Oregon Pharmaceutical Drug Funding Options

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Oregon Pharmaceutical Drug Funding Options

• Monica Hubbard
• March 9, 2007

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Overview

• Oregon Program Revisions
• Questions
• Oregon Funding Options
• Questions

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Program Option Revisions

• Increased labor costs for law enforcement and DEQ
  personnel
• Increased pharmaceutical waste from 39,710 to
  59,565 pounds, a 150 increase
• Due to large orders of pharmaceuticals via mail -
  usually 90 day supply at a time
• Decreased controlled disposal costs to 150 per
  ton
• Various revisions to paper

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Option 1 Installed-No Mailer

• 475 pharmacy return centers for non-controlled
  drugs around state
• Pharmacies store drugs in 20-gal container behind
  counter
• Disposal by hazardous waste vendor
• Metal drop boxes located at 210 law enforcement
  offices across state
• Residents drop controlled drugs in law
  enforcement boxes
• Local law enforcement dispose of controlled drugs
  

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Option 2 Installed with Mailer

• Secured metal drop boxes located in 475
  pharmacies for non-controlled drugs
• Pharmacy desk provides pre-paid postage envelope
  and directions for controlled mailing to Oregon
  State Police (OSP)
• Haz waste vendor disposes of non-controlled
• OSP disposes of controlled drugs
• Average pharmacy will have about 84 lbs
  non-controlled drugs and 7.5 lbs of controlled
  drugs mailed in nearest post-office box

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Option 3 All pharmaceuticals at Local Law
Enforcement

• Residents drop all drugs in drop boxes located at
  210 local law enforcement offices
• Law enforcement personnel sort controlled drugs
  from non-controlled drugs
• Hazardous waste vendor picks up and disposed of
  non-controlled drugs
• Local law enforcement account for and dispose of
  controlled drugs

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Option 4 OR State Police Mailer

• Residents mail all residual pharmaceuticals to
  Oregon State Police (OSP)
• OSP sorts controlled drugs from non-controlled
  drugs
• Hazardous waste vendor disposes on non-controlled
  drugs
• OSP witnesses destruction of controlled drugs
• Does not require U.S. Drug Enforcement Agency
  Exemption

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Option 5 Reverse Distributor Mailer

• Residents mail residual pharmaceuticals to
  contracted, U.S. DEA registered Reverse
  Distributor (RD)
• RD collects all packages and destroys all drugs
  using witnessed incineration
• No sorting or weighing takes place
• Requires U.S. Drug Enforcement Agency Exemption

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Questions?
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Oregon Funding Options
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Oregon Funding - Year 1

• Program set up will require additional funds for
  infrastructure, supplies and outreach
• Recommend pursuing pubic and private grants,
  examples include
• Water Quality DEQ Solid Waste Grant and EPA
  Pollution Prevention Grant
• Ecological National Fish and Wildlife Foundation
• Substance Abuse National Institutes of Health
  Prescription Drug Abuse Grants
• Social Welfare Prescription Drug Abuse

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Option 1 Waste Disposal Fees

• Increase fee to municipal solid waste disposal
• Fees currently at 0.81 per ton
• 800,000 program would require an additional
  0.17 per ton of solid waste
• Requires Oregon Administrative Rule change by
  Environmental Quality Commission
• Option would spread costs around state and those
  who generate more waste pay more

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Option 2 Pharmaceutical Fees

• Oregon has 1,091 retail pharmaceutical drug
  outlets (includes mail order), 268 manufacturers,
  579 wholesalers with prescription (includes
  reverse distributors), and 63 non-prescription
  wholesalers
• This would assess a fee on the facilities to
  cover program
• If on all licensed, fee for 800,000 program
  around 400 a year.
• If only manufacturers and wholesalers, then 879
  per business.
• Requires legislative approval
• Spread costs of program to pharmaceutical users

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Option 3 Mix of 1 2

• Split program costs between solid waste disposal
  and pharmaceutical fee
• This would disperse costs further among waste
  generators and pharmaceutical users
• 800,000 program would increase fees of
• 0.08 per ton of solid waste
• 206 per year for each pharmaceutical facility
• Will require legislative approval

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Option 4 State General Fund

• Use general funds to finance program
• Require legislative approval
• Legislative Fiscal Office would need to conduct
  analysis
• Program should be finalized prior to approaching
  Legislature

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Option 5 Water Utility Charge

• Place surcharge on wastewater and/or drinking
  water utilities
• Oregon has 3,617 public water systems
• Some regulated through Public Utility Commission
• Serves 2.5 million people
• Cost about 0.32 per water user per year
• This program would spread costs to all public
  water users
• Requires implementing surcharge through all
  systems and Public Utility Commission

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Funding for Program Options
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Questions?