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HRD-79-29 1 (1978-12-21)

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                  UNITED STATES GENERAL ACCOUNTING OFFICE
      .1cc f' RELEASED WASHINGTON, D.C. 20548
          /
              RESTR!CTED - rit ti be ,,--d outs~de the General
HUMAN RSOURCES Acco-: g C e    71 :  , . s of specific approval
   DIVISION
              by the Cfice of Ccngrr. .....  rziltions.


B-133044


December 21, 1978


The Honorable Jesse Helms
United States Senate


  Dear Senator Helms:

       You requested by l.t.eer dated April 3, 19    that we
  evaluate th yVetera-Administration's (VA's outpatient
  pharmacy program..- Specifically, you were interested in
-,7whether (1) addictive and habit-forming drugs are properly
  controlled, (2) maintenance drugs are received by patients
  in a timely manner and in adequate quantity, and (3) the


Ce


authenticity of physicians' prescriptions is ascertained.

     As agreed with your office, we visited VA medical ce's
in Asheville, Durham, and Fayetteville, North Carolina. The
enclosure to this letter describes the results of our review
in detail. On September 13, 1978, we briefed a member of
your office on the general contents of this report.

     VA established extensive controls over drugs and other
medications dispensed by its pharmacies. However, because
of the discrepancies we found at the medical centers visited,
which may also exist at other VA medical centers, additional
controls are needed and improvements can be made in existing
procedures. We are making several recommendations to the
Administrator of Veterans Affairs to improve the outpatient
pharmacy program.

     At your request, we did not obtain written comments from
VA on this report. We did, however, discuss a draft of the
report with program officials in VA's Department of Medicine
and Surgery, who expressed general agreement with it.


HRD-79-29
(40171)


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