As we continue to discuss the different types of fraud, we will now cover Pharmaceutical fraud. Pharmaceutical fraud now accounts for the largest False Claims Act recoveries by the US government and whistleblowers. With the advent of the Medicare prescription plan, even more federal tax dollars will flow into the pockets of large drug companies illegally and in violation of law. And, the pharmaceutical industry is very powerful and very profitable. There are lots of financial pressures upon these companies and their employees to ignore federal laws designed to prevent fraud and curb costs.
Pharmaceutical Fraud often takes a Variety of Forms
- Charging for drugs not used and returned to pharmacy providers;
- Marketing, promoting, and selling drugs for uses other than those approved by the FDA;
- Marketing drugs to physicians through illegal means, such as providing financial or other benefits, like expense-paid .consulting. trips to doctors and providers who participate in drug marketing promotional meetings; and
- Charging prices to the Government that are higher than is allowable by law.
Unfortunately, anti-fraud education alone has not stopped pharmaceutical fraud. It is estimated that dozens of qui tam cases are currently pending, under seal, involving still more pharmaceutical fraud schemes. Many more such pharmaceutical fraud schemes have yet to be reported to the United States by whistleblower cases still to be filed.
Our firm is only investigating claims in which a business entity, such as a company or medical practice, is submitting false claims to a governmental entity in excess of $500,000. We do not handle cases involving individuals receiving government benefits under false pretenses. (For example, we do not handle claims in which a person falsely claims disability in order to receive government benefits. ) For these claims, you should contact the appropriate governmental agency directly, such as a state medicare-fraud hotline, and report the fraud. Regarding tax fraud, we are only handling cases in which the underpayment of taxes exceeds $2 Million, and the income of the person committing tax fraud exceeds $200,000 per year.