Gimme 5, a program ru

2021/05/21

Gimme 5, a program run by Preserve, allows you to mail in #5 plastics, including empty bottles, dairy containers, and takeout bins, to the program to recycle responsibly.

In most cases, you shouldnt put empty prescription bottles in curbside recycling. Similarly, consider reaching out to local clinics and homeless shelters, as some accept bottle donations.

Pill bottle donations. Manypolice stations now havea Drop Box DrugDisposal program. Not only does improper management of pharmaceutical waste lead to water contamination and public safety concerns, but it also could mean big fines and bad publicity for your organization. Return to Hazardous Waste Management Main Page. In CT, most of ourtrash isburned at Resource Recovery Facilities athigh temperatures whichdestroy these products.

Do the same for animal prescriptions. Mark out your name & prescription number for safety. CT Department of Consumer Protection also has information on proper disposal of prescription medications. In most cases, the DEA requires you to contract with a licensed reverse distributor to collect any unused controlled substances and transport them to either have them destroyed or returned to the manufacturer. x]s*)E^c^U.UYbINd_Lr%Y`x,Y$w1?4Fyo7g~y_iMMG7?f6_~n_/.p\yo//typ~Aow~sJXG\`-}?TXC_#]COiIv qh//X: 7m~s~cs'9H8RPmZC']m&*66#&-o8K"3b$C`8AkD{%Shk&EaN\ ? @6}Ebx9]/XPteGa?] Everything that remains after removing the controlled substances, chemotherapy drugs and hazardous waste is categorized as nonhazardous pharmaceutical waste. Although using the toilet or sink prevents someone from accidentally taking the medications, disposingof them in this way causes water pollution and has adverse effects on septic systems, sewage treatment plants, fish and other aquatic wildlife. Disposal of unused medicines: What you should know. Total number of retail prescriptions filled annually in the United States from 2013 to 2025. Will you be able to use all of it before the product expires? Place the bottle(s) inside an opaque (non see-through) container like a detergent container. For pills: add some water or soda to start dissolving them, For liquids: add something inedible like cat litter or dirt, Close the lid and secure it with duct or packing tape. 3 0 obj The vision of the Florida Department of Environmental Protection is to create strong community partnerships, safeguard Floridas natural resources and enhance its ecosystems. (Medicines are not acceptedat Household Hazardous Waste collections. disposal chemotherapy New federal regulations allow pharmacies to have collection programs. If not, consider asking them to start a collection program. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. 1 0 obj Disposing of Syringes from Households: Do's and Don'ts GI-418 How to safely dispose of needles (i.e. Walgreens. Thisonline groupprovides a national dialogue to organize, discuss and track ideas, projects, grants, and other issues. Health care facilities are prohibited from disposing of hazardous waste pharmaceuticals down the toilet or drain [266.505]. GoodRx provides no warranty for any information. Start by removing all controlled substances, such as opiates and benzodiazepines. Now, youll enjoy a streamlined experience created specifically for healthcare providers. Google maps will also locate dropbox locations by searching for "drug disposal nearme.". Then, rinse out and dry the plastic container to ensure theres no leftover residue. endobj You should check with your hospital to see if it is available.

sDik0H3+tY7Lmnzkaf46c=a!BlS_]PY4{7!R\y)FOL?q~{>YQ[cfi(Q$46l U9C%SDN5zj*.JS||U0T2pm-cFmOzFoQ;FqZKJ?23C3An;9Ry}+L h3BYM?a9#%-^ Y{]#Ui^ ~vu*8|=Z}AxwNZc.Yuv|0PU]7w'jrjg9Ou8QenY\LInJ5df!O?(a65N;n-4-u8f.o{TKg8)vYAOv{/e/q_38&96xVacMv;WV aQ}RwN+nIZZA{b }4Q} You can unsubscribe at any time. There are also products available to mix with medications so they can be disposed of in the trash.

(Heres more on how to handle bulk vs. trace chemotherapy waste.).

These are suitable for household use as long as you follow package directions. ?H"bSIE1,R()9u)p3PSJn3P)4eRGY5Fh+yqT:$2_+] GtF pl8DL5uLHRk^QH-RUW$zI Gy$0YtE#6tE!j=FIKfK Mr3 j lI:tV kdLnQWYXylqc!/+'.eDTq 7G`}-6@Eh%;CcnmRppFsSOpZCp;A{!;0/{8? Controlled substance public disposal locations - search utility. Enter your email to sign up. If a patient is self-injecting or a family member is administering injections, they should follow the recommendations for household generated sharps. Triple rinsing of containers with acute hazardous waste pharmaceuticals is not required/allowed anymore. Still, there are other ways to recycle or reuse these bottles and keep them out of the landfill. Hide the container in the trash. x=is]3,2J,Ceg0uZW43I~ ^W*4F_h/O|0~)xuxYeAIRdyg/^,8>=kXTgaY NX Some retailers sell mail-back products for unwanted medicines. (2020). The Resource Conservation and Recovery Act (RCRA) outlines a full list. Preventing drug interactions in patients, managing staffing issues and obtaining insurance approvals occupy most of your time. Applications for the Connecticut Child Tax Rebate must be submitted to the Department of Revenue Services by July 31, 2022. The DEA also mandates how controlled substance wastage must be handled. Statista. For more information, please viewRule 62-730.181 F.A.C. Every municipal recycling facility has different criteria for what it will and wont accept for recycling an issue that leads to a lot of confusion around recycling. (n.d.). Check with your local police department to see if theyare participating. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Clio Awards. You can also use the U.S. Drug Enforcement Administration to find a drop-off center. Follow the disposal instructions in Englishor disposal instructions in Spanish and put them in the trash. 1 0 obj Word: | (n.d.). (n.d.). Here, well go over how to recycle, or upcycle, your empty bottles properly. If a representative from a home health care agency is administering injections to a patient at the patients home, then the sharps are medical waste and must be taken back to the home health care agency and disposed of through a medical waste management system for treatment prior to disposal. Consumer Reports News.

Sharps are considered medical waste when generated by a health care-related facility per Title 25, Texas Administrative Code, Subsection 1.132(46) [25 TAC 1.132(46)]. (n.d.). Ask your pharmacist fordetails and program restrictions. U.S. Department of Justice. Nicotine replacement therapies (i.e., nicotine patches, gums, and lozenges) are no longer included in the P075 listing for nicotine and are no longer considered hazardous waste. The Florida Department of Environmental Protection is the states lead agency for environmental management and stewardship protecting our air, water and land. New federal regulations allow hospitals to have collection programs. Expired and unused medications are best disposed of through a take-back program, according to the FDA. `878_}F} "1XD2+Z>0cVFXl`s\ XfVRTt:vc n "-2+*naXwvo J!Ag!p%du`$aJv5)N}vb Repurposing prescription bottles at home is a great way to keep them out of the landfill. (2021). Some Walgreens and CVS locations offer medical disposal kiosks, but there is no universal system in place. Some of the features on CT.gov will not function properly with out javascript enabled. These bottles were primarily talking about the translucent orange containers that come with a white, child-proof lid are usually made of polypropylene, a recyclable plastic marked by #5. Bring to a household hazardous waste (HHW) collection or call. Youll want to take these steps, whether youre putting them in the trash, bringing them to a drop-off center, or donating them. You can find instructions on the organizations website. Chemotherapy waste can be harmful to the public, even in trace amounts, and must be disposed of properly to ensure safety. <>>> The right licensed and knowledgeable partner can help you stay in compliance from delivery to disposal. endobj This fool-proof guide to pharmaceutical waste disposal policies and procedures will help you stay compliant with state and federal waste regulations. You might also consider requesting a 90-day supply of your prescription; some pharmacies are able to provide these in one larger bottle, which will reduce the number of bottles you use over time. Oh yeah! However, nicotine continues to be a listed, acute hazardous waste with the hazardous waste code P075. f=vt:MIymE!ci&8oGo{L~t:KgG{wj 5Dat6&M48s=] sn~,3T4q}-gL?3K7yi0G!/z]Ea,E~Gp`G93;]\]5M>y.y^:h:`YRb )hzE}N4f,> g'l~v|?QB(^| (`;INQ|u!"qJW(f2KI1CkFlO;8(vGRl)Y|s*~9> m:9CIs$~dqE';T(8u^}c ! Save Money with Proper Medical Waste Classification. Remember to follow these instructions forpet medications, too! This may save you money and will also eliminate the need for throwing the drug away if it doesnt work for you. 4 0 obj To find a recycling program near you that accepts #5 plastic, you can search on the Recycle Nation website. Ready to get started? Hazardous pharmaceutical waste must be disposed of appropriately to reduce the risk to the public. You can narrow your search by putting in your zip code and selecting the type of waste youre looking to dispose of (in this case, plastic #5 or polypropylene). Another is ECOvials, a plant-based prescription vial. Wrap the outside of the container or bag with additional duct or shipping tape to prevent leakage to further obscure the contents. Youll also want to remove the sticker label that contains your personal information from the bottle. Place the tightly sealed container in a bag and put it in your trash. Bring them to a special collectionsponsored by the federal government or town. Look at the expiration date on OTC products. Its best to remove the sticker entirely, but if this isnt possible, scratch out the information with a permanent marker. In most cases, your doctor will not be able to take them back. The following icons link to free Reader/Viewer software: The TCEQ does not regulate the disposal of pharmaceutical waste from households or residency establishments (e.g. U.S. Food and Drug Administration. %

U.S. Food and Drug Administration. If you would like to discuss pharmaceutical waste management, contactthe Waste Compliance Section at 850-245-8707. Some drop-off centers will accept both the bottles and the unused medication it contains, but youll want to check the specific guidelines first. Use a disposal site or collection event when available, or dispose of old medicationsas recommended inEPA Fact Sheet. Call today: 602 384-3927. how controlled substance wastage must be handled, Heres more on how to handle bulk vs. trace chemotherapy waste, Q&A: DOT Regulated Medical Waste Training, Proper Sharps Disposal for Tattoo Parlors. In Connecticut, consumers have severaloptions for disposing of prescription medications and OTC products safely. American Society for the Prevention of Cruelty to Animals. Subpart P is optional for Very Small Quantity Generators (VSQGs). 2016 CT.gov | Connecticut's Official State Website. No, medicine should not be disposed of in your sharps container. Safe medication disposal - dispose of unused medication. hotels) but recommends these options: Manage pharmaceutical waste based in the following categorizations: Contact the MSW Permits Section if you have questions about managing medical waste. These types of substances must be handled in accordance with U.S. Drug Enforcement Agency regulations. One promising alternative is the Prescription Paper Pill Bottle, a 100% compostable and biodegradable option designed by Tikkun Olam Makers. HR3~0Z&2ygq x`Tq0i'P3Gq. Excel: Contact Geographic Information Systems (GIS), Get Information About the Volkswagen Settlement, Florida Mitigation Fund, Protect the Environment from Solid and Hazardous Wastes, Environmental Accountability and Transparency, Permitting and Compliance Assistance Program, Permitting and Compliance Assistance Program (PCAP), All Permitting and Compliance Assistance Program Content, EPA Regulations on the Management of Hazardous Waste Pharmaceuticals, EPA webinar on the Management of Hazardous Waste Pharmaceuticals, Pipeline and Hazardous Materials Safety Administration, Occupational Safety and Health Administration, ways to minimize the generation of drug waste at your facility, Practice Greenhealths Managing Pharmaceutical Waste A 10 Step Blueprint for Healthcare Facilities in the United States, How to manage expired sample medications from doctors offices. This starts with making sure its handled differently than biohazardous waste so it doesnt end up in a landfill like biohazardous waste does (after its sterilized). %PDF-1.5 These arenot regularly scheduled and are sometimes only open toresidents ofthe sponsoring town. Some medications are classified by the EPA as hazardous chemicals. Find out about permit and other requirements, More Pollution Prevention Tips For Reducing The Need for Medicine and OTC Disposal, Quick Reference Chart For Disposal Of Medical Supplies, Many creative people have found clever ways to reuse these bottles. Despite being made of recyclable material, most recycling systems are unable to recycle them properly because of their small size. Place all trace chemotherapy waste in an FDA compliant yellow container. Florida has adopted by reference EPAsManagement Standards for HazardousWaste Pharmaceuticals and Amendment to the P075 Listing for Nicotine 40 CFR 266 Subpart Pwhich became effective in Florida on August 21, 2019. Proper pharmaceutical waste management is crucial. U.S. Food and Drug Administration.

Some chemotherapy drugs may have special disposal requirements. <> Sabanoglu, T. (2021). Wrap the container with tape to minimize breakage, then place in an opaque plastic container (such as an empty yogurt or margarine tub). Donotflush your medicines down the toilet or down the drain. This ensures the waste is treated to meet environmental requirements. (n.d.). Its important to follow FDA guidelines around disposing of both bottles and the medications they contain. By using these options,you will protect your privacy, discourage unintended consumption of the drugs and protect our water. Click here to learn more. +H_IV|PS5G}SY0sc;CUZ1|n~c@0c,c]U i0;PhTt"UbBEb*Oj/# P.fA"7ubg3rhP{BLwx]$5E&!.OB:O1(\mH\z?oN2tiv0lE {G;awHrs,z}4FO8oOu6AE_Ss}*uQ>G s\bBi_|Kcw#(iOH1)![ S>@de@L3 J E,!Nz["In?e86 Z 0 ~G]/9. If possible, ask your doctor to give you a smaller amount of a prescription or a sample of a drug that you are taking for the first time to see if it works for you. For information on sharps disposal: Needle Collection Programs. When in doubt, remove the medication from the container and dispose of it according to FDA guidelines. There are certain medications that the FDA recommends flushing down the toilet. You can check the program website for details. You can also use the U.S. Drug Enforcement Administrations search tool to find a drop-off location near you. stream Department of Energy and Environmental Protection, Find out about permit and other requirements, safely clean-up a brokenmercury thermometer. regular Site Help | Disclaimer | Site Policies | Accessibility | Website Archive | Our Compact with Texans | TCEQ Homeland SecurityStatewide Links: Texas.gov | Texas Homeland Security | TRAIL Statewide Archive | Texas Veterans Portal 2002-2022 Texas Commission on Environmental Quality. A home health care agency is considered a health care-related facility under 25 TAC 1.134(14). Disposing of Sharps, Syringes, and Other Related Waste, https://www.tceq.texas.gov/permitting/waste_permits/msw_permits/medwaste/medwaste-sharpspharm, https://www.tceq.texas.gov/@@site-logo/TCEQ-1072x1072.png, Sharps Containers from a Health-Care Related Facility, Used, Expired, and Unused Pharmaceutical Waste, Disposing of Syringes from Households: Do's and Don'ts GI-418, Medical Waste: Regulated Activities and Requirements. Pharmaceutical waste generated by various types of medical facilities can be a difficult waste stream to manage. Send the waste to a an authorized facility using the, Treat the waste on-site following the procedures regarding notification of on-site treatment on our, Return expired or unused drugs to pharmaceutical take-back locations that allow the public to bring them unused drugs to a central location for safe disposal, such as a local city, county, or the, Remove drugs from the original container, make the drugs unusable by encapsulating them in impermeable, nondescript containers or sealable bags filled with plaster of paris, used coffee grounds, or kitty litter and throw the containers in the regular trash for disposal in a landfill; or. Residents can discard their unwanted or unused medicines in special locked boxes any time the police department lobby is open.

It should be disposed of in white containers with blue lids (like these). Find a pharmacy. After all the precautions youve taken to comply with the EPA (RCRA), DEA and Department of Transportation, dont put it all at risk by partnering with the wrong waste disposal service. <>>> ASPCA. Separate out all pharmaceutical waste, and ensure it is not placed in a red biohazardous waste container.

Place in a puncture-proof, hard plastic container with a screw-on cap, like a bleach or detergent bottle. It seems that JavaScript is not working in your browser. While you should contact your local recycling facility to see if they are an exception, curbside recycling programs generally do not accept prescription medication bottles. 4 0 obj

While your curbside pickup most likely does not recycle plastic #5, some programs specifically handle this tricky material. Guidance on this website should help your facility stay in compliance with Florida environmental regulations. Polypropylene bottles are still the most widely-used container for prescription medications, but groups of environmentally conscious people have been working toward developing alternatives. font size, Disposing of Prescription Medicines and Over-the-Counter (OTC) Products. Let us text you a link to download our free Android or iPhone app! Please seek medical advice before starting, changing or terminating any medical treatment. Options for managing such waste include: The management and disposal of pharmaceutical waste depends on whether it is generated by a household or by a health care-related facility. Matthew 25 Ministries. They are also designed for use by homeowners. You can contact your local ASPCA to see if theyre in need.

PDF: | None of these products are suitable for the disposal of hazardous waste pharmaceuticals from a business like a medical facility or pharmacy. "1szG9DGrkF9$G!N}%o +TTk'7 0 ]_XcmOL.n~!g!//RVt&:$+!h 'I_lbrvy#u!T\GbvA"4?"$==6|T wQ5W^HF7(hl%9 -@2a%^bkz%aFJD$:y%MH_r=lb8hbaH&+&=P.ThxVQgn*ZxTr]`9W3G~@+?x!l,'5o2 sa>sl'5 5~6&1Qx :A.>b6p{0U@,u }|u) ), WANT TO HOLD A SPECIAL COLLECTION AT YOUR FACILITY / BUSINESS OR IN YOUR TOWN? Americans fill over 4 billion prescriptions per year, begging the question, What happens to all the empty prescription bottles? The answer is a bit complicated as most curbside recycling programs generally do not accept these plastic bottles. The FDAs flush list will help you determine whether a specific medication is OK to flush. endobj endobj Ask your health care provider about proper disposal. Residents do not need tocomplete forms oranswer questions about the items they drop off. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. To protect the environment, please use these guidelines instead of flushing medications: DO NOT put drugs in the trash without disguising them humans may find them and misuse them. These include finding specialized recycling programs and reusing cleaned bottles for other purposes. Tikkun Olam Makers: TOM - the prescription paper pill bottle. Do not put it in the recycle bin. You might also consider asking your local pharmacy to invest in a drop-off or recycling program. Healthcare facilities and reverse distributors are required to notify DEP using the 8700-12. <> Keep in the original container. GoodRx works to make its website accessible to all, including those with disabilities. 2 0 obj Join the Listservor read the Listserv Archives. Find a recycling location. For more information on how to dispose of expired or unused medications, check out our guide here. If the doctor is located in a hospital with a collection program, he will be able to direct you to the collection container. Florida Department of Environmental Protection, Your JavaScript is turned off limiting this websites functionality. Sharps generated from a health care-related facility as defined in 25 TAC 1.134 must be managed as medical waste. Not only does your facility need to comply with all applicable hazardous and solid waste regulations, but they must also comply with any overlapping regulations from: DEAs disposal regulations including how your facility can become an "authorized collector.". )~Yfi9;AeA"b:, 8JcAFOAAfljnv26d329FfWv*Q9_qGhURJz0g_:H,7J(JrrEGOoRSc35EPbo lj4zsDv:[b5Y\!r\/rgHlb=Q <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 1008 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Properly disposing of pharmaceutical waste doesnt have to be difficult. If not, consider asking them to start a collection program. intron rxlist syringe hold skin injection degree angle %PDF-1.5 endobj Find information about how to determine if a drug is a hazardous waste: If your facility wants to develop a comprehensive pharmaceutical waste management program, an excellent guide is ". While there are ways to dispose of your prescription medication bottles in a way that considers the environments health, the methods are somewhat complicated. % A licensed reverse distributor will handle the stringent paperwork the DEA requires and will advise you on the type of waste collection container to use. Some popular repurposing ideas include: Container for jewelry, makeup, spare buttons, and other knickknacks, Travel-sized container for shampoo, conditioner, lotion, and soap. (Needles or liquid medications are not accepted.) Some animal shelters may also accept your used bottles. Next, youll need to segregate your pharmaceutical waste. Other programs will collect used bottles and repurpose them. Where and how to dispose of unused medicines. Some chain pharmacies such as CVS, Walgreens and Rite Aid sellfor a small fee, pre-paid mailersfor disposal of prescription and over the counter medicines. If you cant find a convenient way to drop off or mail back unused medications, the FDA recommends disposing of unused or expired prescription and over-the-counter medications in your household trash. These should be placed in black containers and require very specific disposal. Do You Have an OSHA Hazard Communication Plan? yggvF;1sKkm4y:{(y"ddP=d9GCfX_Q!Csk=l^{mZMlBP ,J-Cme Still, there are other ways to recycle them properly and keep them from piling up in the landfill. To do this properly, remove the substance from its container and mix it with another material, such as coffee grounds or spoiled food to make the item undesirable. If you want to repurpose your empty bottles, you absolutely should. 3 0 obj Follow these pharmaceutical waste management guidelines for safe and effective disposal. Get prescription saving tips and more from GoodRx Health. {okfoh5db10 SdU-+Sf?u{MJ/JG =ddM`[nBE,O@=1MHY[DNf=@M:{ SoHoZ/AY/x\1aw]%z2/Qa7-iY" D@;/8w(K%` hpE=6zt6*g V ^-OG6fD clyAAAH*78jap!B 1(ma LP(}/V8=wT]jy|P{k6w1s Written by Jennifer Robertson, MD, MSEd, NBHWC, Written by Jennifer Gershman, PharmD, CPh, PACS, Written by Brian Leonard, PharmD, BCACP, BCGP, Written by Zuri C. Hawkins-Jarrett, PharmD, MPH, BCPS, Written by Nicole E. Cieri-Hutcherson, PharmD, BCPS, NCMP, Written by Ross Phan, PharmD, BCACP, BCGP, BCPS. One such program, Matthew 25: Ministries, which is based in Cincinnati, accepts your mailed-in bottle donations.

Remember, bulk chemotherapy waste, such as unused or expired medications, should be treated as hazardous chemical waste. Seal the container with the original lid and wrap with duct tape. This will help identify the contents if they are accidentally ingested. Interested in subscribing to DEP newsletters or receiving DEP updates through email? 2 0 obj

<>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 35 0 R] /MediaBox[ 0 0 1008 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. While Gimme 5 was paused during the height of the COVID-19 pandemic, there are plans to revive the program in September 2021. ]GhfG5. <> <> Some content on this site is saved in an alternative format. Trace chemotherapy waste includes empty medication vials, IV tubing used to deliver medication and even medical gloves worn by staff when administering chemotherapy. GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Once the bottles are clean, you can use them for many uses. Management and disposal of sharps, syringes, and pharmaceutical waste. Drugs like warfarin, lindane and mitomycin are considered hazardous waste. Participants are primarily from various government agencies, but others are welcome to join. sharps) and syringes generated in your household or other place of lodging. All healthcare facilities and reverse distributors are required to document training programs for employees who handle hazardous waste pharmaceuticals, comply with accumulation standards and labeling requirements, submit reports, and maintain records related to the management of hazardous waste pharmaceuticals. Check the disposal instructions on the drug packaging to determine if the drug may be flushed down the drain into a sanitary sewer system, and contact the waste water treatment plant for the sewer system to confirm if that practice is acceptable. You should dispose of the container separately, making sure to hide your personal information. DEP does not regulate any of these products. Trace amounts of all kinds of drugs have also been found in some drinking water supplies because they pass through septic systems and sewage plants untreated. Fields, L. (2012). Drug disposal: FDAs flush list for certain medicines. Proper disposal of pharmaceutical waste is an emerging issue nationally as low levels of various pharmaceutical compounds have been found in waterways across the country. It could be because it is not supported, or that JavaScript is intentionally disabled. endobj But pharmaceutical waste should also be one of your top priorities. RecycleNation. You can check with your local pharmacy about its on-site drop-off programs or mail-back programs to safely dispose of your unused medications. You should check with your pharmacy to see if it is available. If you cannot find a disposal site or drop-off event, place the medications in the household trash after taking precautions to prevent accidental ingestion by humans or animals. (2020). Can I recycle my medication bottles? If not, maybe a smaller amount will do. (2021). GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. stream