Pharmaceutical fraud involves deceptions which bring financial gain to a pharmaceutical company. It affects individuals and public and private insurers. There are several different schemes used to defraud the health care system which are particular to the pharmaceutical industry. These include: Good Manufacturing Practice (GMP) Violations, Off Label Marketing, Best Price Fraud, CME Fraud, Medicaid Price Reporting, and Manufactured Compound Drugs. Of this amount $2.5 billion was recovered through False Claims Act cases in FY 2010. Examples of fraud cases include the GlaxoSmithKline $3 billion settlement, Pfizer $2.3 billion settlement and Merck & Co. $650 million settlement. Damages from fraud can be recovered by use of the False Claims Act, most commonly under the qui tam provisions which rewards an individual for being a "whistleblower", or relator (law). COUNT 9
QSN1 How much money was recovered through the False Claims? ANS1 $2.5 billion QSN2 What are some of the schemes used to defraud the health care system? ANS2 Good Manufacturing Practice (GMP) Violations, Off Label Marketing, Best Price Fraud, CME Fraud, Medicaid Price Reporting, and Manufactured Compound Drugs. QSN3 What is pharmaceutical fraud? ANS3 deceptions which bring financial gain to a pharmaceutical company QSN4 Who had the biggest fraud case settlement? ANS4 GlaxoSmithKline QSN5 What provision rewards "whistle-blowers"? ANS5 qui tam QSN6 What kind of fraud financially benefits a drug company? ANS6 Pharmaceutical fraud QSN7 Who is affected by pharmaceutical fraud? ANS7 individuals and public and private insurers QSN8 How much money lost to pharmaceutical fraud was recovered in 2010? ANS8 $2.5 billion QSN9 Which act allows whistleblowers to recover money lost from pharmaceutical fraud? ANS9 False Claims Act