51 JFK Parkway, Short Hills, NJ 07078
info@healthlawalliance.com(800) 345 - 4125
(800) 345 - 4125Get My Free Case Review

Case Results

Selected outcomes from anonymized matters. Facts modified to preserve client confidentiality.

Latest Result

Three Cardinal Health product-return lawsuits dismissed

Health Law Alliance secured dismissals of three lawsuits brought by Cardinal Health against independent pharmacies and their owners in Texas, New York, and Ohio. Cardinal also paid $17,500 in attorneys’ fees to settle a sanctions motion in the New York case.

Read the full announcement on PR Newswire →
Featured ResultFederal · D.N.J.

All federal charges against a NJ physician dismissed

The Department of Justice dismissed its entire criminal case against a New Jersey urologist charged over alleged speaker-program kickbacks and Controlled Substances Act violations — the lone dismissal in an otherwise unbroken string of 35 related federal and state prosecutions. The client returned to practice.

Lead Counsel
Anthony Mahajan
Former Assistant U.S. Attorney · D.N.J.
Read the full case →
We have defended clients against
DOJDOJ
FBIFBI
DEADEA
HHS OIGHHS-OIG
OptumRxOptumRx
McKessonMcKesson
Case Highlights

Highlights from the record

Victories Against Optum Rx: Protecting Pharmacy Clients NationwideRecoupment Reversed
$4.7M
$4.7M demand reduced to $180K — a 96% reduction
OptumRx full-scope audit across three fill years on high-cost specialty medications.
PBM Audit · 2024
Federal Indictment Against NJ Doctor Collapses in Stunning DOJ ReversalIndictment Dismissed
Dismissed
All charges dismissed — client returned to practice
DOJ dismissed its entire case against a NJ physician — the lone dismissal among 35 related prosecutions.
Federal Criminal · 2025
Defeating Optum: How HLA Won Full Termination Reversals for 7 New York PharmaciesNetwork Reinstated
7 Pharmacies
All 7 terminations reversed in one coordinated appeal
Seven New York pharmacies' OptumRx network terminations reversed in a single coordinated appeal.
Network Termination · 2024
HLA Wins Full Reversal of PBM Audit Findings for Maryland PharmacyRecoupment Reversed
$2.1M
$2.1M clawback defeated in full — final demand zero
Express Scripts clawback overturned on extrapolation methodology challenge.
PBM Audit · 2024
Department of Justice Declines to Prosecute HLA Client for Alleged $6M FraudDOJ Declined
$6M
Prosecution declined on $6M alleged fraud — no charges
DOJ declined criminal prosecution following defense-side proffer and witness preparation.
Federal Criminal · 2024
HLA Attorney Anthony Mahajan Wins Dismissal of False Claims Lawsuit Against Oncology Dispensing PracticeFCA Dismissed
Dismissed
Lawsuit dismissed at the pleading stage — no trial, no payment
FCA case against oncology dispensing practice dismissed at pleading stage under Rule 9(b) particularity.
FCA Defense · 2024
Health Law Alliance Successfully Reverses OptumRx’s Network Termination for a Michigan PharmacyNetwork Reinstated
Reinstated
Termination reversed — Caremark and Part D access preserved
Michigan pharmacy OptumRx termination reversed. Caremark and Medicare Part D access preserved.
Network Termination · 2025
Health Law Alliance Earns Reinstatement for DME Supplier Whose Medicare Billing Privileges Were Unjustly RevokedRecoupment Reversed
$1.4M
$1.4M demand cut by 88% after extrapolation challenge
UPIC Medicare recoupment demand reduced after extrapolation challenge and ALJ appeal.
Medicare · 2024
Recent Highlights

Recent wins, by practice area

A selection of recent matters36 wins
PBM Audit & Recoupment
9 matters
Q2 2026CaremarkClashing with Caremark: $45,000+ in Clawbacks Fully Reversed for Florida PharmacyReversed→Q2 2026PBMHLA’s Latest PBM Win Highlights the Dangers of Inventory DiscrepanciesFavorableOutcome→Q1 2026OptumRxHealth Law Alliance Successfully Defends a New York Pharmacy in an Optum AuditSuccessfullyDefended→Q4 2025PBMVictory for an Independent Pharmacy: Health Law Alliance Successfully Reverses Over $30,000 in PBM Inventory Discrepancy FindingsReversed→Q3 2025PBMHLA Wins Full Reversal of PBM Audit Findings for Maryland PharmacyReversed→Q3 2024OptumRxVictories Against Optum Rx: Protecting Pharmacy Clients NationwideVictory→Q1 2024OIGOIG Accepts Healthcare Fraud Self-Disclosure by Physician and Physician GroupSelf-DisclosureAccepted→Q4 2023PBMInventory Shortfall Case StudiesFavorableOutcome→Q4 2023OIGOIG Accepts Healthcare Fraud Self-Disclosure by PharmacySelf-DisclosureAccepted→
Network Termination Appeals
15 matters
Q4 2026PBMHealth Law Alliance Protects Independent Pharmacy from Network Termination After PBM AuditTerminationReversed→Q3 2026PBMHealth Law Alliance Successfully Reverses PBM Network Termination for a California Independent PharmacyTerminationReversed→Q3 2026OptumRxHealth Law Alliance Secures a Reversal of OptumRx’s Network Termination for a California PharmacyTerminationReversed→Q3 2026OptumRxHealth Law Alliance Successfully Prevents OptumRx Network Termination Following Pharmacy AuditTerminationReversed→Q2 2026OptumRxDefeating Optum: How HLA Won Full Termination Reversals for 7 New York PharmaciesTerminationReversed→Q1 2026PBMHLA Wins Full Reversal of PBM Credentialing Denial for an Independent PharmacyCredentialingReversed→Q4 2025OptumRxHealth Law Alliance Successfully Reverses OptumRx’s Network Termination for a Michigan PharmacyTerminationReversed→Q3 2025OptumRxStanding Up for Pharmacies: How HLA Fought and Reversed Optum’s Termination of a New York PharmacyTerminationReversed→Q3 2025CardinalHLA Attorney Anthony Mahajan Secures Major Victory Over Cardinal as Federal Court Dismisses Lawsuit Against Independent PharmaciesDismissed→Q3 2024OptumRxHLA Convinces Optum to Reverse PBM Audit TerminationTerminationReversed→Q3 2024OptumRxHLA's Lawsuit Against Optum Achieves Return of Hundreds of Thousands of Dollars in Withheld ReimbursementReimbursementRecovered→Q3 2024OptumRxTriumph Over Optum: HLA’s Tenacious Advocacy Reverses Optum’s Termination of a Texas PharmacyTerminationReversed→Q3 2024OptumRxHLA Files Emergency Texas Lawsuit Against Optum PBM Audit TerminationInjunctionFiled→Q1 2024PBMSafeguarding Independents: HLA Reverses PBM Termination on AppealTerminationReversed→Q1 2024PBMHLA Wins Network Reinstatement for Illinois PharmacyReinstated→
Federal & Criminal Defense
6 matters
Q4 2025DOJItalian Gold Broker Criminally Charged in $86 Million Customs Duty and Tariff Evasion Scheme Released on BailReleasedon Bail→Q2 2025DOJFederal Indictment Against NJ Doctor Collapses in Stunning DOJ ReversalIndictmentCollapsed→Q3 2024FCAHLA Attorney Anthony Mahajan Wins Dismissal of False Claims Lawsuit Against Oncology Dispensing PracticeDismissed→Q3 2024DOJHLA Wins Dismissal of Criminal Charges After PBM AuditDismissed→Q1 2024DOJDepartment of Justice Declines to Prosecute HLA Client for Alleged $6M FraudProsecutionDeclined→Q1 2024DOJFederal Prosecutors Decline Criminal Prosecution of HLA ClientProsecutionDeclined→
DEA, Medicare & Medicaid
6 matters
Q3 2025DEAHealth Law Alliance Successfully Sues the DEA and its Administrator, Terrance Cole, in Federal Court to Lift Immediate Suspension OrderISOLifted→Q3 2025MedicaidHeath Law Alliance Secures Reversal of a Medicaid Payment SuspensionMajorVictory→Q2 2025MedicareHealth Law Alliance Earns Reinstatement for DME Supplier Whose Medicare Billing Privileges Were Unjustly RevokedReinstated→Q1 2024StatePennsylvania Board Closes Investigation of HLA Client with No ActionClosedNo Action→Q1 2024State BoardState Board Declines Case Against HLA ClientClosedNo Action→Q1 2024MFCUMFCU Agrees Not to Charge HLA Client Following PBM Audit ReferralNoCharge→
Geographic Record

Wins on the record in 38 states

Health Law Alliance defends pharmacies, providers, and corporate operators in all 50 states. The map shows where documented case outcomes have landed since founding — concentrated in the PBM-heaviest markets (NY, NJ, FL, CA, TX) but spanning the country.

38
States with Wins
$20M+
Recovered Nationwide
AKHINY7 networks reinstatedNJFederal indictment dismissedMIOptum reversalFL$45K Caremark reversedTXMulti-PBM defenseCA$4.7M reduced 96%Federal indictment dismissedDocumented win
Recent Results

Three more from this quarter

A selection from the recordMore added regularly
DOJ

DOJ declined a $6M alleged fraud prosecution

Defense-side proffer and witness preparation produced a declination on the eve of indictment. The matter closed without charges and without an OIG referral.

No charges filed
OptumRx

Express Scripts recoupment defeated

$2.1M clawback overturned on an extrapolation methodology challenge. Statistical sampling errors made the projection unsupportable. Final determination: zero.

$2.1M reversed in full
HHS-OIG

OIG closed without enforcement action

Self-disclosure accepted. No corporate integrity agreement required. No exclusion. The client returned to normal Medicare billing the following billing cycle.

Closed, no action
$20M+
Recovered for Clients
1,500+
Audits Overseen
5,000+
Matters Handled
2,500+
Clients Represented
Facing an audit or investigation?

Speak with an attorney today

Free Case Review →