Man Convicted of $54M Bribery and Kickback Scheme Involving Fraudulent Prescriptions

<p>FOR IMMEDIATE RELEASE<br &sol;>&NewLine; Friday&comma; June 16&comma; 2023<br &sol;>&NewLine; Man Convicted of &dollar;54M Bribery and Kickback Scheme Involving Fraudulent Prescriptions<&sol;p>&NewLine;<div class&equals;"mh-content-ad"><script async src&equals;"https&colon;&sol;&sol;pagead2&period;googlesyndication&period;com&sol;pagead&sol;js&sol;adsbygoogle&period;js&quest;client&equals;ca-pub-9162800720558968"&NewLine; crossorigin&equals;"anonymous"><&sol;script>&NewLine;<ins class&equals;"adsbygoogle"&NewLine; style&equals;"display&colon;block&semi; text-align&colon;center&semi;"&NewLine; data-ad-layout&equals;"in-article"&NewLine; data-ad-format&equals;"fluid"&NewLine; data-ad-client&equals;"ca-pub-9162800720558968"&NewLine; data-ad-slot&equals;"1081854981"><&sol;ins>&NewLine;<script>&NewLine; &lpar;adsbygoogle &equals; window&period;adsbygoogle &vert;&vert; &lbrack;&rsqb;&rpar;&period;push&lpar;&lbrace;&rcub;&rpar;&semi;&NewLine;<&sol;script><&sol;div>&NewLine;<p>A federal jury convicted a Florida man for his role in a &dollar;54 million bribery and kickback scheme involving TRICARE&comma; a federal program that provides health insurance benefits to active duty and retired service members and their families&period; <&sol;p>&NewLine;<p>According to court documents and evidence presented at trial&comma; David Byron Copeland&comma; 55&comma; of Tallahassee&comma; was a part-owner and senior sales manager at Florida Pharmacy Solutions &lpar;FPS&rpar;&comma; a Florida-based pharmacy that specialized in compounded prescription drugs&period; Copeland&comma; along with his accomplices&comma; engaged in a practice known as &OpenCurlyDoubleQuote;test billing” to develop the most expensive combination of compounded drugs to maximize reimbursement from TRICARE&period; Copeland and his accomplices targeted physicians who treated TRICARE beneficiaries and paid bribes and kickbacks to physicians and salespeople to encourage the referral of prescriptions to FPS&period; The bribes included lavish hunting trips and expensive dinners&period; In addition&comma; Copeland and his accomplices used &OpenCurlyDoubleQuote;blanket letters of authorization” that allowed FPS to modify the prescription components to make them more profitable&period; <&sol;p>&NewLine;<p>Copeland and his sales representatives were paid millions of dollars in kickbacks based on a percentage of the amount that TRICARE reimbursed for their prescriptions&comma; which provided an incentive to seek prescriptions for the most expensive compounded drugs possible&comma; including pain and scar creams&period; Copeland facilitated the kickbacks through companies he set up to receive and funnel the payments&period; From late 2012 through mid-2015&comma; FPS billed TRICARE over &dollar;54 million for its compounded pharmaceuticals&period; <&sol;p>&NewLine;<p>The jury convicted Copeland of two counts of soliciting and receiving illegal health care kickbacks and three counts of offering and paying illegal health care kickbacks&period; The jury acquitted Copeland of conspiracy to defraud the United States and to pay and receive illegal health care kickbacks&period; His sentencing is scheduled for Sept&period; 14&period; He faces a maximum penalty of 10 years in prison for each kickback count&period; A federal district court judge will determine any sentence after considering the U&period;S&period; Sentencing Guidelines and other statutory factors&period;<&sol;p>&NewLine;<p>Two other men&comma; James Wesley Moss&comma; the former chief executive officer of FPS&comma; and Michael Gordon&comma; a former FPS sales representative&comma; previously pleaded guilty for their roles in the scheme and are awaiting sentencing&period;<&sol;p>&NewLine;<p>Assistant Attorney General Kenneth A&period; Polite&comma; Jr&period; of the Justice Department’s Criminal Division&semi; U&period;S&period; Attorney Roger Handberg for the Middle District of Florida&semi; Special Agent in Charge Darrin K&period; Jones of the U&period;S&period; Department of Defense Office of Inspector General &lpar;DOD-OIG&rpar;&comma; Defense Criminal Investigative Service&comma; Southeast Field Office&semi; Special Agent in Charge Omar Perez of the U&period;S&period; Department of Health and Human Services Office of the Inspector General &lpar;HHS-OIG&rpar;&comma; Miami Regional Office&semi; Special Agent in Charge David Spilker of the U&period;S&period; Department of Veterans Affairs Office of Inspector General &lpar;VA-OIG&rpar;&comma; Southeast Field Office&semi; and Special Agent in Charge David Walker of the FBI Tampa Field Office made the announcement&period;<&sol;p>&NewLine;<p>The DOD-OIG&comma; HHS-OIG&comma; VA-OIG&comma; and FBI investigated the case&period;<&sol;p>&NewLine;<p>Trial Attorneys Devon Helfmeyer&comma; Katie Rookard&comma; and Clayton Solomon of the Criminal Division’s Fraud Section are prosecuting the case&period;<&sol;p>&NewLine;<p>The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program&period; Since March 2007&comma; this program&comma; comprised of 15 strike forces operating in 25 federal districts&comma; has charged more than 5&comma;000 defendants who collectively have billed the Medicare program for more than &dollar;24 billion&period; In addition&comma; the Centers for Medicare &amp&semi; Medicaid Services&comma; working in conjunction with the Office of the Inspector General for the Department of Health and Human Services&comma; are taking steps to hold providers accountable for their involvement in health care fraud schemes&period; More information can be found at <a href&equals;"https&colon;&sol;&sol;www&period;justice&period;gov&sol;criminal-fraud&sol;health-care-fraud-unit" rel&equals;"noreferrer noopener" >www&period;justice&period;gov&sol;criminal-fraud&sol;health-care-fraud-unit<&sol;a>&period;<&sol;p>&NewLine;<p> Topic&lpar;s&rpar;&colon; Health Care FraudComponent&lpar;s&rpar;&colon; <a href&equals;"http&colon;&sol;&sol;www&period;justice&period;gov&sol;criminal&sol;" rel&equals;"noreferrer noopener" >Criminal Division<&sol;a><a href&equals;"https&colon;&sol;&sol;www&period;justice&period;gov&sol;criminal-fraud" rel&equals;"noreferrer noopener" >Criminal &&num;8211&semi; Criminal Fraud Section<&sol;a><a href&equals;"http&colon;&sol;&sol;www&period;fbi&period;gov&sol;" rel&equals;"noreferrer noopener" >Federal Bureau of Investigation &lpar;FBI&rpar;<&sol;a><a href&equals;"http&colon;&sol;&sol;www&period;justice&period;gov&sol;usao-mdfl" rel&equals;"noreferrer noopener" >USAO &&num;8211&semi; Florida&comma; Middle<&sol;a>Press Release Number&colon; 23-678 <&sol;p>&NewLine;<p> Updated June 16&comma; 2023<a href&equals;https&colon;&sol;&sol;www&period;justice&period;gov&sol;opa&sol;pr&sol;man-convicted-54m-bribery-and-kickback-scheme-involving-fraudulent-prescriptions> Original Article <&sol;a><&sol;p>&NewLine;