Pharmaceutical Waste

A total prescription for waste compliance

Did you know you could be fined up to $37,500 per violation per day by EPA for disposing of your pharmaceutical waste incorrectly? Are you aware of the implications of the California Medical Waste Management Act and the Cal EPA hazardous waste regulations? When it comes to managing and disposing of pharmaceutical waste, hospitals and other healthcare facilities face a host of federal, state, and local regulations. We can help.

Waste Management's Pharmaceutical Waste Disposal Service complies with all EPA, DOT, federal, state, and local regulations:

  • Our Waste Wizard, web-based on-line solution, provides 24-hour access to pharmaceutical waste categorization information
  • We help identify secure areas for pharmaceutical waste containers
  • We collect waste in designated containers, labeled and rated for pharmaceuticals
  • We properly transport both hazardous and non-hazardous pharmaceutical waste to either a RCRA hazardous waste facility or a permitted regulated medical waste facility, as required by federal and state regulations

We can help you identify and classify your pharmaceutical waste, set up a tailored disposal program and train your staff.


California does allow non-RCRA California hazardous pharmaceutical waste to be mixed with regulated medical waste IF the entire mixture will be incinerated at a regulated medical waste incinerator. We can assist in advising you as to whether this is economically viable for your facility.

RCRA Hazardous Waste vs non-RCRA California Hazardous Pharmaceutical Waste Management

Pharmaceutical waste that meets the definition of a hazardous waste under the federal Resource Conservation and Recovery Act (RCRA) of 1976 must be discarded into a hazardous waste container. This waste includes P-listed wastes (e.g. nicotine, warfarin (Coumadin), arsenic trioxide, physostigmine salicylate) and their packaging. Another group of drugs, U-listed waste, include six chemotherapy drugs (e.g. cyclophosphamide, mitomycin) and a variety of other drugs. In addition, certain drug formulations exhibit a characteristic of hazardous waste such as ignitability or toxicity (e.g. some pressurized aerosols, m-cresol in human insulin, thimerosal in multi-dose flu vaccine). We also recommend that all unused chemotherapy be managed as hazardous waste. Confused? We can provide you complete guidance through our PharmE® Waste Wizard® and Inventory Analysis. We will assist your facility in transporting these wastes to a permitted RCRA hazardous waste incinerator for destruction.

All other pharmaceutical waste generated in California must be managed EITHER as RCRA hazardous waste OR as non-RCRA California hazardous waste. Non-RCRA California hazardous waste must be incinerated at a regulated medical waste incinerator and must be labeled as biohazardous.

DEA Controlled Substances Wastage

Under the Disposal of Controlled Substances final rule September 9, 2014, all expired controlled substances in the pharmacy's inventory must be sent through reverse distribution for witnessed destruction. In addition, any waste controlled substances generated within the pharmacy during compounding or outdated, undispensed IVs must also be reverse distributed.

Any unused controlled substances that have been charged out to a patient, including partial IVs, syringes, or vials, must be managed in such a way as to prevent diversion, according to DEA guidance. We recommend use of a device such as Cactus Smart Sink® or Rx Destroyer™. The cartridges or contents of these devices can then be placed into either the hazardous pharmaceutical waste container, if a hazardous controlled substance has been added, or a non-RCRA California pharmaceutical waste container. We will manage the transport and appropriate destruction of these containers.

RCRA and Non-RCRA Pharmaceutical Containers

For more information about our Pharmaceutical Waste Disposal Service or to request a quote, call 888 906 8176, email us at or visit us on the web at                      

Integrated. Sustainable. Industry Experts.


To find out how we can help you safely dispose of your medical and hazardous waste, further your goals of sustainability, streamline operations to minimize waste and reduce costs, contact us today.

CALL 888 906 8176 OR EMAIL US AT

    We provide services for:
  • Hospitals
  • Surgical Centers
  • Doctors
  • Dentists
  • Veterinarians                   
  • Biotech Companies          
  • Assisted Living Communities
  • Skilled Nursing Facilities          
  • Blood Banks
  • Pharmacists
  • Mortuaries
  • Tattoo Artists
  • Acupuncturists
  • Manufacturers
  • Schools
  • Universities          
  • Small Businesses and more

Are you a resident?

If so, call 800 774 0222 or visit for simple and safe medical waste disposal.