I would like to publicly voice my support of centralized distribution of Schedule VI medications for facility ADCs.  Consolidation of distributive pharmacy services into a hub and spoke model has benefited my current hospital significantly.  We have been able to take advantage of break bulk packaging, resulting in significant decreases in on-hand inventories.  Centralized fill of ADCs has freed additional pharmacist and technician time at the facility, thus allowing more time to focus on quality patient care.  The model has also allowed us to leverage technology, such as bar coding, to improve patient safety.  I encourage the Board to give a great deal of consideration to adding this process to the current regulations.