CVS Pharmacy Inc.

CA 2025 Independent Pharmacies

DOJ False Claims Act Healthcare Fraud

Penalty

$18.3 million

Outcome

CVS Pharmacy Inc. Pays $18.2 Million to Resolve Alleged False Claims Act Violations

Details

CVS Pharmacy Inc. — DOJ Enforcement (2025)

DOJ took enforcement action against CVS Pharmacy Inc. in CA in 2025 involving false claims act, healthcare fraud violations in the Independent Pharmacies sector.

Penalty: $18.3 million

Violation types: False Claims Act, Healthcare Fraud
Entity type: Pharmacy
Penalty type: Settlement
Location: CA

Source: DOJ Press Release — CVS Pharmacy Inc. Pays $18.2 Million to Resolve Alleged False Claims Act Violations

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation and flag billing anomalies before false claims are submitted. Crucible's healthcare compliance layer enforces proper documentation, eligibility verification, and claims accuracy.

Source: DOJ Press Release — CVS Pharmacy Inc. Pays $18.2 Million to Resolve Alleged False Claims Act Violations

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