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On Stay Safe Rx you will find current events and resources advocating for safe prescription labeling practices. When patients struggle to see, read or understand their prescription labels they are more likely to take the wrong medication, take it improperly, or not take it at all. Pharmacies can make prescription labels more accessible by incorporating dual-language, audible, large print, Braille, plain language, and user-friendly designs. Check out the resources in the side bar to assist your own advocacy efforts or browse through posts to see what others are working on or have achieved.

2018 Nevada SB131 Steps to Success

Utilizing Nevada’s Success as a Roadmap for Enacting Legislation in Your State

In May of 2017, Nevada’s State Legislature unanimously passed SB 131, a prescription reader bill, proposed by the Nevada Council of the Blind (NCB) and sponsored by Senator Mo Denis. According to Sen. Denis in a phone interview, the keys to their success included:
having the right legislator to sponsor the bill
working with the opposition to resolve all issues
getting supporters to rally for the bill throughout the legislative process

Sample Letter to Pharmacy Requesting Accessible Rx Labels




Dear Sir/Madam:

I'm an advocate for the blind and writing on behalf an individual who is in need of assistance utilizing your pharmacy services. This individual is blind and regularly receives numerous prescription medications. Please direct this letter to the person in your organization responsible for ensuring compliance with the following regulations:
  • 45 CFR § 92.202 (Effective Communication for Individuals with Disabilities; final rule effective July 18, 2016. Reference: 81 FR 31376 - Nondiscrimination in Health Programs and Activities), and
  • 28 CFR § 36.303 (Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities; Specific Requirements; Auxiliary Aids and Services).
[NAME OF PHARMACY CUSTOMER], whose address is [ADDRESS OF PHARMACY CUSTOMER] and whose phone number is [PHONE NUMBER OF PHARMACY CUSTOMER] hereby makes a request, pursuant to the above referenced rules (copies of which are enclosed for your convenience), that your pharmacy supply his/her prescription information in an accessible format.

Please let me know if you have any questions.


45 CFR § 92.202 - select provisions
45 CFR § 92.4 - definitions applicable to 45 CFR §92.202; select provisions
28 CFR § 36.303 - select provisions

ICADI Proceedings, January, 2006

Effective and Confidential Communication of Prescription Information:  Accommodating the Blind and Visually-Impaired

The International Conference on Aging, Disability and Independence (ICADI) Proceedings
(January, 2006).

John Little, JD, MSPH, CHE, CHC

John Little has served as General Counsel, Chief Compliance Officer and Chief Privacy Officer at two national healthcare companies, is Board Certified in Healthcare Management and Board Certified in Healthcare Compliance, and is currently engaged in the private practice of healthcare law.

Abstract. Individuals with vision disabilities face unique difficulties in their attempt to utilize prescription information such as medication descriptions, dosage instructions, side-effect warnings and other information often considered to be detailed and complex, yet essential.  Similarities in container shapes and sizes along with having multiple prescription medications compound these problems. Sighted pharmacy customers are obvious beneficiaries of U.S. state and federal requirements obligating pharmacies to provide detailed, written medication information to prescription containers.  These requirements govern both the content of the information and the duty to physically affix or attach the content to prescription containers.  The U.S. Americans with Disabilities Act (ADA) addresses the obligation of pharmacies to provide their blind and visually-impaired customers with effective auxiliary communication aids.  The U.S. Health Insurance Portability and Accountability Act (HIPAA) privacy regulations require pharmacies to permit their customers, individually, to request that communications of the customer's protected health information be made by alternative means. Currently, the most commonly utilized auxiliary method of communicating prescription medication information to the blind and visually-impaired is face-to- face counseling.  This method is also one of the most ineffective at communicating complex, detailed medication information to this population and can be considered one of the most burdensome methods that may be implemented by pharmacies. Recent technological advances, however, have led to the development of Audible Prescription Labeling Systems (APLS) specifically designed for blind and visually-impaired pharmacy customers, providing such customers, for the first time, a meaningful opportunity to enjoy the ability to keep their prescription medication information private.  While each of the available APLS communication aids has a relatively insignificant impact on pharmacy expenses and operations, they do vary in communication effectiveness. One of the four available APLS communication aids on the market overcomes issues related to communication effectiveness and pharmacy burden by utilizing text-to-speech technology and a Radio Frequency Identification (RFID) enabled label that securely affixes to any type of prescription medication container, including odd-shaped glass and plastic bottles, blister packs and boxes.