Skip to main content
U.S. flag

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Kroger Specialty Pharmacy Agreed to Pay $23.5 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims Supported by False Prior Authorizations

After it self-disclosed conduct to OIG, Kroger Specialty Pharmacy, Inc. (Kroger), headquartered in Florida, agreed to pay $23,556,274.50 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Kroger submitted claims for payment to Federal health care programs for which a now former employee in Kroger’s patient access coordinator group falsified prior authorizations. Kroger’s now former employee would provide false and materially misleading answers to clinical questions and/or sign the authorizations as through she was the prescriber with the intent of influencing coverage decisions.

Action Details

  • Date:May 10, 2024
  • Enforcement Types:
    • Fraud Self-Disclosures