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Nov 18, 2025 12:00 PM

CVS Pays $18.3 Million To Resolve Alleged Medi-Cal Billing Failures

U.S. Attorney Eric Grant reached an $18.3 million settlement with CVS Health Corp’s (NYSE:CVS) CVS Pharmacy Inc. to resolve allegations that the company knowingly sought Medi-Cal reimbursement for medications without confirming required diagnoses or documentation.

The agreement ends claims that CVS improperly billed California's Medicaid program for prescriptions that did not meet state and federal compliance standards.

CVS, one of the country's largest pharmacy chains with more than 9,000 stores nationwide, regularly processes reimbursement requests for medications dispensed to Medi-Cal beneficiaries.

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