The BIOS firmly stands by the appropriate use of Medicine Exemptions by Orthoptists with annotation of Medicine Exemption. We emphasise the importance of understanding the exemptions outlined in Schedule 17 of the Human Medicines Regulations 2012 and Human Medicines (Amendment) Regulations 2016. The legal framework advocates against the use of PGDs when exemptions exist. Registrants are not required to undertake further training or competencies once annotated with Medicines Exemptions.