Officials accuse Kyrollos Mekail, 36, of Moreno Valley, of prescribing medications that were “medically unnecessary and often not provided to patients and were obtained through payment of tens of m…
An Inland Empire pharmacist accused of submitting more than $300 million in fraudulent Medi-Cal claims for prescriptions processed through his pharmacy was charged with health care fraud on Thursday, June 27, by the Justice Department.
If convicted, he could face 10 years in federal prison for each of the two counts against him, officials said. Officials from the U.S. Department of Health and Human Services Office of Inspector General, the FBI, and the California Department of Justice are investigating the case. Federal officials said that Mekail and those “he schemed with ” allegedly exploited Medi-Cal’s prior authorization suspension by billing Medi-Cal tens of millions of dollars per month for dispensing high-reimbursement, non-contracted, generic drugs” through the pharmacy from March 2022 until March 2023.
In less than a year, the pharmacy billed Medi-Cal more than $306 million for the medications, of which Medi-Cal then paid Monte Vista Pharmacy more than $204 million, according to court documents federal officials said on Thursday.
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