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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

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

Damien Frost & Associates LLP

30 St. Clair Avenue West,
Suite 202, Toronto, ON M4V 3A1

Phone: 416-923-1900

Toll Free Number: 1-800-329-3951

Fax: 1-866-235-6191