Medication Disposal Tool

The Medication Disposal Tool was created by the MHA Keystone Center, Department of Environment Quality, and Michigan Pharmacists Association, and is endorsed by 11 additional statewide organizations. The initial distribution of this tool is generously funded by a grant from Blue Cross Blue Shield of Michigan. The intention of the Medication Disposal Tool is to provide education on how to properly and safely dispose of expired, unused or unwanted drugs.

Orders can be placed in increments of 250, with the first 1,500 provided free of charge. Additional quantities over 1,500 may be purchased.

Orders will be filled within approximately 10-14 days from the date ordered.

Pricing (for additional quantities over 1,500):
0 to 1,500 -- $0.14 each (e.g., 1,500 = $210)
1,501 to 8,000 -- $0.12 each
>8,000 -- $0.10 each
Any orders above the original 1,500 will also include the cost of shipping & handling

1. Hospital Name *This question is required.

2. Hospital Name (if not listed above) *This question is required.

2. Contact Information *This question is required.

First Name

Last Name

Title

Email Address This question requires a valid email address.

Phone Number

3. Shipping Address

Street Address *This question is required.

Suite/Office

City *This question is required.

State *This question is required.

Zip *This question is required.

4. Please indicate quantity you would like to order *This question is required.

5. Please indicate the quantity you would like to order, above the 1,500 copies that will be provided free of charge.

Pricing:
0 to 1,500 -- $0.14 each (e.g., 1,500 = $210)
1,501 to 8,000 -- $0.12 each
>8,000 -- $0.10 each
Any orders above the original 1,500 will also include the cost of shipping & handling
*This question is required. This question requires a valid number format.

Quantity:

Medication Disposal Tool - Order Form