of Corrections dated 30 May 2011 now regulates an exceptional situation when a prisoner may, at the expense of the Ministry, be provided with a medication that is not on the list of basic medications. According to the mentioned ministerial order, where there is a medical necessity, based on a written recommendation of a penitentiary institution’s chief doctor to be accompanied with the patient’s Form no. IV-100/a and a prescription issued by an attending medical doctor, upon permission of the Chief of the Ministry’s Medical Department, a prisoner may be provided with medications, which are not on the list of basic medications approved by the Ministry for the use in the penitentiary healthcare system but which are envisaged in the National Clinical Practice Recommendations (the Guidelines) and State Standard on Clinical Situation Management (the Protocol) approved or recognized by the Ministry of Labor, Health and Social Protection. Medications thus prescribed will be provided to the relevant penitentiary institution by the Ministry of Corrections.142 Funds spent on medications for penitentiary institutions are shown in the below table: Institution # Expenses 2 214,552.074 3 47,124 5 84,475.86 6 112,333.09 7 19,184.24 8 267,371.29 9 17,184.21 11 7,505.244 12 50,662.53 14 473,277,2 15 265,582.59 17 307,660.81 18 182,628.86 19 201,146.81 Total 2,250,688.808 According to our monitoring findings, the healthcare personnel of penitentiary institutions are normally prescribing only generic medications available at the relevant penitentiary institutions at the expense of the State for which reason prisoners are precluded from buying branded medications on their own money. It is important for 142 Article 28(8) of the statute of pre-trial detention facilities, Article 29(8) of the statute of places of deprivation of liberty NATIONAL PREVENTIVE MECHANISM OF GEORGIA 89

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