Pharmacy Chain to Pay Millions to Settle Medicare and Medicaid Fraud Claims

Bradley/Grombacher, LLP • October 17, 2017

A Pennsylvania pharmacy chain accused of Medicare and Medicaid fraud will pay the federal government $2.67 million to settle civil False Claims Acts allegations, the U.S. Department of Justice in the Western District of Pennsylvania announced on Oct. 4, 2017.


The government pursued Med-Fast Pharmacy, Inc., its owner and some employees both civilly and criminally. According to the Department of Justice, Med-Fast submitted false claims to Medicare and Medicaid, allegations that included distributing recycled medications to nursing homes and submitting claims for retail-packaged versions of diabetes testing strips while actually supplying patients with cheaper, mail-order versions.


The global resolution of the case included charging Med-Fast’s former vice president of store operations, 47-year-old Gino Cordisco, of Mars, Pa., with a count of conspiracy for his role in a scheme to fill nursing home prescriptions “with recycled unused drugs that were commingled with drug stocks on hand at Med-Fast’s Institutional Pharmacy,” according to the Justice Department, which reported that Iserve Technologies, Inc., operated out of Med-Fast, participated in the same scheme, and was similarly charged with conspiracy.


The government brought the criminal charges against Cordisco and Iserve Technologies after Med-Fast Institutional Pharmacy’s former manager, Correna Pfeiffer, 37, pleaded guilty to conspiracy in 2015.


Law 360 reported that Cordisco and Pfieffer were “responsible for mixing the recycled drugs with Med-Fast’s other stocks and then using them to fill prescriptions at nursing homes between 2009 and 2013.”


The $2.67 million settlement, to be paid by Med-Fast owner Douglas Kaleugher and related entities, resolves claims brought by two whistleblowers, both former Med-Fast employees, who filed separate lawsuits in federal court in Pittsburgh.


One alleged that she was instructed to “falsify records, including expiration dates of drugs that were recycled, and that company officials ‘recklessly and deliberately disregarded’ her complaints,” according to U.S. News & World Report.


The other whistleblower, Med-Fast’s former marketing and sales director said “he had access to records showing the pharmacy was overcharging Medicare and Medicaid for the diabetes testing strips.”


“Unused prescription drugs are supposed to be destroyed, but Med-Fast drivers would pick up unused drugs from nursing homes after patients died or otherwise no longer needed the drugs, so they could be recycled to fill future prescriptions, prosecutors said,” according to U.S. News & World Report.


“As a result the older, unused drugs were commingled and relabeled with newer drugs, in violation of federal law.”


Med-Fast spokeswoman Elisabeth Mistretta said the company has corrected the problems and all of its patients received the correct medication.

Med-Fast’s website states that it operates 13 retail pharmacy locations in Western Pennsylvania, many of which are located inside Shop’n Save Grocery stores. The company also sells durable home healthcare medical equipment, such as hospital beds, wheelchairs, scooters and oxygen equipment.

Its Long Term Care division services to personal care homes, assisted living centers and hospice patients as well as compounding, or customized, pharmacy services.


If you have evidence of Medicare and Medicaid fraud, or another type of fraud against the government, the whistleblower attorneys at Bradley/Grombacher want to hear from you. They can help you determine if you have a case and advise you on the next steps to take. Fill out the form on this page for a FREE and confidential case evaluation.

By kileygrombacher January 16, 2025
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Not Understanding Your Policy: Your homeowners insurance policy is a complex legal document. Failing to thoroughly understand its terms, coverage limits, exclusions, and your responsibilities as a policyholder can lead to costly mistakes. If anything is unclear, seek clarification from your agent or an attorney. Pay particular attention to: Dwelling Coverage Limits: The maximum amount your insurer will pay to repair or rebuild your home. Personal Property Coverage: The limits for replacing your belongings. Loss of Use/Additional Living Expenses (ALE): The extent of coverage for temporary housing and other living expenses. Deductibles: The amount you must pay out-of-pocket before your coverage kicks in. Exclusions: Any specific types of damage or losses that are not covered. Accepting the First Offer Without Question: The first settlement offer from your insurance company is often a lowball offer, especially after a major event like a wildfire. They are hoping you'll accept it out of desperation or lack of knowledge. Don't be afraid to negotiate or seek a second opinion from an independent contractor or a lawyer. Downplaying Your Losses or Damages: Be honest and thorough when describing your losses to the insurance adjuster. Don't minimize the damage or omit items from your inventory. It's better to overestimate initially than to leave something out and have to fight for it later. Making Permanent Repairs Before Authorization: Avoid making any permanent repairs to your property before obtaining authorization from your insurance company. They may deny coverage for repairs made without their approval. Emergency repairs to prevent further damage are usually acceptable, but document them thoroughly and notify your insurer as soon as possible. Not Keeping Records of Communication: Document every interaction with your insurance company, including phone calls, emails, and in-person meetings. 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Bradley/Grombacher LLP: Your Advocates for a Fair Recovery At Bradley/Grombacher LLP, we understand the devastation that wildfires inflict on California homeowners. We're committed to helping victims of events like the Palisades Fire secure the full and fair compensation they need to rebuild their lives. With over 50 years of combined experience in employment law, personal injury, and consumer protection , we're well-equipped to handle complex wildfire claims and fight for your rights. Don't let the insurance company take advantage of you during this vulnerable time. If you're facing challenges with your wildfire insurance claim, contact us today for a free, confidential consultation. Call us at (866) 881-0403 or fill out our online contact form. We're here to help you every step of the way.
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If you or a loved one suffered a personal injury due to someone else's negligence in connection with a wildfire, you may be entitled to compensation for: Medical Expenses: Past and future medical bills related to your injuries. Lost Wages: Income lost due to your inability to work. Pain and Suffering: Compensation for physical pain, emotional distress, and mental anguish. Loss of Consortium: Compensation to your spouse for the loss of companionship and support. 4. Your Right to Compensation for Lost Income or Business Interruption If a wildfire forced you to miss work or resulted in the closure of your business, you may have legal recourse: Lost Wages: If your employer wrongfully terminated you, failed to pay you, or denied you reasonable accommodations after a wildfire, you may be able to recover lost wages under California employment law. Business Interruption Insurance: If you have business interruption coverage as part of your commercial insurance policy, you may be able to recover lost profits and other expenses incurred due to the wildfire's impact on your business. 5. Your Right to Legal Representation Navigating the legal complexities after a wildfire can be daunting. An experienced attorney can be your advocate and guide, helping you to: Understand Your Rights: Provide clear explanations of your legal options and the applicable laws. Gather Evidence: Collect and preserve the necessary evidence to support your claims. Negotiate with Insurance Companies: Engage in strategic negotiations to secure a fair settlement. File Lawsuits: Take legal action against responsible parties, whether it be insurance companies, utility companies, government entities, or negligent individuals. Represent You in Court: Provide skilled representation in court if litigation becomes necessary. Bradley/Grombacher LLP: Dedicated to Helping Wildfire Victims At Bradley/Grombacher LLP, we understand the impact wildfires have on individuals, families, and communities. With over 50 years of combined experience in personal injury, employment law, and consumer law , we have the knowledge and skills to effectively advocate for your rights and secure the compensation you deserve. We're committed to: Holding negligent parties accountable. Maximizing your financial recovery. Providing compassionate and personalized legal representation. Take the First Step: Contact Us for a Free Consultation If you've been affected by a California wildfire, including the recent Palisades Fire, don't hesitate to contact Bradley/Grombacher LLP for a free, confidential consultation . We'll listen to your story, answer your questions, and provide an honest assessment of your legal options. Call us at (866) 881-0403 or fill out our online contact form. Let us help you navigate the path toward recovery and justice.
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