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Rhode Island

CVS to pay $315 million to settle federal claims it filled unlawful opioid prescriptions

The Rhode Island-based pharmacy chain resolved allegations that it filled invalid prescriptions for opioids and other controlled substances and billed Medicare and other federal health programs for many of them. CVS has not been found liable.

CVS Pharmacy Inc., the Rhode Island-based pharmacy chain, has agreed to pay $315 million to resolve federal allegations that it illegally filled prescriptions for opioids and other controlled substances and then billed Medicare and other federal health programs for many of them, the U.S. attorney's office for the District of Rhode Island said Tuesday.

The settlement covers conduct from Oct. 17, 2013, through Dec. 2, 2025, according to the Justice Department. It resolves a complaint the government filed Dec. 13, 2024, in U.S. District Court in Rhode Island, alleging that CVS knowingly filled prescriptions that lacked a legitimate medical purpose or were otherwise invalid.

The government alleged that CVS pharmacies dispensed dangerous and excessive quantities of opioids, filled opioid prescriptions too early, and filled so-called "trinity" prescriptions, a combination of an opioid, a benzodiazepine and a muscle relaxant that the department described as dangerous and abused. The complaint also alleged that CVS filled prescriptions from "pill mill" prescribers and that its pharmacists filled them despite clear warning signs.

According to the complaint, the problems stemmed from corporate performance metrics, incentive pay and staffing policies that put profits ahead of patient safety. The government also alleged that CVS policies kept pharmacists from warning one another about certain problematic prescribers.

Under a separate agreement with the Drug Enforcement Administration, CVS must set up a hotline for employees and the public to report suspected illegal dispensing, monitor its pharmacies' dispensing patterns, and create a process to evaluate prescribers suspected of illegal prescribing.

The case began as a whistleblower lawsuit filed under the False Claims Act by Hillary Estright, a former CVS employee. The federal government intervened and took over the case. The amount she will receive has not been determined.

The Justice Department said the claims resolved by the settlement are allegations only and that there has been no determination of liability.

This brief was drafted by AI from a public agency or political press release and published by The New England Signal. Why we use AI for stories like this one.

Rhode Island