Controlled Substance Disposal for Healthcare

Stericycle’s CsRx® Controlled Substance Disposal Service is designed to safely and compliantly prevent diversion when disposing of controlled substance waste.

CsRx Controlled Substance Wastage Program

The DEA strongly encourages all practitioners to adhere to security controls and procedures that assure pharmaceutical wastage is not diverted.

Our service supports your organization’s diversion prevention efforts. Although additional measures throughout your facility are recommended, CsRx is a solution for safely disposing of controlled substance wastage immediately after patient administration, to mitigate drug diversion and protect the environment.*

The Program Includes:

  • Staff training with instructions on proper and best practices
  • Lockable wall-mounted brackets and hardware installed by Stericycle’s installation team
  • Containers prefilled with deactivating, deterring, and solidifying agents
  • Ongoing and proactive container management
  • Destruction of waste by incineration 

*Only non-controlled drugs and schedule II, III, IV and V controlled substances can be accepted in CsRx containers. CsRx Service is for controlled substances that have been dispensed to a patient at the registrant's location and need to be wasted at that location. CsRx is for controlled substance wastage only. It is not for the disposal of controlled substances brought in by patients or items that would be considered part of a facility’s inventory.

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CsRx Controlled Substance Disposal Service Benefits Include:

Mitigates Drug Diversion and Reduces Risk

  • Deactivates controlled substance wastage
  • Deterrent to deter ingestion of contents
  • Solidification of waste for storage and transportation

Increases Employee and Patient Security

  • Innovative, one-way disposal path allowing tablets, capsules, liquids, and patches to be securely captured
  • Prevents sharps, vials, or ampoules from entering the container
  • Container and wall mount design increase security, reducing potential for waste diversion

Eco-Conscious and Compliant Disposal of Controlled Substance Waste

  • Mitigates the risk of controlled substance wastage contaminating waterways
  • Fosters and supports your organization’s sustainability efforts
  • Follows the DEA’s recommendation for incinerating controlled substance waste

Mitigates Drug Diversion and Reduces Risk

  • Deactivates controlled substance wastage
  • Deterrent to deter ingestion of contents
  • Solidification of waste for storage and transportation

Increases Employee and Patient Security

  • Innovative, one-way disposal path allowing tablets, capsules, liquids, and patches to be securely captured
  • Prevents sharps, vials, or ampoules from entering the container
  • Container and wall mount design increase security, reducing potential for waste diversion

Eco-Conscious and Compliant Disposal of Controlled Substance Waste

  • Mitigates the risk of controlled substance wastage contaminating waterways
  • Fosters and supports your organization’s sustainability efforts
  • Follows the DEA’s recommendation for incinerating controlled substance waste

Why CsRx Controlled Substance Disposal Service?

Unlike other products on the market, CsRx offers the perfect combination of safety, protection, and value. There’s no cumbersome equipment required or electrical or plumbing needed. And the material is disposed of via incineration to mitigate risks of pharmaceutical contamination of our waterways.

5 Layers of Protection in One Low-Profile CsRx Container:

  • Secure containers and brackets
  • One-way disposal path
  • Deactivation by activated carbon
  • A bittering additive and solidifier to further deter diversion
  • Compliant and effective disposal via incineration

Using Stericycle's CsRx Service Is Easy!  

  • Water is added to the container

  • Container is available for the disposal of controlled substance wastage.

  • Solidifying agent is added and cap is secured.

  • CSRx container is prepared for shipment.

  • CSRx container is replaced with new activated container

Reengineered CsRx® Controlled Substance Wastage Containers 

Stericycle continually makes significant investments to bring our customers innovative, sustainable services and first-to-market products.

Our CsRx® Controlled Substance Wastage Containers now feature an improved design equipped with:

  • Tethered lid to allow easy container closing with single hand
  • Modern aesthetic with redesigned handles for better grip and handling
  • 40% less plastic compared to our prior containers, helping to reduce CO2 emissions associated with the manufacturing and incineration of the containers*

*Stericycle data, 2023

Why Stericycle?

Your Single Nationwide Partners

We manage all healthcare regulated waste streams, and offer related compliance support such as training and educational materials. Our network of localized team members across the country maintain a 97% on-time pickup rate.1

Your Risk Reduction Experts

Our Regulatory Affairs team under Environmental Health & Safety keeps up to date with regulatory changes and engages with federal, state, and local agencies as needed to help keep our customers informed and compliant.

Your Sustainability Champion

In 2022, Stericycle recycled 1 billion pounds of paper, incinerated 38 million pounds of pharmaceutical waste, and helped our customers divert 101 million pounds of plastic from landfills by using reusable sharps and pharmaceutical waste containers rather than single-use containers.1

1. Source: Stericycle data, 2022

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