DEA Disposal Trends & Update CalRecycle Conference Sacramento, - - PowerPoint PPT Presentation

DEA Disposal Trends & Update CalRecycle Conference

Sacramento, CA

Thomas W. Prevoznik, Unit Chief Liaison Liaison & Policy Section Diversion Control Division

November 3, 2016

Most Frequent Method of Obtaining a Pharmaceutical Controlled Substance for Non Medical Use

Friends and Family…For Free!!

U.S. Drug Enforcement Administration Office of Diversion Control

Patients Often Prescribed Extra Painkillers, Many Share Them

2 New U.S. studies shed light on opioid epidemic

John Hopkins Study:

+60% had leftover opioids they hung on for “future use”

20% shared their medications 8% likely will share w/ friend 14% likely will share w/ relative

• 10% securely lock their medication

University of Penn School of Dental Medicine

+50% of patients following surgical tooth extraction had unused narcotics left over

Estimated to general population - 100 million prescribed opioid pills go unused.

https://www.nlm.nih.gov/medlineplus/news/fullstory_159336.html www.uphs.upenn.edu/news/news_releases/2016/maughan

National Take Back I-XII Totals:

Total Weight Collected (pounds): 7,202,977 (3601 Tons)

89,797 122,192 49,120 128,822 219,242 MA 26,039 RI 71,450 CT 228,700 34,463 VT 70,973 NH 13,951 PR & VI 357,071 213,388 4,104 403,026 84,322 530,164 11,989 205,715 20,738 15,192 60,501 133,156 298,292 86,745 46,149 675,126 29,558 26,890 HI & GU 219,992 177,674

NJ

37,758 211,136 16,317 47,425 448,142 335,887 111,567 160,794 97,068 45,496 29,346 293,539 67,267 101,345 77,541 16,232 224,565 56,140 94,457

MD

12,179

DC

64,210

DE

Drug Enforcement Administration Diversion Control Program

Overseas: 25

National View

1,822 Collectors 888 Non-Chain pharmacies 561 Chain Pharmacies 349 Hospital/clinics 11 Reverse Distributors 10 NTPs 1 Distributor 1,810 Have receptacles 675 Have mail back programs 88 Service LTCFs

Source: DEA CSA 10/25/16

California Collectors

• 130 Total Authorized Collectors
• 114 are pharmacies ( 58 chain and 56 non-chain)
• 1

6 are hospital/clinics

• 3 pharmacies service LTCFs
• 67 retail pharmacies say they have a receptacle

and a mail back program

• 1 retail pharmacy has mail back only

Authorized Means of Collecting

• Law Enforcement
• Retail Pharmacies
• Hospitals/Clinics with an On-Site Pharmacy

• Ultimate users shall put the substances directly into

the collection receptacle.

• Controlled and non-controlled substances may be

comingled.

• Collected substances shall not be counted, sorted,

inventoried, or otherwise individually handled.

• Registrants shall not dispose of stock or inventory

in collection receptacles.

21 CFR § 1317.75(b) and (c)

Collection Receptacles

U.S. Drug Enforcement Administration Office of Diversion Control

Collection Receptacle Location

• Registered location – immediate proximity of designated area

where controlled substances are stored and at which an employee is present.

• LTCF – located in secure area regularly monitored by LTCF

employees.

• Hospital/clinic – located in an area regularly monitored by

employees---not in proximity of where emergency or urgent care is provided.

• NTP – located in a room that does not contain any other

controlled substances and is securely locked with controlled access.

21 CFR § 1317.75(d)

U.S. Drug Enforcement Administration Office of Diversion Control

Thomas.W.Prevoznik@usdoj.gov

U.S. Drug Enforcement Administration Office of Diversion Control