The Case Of The Phantom Pharmacies

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phantompharmNow you see them, now you don’t. Apparently, there are a growing number of fraudulent pharmacies that are, essentially, fly-by-night operations and are billing millions of dollars to Medicare and private insurers - and then disappearing, according to a letter released this week from US Senator Chuck Grassley to the US Department of Health and Human Services. He complains HHS isn’t propertly investigating complaints.

A Miami area pharmacy billed an insurer $26,000 for antipsychotics and inhalers during a three-day period, but the owners soon disappeared, their lease is in default and the store is empty. A Los Angeles pharmacy billed $1.3 million under the Part D program over 18 months, more than double the Rite Aid pharmacy blocks away. Another Miami pharmacy billed an insurer $245,000 in false claims in less than three months, and the owner later bought a one-way ticket to Europe, where he is at large.

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  1. crazy what people do

  2. Yes, but $26,000 probably only buys you about a week’s worth of antipsychotics.

  3. This will all be cleaned up as part of health care reform. No need to worry about it anymore.

  4. The fraud will just keep getting worse, especially under the new healthcare reform bill.

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