Pleasantville, New Jersey, Teacher And Sewell, New Jersey, Salesman Admit Health Care Fraud Conspiracy
District of
FOR IMMEDIATE RELEASE
According to documents filed in this case and statements made in court:
From
The conspirators also learned that these medications would be covered by an entity referred to in the informations as the "Pharmacy Benefits Administrator." The Pharmacy Benefits Administrator provided benefit management services for the State Health Benefits Program, which covers qualified state and local government employees, retirees, and eligible dependents, and the School Employees' Health Benefits Program, which covers qualified local education employees, retirees, and eligible dependents. The amounts paid for the prescription drug claims were billed to the
Hunter, McAllister, and others recruited individuals covered by the Pharmacy Benefits Administrator, including public employees, to fraudulently obtain unnecessary compounded medications from the
The pharmacy then paid one of their conspirators a percentage of each prescription filled and paid by the Pharmacy Benefits Administrator, which was then distributed to Hunter, McAllister, and other members of the conspiracy. Hunter and McAllister paid individuals with insurance coverage to reward them for obtaining prescriptions. McAllister himself received compounded medications based on a prescription signed by a doctor he did not see.
According to the informations, the Pharmacy Benefits Administrator paid the
Both defendants face a maximum potential penalty of 10 years in prison and a
Sixteen other conspirators -
The government is represented by Assistant
Defense counsel:
Hunter:
McAllister:
Press Release Number:
18-114
Updated
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