The past few weeks have shown that fraud is committed without a thought, even by those that are empowered to protect us. A recently retired police officer from a suburban New Jersey town was involved in a compounding scheme that landed him squarely in the forefront of the environment he worked within. Compounding fraud schemes…
In 2012, the National Council on Prescription Drug Programs (NCPDP) made a change to the manner in which a compounded medication should be submitted to a Pharmacy Benefit Manager (PBM) for reimbursement. Previously, the requirement was to only list the most expensive ingredient, with reimbursement being made based on that line item. With the change,…