Redefining Roles: Technicians Reduce Oncology Drug Waste in Specialty Pharmacy

Objectives: Oncology medications produce significant amounts of pharmaceutical waste due to high costs and frequent therapy modifications driven by toxicity or disease progression. Reducing waste is essential to enhance patient safety, alleviate financial burdens, and mitigate environmental risks. Although strategies such as split-filling and drug repository programs exist, they are often limited by regulatory and logistical constraints. This project evaluates a novel, technician-led workflow implemented at a hospital system’s specialty pharmacy to reduce oral oncology drug waste through proactive refill coordination.