Pharmaceutical Employee Admits Health Care Fraud Conspiracy Targeting State Health Benefits Programs
According to documents filed in this case and statements made in court:
From
The conspirators also learned that some
Zappala and conspirators working under him recruited public employees and other individuals covered by the Pharmacy Benefits Administrator to fraudulently obtain compounded medications from the
Once he had recruited an employee covered by the Pharmacy Benefits Administrator, Zappala would obtain the employee's insurance information and fill out a
Zappala would then get the prescriptions signed by doctors who never evaluated whether the patients had a medical necessity for the compounded medication. The prescriptions were then faxed to
Zappala paid money and other benefits to doctors to reward them for signing prescriptions. He also paid recruiters under him and paid individuals with insurance coverage to reward them for agreeing to obtain prescriptions.
According to the information, the Pharmacy Benefits Administrator paid
As part of his plea agreement, Zappala must forfeit
Zappala faces a maximum penalty of 10 years in prison and a
Eight other conspirators --
Acting
Defense counsel:
McCAIN & LEE INTRODUCE LEGISLATION TO PERMANENTLY EXEMPT PUERTO RICO FROM THE JONES ACT
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