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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.

On this page:

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.

HAWAII 4
NEW HAMPSHIRE 4
NORTH DAKOTA 4
NEBRASKA 4
IOWA 3
VERMONT 4
IDAHO 4
MAINE 4
WISCONSIN 2
COLORADO 2
MINNESOTA 4
UTAH 2
TENNESSEE 4
INDIANA 2
KANSAS 4
ALABAMA 2
MASSACHUSETTS 4
MISSOURI 4
SOUTH DAKOTA 2
ARKANSAS 4
FLORIDA 2
VIRGINIA 2
TEXAS 4
MARYLAND 4
MONTANA 4
OKLAHOMA 2
OREGON 4
SOUTH CAROLINA 4
WYOMING 4
CALIFORNIA 4
GEORGIA 2
KENTUCKY 2
RHODE ISLAND 4
ARIZONA 2
NORTH CAROLINA 2
WASHINGTON 2
CONNECTICUT 4
DELAWARE 2
LOUISIANA 4
MISSISSIPPI 4
NEW YORK 4
MICHIGAN 4
OHIO 2
PENNSYLVANIA 2
ILLINOIS 2
NEVADA 4
NEW JERSEY 2
WEST VIRGINIA 2
DISTRICT OF COLUMBIA 4
NEW MEXICO 4
ALASKA 3
Last updated on March 8, 2021

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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. The state links below all Exit EPA.

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) Yes No
Alaska (uses Federal Regulations) Administered by EPA Region 10
American Samoa (uses Federal Regulations) Administered by EPA Region 9
Arizona Regulations (PDF) (90 pp, 1.45 MB, About PDF) Yes No
Arkansas   No No
California   No No
Colorado Regulations Yes No
Connecticut   No No
Delaware Regulations Yes No
District of Columbia   No No
Florida Regulations Yes No
Georgia Regulations Yes No
Guam   No No
Hawaii   No No
Idaho   No No
Illinois Regulations Yes No
Indiana Regulations Yes No
Iowa (uses Federal Regulations) Administered by EPA Region 7
Kansas   No No
Kentucky Regulations (PDF)(20 pp, 299 K, About PDF) Yes No
Louisiana   No No
Maine   No No
Maryland   No No
Massachusetts   No No
Michigan   No No
Minnesota   No No
Mississippi   No No
Missouri   No No
Montana   No No
Nebraska   No No
Nevada   No No
New Hampshire   No No
New Jersey Regulations Yes No
New Mexico   No No
New York   No No
North Carolina Regulations (PDF) (22 pp, 246 K, About PDF) Yes No
North Dakota   No No
Northern Mariana Islands (uses Federal Regulations) Administered by EPA Region 9
Ohio Regulations Yes No
Oklahoma Regulations Yes No
Oregon   No No
Pennsylvania Regulations Yes No
Puerto Rico (uses Federal Regulations) Administered by EPA Region 2
Rhode Island   No No
South Carolina   No No
South Dakota Regulations Yes No
Tennessee   No No
Texas   No No
U.S. Virgin Islands (uses Federal Regulations) Administered by EPA Region 2
Utah Regulations(48 pp, 560 K, About PDF) Yes No
Vermont   No No
Virginia Regulations Yes No
Washington Regulations Yes No
West Virginia Regulations(23 pp, 1540 K, About PDF) Yes No
Wisconsin  Regulations Yes No
Wyoming   No 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 Brian Knieser at knieser.brian@epa.gov.

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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.

HAWAII 2
NEW HAMPSHIRE 2
NORTH DAKOTA 4
NEBRASKA 4
IOWA 3
VERMONT 4
IDAHO 4
MAINE 4
WISCONSIN 2
COLORADO 2
MINNESOTA 2
UTAH 2
TENNESSEE 4
INDIANA 2
KANSAS 4
ALABAMA 2
MASSACHUSETTS 4
MISSOURI 4
SOUTH DAKOTA 2
ARKANSAS 4
FLORIDA 2
VIRGINIA 2
TEXAS 4
MARYLAND 4
MONTANA 4
OKLAHOMA 2
OREGON 4
SOUTH CAROLINA 4
WYOMING 4
CALIFORNIA 2
GEORGIA 2
KENTUCKY 2
RHODE ISLAND 4
ARIZONA 2
NORTH CAROLINA 2
WASHINGTON 2
CONNECTICUT 4
DELAWARE 2
LOUISIANA 4
MISSISSIPPI 4
NEW YORK 4
MICHIGAN 4
OHIO 4
PENNSYLVANIA 2
ILLINOIS 2
NEVADA 4
NEW JERSEY 2
WEST VIRGINIA 2
DISTRICT OF COLUMBIA 4
NEW MEXICO 4
ALASKA 3
Last updated on April 5, 2021

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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 web page. You may need to search within the state website to find more information about the generator improvements final rule. The state links below all Exit EPA.

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) Yes No
Alaska (uses Federal Regulations) Administered by EPA Region 10
American Samoa (uses Federal Regulations) Administered by EPA Region 9
Arizona Regulations (PDF) (90 pp, 1.45 MB, About PDF) Yes No
Arkansas   No No
California Regulations Yes No
Colorado Regulations Yes No
Connecticut   No No
Delaware Regulations Yes No
District of Columbia   No No
Florida Regulations Yes No
Georgia Regulations Yes No
Guam   No No
Hawaii Regulations Yes No
Idaho   No No
Illinois  Regulations Yes No
Indiana Regulations Yes No
Iowa (uses Federal Regulations) Administered by EPA Region 7
Kansas   No No
Kentucky Regulations (PDF)(20 pp, 299 K, About PDF) Yes No
Louisiana   No No
Maine   No No
Maryland   No No
Massachusetts   No No
Michigan   No No
Minnesota Regulations Yes No
Mississippi   No No
Missouri   No No
Montana   No No
Nebraska   No No
Nevada   No No
New Hampshire Regulations (PDF)(62 pp, 436 K, About PDF) Yes No
New Jersey Regulations Yes No
New Mexico   No No
New York   No No
North Carolina Regulations (PDF)(22 pp, 245.47 K, About PDF) Yes No
North Dakota   No No
Northern Mariana Islands (uses Federal Regulations) Administered by EPA Region 9
Ohio   No No
Oklahoma  Regulations Yes No
Oregon   No No
Pennsylvania Regulations Yes No
Puerto Rico (uses Federal Regulations) Administered by EPA Region 2
Rhode Island   No No
South Carolina   No No
South Dakota Regulations Yes No
Tennessee   No No
Texas   No No
U.S. Virgin Islands (uses Federal Regulations) Administered by EPA Region 2
Utah Regulations(48 pp, 560 K, About PDF) Yes No
Vermont   No No
Virginia Regulations Yes No
Washington  Regulations Yes No
West Virginia Regulations (23 pp, 1540 K, About PDF) Yes No
Wisconsin Regulations Yes No
Wyoming   No 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 amendment to the P075 listing for nicotine.
  • If you would like to suggest updates to the page, please send your comments to Brian Knieser at knieser.brian@epa.gov.

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AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington, DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachussetsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingGuamPuerto RicoVirgin IslandsAmerican SamoaNorthern Mariana Islands

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington, DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachussetsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingGuamPuerto RicoVirgin IslandsAmerican SamoaNorthern Mariana Islands