Pharmacy Owner Sentenced for Role in $6.9 Million Scheme to Bill Insurance for Medications Not Dispensed

DETROIT - A licensed pharmacist from Dearborn Heights was sentenced to 2 years in federal prison for submitting claims to Medicare, Medicaid, and Blue Cross Blue Shield of Michigan for her role in a scheme to defraud health care insurers by submitting claims for pharmaceuticals that were not actually purchased, United States Attorney Dawn N. Ison announced.

Ison was joined in the announcement by Special Agent in Charge Cheyvoryea Gibson of the FBI's Detroit Division and Mario M. Pinto, Special Agent in Charge of the Chicago Region of the U.S. Department of Health and Human Services Office of Inspector General.

In addition to the prison term, United States District Judge Nancy G. Edmunds also ordered Zeinab Makki, 61, to pay $6.9 million in restitution imposed of a forfeiture judgment of $6.9 million.

According to court records, Makki was the pharmacist in charge from 2001 through 2021 at New Millennium Drugs and Western Wayne Pharmacy. She admitted that she led a scheme to defraud Medicare, Medicaid, and Blue Cross Blue Shield of Michigan by submitting claims for pharmaceuticals which New Millenium Drugs and Western Wayne Pharmacy did not actually purchase.

"Fraud by health care professionals will be aggressively pursued by our office," said U.S. Attorney Ison. "We hope that prosecutions like this one will deter health care professionals from stealing money from those who genuinely need it to order to line their own pockets."

"This sentencing underscores our commitment to holding those who defraud Federal health care programs accountable," said Mario M. Pinto, Special Agent in Charge of the U.S. Department of Health and Human Services Office of Inspector General. "Our agency remains dedicated to working with our law enforcement partners to identify and investigate fraud allegations."

"False medical claims divert much needed funding away from patients in need of life-saving services and Ms. Makki will serve her sentence for orchestrating and participating in this scheme," said Cheyvoryea Gibson, Special Agent in Charge of the FBI in Michigan. "The FBI is proud to work alongside our law enforcement partners and pursue justice against medical professionals who defraud government healthcare programs.

The case was investigated by Special Agents of the HHS and FBI, with cooperation and assistance from the Michigan Department of Health and Human Services - Office of Inspector General. The case is being prosecuted by Assistant United States Attorney Philip A. Ross. Assistant United States Attorney Jessica Nathan is prosecuting the related asset forfeiture matters.