caSe Study: reSponding to cuStomer reQueStS for a recycling Solution for vaccine containerS challenge Each year, Merck uses more than 1 million white Styrofoam™ shipping containers to fill vaccine orders placed by doctors, pharmacies and hospitals across the United States. But until Merck initiated a new environmental program in 2010, recipients had no easy way to recycle these containers — and that’s just what many wanted to do. Merck set out to find a customerfriendly and cost-effective way for its customers to recycle the company’s vaccine shipping containers that would not compromise the containers’ ability to maintain required low temperatures during storage and delivery. As one Merck team member explained: “Our products need to get where they are supposed to go at the temperature they need to be — all the time.” BacKground Each year, Merck ships about a million white Styrofoam™ containers, filling vaccine orders placed by doctors, pharmacies and hospitals across the United States. Regional distribution centers in Reno, Nev., and Duluth, Ga. (shown), expedite individual orders. what where when who Merck ships 1.2 million packages containing vaccines from two distribution centers to healthcare facilities in the United States each year. Unlike most other medicines, many vaccines must be kept at cold temperatures throughout shipping and storage. This requires packing each vaccine order in individual insulated containers about the size of picnic coolers. Recycling Solution for Vaccine Containers United States 2010–Present Merck Vaccines cuStomer-driven Solution SupportS mercK’S environmental SuStainaBility goalS Given that Merck has a portfolio of 13 vaccines and is the sole supplier of two of the recommended vaccines on the immunization schedule of the U.S. Centers for Disease Control & Prevention, pediatricians alone routinely buy at least four or five different vaccines from Merck. Due to “cold chain” requirements, Merck must ship some of its vaccines individually and also limit the quantity of doses in each shipping container. This means a physician’s office might receive four or five shipping containers per order. Multiply this by two to three orders per month, and it adds up to a lot of containers that a physician’s office has to manage. In addition, these vaccine shipping containers are generally not locally recyclable. “We definitely heard the strong voice of customers telling us that it was important to them to find a way to recycle these containers.” Lois Burkey, Merck Vaccines team, West Point, Pennsylvania Solution: facilitating customerfriendly, cost-effective recycling of empty shipping containers In 2008, Merck launched its new Commercial Model, an initiative that places customers at the center of our work. Customers had been demanding more from companies and new types of relationships, requiring Merck to change how it marketed and sold its medicines and vaccines. As part of this new approach, Merck’s Vaccine Division (MVD) created a Customer Feedback & Response team tasked with speaking with customers to understand their needs, challenges and desires related to how we conducted business with them, and integrating their findings throughout Merck decision-making. One resounding customer comment was that receiving and then having to discard so many vaccine containers was a nuisance. Some healthcare facilities, particularly in the Northwest, actually went to the trouble of seeking out local recycling centers and taking them there themselves. It was clear that today’s customers expected Merck to be environmentally responsible and to help its customers be so as well. Joined by colleagues from Merck’s Global Procurement group, the MVD Feedback & Response team faced many questions: • How many customers would use a recycling program? • How much would it cost? • C ould Merck sustain the cost of the program, especially if participation continued to grow? • W ould the containers be returned contaminated with used needles, empty vaccine vials, or other waste? The team knew it wanted to create a process similar to that of recycling printer cartridges. And, of course, the process had to be very easy for customers. In 2009, the team began a five-state pilot program. Here’s how it worked: A physician’s office, pharmacy or hospital ordered vaccines directly from Merck. Merck shipped the vaccines in their special containers. Each container included instructions on how to recycle the container (e.g., empty the container before shipping) printed on an adhesive material that served as packing tape to seal the container upon returning it. Also included was a prepaid UPS shipping label. The containers were picked up by UPS and sent to one of two Merck-identified recycling facilities. The recycling facilities then turned the Styrofoam containers into other materials such as insulation and building materials. About 30 percent of the customers included in the pilot program participated, with nearly no instances of needles or other refuse being left inside the returned containers. The MVD team presented its results to management, estimating an annual program cost of $2 million based on an uptake of 30 to 40 percent. The team delivered its findings to MVD management. The response from then-MVD President Margie McGlynn: If this is what our customers want, then we will figure out how to develop a national recycling program and what it would cost. Individual orders — and proper coolants — are packed into insulated containers. Unlike many other medicines, vaccines must be kept at cold temperatures throughout shipping and storage. The initiative was approved. “There wasn’t a lot of discussion or challenge,” remembered Craig Kemp, Senior Director, Customer Value, Merck Vaccines. “Senior management knew this was the right thing to do, and they did it. It made me really proud to work for the Company.” In February 2010, Merck rolled out the container recycling program to its entire western U.S. territory. In late May 2010, the eastern half of the country was added. By June, fully 20 percent of the insulated Merck containers were being returned to recycling facilities in Michigan and California. Today that number stands at 40 percent (~20,000 containers), which prevents 40,000 lbs. of Styrofoam from being added to landfills or burned in incinerators each year — an admirable result for a voluntary recycling program in little more than one year’s time. “We did this not only because it was the right thing to do, but [also because] it’s what our customers wanted. People want to do business with a company that is socially responsible.” Craig Kemp, Senior Director, Customer Feedback & Response, Merck Vaccines “This program is responding to a customer demand. And it’s helping to build trust and value with our customers,” says Kemp. “We are doing more than selling a product; this program tells our customers that Merck is part of their community and takes its responsibility to the environment seriously.” During a field visit to Arkansas just after the national launch of the program, a Merck Field Sales Customer Team Leader heard positive feedback from healthcare providers and staff. “Customers stated multiple times that they are very happy about Merck deciding to recycle.” The recycling program is also important to many Merck employees, who believe that companies have a responsibility for environmental sustainability and want to work for a company that demonstrates its commitment through action. Such customer and employee satisfaction benefits, while difficult to quantify, are critical to the program’s sustainability, particularly given that the recycling program accounts for almost 10 percent of Merck’s annual vaccine shipping budget. Another important factor is that the program supports Merck’s corporate packaging goal, announced in 2011, which aims for 50 percent of Merck’s revenue to be derived by 2020 from the sale of products that have at least one sustainable-packaging attribute, such as attachment to a packaging take-back program. what’s next? Kemp and his team are now working with the Merck Packaging Technology team and Merck’s vaccine shipping-container manufacturer to create a vaccine shipping container using recycled polystyrene. The containers, which need to be tested to ensure that they perform to the same standard as the existing containers and meet all regulatory requirements without a significant increase in price, would, if successful, increase the environmental benefits of Merck’s vaccine shipping-container recycling program. Another option Merck is exploring is making its containers reusable. In this model, customers would send the shipping containers back to a third party, who would then clean, test, and return the containers to Merck to reuse in shipping vaccines to other customers. Currently, the cost of making containers reusable is significantly higher than that of recycling Styrofoam containers, but Kemp believes it would pay for itself in time. The challenge is setting up an innovative logistics system to make it work, he says. Merck is also looking at expanding the current recycling program into other countries and to other products with cold chain requirements. “There has been very little — if any — innovation in medical logistics; we’ve been shipping products the same way for decades,” says Kemp. “Other industries have innovated and created more efficiency in the process — we can now get fresh fruit from South America in the winter, for example. This was innovation. Now it’s our turn. This makes sense for our business and for our customers.” To learn more about Merck’s environmental sustainability journey, click here. Copyright © 2011 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved.