Case Result: Drastic Penalty Reduction for Pharmacist Accused of Medicare Fraud

Professionals

Primary Issue

A Pharmacist in Charge (PIC) at a Detroit-area pharmacy in the Eastern District of Michigan became involved in a federal investigation into a Medicare Part D fraud scheme. The pharmacy owner, who operated multiple locations, was accused of orchestrating a long-running conspiracy that resulted in more than $15.5 million in fraudulent billings.

Allegations included submitting claims for prescriptions not dispensed or only partially dispensed, providing improper beneficiary inducements, and unlawfully waiving patient co-pays.

Prosecutors alleged that our client was criminally liable for a portion of the loss even though he only worked at one location and was not responsible for the broader conspiracy. The advisory federal sentencing guideline range was 24–30 months, placing the client at significant risk of a lengthy custodial sentence.

Legal Argument

Chapman Law Group carefully reviewed the government’s evidence, the client’s role, and the operations of the pharmacy chain. Our healthcare fraud defense team demonstrated that the client’s involvement was limited, lacked the criminal intent attributed to the owners, and was confined to practices occurring at a single location.

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We advocated for a substantially reduced loss calculation, negotiated a plea that reflected his true conduct, and prepared extensive mitigation materials addressing his professional history, cooperation, and lack of knowledge of the owner’s multi-pharmacy scheme.

Case Results

Following extensive sentencing advocacy, the court granted a downward variance from the advisory 24–30-month range and imposed a sentence of six months. Our pharmacist client accepted responsibility for approximately $300,000 in loss — a fraction of the $15.5 million attributed to the conspiracy.

In contrast, the owner-pharmacists our firm did not work with proceeded to trial, were convicted, and received 96-month prison sentences, along with restitution exceeding $15 million. Chapman Law Group’s intervention with the pharmacist resulted in a dramatically reduced sentence and a far more favorable outcome.

Attorney

Summer McKeivier

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Healthcare-Based Criminal Law, Healthcare Fraud Defense

Los Angeles Office

17434 Bellflower Blvd., Ste. 200-229
Bellflower, CA 90706
Phone: (248) 644-6326

Areas of Law

Defending Against Healthcare Fraud Charges

Individuals depicted or heard in the foregoing media appearance or images may no longer be current attorneys, employees, members or affiliates with Chapman & Associates, PC or The Chapman Law Group (the “Firm”), including Ronald W. Chapman, II who is no longer affiliated with the Firm. For a current listing of the attorneys and services available with the Chapman Law Group, please see
https://chapmanlawgroup.com/team.

What Past Clients Are Saying

Dahlia Harrison
Dahlia Harrison
Google Reviews
Words cannot express how grateful I was and still is to my great lawyer Mr Meltz. He gave me my life back. He kept me informed, he gave me hope when I was in despair. He is also a respected lawyer in the courtroom. My outcome was good and my case was expunged. So whenever you need a good lawyer Mr Meltz is the man. Last, but by no means least thanks also to his team
Astrid Gomez
Astrid Gomez
Google Reviews
I am deeply satisfied with the legal representation of my attorney, Jonathan Meltz. From the beginning, he proved to be attentive, considerate, compassionate, punctual, and, above all, highly professional. He and his legal assistant, Andrea Macias, kept me informed at every stage of my process, clearly explaining each step and addressing all my questions with patience and empathy. Throughout the case, he tirelessly sought out the tools and strategies necessary to achieve the best possible outcome in my trial. Thanks to his commitment, on the day of the hearing, I felt protected, heard, and truly defended. Jonathan Meltz is the type of attorney anyone would want on their side during a difficult time. His integrity and dedication make all the difference. I highly recommend him.
Peter Rafferty
Peter Rafferty
Google Reviews
Jonathan Meltz was terrific with my case. They understood my problem, and were very effective at coming up with a solution. Highly recommend this firm and Jonathan Meltz.
Barbara Macy
Barbara Macy
Google Reviews
In the first few minutes of our meeting, Mr. Meltz separated the files that I had put together. He organized the paperwork into two piles. This one he said putting his hand on the first pile, represents the case against you. We are going to work on showing how these statements cannot possibly be true. Your other files represent your emotions about this case and will have to be addressed at a another time. That meeting and clear vision set the tone for all of our following meetings and the reinstatement of my certificate. I will always appreciate his knowledge and confidence as well as the results.
L G
L G
Google Reviews
Excellent law group overall. Jonathan Meltz is a wonderful attorney to have on your side. Not only is he is very knowledgeable and competent in his field of practice, he is also kind and honest. Difficult to find all these qualities in an attorney. Highly recommend.
Steven Santacruz
Steven Santacruz
Google Reviews
Great lawyer.. he’s handled several cases for me and my family very successfully.. highly recommended !

Disclaimer

This information is a sample of our past results. Prospective clients may not obtain the same or similar results. Every case is different, and each case must be evaluated and handled on its own merits. The circumstances of your case may differ from the results provided. The information provided has not been reviewed or approved by the State Bar.

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