Storage, Handling & Disposal of Pharmaceutical Substances✅

Non-hazardous waste

Regular meds (not dangerous, not controlled) → Send to reverse distributor or DEA take-back program

P-listed hazardous waste

Very dangerous drugs (even tiny amounts) → Special hazardous waste container (EPA)

U-listed hazardous waste

Toxic drugs/chemicals → Dispose in hazardous waste container (EPA)

Controlled substances

Scheduled drugs (CII–CV) → Use DEA Form 41 or send to reverse distributor

Trace chemo waste

Items with a little chemo on them (gloves, tubing) → Yellow container

Bulk chemo waste

Leftover chemo drugs → Black container + burned (incinerated)

P-listed hazardous drugs

Very dangerous (even tiny amounts)

U-listed hazardous drugs

Toxic but less dangerous than P-listed

Important test tip (Warfarin)

Warfarin >0.3% = P-listed (VERY hazardous) ⚠

USP 800

Rules for handling hazardous drugs (storage, prep, giving, disposal)

Where are hazardous drugs stored?

In a negative pressure room (air flows IN to keep drugs from escaping)

Equipment needed for hazardous drugs

Ventilated cabinets + proper setup to keep workers safe

PPE for hazardous drugs

Double gloves, gown, eye protection, respirator

Hazardous drug list & storage rules

List made by National Institute for Occupational Safety and Health (NIOSH)
→ Store separately from regular medications