by Winston Chua
SAN MARINO - The San Marino Police Department, spearheading an investigation called
Operation "Pysched Out" is reporting that at least 16 people have been
arrested, including the owners of the Huntington Pharmacy in San Marino
and a Glendale medical clinic in a Medicare and Medical scheme to
defraud the government of roughly $18 million. A total of five
pharmacies are involved and as many as 20 warrants have been issued.
The Department of Justice, the FBI, the IRS, the United States Marshals Service, the California Pharmacy Board, the Los Angeles County Sheriff's Department,
HALT Team and the Drug Enforcement Administration are all involved in the case that revolves around the illicit circulation and sales of antipsychotic medications like Abilify, Seroquel and Zyprexa. San Marino Police Department's Sergeant Jay Wilburn has said that the Russian mafia is involved and that the investigation began in September of 2009.
Two of the arrest warrants the SMPD assisted in serving were for Mr. P.K. Lim, 42, of Pasadena and his wife Mrs. T.S. Khou, 39.
A
federal criminal complaint unsealed this morning charges 17 defendants
and alleges a scheme in which people associated with Manor Medical
Imaging Clinic and pharmacies
in and around the San Gabriel Valley participated in a “prescription
harvesting” scheme that defrauded Medicare and Medi-Cal, causing at
least $7.3 million in actual losses to the government health care
programs. Fifteen of the 17 federal defendants were arrested
this morning, and authorities arrested an additional defendant charged
by the California Attorney General’s Office, for a total of 16 arrests
today. One federal defendant was arrested earlier this month in
relation to another Medicare fraud case, one person
named in the federal case remains a fugitive.
The
affidavit in support of the criminal complaint alleges that Manor used
“cappers” to recruit Medicare and Medi-Cal beneficiaries – including
veterans, the homeless,
low-income patients and the elderly.
All
17 defendants named in the federal criminal complaint are charged with
conspiracy to commit health care fraud, a charge that carries a
statutory maximum penalty
of 30 years in federal prison. The 15 federal defendants arrested this
morning are expected to make their initial appearances this afternoon in
United States District Court in Los Angeles.
Medicare and Medical recipients with legitimate pharmaceutical prescriptions who receive such drugs at little or no cost resold drugs to middle men for a small amount, perhaps $100, and were likely taken advantage of, before these middle men turned around and sold the same antipsychotics to the highest bidder. Monthly prescriptions for some of these medications can cost in the thousands of dollars.
The investigation appears to be centered in Glendale, but several news outlets came onto the scene on Huntington Drive to learn that Huntington Pharmacy was the largest distributor in a plot to re-bill the government many times over for fake prescriptions.
San Marino police officers on multiple occasions since 2009 observed car loads of subjects from out of town making prescription purchases at the pharmacy. Suspicious activity was then monitored and authorities learned that the individuals with the drugs would distribute these drugs through their own criminal network sold in the black market.
Dr.
Peter Budetti, Deputy Administrator for Program Integrity, Centers for
Medicare and Medicaid Services (CMS), stated: “Today’s arrests further
signal CMS’ commitment
to preventing fraud in Medicare and Medicaid. In this situation, our
beneficiaries played a pivotal role in rooting out fraud, reporting
their suspicions to their Medicare Prescription Drug plan. Beginning in
2007, CMS’ anti-fraud units opened investigations
and made referrals to law enforcement. Since then, CMS has actively
supported the investigation by our law enforcement partners and will
continue to work with them to minimize the theft of taxpayer dollars
while maximizing criminal consequences to thieves.”
Wilburn said the SMPD has known about this for "some time" now and recommends that patients head to other pharmacies for service.