The desire to address pharmaceutical waste management in a responsible manner remains strong for pharmacy directors, and institutional commitment is growing ever stronger. However, economic realities, unclear regulations, and a dearth of information make it difficult to turn that commitment into consistent policies and procedures (P&Ps). RCRA-hazardous waste poses the biggest management challenges. Interestingly, most pharmacy directors are confident in their management of controlled substance waste; however, only 78% have P&Ps in place for fentanyl patches, and 40% continue to sewer morphine sulfate waste, suggesting that further education is needed for this waste class.

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