Prescription Drug Take-Back Survey

Please Help Us Gather Drug Disposal Information

The Drug Enforcement Agency (DEA) is promoting its National Drug Take-Back Day on April 30, 2016. The DEA's goal it to provide a safe, convenient and responsible means of disposing of prescription drugs, while also educating the general public about the potential for abuse of medications. To help our patients safely dispose of their unwanted medications, Michigan Pharmacists Association (MPA) and the Michigan Health & Hospital Association (MHA) are working collaboratively to support this DEA initiative. Please complete this brief survey so that we may gather information about how our members assist patients in properly discarding prescription medications. With your participation, we hope to create valuable resources that guide our members and patients on the appropriate disposal methods for their medications. Please complete this survey by April 19 to help us better serve you in this initiative. Let’s work to ensure all old medications are disposed of in a safe and secure manner!

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* 1. Does your pharmacy currently conduct or participate in a medication take-back or disposal program?

Yes

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* 2. If you answered, "YES" to question #1, does your pharmacy accept controlled substances as part of your take-back/disposal program?

Yes

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* 3. If you answered, "YES" to question #1, would you be willing to have your pharmacy listed in a resource promoting the use of drug take-back programs in Michigan?

Yes - please enter your pharmacy contact information below.

Please enter your pharmacy contact information in the box.

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* 4. If you answered "NO" to question #1, how do you recommend your patients dispose of their medications? (Please type your response into the box.)

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* 5. Do you refer your patients to another entity to dispose of their medications?

Yes

If you refer your patients to another entity for disposal services, please provide the contact information for this entity in the box.

Thank you for completing this survey. If you have any questions, please contact Dianne Malburg, MPA Chief Operations Officer, at Dianne@MichiganPharmacists.org or Michelle Norcross, Director, Performance Improvement, MHA Keystone Center, at MNorcross@MHA.org.