PBM & Pharmacy Fraud
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Pharmacy and Pharmacy Benefit Managers (PBM) Fraud is a deceptive practice of promoting or suppressing the sale of competitive drugs. In an enormous industry of pharmaceuticals and the providers of theses drugs, fraud and waste has become very pervasive. This fraud is not only taking away resources and money for those patients in need but is affecting each of us who pay into government healthcare programs. Many of these schemes can be difficult for the government to detect, which is why whistleblowers are in the unique position to help combat DME fraud.
Pharmacy and PBM Fraud Examples
- Switching patients to a more expensive drug for profit
- Billing for medication that was not ordered
- Soliciting or taking kickbacks from pharmaceutical manufacturers
- Increasing the cost of generic medication
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