Which party is described as best practice for disposing of controlled substances?

• A. Local ambulance service
• B. Community pharmacists
• C. Reverse distributors are best
• D. Hospital dietary staff

Answer: (C)

Disposing of controlled substances requires following strict regulatory steps that preserve the chain of custody and ensure destruction is carried out properly. The best practice is to work with a reverse distributor. These entities are specifically authorized and equipped to handle unwanted or expired controlled substances from healthcare facilities, perform the destruction, and provide formal documentation that destruction has occurred. This creates an auditable trail, helps prevent diversion, and ensures compliance with regulatory requirements and environmental standards.

Other parties listed don’t have the proper authorization or processes to manage disposal and documentation for controlled substances, so relying on them would raise regulatory and safety concerns.