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During the previous decade, significant effort has been made in Serbia to improve health care waste management, including pharmaceutical waste (FO). Effective and sustainable FO management can be provided by passing appropriate legislative. Pharmacies, as waste generators, and health care institutions that take over unused medicines from citizens, have multiple responsibility in these processes. This paper provides results from a research conducted in 2016-2017 in pharmacies from the Network plan, in order to determine if there is coordination between praxis and legislative in FO management during the differentiation of regulations in this field. Data analysis has shown that over 90% of pharmacies sorts out waste generated during business activities, and that the amount of waste generated yearly is between 20 and 50 kg in 31,42% of pharmacies. Only 67,86% of pharmacies from the Network plan take over unused medicines from citizens, out of which 80% of pharmacies provide finances for safe FO disposal (handover to operator) from their own means. The results from the research indicate downward trend in amount of generated FO during the period 2014-2016. It is evident that stronger support from institutions is needed in amending and implementing legal framework and improving praxis in FO management.
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