What the committee does is decide what the department is going to pay for and the circumstances under which the department is going to pay for it. The prescriptions, of course, come from the physicians, and the department can't tell the physicians what to prescribe or not to prescribe. The physicians have to decide what a particular patient needs in terms of medication.
The formulary review committee in this situation decided that they were going to pay for this particular narcotic only for veterans with cancer or in palliative care. That went through the process of considering under what circumstances the department should be responsible for paying for this type of prescription. They went through that and made their decision, but when we started the audit, which was two years after they had made the decision, they still hadn't implemented the decision, so they were still paying for prescriptions even though the patient wasn't suffering from cancer and was not in palliative care.