Walgreens to pay $106M to settle claims of double-billing Medicare, Medicaid

WALGREENS HAS AGREED TO PAY 106 MILLION DOLLARS TO SETTLE LAWSUITS ACCUSING THE PHARMACY CHAIN OF FRAUDULENTLY BILLING GOVERNMENT HEALTH PROGRAMS FOR PRESCRIPTIONS THAT WERE NEVER DISPENSED.

THE LAWSUITS WERE FILED IN NEW MEXICO, TEXAS, AND FLORIDA –

ON BEHALF OF THREE **FORMER WALGREENS EMPLOYEES UNDER WHAT’S CALLED “THE FALSE CLAIMS ACT” –

WHICH ALLOWS INDIVIDUALS TO SUE ON BEHALF OF THE U.S. GOVERNMENT AND SHARE IN THE RECOVERY OF MONEY.

THE WHISTLEBLOWERS CLAIM WALGREENS BILLED MEDICARE, MEDICAID, AND OTHER FEDERAL HEALTH PROGRAMS FROM 2009 TO 2020 FOR PRESCRIPTIONS THAT WERE PROCESSED BUT NEVER PICKED UP BY PATIENTS. 

INSTEAD OF CANCELING THESE CLAIMS FOR UNCOLLECTED MEDICATIONS, WALGREENS ALLEGEDLY RESTOCKED AND RESOLD THE DRUGS, EFFECTIVELY RECEIVING PAYMENT TWICE.

IN A STATEMENT TO FOX BUSINESS, A WALGREENS SPOKESPERSON SAYS, “DUE TO A SOFTWARE ERROR, WE INADVERTENTLY BILLED SOME GOVERNMENT HEALTH CARE PROGRAMS FOR A RELATIVELY SMALL NUMBER OF PRESCRIPTIONS OUR PATIENTS SUBMITTED BUT NEVER PICKED UP.

“WE CORRECTED THE ERROR, REPORTED THE ISSUE TO THE GOVERNMENT, AND VOLUNTARILY REFUNDED ALL OVERPAYMENTS. WE APPRECIATE THE GOVERNMENT ACKNOWLEDGED OUR COMPLIANCE EFFORTS AS PART OF RESOLVING THIS MATTER.”

THE SETTLEMENT DOCUMENTS SHOW THAT WALGREENS DID COOPERATE WITH THE INVESTIGATION AND HAS SINCE IMPROVED ITS ELECTRONIC MANAGEMENT SYSTEM TO PREVENT SUCH ISSUES IN THE FUTURE.

U.S. ATTORNEY ROGER HANDBERG TOLD FOX BUSINESS –

“THIS SETTLEMENT MARKS ANOTHER MAJOR ACHIEVEMENT IN OUR ONGOING COMMITMENT TO COMBAT HEALTH CARE FRAUD. 

IT IS ESSENTIAL TO HOLD PHARMACIES ACCOUNTABLE WHEN THEY KNOWINGLY FAIL TO ABIDE BY THE RULES AND REQUIREMENTS OF OUR NATIONAL HEALTH CARE PROGRAMS.”

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