October 12, 2022
Four pharmacies have agreed to pay over
$6.8 million to settle a
qui tam suit that alleged they defrauded TRICARE and the Federal Employees Health Benefits Program, in violation of the False Claims Act. According to a former accountant for one of the pharmacies,
DermaTran Health Solutions, LLC;
Pharmacy Insurance Administrators, LLC;
Legends Pharmacy;
TriadRx; and
Lake Side Pharmacy created a program to waive mandatory copays for beneficiaries of federal health insurers, overcharged the government for compounded pain creams, and traded out-of-network prescriptions with other pharmacies, which constituted a kickback.
USAO NDGA