BOP Program Statement 6541.03 § 2

All Bureau institutions will stock at least 25 OTC medications as referenced in Program

Statement Trust Fund/Deposit Fund Manual. The Administration Division, Trust Fund Branch

and the Health Services Division’s Medical Director will determine which OTC medications and

other medically related items (e.g., dietary/herbal/natural products) will be approved or not

approved for sale in the commissary.

The commissary will provide a current list of all OTC medication stocked in the commissary to

the Health Services Administrator (HSA). The HSA will ensure the list of OTC medications is

distributed to all health care providers.

The HSA and Institution Chief Pharmacist will meet at least once a year to ensure the local

commissary medical items follow the restrictions of the Program Statement Trust Fund/Deposit

Fund Manual and medical-related commissary items are appropriate for the medical conditions

of the inmates housed at that institution.

During institution triage/sick call, medical staff will refer inmates to the commissary in response

to complaints related to cosmetic and general hygiene issues or symptoms of minor medical

ailments.

Examples of these complaints include but are not limited to:

 gastrointestinal complaints (e.g., constipation, occasional diarrhea, uncomplicated

heartburn/stomach upset, etc.)

 seasonal allergies

 dandruff, seborrheic dermatitis

 fungal infections (e.g., uncomplicated athlete’s foot)

 acne

6541.03 3/19/2026 Federal Regulations from 28 CFR: this type. Implementing instructions: this type. 2

 vitiligo

 chapped lips

 dry skin

 musculoskeletal aches and pains

 dry eyes