(1) Contact name and title

(2) Name of program operator

(3) Mailing and physical address(es)

(4) Phone number

(5) Email address

(6) Internet website address

(1) Contact name and title

(2) Name of covered entity

(3) Mailing and physical address(es)

(4) Covered entity email address

(5) Covered entity internet website address

(6) Covered entity phone number

(1) Contact information for each participating authorized collector operating a collection site where covered drugs are collected, including, but not limited to, the following:

(2) Pursuant to Section 42032.2(b)(1) of the Public Resources Code, list of potential authorized collectors, in the counties in which the program will operate, that were notified of the opportunity to serve as an authorized collector for the proposed stewardship program, and the method(s) by which each potential authorized collector was notified. The notification shall occur at least 120 days before the stewardship plan is submitted to the department.

(3) Pursuant to Section 42032.2(b)(1) of the Public Resources Code, description of the process by which good faith negotiations with potential authorized collectors were and, if applicable, continue to be conducted. If a potential authorized collector expresses interest in participating in a stewardship program, the program operator shall commence good faith negotiations with the potential authorized collector within 30 days.

(4) Description of efforts to work with retail pharmacies and retail pharmacy chains to fulfill the requirement in section 42032.2(b)(2) of the Public Resources Code, if applicable.

(5) Description of the process to incorporate potential authorized collectors that submit a written offer to join the stewardship program, in accordance with section 42032.2(b)(3) of the Public Resources Code. A program operator shall include under its stewardship program any entity listed in subdivision (b) of section 42030 of the Public Resources Code that offers to participate in the stewardship program, in writing and without compensation, even if the minimum convenience standards set in clause (i) of subsection (1)(F) of subdivision (a) of section 42032.2 of the Public Resources Code have been achieved. The program operator shall include the offering entity as an authorized collector in the stewardship program within 90 days of receiving the written offer to participate. A program operator shall not be required to respond to offers pursuant to this subsection until the program operator's stewardship plan has been approved by the department.

(6) Description of the reasons for excluding any potential authorized collectors, including those who request joining the program, as applicable.

(7) Description of how the program operator will notify any potential authorized collectors of the reasons they were rejected from inclusion in the stewardship program and what changes the potential authorized collector can make in order to join the stewardship program.

(1) State agency determinations, pursuant to section 42032.2(a)(1)(C) of the Public Resources Code. If a determination of noncompliance was initially issued, the stewardship plan shall include both the initial determination of noncompliance and the superseding determination of compliance. If any state agency failed to respond to a request for review within 90 days of receipt of the stewardship plan, the program operator shall include documentation of this request along with a written certification, signed by an authorized representative of the program operator, that, at the time of submission to the department, the stewardship plan is consistent with all laws and regulations relevant to that agency's authority, and the applicable state agency failed to respond within 90 days of receipt of the stewardship plan.

(2) Written certification by an authorized representative of the program operator that, at the time of submission to the department, the stewardship plan, including all aspects of the plan related to the collection, transportation, and disposal of covered drugs, is in compliance with all applicable local, state, and federal laws and regulations, including, but not limited to United States Drug Enforcement Administration regulations.

(1) Processes and policies that will be used to safely and securely collect, track, and properly manage covered drugs from collection through final disposal.

(2) How convenience standards pursuant to subsection (1)(F) of subdivision (a) of section 42032.2 of the Public Resources Code will be met for each county, including the following:

(3) Tracking mechanism(s) for collection, transportation, and disposal.

(4) Metrics that will be used to measure the amount, including, but not limited to, weight, of covered drugs collected from ultimate users at each authorized collection site.

(5) Each service provider to be used to transport, process, or dispose of covered drugs collected through the stewardship program, including, but not limited to:

(6) Mail-back services or an alternative form of collection and disposal system to be provided to ultimate users, pursuant to sections 42032.2(a)(1)(G) and 42032.2(c) of the Public Resources Code. Include, at a minimum, the following information:

(7) Description of a service schedule that meets the needs of each authorized collection site. Process by which collection receptacles will be monitored, explanation of how service schedules are determined to ensure that collection receptacles do not reach capacity, and procedures to be followed if capacity is reached. The service schedule must meet the needs of each authorized collection site to ensure that collected covered drugs are transported to final disposal in a timely manner.

(8) What corrective actions will be taken if a program operator discovers critical instances of noncompliance with stewardship plan policies and procedures.

(9) How each participating collection site will be funded or reimbursed, if applicable.

(10) Standard operating procedures that will address incidents related to safety and security, including processes to ensure that the department and applicable local, state, and federal agencies are notified of the incident. This description shall also explain the actions that will be taken to change policies, procedures, and tracking mechanisms to alleviate the problems with safety and security and improve safety and security.

(1) Any activities to promote awareness and maximize ultimate user participation in the stewardship program, including, but not limited to, provision of educational and outreach materials for persons authorized to prescribe drugs, pharmacies, pharmacists, ultimate users, and others, as necessary.

(2) Materials to be utilized that are distributed in languages suited to local demographics, consistent with section 7295 of the Government Code. These materials shall include, but are not limited to, signage for hospitals, pharmacies, and other locations, as necessary. Signage or labeling for secure collection receptacles shall be designed with explanatory graphics which are readily understandable by all ultimate users.

(3) Establishment of an internet website designed with functionality for mobile platforms, provided with language options suited to local demographics, consistent with section 7295 of the Government Code, and maintained to ensure all information is up to date and accurate. The internet website's digital content and navigability must be accessible to disabled individuals. The internet website shall include, but is not limited to, the following:

(4) Establishment of a toll-free telephone number to accept requests for mail-back materials from ultimate users who are homeless, homebound, or disabled, and to provide disposal options and other program information to ultimate users without access to the internet. The toll-free telephone number shall offer language options suited to local demographics, accept calls via human representative, and provide services for hearing-impaired and speech-impaired individuals.

(5) Metrics to evaluate performance of the comprehensive education and outreach program, including, but not limited to, ultimate user awareness, program usage, and accessibility.

(6) How ultimate users will be encouraged to separate products that are not covered products from covered products, when appropriate, before submitting the covered products to an authorized collection site or mail-back program.

(7) How the program operator will comply with the requirement in section 42031.6(b) of the Public Resources Code.