The present invention provides a drug eluting surgical screw and a method for manufacturing a drug eluting surgical screw. The drug eluting surgical screw may include a shaft having a threaded portion a head having a drive recess disposed at a proximal end of the shaft the drive recess having a reservoir region and a driver engagement region and at least one or more drug eluting components disposed within the reservoir region of the drive recess in a manner that does not substantially impair a connection between a driver and the surgical screw when the driver is operably disposed within the driver engagement region each of the at least one or more drug eluting components including a carrier matrix and a therapeutic agent the therapeutic agent being at least 20 wt% of the drug eluting component prior to any implantation of the drug eluting surgical screw.