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U.S. EPA’s final rule for Hazardous Waste Pharmaceuticals prohibits healthcare facilities and reverse distributors, as defined by U.S. EPA, from flushing, pouring, or draining hazardous pharmaceutical wastes down a toilet, sink, tub, or other drains as a disposal option. This new rule became effective in Ohio on Aug. 21, 2019.

Healthcare facilities and reverse distributors who handle hazardous pharmaceutical waste can learn about different disposal options by reading our Flushing of Hazardous Waste Pharmaceuticals is Prohibited fact sheet.

This new rule establishes cost-saving, streamlined standards for handling hazardous pharmaceutical waste to better fit the operations of the healthcare sector while maintaining protection of human health and the environment.

Please direct any questions on the Hazardous Waste Pharmaceuticals Sewer Ban to Kristie Shipley at or (614) 728-5363.

More information about the Hazardous Waste Pharmaceuticals and Amendment to the nicotine listing (P075) final rule can be found at:

Ohio EPA provided a free webinar on Aug. 8, 2019, Hazardous Waste Pharmaceuticals Sewer Ban that reviewed certain aspects of this rule. This webinar explained the sewer prohibition portion of the rule and identified the alternate management requirements that are applicable to healthcare facilities and reverse distributors.