Ohio Law Enforcement Prescription Drug Disposal Program

As part of the Comprehensive Addiction and Recovery Act (CARA), the State of Ohio Board of Pharmacy and the Ohio Department of Mental Health and Addiction Services are teaming up to provide up to 50 drug disposal boxes, at no cost, to Ohio law enforcement agencies.  The boxes will be used to collect expired or unused prescription medications from the general public. To be considered for a drug drop box, please submit the following application.  Applications must be received by March 30, 2018. 

For questions about the program, please contact Ali Simon at ali.simon@pharmacy.ohio.gov.

Please enter your agency's contact information below.

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* 1. Please enter your agency's contact information below.

Would you like to receive a permanent prescription drug disposal box?

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* 2. Would you like to receive a permanent prescription drug disposal box?

Please describe the jurisdiction of your agency/area your agency serves in mileage.

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* 3. Please describe the jurisdiction of your agency/area your agency serves in mileage.

Please provide the population your agency serves.

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* 4. Please provide the population your agency serves.

If awarded a drop box, please describe your plans for maintaining a secure location and public access to the box.

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* 5. If awarded a drop box, please describe your plans for maintaining a secure location and public access to the box.

Do you currently have access to options for the destruction of evidence and/or unused medication?

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* 6. Do you currently have access to options for the destruction of evidence and/or unused medication?

Please indicate that you have reviewed the following terms and conditions and are able to comply with them. If your agency (the "Agency") receives a drug drop box as part of the Ohio Prescription Drug Disposal Program (the "Program"):

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* 7. Please indicate that you have reviewed the following terms and conditions and are able to comply with them. If your agency (the "Agency") receives a drug drop box as part of the Ohio Prescription Drug Disposal Program (the "Program"):

I certify that the information I have provided in this application is, to the best of my knowledge, a true and accurate and complete disclosure of the requested information. 

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* 8. I certify that the information I have provided in this application is, to the best of my knowledge, a true and accurate and complete disclosure of the requested information. 

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