Community Medical Foundation for Patient Safety

The Community of Competence™ and Foundation for Life

The National Unused & Expired Medicines Registry

To determine the public health and patient safety impact of UEMs, Community Medical Foundation began collecting data since 2005 and presented our findings at the annual International Symposium on Safe Medicine. With the vast amount of information on returned medicines, we set up the first national registry for this unique data set following and supporting important benchmarks in drug policy, such as the international Athens Declaration.

Based on the framework of the Community of Competence, the National Unused & Expired Medicines Registry was created for research purposes. Standardized data collection protocol and instrument were form by consensus of the Maine Benzodiazepine Study Group committee to include five basic variables: drug name, dosage, amount returned, reason for return and zip code.

From the five basic variables, other information was derived: therapeutic class, drug characteristics, average wholesale cost, environmental risk and hazard class, and demographic data.  

Today, more than 38 sets of UEM data from various drug take-back programs around the country have been submitted for review and entry into the National Registry with more than 30,000 returned medicines and pill count of nearly 2.5 million.  A conservative estimated rate of waste of 40% was calculated for prescription medicines returned by patients.  Leading categories of UEMs were central nervous system agents, psychotherapeutic agents and cardiovascular agents.

For more information about the National Unused & Expired Medicines Registry, please contact us.