Two Men Plead Guilty in $25 Million Healthcare Fraud Conspiracy Targeting New Jersey Health Benefits Programs
Two men today admitted defrauding
"Using a network of recruiters, doctors, and state and local government employees, the defendants defrauded the state of
"While many
"These types of schemes and kickback arrangements cripple the healthcare industry and steal money from hardworking taxpayers by driving up the price of insurance," Special Agent in Charge
According to documents filed in this case and statements made in court:
Compounded medications are supposed to be specialty medications mixed by a pharmacist to meet the specific medical needs of an individual patient. Although compounded drugs are not approved by the
From
The conspirators also learned that the Pharmacy Benefits Administrator managed the prescription drug benefit for some
The conspirators recruited public employees and other individuals covered by the Pharmacy Benefits Administrator to fraudulently obtain compounded medications from the
Once they had recruited an employee covered by the Pharmacy Benefits Administrator, Tedesco, Bessey, and others would obtain the employee's insurance information and fill out a
Tedesco and others had prescriptions signed by doctors who never saw the patients and never evaluated whether the patients had a medical necessity for the compounded medication. The prescriptions were then faxed to
According to the informations, the Pharmacy Benefits Administrator paid
"
"Healthcare programs are in place to provide the American taxpayer with valuable benefits, not for individuals like
As part of his plea agreement, Tedesco must forfeit
Each defendant faces a maximum potential penalty of 10 years in prison and a
Acting
The government is represented by Assistant
Defense counsel:
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