Current through Register Vol. 48, No. 38, September 20, 2024
A reverse distributor may accept potentially creditable
hazardous waste pharmaceuticals from off site and accumulate potentially
creditable hazardous waste pharmaceuticals or evaluated hazardous waste
pharmaceuticals on site without a hazardous waste permit or without having
interim status, provided that the reverse distributor complies with the
following conditions:
a) Standards for
Reverse Distributors Managing Potentially Creditable Hazardous Waste
Pharmaceuticals and Evaluated Hazardous Waste Pharmaceuticals
1) Notification. A reverse distributor must
notify the Agency, using USEPA Form 8700-12, that it is a reverse distributor
operating under this Subpart P.
A) A reverse
distributor that already has a USEPA identification number must notify the
Agency, using USEPA Form 8700-12, that it is a reverse distributor, as defined
in Section 726.600, before September 3, 2020, or within 60 days after becoming
subject to this Subpart P.
B) A
reverse distributor that does not have a USEPA identification number must
obtain one by notifying the Agency, using USEPA Form 8700-12, that it is a
reverse distributor, as defined in Section 726.600, within 60 days after
becoming subject to this Subpart P.
2) Inventory by the Reverse Distributor. A
reverse distributor must maintain a current inventory of all the potentially
creditable hazardous waste pharmaceuticals and evaluated hazardous waste
pharmaceuticals that the reverse distributor has accumulated on site.
A) A reverse distributor must inventory each
potentially creditable hazardous waste pharmaceutical within 30 calendar days
after each waste arrived at the reverse distributor.
B) The inventory must include the identity
(e.g., name or National Drug Code) and quantity of each potentially creditable
hazardous waste pharmaceutical and evaluated hazardous waste pharmaceutical.
BOARD NOTE: The National Drug Code (NDC) is a three-segment
number (including labeler code, product code, and package code) uniquely
identifying drugs. The Food and Drug Administration (FDA) assigns the labeler
code, and the labeler assigns the product and package codes.
21
CFR 207.33. The NDC is required in
applications for registration.
21
CFR 1.74(a) and
1.75(a).
The FDA maintains an Internet database for NDC look-up (https://www.fda.gov/drugs/drug-approvals-and-databases/national-drug-code-directory).
The FDA requests but does not require use of the NDC on the product label.
21 CFR
201.2. However, if required on drug
packaging, the bar code includes the NDC.
21 CFR
201.25(c).
C) If the reverse distributor already meets
the inventory requirements of this subsection (a)(2) through compliance with
other regulatory requirements, such as 68 Ill. Adm. Code 1330 under the
Pharmacy Practice Act [225 ILCS 85], or 68 Ill. Adm. Code 1510 under the
Wholesale Drug Distribution Licensing Act [225 ILCS 120], the facility is not
required to provide a separate inventory under this Section.
3) Evaluation by a Reverse
Distributor That Is Not a Manufacturer. A reverse distributor that is not a
pharmaceutical manufacturer must evaluate a potentially creditable hazardous
waste pharmaceutical within 30 calendar days after the waste arrived at the
reverse distributor to establish whether the waste is destined for another
reverse distributor for further evaluation or verification of manufacturer
credit or for a permitted or interim status treatment, storage, or disposal
facility.
A) A potentially creditable
hazardous waste pharmaceutical that is destined for another reverse distributor
is still considered a "potentially creditable hazardous waste pharmaceutical",
and the reverse distributor must manage the waste in accordance with subsection
(b).
B) A potentially creditable
hazardous waste pharmaceutical that is destined for a permitted or interim
status treatment, storage or disposal facility is considered an "evaluated
hazardous waste pharmaceutical", and the reverse distributor must manage the
waste in accordance with subsection (c).
4) Evaluation by a Reverse Distributor That
Is a Manufacturer. A reverse distributor that is a pharmaceutical manufacturer
must evaluate a potentially creditable hazardous waste pharmaceutical to verify
manufacturer credit within 30 calendar days after the waste arrived at the
facility, and the reverse distributor must manage the evaluated hazardous waste
pharmaceuticals in accordance with subsection (c) following the
evaluation.
5) Maximum Accumulation
Time for Hazardous Waste Pharmaceuticals at a Reverse Distributor
A) A reverse distributor may accumulate
potentially creditable hazardous waste pharmaceuticals and evaluated hazardous
waste pharmaceuticals on site for 180 or fewer calendar days. The 180 days
start after the reverse distributor evaluates the potentially creditable
hazardous waste pharmaceutical and applies to all hazardous waste
pharmaceuticals accumulated on site, regardless of whether the pharmaceuticals
are destined for another reverse distributor (i.e., the pharmaceuticals are
potentially creditable hazardous waste pharmaceuticals) or a permitted or
interim status treatment, storage, or disposal facility (i.e., the
pharmaceuticals are evaluated hazardous waste pharmaceuticals).
B) Aging Pharmaceuticals. Unexpired
pharmaceuticals that are otherwise creditable but are awaiting their expiration
date (i.e., aging in a holding morgue) can be accumulated for up to 180 days
after the expiration date, provided that the reverse distributor manages the
unexpired pharmaceuticals in accordance with subsection (a) and the container
labeling and management standards in subsection (c)(4).
6) Security at the Reverse Distributor
Facility. A reverse distributor must prevent unknowing entry and minimize the
possibility for the unauthorized entry into the portion of the facility if the
reverse distributor keeps potentially creditable hazardous waste
pharmaceuticals and evaluated hazardous waste pharmaceuticals.
A) Examples of methods that a reverse
distributor may use to prevent unknowing entry and minimize the possibility for
unauthorized entry include the following:
i)
A 24-hour continuous monitoring surveillance system;
ii) An artificial barrier such as a fence;
or
iii) A means to control entry,
such as keycard access.
B) If the reverse distributor already meets
the security requirements of this subsection (a)(6) through compliance with
other regulatory requirements, such as federal DEA or Department of Financial
and Professional Regulation rules, the facility is not required to provide
separate security measures under this Section.
7) Contingency Plan and Emergency Procedures
at a Reverse Distributor. A reverse distributor that accepts potentially
creditable hazardous waste pharmaceuticals from off-site must prepare a
contingency plan and comply with the other requirements of Subpart M of 35 Ill.
Adm. Code 722.
8) Closure of a
Reverse Distributor. When closing an area where a reverse distributor
accumulates potentially creditable hazardous waste pharmaceuticals or evaluated
hazardous waste pharmaceuticals, the reverse distributor must comply with 35
Ill. Adm. Code
722.117(a)(8)(B)
and (a)(8)(C).
9) Reporting by a Reverse Distributor
A) Unauthorized Waste Report. A reverse
distributor must submit an unauthorized waste report if the reverse distributor
receives waste from off site that it is not authorized to receive (e.g.,
non-pharmaceutical hazardous waste, regulated medical waste, etc.). The reverse
distributor must prepare and submit an unauthorized waste report to the Agency
within 45 calendar days after the unauthorized waste arrives at the reverse
distributor, and the reverse distributor must send a copy of the unauthorized
waste report to the healthcare facility (or other entity) that sent the
unauthorized waste. The reverse distributor must manage the unauthorized waste
in accordance with all applicable regulations. The unauthorized waste report
must be signed by the owner or operator of the reverse distributor or its
authorized representative. The report must contain the following information:
i) The USEPA identification number, name, and
address of the reverse distributor;
ii) The date the reverse distributor received
the unauthorized waste;
iii) The
USEPA identification number, name, and address of the healthcare facility that
shipped the unauthorized waste, if available;
iv) A description and the quantity of each
unauthorized waste the reverse distributor received;
v) The method of treatment, storage, or
disposal for each unauthorized waste; and
vi) A brief explanation of why the waste was
unauthorized, if known.
B) Additional Reports. The Agency may require
a reverse distributor to furnish additional reports concerning the quantities
and disposition of potentially creditable hazardous waste pharmaceuticals and
evaluated hazardous waste pharmaceuticals that the Agency determines in writing
are necessary to demonstrate compliance with this Subpart P.
10) Recordkeeping by Reverse
Distributors. A reverse distributor must keep the following records (paper or
electronic) readily available upon request by an Agency or USEPA inspector. The
periods of retention referred to in this Section are extended automatically
during the course of any unresolved enforcement action regarding the regulated
activity, or as requested in writing by the Agency.
A) A copy of its notification under Section
726.602 on file for as long as the facility is subject to this Subpart
P;
B) A copy of the delivery
confirmation and the shipping papers for each shipment of potentially
creditable hazardous waste pharmaceuticals that it receives, and a copy of each
unauthorized waste report, for at least three years after the date when the
shipment arrives at the reverse distributor;
C) A copy of its current inventory for as
long as the facility is subject to this Subpart P.
b) Additional Standards for
Reverse Distributors Managing Potentially Creditable Hazardous Waste
Pharmaceuticals Destined for Another Reverse Distributor. A reverse distributor
that does not have a permit or interim status must comply with the following
conditions, in addition to the requirements in subsection (a), for the
management of potentially creditable hazardous waste pharmaceuticals that are
destined for another reverse distributor for further evaluation or verification
of manufacturer credit:
1) A reverse
distributor that receives potentially creditable hazardous waste
pharmaceuticals from a healthcare facility must send those potentially
creditable hazardous waste pharmaceuticals to another reverse distributor
within 180 days after evaluating the potentially creditable hazardous waste
pharmaceuticals or must follow subsection (c) for evaluated hazardous waste
pharmaceuticals.
2) A reverse
distributor that receives potentially creditable hazardous waste
pharmaceuticals from another reverse distributor must send those potentially
creditable hazardous waste pharmaceuticals to a reverse distributor that is a
pharmaceutical manufacturer within 180 days after evaluating the potentially
creditable hazardous waste pharmaceuticals or must follow subsection (c) for
evaluated hazardous waste pharmaceuticals.
3) A reverse distributor must ship
potentially creditable hazardous waste pharmaceuticals destined for another
reverse distributor in accordance with Section 726.609.
4) Recordkeeping by Reverse Distributors. A
reverse distributor must keep the following records (paper or electronic)
readily available upon request by an Agency or USEPA inspector for each
shipment of potentially creditable hazardous waste pharmaceuticals that it
initiates to another reverse distributor, for at least three years after the
date of shipment. The retention periods referred to in this Section are
extended automatically during the course of any unresolved enforcement action
regarding the regulated activity, or as requested in writing by the Agency.
A) The confirmation of delivery;
and
B) The USDOT shipping papers
prepared in accordance with subpart C of 49 CFR 172, incorporated by reference
in 35 Ill. Adm. Code
720.111, if
applicable.
c) Additional Standards for Reverse
Distributors Managing Evaluated Hazardous Waste Pharmaceuticals. A reverse
distributor that does not have a permit or interim status must comply with the
following conditions, in addition to the requirements of subsection (a), for
the management of evaluated hazardous waste pharmaceuticals:
1) Accumulation Area at the Reverse
Distributor. A reverse distributor must designate an on-site accumulation area
where it will accumulate evaluated hazardous waste pharmaceuticals.
2) Inspections of On-Site Accumulation Area.
A reverse distributor must inspect its on-site accumulation area at least once
every seven days, looking at containers for leaks and for deterioration caused
by corrosion or other factors, as well as for signs of diversion.
3) Personnel Training at a Reverse
Distributor. Personnel at a reverse distributor that handle evaluated hazardous
waste pharmaceuticals are subject to the training requirements of 35 Ill. Adm.
Code
722.117(a)(7).
4) Labeling and Management of Containers at
On-Site Accumulation Areas. A reverse distributor accumulating evaluated
hazardous waste pharmaceuticals in containers in an on-site accumulation area
must do the following:
A) Label the
containers with the words "hazardous waste pharmaceuticals";
B) Ensure the containers are in good
condition and managed to prevent leaks;
C) Use containers made of or lined with
materials that will not react with, and are otherwise compatible with, the
evaluated hazardous waste pharmaceuticals, so that the ability of the container
to contain the waste is not impaired;
D) Keep containers closed, if holding liquid
or gel evaluated hazardous waste pharmaceuticals. If the liquid or gel
evaluated hazardous waste pharmaceuticals are in their original, intact, and
sealed packaging or in repackaged, intact, and sealed packaging, they meet the
closed-container standard;
E)
Manage any container of ignitable or reactive evaluated hazardous waste
pharmaceuticals, or any container of commingled incompatible evaluated
hazardous waste pharmaceuticals so that the container does not have the
potential to do any of the following:
i)
Generate extreme heat or pressure, fire or explosion, or violent
reaction;
ii) Produce uncontrolled
toxic mists, fumes, dusts, or gases in sufficient quantities to threaten human
health;
iii) Produce uncontrolled
flammable fumes or gases in sufficient quantities to pose a risk of fire or
explosions;
iv) Damage the
structural integrity of the container of hazardous waste pharmaceuticals;
or
v) Through other like means
threaten human health or the environment; and
F) Accumulate evaluated hazardous waste
pharmaceuticals that are prohibited from being combusted because of the
dilution prohibition of 35 Ill. Adm. Code
728.103(c)
(e.g., arsenic trioxide (P012)) in separate containers from other evaluated
hazardous waste pharmaceuticals at the reverse distributor.
5) Hazardous Waste Numbers. Prior
to shipping evaluated hazardous waste pharmaceuticals off site, all containers
must be marked with the applicable hazardous waste numbers (i.e., hazardous
waste codes). A nationally recognized electronic system, such as bar coding or
radio frequency identification, may be used to identify the USEPA hazardous
waste numbers.
6) Shipments. A
reverse distributor must ship evaluated hazardous waste pharmaceuticals that
are destined for a permitted or interim status treatment, storage, or disposal
facility in accordance with the applicable shipping standards in Section
726.608(a) or (b).
7) Procedures
for a Reverse Distributor for Managing Rejected Shipments. A reverse
distributor that sends a shipment of evaluated hazardous waste pharmaceuticals
to a designated facility with the understanding that the designated facility
can accept and manage the waste, and that later receives that shipment back as
a rejected load in accordance with the manifest discrepancy provisions of 35
Ill. Adm. Code
724.172 or
725.172,
may accumulate the returned evaluated hazardous waste pharmaceuticals on site
for up to an additional 90 days in the on-site accumulation area, provided the
rejected or returned shipment is managed in accordance with subsections (a) and
(c). Upon receipt of the returned shipment, the reverse distributor must do the
following:
A) Sign the appropriate of the
following:
i) Item 18c (Signature of
Alternate Facility (or Generator)) of the original manifest, if the original
manifest was used for the returned shipment; or
ii) Item 20 (Designated Facility Owner or
Operator. Certification of hazardous materials covered by the manifest except
as noted in Item 18a) of the new manifest, if a new manifest was used for the
returned shipment;
B)
Provide the transporter a copy of the manifest;
C) Within 30 days after receipt of the
rejected shipment of evaluated hazardous waste pharmaceuticals, send a copy of
the manifest to the designated facility that returned the shipment to the
reverse distributor; and
D) Within
90 days after receipt of the rejected shipment, transport or offer for
transport the returned shipment of evaluated hazardous waste pharmaceuticals in
accordance with the applicable shipping standards of Section 726.608(a) or
(b).
8) Land Disposal
Restrictions. Evaluated hazardous waste pharmaceuticals are subject to the land
disposal restrictions of 35 Ill. Adm. Code 728. A reverse distributor that
accepts potentially creditable hazardous waste pharmaceuticals from off-site
must comply with the land disposal restrictions in accordance with 35 Ill. Adm.
Code
728.107(a)
requirements.
9) Reporting by a
Reverse Distributor for Evaluated Hazardous Waste Pharmaceuticals
A) Biennial Reporting by a Reverse
Distributor. A reverse distributor that ships evaluated hazardous waste
pharmaceuticals off-site must prepare and submit a single copy of an annual
report to the Agency by March 1 of each year in accordance with 35 Ill. Adm.
Code
722.141.
B) Exception Reporting by a Reverse
Distributor for a Missing Copy of the Manifest
i) If a reverse distributor does not receive
a copy of the manifest with the signature of the owner or operator of the
designated or alternate facility within 35 days after the date when the initial
transporter accepted the evaluated hazardous waste pharmaceuticals, the reverse
distributor must contact the transporter or the owner or operator of the
designated or alternate facility, as applicable, to determine the status of the
evaluated hazardous waste pharmaceuticals. For a shipment from the designated
facility to an alternate facility, the 35-days begin when the transporter
forwarding the evaluated hazardous waste pharmaceuticals accepted
them.
ii) A reverse distributor
must submit an exception report to the Agency if it has not received a copy of
the manifest with the signature of the owner or operator of the designated or
alternate facility within 45 days after the date when the initial transporter
accepted the evaluated hazardous waste pharmaceuticals. In the case of a
shipment from the designated facility to an alternate facility, the 45-days
begin when the transporter forwarding the evaluated hazardous waste
pharmaceuticals accepted them. The exception report must include a legible copy
of the manifest for which the reverse distributor does not have confirmation of
delivery and a cover letter signed by the reverse distributor, or its
authorized representative, explaining the efforts taken to locate the evaluated
hazardous waste pharmaceuticals and the results of those efforts.
BOARD NOTE: The Board combined
40
CFR 266.510(c)(9)(ii)(A)(1) and
(c)(9)(ii)(B)(1) as subsection (c)(9)(B)(i)
and
40
CFR 266.510(c)(9)(ii)(A)(2), (c)(9)(ii)(A)(2)(i),
(c)(9)(ii)(A)(2)(ii), (c)(9)(ii)(B)(2), (c)(9)(ii)(B)(2)(i), and
(c)(9)(ii)(B)(2)(ii) as subsection
(c)(9)(B)(ii) to comport with codification requirements.
10) Recordkeeping by a
Reverse Distributor for Evaluated Hazardous Waste Pharmaceuticals
A) A reverse distributor must keep a log
(written or electronic) of the inspections of its onsite accumulation area
required by subsection (c)(2). The reverse distributor must retain this log as
a record for at least three years after the date of the inspection.
B) A reverse distributor must keep a copy of
each manifest signed in accordance with 35 Ill. Adm. Code
722.123(a)
for three years or until it receives a signed copy from the designated facility
that received the evaluated hazardous waste pharmaceutical. The reverse
distributor must retain this signed copy as a record for at least three years
after the date when the initial transporter accepted the evaluated hazardous
waste pharmaceutical.
C) A reverse
distributor must keep a copy of each biennial report for at least three years
after the due date of the report.
D) A reverse distributor must keep a copy of
each exception report for at least three years after submitting the
report.
E) A reverse distributor
must keep records to document personnel training, in accordance with 35 Ill.
Adm. Code
722.117(a)(7)(D).
F) All records must be readily available upon
request by an Agency or USEPA inspector. The periods of retention referred to
in this subsection (c)(10) are extended automatically during the course of any
unresolved enforcement action regarding the regulated activity, or as requested
in writing by the Agency.
d) When a Reverse Distributor Must Have a
Permit. A reverse distributor is an operator of a hazardous waste treatment,
storage, or disposal facility and is subject to the requirements of 35 Ill.
Adm. Code 724, 725, and 727 and the permit requirements of 35 Ill. Adm. Code
703, if the reverse distributor does any of the following:
1) The reverse distributor fails to meet the
conditions of this Section;
2) The
reverse distributor accepts manifested hazardous waste from off site;
or
3) The reverse distributor
treats or disposes of hazardous waste pharmaceuticals on site.