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Drug Disposal Demonstration Project

The Comprehensive Secure and Responsible Drug Disposal Program took aim at one of the unsung drivers of the nation’s substance use epidemic—unused prescription medications that fill American medicine cabinets—by aligning state and local efforts to dispose of drugs with successful federal initiatives such as the U.S. Drug Enforcement Administration’s (DEA) National Prescription Drug Take Back Day.

Over the course of two grant cycles, in 2021 and 2022, the program enabled 15 sites nationwide (including two return grantees) to purchase drug disposal and collection equipment so they could safely dispose of both prescription medications and controlled substances in compliance with DEA and other federal guidance.

By enlisting local partners such as law enforcement agencies, first responders, service providers, and pharmacies in their efforts, the sites worked to ensure maximum community buy-in and sustainability. The projects feature leadership groups composed of public safety and public health partners dedicated to making safe drug storage and disposal a high public priority, as well as public education campaigns designed to raise community awareness of their efforts.

The program was grounded in the reality that the United States is awash with unused and undisposed prescription drugs: At least 40 percent of prescription medications are not completely used and are likely to remain inside the home, where insecure storage poses serious risks to vulnerable populations such as children, adolescents, and individuals with substance use disorders.

In the face of this challenge, drug take-back programs have emerged as an effective strategy for safe disposal. DEA launched National Prescription Drug Take Back Day in 2010 to engage Americans actively in the safe disposal of prescription medications with the support of both public safety and public health agencies. Since then, the program has collected more than 16.6 million pounds of expired, unused, and unwanted prescription drugs.

The drug disposal and demonstration program began July 1, 2022, and all sites concluded their activities by February 28, 2023.

EMPOWERING PUBLIC SAFETY AND PUBLIC HEALTH PARTNERS IN CITIES AND STATES ACROSS THE COUNTRY TO SAFELY DISPOSE OF PRESCRIPTION MEDICATIONS AND CONTROLLED SUBSTANCES