I work in a LTC, mail order pharmacy which handles many backup requests for our consumers. The vast majority of these requests are for antibiotics and other emergency meds which patients need quickly.  We have been handling these requests as transfers per the Board requirement, which means we have to transfer the medication to another (local to the patient) pharmacy and then transfer it back to us if it is not a one time order or a control. This process is very time consuming and frequently results in more of a delay for start of treatment. Additionally, some of the pharmacies our patients' caregivers would like to utilize as backup pharmacies consider the extra work to be too prohibitive and refuse to accept our transfers, which causes even more of a delay in start of treatment.