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Controlled Substance Disposal

Any person or business registered to handle controlled substances in Iowa shall dispose of such drugs as follows:

  1. The responsible person shall contact and utilize the services of a DEA-registered and Iowa-licensed disposal firm (reverse distributor) OR
  2. The responsible person shall contact the Board office for assistance or direction regarding the disposal of the drugs. Contact person: Terry Witkowski .

Disposal of controlled substances from long-term care facility patients:

Controlled substances dispensed to a resident in a long-term care facility and subsequently requiring destruction due to discontinuance of the medication, death of the resident, or other reasons necessitating destruction shall be destroyed by one of the following methods:

In facilities staffed by one or more persons licensed to administer medications, controlled substances may be destroyed by a licensed healthcare professional (pharmacist, registered nurse, licensed practical nurse) in witness of one other responsible adult. The professional destroying or otherwise disposing of the medication shall prepare and maintain a readily retrievable record of the destruction or other disposition which shall be clearly marked to indicate the destruction or other disposition of resident medications. The record shall include, at a minimum, the following:

    • Resident's name;
    • The name, strength, and dosage form of the substance;
    • The quantity destroyed or otherwise disposed;
    • The date the substance is destroyed or disposed;
    • The signature or uniquely-identifying initials or other unique identification of the professional and the witness.

OR

Controlled substances returned to the pharmacy for destruction or other disposition may be destroyed or otherwise disposed by a pharmacist in witness of one other person. The pharmacist shall prepare and maintain in the pharmacy a readily retrievable record of the destruction or other disposition which shall be clearly marked to indicate the destruction or other disposition of noninventory or resident medications. The record shall include, at a minimum, the following:

  • Source of the controlled substance (resident name, identification of resident facility, and date of return from the facility);
  • The name, strength, and dosage form of the substance;
  • The quantity returned and destroyed or otherwise disposed;
  • The date the substance is destroyed or otherwise disposed;
  • The signature or uniquely-identifying initials or other unique identification of the pharmacist and the witness.

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