Q & A

QUESTIONS AND ANSWERS

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Q: How does Rx Destroyer™ pharmaceutical disposal system work?

A: Rx Destroyer™ patented formula begin dissolving medications on contact. As medications are dispersed the activated carbon adsorbs them rendering them useless for abuse. Product is “ready-to-use”…No adding water needed. Simply add medications…when full discard into common trash or according to your facilities, local, state, tribal or federal rules/ guidelines.
Follow link for additional information and test reports.

Q: How is Rx Destroyer™ superior to "dry" medication disposal products on market?

“Product is “Ready-to-Use”… No Water… No Batteries”

A1: Rx Destroyer™ patented ready-to-use formula contains 2 major components; chemically engineered fast dissolving liquid and specially tuned activated carbon. Products containing “dry” activated formula are opportunity for diversion and abuse because the adsorption (transfer) process cannot occur until pills are dissolved.

A2: Seeing is believing. Look inside the “dry” product containers and see pills sitting on top of carbon in their original form. These conditions are prime for diversion or abuse and would be considered by the industry as “stock piling“. This method does not meet DEA definition of non-retrievable.

A3: “Dry” activated carbon is considered a fire hazard and may not be allowed at healthcare facilities with or without an SDS Sheet. Rx Destroyer™ aquas solutions are not a fire hazard – Rx Destroyers™ SDS (safety Data Sheet).

Rx Destroyer™ formulated products ensures neutralization of medications begins on contact. As medications are dispersed the activated carbon adsorbs them rendering them chemically useless for abuse. Follow link for test reports.

Q: What drugs can be placed in the Rx Destroyer™?

A: Rx Destroyer™ pharmaceutical disposal system accepts all DEA scheduled and OTC (over the counter) forms of non-hazardous water soluble medications with the exception of effervescent or other gas producing drugs (antacids). *The following is a small example of most common medications allowed:

Pills & Tablets Capsules Powders Liquids
Narcotics Fentanyl Patches Injectables Lozenges
Creams Suppositories  Fentanyl Lollipops

For additional list of chemicals and medications follow this link.

*Note: Ultimately, it is the prerogative and responsibility of the Rx Destroyer™ User to add and manage drugs at their discretion. Subsequently, User must follow rules and regulations under which they are governed for safe and responsible disposal.

Q: What items may NOT be put in the Rx Destroyer™ pharmaceutical disposal system?

A1: DO NOT add effervescent or antacid or gassing medications.
A2: DO NOT add hardware such as syringes, glass or bottles. Dispose of physical vials and syringes into red sharp containers.
A3: DO NOT place Hazardous Materials (HAZMAT) or any hazardous pharmaceuticals in container. For more information on hazardous materials please review following links:
Federal P & U List
Environmental Protection Agency (EPA)
A4: DO NOT add Leaf Marijuana
A5: DO NOT add Medications Insoluble in H2O or Oil Based Medications
A6: PurduePharm’s version of Oxycontin is “Non-Divertible”, unique gel formulation may not dissolve timely in Rx Destroyer™. Oxycontin or variations made by Purdue may be candidate for RCRA waste – consult internal Pharmacist.

NOTES:

A) To date, Rx Destroyer™ pharmacist has reviewed the following “Non-Divertible” drugs and have been deemed them acceptable in Rx Destroyer™:
Naltrexone | Opana | Suboxone
B) “Water Solubility” is the key for adsorption. Medications have varying levels of water solubility thus have differing neutralization times yet fall within an expected 7 day period.
C) Generator is ultimately responsible for additives to product. If ever in doubt what can be added to Rx Destroyer™, always consult supervisor, local, state, tribal and federal guidelines prior to using. Feel free to contact Rx Destroyer™ customer service directly or submit email inquiries to askthepharmacist@RxDestroyer.com.

Q: What's the DEA's definition of disposal of pharmaceutical wastage?

A: Excerpt per DEA regulations (e.g., § 1304.22(c) Final Rule – “controlled substance dispensed for immediate administration pursuant to an order for medication in an institutional setting remains under the custody and control of that registered institution even if the substance is not fully exhausted (e.g., some of the substance remains in a vial, tube, transdermal patch, or syringe after administration but cannot or may not be further utilized, commonly referred to as ‘drug wastage’ and ‘pharmaceutical wastage’). Such remaining substance must be properly recorded, stored, and destroyed in accordance with DEA regulations (e.g., § 1304.22(c)), and all applicable Federal, State, tribal, and local laws and regulations, although the destruction need not be recorded on a DEA Form 41.” Click here for complete 21 CFR 1300, 1301 and 1304 Disposal of Controlled Substances; Final Rule.
Should you have any questions pertaining to this matter, please contact your local DEA field office, or you may contact the DEA Office of Diversion Control, Liaison and Policy Section, at (202) 307-7297.

Q: What's the DEA definition on non-retrievable?

A: The final rule implements a standard of destruction: non-retrievable. The process utilized to render a substance “non-retrievable” shall permanently alter the substance’s physical or chemical condition or state through irreversible means and thereby render the substance unavailable and unusable for all practical purposes. A substance is considered “non-retrievable” when it cannot be transformed to a physical or chemical condition or state as a controlled substance or controlled substance analogue. Click here for DEA notification letter.

Q: Does Rx Destroyer™ pharmaceutical meet DEA disposal standards?

A: YES. Medications are adsorbed to carbon which are subsequently scientifically irretrievable. Patent formula meets DEA regulations for destruction of controlled substances by deeming “non-retrievable”.

DEA DEFINITION: “Non-Retrievable”

Q: Can drugs be abused after placing in Rx Destroyer™?

A1: NO. Drugs have been chemically attached to Rx Destroyer™ activated carbon. Use of extreme heat (~1700 degrees F) may be attempted. However, at this temperature, drugs are atomized or destroyed.

Follow link for additional information and test reports.

Q: What is RCRA?

A: The Resource Conservation and Recovery Act (RCRA) gives EPA the authority to control hazardous waste from the “cradle-to-grave.” This includes the generation, transportation, treatment, storage, and disposal of hazardous waste. RCRA also set forth a framework for the management of non-hazardous solid wastes. The 1986 amendments to RCRA enabled EPA to address environmental problems that could result from underground tanks storing petroleum and other hazardous substances.

Rx Destroyer™ is non-RCRA compliant because it accepts only non-hazardous waste and can be disposed of in common trash or Non-RCRA waste bins. However, always follow recommended guidelines of your facility, local, state, tribal and federal regulatory agencies for proper disposal of pharmaceutical waste. If your facility requires and does not have a pharmaceutical waste service provider, Rx Destroyer™ can recommend a service provider.

Q: I see capsules floating in Rx Destroyer™. Have these medications been neutralized?

A1: Capsule and contents may be lighter than water which is why you may see some floating. Capsule shells come in hard or soft shells manufactured in variety of materials such as protein based gelatin and other bio-safe polymers. During the adsorption/destruction/neutralization process some may appear in the original form or varying levels of collapse. These shell conditions are considered normal and expected.

Example: OROS (Osmotic [Controlled] Release Oral [Delivery] System) is an advanced controlled release oral drug delivery system in the form of a rigid tablet with a semi-permeable outer membrane and one or more small laser drilled holes in it. As the tablet passes through the body, water is absorbed through the semipermeable membrane via osmosis, and the resulting osmotic pressure is used to push the active drug through the opening in the tablet. OROS is a trademarked name owned by ALZA Corporation, which pioneered the use of osmotic pumps for oral drug delivery.

Like the human stomach, Rx Destroyer™ formulation has penetrated capsule and neutralization has begun or complete. Many variables determine if capsule shell completely dissolves or remains intact. In fact, like floating capsule shells in the Rx destroyer™, it’s common for end-users to find capsule shells in stool.

Q: How long does it take to adsorb or deem drugs irretrievable?

Adsorption or irratrievability time varies depending on many factors including environment, drug type, quantity and cocktail combinations. As scenarios are infinite, testing demonstrates that it may take between 30 seconds to 7 days to create a non-retrievable state, non-usable state adhering to the DEA standard. For this reason, we recommend keeping Rx Destroyer™ containers in-use kept in in a controlled and secure location.

Q: How can our facility determine which medications are considered hazardous?

A: Due to shear number of medication variations including new product introductions, there is no single source answer. In fact, the federal government has not updated the U-List and P-List since 1975. To make matters more challenging, each facility is responsible for identifying hazardous waste.

Under the RCRA, a solid waste is hazardous waste if it exhibits one of four characteristics—ignitability, corrosivity, toxicity, or reactivity—or if it is specifically named on one of the four EPA lists of hazardous waste, P, U, F, and K, in 40 CFR §261.2, subpart D. Drugs listed under P and U include specific unused chemicals; drugs under U are toxic, while those under P are considered acutely toxic.

Rx Destroyer™ recommends a combination of efforts including staff and consulting pharmacist review site formulary. If additional assistance is required, there are a number of outside analysis firms available to perform waste analysis. Also, be aware local, state and tribal regulations may vary as to which drugs and what quantity qualify them as hazardous.

Q: Can alcohol such as isopropyl alcohol be used in Rx Destroyer™?

A: Alcohol is considered flammable and subsequently considered hazardous. Hazardous items are not to be placed in Rx Destroyer™.

Q: Can Rx Destroyer™ pharmaceutical disposal system accommodate transdermal patches?

A: Yes*. Simply remove from packaging and drop into Rx Destroyer™ pharmaceutical disposal system. If patch is large, Rx Destroyer™ suggests folding with patch’s skin surface facing outward. As always, following safety guidelines, rules and regulations by which you are governed.

*Note: Ultimately, it is the prerogative and responsibility of the Rx Destroyer™ User to add and manage drugs at their discretion. Subsequently, User must follow rules and regulations under which they are governed for safe and responsible disposal.

Q: What is to be done if effervescents or gassing medications were inadvertently added and the bottle appears swollen?

A: DO NOT OPEN. Consult supervisor immediately. Take all necessary steps to safely transfer bottle(s) to controlled disposal area. Review list of additives to ensure gas causing items or combinations of gas causing items are not replicated.

Q: Why do I need a Witness Destruction Log?

A: All controlled substance destruction must be recorded on a Witness Destruction Log (see log example). This means that two witnesses have overseen the on-site destruction of the controlled substances. The log records date, dosage, amount destroyed, destruction method and date with signature of each witness. The witness log is kept on-site for 3 to 5 years per state regulations. Since Rx Destroyer™ is used to waste non-hazardous controlled substances, the witness log could be reviewed to ensure that only non-hazardous drugs were placed into the Rx Destroyer™ bottle. The witness log verifies that the Rx Destroyer™ contains a non-hazardous carbon mixture and therefore the bottles can be discarded into a non-RCRA pharmaceutical waste bin or non-hazardous industrial waste bin.

Q: What information does a Waste Hauler need to accept Rx Destroyer™ products.

A. Within the acute healthcare market, major waste hauler policies state they will accept regulated medical waste when it’s been properly documented and segregated. Rx Destroyer™ products are typically considered Non-RCRA Pharmaceuticals and Non-Hazardous Waste must be characterized and certified as non-RCRA hazardous material by the generator. In cases where a facility has determined they can safely commingle hazardous and non-hazardous in Rx Destroyer™, Generator shall follow worse case disposal scenario processes to ensure safe and proper disposal of bottle contents. The “Witness Disposal Log” is the Generator’s record and proof of Rx Destroyer™ contents.

Q: What is the process if hazardous medications are inadvertently loaded into Rx Destroyer™?

A: Generators are ultimately responsible for product contents, if hazardous medications are loaded into the Rx Destroyer™, then the bottle must be disposed as RCRA hazardous waste. Consult supervisor for facilities, local, state or federal rules/ guidelines.

Q: What if I spill the Rx Destroyer™?

A1: Rx Destroyer TM contents are Eco-Friendly and in itself non-toxic or hazardous. See SDS now.
A2. Follow facility, local, state and federal guidelines for cleanup. Always maintain a list of medications added to system.
A3. If in doubt, contact Poison Control Center (800) 222-1222

Q: Can I use Rx Destroyer™ pharmaceutical disposal system more than once?

A: Rx Destroyer™ pharmaceutical disposal system is a multiple use system. Continue to add until reaching 2″ of the bottle opening. When not in use, always store in a controlled, safe and secure location.

Q: What do I do when the container is full?

A: Rx Destroyer™ was developed to be disposed in common trash. Some business types require incineration to mitigate risk. If you need to explore incineration , please call for affordable pickup or mail-back options in your part of country.

Always review your company’s processes and policies or consult local, state, tribal or federal agencies for regulations that apply to your facilities prior to use.

Q: What is the capacity of Rx Destroyer™ All-Purpose?

A1: RX4 (4oz) approximately 50 pills
A2: RX16 (16oz) approximately 300 pills
A3: RX64 (64oz) approximately 1,500 pills
A4: RX1.0PRO (1 Gallon) approximately 3,000 pills
A5: RX2.5 (2.5 Gallon) approximately 7,500 pills
A6: RX5 (5 Gallon) approximately 15,000 pills
A7: RX30 (30 Gallon) approximately 90,000 pills

Notes:
1) Capacity based upon 200mg Advil™ tablet
2) Do not overfill Container; Container considered full when within 2″ of opening
3) Additional fluid variance between sizes due to bottle profile
4) Capacity will vary if solids are introduced

Q: What is the liquid capacity of Rx Destroyer™ LIQUIDS?

A1: RX64LIQ (64oz) ~50 fluid oz (1,400ml)
A2: RX1.0PROLIQ (1 Gallon) ~ 100 fluid oz (1,900ml)
A3: RX2.5LIQ (2.5 Gallon) ~250 fluid oz (7,300ml)
A4: RX5LIQ (5 Gallon) ~ 500 fluid oz (14,000ml)

Notes:
1) Do not overfill Container; Container considered full when within 2″ of opening
2) Additional fluid variance between sizes due to bottle profile
3) Capacity will vary if solids are introduced

Q: Why and when are the Rx Destroyer™ Hardener Pouch(s) added to the Liquids bottle?

A. Rx Destroyer™ Hardener helps prevent potential messy liquid spills in the waste stream. DUST FREE formulation converts Rx Liquids™ to Solid Gel meeting SW-846 Test Method (paint filter liquids test). Simply add pouch to container… No cutting or pouring. No Powder Plumes. No Mess. Pouch wrapper developed to begin dissolving on contact.

  • (1) Hardener Pouch per 64oz “container”
    • Ex.1: (1) Hardener pouch per 64oz container
    • Ex.2:  (2) Hardener pouches per “1 Gallon” container
  • Prior to discarding, tightly replace the cap and gently shake bottle until the fluid becomes a non-movable solid gel

Q: Can Hardener Pouches Be Used with All-Purpose Formulations?

A1. Yes. However, the hardener is optional.

  • LIQUIDS products includes enough hardener pouches for each bottle.
  • Additional Pouches may be ordered separately.
  • Product performs exceptionally well on container contents containing at least 10% water.
  • Some medications, drugs or combinations may not be compatible with Rx Hardener™  due to their chemical composition.

Q: What is the shelf life of Rx Destroyer™

Rx Destroyer™ products are manufactured on-demand and processed based upon common FIFO (First-In,  First-Out) inventory methods. Subsequently, orders shipped have a “Born On” date no later than 30 days prior to ship date.

A1.  Unopened containers – (3) years.
A2.  Once medications have been added, (1) year is suggested. As it is impossible to predict all additive combinations, please consult and follow facilities, local, state, tribal and or federal guidelines.

Q: What if Rx Destroyer™ freezes prior to use.

Freezing may occur in northern climates during transport.

A1 Simply allow to thaw and use as directed.
A2. If container appears to be damaged in anyway discard.

Q: Is there an easier method to mass load medications into the Rx Destroyer™.

A: Rx Destroyer™ accessories includes our standard funnel RXFUN and RXFUN32 deluxe model which physically attached to containers. Both allow for easy and convenient dispensing of mass quantities.

Q: Does Rx Destroyer™ meet California's Safe Drinking Water and Toxic Enforcement Act of 1986 (“Prop 65”)?

A:  Rx Destroyer™ products do not contain items in the Prop 65 chemical list. Therefore, Rx Destroyer™ products do not require the label notification as directed in the rule.
Additional Information & Act Specifics: https://www.p65warnings.ca.gov/

Q: Does Rx Destroyer™ comply with Hazardous Waste standards such as USP 800 & 40 CFR Parts 261, 262, 264, 265, 266, 268, 270,and 273?

A:  Rx Destroyer™ products DO NOT allow hazardous waste and do not apply to these standards. If product user determines it can safely manage hazardous medical waste, then it is the users prerogative and complete sole responsibility to manage according to the rules and regulations under which they’re governed.

Link to: USP 800
Link to: 40 CFR Parts 261, 262, 264, 265, 266, 268, 270,and 273?

Q: What US Patents apply to Rx Destroyer™.

A1:  US Patent #9,403,197 Issued August 2nd, 2016
A2: Other filings pending