Cytotoxic waste is medical waste that has come into contact with cytotoxic agents used in chemotherapy, including empty chemo drug vials, syringes and needles, spill kits, IV tubing and bags, contaminated gloves and gowns, and materials from spill cleanups. This waste should be properly segregated, packaged in red bags, and labelled for safe pickup and disposal. However, full chemo drug vials and unused chemo drugs and pharmaceutical waste need to be handled and packaged accordingly.