Prescription Drug Fraud

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Prescription drug fraud can be committed by any provider who prescribes or dispenses drugs or an employee of such a provider. It can also be committed by persons posing as Medicare providers, by Medicare beneficiaries, or by persons who steal from Medicare beneficiaries to sell drugs on the black market (particularly painkillers such as hydrocodone, oxycodone, and methadone).

Schemes to Falsely Bill Medicare    

  • Billing for drugs not prescribed
  • Billing for amounts beyond the quantity prescribed
  • Billing for brand name drugs but dispensing generic drugs instead
  • Billing in excess of a physician’s prescription
  • Prescription forged by a provider or supplier
  • Prescription written and signed by a physician who has not treated or seen the recipient

Report Suspected Fraud

To report suspected fraud, click here.