Fakih Pharmacy (Nabil Fakih — Dearborn Heights, MI)
Outcome
Pharmacist Nabil Fakih sentenced to 46 months in prison and ordered to pay $4 million restitution; four real estate properties and $726,364 in funds forfeited; fraudulently billed Medicare for high-reimbursing drugs never dispensed.
Details
Nabil Fakih / Fakih Pharmacy (Dearborn Heights, MI) — $4M Medicare Pharmacy Fraud
Outcome: Sentenced to 46 months in prison and ordered to pay $4 million in restitution; four real estate properties and $726,364.96 in funds forfeited for submitting fraudulent Medicare claims for high-reimbursing prescription medications never dispensed.
Nabil Fakih operated a pharmacy in Dearborn Heights, Michigan, through which he conducted a six-year Medicare fraud scheme from 2011 to 2017. The scheme involved submitting false claims to Medicare for prescription medications his pharmacy did not actually dispense — specifically targeting high-reimbursing drugs including blood thinners and lung disease inhalers.
To conceal the fraud, Fakih manipulated inventory records to make it appear that dispensing had occurred when it had not. The fraudulent proceeds were diverted for personal enrichment, funding real estate acquisitions that were later forfeited as criminal proceeds. Total Medicare losses reached approximately $4 million over the course of the scheme.
Following conviction, Fakih was sentenced to 46 months in federal prison, ordered to pay $4 million in restitution, and forfeited four real estate properties plus $726,364.96 in funds.
Primary Source: Michigan Pharmacist Sentenced to 46 Months in Prison for $4M Health Care Fraud Scheme
How Crucible Prevents This
Crucible's inventory-to-claims reconciliation controls would catch billing for high-cost drugs not in stock; automated comparison of wholesaler invoices against reimbursement claims for blood thinners and specialty inhalers would surface this scheme within days.
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