About our Blog...

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.

2024 Review & Preview 2025

2024 Review & Preview 2025

There were many steps forward toward making prescription labels safer in 2024.  Nine accessible labeling bills were introduced and four of them passed in California, Virginia, Colorado, and Minnesota. New laws and rules are setting precedence for those that follow. Here are a few examples:

  • In 2022 Tennessee’s law required not just labels, but all bag tags and medical guides to be accessible. While the Board of Pharmacy downplayed this in their rules, it did become part of the language for Maryland’s 2024 law.

  • Though no law has been passed, in 2023 Missouri Board of Pharmacy granted Missouri RxCares funds to independent pharmacies to assist in getting set up with accessible prescription labels. In 2024 Colorado followed suit and incorporated an $80,000 grant from the Department of Health into their bill which passed.

  • In 2023, again with no law in place, the Ohio Board of Pharmacy created a rule that all pharmacies needed to simply report what accessible services they offer and created a searchable website for consumers.  Minnesota followed suit and their new law requires pharmacies to report in the first year after passage, and then requires provision of accessible labels during the second year.

  • In 2023 Virginia HB2147 directed the Board of Pharmacy to convene a work group to evaluate the provision of translated directions for use on prescriptions. The work group did not include anyone with limited English proficiency or translators.  Learning from this, the 2023 Maryland bill and 2024 Virginia accessible prescription labeling bills specified that the NFB and others with lived experience of sight loss be included in the rules drafting process.

Preview for 2025:  Missouri has already prefiled their fourth attempt HB360.  Advocates in Indiana, Alaska, Michigan, New York, Texas, Iowa, Utah, Louisiana are looking for or have secured sponsors. We’ve also got interest in Nevada and Virginia to continue to pursue translated labels for those who prefer a language other than English for critical medication information. Check back periodically for updates on legislation and rules making prescription labels safer!

Wishing You and Yours a Happy New Year!

A vibrant New Year 2025 celebration with colorful fireworks lighting up the night sky. In the foreground, scales of justice stand tall, symbolizing fairness and equality. Surrounding the scales are a diverse group of people all celebrating together.

New Ohio BOP Website

Ohio Board of Pharmacy launches tool to help those living with disabilities

by Marty Schladen, Ohio Capital Journal
December 13, 2024

The Ohio Board of Pharmacy on Monday launched a tool to help people with low vision, hearing loss, or who face language barriers find pharmacies that can serve them.

For many, the pharmacy is the most frequent point of contact with the healthcare system. Pharmacists can consult about their medications and help them manage chronic conditions such as hypertension and diabetes.

The new website will help people with accessibility challenges find pharmacies that can serve their specific needs.

For example, for patients with low vision can find pharmacies that provide oversize-font labels, prescription readers and braille labels. 

It can point those with hearing loss to pharmacies that have video-relay services and teletypewriters. And it can tell non-English speakers where to find pharmacies with translation services for Spanish, Chinese, Nepali, Somali, and other languages.   

In a statement, Board of Pharmacy Executive Director Steven W. Schierholt said the new webpage is an attempt to make pharmacy services more widely accessible.

“The launch of this convenient online search tool highlights the Board’s ongoing commitment to ensure pharmacy services are accessible to all Ohioans,” he said. “The Board is hopeful that this new webpage will help patients and their loved ones quickly identify pharmacies offering services they need to keep them healthy and safe.”  

Read the full article: Ohio Board of Pharmacy launches tool to help those living with disabilities • Ohio Capital Journal

Ohio Capital Journal is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Ohio Capital Journal maintains editorial independence. Contact Editor David Dewitt for questions: info@ohiocapitaljournal.com.

Colorado Pharmacies Invited to Provide Feedback

Pharmacies Invited to Provide Feedback to Colorado Department of Health on Prescription Accessibility Grant Program

Colorado Department of Public Health and Environment is holding a public comment period from November 7th to December 5th regarding the Prescription Accessibility Grant Program.  The grant program will administer funds the legislature ear marked to help independent pharmacies provide accessible prescription labels for those who are blind or visually impaired.

Pharmacies can learn more and provide feedback by visiting: https://cdphe.colorado.gov/chronic-disease-prevention/prescription-accessibility-grant-program  All changes to the program rules or process, based on feedback, will be posted to the website by December 13, 2024.  Pharmacies have until October 1, 2025 to apply for reimbursement of up to $1500 spent on accessible prescription labeling set up costs.

End-of-Year Push in Michigan

 


As an exciting year-end surprise, an audible prescription labeling bill has been introduced in Michigan.  HB 6143 authored by Representative Julie M. Rogers (District 41) has six co-sponsors already including Mentzer (61), Rheingans (47), Hood (81), Wilson (32), Tsernoglou (75), and Scott (7). 

This straight forward bill includes clauses for 1) notification of patients that prescription readers are available 2) provision of readers to patients who are visually impaired, blind or print disabled 2) provision of labels that are compatible with the prescription reader 3) an exception is made for drugs dispensed by a health profession for inpatient administration and finally 4) allowing the Board of Pharmacy to promulgate rules to implement the new law. 

The NFB of Michigan and the Michigan Council for the Blind and Visually Impaired have been laying the ground work and discussing this legislation with law makers for almost a decade.

Ohio House Insurance Committee Hearing

November 13, 2024  

The Ohio House Insurance Committee heard proponent testimony for HB 382 which would require insurance companies to reimburse pharmacies for talking prescription readers for patients who are blind.  Richard Payne of the National Federation of Ohio and Eric Duffy provided in person testimony supporting the need for accessible prescription labeling legislation.  Eric pointed out that this legislation has been repeated proposed for over almost 10 years and it is time to pass it. 

Over a dozen people submitted written testimony in support. Amy Pulles, President and CEO of Prevent Blind Ohio provided helpful statistics:  "According to data from our 2020 Vision Problems in Ohio report, more than 1.7 million Ohioans are affected by a vision robbing condition, such as age-related macular degeneration, cataracts, glaucoma, and diabetic retinopathy."

Jake Dowling, Legislative Affairs Manager, Ohio Association of County Boards of DD, pointed out that many developmentally disabled persons could also benefit and "In addition, this bill supports more effective health care management by helping patients become active partners in their own medical treatment plans. By lowering financial barriers for those who rely on these devices to manage their health needs, HB 382 promises to offer people with disabilities the same standard of information and care provided to other patients."

Theresa McKenney gave a compelling example of how dangerous it is to not be able to catch medication errors. She wrote, "In 2023, I was provided with my medication that almost ended my life. The Exact Care Pharmacy sent me an incorrect dosage. Therefore, I was taking double medications. I contacted the pharmacy several times to inquire about the packaging. But, they insisted that it was correct. As a result, I have kidney damage, and could have died"

Another testifier, Wilbert Turner, shared how he was caretaker for his wife when she had cancer. "[She] was prescribed over ten medications that would result in death if taken improperly. I could have used that device to assist me with managing her care. If it were not for my daughter coming over daily, I do not know what I would have done."

The next hearing is scheduled for November 20, 2024.

View the video of the hearing: https://ohiohouse.gov/committees/insurance/video/ohio-house-insurance-committee-11-13-2024-196346  Complete written testimony can be found at: https://ohiohouse.gov/committees/insurance/meetings/cmte_h_insurance_1_2024-11-13-1000_1441 

A SPOONFUL OF HUMOR HELPS THE MEDICINE GO DOWN

Janet dressed in red and her husband in a tux with red bow tie stand in front of a heart.  Roses boarder the photograph

By Janet Di Nola Parmerter

Originally published in the Georgia Council of the Blind, 2020 Winter newsletter.  Reprinted with permission of the author.

For sighted people, the simple task of taking medicine involves nothing more than reading the label, checking the number of pills needed, filling a glass with water, and swallowing the medicine. In contrast, for blind or partially sighted individuals like me, the same task presents a variety of frustrating problems.

Where in the world did, I put that medicine bottle? What new innovative child-proof way has the pharmaceutical company invented to stop me from opening this bottle? With so many items in the medicine chest, which bottle is this one, and was I supposed to take these pills once or twice a day? Then when I finally found the right bottle, I wondered, , how many of these tiny things do I take right now?

Using our minds and common sense, I’m sure many of us discovered ingenious ways of solving such medication problems, Yet some of those tested ideas may have failed or even had a disastrous outcome. Therefore, before I tell you the best solution, I found for safely taking medication, I’ll share one of my more unsuccessful humorous, yet disastrous pill stories.

Being a European travel tour guide, I had packing down to a science. Many items which traveled overseas with me never return home.  In other words, with the intent of having more room to buy things, I packed items to be thrown away or used up before I repack for home. Then, there was always extra room to pack any of those so called, ‘treasures I just couldn’t live without’.

For a few years, one thing I did to save space (that is until it almost killed me) was pack a daily number of vitamins and medicine into tiny disposable zip lock bags. As for my medicine, I counted out the pills for each day I would be gone and added a couple extra pills if the flight home should be delayed. For each of the two prescriptions, I put 25 pills into each baggie, and for the vitamins, methodically, I took one tablet from all twelve bottles and dropped them together into the 23 baggies laid out for my three weeks away. Thus, I did not need to carry fourteen bottles to, and from HOME, so my suitcase HAD extra room for gifts. Wasn’t I clever? At least I thought I was, but, as it turned out, I wasn’t so clever after all.

Here's why. The first night of my three-week job in Italy. After various cross Atlantic flights to Rome, I greeted all clients from different airlines and gathered all the luggage and passengers onto the Mercedes tour coach and headed south.

The breathtaking drive along the Amalfi Coast brought everyone to a spectacular cliff hanging hotel. Though it was a long drive, everyone was excited but exhausted from the jet lagged. Still, we arrived just in time for the normal dinner time seating at 7:30 PM.

In most Italian hotels, dining room waiters do not begin serving a tour group until everyone is present and seated. For that reason, I asked the passengers not to wait for their luggage to be delivered to their room, but just drop off their carry-ons, wash up and then go directly to the dining area to enjoy the breath-taking sunset. As for me, I quickly touched up my makeup, filled up a glass with mineral water, and since my vitamins were in my carry-on, I took out one vitamin pack, swallowed a handful of vitamins and rushed to dinner.

Later, during my little, ‘welcome to Italy’ orientation, my stomach felt a bit queasy. Usually, because I sleep the entire flight, I don’t have jetlag, but I wondered if this was an exception to that rule. After all, for me, I was still on New Jersey time, so, it was actually 3:30 in the morning.

By the time I returned to the room, I collapsed on the bed with gripping stomach cramps, began moaning and wondered what was happening. While in the fetal position, my confused mind reviewed the day’s program, what I had eaten, what I had to drink and what I could have done wrong. Could it have been my vitamins? Perhaps, could my mistake have been the fact I took ALL TWELVE vitamins on an empty stomach?

The more I thought about THE vitamins, the more I didn’t remember THEM feeling different shapes and sizes. Immediately I opened my eyes and mentally relived the experience of swallowing the vitamins. In a second, I jumped off the bed, opened the pill case, counted 24 of the 25 bags, and all but one baggie felt like they were different sizes and different shapes. Yes, all but one bag.

Terrified, I thought, oh my goodness, I couldn’t have done that! So, one by one, I closely felt each bag then placed it to my right. Could this be true? Was there only ONE bag instead of two in which everything inside felt exactly the same size? Yes, there was only one instead of the two medicine bags. Oh no! That meant before dinner, instead of my vitamins, I had taken all 25 pills in one of the two medicine bags, a full three-week dosage of medicine all at once. Tears filled my eyes, I began to sweat and instantly felt worse than I did before.

What did I take? Was it the Levothyroxine or the Nexium? If I opened the package, I was sure I could feel the difference. As soon as I opened the medicine pack, yes, I definitely felt the difference and the package of Nexium was missing.

Four o’clock in the morning, my groggy husband Keith answered the phone to a hysterical, crying wife.

“Keith, Keith,” I screamed, “You have to call poison control and ask them what I should do?”  Trying to wake up and get the full story, my confused husband yawned, then calmly asked,

“Janet, stop crying and tell me, what you should do about what?” 

“About what? About what? I poisoned myself”, and continued crying. After I sobbed through the whole story, I begged Keith to call the 24-hour poison control hot-line.

In retrospect, that must have been a pretty funny conversation as they probably suspected Keith tried to kill his wife. Keith phoned me back in frustration and said,

“I called the number and told the lady I wanted to have information on poisoning.” She asked what information. Then, I asked, ‘If my wife took a whole bottle of medicine, what should I do?’ The lady asked, ‘Can I speak with your wife?’ I said, ‘No, not now.’ She asked me why not, and I told her, ‘Because she’s not here.’ She asked me where you were and I said, ‘In Italy.’ Then, she asked me if I was calling from Italy and I said, ‘No, New Jersey.’ The lady sounded like she was getting mad then asked, ‘Then how do you know she is poisoned if you are not with her?’ I told her because you phoned me, so I needed to know if you would be ok. Finally, she asked me what you took, and I couldn’t remember so I just hung up on her.”

At that hour in the morning, my poor sleep deprived husband couldn’t function, so, by the time Keith finished his story, I was laughing so hard, I forgot how awful I felt. Quite frankly I’m surprised the police didn’t show up at his door to search the house.

Fortunately, as I hung up, I remembered at dinner hearing one of my 49 passengers say she was a nurse, then Immediately phoned her room and explained my foolish actions. In a minute she was at my bedside, took my vitals and assured me what I took was not fatal. That alone dropped my blood pressure about 100 millimeters, but the most amazing part was, for the past ten years she worked in a gastroenterologist office. Not only did she know everything about what I had taken, but she knew exactly how I was feeling at that time, what I should do at once and how uncomfortable I was going to feel the next day. With her help, advice, cups of olive oil, and gallons and gallons of mineral water, I survived that very uncomfortable, difficult, and stressful situation. However, from that frightening experience, I learned two very valuable lessons.

First, I learned I should never take my medicine out of its original bottle, and second, I learned using “ScripTalk” to read my prescription bottles could one day save my life.

In the beginning of this article, I planned to tell you the best news ever, so here is the information. Many pharmacies throughout the US use ScripTalk, so we can manage all our prescriptions, and personally, I no longer have worries (that is,  at least with taking the wrong medicine).

Now, since my dear husband has developed Alzheimer’s, I not only have to manage my own medicine, but in addition, all six different medicines he takes each day.  I keep them locked up in a toolbox with my ScripTalk and put them in a day-by-day month container.

So, here is the whole scoop about the fabulous ScripTalk Station. It is a free, on loan, accessible prescription reading device which allows print challenged individuals to manage their own medications without guesswork, or the need of a sighted person. Special labels incorporate radio-frequency identification (RFID) chips, which store prescription data encoded by a participating pharmacy. A rice sized chip is affixed onto the bottom of their normal prescription bottle, then, after ScripTalk Reader scans the label, it announces the medication name, dosage, refill date and other important information.

The pharmacy provides this free service and En-Vision America will loan you their ScripTalk reader, which comes with a Power Adapter, two AA batteries and a practice pill bottle.

Documentation for the ScripTalk Station is available in braille, large print, audio CD and a fully accessible PDF manual which can be downloaded from http://www.envisionamerica.com/files/scriptalk/Station_Users_Guide_1.3.pdf .

To find out if your pharmacy participates in ScripTalk, call En-Vision America at 800-890-1180 or go to, https://www.envisionamerica.com/products/scriptability/participating-pharmacies/

In addition, ScripTalk Mobile app is available on Android and iOS iPhone 7 and higher. For the iOS download visit https://apps.apple.com/us/app/scriptalk-mobile/id1317698388 .

For Android, go to https://play.google.com/store/apps/details?id=com.mistral.scriptalkmobilev2 

So dear friends, my advice to all of you is stay safe, happy, healthy and stay alive with ScripTalk! 😊