A Whistleblower’s Short Guide to Reporting Pharma Fraud

Are you a drug rep that feels that your company is doing something wrong?

Are you a doctor that is worried about how a “motivated” drug rep may be putting you in a bad position with the law?

Whether you are a medical provider, a sales rep, or executive for a pharmaceutical company or lab, you must be aware that the government can seek you out for criminal and/or civil penalties if you participate in any scheme as outlined below.

Examples of Pharma Fraud Schemes

Kickbacks: Giving medical providers money, gifts, lavish entertainment, “consulting fees”, “grants” or other benefits to change a person’s prescription to the sales rep’s product or “to gain their business” when the drugs are paid for by government programs.

Off-label marketing: Promoting drugs to doctors that are billed to the government for ailments that the drugs are not approved to treat, unless the claims are backed up by real studies that are not meant to mislead.

Selling Free samples: Encouraging medical providers to bill the government for free samples and those samples clearly indicate that they are not to be sold.

Price Fixing: A general scheme of inflating prices of drugs so that more money is billed to the government.

Why be a Whistleblower?

You may be both rewarded through monetary compensation and shielded from criminal and civil penalties if you do the right thing. Federal and state law rewards and encourages individuals to blow the whistle on any scheme meant to defraud government programs such as MEDICARE, MEDICAID, and TRICARE.

Leave a Reply

Your email address will not be published. Required fields are marked *