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Phantom Billing, Fake Prescriptions, and the High Cost of MedicineHealth Care Fraud and What to Do about It$
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Terry L. Leap

Print publication date: 2011

Print ISBN-13: 9780801449796

Published to Cornell Scholarship Online: August 2016

DOI: 10.7591/cornell/9780801449796.001.0001

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Fraud in the Pharmaceutical, Medical Equipment, and Supply Industries

Fraud in the Pharmaceutical, Medical Equipment, and Supply Industries

Profits at Any Cost, Part Two

Chapter:
(p.116) 5 Fraud in the Pharmaceutical, Medical Equipment, and Supply Industries
Source:
Phantom Billing, Fake Prescriptions, and the High Cost of Medicine
Author(s):

Terry L. Leap

Publisher:
Cornell University Press
DOI:10.7591/cornell/9780801449796.003.0005

This chapter examines frauds instigated by pharmaceutical companies as well as the medical supply and equipment industry. It first considers how large-scale frauds occur in the pricing, marketing, and distribution of prescription drugs. It then analyzes various forms of pharmaceutical fraud, such as switching drug prescriptions to exploit Medicaid reimbursement rules. It also looks at pharmaceutical frauds committed by TAP Pharmaceutical Products, Serono, Purdue Frederick Company and Purdue Pharma, and Schering-Plough Corporation; how fraud may arise from physicians' consulting relationships with pharmaceutical and medical equipment manufacturers; and anti-trust violations in the pharmaceutical and medical equipment industries. Finally, it discusses the high costs involved in health care fraud settlements and prosecutions.

Keywords:   pharmaceutical industry, medical equipment industry, marketing, prescription drugs, Medicaid, pharmaceutical frauds, physicians, anti-trust violations, settlements, prosecutions

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