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CVS Health Corporation Agreed to Pay $2 Million for Allegedly Violating the Civil Monetary Penalties Law by Improperly Rejecting, Denying, or Reducing Claims for Dual Eligible Federal Health Care Program Beneficiaries

After it disclosed conduct to OIG pursuant to its CIA, CVS Health Corporation, Caremark Rx, LLC, and nine of its pharmacy benefit management subsidiaries (collectively, "CVS"), headquartered in Rhode Island, agreed to pay $2,000,000 to resolve allegations that CVS, acting as the Pharmacy Benefit Manager for its clients, improperly rejected, denied, or reduced pharmacy payments on claims by state Medicaid, Veterans Affairs, Indian Health Services, and Military Health System programs for beneficiaries of these programs where the beneficiaries were also eligible for benefits under CVS's administered programs.

Action Details

  • Date:December 22, 2016
  • Enforcement Types:
    • CIA Reportable Events