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Best-Price Schemes

Many companies settle charges of orchestrating a scheme commonly known as Best Price: in order for a pharmaceutical manufacturer to participate in the Medicaid Prescription Drug Rebate Program, it must agree to charge the program the lowest price at which the manufacturer sells that particular drug to all its other customers. The pricing of this drug is fully controlled by the pharmaceutical industry, meaning the federal government must accept whatever price the drug companies tell them particular prescriptions are worth. However, in order to induce private businesses to purchase and prescribe their drugs, pharmaceutical manufacturers will often offer them the drugs at prices below the Best Price offered to Medicaid. These lower prices are concealed from the Government through collusion, leaving Medicare with significantly higher bills than deserved. Because determining a drug's cost is so complex and the pharmaceutical company has complete control over the process, Best Price is one of the easiest and most common schemes perpetrated.

Recent Posts

Tuesday
Jul202010

Cheating the Government For Business With Walmart

Even our friends from across the ocean know how easy it is to steal from government health care programs! And when it comes to working with Walmart, one of the largest companies in the world that has hundreds of millions of people walking through its stores every year, the competition for contracts can tempt some companies into downright fraudulent dealings. Take Teva Pharmaceuticals, which was recently forced to pay Texas, California, Florida and the U.S. government for a combined $169 million to settle charges that it negotiated deals with Walmart, CVS and Walgreens, among others, to sell them hundreds of Medicaid-sponsored drugs at lower prices than they were charging the government. Because a drug manufacturer can only participate in the Medicaid rebate program if he offers the lowest possible price to patients receiving assistance from the government, Teva was knowingly taking more money from the government than it legally deserved.

Thursday
Apr292010

Schwarz Pharma Ignores FDA Regulations And Sells Unsafe Drugs

Its probably safe to assume that the old adage "If at first you don't succeed, try again" shouldn't apply to a drug that the government decides should no longer be sold to its Medicaid patients. Someone, apparently, never told this to Schwarz Pharma Inc., now a subsidiary of Belgium-based UCB S.A. After the FDA made decisions about the active ingredients in two of its drugs, Deponit and Hyoscyamine Sulfate Extended Release (Hyoscyamine Sulfate ER), in the late '90s that resulted in the drugs' ineligibility for rebates, Schwarz simply ignored the new regulations and continued to sell the drug through the Medicaid program. The pharmaceutical company was charge $22 million by the Justice Department for its commitment of fraud.

Friday
Apr232010

Wisconsin Recovers Millions From Big Pharma Scheme

The state of Wisconsin pocketed a nice check of $7.75 million after discovering, charging and settling with four pharmaceutical companies over allegations that the drug producers were defrauding the state's Medicaid program. Germany-based Boehringer Ingelheim GmbH, as well as affiliates Boehringer Ingelheim Roxane Inc., Ben Venue Laboratories Inc., and Roxane Laboratories Inc., were the four defendants.