Applicability. This regulation applies to a healthcare facility that sends a shipment of non-creditable hazardous waste pharmaceuticals to a designated facility with the understanding that the designated facility can accept and manage the waste, and later receives that shipment back as a rejected load in accordance with the manifest discrepancy provisions of: COMAR 26.13.05.05C or COMAR 26.13.06.05, as applicable, if the designated facility is located in Maryland; or 40 CFR §264.72 or 40 CFR §265.72, as applicable, or equivalent state requirements, if the designated facility is not located in Maryland. A healthcare facility identified in §A of this regulation may accumulate a rejected non-creditable hazardous waste pharmaceutical on site for up to an additional 90 days if the healthcare facility manages the rejected shipment in accordance with Regulation .40 of this chapter. Upon receipt of a rejected shipment of a non-creditable hazardous waste pharmaceutical, a healthcare facility shall: Sign either: Item 18c of the original manifest, if the original manifest was used for the returned shipment; or Item 20 of the new manifest, if a new manifest was used for the returned shipment; Provide the transporter with a copy of the manifest; Within 30 days of receipt of the rejected shipment, send a copy of the manifest to the designated facility that returned the shipment to the healthcare facility; and Within 90 days of receipt of the rejected shipment, transport or offer for transport the returned shipment in accordance with the shipping standards of Regulation .47A—E of this chapter.