Medical waste & controlled disposal for surgery centers.
Sharps, biohazard, pharmaceutical, and controlled-substance disposal built for ambulatory surgery centers — high-volume Schedule II anesthesia handled to DEA standards, with a Certificate of Destruction. Scheduled pickup or mail-back, sized to your center.
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High Schedule II volume, lean staff.
An ASC moves a lot of anesthesia and pain medication with a small team — disposal has to be airtight and simple.
- Fentanyl, morphine & anesthesia controls
- Wasted partial vials
- Sharps & biohazard / red-bag waste
- Trace chemotherapy (where applicable)
- DEA Form 222 & 41 handled
- Chain-of-custody documentation
Every surgery center waste stream, explained.
Ambulatory surgery centers run high-volume procedures — and with them, controlled anesthetics that the DEA watches closely, plus surgical sharps, red-bag biohazard, and expired medications. Wasted anesthesia doses and the logs behind them are the single most scrutinized area. This guide covers every stream.
Controlled substances
High-volume anesthesia controls — fentanyl (Sch II), midazolam, ketamine — plus wasted and partial doses.
- Expired / unused Schedule II–V anesthetics
- Wasted & partial anesthesia doses
- Surrendered controlled stock
- Non-controlled meds (pharmaceutical kit)
- Sharps
Sharps
Surgical and anesthesia sharps at volume.
- Needles, syringes & scalpel blades
- Suture needles
- Anesthesia & procedure sharps
- Bloody gauze (biohazard)
- Expired meds (pharmaceutical)
- Non-sharp packaging
Biohazard / regulated medical waste
Surgical and procedure waste soaked with blood or fluids.
- Blood-soaked drapes & gauze
- Contaminated PPE
- Specimen & tissue waste (per state)
- Sharps (sharps kit)
- Lightly soiled everyday items
- Expired meds (pharmaceutical)
Pharmaceutical waste
Expired non-controlled medications.
- Expired non-controlled Rx
- Non-controlled injectables
- Samples
- Controlled substances (own kit)
- RCRA-hazardous drugs (own kit)
- Sharps
One DEA-registered vendor can take your anesthesia controls, sharps, biohazard, and meds — mail-back or scheduled pickup — with non-retrievable destruction, Form 222/41, and a Certificate of Destruction. No contract. Get the full guide (free PDF) →
The Surgery Center's Guide to Compliant Waste Disposal
High-volume anesthesia controls, surgical sharps & RMW — every stream, mail-back or pickup, compliant. Includes a checklist, cheat sheet & FAQ.
Every stream an ASC generates.
Every stream you generate, routed to the right compliant process.
Sharps disposal
Prepaid mail-back needle & syringe kits.
Biohazard / RMW
Red-bag regulated medical waste.
Pharmaceutical waste
Expired & non-controlled Rx.
Controlled substance destruction
DEA non-retrievable destruction.
Trace chemo waste
Yellow-container trace chemo.
Medication disposal kits
Mail-back kits for meds.
Simple, documented, on your schedule.
Set up your program
We size containers per your case volume and set a pickup or mail-back cadence.
Fill & seal
Use the labeled containers; segregate each stream at the point of use.
Ship or pickup
Prepaid mail-back label or a scheduled pickup — whatever fits your volume.
Get your COD
We destroy it and email your Certificate of Destruction, archived to your account.
DEA, OSHA & USP 800 — covered.
- DEA-registered non-retrievable destruction of controls
- DEA Form 222 & 41 with chain of custody
- OSHA Bloodborne + trace-chemo handling (USP 800)
- Certificate of Destruction on every order
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Surgery center disposal questions.
How do surgery centers dispose of wasted controlled substances?
Wasted and partial-vial controls are logged, witnessed, and routed to a DEA-registered reverse distributor for non-retrievable destruction with DEA Form 41 — never flushed or trashed.
Do ASCs need DEA Form 222?
Yes, for transferring Schedule II drugs like fentanyl and morphine to a reverse distributor. Form 41 documents the destruction, with chain-of-custody records retained.
Can you handle trace chemo waste?
Yes — where an ASC generates trace chemotherapy waste, it's collected in yellow containers and incinerated at a permitted facility, per USP 800 handling.
What's the best disposal setup for a small ASC?
A scheduled pickup or mail-back program sized to your case volume keeps a lean staff compliant without a heavy administrative burden.
How long do we keep records?
At least two years — DEA Forms 222 and 41, Certificates of Destruction, and controlled-drug logs, available for DEA and state inspection.
How do we handle wasted anesthesia controls like fentanyl?
Witness and log every wasted dose, then render it non-retrievable with a DEA Form 41. The wasting log plus a Certificate of Destruction keeps your controlled records audit-ready.
Is propofol a controlled substance?
Propofol isn't federally scheduled, but it's still tracked and wasted like a controlled drug in most ASCs — segregate and document it.
Mail-back or pickup for an ASC?
Either — mail-back for lower volume, scheduled pickup for higher. We'll size it so containers never overfill.
Do we need a contract?
No — no contract, no minimums.
A compliant waste program for your ASC.
Controls, sharps, biohazard, and trace chemo — documented, sized to your center.