Judge hits CVS' Omnicare unit with $948.8M in penalties in fraud case - Fierce Healthcare
A New York judge has ordered CVS Health's Omnicare subsidiary to pay $948.8 million in fees and damages as part of a False Claims Act whistleblower case.
In April, a federal jury determined that Omnicare submitted more than 3.3 million fraudulent claims for prescriptions between 2010 and 2018, which led to $135.6 million in overpayments from the government.
The jury ruled that CVS Health, which acquired Omnicare in 2015, incentivized the unit to submit more than 1 million of those claims after the merger closed. However, the jurors determined that there was no injury to the federal government related to those claims.
Given the volume of claims in the mix, the government requested $542 million in penalties against the company. In addition, Omnicare was hit with $406.8 million in damages, far higher than the $135.6 million set by the jury earlier this year.
The damages were tripled as per requirements under the False Claims Act, according to the order.
"Admittedly, that is a very big number," District Judge Colleen McMahon wrote in the order. "But this is a very big fraud on the government, one that lasted over almost a decade, and one that Omnicare was aware of but avoided taking steps to correct."
The lawsuit was first filed in 2015 by a former Omnicare pharmacist, and the Department of Justice joined the whistleblower case in 2019. Omnicare provides pharmacy services to long-term care facilities.
In a statement to Fierce Healthcare, a spokesperson for CVS said the company...
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