Pharmaceuticals Waste

This page is designed to provide hazardous waste generators that are healthcare facilities (HFs) and/or reverse distributors (RDs) a general understanding of the regulatory requirements governing the management of hazardous waste pharmaceuticals (HWPs). It is not intended to replace, limit or expand upon the complete regulatory requirements. The sections below follow the life-cycle of hazardous waste pharmaceuticals from generation, hazardous determination, and management for all healthcare facilities and reverse distributors. Other DEQ generator web pages are designed to provide more detail for other subject areas and regulatory requirements. See Definitions for definitions applicable to this waste.

EPA’s Hazardous Waste (HW) Pharmaceuticals Rule (also referred to as Subpart P) was published in the Federal Register on February 22, 2019. A portion of this rule -The Sewer Prohibition - mandated that all healthcare facilities and reverse distributors must stop flushing down the drain or placing into any sewer system all hazardous waste pharmaceuticals. This became effective nationally August 21, 2019. The management requirements for Hazardous Waste Pharmaceuticals became effective in Virginia on August 23, 2019.

What are Hazardous Waste Pharmaceuticals?

Hazardous waste pharmaceuticals (HWPs) are pharmaceuticals that when expired or discarded can potentially cause harm to human health and the environment if not managed properly. Pharmaceuticals become a solid waste when expired, damaged, or partially administered and some pharmaceuticals are Controlled Substances regulated under the Drug Enforcement Administration (DEA.) Hazardous Waste Pharmaceuticals meet the definition of hazardous waste because they are either listed, or because they exhibit a characteristic of hazardous waste; see Generator Regulations page for more information.

Determination of Subpart P Applicability

Healthcare facilities (HFs) and Reverse Distributors (RDs) are required to determine what solid wastes are generated or otherwise manage at the facility. Healthcare Facilities that are Small Quantity Generators (SQG) or Large Quantity Generators (LQG) for their monthly combined totals (pre-rule) of hazardous waste (HW) and hazardous waste pharmaceuticals (HWPs) (combined total) and Reverse Distributors are required to comply with 40 CFR Subpart P. For HFs that are Very Small Quantity Generators (VSQG), compliance with Subpart P is optional. All healthcare facilities are regulated the same for their hazardous waste pharmaceuticals (HWPs) regardless of the generation rate per month (generator category) under to 40 CFR Subpart P. For information regarding  hazardous waste countinggenerator categories, and healthcare facilities regulations please see the applicable web pages.

Name/Email Position Phone
Lisa Ellis HW Compliance Coordinator 804-912-7366
Lisa Silvia Tidewater Regional Office Waste Team Lead 757-407-2905
Chris Archambeault Northern Regional Office HW Compliance Inspector 517-866-6096
Jeremy Hicks Piedmont Regional Office HW Compliance Inspector 804-659-2687
Justen Dick Southwest Regional Office HW Compliance Inspector 276-608-8604
Becky Wright Blue Ridge Regional Office Waste Team Lead 540-597-6198
Matthew Pennington Valley Regional Office HW Compliance Inspector 540-217-7072
Determination of Applicability of Hazardous Waste Pharmaceuticals Rule