NEW YORK, July 8 (Reuters) - A federal judge ordered CVS
Health's ( CVS ) Omnicare unit to pay $948.8 million in
penalties and damages, in a whistleblower lawsuit claiming it
fraudulently billed the U.S. government for invalid drug
prescriptions.
In a Monday evening order, U.S. District Judge Colleen
McMahon in Manhattan imposed a $542-million penalty for filing
3,342,032 false claims between 2010 and 2018.
McMahon also awarded $406.8 million of damages, representing
three times the $135.6 million that a jury awarded on April 29.
The tripling was required under the federal False Claims
Act, which lets whistleblowers sue on behalf of the federal
government and share in recoveries.
CVS plans to appeal the judgment. The Woonsocket, Rhode
Island-based drugstore chain and pharmacy benefits manager
bought Omnicare in 2015. Omnicare has asked McMahon to throw out
the case or grant a new trial.
"This lawsuit centered on a highly technical prescription
dispensing recordkeeping issue that was allowed by law in many
states," CVS said in a statement on Tuesday. "There was no claim
in this case that any patient paid for a medication they
shouldn't have or that any patient was harmed."
The lawsuit was filed in 2015 by Uri Bassan, a former Omnicare
pharmacist in Albuquerque, New Mexico, and joined by the federal
government in 2019.
They said Omnicare improperly billed Medicare, Medicaid, and
Tricare, which serves military personnel, for prescriptions for
tens of thousands of patients in assisted-living facilities,
group homes for people with special needs, and other long-term
care facilities.
Omnicare allegedly assigned new prescription numbers without
necessary paperwork and pharmacist approvals, after the original
prescriptions expired or ran out of refills.
McMahon rejected CVS' argument that a $948.8-million award
violated the U.S. Constitution's prohibition against excessive
fines under the Eighth Amendment.
"This was a very big fraud on the government, one that
lasted over almost a decade, and one that Omnicare was aware of
but avoided taking steps to correct," the judge wrote.
McMahon found CVS jointly liable with Omnicare for $164.8
million of the penalties, after jurors found it failed to stop
Omnicare from submitting 30% of the false claims after buying
that company. CVS itself did not submit any claims.
The case is U.S. ex rel Bassan v. Omnicare Inc, U.S.
District Court, Southern District of New York, No. 15-04179.