NIOSH proposes that 20 new drugs, along with two others that already have special-handling information specified by the manufacturer, be added to the agency’s hazardous drug list for healthcare settings in 2018. The agency also proposes one class of drug, botulinum toxins, for placement on the list. A new draft document lists the proposed additions for public comment. Comments on this list must be submitted by April 16, 2018.  In response to a petition from a pharmaceutical company, NIOSH is removing the antibiotic Telavancin from its list of hazardous drugs. Telavancin is prescribed to treat skin infections such as Methicillin-resistant .  NIOSH defines a hazardous drug as one that is approved for use in humans by the FDA, not otherwise regulated by the United States Nuclear Regulatory Commission, and either accompanied by prescribing information that includes special handling instructions to protect workers or exhibits one of several types of toxicity in humans, animal models, or systems.  The NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings builds on a NIOSH alert from 2004 that warned healthcare employers and workers of the risks of working with hazardous drugs and discussed measures they could take to protect their health. The 2004 list of hazardous drugs was updated in 2010, 2012, 2014, and most recently in 2016, when 34 new drugs were added to the list. The 2016 list covers all new approved drugs and drugs with new warnings up to December 2011, plus drugs reviewed by NIOSH from January 2012 to December 2013. For more information on the review process for the addition of the new listings, see the . Visit the on Regulations.gov for supporting documents and instructions on submitting comments.