A federal jury convicted a mother and daughter from Melbourne, Florida, of multiple counts of healthcare fraud, payment of illegal kickbacks, and conspiracy to commit those offenses. The mother, Cindy Justice, was the owner and president of PureScience Rx, a pharmacy located in Poway. The daughter, Ashleigh Davis, was the operations manager at PureScience Rx and was a licensed pharmacy technician. Evidence showed the defendants paid marketers illegal commissions based on Medicare reimbursements in exchange for prescriptions generated through telehealth encounters that never involved legitimate medical examinations. The kickbacks were concealed through sham contracts and fabricated invoices falsely portraying the payments as hourly compensation. Trial evidence further established that telemarketing call centers targeted Medicare beneficiaries and secured agreement to receive expensive medications regardless of medical need. Many prescriptions were fraudulently issued using the stolen identities of nurse practitioners. Medicare ultimately paid more than $4.9 million on the fraudulent claims.