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Walgreens' Pill Scam

America’s largest pharmacy and drugstore chain is accused by a former Federal Prosecutor of scamming taxpayers out of millions of dollars by changing types of prescription medications.  


Former prosecutor Michael Behn says a whistleblower pharmacist says Walgreens exploited a Medicaid loophole in pricing pills.  Behn said Medicaid limits how much it pays for popular forms of drugs.  But Medicaid did not set price-ceilings on capsules of the same medication because the capsules were rarely used. 
 

Behn gave this example: Generic Zantac an antacid is a huge seller and it is sold in tablet form, and Medicaid limits payment to 34 cents a piece.  But the same generic drug sold as a capsule has no price-ceiling because it is rarely prescribed.  Medicaid pays $1.25 each.

The whistleblower pharmacist at Walgreens said they would switch the prescription from tablets to capsules, making more than three-times the money per capsule.  That brought in millions of dollars in taxpayer money to Walgreens.  The Walgreens’ pharmacist said the company rigged its computers to automatically switch to the move expensive type of pill.  Behn says this could have only been done by a national Walgreens’ computer change.   In Florida alone it cost taxpayers an extra $1.2 million just in the first year.  Behn said the pill switching went on nationwide for several years.   The pharmacist said the generic Prozac for depression, and the generic Eldepryl for Parkinson’s were switched.
 

Walgreens denied it did anything wrong but declined an interview.  But they have agreed to pay back $35-Million in tax money to the government.   

But they are not the only national pharmacies that were apparently caught,   CVS and Omnicare have agreed to pay back about $86-Million in Medicaid funds.  

How should these major companies be punished for pill switching?  Should they lose their pharmacy license for a year or six months? 

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Filed December 2002.