Saturday, August 19, 2017

Compounding Drug salesmen plead guilty to fraud, forfeit $385 K - Courier-Post

Drug salesmen plead guilty to fraud, forfeit $385 K - Courier-Post
21 hours ago - Drug salesmen plead guilty to fraud, forfeit $385K ..... Those drugs are typically mixed by a pharmacist "to meet the specific medical needs of an ... They pleaded guilty Friday in federal court in Camden to conspiring to commit healthcare fraud.
Department of Justice
U.S. Attorney’s Office
Middle District of Florida

Friday, August 18, 2017

St. Augustine Pharmacist Pleads Guilty To $2 Million Compound Pharmacy Fraud Scheme

Jacksonville, FL – Acting United States Attorney W. Stephen Muldrow announces that Dino Ajloni (40, St. Augustine) has pleaded guilty to healthcare fraud in connection with his role in a fraudulent compound pharmacy scheme. He faces a maximum penalty of 10 years in federal prison.

According to the plea agreement, Ajloni was the operator of Wellness Pharmacy in St Augustine. He performed various jobs, including marketing prescriptions, recruiting physicians to write and fill prescriptions at Wellness Pharmacy, and other jobs.

Ajloni also relied on marketers to help recruit patients to get prescriptions filled at his pharmacy. One of these marketers brought his family in to become “patients” of Wellness Pharmacy. The pharmacy filled numerous prescriptions for the marketer’s family and received nearly $200,000 in government reimbursement. Ajloni admitted paying the marketer almost $50,000 for the referral of work, in violation of the Anti-Kickback statute.

Ajloni also recruited patients himself. For example, he offered patients access to “anything in the store” if they agreed to receive compound prescription drugs. At other times, he offered gift baskets, with chocolate, deodorant, nuts, and other accessories, to patients that accepted compounded prescriptions.

In 2016, TRICARE developed suspicions regarding the legitimacy of these compound prescriptions. Because the vast majority of Wellness Pharmacy’s claims were purportedly written by a doctor who had never separately billed for these patient visits, TRICARE asked Wellness Pharmacy to complete an audit. During the course of the audit, Ajloni and others made a variety of false and misleading statements. Among other things, Ajloni noted that all patients paid co-pays, no patient was offered anything of value to receive prescriptions, and that Wellness Pharmacy called the doctor prior to dispensing the prescriptions.

Ajloni received $1,916,206.97 in healthcare reimbursement that he was not otherwise entitled to receive.

This case was investigated by the Federal Bureau of Investigation and the Defense Criminal Investigative Service. It is being prosecuted by Assistant United States Attorney Jason Mehta.
Financial Fraud
Healthcare Fraud

Pa. Pharmacy Must Face Horizon's Fraud Suit, Judge Says

Law360 (subscription)-21 hours ago
U.S. District Court Judge Michael A. Shipp denied a motion to dismiss by Focus Express Mail PharmacyInc., which sought to toss the suit for failure to state a ...

St. Augustine man pleads guilty to compound pharmacy scheme; Dino Ajloni faces maximum penalty of 10 years in federal prison

St. Augustine man pleads guilty to compound pharmacy scheme

WJXT Jacksonville-21 hours ago
ST. AUGUSTINE, Fla. - A St. Augustine man has pleaded guilty to healthcare fraud in connection with his role in a fraudulent compound pharmacy scheme, ...

Former Atlantic City firefighter joins guilty pleas in federal health fraud case
Drug compounding is a process where a pharmacist mixes ingredients into a custom drug. While legal, the resulting drugs are expensive, and, ...