Crawford Drug, LLC

Dorchester, MA 2020--2024 Independent Pharmacies
OIG False Claims Billing For Drugs Not Dispensed
Penalty
$78,248

Outcome

Crawford Drug self-disclosed to OIG and settled for $78,248.25 for submitting prescription drug claims for medications that were never dispensed to patients.

Details

Crawford Drug, LLC (Dorchester, MA) — Billing for Prescription Drugs Not Dispensed

Outcome: Self-disclosed to OIG and settled for $78,248.25 for submitting claims for prescription drugs that were never dispensed to patients.

Crawford Drug, LLC, a pharmacy in Dorchester, Massachusetts, self-disclosed to HHS-OIG that it had submitted claims to federal healthcare programs for prescription drugs that were not actually dispensed to patients. The pharmacy then agreed to a settlement to resolve the Civil Monetary Penalties Law violation.

The voluntary self-disclosure reflects a functioning compliance program that identified the billing discrepancy and reported it proactively. The $78,248.25 settlement on August 22, 2025 represents a relatively modest penalty commensurate with the self-disclosure credit and the likely limited scope of the undispensed drug claims.

Primary Source: Crawford Drug Agreed to Pay $78,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Prescription Drugs Not Dispensed

How Crucible Prevents This

Crucible's dispense-to-bill reconciliation controls would flag claims submitted without corresponding dispense records; an automated matching of point-of-sale dispense logs against claim submissions would surface undispensed medication billing within each billing cycle.

Source: Crawford Drug Agreed to Pay $78,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Prescription Drugs Not Dispensed

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