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MANITOBA Medications Return Program MANITOBA Medications Return Program 2018 CALENDAR YEAR ANNUAL REPORT TO THE DIRECTOR PREPARED BY: Ginette Vanasse, Director General 330-2255 St. Laurent Blvd. Ottawa, ON K1G 4K3 613-723-7282 April 30 th , 2019

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Page 1: MANITOBA Medications Return Programhealthsteward.ca/wp-content/uploads/2019/06/HPSA_2018_MB... · 2019-07-02 · • Containers with MRP logo and accepted/not accepted decal • Rack

MANITOBA Medications

Return Program

MANITOBA Medications

Return Program

2018C A L E N DA R Y E A RA N N UA L R E P O RT TO THE DIRECTOR

P R E PA R E D BY:G i n e t t e Va n a s s e , D i re c t o r G e n e ra l

3 3 0 -2 2 5 5 S t . L a u re n t B l v d .O t t a w a , O N K 1 G 4 K 3

6 1 3 -7 2 3 -7 2 8 2

A p r i l 3 0 t h, 2 0 1 9

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HPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return ProgramHPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return Program

TA B L E O F C O N T E N T S

MEDICATIONS RETURN PROGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FUNDED BY INDUSTRY STEWARDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

HPSA 2018 BOARD OF DIRECTORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

TAKE-IT BACK! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

TABLE 1: QUANTITY COLLECTED BY REGIONS IN 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

PROGRAM PERFORMANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

TABLE 2: 2012-2018 COLLECTION LOCATION COMPARATIVE DATA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

2018 HIGHLIGHTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

HPSA STATEMENT OF OPERATIONS - MANITOBA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

APPENDIX 1: HPSA MEMBERS -PHARMACEUTICAL PRODUCERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

APPENDIX 2: REGISTERED PHARMACIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

APPENDIX 3: MARRC 2018 SUMMER AMBASSADOR TOUR SCHEDULE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ii

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1 HPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return ProgramHPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return Program

The Manitoba Medications Return Program (MMRP) administered by the Health Products Stewardship Association (HPSA) covers the following product categories:

• All prescription drugs

• Non-prescription drugs

• Natural health products

MANITOBA SUSTAINABLE DEVELOPMENT

The provincial government requires industries to have an approved pharmaceuticals and natural health products stewardship program plan according to the Household Hazardous Material and Prescribed Material Stewardship Regulations (MR 16/2010) .

COLLECTION AND DESTRUCTION

Stericycle is the service provider contracted by HPSA to coordinate collection, transportation and final disposal through incineration of products in Alberta (SENA) .

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MANITOBA Medications Return ProgramHPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return Program 2

F U N D E D BY I N D U S T RY S T E WA R D S

This report is submitted on behalf of 152 producers of consumer health products 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, non-prescription drugs, natural health products and medical 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 Household Hazardous Material and Prescribed Material Stewardship Regulations (Man Reg . 16/2010) through a stewardship program plan filed with Manitoba Sustainable Development (MSD) .

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 consumer health products returned from the public through its network of registered pharmacies .

H P SA 2 0 1 8 B OA R D O F D I R E C T O R S

A volunteer board governs the Health Products Stewardship Association and is comprised of directors representing the following industries in Canada.

• Prescription drugs

• Non-prescription drugs

• Natural health products

• Medical Sharps devices

Mark Nykolaichuk – Chair

Dominique Ferland – Vice Chair

Stephen Macdonald – Director

Anuj Pasrija – Director

Brad Wright – Director

Colleen McElwain – Director

Earl Black – Director

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MANITOBA Medications Return ProgramHPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return Program 3

TA K E- I T BAC K !

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 consumer health products and their safety . The MMRP focuses on the collection and proper disposal of unused or expired consumer health products from the residential sector . Members of the public are to return unused or expired consumer health products to the pharmacy for proper disposal .

The 60L container identified with a Medications Return Program logo is provided to the participating location .

Table 1: Quantity Collected by Regions in 2018

2 0 1 8 Q1 Q2 Q3 Q4 TOTA L

DISTRICT Containers Weight (kg) Containers Weight (kg) Containers Weight (kg) Containers Weight (kg) Containers Weight (kg)

CENTRAL 16 154.30 15 135.80 28 336.35 7 79.44 66 705.89

EASTERN 19 215.35 12 212.64 8 154.41 6 95.85 45 678.25

INTERLAKE 15 208.40 16 254.75 13 168.74 14 212.51 58 844.40

MIDWESTERN 3 37.06 1 11.60 2 43.1 5 93.55 11 185.31

NORTHERN 12 194.49 5 56.83 11 165.72 5 102.63 33 519.67

PARKLAND 9 53.90 3 38.70 2 6.72 14 99.32

WESTERN 25 329.61 23 311.23 18 268.53 9 132.57 75 1,041.94

WINNIPEG 236 3,241.82 217 3,118.78 250 3,649.39 135 1,996.44 838 12,006.43

GRAND TOTAL 335 4,434.93 292 4,140.33 332 4,792.96 181 2,712.99 1,140 16,081.21

Here is the list of products accepted and not accepted .

All prescription drugs

Non-prescription drugs

Natural health products

Inhalers

Pharmacy stock & compounding waste

Commercial or institutional waste

Sharps, needles, syringes, or lancets

Cosmetic products

Medication samples

ACCEPTED NOT ACCEPTED

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 e-mail [email protected]

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P R O G R A M P E R F O R M A N C E

PERFORMANCE MEASURE: RESULTS

QUANTITY COLLECTED MMRP collected 16,081 .21 kg of consumer health products during 2018 . Table 1 provides distribution by districts .

NUMBER OF COLLECTION POINTS At the end of 2018, there were 371 collection sites representing 91% of all licensed pharmacies . See the full list in Appendix 2 .

PHARMACY PARTICIPATION Pharmacists are MMRP’s primary contact with the public . HPSA publishes and makes available information to educate both the pharmacists and the public on the MMRP .

• Website: www .healthsteward .ca

• Pharmacy newsletters

• Promo order form

• Containers with MRP logo and accepted/not accepted decal

• Rack cards on MMRP

PROMOTION • Participation in the MARRC 2018 Ambassador Tour including direct promotion and education to the public in over 58 events (Appendix 3) with logo decals on both MARRC Summer Tour vans and HPSA roll-up banner .

• Print advertising in newspapers and magazines including the Winnipeg Free Press .

• HPSA created a Facebook page in 2018 in order to provide a so-cial media platform to share best practices, HPSA videos, events (National Drug Drop Off Month-August), article and events from other health network (such as the Community Pharmacist Net-work or Drug Free Kids Canada) .

• With the help of the Recycling Council of British Columbia (RCBC), HPSA was able to create a Medications Return video on how to properly use HPSA containers in pharmacies .

• Year 2 of HPSA’s partnership with Drug Free Kids to help promote its National campaign - the month of August being declared as National drop off month .

DISPUTE RESOLUTION No disputes were filed in 2018

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MANITOBA Medications Return Program 5

Table 2: 2012-2018 Collection Location Comparative data

YEAR WEIGHT KGS

COLLECTION SITES POPULATION PER

CAPITA

2012 13,832 .04 289 1,208,268 0 .011

2013 16,884 .49 293 1,208,268 0 .014

2014 17,705 .80 317 1,208,268 0 .015

2015 18,690 .30 319 1,208,268 0 .015

2016 15,219 .50 335 1,278,365 0 .012

2017 16,809 .55 346 1,278,365 0 .013

2018 16,081 .21 371 1,278,365 0 .013

2 0 1 8 H I G H L I G H T S

DRUG FREE KIDS

HPSA sponsored a national campaign to help keep our kids safe with Drug Free Kids Canada . 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” . Several organizations joined HPSA to promote August as the National Drug Drop-off Month . The goal was to highlight the issue of the problematic use of prescription drugs by teens and emphasize the need for Canadians to clear their households of any unused and expired prescription drugs as well as non-prescription drugs, and to drop them off at their local pharmacy for safe disposal .

20,00018,00016,00014,00012,00010,0008,0006,0004,0002,00002012

WEI

GHT

KGS.

2013 2014 2015 2016 2017 2018

MMRP Results

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MANITOBA Medications Return Program 6

MARRC

2018 marks another successful partnership with the Manitoba Association for Resource Recovery Corp . (MARRC) . 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 in March 2018 . The ambassadors participated in over 58 events across the province distributing and educating the public on safety and proper medication disposal .

HPSA SOCIAL MEDIA

During 2018, as part of its social media strategy, HPSA launched a Facebook page to share best practices, HPSA videos, events, articles and events with other health networks . This platform allows HPSA to connect and share with the public on a more frequent basic to help promote proper disposal of prescription/non-prescription drugs and natural health products . For additional information, please visit HPSA’s page at: https://www .facebook .com/HealthPSA/?ref=bookmarks

INSTITUTE FOR SAFE MEDICATION PRACTICE CANADA

In 2018, HPSA worked closely with the Institute for Safe Medication Practice Canada (ISMP) on empowering patients, families and healthcare providers with knowledge about risks of unused consumer health products and the disposal options available .

By working together and promoting the positive role community pharmacies play in safe disposal, HPSA continues its efforts to raise public awareness . Through newsletters, social platforms and other forms of promotion, ISMP was able to help support HPSA vision in diverting as much consumer health products as possible .

Key communication message examples used in 2018 can be viewed below

• Consumer newsletter on safe medications use;• “Prevent Medication Accidents”;• “Opioids for pain after day surgery: Your questions answered”

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MANITOBA Medications Return Program 7

Opioids for pain after surgery: Your questions answered

1. Changes?

2. Continue?

3. Proper Use?

4. Monitor?

5. Follow-Up?

To find out more, visit: OpioidStewardship.ca and DeprescribingNetwork.ca

You have been prescribed an opioid. Opioids reduce pain but will not take away all your pain. Ask your prescriber about other methods of reducing pain including using ice, stretching, physiotherapy, or non-opioid drugs like acetaminophen or ibuprofen. Know your pain control plan and work closely with your prescriber if your pain does not improve.

Opioids are usually required for less than 1 week after surgery. As you continue to recover from your surgery, your pain should get better day by day. As you get better, you will need less opioids. Consult your healthcare provider about how and when to reduce your dose.

Use the lowest possible dose for the shortest possible time. Overdose and addiction can occur with opioids. Avoid alcohol and sleeping pills (e.g. benzodiazepines like lorazepam) while taking opioids. Do not drive while taking opioids.

Side e�ects include: sedation, constipation, nausea and dizziness. Contact your healthcare provider if you have severe dizziness or inability to stay awake.

Ask your prescriber when your pain should get better. If your pain is not improving as expected, talk to your healthcare provider.

SafeMedicationUse.ca Newsletter – www.safemedicationuse.ca©2018 Institute for Safe Medication Practices Canada. All Rights Reserved.

A COMPONENT OF THEBROUGHT TO YOU BY

Medication safety bulletins contribute to Global Patient Safety Alerts. This newsletter was developed in collaboration with Best Medicines Coalition and Patients for Patient Safety Canada.Recommendations are shared with healthcare providers, through the ISMP Canada Safety Bulletin, so that changes can be made together.This newsletter shares information about safe medication practices, is noncommercial, and is therefore exempt from Canadian anti-spam legislation.

Careful storage and disposal of medications is important to prevent accidents in the home. Leftover medications that are within easy reach can be dangerous to children and pets. Medications that are not securely stored may be accessed by family members or visitors and cause harm. Even a single dose of some medications can cause serious harm or death.

There may be many reasons why medications are kept in a person’s home, including:

• Medications are simply “put away” after an illness • Medications are thought to be needed in the future• Family members don’t know what to do with medications

that are left over after a loved one dies

SafeMedicationUse.ca has the following recommendations for consumers to safely store and dispose of medications:

• Store your medications out of sight in a cabinet that is out of the reach of children and pets. Ideally, opioids should be stored in a locked cabinet or box.

• Regularly check for unneeded and expired medications. • Return unneeded and expired medications to a safe

disposal location. Most pharmacies have programs to safely destroy medication and keep it out of the environment. Check with your pharmacy or go to www.healthsteward.ca and type in your postal code for a list of participating locations that accept medication returns. You can also call 1-844-535-8889 for more information.

Read some additional tips about safe medication storage and disposal: • Safe Disposal of Medications – https://safemedicationuse.ca/newsletter/newsletter_disposal.html• Opioids – Be an Informed Consumer – https://safemedicationuse.ca/newsletter/question-opioids.html

Have Unused Medications Overstayed Their Welcome?

Volume 9 • Issue 8 • September 19, 2018

38 HOSPITAL NEWS JUNE 2018 www.hospitalnews.com

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS

urgical patients are four times more likely to re-ceive opioids at discharge from hospital than their

non-surgical counterparts. A recent study of post-surgical patients by Brat et al (2018), showed each additional week of opioid prescription is associat-ed with a significant increase in opioid misuse among opioid-naïve patients.

A patient resource, “Opioids for pain after surgery: Your questions answered” was developed collabora-tively with, and endorsed by, Patients for Patient Safety Canada, the Cana-dian Patient Safety Institute (CPSI), the Canadian Society of Hospital Pharmacists (CSHP), the Canadi-an Deprescribing Network, Choos-

ing Wisely Canada, the Canadian Agency for Drugs and Technologies in Health (CADTH), the Canadian Nurses Association (CNA), the Ca-nadian Medical Association (CMA), the Canadian Association of Gen-eral Surgeons, and the Institute for Safe Medication Practices Canada (ISMP Canada). This resource was developed in accordance with recent guidelines and preferred practices. The handout, which builds on the movement ‘5 Questions to Ask about Your Medications’, was launched by Choosing Wisely Canada through the Opioid Wisely Campaign.

The aim is to equip patients with important messages in plain language about opioid use after surgery. Some

key messages include: use the lowest possible dose for the shortest possible time; opioids are usually required for less than one week after surgery; and ask about the use of other methods to reduce pain including non-opioid pain medications.

The resource also advises patients to securely store medications and to return any unused medications to a communi-ty pharmacy. Improper storage or dis-posal of opioids has resulted in acciden-tal poisonings, medication errors, and inappropriate use. The Health Product

Stewardship Association (www.health-steward.ca) can be contacted for more information about locations that accept unused medication returns.

Opioids for pain after surgery: Your Questions Answered is available:

In English: https://www.ismp-cana-da.org/download/OpioidStewardship/OpioidsAfterSurgery-EN.pdf

In French: https://www.ismp-cana-da.org/download/OpioidStewardship/OpioidsAfterSurgery-FR.pdf

For more information about use of opi-oids, visit www.opioidstewardship.ca ■H

Opioids for pain after surgery:

S

THIS RESOURCE WAS DEVELOPED IN ACCORDANCE WITH RECENT GUIDELINES AND PREFERRED PRACTICES

Your questions answered – resource for patients

Pharmacy Capital Contract to Meet New NAPRA Standards

For more information, please contact:Rafael PerezDirector, Capital [email protected]

HealthPRO is now accepting commitments from members for its Biosafety Cabinets and Hoods Contract.

Ranging from Biosafety Cabinets,Laminar Flow Hoods and Compounding Isolators, including Class I, II and III protection levels for use in a variety of controlled environments, pharmaciesand cleanrooms.

This article was submitted by Alice Watt and Sylvia Hyland, Pharmacists, Institute for Safe Medication Practices Canada (ISMP Canada).

Ask a healthcare provider if you have questions.

PREVENT MEDICATION ACCIDENTS

1. Store medications out of sight and reach of:

2. Place unused medications in a bag and bring to a pharmacy.

3. For locations that accept returns:

1-844-535-8889

Children and teens Visitors Pets

healthsteward.ca

Download from https://www.ismp-canada.org/download/OpioidStewardship/storage-disposal-information.pdf

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MANITOBA Medications Return Program 8

H P SASTATEMENT OF OPERATIONS - MANITOBA

December 31 2018

REVENUE

Steward Contributions

Natural Health Products $ 35,726.00

Prescription/non-prescription drugs $ 62,083.00

TOTAL REVENUE $ 97,809.00

EXPENSES

Manitoba Program

Communications/Promotions $ 20,381.00

Collection/Disposal $ 34,435.00

Administration $ 23,000.00

TOTAL MANITOBA PROGRAM $ 77,816.00

excess (loss) of revenues over expenses for the year $ 19,993.00

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MANITOBA Medications Return Program 9

AA Pharma Inc .

Abbott Diabetes Care

AbbVie Corporation

Accord Healthcare

Actelion Pharmaceuticals Canada Inc .

Advanced Orthomolecular Research (AOR)

Advantage Solutions

Alcon Canada Inc .

Amgen Canada Inc .

Amway Canada Corporation

Aralez Pharmaceuticals Inc .

Ascensia Diabetes Care Canada Inc .

Astellas Pharma Canada Inc .

AstraZeneca Canada Inc .

Atrium Innovations Inc

Aurium

Auro Pharma Inc

Auto Control Medical

Aventix Animal Health

Baxter Canada

Bayer Inc .

BD Medical

Bell Lifestyle Products

Bimeda-MTC Animal Health Inc .

Bioforce Canada Inc .

Biogen Canada Inc

BioSyent Pharma Inc .

Blistex Corporation

Body Plus Nutritional Products Inc .

Boehringer Ingelheim Canada Ltd .

Boiron Canada

Bristol-Myers Squibb

Canadian Custom Packaging Company

Cardinal Health Medtronic

Celex Laboratories Inc .

Celgene

Champion Alstoe Animal Health Inc .

Church & Dwight Canada

Cipher Pharmaceuticals Inc .

Columbia Laboratories

D Drops Company

Domrex Pharma Inc .

Duchesnay

Eisai

Elanco

Eli Lilly Canada Inc .

EMD-Serono Canada Inc .

Exzell Pharma

Ferring Inc .

Fresenius Kabi Canada Ltd .

Galderma Canada Inc .

General Nutrition Centres Canada

Generic Medical Partners Inc .

Genuine Health

Gilead Sciences Canada Inc .

GlaxoSmithKline Consumer Healthcare Inc .

GlaxoSmithKline Inc .

Groupe Jean Coutu (PJC) Inc .

Health First Network Association Inc .

Herbalife of Canada

Hospira Healthcare Corporation

HPI Health Products/Lakota

Indivior Canada Inc .

Intervet Canada Corp  Merck Animal Health

Jamieson Laboratories

Jamp Pharma Corporation

Janssen Inc .

Laboratoires Atlas Inc .

Leadiant Biosciences, Inc .

Leo Pharma Inc .

Les Laboratoires Nicar Inc .

Loblaw Companies Ltd .

London Drugs Limited

Lundbeck

Mannatech Incorporated

Marcan Pharmaceuticals Inc .

McCarthy & Sons Service (Rafter 8)

McKesson Canada

McNeil Consumer Healthcare, a Division

A P P E N D I X 1 : H P SA M E M B E R S - P H A R M AC E U T I C A L P R O D U C E R S

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MANITOBA Medications Return Program 10

of Johnson & Johnson

Mead Johnson Nutrition (Canada) Co .

Merck Canada Inc .

Merial Canada Inc .

Methapharm Inc .

Metro Brands, G .P .

Mint Pharmaceuticals Inc

Mylan Pharmaceuticals ULC

Naka Herbs & Vitamins Ltd .

Natural Factors Nutritional Products Ltd .

Nature’s Sunshine Products of Canada Ltd .

Nature’s Way Canada Ltd .

Nestlé Canada Inc .

New Chapter Inc .

Norbrook Laboratories Inc .

Novartis Animal Health Canada Inc

Novartis Pharmaceutical Canada Inc .

Novo Nordisk

Omega Alpha Pharmaceuticals Inc .

Organika Health Products Inc .

Otsuka Canada Pharmaceuticals Inc .

Overwaitea Food Group Ltd Partnership

Pascoe Canada Inc

PF Consumer Healthcare Canada ULC/PF Soin de Sante SRI

Pfizer Canada Inc .

PharmaChoice

Pharmasave Drugs (National) Ltd

Pharmascience Inc .

Platinum Naturals Ltd

Procter & Gamble Inc .

Purdue Pharma

Puresource Inc .

Purity Life Health Products

Ranbaxy Pharmaceuticals Canada Inc .

RBP Canada Inc .

Rexall Pharmacy Group Ltd

Roche Canada Ltd . - Hoffmann

Roche Diabetes Care, a division of Hoffmann-La Roche Ltd

Sanis Health Inc .

Sanofi Consumers Health

Sanofi-Aventis Canada Inc .

Seaford Pharmaceuticals

Servier Canada Inc .

Shaklee Canada Inc .

Shire Pharma Canada ULC

Shoppers Drug Mart Central

Sisu Inc .

Sobeys National (Mississauga)

SOBI Canada (Swedish Orphan Biovitrum)

St Francis Herb Farm Inc .

Stella Pharmaceutical Canada Inc .

Sterimax Inc .

Sunovion Pharmaceuticals Inc .

Takeda Canada Inc .

Tanta Pharmaceuticals Inc .

Taro Pharmaceuticals Inc .

The Clorox Company of Canada Ltd .

TOP Nutritionals (Natural Calm Canada)

Tremblay Harrison Inc .

Trillium Health Care Products

UCB Canada Inc .

UniPHARM Wholesale Drugs

USANA Health Sciences

Vertex Pharmaceuticals Incorporated

Vetoquinol Canada Incorporate

Virbac Animal Health Canada

Vita Health Products Inc .

Wal-Mart Canada Corp .

WellSpring Pharmaceutical Canada

Corp .

Westcoast Naturals

WN Pharmaceuticals Ltd .

Xediton Pharmaceuticals Inc .

Zoetis Canada

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HPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return ProgramHPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return Program 11

9 To 9 Care Pharmacy

Aberdeen Pharmacy

Al Shifa Pharmacy

Apothecary of Morden Inc

Arborg Pharmacy

Archibald pharmacy

Aria Pharmacy

Arlington Pharmacy License

Ashern Pharmacy

Assiniboine Pharmacy

Autumnwood Medical Pharmacy

Baldur Pharmacy

BenefitsRx

BioScript Pharmacy Ltd .

Birtle Pharmacy

Bon Pharmacy

Boyd Medical Pharmacy

Brandon Clinic Pharmasave

Brathwaite’s Pharmacy

Broadway Pharmacy

Brothers Pharmacy Ltd

Brown’s Drug Store

Canadadrugs .com LP

Canadian Care Drugs

Pharmacy

Care At Home Pharmacy

CarePlus Selkirk Pharmacy

CarePlus Transcona Pharmacy

Carman CO-OP Pharmacy

Carman Pharmacy Ltd

CD Whyte Ridge Pharmacy

Cin Den Pharmacy

CinDen Pharmacy #2

Clayman Pharmacy

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

Drugstore Pharmacy #9082

Dueck Drug Store

East St . Paul Pharmacy

Ebbeling Pharmacy

Elie Pharmacy

Ellis Pharmacy & Thrifty Meds

Emad pharmacy

Emerson Pharmacy

Empire Drugs

Eriksdale pharmacy

Exchange District Pharmacy

Express Scripts Canada Pharmacy

Falk Pharmacy

First Circle Pharmacy

Fisher Branch Pharmacy

Flatland Drugs

Fort Alexander Pharmacy

Fort Rouge Pharmacy

Friend’s Pharmacy

Gateway 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

Grandview Pharmacy

Green Crest Pharmacy

Grunthal Pharmacy

Guardian Pharmacy

H .F . Wiebe Pharmacy

Harbourview Pharmacy

Hasselfield Drug Ltd

Hazelwood Drugs

Health Central Pharmacy

Health Plus Pharmacy

Health Wellness Pharmacy

Healthway Pharmacy

Heritage Co-op Ltd

Higgins Pharmacy

Highway 6 Pharmacy

Hill’s Clinic Pharmacy

Hill’s Drug Store

A P P E N D I X 2 : R E G I S T E R E D P H A R M AC I E S

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HPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return ProgramHPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return Program 12

Home Health Care Pharmacy

Ingham Pharmacy

Invivo Health Pharmacy

Isabel Pharmacy

Island Lakes Pharmacy

Jason Canada DrugStore .com

JM Pharmacy Limited

Killarney Pharmacy Ltd .

La Salle Pharmacy Ltd .

Leclerc Pharmacy

Leila Pharmacy

Leila Pharmacy South

Lifesmart Pharmacy

LifeSmart Pharmacy St .James

Loblaw Pharmacy #1503

Loblaw Pharmacy #1505

Loblaw Pharmacy #1506

Loblaw Pharmacy #1509

Loblaw Pharmacy #1510

Loblaw Pharmacy #1511

Loblaw Pharmacy #1512

Loblaw Pharmacy #1514

Loblaw Pharmacy #1515

Loblaw Pharmacy #1516

Loblaw Pharmacy #9080

London Drugs #66

Lorette Pharmacy Dufresne

Lundar Pharmacy Ltd

Macgregor Pharmacy

Machray Pharmacy

Main St . Pharmacy

Mandalay Pharmacy

Maples Pharmacy

Marion Pharmacy

Meadowood Pharmacy

Medic X Pharmacy

Medical Centre Pharmacy

Medi-Care Pharmacy

Medicine Shoppe #331

Medicine Shoppe Pharmacy #278

Medicine Shoppe Pharmacy #290

Medicine Shoppe Pharmacy #305

Medicine Shoppe Pharmacy #313

Medicine Shoppe Pharmacy #329

Medocare Pharmacy

Medsafe Pharmacy

Melita Super Thrifty Pharmacy

Meyers Drugs Ltd .

Millennium Pharmacy

Miller’s Pharmacy

Minnedosa Pharmacy

Morden Drugstore

Mount Carmel Clinic Pharmacy

Mountain Park Pharmacy Ltd .

Munroe Pharmacy

My Care Pharmacy

Nations First Pharmacy

Niverville Pharmacy Ltd .

North Mart Pharmacy #176

North Mart Pharmacy & Muskehki Pharmacy

Norway House Pharmacy

Notre Dame Hospital Pharmacy

Notre Dame Pharmacy

Oakbank Pharmasave #475

Oakfield Pharmacy

Osborne Village Pharmacy Ltd .

Patient Advocate Pharmacy

Pembina Drugs

Pembina Valley Pharmacy

Peoples Pharmacy

Peter’s Pharmacy

Pharma Plus #4812

Pharma Plus #4814

Pharma Plus #4815

Pharma Plus #4823

Pharma Plus #4846

Pharma Plus #4854

Pharma Plus #4895

Pharma Plus #4903

Pharma Plus #4950

Pharma Plus #4960

Pharmacie Centre de Sante La Broquerie

Pharmacie Labroquerie Pharmacy

Pharmacie Seine Ltee

Pharmamir Pharmacy

Pharmasave #0451

Pharmasave #0455

Pharmasave #0469

Pharmasave #0471

Pharmasave #478

Pharmasave Health Centre #0470

Pilot Mound Pharmacy

Pinawa Pharmacy

Pine Pharmacy

Plessis Pharmacy

Point Douglas Rexall #7403

Positive Health Pharmacy

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HPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return ProgramHPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return Program 13

Prairie Health Apothecary

Prairie Trail Pharmacy

Prana Pharmacy

Providen Pharmacy Logistics

Quarry Ridge Pharmacy

Rasha Pharmacy

Reavie’s Pharmacy

Red River Co-op Pharmacy - St . Vital

Red River Co-op Pharmacy Main

Red River CO-OP Southdale Pharmacy

Red River Pharmacy

Red River Pharmacy #3

Regent Park Pharmacy

Reston Drug Ltd

Rexall #4813

Rexall #4816

Rexall #4887

Rexall #7401

Rexall #7402

Rexall #7404

Rexall #7405

Rexall #7406

Rexall #7408

Rexall #7409 Interlake

Rexall Pharma Plus #4817

Rexall Pharma Plus #4994

River East Pharmacy

River Heights Pharmacy

Riverton Pharmacy

Riverview Health Centre

Riverwest Pharmacy

Ronald Pharmacy

Rossburn Pharmacy

Rossmere Pharmacy

Safety Drugs

Safeway Food And Drug Pharmacy #4821

Safeway Food And Drug Pharmacy #4822

Safeway Food And Drug Pharmacy #4832

Safeway Food And Drug Pharmacy #4844

Safeway Food And Drug Pharmacy #4849

Safeway Food And Drug Pharmacy #4851

Safeway Food And Drug Pharmacy #4854

Safeway Food And Drug Pharmacy #4855

Safeway Food And Drug Pharmacy #4856

Safeway Food And Drug Pharmacy #4857

Safeway Food And Drug Pharmacy #4859

Safeway Food And Drug Pharmacy #4867

Safeway Food And Drug Pharmacy #588

Safeway Food And Drug Pharmacy #591

Safeway Food And Drug Pharmacy #603

Safeway Food And Drug Pharmacy #701

Safeway Food And Drug Pharmacy #717

Safeway Food And Drug Pharmacy #725

Safeway Pharmacy #0714

Safeway Pharmacy #4823

Safeway Pharmacy #4829

Santa Maria Pharmacy

Save-On-Foods Pharmacy #4405

Save-On-Foods Pharmacy #4410

Save-On-Foods Pharmacy #4415

Scale Drug Store

Serenity Pharmacy

Shoal Lake Pharmacy

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 #0539

Shoppers Drug Mart #0540

Shoppers Drug Mart #0542

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

Shoppers Drug Mart #2419

Shoppers Drug Mart #2421

Shoppers Drug Mart #2422

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HPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return ProgramHPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return Program 14

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 #2506

Shoppers Drug Mart #2511

Shoppers Drug Mart #2514

Shoppers Drug Mart #2516

Shoppers Drug Mart #2517

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 #5105

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

Southeast Wellness Pharmacy

Springfield Pharmacy

St . Boniface Pharmacy

St . Claude Clinic Pharmacy

St . Laurent Pharmacy

St . Malo Pharmacy Ltd .

St . Pierre Pharmacy

Stafford Pharmacy

Steinbach Primary Care Pharmacy

Stevenson’s Pharmacy

Stonewall Pharmacy Ltd

Stony Mountain Pharmacy

Super Thrifty Drug Mart The Pas

Super Thrifty Drugs Virden

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

Valley Super Thrifty Pharmacy

Videl Pharmacy

Virden Drugs

Wal-Mart Pharmacy #1022

Wal-Mart Pharmacy #1027

Wal-Mart Pharmacy #1141

Wal-Mart Pharmacy #1186

Wal-Mart Pharmacy #1204

Wal-Mart Pharmacy #3004

Wal-Mart Pharmacy #3022

Wal-Mart Pharmacy #3069

Wal-Mart Pharmacy #3102

Wal-Mart Pharmacy #3107

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

White Cross Pharmacy Portage la Prairie

Whitemouth Pharmacy

White’s Drug Store Ltd

Whitfield Drugs

Winkler Pharmacy

Winnipeg Beach Pharmacy

You! Drug Mart & You! Drug Store

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HPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return ProgramHPSA 2018 REPORT TO DIRECTOR,

MANITOBA Medications Return Program 15

LOCATION DATE

World of Wheels March 16-18

Rodorama Apr 28,29,30

Teddy Bear’s Picnic @ Assiniboine Park Wpg .

May 27

Transcona Hi Neighbour Festival inc . June 1-3

Transcona Hi Neighbour PARADE June 2

Brandon Exhibition June 6-10

Lundar Fair June 8-9

Niverville Olde Tyme Country Fair June 8-9

Niverville Olde Tyme Country Fair June 9

CTR Habanero Fish Fry & Burger Bash June 13

St . Andrews Open House June 14

Red River Ex Winnipeg June 15-24

Steinbach Summer in the City June 15-17

St . Clement June 19

Killarney Summer Fair June 22-23

Killarney Summer Fair PARADE June 23

MacGregor Fair

Osborne Village Canada Day June 30-July1

Rivers Ag Fair Optional July 4

Carman Country Fair July 12-13-14

Gimli Car Show July 8

Portage la Prairie Exhibition July 6-7-8

Falcon Lake Fun Fest July 6-7

Minnedosa Fun Fest July 6-8

Minnedosa Fun Fest PARADE (Prde app sent)

July 7

St . Pierre Frog Follies July 12-14

St . Pierre Frog Follies PARADE July 15

Selkirk Triple S Fair & Rodeo July 13,14,15

Selkirk Triple S Fair & Rodeo PARADE July 14

Winnipeg Beach Boardwalk Days July 27,28,29

Winnipeg Beach Boardwalk Days PARADE July 28

St . Pierre Frog Follies July 15-16

LOCATION DATE

St . Pierre Frog Follies Parade July 15

Selkirk Triple S Fair & Rodeo July 14-16

Selkirk Triple S Fair & Rodeo Parade July 15

Winnipeg Beach Boardwalk Days July 28-30

Winnipeg Beach Boardwalk Days Parade July 29

Kids Fringe Festival

Morris Stampede July 19-22

Morris PARADE July 22

Altona Sunflower Festival July 27-29

Altona Sunflower Festival July 28

Dauphin Annual Street Fair & Dance Aug 1

Austin Thresherman’s Rodeo July 26-29

Gimli Icelandic Festival Aug 3 - 6

Gimli Icelandic Festival PARADE Melita Banana Days

Mon - Aug 6

Melita Mud Bog Vehicle Demo Derby Aug 10

Melita Cruisers Show and Shine Aug 11

Rumble in Roblin Aug 12

Portage la Prairie Potatoe Festival Aug 10

Winkler Harvest Festival Aug 11

Winkler Harvest Festival PARADE Aug 10-11-12

Northern Association of Community Councils

Aug 11

Stonewall Quarry Days Aug 15

Stonewall Quarry Days

Hanover Ag Fair Aug 17-19

Hanover Ag Fair PARADE Aug 18

Morden Corn & Apple Festival Aug 16-19

Morden Corn & Apple Festival PARADE

Sherbrook Street Festival Aug 24-26

ChinaTown Festival Aug 25

Garden City Car Show Sept 8

Santa Claus Parade

A P P E N D I X 3MARRC 2018 SUMMER AMBASSADOR TOUR SCHEDULE

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