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ONTARIO DRUG BENEFITS (ODB) FRAUD LAWYERS

Ontario Drug Benefits Fraud Lawyers Based in Toronto, Servicing Pharmacists Across Ontario.

If you have been notified that you or your pharmacy is being audited or investigated for Ontario Drug Benefits (“ODB”) fraud, you should contact a lawyer immediately. A Ministry of Health and Long Term Care investigation can lead to a pharmacy’s loss of its billing privileges, fraud charges, and complaints to the Ontario College of Pharmacists.

The Ministry of Health and Long Term Care investigates pharmacists and pharmacy owners for ODB fraud. ODB fraud is often detected by high volumes of billings for certain pharmacy products or by random questionnaires sent to patients to determine whether they received medication that was billed by the pharmacy as being dispensed.

If the Ministry of Health and Long Term Care determines that ODB fraud has occurred, they will issue a Notice of Intention to Terminate your Health Network System Agreement, which means that your pharmacy will no longer be able to bill the ODB, effectively ending that pharmacy’s business.

The Ministry of Health and Long Term care may also refer the matter to police for provincial or criminal charges and may also make a complaint or report to the Ontario College of Pharmacists.

Pharmacy Audit Lawyers for Ontario

An audit or investigation by the Ministry of Health and Long Term Care is a complex and intense process to navigate without legal assistance. The Ministry’s Inspector will issue an audit and report, which you will have approximately 60 days to respond to. The Ministry publishes a list of pharmacies on its website for which a Notice of Intention to Terminate your Health Network System Agreement has been issued, which will result in serious harm to your business and professional reputation. Your written response is often your only opportunity to save your pharmacy’s business and to protect your billing privileges under the ODB.

Damien Frost & Associates LLP has years of experience defending Pharmacists and pharmacy owners who are being audited or investigated for Ontario Drug Benefits fraud. In a number of instances, we have been able to overturn the findings of the Ministry or negotiate a resolution that retains the pharmacy’s billing privileges under the ODB.

Let us help you by using our expertise in dealing with the Ministry. Click here to contact us if you are being audited, investigated or receive a Notice of Intention to Terminate your ODB billing privileges.

Members of The Criminal Lawyers Association, Toronto Lawyers Association, Ontario Bar Association 
and Advocates' Society.

OUR CLIENT
REVIEWS

Very Pleased Working with Rebecca

"I have been very pleased working with Rebecca. She worked very efficiently, professionally and cared for every step, as we went through the process with Ontario College of Pharmacists. Initially I thought I would be going through a nightmare ,when I received my paperwork from Ontario College of Pharmacists, but Rebecca made the process seamless and the outcome was positive. Thank-you Rebecca and I would highly recommend your excellent professional service to others."
- NP

Very Professional and Helpful

I hired Ms Rebecca Young regarding a legal matter in October 2015. I found her and the firm to be very professional and helpful. The whole process took about one year to resolve. I followed her advice and the outcome was in my favour. I would recommend her for her professionalism, knowledge and pleasant attitude. –
I.S.

Pleased with the Outcome

"Daniel, Thank you for your excellent work. I am pleased with the outcome. I didn’t feel ‘prosecuted’ and I believe that is due to your excellent advocacy skills and rapport with the Court."
- AF

Helped a Lot to Calm my Nerves

"I was accused by my former employer of interfering and damaging their computer systems. I was charged under the Criminal Code for mischief, unauthorized access and destruction of data, which was a very scary, stressful, and upsetting experience. I thought that my world was over and all the hard work I had done in my life was coming to an end. Mr. Frost’s initial consultation (which was no obligation and free of charge) helped a lot to calm my nerves and comfort me and my family in trying times. His team was very understanding, sympathetic, concerned and supporting, she always took my frantic phone calls with calmness and assurance and helped me understand the progress of my case clearly. At every step, I received sound professional advice. At the end of the case, the charges were dropped. As a result, I do not have a criminal record, my reputation is intact, and my current job is still secure. Words cannot truly express my gratitude for having such amazing lawyers. From explaining the terminology used in court, to sitting with me outside the court room when I couldn’t hold back my tears, they stood by my side. Thank you for exceeding my expectations, and then some."
– JS

Very Pleased with Mr. Frost’s Representation

"We were very pleased with Mr. Frost’s representation. He provided us with the best possible legal representation. He was dedicated to obtaining a tremendous resolution in what was complex litigation while being always mindful that we required a cost-effective solution."
– BB

I am very Pleased

"I was charged along with nine other physicians with fraud against OHIP. I was also the subject of a complaint before the College of Physicians and Surgeons arising from the same allegations. I was assigned counsel by the Canadian Medical Protective Association (CMPA). On the advice of a friend who was a Crown Counsel I insisted that I be allowed to retain Mr. Frost. I am very pleased that I was allowed to do so. Mr. Frost (together with Ms. Samantha Peeris) provided me with first class representation. He convinced the Crown to drop the charges against me. His office always kept me informed in a timely fashion of any developments. He clearly understood the impact of these allegations on my professional reputation. Mr. Frost always maintained a very low profile. Mr. Frost went on to represent me before the College of Physicians and Surgeons ensuring that no disciplinary was taken. I continue to practice medicine in my area of expertise." –
Dr. C

I was Relieved with his Representation

"I am a healthcare provider with a practice in the Greater Toronto Area, Ontario. I was represented by Mr. Frost before my professional licensing College with respect to a complaint by an insurance company. I was quite concerned that the complaint could affect my professional standing and reputation. Mr. Frost understood what needed to be done. He also understood the impact the complaint was having on me personally. He acted quickly. He was able to convince the College to take no further action. I was relieved that his representation was very low profile and my professional reputation was not undermined with the public or the College. As a result of his representation my status with that particular insurer was regularized."
– CC

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