Rec. 3.a: The DoD OIG recommended that the Director of the Defense Health Agency review the 10 beneficiaries with insufficient medical documentation 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 and determine whether the beneficiaries need additional medical assistance. 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 non-compliance.