Pharmacy and Prescription Drug Whistleblowers
Pharmacists, pharmacist technicians, other healthcare professionals, and even pharmacy patients may have information that can form the basis of a qui tam pharmacy fraud lawsuit. Many large retail chain pharmacies, such as Walgreens, CVS, and Rite Aid, have settled False Claims Act whistleblower lawsuits. Whistleblowers have successfully brought False Claims Act cases against pharmacies, Pharmacy Benefit Managers (PBMs), and individual pharmacists.
Pharmacy Fraud Whistleblower Litigation
Auto-Refilling Pharmacy Fraud
One pharmacy fraud scheme is to automatically refill prescriptions for patients without the patient ever requesting a refill. The pharmacy will then bill Medicaid, Medicare, Federal Employees Health Benefits Program (FEHBP) and TRICARE for prescriptions that were never picked up by patients.
Pharmacy Kickbacks and Bribes
Pharmacy Benefit Managers (PBMs) Fraud
Drug Switching Fraud
Pharmacies have paid False Claims Act settlements for wrongfully taking money from the government by filling a patient’s prescription with a different form of medication than the patient’s doctor prescribed. It is illegal for a pharmacist or a pharmacy to switch a Medicare, Medicaid, FEHBP, or TRICARE patient’s tablet prescription to a capsule (or vice versa) to make more money from the government.
Questions about Pharmacy and Prescription Drug Fraud?
If you have questions concerning possible pharmacy or prescription drug fraud, please fill out the form to the right or call toll-free (866) 981-4800 to speak with one of our whistleblower attorneys.