Friday, December 21, 2018

REMINDER: New Fingerprints Required for ALL Pharmacy Technicians Registered Before June 2015

Beginning in January 2019, pharmacy technicians who registered with the Texas State Board of Pharmacy (TSBP) before June 1, 2015 will need to complete a new fingerprinting session before completing their next renewal.

To check your initial registration date, please click hereYou can search by registration number or by name if you do not know your registration number.

Visit the fingerprint session information page here. It outlines the new fingerprinting session requirements and how to complete them early if you would like.

Visit the FAQs for Fingerprinting page here. The FAQ goes into more detail regarding the fingerprinting requirements and offers several resources for you to get started.

TSBP's General Counsel on the Front Lines of the Opioid Crisis


Hundreds of lawyers are involved in the opioid crisis. Each represents various corporate interests or injured plaintiffs seeking to sue, and all of them expect to be paid big money.

Then there is Kerstin Arnold, who may be the single most important Texas lawyer involved in the opioid epidemic.

As general counsel of the Texas State Board of Pharmacy, Arnold is arguably the most influential and knowledgeable attorney on issues of public health and the pharmaceutical industry in Texas.

Read the full article from the Houston Chronicle here.

UPDATE: New Official Schedule II Prescription Forms


Effective June 1, 2019, all versions of the Official Schedule II Prescription Form issued prior to September 1, 2018, will no longer be valid.

Previously, the date by which only the new forms would be valid was January 1, 2019, but it has been extended to June 1, 2019 to ensure all prescribers are able to receive the new Official Schedule II Prescription Forms.

PLEASE NOTE: The processing time to receive prescription forms may exceed 45 days.

 
Click here to visit the Texas PMP website for additional information.

Thursday, December 20, 2018


Pharmacy industry 'middlemen' settle Montana case

The Bozeman Daily Chronicle-14 hours ago
Benefit managers influence what drugs arrive in pharmacies and how much they cost. The companies act as middlemen that negotiate for health insurers, drug

Pharmacist files suit; alleges age, sex discrimination

Brattleboro Reformer-14 hours ago
Pharmacist files suit; alleges age, sex discrimination ... BRATTLEBORO — A pharmacist is suing a local pharmacy, alleging she was discriminated against due .

Pharmacy owner gets prison time for role in $8.4M billing fraud scheme

Becker's Hospital Review-16 hours ago
The owner of a Miami pharmacy was sentenced Dec. 18 to more than seven years in prison for his role in a six-year Medicare fraud scheme, according to the 

Log Cabin Democrat

Woman pleads guilty to military insurance kickback scheme

Plainview Daily Herald-16 hours ago
Authorities say a Little Rock man who marketed drugs for a Mississippi compounding pharmacy paid recruiters like Sorenson to find beneficiaries of Tricare, the ...

Texas woman guilty in scheme
Log Cabin Democrat-12 hours ago
Cigna-Express Scripts merger slated to close Thursday
Health insurer Cigna and pharmacy benefit manager Express Scripts cleared federal and state regulatory hurdles less than a year after they first announced their plan to merge in March.  READ MORE

Wednesday, December 19, 2018

DOJ Press Release: Indictment Unsealed--According to the indictment, from May 2014 to September 2016, Hall, Schuster, Rall, Paret, Le and their co-conspirators allegedly engaged in a scheme to pay kickbacks and bribes for the referral of TRICARE and DOL beneficiaries to obtain expensive compound drugs. Hall, Shuster and Rall were co-owners of Rxpress Pharmacy and Xpress Compounding, compound pharmacies located at 1000 W. Weatherford St. in Fort Worth...Specifically, Hall, Schuster, Rall, Paret and Le allegedly devised a scheme to make kickback payments to marketers through Xpress Compounding for the referral of federal prescriptions. These marketers were allegedly set up as sham “W-2” employees to appear as though they were bona fide employees of Xpress Compounding. At the same time, these marketers were paid as 1099 contractors by Rxpress Pharmacy, the indictment alleges.

Department of Justice
U.S. Attorney’s Office
Northern District of Texas

FOR IMMEDIATE RELEASE
Wednesday, December 19, 2018

Eight Dallas-Area Pharmacy Owners and Marketers Charged in $9 Million Kickback Scheme

Eight Dallas-area pharmacy owners and marketers were charged in an indictment unsealed today for their roles in a scheme involving approximately $92 million in compound drug claims to TRICARE and the U.S. Department of Labor (DOL), which were allegedly the product of over $9.1 million in illegal kickbacks.
Assistant Attorney General Brian A. Benczkowski of the Justice Department’s Criminal Division, Special Agent in Charge Michael Mentavlos of the Defense Criminal Investigative Service (DCIS) Southwest Field Office, Special Agent in Charge Steven Grell of the U.S. Department of Labor - Office of Inspector General’s (DOL-OIG) Dallas Region and Special Agent in Charge CJ Porter of the Office of Inspector General for the U.S. Department of Health and Services (HHS-OIG) made the announcement.
Richard Hall, 48; Scott Schuster, 47; Dustin Rall, 43; George Lock Paret, 34; and Michael Ranelle, 49, all of Fort Worth, Texas; John Le, 43, of Dallas; Quintan Cockerell, 37, of Manhattan Beach, California; and Turner Luke Zeutzius, 36, of Horseshoe Bay, Texas, were each charged in an indictment filed Dec. 12 in the Northern District of Texas with one count of conspiracy to defraud the United States and pay and receive kickbacks.  Hall, Schuster, Rall, and Le were each additionally charged with four counts of paying kickbacks.  Zeutzius was additionally charged with two counts of receiving kickbacks and Ranelle and Cockerell were each charged with one count of receiving kickbacks.  Hall, Schuster, Rall, Le and Ranelle were arrested yesterday and had their initial court appearances before U.S. Magistrate Court Judge Irma C. Ramirez in Dallas.   Paret, Cockerell and Zeutzius self-surrendered this morning and will have their initial court appearances today at 2 p.m. CST before Judge Ramirez.
According to the indictment, from May 2014 to September 2016, Hall, Schuster, Rall, Paret, Le and their co-conspirators allegedly engaged in a scheme to pay kickbacks and bribes for the referral of TRICARE and DOL beneficiaries to obtain expensive compound drugs.  Hall, Shuster and Rall were co-owners of Rxpress Pharmacy and Xpress Compounding, compound pharmacies located at 1000 W. Weatherford St. in Fort Worth. 
As alleged in the indictment, Rxpress and Xpress were separate in name only; Rxpress Pharmacy and Xpress Compounding employed the same staff, operated out of the same building, and utilized a call center to direct prescriptions depending on whether the prescriptions were for private or federal insurance.  The indictment alleges that both companies utilized the same marketers but paid them differently depending on whether they were receiving a commission on a federal or private prescription, in order to disguise the illegal kickback payments on federal prescriptions.  Specifically, Hall, Schuster, Rall, Paret and Le allegedly devised a scheme to make kickback payments to marketers through Xpress Compounding for the referral of federal prescriptions.  These marketers were allegedly set up as sham “W-2” employees to appear as though they were bona fide employees of Xpress Compounding.  At the same time, these marketers were paid as 1099 contractors by Rxpress Pharmacy, the indictment alleges. 
The indictment alleges that as a result of the scheme, Zeutzius was paid approximately $4.4 million, Cockerell (through an unnamed person) was paid approximately $2.1 million, and Ranelle was paid approximately $2.6 million in illegal kickbacks, for a total of approximately $9.1 million in illegal kickbacks. 
The charges in the indictment are merely allegations and all defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.
DCIS, DOL-OIG, the U.S. Department of Health and Human Services Office of Inspector General, the FBI and the U.S. Department of Veterans Affairs Office of Inspector General investigated the case.  Assistant Chief Adrienne Frazior and Trial Attorney Brynn Schiess of the Criminal Division’s Fraud Section are prosecuting the case.
The Fraud Section leads the Medicare Fraud Strike Force, which is part of a joint initiative between the Department of Justice and the U.S. Department of Health and Human Services (HHS) to focus their efforts to prevent and deter fraud and enforce current anti-fraud laws around the country.  Since its inception in March 2007, the Medicare Fraud Strike Force, which maintains 14 strike forces operating in 23 districts, has charged nearly 4,000 defendants who have collectively billed the Medicare program for more than $14 billion.
Topic(s): 
Health Care Fraud
Component(s): 
Contact: 
DOJ Office of Public Affairs 202-514-2007
Updated December 19, 2018

Pharmacy owner gets prison time for role in $8.4M billing fraud scheme

Becker's Hospital Review-34 minutes ago
The owner of a Miami pharmacy was sentenced Dec. 18 to more than seven years in prison for his role in a six-year Medicare fraud scheme, according to the ...