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Report File
Date Issued
Submitting OIG
Office of Personnel Management OIG
Agencies Reviewed/Investigated
Office of Personnel Management
Report Number
2024-SAG-022
Report Type
Audit
Agency Wide
Yes
Number of Recommendations
3
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No

Open Recommendations

This report has 3 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
2 No $1,379,466 $0

We recommend that OPM's Contracting Officer assess $1,217,705 for LII on the questioned costs due to the FEHBP for this finding, calculated through June 30, 2025. The LII should be adjusted to account for the date the questioned costs are returned to the FEHBP.

1 No $6,995,072 $0

We recommend that the PBM return $6,995,072 to the Carrier and the FEHBP for transmission fees that were credited to the PBM via payment offsets to retail pharmacies for the Carrier's prescription drug benefits during the scope of our audit.

3 No $0 $0

We recommend that the Carrier adopt new controls to ensure that the FEHBP receives the full value of all credits under pass-through transparent pricing since the transmission fee credits offset the PBM's payments to retail pharmacies.

Office of Personnel Management OIG

United States