Go inside a $9M drug coupon fraud scheme
MIAMI — Two Florida men spent seven years not — even pausing during the two years one of them was in prison raking in $9 — million in a scam involving coupons meant to help people pay for prescription drugs. The men from Kendall used friends, wives of friends, shell companies and pharmacies that existed only on paper.
This scam took William Clero from the suburbs to downtown, as in the federal detention center in Miami, after receiving a 17-year, six-month sentence earlier this month for conspiracy to commit wire fraud and mail fraud.
Clero’s partner in his most recent crimes, Cesar Armando Perez Amador, already had been sentenced to seven years, three months.
Each man also got assigned $9,086,476 in restitution. In forfeiture, they lost a 2016 GMC Yukon Denali and 2018 GMC Sierra 1500 Denali that Perez drove; a 2017 BMW that a friend of Clero used; and 2017 and 2019 Cadillac Escalades that Clero drove.
Clero and Perez started their scam in 2014, targeting drug manufacturer programs that used coupons or savings cards to help people cover out-of-pocket costs for certain prescription drugs.
Fake pharmacies, real money
The Kendall cronies recruited people to be the listed owners of the pharmacies, which they incorporated and licensed with the state of Florida.
“Once licensed, the pharmacies submitted claims under the drug cost-savings programs for a period of time, and then would be replaced with another pharmacy at the same or another location, all in Miami-Dade County, in the Southern District of Florida,” Clero’s admission of facts states. “The pharmacies did not purchase prescription drugs for sale, did not have real customers who presented real prescriptions and did no actual, legitimate pharmacy business.”
The listed owners opened pharmacy accounts in their names, but Clero and Perez didn’t let them have access to those accounts
Clero and Perez didn’t let Clero’s two-year prison stint for crimes done in association with Moron Drug & Pharmacy, which the two owned together, slow their fraudulent roll.
While Clero did time for grand theft, organized fraud, controlled substance fraud, identification use fraud, illegal drug trafficking, fraudulent prescription drug labels and unauthorized prescription drug sales, a Clero relative got Moron’s longtime pharmacy technician, “C.V.,” to be the listed owner of Fenix Pharmacy.
“C.V. was tasked with performing the day-to-day work of the fraud, i.e., the submission of false claims to the coupon programs using coupon or savings cards, as well as lists of names she was supplied to enter as “patients” into the pharmacy billing system,” Clero’s admission states.
Clero and Perez routed the cash from the pharmacies to themselves through a number of shell companies, including Green Eagle, Clear Options and Olok Corp.