About McKesson’s Controlled Substance Monitoring ProgramMcKesson report those blocked orders to the DEA. We are proud of our CSMP and are dedicated to ongoing enhancements. Some highlights of our CSMP include:Experienced compliance team: McKesson’s internal compliance team is comprised of more than 40 diversion and subject-matter experts with more than 215 years of cumulative DEA enforcement experience. McKesson has also hired pharmacists, state and local investigators as well as experts with experience in the retail pharmacy industry, pharmaceutical manufacturing and data analytics. Our CSMP team is among the strongest in the industry.Thorough customer due diligence and ongoing oversight: McKesson performs comprehensive analyses on prospective pharmacy customers before agreeing to supply prescription medications. This rigorous process includes the gathering of specific pharmacy information and the validation of both state and federal regulatory licensure. McKesson monitors its customers’ orders of controlled substances for potential diversion throughout the customer relationship.Advanced customer purchasing analysis: Using complex and dynamic algorithms, McKesson has developed a robust system to help identify suspicious orders for controlled substances. This system establishes what is known as the customer’s threshold that limits the quantity of controlled substances a customer may order within a specified period. The system makes ongoing refinements by analyzing various data points including customer-specific information, business trends and other relevant information.Regular ARCOS reporting: McKesson reports controlled substances transactions to the DEA via the DEA's automated ARCOS drug reporting system. This database allows the DEA to monitor the flow of controlled substances from the point of manufacture through commercial distribution channels to the point of sale or pharmaceutical distribution at the dispensing/retail level—hospitals, retail pharmacies, practitioners, mid-level practitioners and teaching institutions.Tightly controlled physical supply chain: Controlled substances are locked, monitored and stored in two DEA-regulated spaces. Schedule 2 substances go in a high-security “vault” and inventory checks of controlled substances are conducted frequently. Formal background checks are given to all employees who handle all controlled substances. Controlled substances are packaged under stringent security procedures and shipped using various security measures.Regular customer education: McKesson has been proactive in educating its customers about the importance of compliance with DEA and state agency regulations. In addition to providing its customers with literature on how to identify the warning signs of prescription opioid abuse and diversion, McKesson conducts informational meetings at medical trade shows and pharmacy association meetings to emphasize the importance of preventing diversion. Similarly, McKesson educates its own employees on the company’s regulatory obligations, including CSMP-specific training sessions at annual sales meetings.Ongoing state and federal collaboration efforts: McKesson is an active participant in state and federal legislative efforts around controlled substances. The company also strongly supports the Center for Disease Control’s clinical guidelines and calls for additional formal medical education on the risks of opioid use as important ways to curb clinically inappropriate prescribing, doctor-shopping and diversion.