Private company

Consolidated Mail Outpatient Pharmacy

Initiative of the U.S. Department of Veterans Affairs

The Consolidated Mail Outpatient Pharmacy (CMOP) initiative of the United States Department of Veterans Affairs (VA) uses highly automated facilities to fulfill prescriptions for Veterans.2 Wikipedia text CC BY-SA 4.0

Last updated Oct 21, 2026.

Overview

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The Consolidated Mail Outpatient Pharmacy (CMOP) initiative of the United States Department of Veterans Affairs (VA) uses highly automated facilities to fulfill prescriptions for Veterans.2

The story

During the 1970s and 1980s, the VA began experimenting with the consolidation of mail prescription workloads. By 1994, it was ready for a computerized test project.

Joseph Haymond, a pharmacist, instituted a manual filling system at the Leavenworth VA Hospital in the 1980s and processed all mail requests from Leavenworth VA and Topeka VA. He then transferred to the Nashville VA and, working with engineers from Baxter, developed the first prototype machines that led to the full development of the automation in the CMOPs. Haymond led the development of the Murfreesboro CMOP development project in an old supply warehouse in Murfreesboro, which was the first of the "new" CMOPs. The original Leavenworth CMOP was built in a multistory building that was not as efficient as the CMOP in Murfreesboro. The success of the Murfreesboro project led to the creation of the new type CMOPs listed below.

The CMOP program now fills 80 percent of all the prescriptions in the VA. The remaining 20 percent are filled at the VA hospitals.

The CMOP program is now serving the entire country from seven locations: Chelmsford, Massachusetts; Lancaster, Texas; Hines, Illinois; North Charleston, South Carolina; Leavenworth, Kansas; Murfreesboro, Tennessee; and Tucson, Arizona. The Tucson CMOP was originally located in Los Angeles and the newest CMOP is located in North Charleston, South Carolina. The website for this newest CMOP shows it as being permanently closed.

From Wikipedia’s article on Consolidated Mail Outpatient Pharmacy, shared under CC BY-SA 4.0.3

Products and brands

The CMOP program fills continuation of therapy or refill prescriptions only along with non-medicine items that are on the United States Department of Veterans Affairs formulary master. Initial prescriptions are written for veterans at one of the Veteran Administration's health care facilities. When a refill is needed, the VA Medical Center process the prescriptions. The CMOP then uploads this information from multiple Medical Centers in its region. Every prescription that is fulfilled is checked by a VA pharmacist in the CMOP. The CMOP pharmacists can reject a prescription sent from a VA Medical Center for a number of technical/medical situations.

Once filled, the US Postal Service, United Parcel Service, FedEx, or DHL deliver the prescriptions. Less than one percent of the fulfilled prescriptions do not get to the Veteran due to a variety of address and mailing reasons. The health care facility or clinic is notified of the prescription's completion electronically.

As of 2019, the annual workload of all of the combined CMOPs was approximately 120 million prescriptions, fulfilling 80 percent of the prescriptions needed by VA Medical Center and the Community Based Outpatient Clinics. The maximum turnaround time is 48 hours from the time an order is transmitted from a centralized database in Arizona and a prescription arrives at its final destination on average 2.2 days after it gets into the mail stream.

The North Charleston, Dallas, Hines, and Tucson CMOPs operate on two shifts per day. All remaining CMOPs operate on one shift per day with all locations running single shifts on an as-needed basis on Saturdays.

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Controlled medicine prescriptions are fulfilled by only two (Murfreesboro and North Charleston) of the seven CMOPs.

At each CMOP there is a varied mix of government employees along with contract employees.

The CMOP program has won the J.D Power and Associates National Pharmacy Studies "Among The Best" award every year since 2009.

From Wikipedia’s article on Consolidated Mail Outpatient Pharmacy, shared under CC BY-SA 4.0.3

Sources

The numbers on this page point here. Each one links to the record it came from.

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