The Virginia Society of Health-System Pharmacists (VSHP) supports a collaborative, multidisciplinary approach to opioid stewardship. This petition may not address systemic issues with current challenges that dispensing pharmacists encounter in enforcing or maintaining certain stewardship practices. VSHP understands the intent of the petition; however, this is a complex issue and deserves further consideration by the Regulation Committee, as well as the Board of Medicine. VSHP recommends referral of this matter to the Board of Pharmacy's Regulation Committee.