Relevant to: MAOs, PDPs
The Investigations Medicare Drug Integrity Contractor (I-MEDIC), in collaboration with the Centers for Medicare & Medicaid Services (CMS), has identified a North Carolina pharmacy that agreed to pay $213,677 to resolve allegations that it violated the False Claims Act by knowingly billing federal health care programs for medications that were never dispensed. This alert serves as notification to all plan sponsors of potentially inappropriate billing by this provider.