Audit: N.C. prisons' pharmacy failed to track non-prescription drugs

In her report, State Auditor Beth Wood says the prison pharmacy "does not maintain adequate control" over the $25.1 million in drug and pharmaceutical supply purchases.

"Nor does it maintain adequate records to ensure that recorded inventory balances are accurate," according to the report.

Auditors said they observed pharmacists removing drugs from the stockroom without requesting the items from the stockroom staff. Also, those with access to the drugs also had the ability to adjust inventory records, the report found.

"Furthermore, the Central Pharmacy does not require special authorization or explanations for inventory adjustments made by Central Pharmacy staff," according to the report.

In June 2008, pharmacy staff performed an annual inventory count and found that 93 out of the 100 most expensive drugs counted did not agree with the inventory records.

In November 2008, the auditors performed an inventory count of 93 randomly selected items. Seventy-two out of 93 items did not agree with the recorded balance, the report states.

In their response to the audit, Department of Correction and prison leaders said they would need to hire more staff and have more time to put all the safety checks in place that auditors recommended.

Auditors responded and said prison officials did not thoroughly study the recommendations.

"Central Pharmacy’s response conflicts with known business practices," auditors said. "Consequently, the readers should not conclude that Central Pharmacy thoroughly studied our recommendations and determined that the costs would exceed the benefits."