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NYC Pharmacy Fraud Lawyers
Pharmacy Fraud: A Growing Concern in the Industry
When you go to a pharmacy, you expect to be able to get the medications that have been prescribed by the doctor without any difficulty. If you work in a pharmacy, then you know that it can sometimes be hectic and difficult to process all of the medications that need to be filled while making sure all of the insurance payments are received. This is an industry where it’s easy to commit many types of fraud, all of them punishable by the law in some form or another.
Escalating Concerns Over Prescription Drug Fraud
The value of prescription drugs has increased to an astronomical amount over the course of the past few years. There are people who will get medications from a pharmacy and sell them to family members, friends, and strangers in order to make money from them. This is one way to commit fraud. Pharmacists have easy access to medications of all kinds as well as the people who work there. It’s easy to take a bottle of pills that are known to gain a significant amount of money on the street, sell them, put the cost of the prescription back into the pharmacy, and keep the rest as a profit.
Challenges in Combating Pharmacy Fraud
The sheer size of the pharmacy industry makes it easier than ever to commit fraudulent acts. There are some that take money from their own business while others think of ways to defraud the government, getting more money from insurance companies than they are supposed to get. The fraudulent acts are easy to commit as most pharmacies are small in size and are often independently owned unless they are located in a larger store, like a grocery store. Even then, the pharmacy often sits back from the rest of the customers, making it easy for workers to take medications or to do as they wish with the paperwork that is completed so that more money is made.
Tactics Employed in Pharmacy Fraud
One of the ways that pharmacies are committing fraud is by prescription switching. The worker will state that the drug is a name brand when in reality it’s a cheaper version. The company would get paid the higher amount but only spend the amount that is set forth in regards to the least expensive medication. Pharmacies can also switch out a cheaper medication that is prescribed for one that is more expensive. The customer gets the cheaper drug, but the pharmacy gets paid for the one that is the most expensive as this is what is billed for on paper.
If you are looking for a lawyer that listens, is aggressive where needed, and holds his word above all else, Todd is the best pick. I had hired multiple attorneys prior to hiring the Spodek Group for a white collar case. The first thing that stood out to me was the cost, as anyone going through the process and dealing with the system, money was tight at that time - especially after hiring and firing multiple lawyers. The cost was not as high as others which was definitely a plus. Todd's intake process was also unlike other attorneys. He took the time to actually listen. He cared. He was trying to put himself in my shoes while I was explaining the situation to him and he really took the time to understand the whole situation. Other lawyers will give you 15 mins and send you a retainer agreement. Not Todd, I think he spent almost two hours with me as I was explaining everything.Not only was he great during the onboarding process, he was supportive and very informative through the entire plea process and eventually sentencing. After hiring him, I asked if I should hire a prison consultant, he told me to save my money as he would do everything they would. He was right and held up to his word. Later on I would hear from others that went with the prison consultants that they were a waste of money - I am glad I listened to Todd!When it came time for sentencing, two days prior to sentencing, the prosecutor tried increasing my proposed prison time by almost double - apparently a normal move. Todd and his team worked with me non-stop through the weekend prior to sentencing to ensure that I was not given additional prison time. Again, he took the time to listen and came up with a strategy to explain the case with great detail.Unfortunately, I did plead guilty as that was my best option. Todd and his whole team wrote up nearly 300 pages of a summary of what happened and why I should not be given prison time. If I breakdown the amount I spent with Todd versus the amount of work that I saw being done, I am shocked I was not charged four times as much. The other benefit was, a lot of criminal defense lawyers were just a single attorney with a paralegal or two. Todd had a team of people that I dealt with (5-7 people that I interacted with), but he was ALWAYS accessible. It would never take him more than an hour to reply unless he was in court.I was sentenced to prison and I was emotionally distraught. Todd and his team did whatever they could even after sentencing to make sure I was alright. He personally stayed in touch with my family to ensure I was doing alright and offered support to them. Most lawyers would consider the job complete at sentencing, not Todd.After prison, Todd still spent time with me to make sure I was on the right track and avoiding any potential risks in the future. He has also been giving advice on how to navigate probation etc and has not been looking at the clock for billing.Although I wish I had never been arrested in the first place, I am glad I had Todd and his team in my corner. Without them I likely would have had to spend a lot more time in prison than I did.Thank you, Todd, and the entire Spodek Law team, for helping turn what was a nightmare into a manageable situation!
I am immensely grateful to the entire team at Spodek Law Group for their unwavering dedication and exceptional expertise throughout my case. From our initial consultation to the final resolution, their professionalism and tireless advocacy made all the difference. Their strategic approach and attention to detail instilled confidence in me every step of the way.Thanks to their hard work and commitment, we achieved a truly favorable outcome that exceeded my expectations. Not only did they navigate the complexities of my case with precision, but they also provided invaluable support and guidance during what was undoubtedly a challenging time. I cannot recommend Spodek Law Group highly enough, especially attorneys Todd Spodek and Claire Banks; they are beacons of excellence in the legal profession.YSP.
Todd, Ralph and Alex are amazing. Helped my husband get from a double digit number with multiple charges to a single digit, by the time I blink he will be out. They very professional and help with all your needs. They dealt with my anxiety and worry very well and they understand that your family member needs to get home as soon as possible.
Believe every single review here about Alex Z!! From our initial consultation, it was evident that Alex possessed a profound understanding of criminal law and a fierce dedication to his clients rights. Throughout the entirety of my case, Alex exhibited unparalleled professionalism and unwavering commitment. What sets Alex apart is not only his legal expertise but also his genuine compassion for his clients. He took the time to thoroughly explain my case, alleviating any concerns I had along the way. His exact words were “I’m not worried about it”. His unwavering support and guidance were invaluable throughout the entire process. I am immensely grateful for Alex's exceptional legal representation and wholeheartedly recommend his services to anyone in need of a skilled criminal defense attorney. Alex Z is not just a lawyer; he is a beacon of hope for those navigating the complexities of the legal system. If you find yourself in need of a dedicated and competent legal advocate, look no further than Alex Z.
I don’t know where to start, I can write a novel about this firm, but one thing I will say is that having my best interest was their main priority since the beginning of my case which was back in Winter 2019. Miss Claire Banks, one of the best Attorneys in the firm represented me very well and was very professional, respectful, and truthful. Not once did she leave me in the dark, in fact she presented all options and routes that could possibly be considered for my case and she reinsured me that no matter what I decided to do, her and the team will have my back and that’s exactly what happened. Not only will I be liberated from this case, also, I will enjoy my freedom and continue to be a mother to my first born son and will have no restrictions with accomplishing my goals in life. Now that’s what I call victory!! I thank the Lord, My mother, Claire, and the Spodek team for standing by me and fighting with me. Words can’t describe how grateful I am to have the opportunity to work with this team. I’m very satisfied, very pleased with their performance, their hard work, and their diligence.Thank you team!
I recently had Spodek Law Group represent me for a legal matter in NYC and I am thoroughly impressed with their services.Alex Zhik secured the best possible outcome for my case.It was a seamless journey from the initial consultation to the resolution of my legal matter. From the moment I spoke to Todd about my case, his enthusiasm to help was evident, setting a positive tone for the entire experience. The efficiency and professionalism displayed by the team is commendable.A particularly noteworthy aspect of their service is their user-friendly portal to upload your documents/evidence. This not only simplified the process, but showcases their commitment to streamline the client experience.Lastly, in an industry where legal fees can often be a concern, I found their pricing to be very reasonable, making needing legal assistance feel accessible and stress-free.I am grateful for their support and wouldn't hesitate to turn to them again in the future.
Another option is to file a bill for a prescription that doesn’t exist. Most pharmacies do have to keep a copy of the prescriptions that come in, but for those that aren’t required to keep any kind of hard copy, it’s easy to say that a prescription needs to be filled and that the paperwork is lost. The business will get the money since the prescription is processed. This happens often when dealing with insurance companies and government-funded programs as all the worker has to do is turn in a bill of sale for a medication.
Legal Ramifications and Consequences
A similar act is billing several payors for one prescription. If it’s a name-brand medication, then this could result in a significant amount of money for the pharmacy. There is usually no way for each payor to find out if another company has paid for the same medication, making it easy to get as much money as possible.
If you have been charged with pharmacy fraud, it’s best to seek the help of an attorney. You could face time in jail and high fines as this is a severe crime in many states, including New York. Some sentences could be as long as 43 months in jail with maximum fines of $25,000.
