Non-hazardous, RCRA hazardous, and DEA controlled-substance pharma streams.
Pharmaceutical waste is one of the most heavily regulated streams in healthcare. We segregate non-hazardous (blue or white container), RCRA hazardous (black container), and DEA controlled-substance waste (using compliant on-site sequestration devices), then provide treatment by incineration at permitted facilities. EPA's Subpart P rule (40 CFR 266 Subpart P) applies to all healthcare facilities and reverse distributors.
We segregate, package, and transport every stream to meet federal and Maryland-specific requirements. Inspectors look for these citations — your service should be built around them.
| Agency / Rule | What it requires |
|---|---|
| EPA 40 CFR 266 Subpart P |
Management Standards for Hazardous Waste Pharmaceuticals — applies to all healthcare facilities and reverse distributors. |
| DEA 21 CFR 1317 |
Controlled substance disposal — requires non-retrievable rendering at the point of generation. |
| Maryland Board of Pharmacy COMAR 10.34 |
State pharmacy practice rules including drug destruction documentation. |
Talk to a Maryland-based service rep — no call centers, no scripts.
Request a Quote Call 1-240-518-7862Federal guidance discourages flushing for nearly all medications and Maryland water utilities specifically request that healthcare facilities not flush. The FDA flush list applies only to a small set of high-risk controlled substances when no take-back is available — not to a healthcare facility with a hauler.
Yes — Subpart P applies to all healthcare facilities and reverse distributors regardless of generator status, and replaces the old conditional exemption for hazardous waste pharmaceuticals.
We run dedicated routes from regional Maryland hubs in Baltimore, Bethesda, Frederick, and Salisbury. Browse a few of the cities we serve below, or see all Maryland service areas.