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Government Pricing Investigation


A pharmaceutical manufacturer retained BRG personnel in relation to a Department of Justice investigation with a central allegation that the manufacturer misstated its best price and underpaid Medicaid rebates by failing to properly account for what the government believed were bundled sales under the Medicaid Drug Rebate Agreement.

BRG professionals developed a strategy to gather relevant historical data and built a data warehouse to support the analysis; reviewed historical data and documents related to hundreds of contracts in order to identify the contracts potentially at issue; analyzed contractual terms, performance, and enforcement of contractual terms; developed liability and damages analysis related to the allegations; performed bundled sales calculations based on pre- and post-DRA Medicaid Rebate regulations; and presented analysis and findings to federal prosecutors. The matter was resolved in a settlement with the Department of Justice.

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