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Select from the list below to view TRICARE fraud alerts. The alerts are listed from the most recent to the oldest.
| Date | File | Description |
| 11/1/2024 | Fraud Alert - Medisca | Medisca Inc., an ingredient supplier entered a settlement agreement to resolve allegations of inflating the Average Wholesale Price for ingredients used in compound prescriptions. This pricing scheme allowed compounding pharmacies to bill the inflated prices to federal healthcare programs, often costing thousands of dollars for one compound prescription. Total settlement is $21.75M with TRICARE receiving $10.9M. |
| 10/11/2024 | Fraud Alert - Janette Gray | Dr. Janette Gray owned and operated The Center for Health & Wellbeing in San Diego and entered a civil settlement agreement to resolve allegations of False Claims Act violations for improperly billing Medicare and TRICARE for uncovered and unnecessary medical services, mispresenting who provided the care, and unbundling services to maximize reimbursement. Dr. Gray will be excluded from federal health programs for five years. Total settlement amount is $3.8M with TRICARE receiving $836K. |
| 9/27/2024 | Fraud Alert - Electrostim Medical Services, Inc. | Durable medical equipment supplier Electrostim Medical Services, Inc. and its Founder and Chairman Mario Garcia, Jr. have together agreed to pay, $20 million to resolve allegations that they violated the False Claims Act by billing federal healthcare programs for excessive and medically unnecessary supplies associated with Transcutaneous Electrical Nerve Stimulation and related devices. |
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Last Updated: December 30, 2024