Co-Pay Mistakes Can Trigger DOJ Action

Send us Fan Mail In Alvarez v. Lincare, the Eleventh Circuit highlighted a growing risk for pharma marketers and legal teams running Direct-to-Patient (DTP) campaigns. Lincare and Optigen were accused of defrauding the government by: Routinely waiving co-pays without documenting financial hardship, Shipping unrequested supplies, Allegedly paying kickbacks to boost business. While most claims were dismissed—not because they weren’t serious, but due to insufficient specifics—the upcoding cha...