‫قطاع التنظيـم الصحـي‬

Health Regulation Sector

Document Type: Policy Ref No: HRS/HPSD/MDWM/1/2019 Version Number: 1

Document Title: Medications Revision Date:

Effective Date: 12/06/2019
Disposal and Waste Management 12/06/2022
Ownership: Clinical Audit and Control Department
Applicability: DHA licensed Pharmacies or Health Facilities providing pharmaceutical services and subject
to licensure under the Dubai Health Authority establishment law, which includes General or Specialized
Hospitals, Day Surgical Centres (DSC), Fertility Centres, and Outpatient facilities.

1. Purpose:

1.1. To align with the Dubai Health Authority (DHA) vision, mission and strategic objective, to direct resources to

ensure healthy and safe environment for Dubai population.

1.2. To implement best practices, to improve efficacy, proper utilization and patient safety in regard to medicines

and chemicals within all pharmacies in Dubai.

1.3. To mandate the requirement and specifications for identifying, tracking, checking and inspecting Expiry dates

of drugs and medical products to ensure the safety and competent delivery of pharmaceutical services.

2. Scope:

2.1. Licensed health facilities under the jurisdiction of DHA.

3. Definitions/Abbreviations:

Controlled Drug is a medicine that having a significant potential for abuse, addiction and/or could be

diverted for illegal use, This group includes the medical and pharmaceuticals products that contain any of

the active ingredients listed in International Narcotics Control Board (INCB) schedules Nos. (1, 2, 3, 4)

contained within the convention of the United Nations for psychotropic substances for the year 1971 and

Schedules mentioned in the Federal Law No. 14 of 1995 in respect of combating the Narcotic drugs and

Medications Disposal and Waste Management Page 1 of 7 HRS/HPSD/MDWM/1/2019

 ‫قطاع التنظيـم الصحـي‬
Health Regulation Sector

Psychotropic substances and its amendments according to the afore mentioned Cabinet Decree No. (38)

Of 2015.

Expiration date/ Expiry date Reflects the shelf life of a commercially manufactured product when stored

according to the competent authorized entity approved labelling, in its original container. It is the date

before which the quality of a medicine remains acceptable for intended use.

Health Facility Any facility, owned and managed by natural or corporate body, provides medical services

for individuals, including preventive, therapeutic and convalescent care services

Licensed pharmacist any person licensed to practice the pharmacy profession according to the provision

of the local and federal laws in UAE

Medicine/medication/pharmaceutical drug Any formula that contains one or more element for the

treatment or protection of human beings and animals.

Narcotic Drug This group includes all the medical and pharmaceutical products that contain any of the

active ingredients listed in International Narcotics Control Board (INCB) schedules Nos. (1,2,3,4) in

accordance with the Single Convention on Narcotic Drugs of 1961 and as amended in the protocol of 1972

,and Schedules mentioned in the Federal Law No. 14 of 1995 in respect of combating Narcotic drugs and

Psychotropic substances and its amendments according to the Cabinet Decree No. (38) Of 2015.

Pharmacist in-charge is a qualified and trained DHA licensed pharmacist or clinical pharmacist assigned

by the health facility. The pharmacist in-charge is the responsible and accountable person for all

pharmaceutical practices in the pharmacy.

Pharmacy the facility where the profession of preparing, preserving, compounding, and dispensing

medications is practice.

Medications Disposal and Waste Management Page 2 of 7 HRS/HPSD/MDWM/1/2019

 ‫قطاع التنظيـم الصحـي‬
Health Regulation Sector

Semi Controlled Drugs: not listed within the schedules attached to the Federal law No. 14 of 1995 in

respect of combating of drugs and psychotropic substances and its amendments. Drugs not listed within

the schedules attached to international conventions of the International Narcotics Control Board (INCB)

and Drugs that have been classified by the drug registration committee of MOHAP as semi controlled

drugs (SCD) as they contain the following; Medications that have medical benefits, but with long term use

in high doses or use with other substances that might lead to habituation and addiction and substances

that have potential serious side effects and may affect the safety of the adult, children, fetuses or may lead

to abortion.

CD Controlled Drugs

DCS Drug Control Section

DHA Dubai Health Authority

DM Dubai Municipality

FDA Food and Drug Administration

HRD Health Regulatory Department

MOHAP Ministry of Health and Prevention

MPC Medical Practice Committee

SCD Semi-Controlled Drugs

4. Policy Statement:

4.1. All DHA licensed health facilities should have a certificate of disposal from a contracted medical waste

management company approved by Dubai Municipality (DM) to confirm safety shelf life and validity

of the medications.

Medications Disposal and Waste Management Page 3 of 7 HRS/HPSD/MDWM/1/2019

 ‫قطاع التنظيـم الصحـي‬
Health Regulation Sector

4.2. All health facilities providing pharmaceutical services must comply with the manufacturer

specifications and guidelines for the management, storage and use of medications and check for

expired medication on a monthly basis.

4.3. Health facilities must ensure that all expired, damaged, returned or withdrawn medications are kept

in designated cabinets/areas, clearly labeled and separated from the active stock.

4.4. Health facilities must put in place a Medications Disposal and Waste Management plan approved by

the pharmacist in charge /Pharmacy Manager.

4.5. All expired/unusable and damaged medications shall be returned to the distributing drug stores from

which they were purchased, and to obtain credit note for evidence, except for Narcotics.

4.6. All expired/unusable Narcotic medications shall be returned to the Ministry of Health and Prevention

(MOHAP) Central Drug Stores.

4.7. Any expired medications that cannot be repossessed by the drug store shall be discarded by the

health facility as medical waste.

4.8. Health facilities are permitted to dispose drugs through DM or a medical waste management

contractor approved by DM after obtaining DHA approval.

4.9. Health facilities must have in place an agreement with the nominated entity for disposal of medical

waste which approved by DM.

4.10. The facility can dispose the expired CD/SCD medications with a minimum of Ten (10) different

types of medications, if applicable.

4.11. All health facilities are entitled to apply for “Medication Disposal Request Form” (Appendix 1).

4.12. Health facilities must complete the application form for the disposal of medication and submit the

application electronically through the approved official methods.

Medications Disposal and Waste Management Page 4 of 7 HRS/HPSD/MDWM/1/2019

 ‫قطاع التنظيـم الصحـي‬
Health Regulation Sector

4.13. Upon receiving completed form, inspection team from Drug Control Section (DCS) shall visit the

health facility within 5 working days , audit drugs to be disposed and make sure that both parties

sign the Medications Disposal Request Form and to be stamped by the facility’s stamp.

4.14. All such transactions related to the disposal shall be documented by the DHA inspection team in the

corresponding CD/SCD registers.

4.15. Any CD/SCD drug discrepancies during DHA inspection team audit will be considered as a violation

and shall be reported to Medical Practice Committee (MPC) for further action.

4.16. Disposal reports and Certificate of Disposal Shall be sent to DCS for documentation and future

references.

4.17. All facilities must ensure to dispose all the expired, damaged or withdrawn medications which have

been audited by DCS team within one month of the inspection visit.

5. References

5.1. Cabinet Decision No. (21) Of 2019, on amendment of some tables attached to Federal Law No. (14)

Of 1995 on the combat of narcotic drugs and psychotropic substances.

5.2. Dubai Health Authority (2013). Dubai Community Pharmacy Licensure and Pharmaceutical

Practices Guide Dubai Health Authority. Available on:

https://www.dha.gov.ae/Documents/Regulations/Dubai%20Community%20Pharmacy%20Licens

ure%20and%20Pharmaceutical%20Practices%20Guide.pdf (Accessed 28/06/2019).

5.3. Dubai Health Authority (2018). DHA Law No. (6) Of 2018.

5.4. Federal Law No. (4) Of 1983, Concerning Pharmaceutical Profession and Establishments.

5.5. Ministerial Decree No. (888) Of 2016, In respect of Rules and Regulations for Prescribing and

Dispensing of Narcotic, Controlled and Semi Controlled Drugs.

Medications Disposal and Waste Management Page 5 of 7 HRS/HPSD/MDWM/1/2019

 ‫قطاع التنظيـم الصحـي‬
Health Regulation Sector

6. Appendix

6.1. Appendix 1 - Medication Disposal Request Form

Medications Disposal and Waste Management Page 6 of 7 HRS/HPSD/MDWM/1/2019

 ‫قطاع التنظيـم الصحـي‬
Health Regulation Sector

Medications Disposal and Waste Management Page 7 of 7 HRS/HPSD/MDWM/1/2019