prescription fraud scheme—what you need to knoprescription fraud scheme—what you need to know...
TRANSCRIPT
UCSHIP|www.ucop.edu/ucship
PrescriptionFraudScheme—WhatYouNeedtoKnowWhatWeKnowAboutThisIssue• Wehavebeeninformedthatacompanycalled“CaliforniaClinicalTrialsLLC”is
specificallyadvertisingtostudentsenrolledinUCSHIPtoenrollthemina“clinicaltrial”oftopicalpaincreams.TheseadshaveappearedonFacebookandhaveofferedUCSHIPmembersupto$550toenrollintheir“clinicaltrial.”Webelievethatstudentsmayhavebeenmisledintobelievingthatthis“clinicaltrial”wasassociatedwithUCSHIP,whichitisnot.ThiscompanyanditsactivitieshaveabsolutelynorelationshiptotheUniversityofCalifornia.
• Weunderstandthatacompanycalled“PharmaProSolutions”hasappearedatjoborrecruitingfairstosolicitUCstudentstoapplyforjobsassalesrepresentatives.Aspartofthe“employmentapplication,”weunderstandthatPharmaProrepresentativeshaveaskedstudentstoprovideUCSHIPinsurancenumbersandotherhealthinformation.Shortlythereafter,thestudentbeginstoreceiveprescriptiontopicalpaincreamsinthemailfromamail-orderpharmacy,eventhoughthestudentdidnotaskfortheprescriptionanddidnotconsultwithadoctororpharmacist.ThiscompanyanditsactivitieshaveabsolutelynorelationshiptotheUniversityofCalifornia.
• WebelievethatPharmaProSolutionsoranothercompanymaybetablingorsettingupunauthorizedboothsatoraroundUCcampusesandoffering“freesamples”ofthesetopicalpaincreams.Inexchangeforthesample,thecompanyisbelievedtoberequestingUCSHIPmembershipinformation.Again,theseactivitieshaveabsolutelynorelationshiptotheUniversityofCalifornia.
UCOfficeofthePresidentbelievesthat,oncestudents’UCSHIPmembershipinformationiscollected,theschemeinvolveswritinglargenumbersoffraudulentprescriptionsfortopicalpainmedicationsinthenamesofthesestudents.TheprescriptionmedicationsinvolvedincludeDermacin,Inflammacin,Diclofex,Mebolic,Migranow,InflammationReductionPak,Xelitralandpossiblyothers.Mostofthesemedicationsarepackagedinkitsconsistingofadrugsimilartoibuprofen(eitherasatopicalsolutionoraspills),coupledwithasecondcomponent,whichissimilartoanover-the-counter“Ben-Gay”or“Icy-Hot”cream.Mebolicisaprescriptionvitaminproduct,andMigranowisakitcomposedofagenericmigrainemedicationplusatopicalcoolingliquidsimilartoover-the-counter“Vic’sVapoRub.”
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WhatWeAreDoingUCSHIPuncoveredthisschemeandisconductinganin-depth,ongoinginvestigationwithourlegalcounselandlawenforcement.Wehavetakenimmediateactionstocutofftheprescribersandallthecompaniesandpersonsknowntouswhomaybeinvolvedinthisscheme,includingsuspendingparticipationofsuchprovidersandpharmaciesinourplan.Wearetakingadditional,preventiveactionswithrespecttothehigh-costdrugsandkitsinvolvedherethatareanemergingtargetforfraudandareplacingadditionalinternalcontrolsaroundUCSHIPclaims.Weareactivelypursuinglegalactionandworkingwithlawenforcementtoholdtheperpetratorsaccountable.IfyouhaveinformationthatmayassistlawenforcementortheUniversityinthismatter,pleasecontactyourcampusPoliceDepartment.ProtectingYourselfandYourInformationThisschemeappearssophisticatedandourinvestigationremainsactive,sowedonotknowallthefactsatthistime.Wearecontactingyounowbecauseyourwell-beingandprivacyareparamount.Weencourageyoutoobservethefollowingtipstokeepyourselfandyourinformationsafe.TheUniversitystronglyencouragesstudentsandthirdpartiestoverifyaresearcher’scredentialsandaffiliationbeforeparticipatinginanyclinicaltrial.MakesurethattheinformedconsentformyousignlistsanInstitutionalReviewBoard,orEthicsCommittee,andcontactthemtomakesurethestudyislegitimate.Informationaboutlegitimateclinicaltrialscanalsobefoundatwww.clinicaltrials.gov.UCrunsmanyclinicaltrials,andtheyareabsolutelyessentialtoensuringtheadvancementofmedicine.Agenuineclinicaltrialhasimportantprotectionsforitsenrollees.Atrueclinicaltrialwillrarelyofferlargesumsofmoneyforparticipants.Itisimportantthatyouprotectyourpersonallyidentifyinginformation(healthinsuranceID,SocialSecuritynumber,bankaccountinformation,etc.)atalltimesfromunauthorizeduse.Yourhealthplaninformationandmedicalidentitycanbevaluabletoanidentitythief.Asaresult,pleasetakeprecautionsincluding:
• NeverprovideyourhealthinsuranceIDorSocialSecuritynumbertosomeoneyoudon’tknow.Also,asarule,avoidsharingsensitiveinformationoveremailorthroughsocialmedia.
• Bewaryifsomeoneoffersyou“free”healthservicesorproductsbutrequiresyoutoprovideyourhealthplanIDnumber.Medicalidentitythievesmaypretendtoworkforaninsurancecompany,doctors’offices,clinicorpharmacytotrytotrickyouintorevealingsensitiveinformation.
• Keeppaperandelectroniccopiesofyourmedicalandhealthinsurancerecordsinasafeplace.Shredoutdatedhealthinsuranceforms,prescription
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andphysicianstatements,andthelabelsfromprescriptionbottlesbeforeyouthrowthemout.
• Beforeyouprovidesensitivepersonalinformationtoawebsitethatasksforyoursocialsecuritynumber,insuranceaccountnumbersordetailsaboutyourhealth,findoutwhytheinformationisneeded,howitwillbekeptsafe,whetheritwillbesharedandwithwhom.Ifyoudecidetoshareyourinformationonline,firstreadtheprivacypolicyonthewebsite,andlookforalockicononthebrowser’sstatusbaroraURLthatbegins“https.”The“s”isforsecure.
Wealsowanttoalertyoutoresourcesforprotectingyouridentity.StudentsenrolledinUCSHIPhaveaccesstoAllClearIDviaAnthem.StudentscancontactAllClearIDathttps://anthemcares.allclearid.com,or(855)227-9830,(Mon.throughSat.8:00a.m.to8:00p.mCentralTime).Servicesincludethefollowing:
• IdentityTheftRepairAssistance:Shouldastudentexperiencefraud,aninvestigatorwilldotheworktorecoverfinanciallosses,restorethestudent’screditandensurethestudent’sidentityisreturnedtoitspropercondition.Thisassistancewillcoveranyfraudthathasoccurredsincetheincidentfirstbegan.
• CreditMonitoring:Atnocost,studentsmayalsoenrollinadditionalprotections,includingcreditmonitoring.Creditmonitoringalertsconsumerswhenbanksandcreditorsusetheiridentitytoopennewcreditaccounts.
• ChildIdentityProtection:Child-specificidentityprotectionserviceswillalsobeofferedtoanystudentswithchildreninsuredthroughtheirAnthemplan.
• Identitytheftinsurance:Forindividualswhoenroll,thecompanyhasarrangedfor$1,000,000inidentitytheftinsurance,whereallowedbylaw.
• Identitytheftmonitoring/frauddetection:Forstudentswhoenroll,datasuchascreditcardnumbers,SocialSecuritynumbersandemailswillbescannedagainstaggregateddatasourcesmaintainedbytopsecurityresearchersthatcontainstolenandcompromisedindividualdata,inordertolookforanyindicationthatthestudents’datahasbeencompromised.
• PhoneAlerts:Individualswhoregisterforthisserviceandprovidetheircontactinformationwillreceiveanalertwhenthereisanotificationfromacreditbureau,orwhenitappearsfromidentitytheftmonitoring.
Aswegatherquestionsfromstudents,wewillbeupdatingtheFrequentlyAskedQuestionsdocument.Weappreciateyourattentiontothisimportantmatter.