Element MDS was created to help with the disposal of expired or unused medications using a method that's easy, safe and affordable. While Element MDS was originally created for hospice and health care organizations, it is now available to everyone who wishes to safely and easily dispose of unused medication. With the introduction of Element MDS XL 750, you can now dispose medications in your own home with the same Element MDS used by community coalitions, law enforcement agencies, landfill organizations and others across the nation. Each pouch disposes of 750 standard-sized tablets or capsules (like 200 mg OTC ibuprofen). It's easy to use. Step 1: Tear off the tamper-evident strip and open the pouch. Leave the Element MDS packet in the pouch. Do not open the Element MDS packet (it will dissolve once water has been added). Step 2: Empty medications from their original packaging into the pouch, leaving enough space for water to be added and the pouch to be closed. Step 3: Add water to the pouch until it is just above the medication. Seal the pouch tightly. Step 4: Shake the pouch vigorously, then place the sealed pouch into a standard trash receptacle.