1. Hazardous Pharmaceutical Waste Disposal

2. Why do we care about pharmaceutical waste? -To protect humans and the environment-increasing evidence of harm from even very small amounts of some pharmaceuticals, particularly in fetal and newborn development -To be a good citizen/steward -To comply with our Code of Conduct and other applicable regulations -To avoid fines and imprisonment

3. Improper pharmaceutical disposal Avoid landfilling Landfills often leak over time and pharmaceuticals can enter groundwater Avoid drain disposal Many pharmaceuticals are not removed in water treatment processes Some of these persist in the environment –many are designed to not degrade

4. HAZARDOUS PHARMACEUTICAL WASTE BLACK BIN DISPOSAL The Following Items Must Be Disposed of in The Black Bin Insulin Containing M-Creosol Insulin Detemir (Levamir) Insulin Aspart (Novolog) Insulin Glargine (Lantus) Novolog Mix Humilin Mix Nitroglycerin Products Nitroglycerin Ointment (Nitro-Bid) Nitroglycerin Patch (Nitro-Dur) Nitroglycerin Sublingual Spray (Nitrolingual) Nitroglycerin IV Vials Nitroglycerin ER Capsule Nitroglycerin Sublingual Tablet (Nitroquick) Warfarin Tablets/Coumadin Lindane Products Lindane Shampoo Lindane Lotion Silver Sulfadiazine Cream Silver Nitrate Applicator/Stick Nicotine Products Nicotine Patch (Habitrol, Nicotrol) Nicotine Nasal Spray (Nicotrol) Nicotine Inhaler (Nicotrol) Coal Tar Topical Solution Barium Erythromycin Topical Solution Clindamycin Topical Solution Selenium Sulfide Topical Solution Vaccines with Thimerosal DTaP (Tripedia) DTaP-Hib (TriHIBlt) Td (DECAVAC) Tetanus Toxoid (Tetanus Toxoid Adsorbed USP, Booster,Tetanus Toxoid Adsorbed Adult Use) Influenza (FluLaval, Fluzone) Epinephrine Injection, Unused

5. Proper disposal of hazardous pharmaceutical waste:

11. Reduce waste, when possible Over 2 million tons of waste every year from healthcare institutions Use appropriate sizes if available (50mg package for a 50mg dose) Stock appropriate quantities and sizes of pharmaceuticals or report inappropriate inventory