CVS Caremark Corp. has reached a settlement agreement with the U.S. Department of Justice and a number of state Attorneys
General to resolve an investigation into its practice of dispensing the generic drug ranitidine in capsule rather than tablet
form to Medicaid recipients. Pursuant to the settlement agreement, the company has expressly denied engaging in any wrongful
conduct.The settlement calls for payment by the company of $36.7 million, plus approximately $800,000 in investigative costs
and other fees.
The investigation commenced in 2001 and has been previously disclosed in the company's prior Securities and Exchange Commission
filings. CVS issued a statement which said the following: "For many years, the Company purchased and stocked the capsule form
of ranitidine across its chain of retail stores for dispensing to all patients, not just Medicaid recipients, due to the fact
that the acquisition cost of capsules was lower than the cost of tablets. At various times, certain state Medicaid programs
reimbursed pharmacies at a higher rate for capsules than for tablets. Both of these dosage forms for ranitidine contain the
same active ingredients. The government alleged that the practice of dispensing capsules instead of tablets was motivated
by a desire to increase Medicaid reimbursement. The Company has expressly denied this allegation."
This is the second major fine CVS has received this year. In February, CVS agreed to pay $40 million to settle an investigation
over Caremark's practice of switching patients from generic to brand-name cholesterol-lowering drugs in order to obtain rebates
from manufacturers.