305.1 If a patient participating in the Program chooses not to use covered medication, the patient, or an agent the patient has designated to dispose of unused covered medication, shall not:

1. (a) Dispose of covered medication by flushing it down a toilet, sink, sewer, or any other source that may result in the covered medication being conducted to the waters of the District; or
2. (b) Return the covered medication to a pharmacy or the physician that dispensed the covered medication.

305.2 A person in possession of unused covered medication, regardless of whether the person is the patient or an agent of the patient, shall safely dispose of the covered medication. Safe disposal may consist of the following:

1. (a) Take the covered medication out of the original container;
2. (b) Mix the covered medication with an undesirable substance such as cat litter or used coffee grounds;
3. (c) Place the mixture of covered medication and undesirable substance into a disposable container, such as a used plastic food container or sealable bag;
4. (d) Conceal or remove personal information, including the prescription number, from the prescription container by scratching off the information or covering it with permanent black marker; and
5. (e) Place the sealed container and the empty covered medication containers into the household trash.

SOURCE: Final Rulemaking published at 64 DCR 12076 (November 24, 2017).