Metropolitan St. Louis Sewer District

 The Metropolitan St. Louis Sewer District (MSD) encourages you to dispose of all medications properly.  Medication should not be flushed down the toilet!

Wastewater treatment cannot completely eliminate these substances, and so they are commonly found in local waterways, surface waters, and even drinking water.

Keeping over-the-counter and prescription drugs "off the street and out of our rivers" is the mission of Missouri Prescription Pill Drug Disposal (Missouri P2D2), a nonprofit organization whose partners include St. Louis County Police, St. Louis College of Pharmacy, Missouri American Water and MSD, with many other community groups.

Proper Disposal of Drugs

Missouri P2D2 recommends disposing of drugs at a designated collection point.  Medicine collection boxes are available at nine police stations in St. Louis County to provide a convenient, safe place to drop off the unneeded medicines.  Prescription and over-the-counter-medicines are accepted.  The program is free and anonymous.  For a complete listing of drop-off locations, visit www.missourip2d2.org. 

If you are unable to visit a drop-off site, follow these simple steps to dispose of medicines in the household trash:   

• Mix medicines (do NOT crush tablets or capsules) with an unpalatable substance such as kitty litter or used coffee grounds;
• Place the mixture in a container such as a sealed plastic bag; and
• Throw the container in your household trash.
• Before throwing out your empty pill bottle or other empty medicine packaging, remember to scratch out all information on the prescription label to make it unreadable.