It Pays To Have Experience On Your Side.
free consultation917-639-5370

Multiple charges accompanied the arrest of two pharmacists

The arrest of two New York pharmacists following a 2017 federal government sting operation turned a spotlight on people who use their professional capacity to commit fraud against insurers.

The pharmacists’ activities, which continued for nearly three years, reportedly netted them over $3 million in insurance company reimbursements for medications they never dispensed.

Following up

Working on a tip they received from a Medicaid management care group, undercover agents from the Medicaid Fraud Control Unit, which operates out of the New York Attorney General’s Office, conducted undercover investigations at three New York City pharmacies. The agents posed as Medicaid patients, and the supervising pharmacist allegedly paid them cash for HIV prescriptions as well as for referring other patients.

Profits from auto-filling

The pharmacists were engaged in “auto-filling,” whereby they submitted false claims to insurers that included Medicaid for prescription refills they never provided to customers. Their indictment reveals that between January 2014 and August 2017, they billed these insurers over $11 million for the medications they supposedly needed to fill prescriptions, but they only purchased a fraction of the medications required.

Facing stiff penalties

The two pharmacists face a long list of charges that included Grand Larceny in the First Degree, Grand Larceny in the Second Degree, Scheme to Defraud in the First Degree, Offering a False Instrument for Filing in the First Degree and various others. The owner of the pharmacies faces up to 25 years in state prison; the supervising pharmacist faces up to 15 years.

Reaching out

Allegations of Medicare fraud can be made against physicians, medical clinics and even patients themselves. Pharmacists are particularly vulnerable: Federal authorities frequently make unannounced calls at pharmacies to ensure that both owners and staff are complying with regulations, which often change. Those who find that they are under investigation for allegedly fraudulent activities should reach out for legal assistance without delay.

No Comments

Leave a comment
Comment Information

Honors and Memberships

Super lawyer American college trial lawyers The national trail lawyers AV Preeminent
Contact us

contact our law firm

If you are facing a criminal charge or securities dispute, it pays to have experienced lawyer on your side. Contact us today online or by telephone at 917-639-5370 to speak with an experienced New York City defense lawyer.

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close

Privacy Policy

New York
Bachner & Associates, P.C.

New Jersey
Bachner & Associates, P.C.

New York Office
39 Broadway, Suite 1610
New York, NY 10006

Phone: 917-639-5370
Phone: 212-344-7778
Fax: 212-344-7774
New York White Collar Crimes Office

West Caldwell Office
New Jersey Office
175 Fairfield Avenue, Suite 3D
West Caldwell, NJ 07006

Toll Free: 877-388-6461
Phone: 212-344-7778
Fax: 212-344-7774
Map & Directions