Sources of Repository Medication

Drug donation regulations are governed at the state level and contrast greatly from state to state. Most state programs have substantial restrictions on who can donate and what types of prescription products or supplies may be donated. Very strict safety rules also apply, intended to protect the patient that ultimately obtains and takes the medication. Most state programs have a number of provisions in common, including:

  • No “controlled substances” medication may be accepted or transferred.
  • No adulterated or misbranded medication may be accepted or transferred.
  • All pharmaceuticals must be checked by a pharmacist prior to being dispensed.
  • All pharmaceuticals must not be expired at the time of receipt. Often they must have six-months or more before expiration.
  • All pharmaceuticals must be unopened and in original, sealed, tamper-evident packaging.
  • Liability protection for both donors and recipients usually is assured.

Bubble wrapped medication donations received from extended care facilities and others across Wyoming to be used for prescription filling at the WMDP.

Contributed medications that do not meet the donation criteria must be incinerated or destroyed. Because of the donation criteria, any medications dispensed in an amber vial or dispensed in a manner that does not use sealed, tamper-evident packaging is strictly prohibited. As a result, many operational programs rely on long-term care dispensing pharmacies as the primary source for donated medications. The 31-day or less blister packs that are used in long-term care settings allow for easy visual inspection for drug identification and tampering. Dispensing pharmacies for long-term care have welcomed drug donation repository programs as an economical option to dispose of previously dispensed but unused medications.

Example:

Wyoming state law allows Wyoming Medication Donation Program(WMDP) to collect donations from any source having sealed, in-date medication (within 5 months of beyond us/expiration date.) Donations can be from the public or a facility that has unused medications, including nursing homes, detention centers, prisons, hospice, samples from offices, and other facilities with patients in their care that have bubble pack meds. 

Excluded medications include: refrigerated, controlled substances, broken or half tablets, packets with multiple pills in the bubble, beyond use or expired, short-date (5-month expiration from the date of donation or beyond use date), and medical supplies. 

All donated medications should be inspected as described above. See Direct Donations