, kiosks, pharmacies, law enforcement).
● 23% have used take-back events.
● 16% have used mail-back services.
● 33% have not used any formal disposal option.
Among those not using formal options, common behaviors include:
● 36% dispose in household trash – 30% of Residents report throwing medication in the trash is safe
● 14% flush down the toilet – 26% report that flushing medication down the toilet is safe
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● 27% store medications at home.
● 23% do not dispose of them at all.
Main reasons for not using disposal options:
● 26% did not know options existed.
● 22% found options inconvenient or inaccessible.
● 16% reported no nearby locations or events.
● 28% reported mail-back options are not safe.
If aware of nearby options:
● 92% would likely use a drop-off box near their home.
● 77% would likely use a mail-back envelope.
Residents expressed concern that:
● 80% believe improper disposal harms wildlife and contaminates drinking water
● 63% are concerned about accidental poisoning.
● 50% are concerned about misuse by family or friends.
Discussion
The survey results highlighted areas of improvement within the Program, such as awareness opportunities,
mail-back program growth potential, intentional messaging, and by leveraging provider relationships.
A primary barrier among Residents (26%) was not knowing disposal options existed. This confirms that
participation increases when services are visible and clearly communicated. Based on the gap in awareness,
Residents often cited inconvenience (22%) and lack of nearby locations (16%) due not knowing about nearby
disposal options. While 77% of Residents would use mail-back, only 16% have done so — indicating
underutilization despite strong interest. Based on these facts, the mail-back program has growth potential. The
survey demonstrated that environmental messaging is highly effective. Approximately 80% of Residents
expressed concern about water contamination and wildlife impact, suggesting environmental framing is
persuasive. Lastly, based on survey results, nearly all providers are willing to encourage safe disposal. Providers
overwhelmingly indicated they would promote options if they knew services were nearby. Providers should be
leveraged better as advocates.
Survey findings indicate that providers respond most effectively to direct, professional communication and
resources that integrate easily into clinical workflow. Nearly half prefer email as a primary communication channel,
and healthcare-based networks are also influential. Providers demonstrate strong willingness to serve as program
advocates and rank online mail-back requests as the most convenient and accessible disposal method.
Accordingly, outreach efforts should prioritize structured annual email engagement, distribution of provider toolkits
(posters, patient handouts, ready messaging), and reinforcement of mail-back convenience messaging that
emphasizes reduced misuse, diversion, and overdose risk.
Residents require broad, visible outreach supported by trusted community channels. Direct mail and healthcare
clinic-based awareness efforts are the most effective primary strategies, supplemented by television, online news,
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email, and social media. Messaging should consistently emphasize environmental protection and household
safety, as these themes resonate strongly. To convert high willingness into increased participation, the program
should expand mail-back promotion, enhance pharmacy-based visibility, and ensure disposal location access is
simple and immediate through tools such as QR codes.
Overall, the 2025 survey results demonstrate strong public and provider support for the Alameda County Drug
Take-Back Program. Continued outreach, accessibility enhancements, and strategic messaging refinements are
expected to further increase safe medication disposal participation in future reporting periods.
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APPENDICES
Appendix A - Collection 15
Appendix B - Disposal Facilities 20
Appendix C - Kiosk Signage, Mailer Instructions and
Educational/Outreach Materials 21
Appendix D - Program Website 30
Appendix E - Outreach and Promotion Activities 47
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Appendix A: Collection
Table 1- Weight Collected
Note: The number of liners in the Column titled “Liners Collected” is indicative of the number of times the product was picked up from each location. A key in the form of a protected document
will be accompanied with the Annual Report for the County’s review.
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Unique Identifier District Status Liners Collected Weight Collected (lbs)
62419 5 Active 6 192.40
62457 3 Active 3 228.20
62464 2 Active 4 101.60
62471 1 Active 5 159.20
62113 2 Active 6 212.00
62118 1 Active 4 163.10
62198 1 Active 4 125.40
62319 3 Active 6 182.40
62341 4 Active 7 160.40
62344 5 Active 8 226.70
62366 5 Active 7 210.00
62379 3 Active 5 148.40
63568 2 Active 0 0.00
42304 5 Active 3 74.20
601643 5 Active 0 0.00
Total 68 2,184.00
Table 2 - Collection Points
Collection Point Name Street City Zip District Status
SAFEWAY PHARMACY #0691 1444 Shattuck Place Berkeley 94709 5 Active
SAFEWAY PHARMACY #0951 867 Island Drive Alameda 94502 3 Active
SAFEWAY PHARMACY #0971 22280 Foothill Boulevard Hayward 94541 2 Active
SAFEWAY PHARMACY #0993 3902 Washington Blvd Fremont 94538 1 Active
SAFEWAY PHARMACY #1197 1790 Decoto Road Union City 94587 2 Active
SAFEWAY PHARMACY #1257 4495 First St Livermore 94551 1 Active
SAFEWAY PHARMACY #1931 46848 Mission Blvd Fremont 94539 1 Active
SAFEWAY PHARMACY #2708 2227 South Shore Center Alameda 94501 3 Active
SAFEWAY PHARMACY #2856 6790 Bernal Ave Pleasanton 94566 4 Active
SAFEWAY PHARMACY #2870 6310 College Ave Oakland 94618 5 Active
SAFEWAY PHARMACY #3132 5100 Broadway Oakland 94611 5 Active
SAFEWAY PHARMACY #3281 2600 5Th St Alameda 94501 3 Active
TIB Pharmacy 5886 Mowry School Road Newark 94560 2 Active
University of California at Berkeley 2222 Bancroft Way Room 1115 Berkeley 94720 5 Active
Piedmont Police Department 403 Highland Ave Piedmont 94611 5 Active
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Table 3 - Standard Mail-Back Envelope Distribution Sites
Site Name Street City Zip District Status Date of Status Change
Albany Police Department 1000 San Pablo Ave Albany 94706 5 Active
Costco Pharmacy #1061 28505 Hesperian Blvd Hayward 94545 2 Active
Costco Pharmacy #118 1900 Davis St. San Leandro 94577 3 Active
Costco Pharmacy #1341 7200 Johnson Drive Pleasanton 94588 4 Active
Costco Pharmacy #146 2800 Independence Drive Livermore 94550 1 Active
Costco Pharmacy #1660 350 Newpark Mall Newark 46070 2 Active
Costco Pharmacy #778 43621 Pacific Commons Blvd Fremont 94538 2 Active
Haller's LTC Pharmacy 4067 Peralta Boulevard Fremont 94536 1 Active
Lifelong Medical Care 2031 6th Street Berkeley 94710 5 Active
Lifescript Pharmacy 39039 Paseo Padre Parkway Ste 201 Fremont 94538 1 Active
Medical Arts Pharmacy 13847 East 14th St Ste 103 San Leandro 94578 3 Active
Pak 'N Save-3125 3889 San Pablo Ave Emeryville 94608 5 Active
Raley's Pharmacy #316 5420 Sunol Blvd. Pleasanton 94566 4 Active
Safeway Pharmacy #691 1444 Shattuck Pl Berkeley 94709 5 Active
Safeway Pharmacy #1932 4440 Tassajara Rd Dublin 94568 1 Active
Safeway Pharmacy #1953 7499 Dublin Blvd Dublin 94568 1 Active
Safeway Pharmacy #676 1500 Solano Ave Albany 94706 5 Active
Safeway Pharmacy #768 20629 Redwood Rd Castro Valley 94546 4 Active
Safeway Pharmacy #908 3550 Fruitvale Ave Oakland 94602 4 Active
Aids Healthcare Foundation - 400 30th Street, Ste 300 Oakland 94609 5 Closed 10/7/2025
Alegre Home Care - East Bay 5767 Broadway, Ste 201 Oakland 94618 5 Closed 10/8/2025
Alta Bates Outpatient Pharmacy 2001 Dwight Way Berkeley 94704 5 Closed 4/2/2025
17
Bonita House Inc. 6333 Telegraph Ave Ste 102 Oakland 94609 5 Closed 10/8/2025
California Sinus Center 5924 Stoneridge Dr Ste 207 Pleasanton 94588 4 Closed 4/2/2025
Crossroads Home Health 333 Hegnberger Rd Ste 710 Oakland 94621 4 Closed 10/27/2025
Healthflex Home Health & Hospc 7677Oakport Dr Oakland 94621 4 Closed 4/2/2025
Home Care Assistance 5275 Broadway Oakland 94618 5 Closed 4/2/2025
Mindful Health Solutions 3300 Webster St Ste 402 Oakland 94609 5 Closed 10/8/2025
New Chinatown Pharmacy 719 East 12th St Oakland 94606 3 Closed 10/29/2025
Prescript Pharmaceuticals 39 California Ave Pleasanton 94566 4 Closed 10/7/2025
Specialty Mental Health 310 8th St Ste 210 Oakland 94607 3 Closed 4/2/2025
Specialty Mental Health 433 Callan Ave Ste 301 San Leandro 94577 3 Closed 10/3/2025
Sutter Care at Home - Hospice 1025 Atlantic Ave Ste 350B Alameda 94501 3 Closed 9/19/2025
Wild Smiles 4200 East Ave Livermore 94550 1 Closed 10/22/2025
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Table 4 - One-Day Collection Events
Date Time Location Name Location Address Liners Collected Pounds Collected
4/19/2025 10 AM - 2 PM Fremont Earth Day 3500 Capitol Ave Fremont CA 5 171.00
5/4/2025 9 AM -1 PM San Leandro Public Works 14200 Chapman Rd San Leandro CA 10 438.00
5/25/2025 9 AM -1 PM Pleasanton County Fairgrounds 2100 Valley Ave Pleasanton CA 8 349.00
6/15/2025 9 AM -1 PM Golden Gate Fields 1100 Eastshore Hwy Albany CA 7 340.00
6/29/2025 9 AM -1 PM Oakland Coliseum 7000 Coliseum Way Oakland CA 7 286.00
7/26/2025 8 AM-1 PM Canyon Middle School 19600 Cull Canyon Rd Castro Valley CA 10 519.00
8/10/2025 9 AM -1 PM Spirits Alley Monarch x Tower Alameda CA 8 392.00
9/7/2025 9 AM -1 PM BART Lot 3 1100 Decoto Rd Union City CA 10 439.00
10/11/2025 10 AM - 2 PM Fremont Fire Safety Fair 3500 Capitol Ave Fremont CA 1 50.00
10/12/2025 9 AM -1 PM San Leandro Corp Yard 14200 Chapman Rd San Leandro CA 8 368.00
Total -- -- 74 3,352.00
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Appendix B: Disposal Facilities
Company Pounds Disposed
Ross Incineration Services
36790 Giles Road
Grafton, OH 44044
440-748-5800
2,026.34
Covanta Huntsville, Inc.
5251 Triana Boulevard SW
Huntsville, AL 35805
256-882-1019
825.65
City of Spokane WTE & Recycling Disposal Site
2900 S. Geiger Blvd
Spokane, WA, 99224
509-625-6514
3,794.53
McKay Bay WTE
114 South 34th Street
Tampa, FL 33605
(813) 248-1457
26
20
Appendix C: Kiosk Signage, Mailer Instructions and Educational/Outreach Materials
21
Figure(s) 1 - Sample Promotional Signage
22
Figure 2 - Sample Kiosk Signage - Front
23
Figure 3 - Sample Kiosk Signage - Chute Door
24
Figure(s) 4 - Instructions for Standard Mail-Back Envelope Distribution Sites
25
Figure(s) 5 - Educational Brochure - English
26
Figure(s) 6 - Educational Brochure - Spanish
27
Figures (7) - Educational Brochure - Chinese
28
Figures (8) - Educational Brochure - Vietnamese
29
Figure(s) 9 - Educational Brochure - Tagalog
30
Figure 10 - Sample Kiosk including Sample Signage
31
Figure(s) 11 - Sample Standard Mail-Back Envelope Insert
32
Figure 12 - Sample Inhaler Envelope Insert
33
Figure 13 - Sample Auto-Injector Package Insert
34
Appendix D: Program Website
Figure 1 - www.SafeMedicineDrop.com Landing Page with Alameda County zip code entered
35
Figure 2 - www.SafeMedicineDrop.com Alameda County Landing Page
36
Figure 3 - www.safemedicinedrop.com Disposal Options Nearby - Alameda County
37
Figure 4 - www.safemedicinedrop.com Mail-Back Request - Alameda County
38
39
40
Figure(s) 5 - Frequently Asked Questions (FAQ) Page on www.safemedicinedrop.com
41
Figure 6 - Contact Information on www.safemedicinedrop.com
42
Figure 7 - Educational Materials Location on www.safemedicinedrop.com
43
Figure 8 - Safety Info Page
44
Figure 9 - Collector Resources Page
45
Figure 10 - Take-Back Events on the Alameda County Program Website
46
Appendix E: Outreach and Promotion Activities
47
Figure(s) 1 - Images from Social Media Campaigns
48
Figure 2 - Newspaper Advertisement Featured in East Bay Times
49
Figure(s) 3 - Examples of Programmatic Media
50
Figure 4 - Excerpt from East Bay Times
51
52
Figure(s) 5 - Direct Mail Postcard
53
Table 1 - Results From All Outreach Activities During the Reporting Period
Outreach Activity Type of Media Start Date End Date Impressions Frequency
Q1 Influencer Campaign Digital Promotion 3/20/25 3/31/25 7,012,234 1
Q2 Influencer Campaign Digital Promotion 4/20/25 6/30/25 3,855,649 1
Q3 Influencer Campaign Digital Promotion 7/8/25 9/30/25 6,385,015 1
Q4 Influencer Campaign Digital Promotion 10/3/25 12/31/25 7,182,918 1
Social Media Posts - Instagram, Twitter, Facebook Digital Promotion 1/1/25 12/31/25 116 24
Programmatic Campaigns Digital Promotion 4/7/25 12/31/25 500,435 2
Newspaper Advertising Traditional Promotion 6/1/25 8/17/25 1,202,400 12
Radio Advertising Traditional Promotion 9/29/25 12/21/25 9,516,000 516
Direct Mail Traditional Promotion 4/14/25 4/14/25 7,500 1
Direct Mail Traditional Promotion 10/17/25 10/17/25 7,500 1
Total -- -- -- 35,669,767 --
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