What actions should a pharmacy take with expired medications?

Proper disposal of expired medications according to federal and state regulations is essential to ensure safety and protect public health. Expired medications can pose various risks if they are not handled correctly, including accidental ingestion or environmental contamination.

Pharmacies must follow guidelines set by both the Drug Enforcement Administration (DEA) and state laws, which specify how to safely dispose of controlled substances and other medications. This often involves using authorized take-back programs, incineration, or following specific protocols provided by hazardous waste regulations.

Safe disposal practices help prevent misuse and protect the environment by ensuring that pharmaceuticals do not enter the water supply or affect wildlife. This adherence to proper disposal guidelines demonstrates a pharmacy's commitment to maintaining regulatory compliance and safeguarding community health.

Other options may seem practical but do not align with regulations or best practices. For instance, donating expired medications could expose individuals to potential harm, while returning them to wholesalers is generally not a standard practice for expired items. Selling expired medications, even at a discount, is illegal and could compromise patient safety. Therefore, option B is the only responsible and lawful action.