Medication was used to fill a prescription that was never picked up by the patient. Unless it has expired the medication should be:

Sending the medication to a reverse distributor is typically reserved for medications that are expired, damaged, or otherwise unsuitable for dispensing. In this scenario, since the medication has not expired, it is unnecessary and inefficient to involve a reverse distributor, which generally incurs additional costs and logistical issues.

Testing for strength and purity is not a standard procedure for medications that have not been dispensed or expired. Such testing is reserved for specific situations, such as quality control in manufacturing or when there is a concern about the medication’s integrity. In this case, the medication remains intact and within its shelf life, making testing redundant.

Reporting to the FDA is not necessary unless there is a significant issue with the medication, such as a recall or adverse event. In the situation described, no such issue exists; therefore, reporting is not warranted.