When it comes to regulatory inspections, 39% of facilities report having been recently inspected by the EPA or their state board. Of those involved with the inspections, 68% report being questioned about hazardous drug waste or RCRA compliance. While no reports of citations in the pharmacy were received, 15% of facilities received recommendations for their pharmacy.

Click here to download a PDF, detailing pharmacy's regulatory compliance to EPA, DOT, DEA, and state regulations.

Click here to view information regarding the number of pharmacy's inspected by the EPA and state board of pharmacy.

When it comes to complete compliance with the regulations issued by the multiple agencies that oversee pharmaceutical waste management — including EPA, DOT, states, and DEA — pharmacy has their work cut out for them. Nonetheless, a strong effort is currently underway, as 80% of facilities predict they will achieve full compliance with most regulations within the next two years.

A majority of facilities report that they have created a list of all hazardous pharmaceutical waste in their facilities. However, not all of these facilities included off-formulary drugs ordered by their hospital in this review. Likewise, even fewer included drugs from all departments in this review, suggesting there is room for further improvement.