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NYC Pharmaceutical Fraud Lawyers
Pharmaceutical Fraud: Understanding the Risks and Consequences
Pharmaceutical fraud includes a number of activities in which an individual makes false claims to Medicare, Medicaid, or private insurance companies who pay for the patient’s drug therapies. There are many behaviors which fall in the definition of “pharmaceutical fraud.”
The Ramifications of Pharmaceutical Fraud
When someone commits pharmaceutical fraud, larger companies are often identified as responsible, and the companies may face criminal and civil liability. Depending on the specifics of the situation, penalties can total millions of dollars, and those who facilitated the fraud crimes may also face charges. A New York defense lawyer at Spodek Law Group, PC can represent healthcare professionals, doctors, pharmaceutical corporations, and others accused of involvement with pharmaceutical fraud schemes. Call us today for more information about our legal services.
Pharmaceutical Fraud Examples
Fraud can take several forms throughout the pharmaceutical industry, including:
Medicaid and Medicare Fraud Schemes: Pharmaceutical companies are required to report pricing data to accurately calculate reimbursement rates for covered drug therapies. Fraud charges may result when pharmaceutical companies fail to follow regulations for reporting on drug prices to Centers for Medicare and Medicaid Services. In addition, any type of false reporting of drug origin, price, or status may also be considered a form of fraud.
Intentional Deception of Good Manufacturing Practices (GMP) Regulations: A pharmaceutical company may fail to ensure its facilities are appropriately equipped, fail to maintain stringent control over the drug manufacturing process, or fail to train its personnel. When a company hides inadequacies in its manufacturing processes or facilities or purposefully misleads investigators, these situations are considered a form of pharmaceutical company fraud.
Marketing Drugs for Off-label Purposes: The U.S. Food and Drug Administration (FDA) prevents pharmaceutical companies from marketing products for uses other than the purposes for which they have previously approved the drugs. Although doctors often prescribe off-label, drug makers can face fraud charges if they use marketing tactics that push medications to treat conditions unapproved by the FDA.
Illegal Kickback Schemes: When pharmaceutical companies pay or provide valuable incentives to healthcare providers for prescribing a particular drug to their patients, they may face criminal charges. Similar to marketing drugs for off-label purposes, drug makers may take it upon themselves to ensure their products and not those of their competitors are prescribed to patients.
Other types of pharmaceutical company false claims include pricing fraud, average sales price fraud, and clinical trial fraud, in which a pharmaceutical company misrepresents or outright lies about the results of clinical trials in order to receive funding for its products. If defendants are convicted of acting illegally, they may face serious criminal penalties and possible federal investigations.
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.
Penalties for Pharmaceutical Fraud
In many cases, pharmaceutical companies settle civil lawsuits. Whistleblowers are encouraged to come forward and file qui tam lawsuits under the False Claims Act, receiving generous financial incentives if they help the U.S. government recover funds improperly paid to drug makers as a result of illegal activity or wrongdoing.
Pharmaceutical company employees, hospitals, and doctors who violate the law may also face criminal charges as well — some of which carry penalties of decades in jail. Under 42 U.S. Code Section 1320-a-7b, it is a felony offense to conceal facts, make false statements, or make false representations when applying for payments or benefits from federal healthcare programs.
It is important to work with a pharmaceutical fraud attorney throughout all stages of the process. Defendants must know that they may face multi-count indictments, and they must understand each charge against them as well as the penalties for their alleged illegal activities.
Contact a New York Pharmaceutical Fraud Lawyer for More Information
The attorneys at Spodek Law Group, PC have extensive experience with pharmaceutical fraud claims. We understand how complex drug price-setting, marketing, and manufacturing can be, and we vigorously fight to prevent criminal penalties from being imposed on our clients as they work in the pharmaceutical industry.
We have the dedication and knowledge necessary to help you aggressively respond if you are facing charges. The outcome of the case could take your freedom and significantly alter your financial future, so contact us today to learn how one of our New York City pharmaceutical fraud attorneys can help with your case.
