Pharma Fraud
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August 10, 2018
Trinity Medical Pharmacy, LLP and several members of its leadership have agreed to pay $2,244,270.14 to settle allegations that it violated the False Claims Act by giving illegal kickbacks to patients and providers, billing TRICARE and other government programs for medical reimbursement claims arising from those kickbacks, and failing to disclose information that would have barred it from becoming a provider for Express Scripts, which provides pharmaceutical services for TRICARE. USAO MDFLAstraZeneca Settles Seroquel False Claims Action -- Again
Posted 08/9/18
August 7, 2018
AstraZeneca, the multinational pharmaceutical giant, has agreed to pay Texas $110 million to settle allegations that the company misleadingly marketed two of its drugs, Crestor and Seroquel, in violation of the Texas Medicaid Fraud Prevention Act. The allegations focused on the company’s off-label marketing in 2010, when it was under a corporate integrity agreement. Former employees of AstraZeneca initiated the case under the whistleblower provisions of the Texas Medicaid Fraud Prevention Act. Texas AGJuly 24, 2018
Attorney General Pam Bondi announced the arrest of a doctor, Armando Falcon, and two office managers, Claudia Centeno and Reveka Karagiann, in relation to charges for illegal sale of prescription drugs. Dr. Falcon owned and operated Pain Center of Cutler Bay in South Florida. Dr. Falcon allegedly met with patients for less than two minutes before writing prescriptions for oxycodone. The two office managers allegedly printed prescriptions for large quantities of oxycodone before Dr. Falcon arrived in the office to expedite the process of selling the drugs. FL AGJuly 20, 2018
Attorney General Barbara Underwood announced a six month jail sentence and $1.5 million in restitution payments for Arkady Goldin owner of Value Pharmacy, Inc. for defrauding the New York State Medicaid program. Mr. Goldin had pleaded guilty to second degree health care fraud in June for entering into a kickback arrangement with a former hospital employee to steer prescriptions to Value Pharmacy. Value then submitted false claims to Medicaid for medications it never dispensed to patients. NY AGHow Copayment Waivers can Give Rise to a Whistleblower Claim
Posted 06/8/18
What’s not to like about a doctor waiving a patient’s copayment, or a pharmaceutical company offering a prescription drug assistance program? Turns out there are plenty of reasons to be concerned about such activities. And, as a recently announced $24 million settlement with Pfizer illustrates, unlawful patient cost waivers can result in big liability for defendants.
Patient cost-sharing is a core principle...