借牌開藥局卻請素人配藥  高雄藥師夫妻10年詐領健保費逾6000萬

2022-06-24   記者左新巧/高雄報導

許姓女藥師在高雄開了4間藥局,她和丈夫各掛名一個藥局的負責人,另兩間藥局則是借名掛牌,許女從2008年起,除了聘請未具藥師身分的員工幫患者調配藥劑,還把患者拿來領藥的處方箋當「禮券」使用,兌換其他藥品或商品,檢調查出她10年至少A走健保費6118萬,偵結後將許女等7人讓詐欺罪起訴。

高雄一對藥師夫妻向其他藥師借牌開藥局,卻請一般人配藥,規避聘請專業藥師費用,10年間詐領健保費超過6000萬元。(取自pixbay)

檢方指出,許女指示藥局員工,如果有持有慢性病處方箋的患者來拿藥時,患者若沒有服藥需求,可以用申報「藥費」點數7折核算,讓患者換購藥局內陳列的成藥或其他商品,員工再把兌換商品紀錄在內部系統登錄為「禮券」,把處方箋所載藥品上傳到健保署網站,10年向健保署A走347萬餘元。

由於聘顧專業藥師費用較高,借牌只要每月花1萬5千元的借牌費,許女聘雇沒有藥師資格的員工當藥師,由員工替病患調劑藥物,再向健保署署詐領藥費及藥事服務費,許女實際經營的4間藥局用此手法,在10年內共A走5771萬元。

檢調獲報進行調查後,陸續傳喚許女和員工等多人到案,其中一名被她借牌的田姓藥師坦承犯行,並積極與健保署協調,雙方達成和解後,檢方認定田男犯後有悔意,健保署也同意放他一馬,檢方讓他獲緩起訴處分,但除了和解條件外,另須賠償健保署220萬餘元,並參加法治教育課程6場次。

而許女等人因犯後態度不佳,檢方算出她名下的四間藥局共A走6118萬餘元,偵結後依詐欺罪將許女和她丈夫、員工共7人起訴。

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