Chemotherapy Waste Disposal for Healthcare Facilities

Understanding Chemotherapy Waste — What Qualifies?

Chemotherapy (cytotoxic) waste refers to any item contaminated by antineoplastic agents, including hazardous drugs used in cancer treatment. These drugs are potent and persistent in the environment, often posing carcinogenic, mutagenic, or teratogenic risks.

We manage both:

Trace Chemotherapy Waste

Trace amounts of chemo drugs or residues typically found in:

• Empty IV bags and tubing

• Used syringes, vials, and ampoules

• Contaminated PPE (gowns, gloves, masks)

• Empty pill bottles or blister packs

• Packaging with visible residue

Trace waste is RCRA-exempt but still hazardous — it must be disposed of in yellow, labeled containers and sent to incineration facilities under DOT guidelines.

Bulk Chemotherapy Waste

Bulk waste includes any amount of unused or excess antineoplastic drugs that is RCRA-regulated due to volume or concentration. This includes:

• Partially full IV bags

• Unused or expired vials

• Broken or leaking containers

• Spilled agents or absorbents

• Drug preparation waste with pooled liquid

Bulk waste must be treated as hazardous under Subtitle C of RCRA, segregated properly, and handled using DOT-approved containers and manifest documentation.

Why Proper Chemotherapy Waste Disposal Matters

Failing to properly dispose of chemo waste can result in:

• Occupational exposure to hazardous drugs

• Fines and citations from the DEA, EPA, DOT, OSHA, or state boards

• Environmental damage from improper disposal methods

• Loss of licensure or facility accreditation

Easy RX Cycle ensures your chemotherapy waste is properly classified, containerized, labeled, transported, and destroyed — all while providing full documentation and audit support.

We align with:

• RCRA hazardous waste regulations (EPA Subtitle C)

• DOT packaging and transport rules (49 CFR)

• OSHA’s Hazardous Drugs & Bloodborne Pathogens Standards

• USP <800> guidelines for hazardous drug handling

• NIOSH’s list of antineoplastic and other hazardous drugs

Who Benefits from Our Chemotherapy Waste Services?

Our clients include:

• Oncology and hematology clinics

• Infusion therapy centers

• Hospital cancer care departments

• Retail and compounding pharmacies

• Research and academic laboratories

• Surgery centers administering chemo

• Long-term care facilities with oncology programs

• Veterinary hospitals offering chemotherapy

Whether you’re a standalone practice or part of a large health system, we scale our services to your volume, staff needs, and frequency of disposal.

Our Chemotherapy Waste Disposal Process

Easy RX Cycle takes a structured, transparent approach to waste handling.

1. Site Assessment & Program Setup

We assess your current waste handling practices and determine whether you're generating trace, bulk, or both. Then, we customize a program that fits your team’s workflow.

2. Container Supply

We provide properly labeled yellow chemotherapy containers — puncture-resistant, leak-proof, and compliant with DOT and RCRA rules.

• Available in various sizes (2–10 gallons+)

• Compatible with wall mounts or mobile carts

• Labeled for trace or bulk cytotoxic waste

3. Pickup or Mail-Back Options

• Pickup: Regular or on-demand service by licensed transporters

• Mail-Back: Prepaid DOT-compliant kits for trace chemo waste (available by approval)

4. Destruction & Documentation

Waste is delivered to licensed incineration facilities. We issue a Certificate of Destruction, maintain chain-of-custody logs, and provide regulatory documentation.

5. Training & Ongoing Support

We provide OSHA/USP 800 staff training, compliance checklists, SOPs, and audit preparation assistance.