Audit of the Federal Bureau of Prisons Pharmacy Services

Audit Report 06-03
November 2005
Office of the Inspector General


Appendix V

Analysis and Summary of Actions
Necessary to Close the Report


  1. Unresolved. This recommendation can be resolved when the BOP conducts an additional and more accurate cost benefit analysis of the Central Fill proposal before deciding whether to proceed with implementation. The BOP response states that it agrees with the recommendation; however, it has decided to proceed with the implementation of the Central Fill proposal without conducting a new cost-benefit analysis that addresses the concerns identified in the report.

  2. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has pursued efforts to request Congress amend Pub. L. No. 102-585 (1993).

  3. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has revised the Health Services Program Review Guidelines to incorporate a review step to assess if pharmacists are in compliance with the new requirements placed in the 2005 BOP National Formulary.

  4. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has implemented a policy that would ensure that prescription medications are transferred with the inmates.

  5. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has implemented a policy that would require prescription medication confiscated from inmates to be returned to the pharmacy for reissuance to the same inmate or for proper disposal.

  6. Closed.

  7. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has implemented a policy to ensure all controlled substance documentation is accurate and complete.

  8. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has implemented a policy that requires all controlled substances to be included in the quarterly inventories.

  9. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has implemented policies and procedures requiring Health Services Administrators or their authorized designees to approve prescription medication purchase orders and verify the items received to vendor invoices.

  10. Unresolved. This recommendation can be resolved when the BOP provides a plan that addresses the recommendation to develop and implement policies and procedures requiring adequate segregation of duties for ordering and receiving prescription medication. The BOP response disagrees with this recommendation because it asserts it can be addressed by developing new procedures in response to recommendation 9. While the OIG agrees that the BOP can incorporate adequate segregation of duties in its procedures developed in response to recommendation 9, the OIG disagree with the BOP conclusion that the recommendation is not necessary.

  11. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has implemented a policy requiring pharmacist reviews for contraindications to be documented in the inmates' file.

  12. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has updated the Health Services Program Review Guidelines to ensure that written prescriptions include all required information.

  13. Resolved. This recommendation can be closed when we receive documentation supporting that the BOP has implemented a policy to ensure that non-formulary waivers are obtained and required to be renewed annually.



Previous Page Back to Table of Contents Next Page