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Postal Explorer > Publication 52 - Hazardous, Restricted, and Perishable Mail > Appendix C USPS Packaging Instructions for Mailable Hazardous Materials > USPS Packaging Instruction 6F
The term "used health care product" means a medical, diagnostic, or
research device or piece of equipment, or a personal care product used by
consumers, medical professionals, or pharmaceutical providers that, (1) does
not meet the definition of a diagnostic specimen, biological product, regulated
medical waste, or sharps waste; (2) is contaminated with potentially
infectious body fluids or materials; and (3) and is not decontaminated or
disinfected to remove or mitigate the infectious hazard prior to transportation.
• Not applicable.
• International Mail: Prohibited.
• Domestic Mail: A used health care product known or suspected to
contain a Risk Group 4 pathogen is nonmailable. A used health care
product meeting the definition in 346, classified in Risk Group 1, 2, or
3, and being returned to the manufacturer or manufacturer's designee
is mailable as First-Class Mail, Priority Mail, or Express Mail.
Primary Receptacle
• Each used health care product must be drained of liquid to the extent
possible and placed in a watertight primary receptacle designed and
constructed to ensure that it remains intact under normal conditions of
transport. For a used health care product capable of cutting or
penetrating skin or packaging material, the primary receptacle must be
capable of retaining the product without puncture of the packaging
under normal conditions of transport. The primary receptacle must be
marked with the international biohazard symbol (see Exhibit 346.32e).

Secondary Container
• Each primary receptacle must be placed inside a watertight secondary
container designed and constructed to ensure that it remains intact
under normal conditions of transport. The secondary container must
also be marked with the international biohazard symbol (see Exhibit
346.32e).
Outer Shipping Container
• The secondary container must be placed inside an outer shipping
container with sufficient cushioning material to prevent movement
between the secondary container and the outer shipping container. An
itemized list of the contents of the primary receptacle and information
concerning possible contamination with a Division 6.2 material,
including its possible location on the product, must be placed between
the secondary container and the outer shipping container.
• Each mailpiece must not exceed a total weight or 25 pounds.
Marking/Documentation
• A shipping paper and content marking on the outer shipping container
are not required.
• Each mailpiece must bear a complete return address and delivery
address.
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