Vincennes: How did a pharmacy swindle more than a million euros from the health insurance company?
The manager of a pharmacy in Vincennes (Val-de-Marne), accused of cheating two health insurance companies out of more than one million euros, will be charged next June before the Créteil Criminal Court.
False bills, fake prescriptions… For four years, the manager of a pharmacy in Vincennes has multiplied fake documents in order to deceive the health insurance company.
The affair began in December 2017. The Caisse Primaire d’Assurance Maladie (CPAM) from Val-de-Marne filed a complaint against this manager and her pharmacy, located about ten kilometers south of Paris.
Based on an activity audit carried out between March 2014 and April 2017, the complaint denounced “the reimbursement of particularly expensive medicines on presentation of falsified medical prescriptions and through the issuance of false invoices”, Créteil’s prosecution explained in a press release.
Investigators from the Smart Crime Repression Brigade (BRDA) then determined that the reimbursements sought were in fact from prescriptions given by sick people. However, the latter had not been treated since 2016.
Damage estimated at 1.2 million euros
In addition to the health insurance of Val-de-Marne, that of Seine-et-Marne was also injured, bringing the estimated total damage from March 2014 to September 2018 to 1.2 million euros.
During her hearing, the 50-year-old manager admitted the facts. She also stated that she acted because of financial difficulties at her pharmacy, prosecutors said.
She is accused of fraud and attempted fraud against a social protection organization and will appear before the Créteil Criminal Court on June 12.