Pharmacy Owner Pleads Guilty in $100 Million Compounding Fraud
The president and owner of a Florida pharmacy has pleaded guilty for his role in a compounding pharmacy fraud scheme, which impacted private insurance companies, Medicare and TRICARE. Nicholas A. Borgesano Jr. (New Port Richey, FL), the president and owner of A to Z Pharmacy of New Port Richey, pleaded guilty in the Middle District of Florida federal court to one count of conspiracy to commit health care fraud and one count of conspiracy to engage in monetary transactions involving criminally derived property, according to a Justice Department release. Seven other individuals have previously pleaded guilty in connection to the scheme.
According to his plea agreement, Borgesano owned and operated numerous pharmacies and shell companies that he and his co-conspirators used to execute a fraud scheme involving prescription compounded medications, which generated over $100 million in fraud proceeds. He admitted using the pharmacies to cause the submission of false and fraudulent reimbursement claims for prescription compounded medications, such as pain creams and scar creams, to private insurance companies, Medicare and TRICARE. Borgesano also admitted that he and his co-conspirators manipulated billing codes in the reimbursement claims and submitted reimbursement claims for pharmaceutical ingredients they did not have. Additionally, he and his associates paid kickbacks and bribes in exchange for prescriptions and patient identifying information used to advance the scheme.