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The Drug Rebate Equalization Act of 2009 (DRE), introduced in the 111th United States Congress by Representative Bart Stupak as H.R. 904, and in the Senate by Senator Jeff Bingaman as S. 547, sought to equalize the treatment of prescription drug discounts between Medicaid managed care and Medicaid fee-for-service.
prices and underpaying rebates owed under the Medicaid Drug Rebate Program: False Claims Act/FDCA: 2013 3 2 Risperdal/Invega/ Nesiritide: Johnson & Johnson [6] $2,200,000,000 $1.72 billion civil ($2.2 billion with criminal component) Off-label promotion/kickbacks: False Claims Act/FDCA 2009 2 3 Bextra/Geodon/ Zyvox/Lyrica: Pfizer [7] $2,300,000,000
Misclassification under the Medicaid Drug Rebate Program: EpiPen (epinephrine) False Claims Act: 2006 Schering-Plough [21] $435 million Off-label promotion, kickbacks, Medicare fraud Temodar, Intron A, K-Dur, Claritin RediTabs: False Claims Act, FDCA 2004 [22] Pfizer $430 million Off-label promotion Neurontin: False Claims Act, FDCA 2008 ...
As many as 3 million New Yorkers may be fraudulently reaping taxpayer-funded Medicaid and other public health insurance benefits at a potential cost of $20 billion a year, a staggering new study ...
Yet there are gaps in how the billions of taxpayer-supported funding for Medicaid programs in New York addresses maternal health needs. ... About 17% of women ages 18 to 49 on Medicaid who needed ...
It required pharmaceutical manufacturers to provide rebates for medication purchases, based on sales to Medicaid beneficiaries, as a condition of having their products covered by Medicaid. [3] The amount of the rebates paid to the states were based on a "best price" calculation that did not take into account the discounted prices that ...
Newly elected Louisiana Gov. John Bel Edwards (D) enacts the Medicaid expansion shortly after taking office. New Kentucky Gov. Matt Bevin (R) announces his plan for a conservative remake of his state’s Medicaid program, and threatens to rescind the expansion if the Obama administration doesn’t approve it. Nov. 2016
Pandemic-ravaged hospitals that serve poor and low-income New Yorkers will get $3.2 billion in aid under the recently approved state budget for 2025, according to Gov. Kathy Hochul's estimates ...