Provider Notice Issued 09/20/2018

Date:     September 20, 2018
 
To:        Participating Pharmacies, Physicians, Dentists, Podiatrists, Optometrists, Hospitals, Advanced Practice Nurses, and Physician Assistants
 
Re:       ALERT: Fraudulent Prescription Requests
 
 
This notice is to alert providers that the Illinois Department of Healthcare and Family Services Pharmacy Unit and Office of Inspector General (OIG) have been notified by primary care providers across the state that they are receiving high volumes of fraudulent/fake prescription requests by unknown person(s) posing as pharmacists or pharmaceutical companies.
 
In recent known cases, the fraudulent prescription request(s) are faxed to the physician’s office for signature and the prepared prescription gives the appearance of originating from a legitimate pharmacy when in fact the pharmacy phone number listed on the prescription is fraudulent. In addition the fraudulent request form contains lists of pre-printed medications including expensive topical creams, ointments and medical supplies such as:
 
o   Diclofenac;
o   Lidocaine 5%;
o   diabetic supplies; and
o   over the counter medications. 
 
In the June 2018 newsletter issued by the National Association of State Controlled Substances Authorities (NASCSA), it was reported that the Washington Field Office of the FBI, in coordination with Office of Private Sector, issued a warning about fraudulent prescription submissions. Although there may be many others, the warning listed these known fax numbers used in the scheme:
 
800-581-1299       866-705-4069      866-462-7769       561-331-6061      800-868-8136    866-242-5573       866-308-4144      866-583-0576      888-641-0060       888-290-8812
         
Providers should review ALL faxed prescription(s) or medical supply requests carefully for validity and medical necessity.
 
Questions regarding this notice can be directed to the FBI Private Sector Coordinator at your local FBI Field Office or the HFS OIG fraud unit at HFS.OIG.fraudhotline@illinois.gov
 
Bradley Hart
Inspector General

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