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Medication Disposal
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Medication Disposal
Community Resources
Deterra Bag
Categories
Deterra Bag
Dispose Rx (Bulk)
* indicates required field
Phone Number
Information Heading Placeholder
First Name
*First Name
Last Name
*Last Name
Street Address 1
*Street Address 1
Street Address 2
Street Address 2
Apartment #
Apartment #
City
*City
State
Select State
Ohio
* State
Zip
*Zip
County
*County
Email
*Email
Size Heading Placeholder
Maximum request amount equals to 6 bags.
Small
Small
Quantity of Small
None
1
2
Quantity of Small
Medium
Medium
Quantity of Medium
None
1
2
Quantity of Medium
Large
Large
Quantity of Large
None
1
2
Quantity of Large
Heading Placeholder
* What is your reason for requesting a prescription disposal pouch?
What is your reason for requesting a prescription disposal pouch?
No disposal location near me
No disposal location near me
Limited transportation
Limited transportation
I do not feel comfortable disposing of medication at droff-off boxes near me
I do not feel comfortable disposing of medication at droff-off boxes near me
I saw an advertisement encouraging me to dispose of medication
I saw an advertisement encouraging me to dispose of medication
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