Florida recovers $8.5 million from pharmceutical company in Medicaid fraud settlement
Attorney General Bill McCollum announced today that
Florida will receive $8.5 million from a settlement with Roxane
Laboratories, Inc., and its corporate affiliates. The settlement, which
partially resolves a Leon County Medicaid fraud lawsuit, was negotiated by
the Attorney General’s Complex Civil Enforcement Bureau. The Leon County
case is ongoing against two other pharmaceutical companies, Dey, Inc. and
Warrick Pharmaceuticals.
Boehringer Ingelheim Roxane, Inc., Boehringer Ingelheim Pharmaceuticals,
Inc., Boehringer Ingelheim Corporation and Ben Venue Laboratories, Inc.
are included in the settlement.
The $8.5 million dollar settlement resolves allegations that Roxane set
and reported false and inflated prices for medications dispensed by
pharmacies and other providers which were then reimbursed by the Florida
Medicaid program. The Medicaid program sets the reimbursement rates it
pays to Medicaid providers based on the prices reported by drug
manufacturers. By reporting inflated prices, the drug manufacturers caused
the Florida Medicaid Program to overpay millions of dollars in pharmacy
reimbursements.
The allegations constituted violations of the Florida False Claims Act and
were originally filed by whistleblower Ven-A-Care of the Florida Keys,
Inc. on behalf of the State of Florida. The Attorney General’s office
investigated the claims and subsequently intervened in the lawsuit. The
Agency for Health Care Administration, which is responsible for
administering the Medicaid Program, will receive over $4.4 million for the
losses sustained by the Medicaid Program. Additionally, more than $1.69
million will be deposited in the State of Florida’s General Revenue Fund,
and over $188,000 will be deposited to the Legal Affairs Revolving Trust
Fund to fund rewards for persons who report and provide information
relating to Medicaid fraud.
The Attorney General’s Complex Civil Enforcement Bureau, part of the
Medicaid Fraud Control Unit, investigates and litigates allegations and
claims of Medicaid civil fraud. It is actively litigating against six
additional drug manufacturers for price reporting fraud.
Source: The office of Attorney General Bill McCollum