Tennessee To Get $2 Million As McKesson Agrees To Pay States Over $151 Million To Resolve False Claim Pricing Case

Friday, July 27, 2012

Tennessee will receive approximately $2 million as part of a national agreement with one of the largest American drug distributors, McKesson Corp. for allegedly causing the government to overpay for prescription drugs, Attorney General Bob Cooper announced Friday.

McKesson is alleged to have violated the Federal False Claims Act and various state false claims acts by reporting inflated pricing data for a large number of prescription drugs. As a result, state Medicaid programs such as TennCare had to overpay for a variety of drugs.

At issue in this case was the drug pricing data known as the “Average Wholesale Price” (AWP) benchmark used by most states, including Tennessee, to set drug reimbursement rates for some pharmaceuticals dispensed to Medicaid recipients. Tennessee alleges McKesson reported inflated AWP pricing data to First Data Bank (FDB), a publisher of drug prices, thereby inflating many AWPs used by Tennessee to set reimbursement. In April, the federal government settled the federal portion of this lawsuit for over $187 million. The agreement recovers the state Medicaid share for Tennessee.

“Tennessee has no tolerance for any corporation that would intentionally manipulate an already complicated system for which the state must obtain drug cost reimbursements,” Attorney General Cooper said. “We appreciate the diligence of our federal and state partners who work tirelessly strive daily to stop this behavior.” 

"The Tennessee Bureau of Investigation's Medicaid Fraud Control Unit is proud to be a part of the National Association of Medicaid Fraud Control Units," said TBI Director Mark Gwyn. "TBI is dedicated to working with our state and federal counterparts to ensure that healthcare providers, no matter how large or how small, will not profit by defrauding our state's Medicaid program. This case is an example of that dedication."

Tennessee’s share of the national multi-state settlement announced today is $1,972,795. The total overall settlement for all the states and federal government is more than $151 million.

The suit was filed in US District Court in New Jersey. To date, federal and state governments have also recovered more than $2 billion from drug manufacturers that were alleged to have reported inflated AWP information to FDB and other publishers of drug prices.

Tennessee was represented by a national settlement team comprised of members from the states of California and New York working through the National Association of Medicaid Fraud Control Units.


Police Told Stabbing Victim At Motel Was Trying To Force His Way Into Room

Police said a fatal stabbing at the Country Hearth Suites on E. 20th Street came after an argument over a dice game. William Morris Jr., 66, is charged in the Friday night death of Alexis Lewis, 51. Police said he was stabbed one time in the chest and was found dead outside the motel. A trail of blood led from where he collapsed to room #342. Morris and Tabitha Hinton ... (click for more)

Police Blotter: Woman Thief Takes Tools At Williams Street Motel

Police said a woman thief made off with some tools from a truck parked at a motel on Williams Street. But the $950 in items were found just behind the Motel 6. John Fellhauer said the tools were taken from his Silverado. He said two trays of tools were removed from his tool box. A motel video showed a white female get the tools and head for the dumpster. They were found hidden ... (click for more)

Location Of The Delta Queen Is The Problem

The Delta Queen is a magnificent part of history and in many ways I'm pleased she is in town. Having the boat where she is is the problem. The boat blocks the view of and from the prettiest park in our town. The crew take many of the parking spots around the park leaving families to park across Frazier and schlep their kids, strollers and picnics to the park. You don't get fireworks ... (click for more)

Roy Exum: Please Send Me Funny Jokes

It has been about 25 years or so since I had the opportunity to visit every county in the state of Tennessee and, as a volunteer for the American Cancer Society at the time, I met cancer survivors and listened to their incredible stories. I remember one man in particular who had bone cancer and one night he said he rolled over in bed and literally broke his arm in a very simple ... (click for more)

Baylor's Popp Wins First Spring Fling State Title

 Baylor sophomore Selena Popp won the Division II girls pentathlon Monday afternoon in Murfreesboro.  It is the first state championship of the 2013 Spring Fling.  Popp won the 100 meter hurdles and the high jump.  She edged out Evangelical Christian School's Kate Jamison by one point.   Teammate Victoria Wicks was third and Kate Kaufman was fifth.  ... (click for more)

State Soccer Brackets Released

The state tournament brackets were released early Sunday morning.  In Class A/AA Notre Dame will face off with White House at 4:30 p.m. on Tuesday East Hamilton drew Christ Presbyterian Academy on Tuesday at 7:30 p.m.   White House is currently ranked fourth in the state wide Eurosport rankings.  Notre Dame is seventh and Notre dame is seventh. East Hamilton ... (click for more)