Skip to main content
U.S. flag

An official website of the United States government

Here’s how you know

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

HTTPS

Secure .gov websites use HTTPS
A lock (LockA locked padlock) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

    • Environmental Topics
    • Air
    • Bed Bugs
    • Cancer
    • Chemicals, Toxics, and Pesticide
    • Emergency Response
    • Environmental Information by Location
    • Health
    • Land, Waste, and Cleanup
    • Lead
    • Mold
    • Radon
    • Research
    • Science Topics
    • Water Topics
    • A-Z Topic Index
    • Laws & Regulations
    • By Business Sector
    • By Topic
    • Compliance
    • Enforcement
    • Laws and Executive Orders
    • Regulations
    • Report a Violation
    • Environmental Violations
    • Fraud, Waste or Abuse
    • About EPA
    • Our Mission and What We Do
    • Headquarters Offices
    • Regional Offices
    • Labs and Research Centers
    • Planning, Budget, and Results
    • Organization Chart
    • EPA History

Breadcrumb

  1. Home
  2. Hazardous Waste Generators

Management of Hazardous Waste Pharmaceuticals

This is a picture of a pharmacist looking through a shelf of medicine

On this page:

  • New Management Standards for Hazardous Waste Pharmaceuticals
  • Resources

New Management Standards for Hazardous Waste Pharmaceuticals

EPA finalized regulations for the management of hazardous waste pharmaceuticals by healthcare facilities and reverse distributors in a rule published in the Federal Register on February 22, 2019. Learn more about the final rule.

Resources for Managing Hazardous Waste Pharmaceuticals

Guidance Documents

  • A 10-Step Blueprint for Managing Pharmaceutical Waste in U.S. Healthcare Facilities; 2022 Edition (pdf) (9.5 MB).
    • Quick Start Guide - Management of Hazardous Waste Pharmaceuticals Over-the-Counter Nicotine Exemption & Subpart P (pdf) (319.22 KB) .
    • Step-by-Step Guide to Notifying under Subpart P (pdf) (336.7 KB) .
  • Pretreatment Program Factsheet on Hazardous Waste Reporting Requirements for Industrial Users under 40 CFR 403.12(p)&(j) (pdf) (666 KB).
  • How to Safely Dispose of E-Cigarettes: Information for Schools and Small Businesses. 

Guidance Memos and Letters

  • Applicability of 40 CFR Part 266 Subpart P to Intermediate Care Facilities (pdf) (8 pp, 1.29 MB).
  • Chloral hydrate can be U034 (pdf) (11 pp, 56 K).
  • Containers that Once Held P-listed Pharmaceutical Waste (pdf) (6 pp, 1.1 MB).
  • Cyclophosphamide monohydrate can be U058 (pdf) (2 pp, 32 K).
  • EPA's regulations on reverse distribution and policy on reverse logistics.
  • Manifesting Non-Creditable Hazardous Waste Pharmaceuticals - New Four Character Code (pdf) (2 pp, 2.09 MB).
  • Medicinal nitroglycerine that does not exhibit the reactivity characteristic (D003) is not P081 (pdf) (2 pp, 19 K).
  • Nicotine as the sole active ingredient of E-liquids (pdf) (4 pp, 698 K).
  • Nicotine-containing products that are legitimately recycled are not solid waste (pdf) (3 pp, 586 K).
  • Scope of Hazardous Waste Listing P042 (Epinephrine) (pdf) (8 pp, 1.2 MB).
  • Scope of Hazardous Waste Listing P046 (Phentermine) (pdf) (2 pp, 211 K).

Healthcare Environmental Resource Center

  • Pollution prevention and compliance assistance information for the healthcare industry 

Household Pharmaceutical Disposal

  • How to Dispose of Medicines Properly (pdf) (2 pp, 194 K).
  • Information on Pharmaceutical Collection and Disposal.
  • EPA's Recommendation for Incinerating Pharmaceuticals from Take-Back Events (pdf) (9 pp, 1.5 MB).
  • Management of Household Pharmaceuticals Collected by Law Enforcement During Take-Back Events and Programs.
  • Podcast about the proper disposal of e-cigarettes from households.
  • How to Dispose of Vape Pens and Electronic Cigarettes for Individuals.

Hazardous Waste Generators

  • Basics
  • Regulations
  • Re-notification
  • Industry-Specific Information
  • Guide for Small Businesses
  • Importing or Exporting Hazardous Waste
Contact Us About Hazardous Waste Generators
Contact Us to ask a question, provide feedback, or report a problem.
Last updated on February 20, 2025
  • Assistance
  • Spanish
  • Arabic
  • Chinese (simplified)
  • Chinese (traditional)
  • French
  • Haitian Creole
  • Korean
  • Portuguese
  • Russian
  • Tagalog
  • Vietnamese
United States Environmental Protection Agency

Discover.

  • Accessibility Statement
  • Budget & Performance
  • Contracting
  • EPA www Web Snapshot
  • Grants
  • No FEAR Act Data
  • Plain Writing
  • Privacy
  • Privacy and Security Notice

Connect.

  • Data
  • Inspector General
  • Jobs
  • Newsroom
  • Regulations.gov
  • Subscribe
  • USA.gov
  • White House

Ask.

  • Contact EPA
  • EPA Disclaimers
  • Hotlines
  • FOIA Requests
  • Frequent Questions
  • Site Feedback

Follow.

OSZAR »