Current through Register Vol. 48, No. 9, September 27, 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 it 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
Department, using the Site Identification Form (EPA Form 8700-12), that it is a
reverse distributor operating under this subpart.
(i) A reverse distributor that already has an
EPA identification number must notify the Department, using the Site
Identification Form (EPA Form 8700-12), that it is a reverse distributor, as
defined in section 266.500, within 60 days of the effective date of this
subpart, or within 60 days of becoming subject to this subpart.
(ii) A reverse distributor that does not have
an EPA identification number must obtain one by notifying the Department, using
the Site Identification Form (EPA Form 8700-12), that it is a reverse
distributor, as defined in section 266.500, within sixty (60) calendar days of
the effective date of this subpart, or within sixty (60) calendar days of
becoming subject to this subpart.
(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 are accumulated on-site.
(i) A reverse distributor must inventory each
potentially creditable hazardous waste pharmaceutical within thirty (30)
calendar days of each waste arriving at the reverse distributor.
(ii) 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.
(iii) 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 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 thirty (30) 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.
(i) 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 paragraph (b) of this section .
(ii) 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 paragraph (c) of this
section .
(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 thirty (30) calendar
days of the waste arriving at the facility and following the evaluation must
manage the evaluated hazardous waste pharmaceuticals in accordance with
paragraph (c) of this section .
(5)
Maximum accumulation time for hazardous waste pharmaceuticals at a reverse
distributor.
(i) A reverse distributor may
accumulate potentially creditable hazardous waste pharmaceuticals and evaluated
hazardous waste pharmaceuticals on-site for one hundred eighty (180) calendar
days or less. The one hundred eighty (180) days start after the potentially
creditable hazardous waste pharmaceutical has been evaluated and applies to all
hazardous waste pharmaceuticals accumulated on-site, regardless of whether they
are destined for another reverse distributor (i.e., potentially creditable
hazardous waste pharmaceuticals) or a permitted or interim status treatment,
storage, or disposal facility (i.e., evaluated hazardous waste
pharmaceuticals).
(ii) 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
unexpired pharmaceuticals are managed in accordance with paragraph (a) of this
section and the container labeling and management standards in section
266.510(c)(4)(i)-(vi).
(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 where
potentially creditable hazardous waste pharmaceuticals and evaluated hazardous
waste pharmaceuticals are kept.
(i) Examples
of methods that may be used to prevent unknowing entry and minimize the
possibility for unauthorized entry include, but are not limited to:
(A) A 24-hour continuous monitoring
surveillance system;
(B) An
artificial barrier such as a fence; or
(C) A means to control entry, such as keycard
access.
(ii) If the
reverse distributor already meets the security requirements of this paragraph
because of other regulatory requirements, such as Drug Enforcement
Administration or State Board of Pharmacy regulations, the facility is not
required to provide separate security measures pursuant to 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 part
262, subpart M.
(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 section 262.17(a)(8)(ii) and (iii).
(9) Reporting by a reverse distributor.
(i) 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). The reverse
distributor must prepare and submit an unauthorized waste report to the
Department within forty-five (45) calendar days after the unauthorized waste
arrives at the reverse distributor and 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, and contain the following information:
(A) The EPA identification number, name and
address of the reverse distributor;
(B) The date the reverse distributor received
the unauthorized waste;
(C) The EPA
identification number, name, and address of the healthcare facility that
shipped the unauthorized waste, if available;
(D) A description and the quantity of each
unauthorized waste the reverse distributor received;
(E) The method of treatment, storage, or
disposal for each unauthorized waste; and
(F) A brief explanation of why the waste was
unauthorized, if known.
(ii) 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.
(10) Recordkeeping by reverse
distributors. A reverse distributor must 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 the regulated activity,
or as requested by the Department.
(i) A copy
of its notification on file for as long as the facility is subject to this
subpart;
(ii) 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 (3) years from the date the
shipment arrives at the reverse distributor;
(iii) A copy of its current inventory for as
long as the facility is subject to this subpart.
(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 paragraph (a) of this section ,
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 one hundred eighty (180) calendar days after the potentially creditable
hazardous waste pharmaceuticals have been evaluated or follow paragraph (c) of
this section 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 one hundred eighty (180) calendar days after the potentially creditable
hazardous waste pharmaceuticals have been evaluated or follow paragraph (c) of
this section 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 266.509.
(4) Recordkeeping by reverse distributors. A
reverse distributor must 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 (3) 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.
(i) The confirmation of delivery;
and
(ii) The DOT shipping papers
prepared in accordance with 49 CFR part 172, subpart C, 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 paragraph (a) of this
section , 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 (7) calendar 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 section 262.17(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:
(i) Label the containers with the words,
"hazardous waste pharmaceuticals";
(ii) Ensure the containers are in good
condition and managed to prevent leaks;
(iii) 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;
(iv) 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, intact, sealed packaging, they are considered to meet
the closed container standard;
(v)
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; and
(vi) Accumulate evaluated hazardous waste
pharmaceuticals that are prohibited from being combusted because of the
dilution prohibition of section 268.3(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 EPA Hazardous Waste Number(s).
(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 266.508(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 later receives that shipment back as a rejected load in accordance
with the manifest discrepancy provisions of section 264.72 or section 265.72 of
this chapter, may accumulate the returned evaluated hazardous waste
pharmaceuticals on-site for up to an additional ninety (90) calendar days in
the on-site accumulation area provided the rejected or returned shipment is
managed in accordance with section s 266.510(a) and (c). Upon receipt of the
returned shipment, the reverse distributor must:
(i) 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;
(ii) Provide the transporter a copy of the
manifest;
(iii) Within thirty (30)
calendar days of receipt of the rejected shipment of the evaluated hazardous
waste pharmaceuticals, send a copy of the manifest to the designated facility
that returned the shipment to the reverse distributor; and
(iv) Within ninety (90) calendar 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 section 266.508(a) or (b).
(8) Land disposal restrictions.
Evaluated hazardous waste pharmaceuticals are subject to the land disposal
restrictions of part 268. A reverse distributor that accepts potentially
creditable hazardous waste pharmaceuticals from off-site must comply with the
land disposal restrictions in accordance with section 268.7(a)
requirements.
(9) Reporting by a
reverse distributor for evaluated hazardous waste pharmaceuticals.
(i) Reporting by a reverse distributor. A
reverse distributor that ships more than 1,000 kg per month of evaluated
hazardous waste pharmaceuticals off-site must report to the Department in its
quarterly report per section 262.41. A reverse distributor that ships less than
1,000 kg per month of evaluated hazardous waste pharmaceuticals off-site must
report to the Department in its annual declaration per section
262.44.
(ii) 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 (35) calendar
days of the date the evaluated hazardous waste pharmaceuticals were accepted by
the initial transporter, the reverse distributor must 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 must submit an
exception report to the Department for the state in which the reverse
distributor is located 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
(45) calendar days of the date the evaluated hazardous waste pharmaceutical was
accepted by the initial transporter. The exception report must include:
(i) A legible copy of the manifest for which
the reverse distributor does not have confirmation of delivery; and
(ii) 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 (35) calendar days of the date the
evaluated hazardous waste pharmaceuticals were accepted by the initial
transporter must contact the transporter or the owner or operator of the
alternate facility to determine the status of the hazardous waste. The
thirty-five (35)-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 must submit an
exception report to the Department for the state in which the reverse
distributor is located 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
(45) calendar days of the date the evaluated hazardous waste pharmaceuticals
were accepted by the initial transporter. The forty-five (45)-day timeframe
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:
(i) A legible copy of the manifest
for which the generator does not have confirmation of delivery; and
(ii) 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.
(10) Recordkeeping by a reverse distributor
for evaluated hazardous waste pharmaceuticals.
(i) A reverse distributor must keep a log
(written or electronic) of the inspections of the on-site accumulation area,
required by paragraph (c)(2) of this section . This log must be retained as a
record for at least three (3) years from the date of the inspection.
(ii) A reverse distributor must keep a copy
of each manifest signed in accordance with section 262.23(a) for three (3)
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 (3) years from the date the evaluated
hazardous waste pharmaceutical was accepted by the initial
transporter.
(iii) A reverse
distributor must keep a copy of each quarterly report or annual declaration for
at least three (3) years from the due date of the report or
declaration.
(iv) A reverse
distributor must keep a copy of each exception report for at least three years
from the submission of the report.
(v) A reverse distributor must keep records
to document personnel training, in accordance with section
262.17(a)(7)(iv).
(vi) 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.
(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 parts 264,
265, and the permit requirements of part 270, if the reverse distributor:
(1) Does not meet the conditions of this
section ;
(2) Accepts manifested
hazardous waste from off site; or
(3) Treats or disposes of hazardous waste
pharmaceuticals on-site.