I am writing to voice my opposition to proposed amendment of 18 VAC 110-20-275.  Simply put, as pharmacists and patient advocates, we all took an oath to serve and protect our patients' well-being.   Please take a moment to put yourself into the shoes of your 85 year old grandfather who has CHF, on dialysis, and can hardly see anymore.  Will these proposed labeling changes better serve and protect him when he has a medication issue?  Will your grandfather want to speak to some stranger on an 800 number about his health conditions? If the proposed changes would better serve and protect him, then we would not be writing in opposition to these proposed labeling changes.  

Lastly, I remember some words of wisdom from a preceptor when I was a student pharmacist.  When we are faced with tough decisions, think of that patient as your grandfather and how your decisions would affect him.  If it will negatively impact him, then don't do it!  DO NO HARM

Sincerely, 

Randall Cole, PharmD