Current through Supplement No. 395, January, 2025
A reverse distributor may accept potentially creditable
hazardous waste pharmaceuticals from offsite and accumulate potentially
creditable hazardous waste pharmaceuticals or evaluated hazardous waste
pharmaceuticals onsite without a hazardous waste permit, provided it complies
with the following conditions:
1.
Standards for reverse distributors managing potentially creditable
hazardous waste pharmaceuticals and evaluated hazardous waste
pharmaceuticals.
a. Notification. A
reverse distributor shall notify the department using the site identification
form (environmental protection agency form 8700-12) that it is a reverse
distributor operating under sections
33.1-24-05-310 through
33.1-24-05-320.
(1) A reverse distributor
that already has an environmental protection agency identification number shall
notify the department using the site identification form (environmental
protection agency form 8700-12) that it is a reverse distributor, as defined in
section
33.1-24-05-310, within
sixty days of July 1, 2021, or within sixty days of becoming subject to the
requirements in sections
33.1-24-05-310 through
33.1-24-05-320.
(2) A reverse
distributor that does not have an environmental protection agency
identification number shall obtain one by notifying the department using the
site identification form (environmental protection agency form 8700-12) that it
is a reverse distributor, as defined in section
33.1-24-05-310, within
60 days of July 1, 2021, or within sixty days of becoming subject to the
requirements in sections
33.1-24-05-310 through
33.1-24-05-320.
b.
Inventory by the reverse distributor. A reverse distributor shall maintain a
current inventory of all potentially creditable hazardous waste pharmaceuticals
and evaluated hazardous waste pharmaceuticals that are accumulated onsite.
(1) A reverse distributor shall inventory
each potentially creditable hazardous waste pharmaceutical within thirty
calendar days of each waste arriving at the reverse distributor.
(2) The inventory must include the identity,
e.g., the name or national drug code, and quantity of each potentially
creditable hazardous waste pharmaceutical and evaluated hazardous waste
pharmaceutical.
(3) If the reverse
distributor already meets the inventory requirements of this paragraph because
of other regulatory requirements, such as state board of pharmacy regulations,
the facility is not required to provide a separate inventory pursuant to this
subsection.
c. Evaluation
by a reverse distributor that is not a manufacturer. A reverse distributor that
is not a pharmaceutical manufacturer shall evaluate a potentially creditable
hazardous waste pharmaceutical within thirty calendar days of the waste
arriving at the reverse distributor to establish whether it 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.
(1) A potentially
creditable hazardous waste pharmaceutical that is destined for another reverse
distributor is still considered a "potentially creditable hazardous waste
pharmaceutical" and must be managed in accordance with subsection 2.
(2) 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 must be managed in accordance with subsection
3.
d. Evaluation by a
reverse distributor that is a manufacturer. A reverse distributor that is a
pharmaceutical manufacturer shall evaluate a potentially creditable hazardous
waste pharmaceutical to verify manufacturer credit within thirty calendar days
of the waste arriving at the facility and following the evaluation must manage
the evaluated hazardous waste pharmaceutical in accordance with subsection
3.
e. Maximum accumulation time for
hazardous waste pharmaceuticals at a reverse distributor.
(1) A reverse distributor may accumulate
potentially creditable hazardous waste pharmaceuticals and evaluated hazardous
waste pharmaceuticals onsite for one hundred eighty calendar days or less. The
one hundred eighty days start after the potentially creditable hazardous waste
pharmaceutical has been evaluated and applies to all hazardous waste
pharmaceuticals accumulated onsite, regardless of whether they are destined for
another reverse distributor, i.e., potentially creditable hazardous waste
pharmaceuticals, or a permitted treatment, storage, or disposal facility, i.e.,
evaluated hazardous waste pharmaceuticals.
(2) 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 one hundred eighty days after the
expiration date, provided the unexpired pharmaceuticals are managed in
accordance with subsection 1 and the applicable container labeling and
management standards in subsection 3.
f. Security at the reverse distributor
facility. A reverse distributor shall prevent unknowing entry and minimize the
possibility for the unauthorized entry into the portion of the facility where
potentially creditable hazardous waste pharmaceuticals and evaluated hazardous
waste pharmaceuticals are kept.
(1) Examples
of methods that may be used to prevent unknowing entry and minimize the
possibility for unauthorized entry include:
(a) A twenty-four-hour continuous monitoring
surveillance system;
(b) An
artificial barrier, such as a fence; or
(c) A means to control entry, such as keycard
access.
(2) If the
reverse distributor already meets the security requirements of this subdivision
because of other regulatory requirements, the facility is not required to
provide separate security measures pursuant to this section.
g. Contingency plan and emergency
procedures at a reverse distributor. A reverse distributor that accepts
potentially creditable hazardous waste pharmaceuticals from offsite shall
prepare a contingency plan and comply with the other requirements of sections
33.1-24-05-15
through
33.1-24-05-36.
h. 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 shall comply with the requirements in paragraphs 2 and
3 of subdivision h of subsection 1 of section
33.1-24-03-29.
i. Reporting by a reverse distributor.
(1) Unauthorized waste report. A reverse
distributor shall submit an unauthorized waste report if the reverse
distributor receives waste from offsite that it is not authorized to receive,
e.g., nonpharmaceutical hazardous waste, regulated medical waste. The reverse
distributor shall prepare and submit an unauthorized waste report to the
department within forty-five calendar days after the unauthorized waste arrives
at the reverse distributor and shall send a copy of the unauthorized waste
report to the health care facility, or other entity, that sent the unauthorized
waste. The reverse distributor shall 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, and contain the following information:
(a) The environmental protection agency
identification number, name, and address of the reverse distributor;
(b) The date the reverse distributor received
the unauthorized waste;
(c) The
environmental protection agency identification number, name, and address of the
health care facility that shipped the unauthorized waste, if
available;
(d) A description of the
type and quantity of each unauthorized waste received;
(e) The method of treatment, storage, or
disposal for each unauthorized waste received; and
(f) A brief explanation of why the waste was
unauthorized, if known.
(2) Additional reports. The department may
require reverse distributors to furnish additional reports concerning the
quantities and disposition of potentially creditable hazardous waste
pharmaceuticals and evaluated hazardous waste pharmaceuticals.
j. Recordkeeping by reverse
distributors. A reverse distributor shall keep the following records, paper or
electronic, readily available upon request by an inspector. The periods of
retention referred to in this section are extended automatically during the
course of any unresolved enforcement action regarding regulated activity, or as
requested by the department.
(1) A copy of
its notification on file for as long as the facility is subject to sections
33.1-24-05-310 through
33.1-24-05-320;
(2) 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 from the date the shipment
arrives at the reverse distributor;
(3) A copy of its current inventory for as
long as the facility is subject to sections
33.1-24-05-310 through
33.1-24-05-320.
2.
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 must comply with the following conditions, in addition
to the requirements in subsection 1, for the management of potentially
creditable hazardous waste pharmaceuticals that are destined for another
reverse distributor for further evaluation or verification of manufacturer
credit:
a. A reverse distributor that receive
potentially creditable hazardous waste pharmaceuticals from a health care
facility shall send those potentially creditable hazardous waste
pharmaceuticals to another reverse distributor within one hundred eighty days
after the potentially creditable hazardous waste pharmaceuticals have been
evaluated or follow subsection 3 for evaluated hazardous waste
pharmaceuticals.
b. A reverse
distributor that receives potentially creditable hazardous waste
pharmaceuticals from another reverse distributor shall send those potentially
creditable hazardous waste pharmaceuticals to a reverse distributor that is a
pharmaceutical manufacturer within one hundred eighty days after the
potentially creditable hazardous waste pharmaceuticals have been evaluated or
follow subsection 3 for evaluated hazardous waste pharmaceuticals.
c. A reverse distributor shall ship
potentially creditable hazardous waste pharmaceuticals destined for another
reverse distributor in accordance with section
33.1-24-05-319.
d. Recordkeeping by reverse distributors. A
reverse distributor shall keep the following records, paper or electronic,
readily available upon request by an inspector for each shipment of potentially
creditable hazardous waste pharmaceuticals that it initiates to another reverse
distributor, for at least three years from the date of shipment. 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 by the department.
(1) The
confirmation of delivery; and
(2)
The department of transportation shipping papers prepared in accordance with
title 49, Code of Federal Regulations, part 172, subpart C, if
applicable.
3.
Additional standards for reverse distributors managing evaluated
hazardous waste pharmaceuticals. A reverse distributor that does not
have a permit shall comply with the following conditions, in addition to the
requirements of subsection 1 of this section, for the management of evaluated
hazardous waste pharmaceuticals:
a.
Accumulation area at the reverse distributor. A reverse distributor shall
designate an onsite accumulation area where it will accumulate evaluated
hazardous waste pharmaceuticals.
b.
Inspection of onsite accumulation area. A reverse distributor shall inspect its
onsite 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.
c.
Personnel training at a reverse distributor. Personnel at a reverse distributor
that handle evaluated hazardous waste pharmaceuticals are subject to the
training requirements of subdivision g of subsection 1 of section
33.1-24-03-29.
d. Labeling and management of containers at
onsite accumulation areas. A reverse distributor accumulating evaluated
hazardous waste pharmaceuticals in containers in an onsite accumulation area
shall:
(1) Label the containers with the
words "hazardous waste pharmaceuticals";
(2) Ensure the containers are in good
condition and managed to prevent leaks;
(3) Use containers that are 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;
(4) 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, sealed
packaging; or repackaged in intact, sealed packaging, they are considered to
meet the container closed standard;
(5) 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:
(a)
Generate extreme heat or pressure, fire or explosion, or violent
reaction;
(b) Produce uncontrolled
toxic mists, fumes, dusts, or gases in sufficient quantities to threaten human
health;
(c) Produce uncontrolled
flammable fumes or gases in sufficient quantities to pose a risk of fire or
explosions;
(d) Damage the
structural integrity of the container of hazardous waste pharmaceuticals;
or
(e) Through other like means
threaten human health or the environment.
(6) Accumulate evaluated hazardous waste
pharmaceuticals that are prohibited from being combusted because of the
dilution prohibition of subsection 3 of section
33.1-24-05-252
(e.g., arsenic trioxide (P012)) in separate containers from other evaluated
hazardous waste pharmaceuticals at the reverse distributor.
e. Hazardous waste numbers. Prior to shipping
evaluated hazardous waste pharmaceuticals offsite, all containers must be
marked with the applicable hazardous waste number, i.e., hazardous waste codes.
A nationally recognized electronic system, such as bar coding or radio
frequency identification, may be used to identify the environmental protection
agency hazardous waste number.
f.
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 subsection 1 or 2 of section
33.1-24-05-318.
g. 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
later receives that shipment back as a rejected load in accordance with the
manifest discrepancy provisions of section
33.1-24-05-39,
may accumulate the returned evaluated hazardous waste pharmaceuticals onsite
for up to an additional ninety days in the onsite accumulation area provided
the rejected or returned shipment is managed in accordance with subsections 1
and 3. Upon receipt of the returned shipment, the reverse distributor must:
(1) Sign either:
(a) Item 18c of the original manifest, if the
original manifest was used for the returned shipment; or
(b) Item 20 of the new manifest, if a new
manifest was used for the returned shipment;
(2) Provide the transporter a copy of the
manifest;
(3) Within thirty days of
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
(4) Within ninety days of 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 subsection 1 or 2 of section
33.1-24-05-318.
h. Land disposal restrictions.
Evaluated hazardous waste pharmaceuticals are subject to the land disposal
restrictions of sections
33.1-24-05-250
through
33.1-24-05-299. A
reverse distributor that accepts potentially creditable hazardous waste
pharmaceuticals from offsite must comply with the land disposal restrictions in
accordance with subsection 1 of section
33.1-24-05-256.
i. Reporting by a reverse distributor for
evaluated hazardous waste pharmaceuticals.
(1) Biennial reporting by a reverse
distributor. A reverse distributor that ships evaluated hazardous waste
pharmaceuticals offsite shall prepare and submit a single copy of a biennial
report to the department by March first of each even-numbered year in
accordance with section
33.1-24-03-14.
(2) Exception reporting by a reverse
distributor for a missing copy of the manifest.
(a) For shipments from a reverse distributor
to a designated facility.
[1] If a reverse
distributor does not receive a copy of the manifest with the signature of the
owner or operator of the designated facility within thirty-five days of the
date the evaluated hazardous waste pharmaceuticals were accepted by the initial
transporter, the reverse distributor shall contact the transporter or the owner
or operator of the designated facility to determine the status of the evaluated
hazardous waste pharmaceuticals.
[2] A reverse distributor shall submit an
exception report to the department if it has not received a copy of the
manifest with the signature of the owner or operator of the designated facility
within forty-five days of the date the evaluated hazardous waste pharmaceutical
was accepted by the initial transporter. The exception report must include:
[a] A legible copy of the manifest for which
the reverse distributor does not have confirmation of delivery; and
[b] 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.
(b)
For shipments rejected by the designated facility and shipped to an alternate
facility.
[1] A reverse distributor that does
not receive a copy of the manifest with the signature of the owner or operator
of the alternate facility within thirty-five days of the date the evaluated
hazardous waste pharmaceuticals were accepted by the initial transporter shall
contact the transporter or the owner or operator of the alternate facility to
determine the status of the hazardous waste. The thirty-five-day time frame
begins the date the evaluated hazardous waste pharmaceuticals are accepted by
the transporter forwarding the hazardous waste shipment from the designated
facility to the alternate facility.
[2] A reverse distributor shall submit an
exception report to the department if it has not received a copy of the
manifest with the signature of the owner or operator of the alternate facility
within forty-five days of the date the evaluated hazardous waste
pharmaceuticals were accepted by the initial transporter. The forty-five-day
time frame begins the date the evaluated hazardous waste pharmaceuticals are
accepted by the transporter forwarding the hazardous waste pharmaceutical
shipment from the designated facility to the alternate facility. The exception
report must include:
[a] A legible copy of
the manifest for which the generator does not have confirmation of delivery;
and
[b] 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.
j. Recordkeeping by a reverse distributor for
evaluated hazardous waste pharmaceuticals.
(1) A reverse distributor must keep a log,
written or electronic, of the inspections of the onsite accumulation area,
required by subdivision b of subsection 2. This log must be retained as a
record for at least three years from the date of inspection.
(2) A reverse distributor shall keep a copy
of each manifest signed in accordance with subsection 1 of section
33.1-24-03-07
for three years or until it receives a signed copy from the designated facility
that received the evaluated hazardous waste pharmaceutical. This signed copy
must be retained as a record for at least three years from the date the
evaluated hazardous waste pharmaceutical was accepted by the initial
transporter.
(3) A reverse
distributor shall keep a copy of each biennial report for at least three years
from the due date of the report.
(4) A reverse distributor shall keep a copy
of each exception report for at least three years from the submission of the
report.
(5) A reverse distributor
shall keep records to document personnel training, in accordance with paragraph
5 of subdivision g of subsection 1 of section
33.1-24-03-29.
(6) All records must be readily available
upon request by an 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 by the
department.
4.
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
33.1-24-03 through
33.1-24-07, if the reverse
distributor:
a. Does not meet the conditions
of this section;
b. Accepts
manifested hazardous waste from offsite; or
c. Treats or disposes of hazardous waste
pharmaceuticals onsite.