The San Francisco Board of Supervisors passed the Safe Drug Disposal Stewardship Ordinance on March 17, 2015, with an effective date of April 25, 2015. Providing proper disposal options for leftover, expired, and unwanted drugs helps advance the City's Zero Waste goals and reduce pharmaceutical contamination of water supplies, landfills, and the environment.
Medicine collection kiosks are operational under the Inmar Intelligence and MED-Project stewardship programs. Inmar and MED-Project are both supplementing the medicine collection kiosk sites with mail-back envelope distribution locations, where San Francisco residents can pick up a free, prepaid standard medicine mail-back envelope (for pill, liquid, and cream medicine formulations). Pre-filled injector products, such as EpiPens©, cannot be disposed in kiosks. Free prepaid mail-back packages for Pre-filled injector products are available at no cost by request online or by calling (844) 633-7765.
The Ordinance factsheet (PDF) provides additional information on the background and requirements of the Ordinance.
Stewardship Plan Review
Inmar Stewardship Plan, dated December 10, 2025 - rejected on March 9, 2026
More information, including SFE's Notice of Determination, Inmar's Stewardship Plan, and the public comments received, can be found below:
- Notice of Determination - Stewardship Plan Rejected (PDF) - March 9, 2026
- Inmar proposed Safe Drug Disposal Stewardship Plan (PDF) - December 10, 2025
- Comments submitted by MED-Project (PDF) - February 5, 2026
- Comments submitted by Pharmaceutical Product Stewardship Work Group (PDF) - February 6, 2026
MED-Project Stewardship Plan, dated October 24, 2025 - approved with conditions on January 22, 2026
More information, including SFE's Notice of Determination, MED-Project's Stewardship Plan, and the public comments received, can be found below:
- Notice of Determination - Approved with Conditions (PDF) - January 22, 2026
- MED-Project Product Stewardship Plan for Household Pharmaceutical Waste (PDF) - October 24, 2025
- Comments submitted by MED-Project (PDF) - December 17, 2025
- Comments submitted by Pharmaceutical Product Stewardship Work Group (PDF) - December 18, 2025
Approved Stewardship Plans
- Inmar Safe Drug Disposal Stewardship Plan, dated April 22, 2023
- Notice of Determination - Approved with Conditions (PDF) - July 21, 2023
- Inmar Safe Drug Disposal Stewardship Plan (PDF) - April 22, 2023
- MED-Project Product Stewardship Plan for Household Pharmaceutical Waste, dated October 24, 2025
- Notice of Determination - Approved with Conditions (PDF) - January 22, 2026
- MED-Project Product Stewardship Plan for Household Pharmaceutical Waste (PDF) - October 24, 2025
Stewardship Plan Annual Reports
- Inmar Intelligence 2024 Annual Report (PDF) - September 3, 2025 revision
- MED-Project 2024 Annual Report (PDF) - April 25, 2025
- Inmar Intelligence 2023 Annual Report (PDF) - May 25, 2024
- MED-Project 2023 Annual Report (PDF) - April, 25, 2024
- Inmar Intelligence 2022 Annual Report (PDF) - May 25, 2023
- MED-Project 2022 Annual Report (PDF) - April 25, 2023
- Inmar Intelligence 2021 Annual Report (PDF) - August 26, 2022 revision
- MED-Project 2021 Annual Report (PDF) - August 8, 2022 revision
- MED-Project 2020 Annual Report (PDF) - August 31, 2021 revision
- MED-Project 2019 Annual Report (PDF) - April 25, 2020
- MED-Project 2018 Annual Report (PDF) - July 15, 2019 revision
- MED-Project 2017 Annual Report (PDF) - April 25, 2018
Environment Department Biennial Reports
- 5th Biennial Report to the Board of Supervisors (PDF) - May 2026
- 4th Biennial Report to the Board of Supervisors (PDF) - February 2024
- 3rd Biennial Report to the Board of Supervisors (PDF) - October 2021
- 2nd Biennial Report to the Board of Supervisors (PDF) - August 2019
- 1st Biennial Report to the Board of Supervisors (PDF) - April 2017
Regulations
- Regulations Implementing the Safe Drug Disposal Stewardship Ordinance
- Regulation #SFE-24-01-SDDSO (PDF) - effective April 10, 2024
- Regulation #SFE-16-01-SDDSO (PDF) - replaced by Regulation #SFE-24-01-SDDSO
Stewardship Plan Approval History
- MED-Project Product Stewardship Plan for Household Pharmaceutical Waste, dated March 24, 2023
- Notice of Determination - Approval with Conditions (PDF) - June 21, 2023
- MED-Project Stewardship Plan (PDF) - March 24, 2023
- Inmar Stewardship Plan, dated August 27, 2020, as revised October 13, 2020
- Notice of Determination - Approval with Conditions (PDF) - November 25, 2020
- Inmar Safe Drug Disposal Stewardship Plan (PDF) - August 27, 2020, as revised October 13, 2020
- MED-Project Updated Stewardship Plan, dated November 1, 2018
- Revised Notice of Determination - Approval with Conditions (PDF) - July 29, 2020
- Additional Information Requested Letter (PDF) - July 28, 2020
- Updated MED-Project Product Stewardship Plan (PDF) - November 1, 2018
- MED-Project Updated Stewardship Plan, dated May 31, 2018
- Notice of Determination - Approval with Conditions (PDF) - July 3, 2018
- Updated MED-Project Product Stewardship Plan (PDF) - May 31, 2018
- MED-Project Kiosk Collection Model Modification, Submitted and Approved
- Notice of Determination - Approval with Conditions (PDF) - December 16, 2016
- Kiosk Collection Model Modification Request (PDF) - October 19, 2016
- MED-Project Stewardship Plan, dated April 25, 2016
- Notice of Determination - Approval with Conditions (PDF) - July 25, 2016
- Revised MED-Project Stewardship Plan (PDF) - July 14, 2016
- MED-Project Stewardship Plan (PDF) - April 25, 2016