A Better Approach To Return Goods Processing

THE QUALITY RX RETURNS SOLUTION

In times of ever-increasing economic and regulatory pressures, the consequences of having inaccurate estimates in the timing and amount of product return and improper disposal of waste can cost retail and hospital pharmacies millions of dollars and incur unnecessary penalties for violations. The primary objectives of Quality Rx Returns are to effectively reduce a pharmacy’s cost of returns and maximize manufacturer credit benefits for returning pharmaceutical products.

Our services include the following features:

• Free shipping to Quality RX Returns
• Processing of all schedule II through V controlled substances
• Waste disposal solutions compliant with all federal and local regulations
• Computer-generated DEA Form 222 prepared on site
• Tamper evident pouches for class drugs
• Return goods data, comprehensive reports, forms & shipping labels
• Competitive processing fee structure for service
• Team of Field Technicians are licensed, bonded and insured employees of Quality Rx Returns
• Continued upgrading of database allows us to manage return good policies at the NDC level
• Integrated bar code and laser sort technology offers maximum operating efficiencies
• Personalized customer service solutions tailored to meet client demands

The Industry's Choice for Pharmaceutical Reverse Distribution Services

Guaranteed Returns® founded the Pharmaceutical Reverse Distribution Industry in 1986. Since it’s inception, our philosophy has been to strive for excellence, innovation, and quality while providing the best possible Pharmaceutical Returns Management Programs to our customers. Guaranteed Returns® has built priceless relationships with our trade partners over several decades. Through these professional partnerships, our clients and partners realize reduced costs in managing product, data, and financial flows across the complex Pharmaceutical Reverse Distribution process.

Guaranteed Returns® experienced staff and national leadership continues improving industry standards through participation and compliance within trade related associations, and government regulatory agencies. Our dedication to process improvements, relationship building, and program innovation has enabled us to grow into the largest Pharmaceutical Reverse Distributor in the world.

Guaranteed Returns® provides services related to expired, recalled, damaged or overstocked pharmaceutical product returns for government, hospital, independent retail, chain-store and clinic pharmacies. Additionally, we provide direct return services for wholesalers and manufacturers. We are the only Reverse Distributor to have over 80 professional on-site service representatives located worldwide. Guaranteed Returns® state-of-the-art processing facilities are fully licensed and governed by state and federal regulatory agencies.

• First national pharmaceutical, OTC, HBC, & medical device reverse distributor with several decades of licensed and dedicated industry experience.
• Fully licensed/compliant with DEA, EPA, RCRA, FDA, DOT, OSHA, PDMA & all state boards of pharmacy, where required.
• Full systems integration opportunities via EDI (Electronic Data Interchange).
• VAWD certified (Verified Accredited Wholesale Distributor)
• Over 80 on-site service representatives worldwide.
• Industry’s most powerful online web reporting system with 100% accountability & inventory management tools.
• Established partnerships with over 1,000 crediting manufacturers, major group purchasing organizations, and all wholesalers.
• Automated indate product aging program and fully integrated recall processing and reporting.
• Servicing over 20,000 clients worldwide.
• Returns On The WebTM program: Enables customers to create an electronic inventory of outdates & print shipping label online.
• Two state of the art processing facilities: Equipped with automatic tilt tray sortation systems providing outstanding accuracy in processing.
• Providing waste disposal through high temperature incineration that turns waste into useful energy while preserving our environment.

Clean Harbors provides comprehensive collection and disposal services for safe pharmaceutical waste management.

Pharmaceutical Waste Characterization - We provide a comprehensive review of hospital pharmacy products and compounded formulas. Our formulary characterization accurately determines EPA, RCRA, and DOT requirements for each National Drug Code (NDC) product. Pharmaceutical waste characterization is particularly critical for chemotherapy agents, U-listed and P-listed hazardous waste.

Satellite Accumulation Area Collection - Clean Harbors provides pharmaceutical waste collection container systems in the pharmacy and patient care areas. Disposable and reusable containers are used to properly separate pharmaceutical waste from biological or solid waste. Clean Harbors manages the collection and replacement of the pharmaceutical waste management containers on their scheduled service visits.

Main Accumulation Area Management - Clean Harbors properly segregates all pharmaceutical waste to comply with appropriate DOT requirements, and packages the pharmaceutical waste products for transport. All of the necessary regulatory documentation will be administrated by Clean Harbors.

Transportation & Disposal - Clean Harbors service vehicles pick up your pharmaceutical waste and transport it to company owned and operated facilities.

H1N1 Vaccine Incineration Services

Clean Harbors provides turnkey H1N1 Vaccination Incineration Services for healthcare facilities including hospitals, clinics, urgent care, and physicians’ offices. With a shelf life of 18 to 24 months, H1N1 vaccine inventories dated at the end of 2008 and early 2009 are now requiring proper disposal by incineration. Since outdated vaccines do not have value, they are not managed through Reverse Distributors.

Hazardous Waste Handled

U-Listed Waste - Chemotherapy agents, including chlorambucil, cyclophosphamide, daunomycin, diethylstilbestrol, melphalan, mitomycin C, streptozotocin, and uracil mustard. Other non-antineoplastic pharmaceuticals including reserpine, selenium sulfide, resorcinol, saccharin, and chloral hydrate

P-Listed Waste - Arsenic trioxide, epinephrine, nicotine, nitroglycerine, physostigmine, physostigmine salicylate, and warfarin above 0.3%

D-Listed Waste - Ignitable, toxic, corrosive and reactive waste

Chemotherapy Waste Disposal

Clean Harbors provide safe and complete disposal of chemotherapy agents. U-Listed waste including chlorambucil, cyclophosphamide, daunomycin, diethylstilbestrol, melphalan, mitomycin C, streptozotocin, and uracil mustard and other non-antineoplastic pharmaceuticals, such as reserpine, selenium sulfide, resorcinol, saccharin, and chloral hydrate materials are easily handled through Clean Harbors’ network of waste disposal facilities.

DEA Approved Reverse Distributor

As a registered DEA Pharmaceutical Reverse Distributor, Clean Harbors provides an effective solution for managing Schedule I-V Controlled Substances from the initial pickup to transportation and complete destruction. Clean Harbors assumes full chain-of-custody ownership of these regulated substances at the customer site. We complete the administration of agency required shipping and receiving documentation, and as a cost savings, eliminate the need for a customer to witness the destruction of the controlled substances.

We complete all the various forms and paperwork including, but not limited to, DEA Form 222 (for Schedule I and II) or Form 41 (for Schedule III, IV, V substances).

CleanPack® Laboratory Chemical Packing

Clean Harbors CleanPack® Laboratory Chemical Packing Services provide proper recognition, handling, packaging, transportation and disposal of laboratory chemicals for healthcare facilities. We also perform laboratory relocations, closures and cleanouts.

Clean Harbors can manage virtually any chemical found in a laboratory environment including

• RCRA, non RCRA
• TSCA, DEA, radioactive, mixed wastes and universal wastes
• Biological, etiological
• Compressed gas and cylinders
• Toxic, flammable, oxidizer, organic peroxide, and corrosive materials
• Pyrophoric, gases, aerosol, unknown, reactive, explosive, and shock sensitive materials
• Ethers, THF, dioxane, and sodium azide

Think Green - Think Waste Management

WM Healthcare Solutions is committed to being the customer advocate, charting the course through the maze of surprisingly complicated issues in order to maximize environmental improvements while providing overall cost effective solutions. WMHS‘s charter dictates that we provide the best solution for the customer whether that’s working with our own network of internal suppliers or third-party vendor-partners.

Our job, as the waste management experts, is to help you leverage your total environmental program costs across a broad range of programs to not only be in compliance but takes a "beyond compliance" approach that strives for environmental excellence. We understand the waste industry and track emerging issues -- it’s what we do best so you can do what you do best - provide top-notch patient care.

Single source solution for all healthcare waste streams

WM Healthcare Solutions (WMHS) is a special services division of Waste Management, Inc. that provides a complete range of sustainable and cost-effective “managed waste and environmental solutions” specifically designed for the healthcare industry. WMHS aims to be the single source provider of operational and consulting services required to handle healthcare’s complex waste streams from compliance, safety, and risk assessments related to waste management to in-house operational logistics, to market assessment and collection and processing for a variety of waste streams.

We offer the following services:

• Medical waste disposal
• Pharmaceutical waste management services
• Incineration
• Universal waste (bulbs, batteries, electronics)
• Solid waste
• Recycling
• Regulated medical waste
• Hazardous chemical waste
• Construction and Demolition waste
• Low-level nuclear medical waste
• Beneficial reuse – Managing excess equipment and supplies
• Waste data and financial analysis
• Emergency preparedness planning
• Waste assessments and consulting services
• Education and training
• Contracted in-house services

Offering cost effective pharmaceutical waste disposal consulting and services

Pharmwaste Consultation

• Rx Waste Characterization – Full formulary reviews of pharmaceutical waste streams. In addition to identifying EPA hazardous waste, Best Management Practices (BMP) wastes are also identified. Optional BMP waste includes: Chemo Agents, OSHA and NIOSH hazards, Endocrine Disruptors, DEA Controls, MSDS Indications, Carcinogens, P and U-Listed combination waste, Regulated Medical Waste.
• Pharmaceutical waste consulting services – Experienced personnel specializing in setting up programs for pharmaceutical waste management.

Pharmwaste Disposal

• Non-RCRA waste disposal (limited RCRA)
• Waste-To-Energy incineration
• DEA Scheduled drugs (CI-V)
• No extra charge for DEA form 222
• Online interactive control inventory
• VAWD accredited
• LQG certified
• Compliant with: DEA, EPA, OSHA, DOT and State Boards
• Servicing facilities: Retail and Hospital pharmacies, Veterinary, Dr. offices, etc.