A whistleblower is an employee who reports their employer for breaking a law. This information is typically reported to a government agency that is responsible for regulation, such as the FDA or the EPA. Some employees in the pharmacy industry have recently reported their employers for pharmacy fraud.
Criminal fraud occurs when a person intends to deceive another by making false representation of a fact. The fact results in the other person relying upon the information to his legal detriment. Pharmacy fraud occurs when that false representation of a fact is made about a prescription. The other party relies on that false information about the prescription to their legal detriment.
Examples of pharmacy fraud schemes include:
Prescription switching involves substituting a particular drug for a more expensive prescription drug while still charging for the more expensive drug. The drug given may not be the generic form, but it costs less than the drug prescribed.
Yes. Fraud involving Medicaid or Medicare occurs when a company bills the government for health services or prescriptions that never happened. One example is auto-refilling pharmacy fraud. The scheme involves automatically refilling a prescription for a patient without authorization from the patient. The pharmacy will then bill the government for the filled prescription.
Pharmacy fraud is a serious crime. If you are accused of pharmacy fraud, you should contact a criminal lawyer. They can inform you of your rights in the situation and help you defend yourself, and your business, against pharmacy fraud charges.
Last Modified: 08-22-2016 02:18 PM PDTLaw Library Disclaimer
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