The US Department of Labor has finalized new transparency requirements for pharmacy benefit managers, mandating expanded compensation disclosures and audit provisions to strengthen employer health plan oversight and accountability under the...
The US Department of Labor has finalized new transparency requirements for pharmacy benefit managers, mandating expanded compensation disclosures and audit provisions to strengthen employer health plan oversight and accountability under the...
A Florida durable medical equipment company owner was convicted for her role in an $8.6 million Medicare fraud scheme involving falsified prescriptions, illegal kickbacks, and claims for medically unnecessary orthotic braces.
A Florida durable medical equipment company owner was convicted for her role in an $8.6 million Medicare fraud scheme involving falsified prescriptions, illegal kickbacks, and claims for medically unnecessary orthotic braces.
CVS has agreed to pay $315 million to resolve federal allegations of unlawful controlled substance dispensing and improper Medicare billing, underscoring ongoing enforcement of pharmacy compliance requirements under the Controlled Substances...
CVS has agreed to pay $315 million to resolve federal allegations of unlawful controlled substance dispensing and improper Medicare billing, underscoring ongoing enforcement of pharmacy compliance requirements under the Controlled Substances...
The AIDS Healthcare Foundation has agreed to pay $1.44 million to resolve federal allegations involving unsupported diagnosis codes and Medicare Advantage payments.
The AIDS Healthcare Foundation has agreed to pay $1.44 million to resolve federal allegations involving unsupported diagnosis codes and Medicare Advantage payments.
Florida is challenging insulin manufacturer and pharmacy benefit manager (PBM) rebate and formulary arrangements that the state alleges contributed to higher insulin costs and restricted competition.
Florida is challenging insulin manufacturer and pharmacy benefit manager (PBM) rebate and formulary arrangements that the state alleges contributed to higher insulin costs and restricted competition.
Dompé U.S. has agreed to pay $32 million to resolve allegations involving Medicare copay assistance for Oxervate, highlighting Anti-Kickback Statute compliance risks associated with manufacturer-funded patient assistance programs and the...
Dompé U.S. has agreed to pay $32 million to resolve allegations involving Medicare copay assistance for Oxervate, highlighting Anti-Kickback Statute compliance risks associated with manufacturer-funded patient assistance programs and the...
Florida has sued Express Scripts and Prime Therapeutics over allegations that the pharmacy benefit managers (PBMs) unlawfully coordinated pharmacy reimbursement rates, raising new antitrust and compliance questions surrounding PBM contracting...
Florida has sued Express Scripts and Prime Therapeutics over allegations that the pharmacy benefit managers (PBMs) unlawfully coordinated pharmacy reimbursement rates, raising new antitrust and compliance questions surrounding PBM contracting...
Walmart has agreed to pay $50 million to resolve federal allegations that its pharmacies unlawfully filled thousands of opioid and other controlled substance prescriptions.
Walmart has agreed to pay $50 million to resolve federal allegations that its pharmacies unlawfully filled thousands of opioid and other controlled substance prescriptions.
Monogram Health has agreed to pay $2.4 million to settle federal allegations that unsupported diagnosis codes led to increased Medicare Advantage payments.
Monogram Health has agreed to pay $2.4 million to settle federal allegations that unsupported diagnosis codes led to increased Medicare Advantage payments.
