An Arlington man pleaded guilty to his role in a conspiracy to commit healthcare fraud that resulted in losses of over $3.5 million. According to court documents, Onkur Lal, 29, worked in various roles at MedEx Pharmacy, MedEx Health Pharmacy, and Royal Care Pharmacy, which were all owned and operated by the same individual. From around 2014 to around 2019, Lal conspired with the owner and others in a number of different fraudulent schemes to defraud healthcare benefit programs, including TRICARE, Medicare, Virginia Medicaid, and Maryland Medicaid. Lal took part in a number of fraudulent schemes, including generating false prescriptions, billing health insurance companies for prescriptions that were never filled, and billing patients’ healthcare benefit programs for numerous high cost medications that he and his co-conspirators knew were not prescribed and/or never received. Lal and his conspirators also submitted false invoices under the names of other pharmacies, in an attempt to circumvent audits. Further, Lal and another co-conspirator fraudulently posed as pharmacists by elevating their title and credentials within the pharmacy’s prescription software system. Lal and his co-conspirator then used these elevated titles to verify prescriptions, which they then submitted to healthcare benefit programs and pharmaceutical suppliers for payment. The various schemes resulted in healthcare benefit programs losing more than $3.5 million.
