I support the change for backup requirement for long term care pharmacies.  I currently work at a long term care pharmacy, and we send many prescriptions to backup pharmacies every day.  Our patients typically need acute care meds or new prescriptions/dose changes to begin immediately.  It is very time-consuming for both us and the retail pharmacy to do a transfer of each of these prescriptions, negatively impacting patient care.  In fact, many of the retail pharmacies we call will refuse to serivce our patients any longer due to the time/effort of transferring the prescription back and forth when they may only be filling a three day supply.  My patients and their caregivers cannot always go the the backup pharmacy of their choice because the backup pharmacy will not fill these prescriptions.  I strongly feel if change the requirements, we can benefit our patients and their caregivers.