On May 13, 2025, a Florida-based pharmacy, OHM Pharmacy Services, aka “Benzer,” aka “Auburndale,” pleaded guilty to one count of healthcare fraud and was sentenced to one year of probation and ordered to pay restitution of $82,000. As part of the global resolution, Benzer also agreed to pay $1,018,000 to resolve False Claims Act violations. According to OHM’s admissions in the global resolution of criminal charges and civil claims, the pharmacy dispensed Evzio, one of several naloxone products on the market indicated for use on an emergent basis in the case of opioid overdose.
Due to Evzio’s high price, insurers (including Medicare Part D plans) frequently required that healthcare providers submit prior authorization requests before they approved coverage. OHM completed prior authorization forms in place of prescribing physicians, and in some instances OHM personnel signed the prior authorization forms without the physician’s authorization and submitted information to insurers that made it appear as though a physician, and not OHM, was submitting the information. Moreover, OHM also submitted prior authorization requests to insurers, including Medicare Part D plans, that contained false information. For example, OHM staff filled out and submitted dozens of Evzio prior authorization request forms that falsely asserted that patients had previously tried and failed to successfully use Narcan or naloxone.