Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
With all annotations set to false, the description carries the full behavioral burden and delivers: unlisted medicines are unsupported, do not drop or substitute, ambiguous matches return clarification guidance, reference-only products are separately marked with sources, and arguments/results are excluded from telemetry. This goes well beyond the structured metadata.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.