Rec. 1.a: The DoD OIG recommended that the Director of the Defense Health Agency review the nine at-risk beneficiaries to determine whether providers followed or met Federal and DoD opioid safety recommendations and requirements and justified a medical need to provide the high level of opioid dosages. In instances where providers cannot justify a medical need to not follow or meet recommendations and requirements, hold the providers accountable for non‑compliance with requirements and review instances where they did not follow recommendations, while also reviewing a broader sample of those providers' beneficiaries to identify additional instances where they did not follow recommendations or meet requirements.