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Rite Aid and OptumRx Settlements Highlight Enforcement Focus on Pharmacy Corresponding Responsibility for Dispensing Controlled Substances

By Theresa Androff, Brian Irving & Lisa Rivera on July 12, 2024
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On July 10, the Department of Justice (DOJ) announced a nearly $410 million settlement with Rite Aid Corporation to resolve allegations that Rite Aid and its affiliates ignored red flags and knowingly dispensed unlawful controlled substances in violation of the False Claims Act (FCA) and Controlled Substances Act (CSA).

Under the agreement, the government will receive $7.5 million and have a $401.8 million claim in Rite Aid’s pending bankruptcy. At the end of last month, DOJ also announced a $20 million settlement to resolve allegations that a mail-order pharmacy run by OptumRx improperly filled “trinity” prescriptions (a combination of an opioid, a benzodiazepine, and a muscle relaxant) in violation of the CSA.

These settlements are the latest in an increasing trend of government enforcement actions resulting in significant liability based on allegations that pharmacies failed to exercise their corresponding responsibility when dispensing controlled substances.

Continue reading on bassberry.com

Photo of Theresa Androff Theresa Androff

Drawing on her experience at the Florida Office of the Attorney General, Theresa Androff represents clients facing government and internal investigations, with a particular focus on fraud and abuse matters in the healthcare industry including drug diversions and related compliance under the Controlled…

Drawing on her experience at the Florida Office of the Attorney General, Theresa Androff represents clients facing government and internal investigations, with a particular focus on fraud and abuse matters in the healthcare industry including drug diversions and related compliance under the Controlled Substances Act and the Food, Drug and Cosmetics Act. She works closely with companies on compliance and investigations alleging violations of federal and state Stark Laws, the Anti-Kickback Statute, and the False Claims Act.

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Photo of Brian Irving Brian Irving

Brian Irving represents businesses and individuals in complex litigation and government investigations, focusing on healthcare fraud, securities fraud, and business disputes. Brian’s clients span a variety of industries, including healthcare, pharmaceuticals, government contracting, and financial services. Brian has successfully represented clients in federal…

Brian Irving represents businesses and individuals in complex litigation and government investigations, focusing on healthcare fraud, securities fraud, and business disputes. Brian’s clients span a variety of industries, including healthcare, pharmaceuticals, government contracting, and financial services. Brian has successfully represented clients in federal and state courts at both the trial and appellate levels, and in arbitrations and other forms of alternative dispute resolution.

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Photo of Lisa Rivera Lisa Rivera

A former federal prosecutor and current co-chair of the firm’s Compliance & Government Investigations Practice Group, Lisa Rivera’s practice focuses on advising healthcare providers, pharmaceutical manufacturers, medical device companies and other clients on matters related to civil and criminal healthcare fraud and abuse…

A former federal prosecutor and current co-chair of the firm’s Compliance & Government Investigations Practice Group, Lisa Rivera’s practice focuses on advising healthcare providers, pharmaceutical manufacturers, medical device companies and other clients on matters related to civil and criminal healthcare fraud and abuse, as well as government investigations and enforcement.

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  • Posted in:
    Health Care
  • Blog:
    Inside the False Claims Act
  • Organization:
    Bass, Berry & Sims PLC
  • Article: View Original Source

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