Two Pharmaceutical Employees Admit Health Care Fraud Conspiracy Targeting State Health Benefits Programs
District of
FOR IMMEDIATE RELEASE
Two Pharmaceutical Employees Admit Health Care Fraud Conspiracy Targeting State Health Benefits Programs
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 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, Holt and Gavras would obtain the employee's insurance information and fill out a
Holt and Gavras would then get the prescriptions signed by doctors and other qualified health professionals who never saw the patients or 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
As part of the plea agreements, Holt must forfeit
Each defendant faces a maximum penalty of 10 years in prison and a
Six other conspirators -
Acting
The government is represented by Assistant
Defense counsel:
Holt:
Gavras:
Attachment(s):
Topic(s):
Healthcare Fraud
Component(s):
DOJ - USAO
Press Release Number:
17-356
Updated
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