                       Notes from Site Visit at Omnicare
                                       
                                       
Attended by:
Omnicare Staff:	Paul Baldwin, Bridget Mulvenna

EPA Staff:	Kristin Fitzgerald, Lisa Lauer, Jessica Young, Rachel Alford

Date:			November 15, 2012

EPA toured an Omincare long-term care pharmacy in Maryland.  The facility fills 10,000-13,000 prescriptions per day (400-600 totes per day) for their customers which include long-term assisted care and skilled nursing facilities.

They receive approximately 40 totes of returns per day from their customers, which represents approximately 10% of their sales.  They do not take back controlled substances. Whether Omnicare can provide credit for a return depends on how it was paid for and the type of packaging it is in.  But even when it's allowed, sometimes Omnicare does not restock and resell returned pharmaceuticals because the labor costs associated with restocking exceed the value of the pharmaceutical (especially for generics, which constitute the vast majority of their prescriptions).

Omnicare indicated that long-term care facilities are sewering controlled substances, including liquids, pills and patches.

