1. What is Accumulating& How do we know? GreenPharmEdu.org

2. 2009 Bay Area Pharmaceutical InventoryAn examination of what is returned to pharmaceutical take-back sitesFinal ReportDecember 1st, 2010

3. Project Overview The project evaluates the quantities as well as the types of household pharmaceuticals disposed of, in the nine county San Francisco Bay Area in 2009 using current household take-back systems.

4. Information Collected The evaluation also recorded: the number of take-back sites and events the type of facility that hosts the sites the type of take-back system used in each site the number of pounds collected at each site the type of waste hauling system used the direct disposal costs the method of paying for sites the agency or organization that sponsors each program

5. Take-Back Sites Total Sites in the San Francisco Bay Area 126 Total Population of 9 County Bay Area Region 7.1 Million

6. Total Collection and Costs Total Pounds Collected in 2009 65,676lbs Total Costs for Disposal $119,133 Average Cost per Pound $ 1.99/lbs Range of Costs per Pound $ 1.13-5.65/lbs

7. Sites by County

8. Location of Sites

9. Agency Oversite

10. Year Program Began

11. Collection System

12. Lbs Collected

13. % of Pharmaceuticals

14. Pounds Per Site

15. Cost Per Pound

16. Cost Per Pound

17. Manual Pharmaceutical Counts Samples of pharmaceutical waste were manually counted. Information collected included: Generic name Original quantity of products Amount left in containers unused % packaging (estimated)

18. Three Sample Locations Palo Alto Regional Water Quality Control Plant Leiter’s Pharmacy in San Jose Contra Costa Sanitary District Two one-month counts

19. Inventory Size

20. Total Items

24. Medications Returned by Sub-therapeutic Class Items % Total Items 8,982 Unknown 808 9% Total Therapeutic Identified 8,174 91% Top Sub-therapeutic Class Therapeutic Class Items % Analgesics CNS1,013 12.4% Bronchodilators Respiratory 1,012 12.4% Dermatological agents Topical440 5.4% Cardiovascular agents NTA Cardiovascular318 3.9% Antipsychotics Psychotherapeutic 314 3.8% Anxiolytics, sedatives, and hypnotics Psychotherapeutic 290 3.5% Antihistamine Respiratory 217 2.7% Nasal preparations Topical192 2.3% Vitamins Nutritional 175 2.1% Antidepressants Psychotherapeutic 173 2.1% Laxatives Gastrointestinal173 2.1% Minerals and electrolytes Nutritional 171 2.1% Respiratory agents NTA Respiratory 168 2.1% Ophthalmic preparations Topical160 2%

25. Most Common Medication

26. Dosage Form

27. OTC v RX

28. Expired?

29. Samples

30. Packaging

31. % Unused