An official website of the United States government.

This is not the current EPA website. To navigate to the current EPA website, please go to www.epa.gov. This website is historical material reflecting the EPA website as it existed on January 19, 2021. This website is no longer updated and links to external websites and some internal pages may not work. More information »

Effluent Guidelines

Unused Pharmaceutical Disposal at Health Care Facilities

Pharmaceuticals are being discovered in our nation's waters at very low concentrations. While the sources of these pharmaceuticals may be numerous, EPA has been studying unused pharmaceutical disposal practices at health care facilities. The 2009 study was prompted by the concern that potentially large amounts of pharmaceuticals are being flushed or disposed of down the drain, ultimately ending up in rivers, streams and coastal waters. In preparing the study, EPA visited many facilities and consulted with organizations in the health care industry, as well as federal, state and local government agencies.

You may need a PDF reader to view some of the files on this page. See EPA’s About PDF page to learn more.