CVS has agreed to an $18 million settlement for allegedly violating the California False Claims Act.

The pharmacy chain resolved allegations that claimed it submitted pharmacy claims to Medi-Cal using false electronic certifications from 2010 to 2021.

Driving the news: CVS allegedly knowingly submitted claims for reimbursement for certain prescribed medications to Medi-Cal that were not supported by applicable diagnosis and documentation requirements. • A former CVS pharmacist brought the allegations to light under the whistleblower provisions of the False Claims Act. • The whistleblower alleged that CVS recklessly submitted billing codes without doing the necessary verification and documentation in order to quickly receive claim payments. • The U.S. Department of Justice said the

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