CVS Health's pharmacy benefit manager unit must pay the U.S. government $95 million after a federal judge found it overcharged Medicare for prescription drugs.

CVS has vowed to appeal $948.8 million in fines and damages imposed by a judge Tuesday on its Omnicare unit, for billing Medicare for tens of thousands of false claims.

CVS Health plans to appeal after a judge in the Southern District of New York ordered its Omnicare unit to pay more than $948 million in penalties and damages related to invalid prescriptions.

The lawsuit was filed under the False Claims Act, which helps the government combat fraud and requires tripling of damages, ...

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CVS unit ordered to pay $95 million in Medicare whistleblower lawsuit CVS Health's pharmacy benefit manager unit must pay the U.S. government $95 million after a federal judge found it overcharged ...

"Medicare Advantage Whistleblower Lawsuit Alleges Insurer And Broker Misconduct", Health Affairs Forefront, June 26, 2025 . DOI: 10.1377/forefront.20250624.309189 Caption. 1101 Connecticut Ave ...

The case stems from a whistleblower lawsuit filed by a former Aetna actuary who alleged CVS Caremark manipulated drug pricing to inflate Medicare claims while underpaying pharmacies.