There is a pharmacy storage in every penitentiary establishment and a person responsible for that pharmacy storage.161 According to information received from the Medical Department, the tender is held at the beginning of each year, to purchase medicines on the list of basic medicines, and bought medicines are kept by provider. At the end of each month, the person responsible for drugs storage submits the request for medicines the supplies of which are set to be exhausted to Logistics Department, and the required medications are provided within 5 working days to the establishment. If the drugs prescribed by specialist doctors to the patient are not included in the penitentiary healthcare basic medicines list, the chief doctor sends individual request to the medical and logistics departments, based on which, the drug is procured by the simplified purchase, in accordance with Article 101 paragraphs 1 and 3.d of the law of Georgia on State Procurement on the basis of the decree N2547 of the Government of December 30, 2014 on the “Acquisition of the medical care goods via simplified public procurement procedures by Ministry of Corrections. Prescriptions are necessary to take out the drugs from prison pharmacies. The decree N31 of the Minister of Corrections of 22 April 2015 sets basic medicines list in the prison health care system, which defines the list of medicines, which state undertakes to provide to prisoners at its own expense. Cost of medicines and other related medical expenses for the Medical Department in 2015 amounted to 2 375 234 GEL. It should be noted that compared to 2014 medication costs increased by 124 545 GEL. In 2015, the problem of substitution of drugs still remains an issue. During the reporting period, the prison visits revealed that the prisoners are protesting against the substitution of the doctor-prescribed medication by their analogies from the established basic medications list. Prisoners also complain, in general, about the lack of medications. In addition, the accused / convicts noted during the interviews with members of the Special Preventive Group that the families cannot afford anti-cold medicines. It should be noted that during the visit of the Special Preventive Group to the establishment N3, they examined the patients’ medication supplies. The examination showed that some of the medicines prescribed to prisoners were not available at this establishment. In addition, the issue of expired drugs is problematic. For example, at the establishment N15 the group discovered expired medications in the dentist’s office162. In 2014 the Public Defender recommended the Ministry of Corrections to take measures to ensure that prisoners have unimpeded access to basic prescribed medications; ensure that, in issuing prescriptions, doctors are not limited to issuing only those medications that are available at the penitentiary establishment. The response of the Ministry 161 Pharmacist / Provisory / a person with high medical education. 162 DEXDUN (Dexamethasone sodium phosphate injection USP) 1ml 10 ampoule - 07/2015; Suprastin20 mg/ml 3 ampoule – 05/2013; Dexamethasone Darnitsa 1ml 3 ampoule – 10/2014. NATIONAL PREVENTIVE MECHANISM (NPM), 2015 95

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