{"id":309776,"date":"2025-12-10T23:42:08","date_gmt":"2025-12-10T23:42:08","guid":{"rendered":"https:\/\/www.newsbeep.com\/uk\/309776\/"},"modified":"2025-12-10T23:42:08","modified_gmt":"2025-12-10T23:42:08","slug":"major-pharmacy-chain-to-pay-37-7m-for-over-prescribing-drugs-fraud","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/uk\/309776\/","title":{"rendered":"Major pharmacy chain to pay $37.7M for over prescribing drugs, fraud"},"content":{"rendered":"<p class=\"article__paragraph article__paragraph--left\" id=\"5C6JYBE5KRFOJDVKOJBL4VMOKE\">A federal lawsuit against national chain CVS Pharmacy, Inc. has ended with a $37.76 million settlement after the company admitted it over-dispensed insulin pens and improperly billed government health programs.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"G7DTQA4DLFFYBCH4FI3TUY7LLU\">Between 2010 and 2020, prosecutors said CVS repeatedly filled insulin prescriptions before patients needed them, supplied more pens than prescribed and under-reported how many days the insulin would last \u2014 all to get early reimbursements from programs such as Medicare, Medicaid, TRICARE and the Federal Employees Health Benefits Program.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"PX2KUUAPKRFL3H6EJQCDVOPMEI\">The <a href=\"https:\/\/www.justice.gov\/usao-sdny\/pr\/us-attorney-announces-3776-million-settlement-cvs-over-dispensing-insulin-pens\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.justice.gov\/usao-sdny\/pr\/us-attorney-announces-3776-million-settlement-cvs-over-dispensing-insulin-pens\">U.S. Attorney for the Southern District of New York<\/a> filed suit against CVS charging that this practice violated the False Claim Act.<\/p>\n<p>Read more: <a href=\"https:\/\/www.masslive.com\/news\/2025\/12\/fbi-issues-nationwide-warning-protect-yourself-from-this-growing-scam.html\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.masslive.com\/news\/2025\/12\/fbi-issues-nationwide-warning-protect-yourself-from-this-growing-scam.html\">FBI issues nationwide warning: \u2018Protect yourself\u2019 from this growing scam<\/a><\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"O52WEZLM6FFVDJQNC2T4UGX5SE\">A $37.7 million settlement was reached Dec. 2. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"I6X3WSMJIJHIPA7TJPIILKJXLY\">\u201cThe Government alleges that CVS improperly requested and received GHP reimbursement for premature refills, dispensed more insulin pens than patients needed according to their prescriptions, and falsely under-reported the days-of-supply of insulin that its pharmacies dispensed,\u201d <a href=\"https:\/\/www.justice.gov\/usao-sdny\/pr\/us-attorney-announces-3776-million-settlement-cvs-over-dispensing-insulin-pens\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.justice.gov\/usao-sdny\/pr\/us-attorney-announces-3776-million-settlement-cvs-over-dispensing-insulin-pens\">the settlement states<\/a>. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"ZENQ74IZ6BCBTDF34QN75TYD4Y\">Of the $37.7 million, more than $24 million will be paid to the United States and the remainder will be paid to various states. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"ROUSNEELFZGZROGRCW2P5FTJ74\">\u201cAs part of the settlement, CVS also admitted and accepted responsibility for certain conduct alleged by the Government in its complaint, including that GHPs paid CVS substantial amounts for insulin pen refills that were ineligible for reimbursement and CVS pharmacies dispensed more insulin to GHP beneficiaries than they needed,\u201d the settlement announcement reads. <\/p>\n<p>Read more: <a href=\"https:\/\/www.masslive.com\/news\/2025\/12\/whats-the-average-social-security-payment-in-each-state.html\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.masslive.com\/news\/2025\/12\/whats-the-average-social-security-payment-in-each-state.html\">What\u2019s the average Social Security payment in each state?<\/a><\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"QVMBO3ATKNB35GMHK5WFQVXGGU\">U.S. Attorney Jay Clayton said the company engaged in a decade-long practice of refilling insulin prescriptions too early and improperly billing government healthcare programs for more than patients needed. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"KTYZEDSB5ZDDPPS4ZRYV46VUQM\">He added the settlement underscores the government\u2019s determination to enforce rules that protect taxpayer-funded healthcare.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"VHUNV3GLGNDIRJO4P2A445RCLU\">\u201cThese programs rely on pharmacies to follow appropriate refill schedules and to accurately report the amount of medicine dispensed, which CVS pharmacies frequently failed to do,\u201d he said.<\/p>\n","protected":false},"excerpt":{"rendered":"A federal lawsuit against national chain CVS Pharmacy, Inc. has ended with a $37.76 million settlement after the&hellip;\n","protected":false},"author":2,"featured_media":309777,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[102,6591,56,54,55],"class_list":{"0":"post-309776","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medication","8":"tag-health","9":"tag-medication","10":"tag-uk","11":"tag-united-kingdom","12":"tag-unitedkingdom"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/309776","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=309776"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/309776\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/309777"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=309776"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=309776"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=309776"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}