Where are the Management Standards for Hazardous Waste Pharmaceuticals and Amendment to the P075 Listing for Nicotine in Effect?

On February 22, 2019, EPA issued a rule that establishes streamlined standards designed specifically for the health care sector. These standards will protect human health and the environment while bringing efficiencies and cost-savings to the sector. The rule also amends the P075 hazardous waste listing for nicotine such that Food and Drug Administration (FDA)-approved over-the-counter nicotine replacement therapies (i.e., nicotine patches, gums and lozenges) will no longer be considered hazardous waste when discarded.

Subpart P must be adopted by all authorized states, whereas adoption of the amendment to the P075 listing for nicotine is optional for authorized states. Because of these differing adoption and authorization requirements, these components will be tracked on separate maps.

This final rule also prohibits the sewering (e.g., flushing, pouring down the drain) of all hazardous waste pharmaceuticals by all healthcare facilities and reverse distributors. The sewering prohibition is effective in all states, territories and Indian Country on August 21, 2019.

Use the tabs below to view where these provisions are in effect across the United States.

• Map of Where the Management Standards for Hazardous Waste Pharmaceuticals are in Effect
  • Table of Where Subpart P of Part 266 is in Effect and Links to State Regulations
• Map of Where the Amendment to P075 Listing for Nicotine is in Effect
  • Table of Where the Amendment is in Effect and Links to State Regulations

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Map of Where the Management Standards for Hazardous Waste Pharmaceuticals are in Effect

The map below shows which states have adopted the Management Standards for Hazardous Waste Pharmaceuticals final rule (found in subpart P of part 266 in Title 40 of the Code of Federal Regulations) and which states have been authorized by EPA to implement it. New rules go into effect in a state when a state adopts them into state law. When EPA authorizes a state for a new rule, EPA reviews the new state regulations subsequent to adoption to ensure they are equally as stringent as, or more stringent than the federal regulations. EPA authorizes states through a final rule and can then enforce authorized state rules. See the State Authorization page for further information about the State Authorization program.

Underneath the map is a table with the state adoption and authorization information displayed on the map and links to the state or federal regulations.

Last updated on October 31, 2024

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Table of Where Subpart P of Part 266 is in Effect and Links to State Regulations

Note: In the event that a link to state regulations is not found or available, search for the state environmental regulatory program's website in our list of hazardous waste programs web page. You may need to search within the state website to find more information about the generator improvements final rule. 

State or Territory	Link to State Regulations	Adopted the Rule	Authorized for the Rule
Federal Tribes (uses Federal Regulations)		Administered by appropriate EPA Region
Alabama	Regulations (Division 14)(pdf)(3.85 MB)	Yes	No
Alaska (uses Federal Regulations)		Administered by EPA Region 10
American Samoa (uses Federal Regulations)		Administered by EPA Region 9
Arizona	Regulations: 18 A.A.C. 8 (pdf)(1.45 MB)	Yes	Yes
Arkansas		No	No
California		No	No
Colorado	Regulations: Part 267 Subpart P (pdf)(788 KB)	Yes	No
Connecticut		No	No
Delaware	Regulations: Title 7 : 1000 : 1300 : 1302	Yes	Yes
District of Columbia	Regulations: Chapter 20-42	Yes	No
Florida	Regulations: 62-730.181 Pharmaceutical Waste Management for Businesses and Homeowners	Yes	Yes
Georgia	Regulations: 391-3-11-.19	Yes	Yes
Guam		No	No
Hawaii	Regulations: 11-266.1	Yes	Yes
Idaho	Regulations: 58.01.05.010 (pdf)(418 KB)	Yes	No
Illinois	Regulations: Section 726, Subpart P	Yes	No
Indiana	Regulations	Yes	No
Iowa (uses Federal Regulations)		Administered by EPA Region 7
Kansas		No	No
Kentucky	Regulations: 401 KAR 39:090	Yes	No
Louisiana		No	No
Maine		No	No
Maryland		No	No
Massachusetts		No	No
Michigan		No	No
Minnesota		No	No
Mississippi	Regulations: Rule 1.13 (pdf)(120 KB)	Yes	No
Missouri		No	No
Montana	Regulations: Subchapter 10	Yes	No
Nebraska		No	No
Nevada		No	No
New Hampshire	Regulations: Env-Hw 1300	Yes	Yes
New Jersey	Regulations	Yes	No
New Mexico		No	No
New York		No	No
North Carolina	Regulations (pdf)(246 KB)	Yes	No
North Dakota	Regulations	Yes	No
Northern Mariana Islands (uses Federal Regulations)		Administered by EPA Region 9
Ohio	Regulations	Yes	No
Oklahoma	Regulations	Yes	No
Oregon	Regulations	Yes	No
Pennsylvania	Regulations	Yes	No
Puerto Rico (uses Federal Regulations)		Administered by EPA Region 2
Rhode Island		No	No
South Carolina	Regulations	Yes	No
South Dakota	Regulations	Yes	No
Tennessee	Regulations: 0400-12-01-.09	Yes	Yes
Texas	Regulations	Yes	No
U.S. Virgin Islands (uses Federal Regulations)		Administered by EPA Region 2
Utah	Regulations (pdf)(560 KB)	Yes	No
Vermont	Regulations: Subchapter 10 (pdf)(231 KB)	Yes	Yes
Virginia	Regulations	Yes	No
Washington	Regulations: 173-303-555	Yes	No
West Virginia	Regulations	Yes	No
Wisconsin	Regulations	Yes	No
Wyoming	Regulations: Section 266	Yes	No

Notes:

• In the event that a link to state regulations is not found or available, search for the state environmental regulatory program's website in our list of hazardous waste programs web page. You may need to search within the state website to find more information about the management standards for hazardous waste pharmaceuticals.
• If you would like to suggest updates to the page, please send your comments to Kaitlin Franssen at [email protected].

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Map of Where the Amendment to P075 Listing for Nicotine is in Effect

The map below shows the states where the amendment to the P075 listing for nicotine (found in part 261 of Title 40 of the Code of Federal Regulations) is in effect. Underneath the map is a table with this state adoption and authorization information, and links to the state and federal regulations.

Last updated on October 31, 2024

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Table of Where the Amendment is in Effect and Links to State Regulations

Note: In the event that a link to state regulations is not found or available, search for the state environmental regulatory program's website in our list of hazardous waste programs webpage. You may need to search within the state website to find more information about the generator improvements final rule. 

State or Territory	Link to State Regulations	Adopted the Rule	Authorized for the Rule
Federal Tribes (uses Federal Regulations)		Administered by appropriate EPA Region
Alabama	Regulations (Division 14)(pdf)(3.85 MB)	Yes	No
Alaska (uses Federal Regulations)		Administered by EPA Region 10
American Samoa (uses Federal Regulations)		Administered by EPA Region 9
Arizona	Regulations (pdf)(1.45 MB)	Yes	Yes
Arkansas		No	No
California	Section 100: Amend the P075 Hazardous Waste Listing for Nicotine	Yes	No
Colorado	Regulations	Yes	No
Connecticut		No	No
Delaware	Regulations	Yes	Yes
District of Columbia	Regulations: Chapter 20-42	Yes	No
Florida	Regulations	Yes	Yes
Georgia	Regulations	Yes	Yes
Guam		No	No
Hawaii	Regulations	Yes	Yes
Idaho	Regulations	Yes	No
Illinois	Regulations	Yes	No
Indiana	Regulations	Yes	No
Iowa (uses Federal Regulations)		Administered by EPA Region 7
Kansas		No	No
Kentucky	Regulations (pdf)(299 KB)	Yes	No
Louisiana		No	No
Maine		No	No
Maryland	Regulations	Yes	No
Massachusetts	Regulations: 310 CMR 30.000 (pdf)(2.3 MB)	Yes	No
Michigan		No	No
Minnesota	Regulations	Yes	No
Mississippi	Regulations: Rule 1.13 (pdf)(120 KB)	Yes	No
Missouri		No	No
Montana	Regulations: Subchapter 10	Yes	No
Nebraska		No	No
Nevada		No	No
New Hampshire	Regulations:  Env-Hw 1300	Yes	Yes
New Jersey	Regulations	Yes	No
New Mexico		No	No
New York		No	No
North Carolina	Regulations (pdf)(245.47 KB)	Yes	No
North Dakota	Regulations	Yes	No
Northern Mariana Islands (uses Federal Regulations)		Administered by EPA Region 9
Ohio	Regulations	Yes	No
Oklahoma	Regulations	Yes	No
Oregon	Regulations	Yes	No
Pennsylvania	Regulations	Yes	No
Puerto Rico (uses Federal Regulations)		Administered by EPA Region 2
Rhode Island		No	No
South Carolina	Regulations	Yes	No
South Dakota	Regulations	Yes	No
Tennessee	Regulations: 0400-12-01-.09	Yes	Yes
Texas	Regulations	Yes	No
U.S. Virgin Islands (uses Federal Regulations)		Administered by EPA Region 2
Utah	Regulations (pdf)(560 KB)	Yes	No
Vermont	Regulations: Subchapter 10 (pdf)(231 KB)	Yes	Yes
Virginia	Regulations	Yes	No
Washington	Regulations: 173-303-555	Yes	No
West Virginia	Regulations	Yes	No
Wisconsin	Regulations	Yes	No
Wyoming	Regulations: Section 266	Yes	No

Notes:

• In the event that a link to state regulations is not found or available, search for the state environmental regulatory program's website in our list of hazardous waste programs webpage. You may need to search within the state website to find more information about the amendment to the P075 listing for nicotine.
• If you would like to suggest updates to the page, please send your comments to Kaitlin Franssen at [email protected].