Whistleblower Gets $3.6M In FCA Deal With Roche, Humana

By Adam Lidgett (February 8, 2021, 5:56 PM EST) -- A former Roche Diagnostics Corp. employee is set to get a $3.6 million cut of a $12.5 million settlement to resolve her False Claims Act claims that the company had an illegal arrangement to get its diabetes medication back on Humana's Medicare Advantage formulary.

According to a Monday court filing from whistleblower Crystal Derrick, she said that once Roche and Humana pay $12.5 million to the federal government, the U.S. will give her $3,625,000 from that amount.

"This case demonstrates that Medicare Advantage organizations, pharmacy benefit managers and pharmaceutical companies can be held responsible for giving or accepting payments in exchange...

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