Showing posts with label health care fraud. Show all posts
Showing posts with label health care fraud. Show all posts

Sunday, April 29, 2007

Drug Company Sidelined for Kickbacks

"Pharmacia excluded permanently from participation in all federal health care programs." Yahoo News

Pharmacia and Upjohn Company Inc., a unit of Pfizer Inc. was sentenced to pay a criminal fine of $19.68 million related to its guilty plea of offering a kickback to a pharmacy benefit manager. Read a report here and here. Pharmacy benefit managers can properly and often do recommend drugs [a list of recommended drugs called a "formulary"] to health plans. The problem with Pharmacia, according to Prosecutors, is that it offered the pharmacy benefit manager of a Federal health plan inflated payments in the amount of $12.3 million.

This is not an isolated case. Last year Schering-Plough, the maker of Claritin was subject to federal criminal anti-kickback charges, but was merely placed under a strict scrutiny for 5 years. These cases are clear evidence that Americans are being bilked for over-priced prescription drugs, that pharmaceutical companies are exploiting the system for maximum profit and that the practice is widespread. Enforcement under the Federal Anti-Kickback Statute reaches drug companies' financial relationships with foreign physicians and hospitals as well and so will likely be stepped-up to combat these illegal practices.