Abu Dhabi pharmacy under investigation for insurance fraud

WAM

A pharmacy in Abu Dhabi is being investigated for exploiting medical insurance policies for financial gain.

The Department of Health Abu Dhabi (DoH) referred the facility to public prosecution after monitoring operations of appropriation and damage to public funds.

The unnamed pharmacy is suspected of substituting medically prescribed drugs with other products in order to gain monetary benefits from financial claims covered by insurance companies.

Inspection and control teams of the DoH spotted suspicious transactions, and after multiple follow-ups and visits, the DoH disciplinary committee referred the pharmacy to the public prosecution for an investigation.

In the first half of 2023, the DoH carried out over 1,300 inspection visits during which 43 violations were detected.

In 2022, the teams conducted over 4,300 inspection visits where 290 offences were identified.

The violations were mostly related to non-compliance with regulations and standards issued by DoH, provision of medical services not licensed for the healthcare facility, lack of healthcare professionals required to provide services within the facility, and non-adherence to safety and infection control requirements, among others.

 

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