Those who attempt fraud at the expense of EOPYY and its insured persons will be brought to justice, reports EOPYY on the occasion of the dismantling of virtual prescription circuits with millions of euros in damage to the Organization.

As stated in an announcement, after a thorough investigation by the competent services of EOPYY, two complete files with indications of systemic fraud by doctors and pharmacists at the expense of EOPYY were sent to the Economic Police for investigation in October 2023, on the basis of which the Economic Police, after and from its own investigation with its own means resulted in the arrest of doctors, pharmacists and others involved in two criminal organizations, as stated in the Police press release dated 9/16/2024.

“The experienced doctors and pharmacists of the EOPYY, combined the targeted checks that have been systematically carried out in the last twelve months by the competent services of the EOPYY to observe the compensation restrictions on iron, vitamin D and magnesium medicines with the updated limit checks from the beginning of 2024 prescription (ceiling) with complaints from insured persons for unknowingly prescribing and carrying out in their AMKA preparations, including the drug legislation”.

According to the EOPYY, after cross-checking the information systems of the EOPYY and the Health Insurance File and, apart from prescriptions outside of indications and overdoses of preparations of specific companies, similarities in the diagnoses, pharmaceutical preparations, active substances and dosages were observed in doctors’ prescriptions , but also high execution rates in terms of the number and value of prescriptions in specific pharmacies.

The established high delinquency of doctors by the competent services of the EOPYY led the EOPYY to attribute the damage found to the prescribing doctors and to impose the prescribed sanctions and the EOPYY will take legal action to safeguard its interests, the Organization’s announcement concludes.