We have our first case of fraud that we were tipped off too, by a pharmacist.
We have a patient who came to us for the first time and asked for adderall to be prescription. So our doctor gave it to her.
The pharmacist called at a later date saying there was way to many suspicious factors and a MAPS was pulled (Michigan Automated Prescription System) turns out she has filled 2280 30mg adderall pills since march 22, 2011, this is not including the 120 she was just trying to fill from us.
The MAPS shows she was using 3 other doctors (not including us) and used i believe 15 different pharmacies to get these adderall prescriptions filled. She would use medicare or cash pay to pay for these.
This just screams fraud! But how do you get someone like this arrested? She is 56 and somehow has medicare which is paying for these! It is so ridiculous! I called priority health and reported it. A pharmacist was suppose to call, but even after a second call the next day still no response.
I just have no idea how you get this stopped! Please if anyone has had similar experience or knows what to do let me know.
We also want to protect ourselves from any kind of "claim" against that the patient may raise.
Thanks!
