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Yahoo
27-03-2025
- Business
- Yahoo
Walgreen Co. agrees to pay over $2.8 million to settle allegations of overbilling Medicaid programs
Walgreen Co. has agreed to pay more than $2.8 million to resolve allegations that it violated federal law by submitting inflated prices for certain generic medications to the Massachusetts and Georgia Medicaid programs, the U.S. Attorney said. The Massachusetts Medicaid program (MassHealth) and the Georgia Medicaid program are jointly funded and administered federal and state programs that cover medical costs, including medication costs, for persons with limited income, U.S Attorney Leah Foley said in statement. The MassHealth and the Georgia Medicaid program reimburse Walgreens' pharmacies for dispensing generic medications to beneficiaries using the lowest of four reporting price points. One of the four price points is each pharmacy's 'usual and customary price,' which is generally the amount of money the pharmacy is willing to accept for a medication on that date of service, Foley said. The United States, Massachusetts and Georgia allege that, between 2008 and 2023, Walgreens' pharmacies submitted a higher usual and customary price to the MassHealth and Georgia Medicaid programs for certain generic medications at certain times. By failing to report the correct usual and customary price, Walgreens' pharmacies allegedly caused the MassHealth and Georgia Medicaid programs to pay more for these generic medications than they should have, prosecutors said. The settlement resolves, in part, claims brought by a whistleblower under the qui tam provisions of the federal, Massachusetts, and Georgia False Claims Acts. Under all three False Claims Acts, private parties may sue on behalf of the government and receive a share of a recovery. This is a developing story. Check back for updates as more information becomes available. Download the FREE Boston 25 News app for breaking news alerts. Follow Boston 25 News on Facebook and Twitter. | Watch Boston 25 News NOW
Yahoo
27-03-2025
- Business
- Yahoo
Walgreens to pay $2.8 million in alleged Medicaid overbilling lawsuit
BOSTON — Walgreens has agreed to pay over $2.8 million in settlement agreements in violation of federal, Georgia and Massachusetts False Claim Acts. The settlement alleges Walgreen Co. inflated prices for generic medications to Georgia and Massachusetts Medicaid programs. Both the Georgia and Massachusetts Medicaid programs are jointly funded and administered programs that cover medical costs, including medication costs for people with limited income. The programs reimburse pharmacies for distributing generic medication at the lowest of four price points. One of the price points is the 'usual and customary price' which is generally the amount a pharmacy is willing to take. The lawsuit alleges that, between 2008 and 2023, Walgreens' pharmacies submitted a higher 'usual and customary price' to the MassHealth and Georgia Medicaid programs for certain generic medications at certain times. By failing to report the correct price, Walgreens' pharmacies allegedly caused both programs to pay more for generic medications than they should have. Under the Georgia, Massachusetts and federal False Claims Acts, private parties may sue on behalf of the government and receive a share of a recovery. WRBL has reached out to the Georgia Attorney General's office, but has not received a comment at this time. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.