Medicare Fraud Case Takes Aim at Unnecessary Prescriptions of Dangerous Drug Clozapine

In a case involving Teva Pharmaceuticals USA, LLC, the Department of Justice recently settled hundreds of allegations of Medicare and Medicaid fraud relating to the improper recommendation of the generic drug clozapine – considered a drug of last resort for the treatment of schizophrenia. According to allegations, Teva, through its […]

Texas-Based Grocery Store H-E-B Settles Medicaid Fraud Case for $12 Million

The San Antonio-based grocery store H-E-B was recently involved in an extensive Medicaid fraud case involving several in-store pharmacies across the Texas area. The case was filed in 2011 by three pharmacists who, while not employees of H-E-B, worked in other states filling prescription orders for the company. The contents […]

Off-Label Marketing and the First Amendment: Are Pharmaceutical Companies Protected?

The issue of off-label marketing raises a compelling question as to the relationship between the First Amendment’s protection of free speech and the various federal regulations prohibiting the practice of unlawful marketing of prescription drugs. As a review, off-label marketing occurs when a pharmaceutical company markets its product for use […]

Florida Pain Clinic to Pay $750,000 Amid Allegations of Phony Medicare Invoices

In a tale as old as time, another physician’s office has opted to settle with the federal government after facing allegations of fraudulent Medicare billing. Under the False Claims Act, it is considered unlawful for a doctor to submit invoices for repayment to healthcare agencies like Medicare or Medicaid for […]

Long Island Radiologist to Pay Over $15 Million to Settle False Claims Act Allegations

Fraud in the healthcare industry is reaching alarming levels. Each year, the Department of Justice works in concert with several other federal agencies and state-level counterparts to combat this growing trend. The False Claims Act is extremely pivotal in bringing healthcare fraud to light. Given the widespread problem of fraud […]