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CVS to Pay $17.5M to Settle Medicaid Billing Case
Health Leaders Media

CVS Pharmacy Inc. has agreed to pay the federal government and 10 states $17.5 million to settle False Claims Act claims that it overbilled Medicaid for prescription drugs, the Department of Justice said Friday.

CVS allegedly submitted inflated prescription claims to the federal government by billing Medicaid in Alabama, California, Florida, Indiana, Massachusetts, Michigan, Minnesota, New Hampshire, Nevada and Rhode Island for more than what CVS was owed for prescription drugs for so-called “dual eligible” Medicaid beneficiaries who were also eligible for benefits under a third-party insurance plan.