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1 A n n ua l Re p o rt to the director 2017 Calendar Year Pre pa r ed by: Gi n ette Va n a sse, Di recto r G e n e ra l St. Lau ren t B lvd. Ottawa, ON K1G 4K i Ap ri l 30 t h, 2 018

2 Table of Contents Medications Return Program... 1 Funded By Industry Stewards HPSA 2017 Board of Directors... 2 TAKE IT BACK!... 3 Table 1: Quantity Collected by Regions in Program Performance Highlights... 5 HPSA Statement of Operations: Manitoba... 6 Appendix 1: HPSA Members - Medications... 7 Appendix 2: Registered Pharmacies Collection locations... 8 Appendix 3: MARRC 2017 Summer Ambassador Tour Schedule ii

3 The (MMRP) administered by the Health Products Stewardship Association (HPSA) covers the following product categories: All prescription drugs Over-the-counter medications Natural health products DEPARTMENT OF SUSTAINABLE DEVELOPMENT: The provincial government requires industries to have an approved pharmaceuticals and natural health products plan according to the HHMR. COLLECTION AND DESTRUCTION: Stericycle is the Service Provider contracted to coordinate collection, transportation and final disposal through incineration of products in Alberta (SENA). ACCEPTED All prescription medications Over-the-counter drugs Natural health products Inhalers NOT ACCEPTED Pharmacy stock & compounding waste Commercial or institutional waste Sharps, needles, syringes, or lancets Cosmetic products Medication samples Keep liquids and creams in original container. Combine loose pills into one container or bag and recycle packaging. For more information, visit healthsteward.ca or 1

4 FUNDED BY INDUSTRY STEWARDS HPSA 2017 Board of Directors This report is submitted on behalf of the 159 producers of medications that are members of the HPSA. The HPSA was established in 1999 as a federal not-for-profit corporation with an all industry board consisting of producers of prescription drugs, consumer health products and medical devices (sharps). The HPSA is the producer responsibility organization (PRO) that administers regulated extended producer responsibility (EPR) programs in Canada. HPSA has leveraged its experience as a national PRO to bring promotion and education, material collection, end of life material management and regulatory knowledge to the MMRP. HPSA member producers have been engaged, active and supportive and retail pharmacies have also supported these programs by acting as voluntary collection sites. HPSA s mandate is to perform, on behalf of each steward, certain duties required under the Waste Reduction and Prevention Act and subsequent Household Hazardous Material and Prescribed Material Stewardship Regulations HHMR (Man Reg. 16/2010) through our stewardship program plan filed with the Manitoba Sustainable Development, Manitoba Conservation. A volunteer board governs the Health Products Stewardship Association and is comprised of directors representing the following industries in Canada. Prescription drugs Over-the-counter medications Natural health products Sharps devices Earl Black Chair Dominique Ferland Vice Chair Stephen Macdonald Director Colleen McElwain Director Anuj Pasrija Director Brad Wright Director The industry stewards are responsible for 100% of the costs of the Manitoba Medications Return Program (MMRP). HPSA is accountable to its members for the collection and responsible disposal of unused or expired medications returned from the public through our network of registered pharmacies. 2

5 TAKE-IT BACK! The MMRP is a free service offered to the public through community pharmacies. Community pharmacies are easily accessible as they generally have extended hours, and pharmacists are the most accessible health care workers for questions and concerns about medications and their safety. The MMRP focuses on the collection and proper disposal of unused or expired medications from the residential sector. Members of the public are to return unused or expired medications to the pharmacy for proper disposal. The 60L pail identified with a Medications Return Program logo is provided to the participating location. A list of products that are and are not accepted are also listed on the container. Table 1: Quantity Collected by Regions in Q1 Q2 Q3 Q4 Tota l District Pails Weight (kg) Pails Weight (kg) Pails Weight (kg) Pails Weight (kg) Pails Weight (kg) Central Eastern Interlake , Midwestern Northern Parkland Western , Winnipeg 372 3, , , , ,423 11, Grand Total 744 4, , , , ,553 16,

6 Program Performance Performance Measure: Results Quantity Collected MMRP collected 16,809 kg of medication during 2017.Table 1 provides distribution by districts. Number of Collection Points Pharmacy Participation Promotion At the end of 2017, there were 346 collection sites representing 87.5% of all licensed pharmacies. See the full list in Appendix 1 Pharmacists are MMRP s primary contact with the consumer. We published and make available information to educate both the pharmacists and the public on the MRP. These are: Website: Pharmacy newsletters Promo order sheet New pails with MMRP logo and accepted/not accepted decal Rack cards on program Participation in the MARRC 2017 Ambassador Tour including direct promotion and education to the public in over 70 events (Appendix 2) with logo decals on both MARRC Summer Tour vans and HPSA roll-up banner Print advertising in newspapers and magazines including Senior Scope and the Winnipeg Free Press. RCBC Toll-Free and Recyclopedia - recycling hotline service and the new on-line app version for the recycling information including medications Canstar Prime Times Feature reaching total circulation 202,300 targeting the 55+ demographic. Partnered with Drugs Free Kids on a national campaign aiming to keep abusable medication away from teens. Dispute Resolution No disputes were filed in

7 2017 Highlights 2017 marks another successful partnership with the Manitoba Association for Resource Recovery Corp. (MAR- RC). MMRP promotional and educational material was distributed through their summer provincial tour with Logo Decals on both MARRC Summer tour vans and HPSA Roll up banner. The annual Summer Ambassador Program began for the year in May 2017 and marked the largest tour to date. The ambassadors participated in over 70 events across the province distributing and educating the public on proper medication disposal and safety. Our organizations came together in 2015 with the goal of increasing overall recycling awareness and collection rates of all recyclables during the summer months. In 2017, HPSA has completed the development and marketing of a free phone app to quickly pinpoint drop-off locations and recycling options specific to their communities, Canada Recyclepedia. The application uses a smart phone s GPS system to provide users with a list and corresponding map of 10 closest drop off options for a variety of recyclable materials, including Medications. Canada Recyclepedia is a national version of the provincial BC Recyclepedia App launch early This mobile app is available for download at android and apple stores. HPSA and Drug Free Kids sponsored n a national campaign to help keep our kids safe. The campaign creative focused on encouraging parental action and return all leftovers to their local pharmacy. The campaign transforms a very simple message into a powerful one of the things we hand down to our children, lets make sure our prescription drugs aren t one of them. 5

8 HPSA Statement of Operations - Manitoba December Revenue Jan-Dec 2017 Steward Contributions Natural Health Products $ 32, Pharmaceuticals $ 62, Total Revenue $ 95, expenses Jan-Dec 2017 Manitoba Program Supplies $ 26, Communications/Promotions $ 13, Collection/Disposal $ 46, Administration $ 4, Total Manitoba Program $ 90,764 excess (loss) of revenues over expenses for the year - $ 4,

9 APPENDIX 1: HPSA Members - Medications AA Pharma Inc. AbbVie Corporation Accord Healthcare Actelion Pharmaceuticals Canada Inc. Alcon Canada Inc. Allergan Inc. Amgen Canada Inc. Apotex Inc. Aralez Pharmaceuticals Inc. Aspri Pharma Canada Inc Astellas Pharma Canada Inc. AstraZeneca Canada Inc. Auro Pharma Inc Aventix Animal Health Baxter Canada Bayer Inc. BGP Pharma (previously Mylan) Bimeda-MTC Animal Health Inc. Biogen Canada Inc Boehringer Ingelheim Canada Ltd. Bristol-Myers Squibb Celgene Champion Alstoe Animal Health Inc. Cipher Pharmaceuticals Inc. Duchesnay Eisai Elanco Eli Lilly Canada Inc. EMD-Serono Canada Inc. Ferring Inc. Fresenius Kabi Canada Ltd. Galderma Canada Inc. Generic Medical Partners Inc. Gilead Sciences Canada Inc. GlaxoSmithKline Inc. Hospira Healthcare Corporation Indivior Janssen Inc. Laboratoires Atlas Inc. Leo Pharma Inc. Lundbeck Marcan Pharmaceuticals Inc. McCarthy & Sons Service (Rafter 8) Medexus Inc. Merck Canada Inc. Merial Canada Inc. Methapharm Inc. Mint Pharmaceuticals Inc Mylan Pharmaceuticals ULC Norbrook Laboratories Inc. Novartis Pharmaceutical Canada Inc. Novo Nordisk Otsuka Canada Pharmaceuticals Inc. Paladin Labs Inc. Pfizer Canada Inc. Pharmascience Inc. Purdue Pharma Ranbaxy Pharmaceuticals Canada Inc. Roche Canada Ltd. Hoffmann Sandoz Canada Sanis Health Inc. Sanofi-Aventis Canada Inc. Servier Canada Inc. Shire Pharma Canada ULC Sterimax Inc. Sunovion Pharmaceuticals Inc. Swedish Orphan Biovitrum (SOBI) Canada Takeda Canada Inc. Taro Pharmaceuticals Inc. Teva Canada / Novopharm UCB Canada Inc. Valeant Canada LP Vertex Pharmaceuticals Incorporated Vetoquinol Canada Incorporate Virbac Animal Health Canada Xediton Pharmaceuticals Inc. Zoetis Canada 7

10 APPENDIX 2: REGISTERED PHARMACIES Collection Locations 9 To 9 Care Pharmacy Clayman Pharmacy Flatland Drugs Invivo Health Pharmacy Aberdeen Pharmacy Al Shifa Pharmacy Apothecary of Morden Inc Arborg Pharmacy Archibald pharmacy Ashern Pharmacy Assiniboine Pharmacy Autumnwood Medical Pharmacy Baldur Pharmacy BenefitsRx BioScript Pharmacy Ltd. Birtle Pharmacy Bon Pharmacy Boyd Medical Pharmacy Brandon Clinic Pharmasave Compounding Pharmacy of Manitoba Concordia Community Pharmacy Co-op Pharmacy Grant Park Corydon Village Pharmacy Costco Pharmacy #153 Costco Pharmacy #549 Costco Pharmacy #57 Crestview Pharmacy Dakota Pharmacy Danial Pharmacy Drugstore Pharmacy #1508 Drugstore Pharmacy #9002 Drugstore Pharmacy #9079 Drugstore Pharmacy #9081 Fort Alexander Pharmacy Fort Rouge Pharmacy Friend s Pharmacy Gilbert Plains Pharmacy Ltd Gladstone Pharmacy Glenboro Pharmacy Good Shepherd Pharmacy Grace Badejo Pharmacy Ltd. Grand Med Hth Science Pharm Grand Medicine Health Services Grand Medicine Pharmacy Green Crest Pharmacy Grunthal Pharmacy Guardian Pharmacy Harbourview Pharmacy Isabel Pharmacy Island Lakes Pharmacy JM Pharmacy Limited Killarney Pharmacy Ltd. La Salle Pharmacy Ltd. Leclerc Pharmacy Leila Pharmacy Lifesmart Pharmacy Loblaw Pharmacy #1503 Loblaw Pharmacy #1505 Loblaw Pharmacy #1506 Loblaw Pharmacy #1509 Loblaw Pharmacy #1510 Loblaw Pharmacy #1511 Loblaw Pharmacy #1512 Brathwaite s Pharmacy Drugstore Pharmacy #9082 Hasselfield Drug Ltd Loblaw Pharmacy #1514 Broadway Pharmacy Dueck Drug Store Hazelwood Drugs Loblaw Pharmacy #1515 Brothers Pharmacy Ltd East St. Paul Pharmacy Health Central Pharmacy Loblaw Pharmacy #1516 Brown s Drug Store Ebbeling Pharmacy Health Plus Pharmacy Loblaw Pharmacy #9080 Canadadrugs.com LP Elie Pharmacy Health Wellness Pharmacy London Drugs #66 Canadian Care Drugs Pharmacy Ellis Pharmacy & Thrifty Meds Healthway Pharmacy Lorette Pharmacy Dufresne Care At Home Pharmacy Emad pharmacy Heritage Co-op Ltd Lundar Pharmacy Ltd CarePlus Transcona Pharmacy Emerson Pharmacy Higgins Pharmacy Macgregor Pharmacy Carman CO-OP Pharmacy Empire Drugs Highway 6 Pharmacy Machray Pharmacy Carman Pharmacy Ltd Eriksdale pharmacy Hill s Clinic Pharmacy Main & Luxton Co-op Pharmacy CD Whyte Ridge Pharmacy Exchange District Pharmacy Hill s Drug Store Main St. Pharmacy Cin Den Pharmacy Express Scripts Canada Pharmacy Home Health Care Pharmacy Mandalay Pharmacy CinDen Pharmacy #2 Falk Pharmacy Ingham Pharmacy Maples Pharmacy 8

11 Marion Pharmacy Martin s Pharmacy Ltd Meadowood Pharmacy Patient Advocate Pharmacy Pembina Drugs Pembina Valley Pharmacy Quarry Ridge Pharmacy Rasha Pharmacy Reavie s Pharmacy #4832 #4844 Medic X Pharmacy Medical Centre Pharmacy Medi-Care Pharmacy Peoples Pharmacy Pharma Plus #4812 Pharma Plus #4814 Red River Co-op Pharmacy - St. Vital Red River CO-OP Southdale Pharmacy #4849 #4851 Medicine Shoppe #331 Medicine Shoppe Pharmacy #278 Medicine Shoppe Pharmacy #290 Pharma Plus #4815 Pharma Plus #4823 Pharma Plus #4846 Regent Park Pharmacy Reston Drug Ltd Rexall #4813 #4854 #4855 Medicine Shoppe Pharmacy #305 Medicine Shoppe Pharmacy #313 Medicine Shoppe Pharmacy #329 Pharma Plus #4854 Pharma Plus #4895 Pharma Plus #4903 Rexall #4816 Rexall #4887 Rexall #7401 #4856 #4857 Medocare Pharmacy Medsafe Pharmacy Melita Super Thrifty Pharmacy Pharma Plus #4950 Pharma Plus #4960 Pharmacie Labroquerie Pharmacy Rexall #7402 Rexall #7404 Rexall #7405 #4859 #4867 Meyers Drugs Ltd. Millennium Pharmacy Miller s Pharmacy Pharmacie Seine Ltee Pharmamir Pharmacy Pharmasave #0451 Rexall #7406 Rexall #7408 Rexall #7409 Interlake #588 #591 Minnedosa Pharmacy Mount Carmel Clinic Pharmacy Mountain Park Pharmacy Ltd. Pharmasave #0455 Pharmasave #0469 Pharmasave #0471 Rexall Pharma Plus #4817 Rexall Pharma Plus #4994 River East Pharmacy #603 #701 Munroe Pharmacy My Care Pharmacy Nations First Pharmacy Pharmasave Health Centre #0470 Pilot Mound Pharmacy Pinawa Pharmacy Riverton Pharmacy Riverview Health Centre Riverwest Pharmacy #717 #725 Niverville Pharmacy Ltd. Pine Pharmacy Ronald Pharmacy Safeway Pharmacy #0714 North Mart Pharmacy Plessis Pharmacy Rossburn Pharmacy Safeway Pharmacy #4823 North Mart Pharmacy #176 Point Douglas Rexall #7403 Rossmere Pharmacy Safeway Pharmacy #4829 Norway House Pharmacy Positive Health Pharmacy Safety Drugs Save-On-Foods Pharmacy #4405 Oakbank Pharmasave Oakfield Pharmacy Osborne Village Pharmacy Ltd. Prairie Trail Pharmacy Prana Pharmacy Providen Pharmacy Logistics & #4821 #4822 Save-On-Foods Pharmacy #4410 Save-On-Foods Pharmacy #4415 Scale Drug Store 9

12 Serenity Pharmacy Shoppers Drug Mart #2421 St. Boniface Pharmacy Videl Pharmacy Shoal Lake Pharmacy Shoppers Drug Mart #2422 St. Claude Clinic Pharmacy Wal-Mart Pharmacy #1022 Shoppers Drug Mart #0530 Shoppers Drug Mart #0532 Shoppers Drug Mart #0533 Shoppers Drug Mart #0534 Shoppers Drug Mart #0535 Shoppers Drug Mart #0537 Shoppers Drug Mart #0538 Shoppers Drug Mart #2428 Shoppers Drug Mart #2444 Shoppers Drug Mart #2460 Shoppers Drug Mart #2501 Shoppers Drug Mart #2502 Shoppers Drug Mart #2505 Shoppers Drug Mart #2511 St. Laurent Pharmacy St. Malo Pharmacy Ltd. St. Pierre Pharmacy Stafford Pharmacy Steinbach Primary Care Pharmacy Stevenson s Pharmacy Stonewall Pharmacy Ltd Wal-Mart Pharmacy #1027 Wal-Mart Pharmacy #1141 Wal-Mart Pharmacy #1186 Wal-Mart Pharmacy #1204 Wal-Mart Pharmacy #3004 Wal-Mart Pharmacy #3022 Shoppers Drug Mart #0539 Shoppers Drug Mart #2514 Stony Mountain Pharmacy Wal-Mart Pharmacy #3069 Shoppers Drug Mart #0540 Shoppers Drug Mart #2516 Super Thrifty Drug Mart The Pas Wal-Mart Pharmacy #3102 Shoppers Drug Mart #0542 Shoppers Drug Mart #2517 Super Thrifty Drugs Virden Wal-Mart Pharmacy #3107 Shoppers Drug Mart #0544 Shoppers Drug Mart #0545 Shoppers Drug Mart #0546 Shoppers Drug Mart #0547 Shoppers Drug Mart #0548 Shoppers Drug Mart #0549 Shoppers Drug Mart #0551 Shoppers Drug Mart #0552 Shoppers Drug Mart #0553 Shoppers Drug Mart #0554 Shoppers Drug Mart #0555 Shoppers Drug Mart #0556 Shoppers Drug Mart #0557 Shoppers Drug Mart #0559 Shoppers Drug Mart #0561 Shoppers Drug Mart #2404 Shoppers Drug Mart #2406 Shoppers Drug Mart #2414 Silver Heights Pharmacy Sobey s Grant Park Pharmacy #5150 Sobey s Kenaston Pharmacy #5166 Sobey s Northdale Pharmacy #5167 Sobey s Pharmacy #5155 Sobey s Pharmacy #5180 Sobeys Pharmacy #5307 Sobey s Pharmacy Brandon South Sobey s Pharmacy St Annes #5152 Sobey s Plessis Pharmacy #5161 Sobey s River Grove Pharmacy #5377 Sobey s St Vital Pharmacy #5157 Sobey s Steinbach Pharmacy #5164 Sobey s Unicity Pharmacy #5104 South Point Pharmacy South Sherbrook Pharmacy Super Thrifty Pharmacy #20 Super Thrifty Pharmacy Brandon Super Thrifty Pharmacy Dauphin Super Thrifty Pharmacy Hamiota Super Thrifty Pharmacy Rivers Swan Health Care Plus Pharmacy Swan Valley Pharmacy Tache Pharmacy at Seven Oaks Hospital Taylor Pharmacy Ltd. The Medicine Shoppe #133 The Medicine Shoppe #319 The Prescription Shop #1 The Prescription Shop #2 The Prescription Shop #3 The Prescription Shop #4 TheCanadianPharmacy.com & Accuscreen Treherne Pharmacy Wal-Mart Pharmacy #3116 Wal-Mart Pharmacy #3117 Wal-Mart Pharmacy #3118 Wal-Mart Pharmacy #3119 Wal-Mart Pharmacy #3177 Wal-Mart Pharmacy #3660 Well-Being Pharmacy West Kildonan Pharmacy Ltd. Westview Pharmacy White Cross Drugs Manitoba Whitemouth Pharmacy White s Drug Store Ltd Whitfield Drugs Winkler Pharmacy Winnipeg Beach Pharmacy You! Drug Mart & You! Drug Store Shoppers Drug Mart #2419 Southeast Wellness Pharmacy Valley Super Thrifty Pharmacy 10

13 Appendix 3 MARRC 2017 SUMMER AMBASSADOR TOUR SCHEDULE LOCATION DATE World of Wheels Mar Pacific Avenue 4R Depot Apr 22 Rodorama Apr Langruth Science Fair May 5 Teddy Bear s Assiniboine Park May 28 Wpg. EcoDay in Brandon June 3 Transcona Hi Neighbour Festival Inc. June 2-4 Transcona Hi Neighbour June 2-4 Brandon Exhibition June 7-11 RM of Springfield Oakbank June RM of Springfield PARADE June 10 Niverville Olde Tyme Country Fair June 9&10 Niverville Olde Tyme Country Fair Parade June 9 St. Andrews Open House June 8 Red River Ex Winnipeg June Steinbach Summer in the City June CTR Habanero Fish Fry & Burger Bash June 21 TAKE 2 Town of Neepawa June 22 RM of St. Clements Open House June 23 Killarney Summer Fair June 24 Killarney Summer Fair Parade June 24 MacGregor Fair Optional June 24 Osborne Village Canada Day Jun 30-Jul 1 Transcona Street Festival July 1 Rivers Ag Fair Optional July 5 Carman Country Fair July Gimli Car Show July 9 Portage la Prairie Exhibition July 7-9 Minnedosa Fun Fest July 7-9 Minnedosa Fun Fest Parade July 8 Carberry Fair July 7-9 St. Pierre Frog Follies July St. Pierre Frog Follies Parade July 15 Selkirk Triple S Fair & Rodeo July Selkirk Triple S Fair & Rodeo Parade July 15 Winnipeg Beach Boardwalk Days July Winnipeg Beach Boardwalk Days Parade July 29 LOCATION DATE Strathclair Fair July 18 Kids Fringe Festival July Morris Stampede July Morris Parade July 22 Altona Sunflower Festival July Altona Sunflower Festival Parade July 29 Elkhorn Ag Fair July 29 Dauphin Annual Street Fair & Dance July 29 Austin Thresherman's Rodeo July Austin Thresherman's Rodeo Parade July Ponderosa Days Cartwright Ponderosa Days Cartwright Parade Gimli Icelandic Festival Aug 5-7 Gimli Icelandic Festival Parade Aug 7 Gladstone Parade Melita Banana Days Aug 11 Melita Mud Bog Vehicle Demo Derby Aug 12 Derby Melita Cruisers Show and Shine Aug 13 Falcon Lake Fun Fest Portage la Prairie Potatoe Festival Aug 12 Rumble in Roblin Aug 11 Winkler Harvest Festival Aug Winkler Harvest Festival Parade Aug 12 Northern Association of Community Aug Councils Stonewall Quarry Days $25 Aug Hanover Ag Fair Aug Hanover Ag Fair Parade Aug 19 Westlake-Gladstone Aug 24 Morden Corn & Apple Festival Aug Morden Corn & Apple Festival Parade Aug 26 4P Market Festival Pine Falls Sep 2-3 Sherbrook Street Festival Sep 9 ChinaTown Festival Sep 9 & 10 Garden City Car Show Sep 10 Ethelbert EcoDay tent Sept 19 Santa Claus Parade Nov 18 11

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