OIG - Office of Inspector General

06/09/2026 | Press release | Archived content

Attorney General James Secures $36.5 Million from CVS for Defrauding Medicaid

Attorney General James Secures $36.5 Million from CVS for Defrauding Medicaid

NEW YORK - New York Attorney General Letitia James joined a bipartisan coalition of 36 other attorneys general and the United States Department of Justice (DOJ) in securing $36.5 million from CVS Pharmacy, Inc. (CVS) for fraudulently overbilling Medicaid for insulin prescriptions. From 2010 to 2020, CVS knowingly dispensed more insulin to customers than they needed while maintaining that they were reporting the correct amount of insulin in their prescriptions. These fraudulent claims allowed the company to rake in millions in extra reimbursements from Medicaid for insulin distribution. Under a settlement with Attorney General James and the coalition, CVS will pay more than $25 million to state Medicaid programs across the country, including $2.25 million to New York.

Read more on ag.ny.gov

Action Details

  • Date:June 9, 2026
  • Agency:State of New York
  • Enforcement Types:
    • State Enforcement Agencies
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