What Is It?

Pharmaceutical fraud involves deceptive practices by drug manufacturers, distributors, or healthcare providers to gain unlawful financial benefits. This type of fraud affects public health by inflating drug costs or compromising treatment safety.

Organizations Involved

Entities such as pharmaceutical companies, pharmacy benefit managers (PBMs), and healthcare providers may engage in fraud. Examples include marketing drugs for unapproved uses (off-label promotion), inflating drug prices, or falsifying clinical trial data.

Reportable Activities

Key violations include:

• Kickbacks to providers for prescribing certain drugs
• Overbilling for medications or supplies
• Misrepresenting drug efficacy or safety
• Failing to comply with government pricing agreements

Reporting such fraudulent activities ensures ethical healthcare practices, accountability and protects public healthcare funds. Working with a whistleblower law firm protects your confidentiality, maximizes legal protections, and enhances the case's strength by navigating complex procedures. An experienced whistleblower lawyer can guide healthcare whistleblowers through the filing process and present the case effectively.

Read about Government programs and laws governing healthcare fraud here