Tag: compounding pharmacy

ALEXANDRIA, Va. - TriCare/Express Scripts will no longer seek to recoup prescriptions from compounding pharmacies from 2015 that it says were fraudulent because there was no physician/patient relationship indicated. The amounts to be recouped ranged from less than $100 to more than $200,000. “ESI was basically saying that the only way the pharmacies could exonerate themselves was by producing documentation that the prescribing physician actually had seen the patient,” said Scott Brunner,...

LEXINGTON, Ky. - Cooley Medical Equipment has agreed to pay more than $5.2 million to settle allegations that it violated the False Claims Act by misrepresenting the ingredients it used in certain compounded medical creams. The Prestonburg, Ky.-based provider previously operated a pharmacy that made compounded creams and billed government insurers like Medicare, Kentucky Medicaid, Department of Veterans Affairs and Veterans Health Administration for them. Instead of obtaining the required prior authorizations...