Walgreens to Pay $2.8M Settlement Over Medicaid Overpricing Allegations

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Whistleblowers Uncover Deceptive Practices

The lawsuit was fueled by whistleblower complaints from Donna Chambers and Irene Gendel, both longtime Walgreens employees. Chambers, a pharmacy manager, and Gendel, a staff pharmacist, detailed multiple fraudulent practices beyond price inflation—including misuse of the federal 340B drug discount program and overbilling for insulin pen needles.

Their lawsuit alleged that Walgreens engaged in:

🔹 Improper 340B Drug Dispensing – Walgreens allegedly diverted discounted 340B drugs meant for low-income patients and dispensed them to ineligible customers, all while failing to bill partner hospitals—Beth Israel Deaconess Medical Center, Tufts Medical Center, and Boston Medical Center—for the drugs.

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🔹 Overbilling for Insulin Pen Needles – The company submitted excessive reimbursement claims for insulin needles, exploiting billing loopholes that led Medicaid and insurers to pay for more needles than patients actually needed.

🔹 Automatic 90-Day Prescription Switching – Walgreens converted patients’ prescriptions to 90-day supplies without medical justification, a practice that allegedly inflated costs for government healthcare programs.

The whistleblowers claim Walgreens had detailed internal records proving these practices were widespread.