Clinical Waste Removal

Pharmaceutical and medicines waste collection

Collection of out-of-date, returned and part-used medicines in blue and purple lidded containers, with the right codes and paperwork. UK costs.

In short: Pharmaceutical waste collection deals with out-of-date, returned, spilt and part-used medicines, using blue-lidded containers for non-cytotoxic medicines and purple-lidded containers for cytotoxic and cytostatic medicines. It is for pharmacies, nursing homes, GP surgeries, dental practices, aesthetics clinics and vets. A medicines waste container typically costs around £20 to £50 per container to collect and dispose of in the UK.

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Medicines cannot go down the sink, into general waste or into orange bag waste. They must be incinerated, and the waste code and container colour depend on the type of medicine. Non-cytotoxic medicines go into blue-lidded containers, and cytotoxic or cytostatic medicines, which include some cancer treatments, hormone treatments and some antivirals, go into purple-lidded containers for high-temperature incineration. Liquids, tablets, creams, inhalers and patches can usually go into the same blue container.

Controlled drugs need extra care. Stock controlled drugs must be denatured, usually using a denaturing kit, before they go into a pharmaceutical waste container, and the destruction must be properly recorded and in many cases witnessed by an authorised person. Aerosols and inhalers may need to be kept separate, depending on your contractor. We confirm what goes where, supply containers in the right sizes and collect them with full paperwork.

What is included

  • Blue-lidded containers for non-cytotoxic medicines
  • Purple-lidded containers for cytotoxic and cytostatic medicines
  • Guidance on liquids, inhalers, aerosols and patches
  • Denaturing kits for controlled drugs where needed
  • Scheduled or on-request collections
  • Correct waste codes for healthcare or household-returned medicines
  • Consignment note for hazardous medicines waste
  • Incineration at a permitted facility

Who it is for

  • Community pharmacies with expired stock and patient returns
  • Nursing homes disposing of residents' unwanted medicines
  • GP surgeries and dispensing practices
  • Aesthetics and private clinics with expired injectables
  • Dental practices with local anaesthetics and other medicines
  • Veterinary practices with expired veterinary medicines

How much does it cost?

As a guide, a pharmaceutical waste container in the UK typically costs £20 to £50 to collect and dispose of, with purple-lidded cytotoxic containers usually costing more than blue-lidded ones. See our full cost guide.

How it works

  1. Identify your medicines streams

    We confirm whether you have cytotoxic or cytostatic medicines, controlled drugs, liquids or aerosols, so each goes in the right container.

  2. Supply containers

    Blue or purple-lidded containers are supplied in sizes to match your volumes, with denaturing kits if needed.

  3. Collect and swap

    Full, sealed containers are collected on a schedule or on request and replaced with new ones.

  4. Paperwork and incineration

    Medicines are sent for incineration and you receive the correct paperwork for your records.

Pharmaceutical and medicines waste collection: FAQs

Can care homes return medicines to the pharmacy?

It depends on the type of home. NICE guidance for England says care homes without nursing should usually return unwanted medicines to the supplying pharmacy or dispensing doctor, while care homes with nursing should use a licensed waste contractor. Check local arrangements and your own medicines policy.

What are cytotoxic and cytostatic medicines?

These are medicines that are toxic to cells or stop cells growing and dividing. They include many chemotherapy drugs, as well as some hormone treatments, antivirals and other medicines that carry carcinogenic, mutagenic or reproductive risks. They must go in purple-lidded containers and be sent for high-temperature incineration.

How do I dispose of controlled drugs?

Stock controlled drugs should be denatured before disposal, usually with a denaturing kit, so they cannot be retrieved or misused. The destruction should be recorded in the controlled drugs register and, for many settings and schedules, witnessed by an authorised person. Patient-returned controlled drugs follow slightly different rules, so follow current guidance for your setting.

Can medicines go in sharps bins?

Only where they are part of a used sharp, such as the residue in a used syringe. Loose tablets, vials, bottles and other medicines should go in a pharmaceutical waste container. Yellow-lidded sharps containers are for sharps contaminated with medicines, not for disposing of medicines generally.

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Last updated 6 November 2026