Pharmacy

Pharmacy Investigations: With Medicare/ Medicaid, commercial, compounding, insurance, pharmacy, and other forms of fraud and waste, the industry is fraught with issues. 

Types of Cases

  • Overbilling
  • Changing Day Supply to sell more drugs
  • Double Billing (Billing HSA and Insurance)
  • Denial of a certain medication due to insurance 
  • Clawbacks
  • Compound Pharmacy 
  • Auto Refills
  • PBM (Pharmacy Benefit Manager)
  • Medicare Part D

Surveillance and witness testimony are the best way to prove these factors, and that is where our dedicated investigators can help.

Questions? Please call, email, or "live chat" us!

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*Pharmacy investigations need a minimum of 3 hours. This is to ensure a minimum standard of quality. If more hours are desired for a more thorough investigation, both the customer and investigator will communicate that need. Customers are never charged without their approval. 

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Related: 

 Whistle-Blower
  Fraud
 Healthcare Fraud 

 Criminal Investigations

 Corporate Investigations