Laws, Funding, and Oversight

Chapter 69.48 RCW established Washington’s Safe Medication Return system. Chapter 246-480 WAC describes the related administrative rules. Safe Medication Return is a statewide system that gives people in Washington free, convenient, and environmentally responsible options to dispose of unwanted medication.

Drug manufacturers fund the system. They pay for Department of Health and program operator expenses. There is no cost to taxpayers. See covered manufacturer section below.

The Department of Health oversees the system. This includes monitoring operations, enforcing compliance, and evaluating program effectiveness. The department also reviews potential program operators’ proposed plans and approves or rejects those plans based on statutory and rule requirements.

The department reviews program operator proposals and updated plans on a four-year cycle. Organizations that would like to become program operators must submit proposed program plans by July 1, 2024. Current program operators must submit updated plans by July 1, 2024 also.

To submit a proposal or updated plan for consideration, email the department a safe medication return operator application and your proposed or updated plan (proposal).

Program operators manage their programs according to plans approved by the department. Washington has two approved program operators. MED-Project has been operating in Washington since 2020. Inmar Intelligence has operated since 2022.

Drug wholesalers are required to provide the department a list of drug manufacturers by January 15 each year.

The Department of Health sends a courtesy notice to entities that have an active Washington State Pharmaceutical Wholesaler License reminding them of this requirement of RCW 69.48.040(1). Licensees should use the department wholesaler reporting form (XLS) to provide this list to the department. Include manufacturer email addresses when possible.

Covered Manufacturers

Companies engaged in the manufacture of covered drugs

Companies engaged in the manufacture of covered drugs that are ultimately sold in or into Washington state, even if sold by a third party, (covered manufacturers) must participate in Safe Medication Return through an approved program operator.

If you are a covered manufacturer not currently participating through an approved program operator, contact MED-Project or Inmar by email or by phone at 202-495-3131 or 844-492-2382 to inquire about participating in the Washington State program.

If the department notifies you that you are a potential covered manufacturer you must respond to the department within 60 days.

The department receives a list of potential covered manufacturers from wholesalers that sell drugs in or into Washington state. We compile this information and use it to notify potential covered manufacturers. RCW 69.48.040(3) requires recipients to respond to this inquiry.

Respond to the department via email.

If you don't believe you are a covered manufacturer, RCW 69.48.040 requires you to provide all of the following:
  • A statement of the basis for the belief that you are not a covered manufacturer for the purposes of chapter 69.48 RCW. (Cite the specific exception you believe applies to you.)
  • A list of any drugs your company sells, distributes, repackages, or otherwise offers for sale within Washington state.
  • The name and contact information of the manufacturer of the drugs you listed. (Include emails if possible.) 
If you are a covered manufacturer with your own drug take-back program, it is likely that you must also participate in the Washington state program through an approved program operator.

There are exceptions for:

  • Drugs for which manufacturers provide a take-back program, but this exemption only applies if the take-back program is a part of a federal food and drug administration managed risk evaluation and mitigation strategy (REMS) under 21 USC section 355-1.
  • Biological drug products, as defined by 21 cfr 600.3 (h) as it exists on June 7, 2018, but this exemption only applies if the manufacturer BOTH:
    • Provides a pharmaceutical product stewardship or drug take-back program.
    • Provides the department with a report describing the program, including how the drug product is collected and safely disposed and how patients are made aware of the drug take-back program, and who will update the department on changes that substantially alter the drug take-back program.
The Department of Health may fine a manufacturer up to $2,000 a day until it is in compliance with the law if the manufacturer is determined by the department to be a covered manufacturer and the manufacturer fails to comply with chapter 69.48 RCW.

Covered Drugs

See RCW 69.48.020(6) for more information on covered drugs and covered manufacturers. Read more about compliance in RCW 69.48.030

Covered drugs include
  • prescription and over-the-counter drugs, including schedule II-V controlled substances such as opioids and medication for attention deficit disorder.
  • brand name and generic drugs.
  • drugs for veterinary use for household pets.
  • drugs in medical devices (EpiPens, inhalers, etc.)
  • drugs in any form (pill, liquid, gel, ointment, powder, etc.)
Covered drugs do not include
  • business generated pharmaceutical waste, including drugs administered in a clinical setting.
  • vitamins, minerals, or supplements.
  • herbal-based remedies and homeopathic products.
  • personal care products such as cosmetics, shampoos, sunscreens, lip balm, toothpaste, and antiperspirants.
  • controlled substances contained in schedule I of the uniform controlled substances act (illegal drugs and cannabis).
  • medical devices that do not include drugs and exposed needles or sharps.
  • pet pesticide products.


Second Substitute House Bill 1161 (2SHB 1161) modified chapter 69.48 RCW. The department adopted rules related to this legislation that are effective as of February 23, 2024 (WSR 24-03-146).

Sign up for GovDelivery to receive notifications regarding Safe Medication Return rulemaking and proposal review. Choose subscription topic “Safe Medication Return” topic under “Health Systems Quality Assurance (HSQA), Health Professions.”

Questions, concerns or complaints?

Contact the Department of Health by email or call 360-236-4698 if you have questions, concerns, or complaints about oversight, enforcement, and program compliance.

Contact one of the state-approved program operators with questions, concerns, or complaints about kiosks, mailers, and take-back events.

Sign up for GovDelivery to receive notifications regarding Safe Medication Return rule making and proposal review. Choose subscription topic “Safe Medication Return” topic under “Health Systems Quality Assurance (HSQA), Health Professions.”