Schnupp v. Blair Pharmacy, Inc.

District Court, D. Maryland·Decided May 7, 2025·No. 1:17-cv-02335·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

UNITED STATES ex rel. TIMOTHY SCHNUPP, Relator,

v. Civil No. ELH-17-2335

BLAIR PHARMACY, et al., Defendants.

MEMORANDUM OPINION In this qui tam case,1 filed on August 15, 2017, Timothy Schnupp, the Relator, sued his former employer, Blair Pharmacy, Inc. (“BPI,” “Blair Pharmacy,” or “Pharmacy”), and its owner, Matthew Blair (“Mr. Blair”) (collectively, “Blair”), pursuant to the False Claims Act (“FCA” or the “Act”), 31 U.S.C. §§ 3728 et seq. See ECF 1 (“Complaint”). At the relevant time, BPI was a compounding pharmacy.2 Schnupp, who previously worked as “Pharmacist in Charge” for Blair Pharmacy, alleged that defendants knowingly submitted false prescription claims to the Medicare Program, 42 U.S.C. § 1395 et seq. (“Medicare”), a federally funded health insurance program for people ages 65 and older and for certain people with disabilities, and to the Department of Defense TRICARE health insurance program (“TRICARE”).3 Initially, Schnupp claimed that, in submitting the insurance claims, Blair perpetrated four distinct fraud schemes. ECF 1, ¶¶ 27–34.

1 “Qui tam is short for ‘qui tam pro domino rege quam pro se ipso in hac parte sequitur,’ which means ‘who pursues this action on our Lord the King’s behalf as well as his own.’” Rockwell Int’l Corp. v. United States, 549 U.S. 457, 463 n.2 (2007). 2 “Compounding” involves alteration or mixing of ingredients to create a customized medication. 3 TRICARE was formerly known as the Civilian Health and Medical Program of the Uniformed Services or “CHAMPUS.” See 32 C.F.R. § 199.17. In May 2022, following a lengthy investigation, the United States declined to intervene in the case. ECF 28. Nevertheless, the Relator opted to pursue the case, see 31 U.S.C. § 3730(b)(4)(B), and on May 11, 2022, he filed a “First Amended False Claims Act Complaint.” ECF 30 (the “Amended Complaint”). It contains two counts: Count I asserts false claims under 31 U.S.C. § 3729(a)(1)(A) and Count II asserts false claims under 31 U.S.C. § 3729(a)(1)(B).

In the Amended Complaint, Schnupp again alleges that defendants knowingly submitted false prescription claims to Medicare and TRICARE. And, he identified five distinct fraud schemes. ECF 30, ¶¶ 36–43. In particular, the Relator claims that Blair knowingly submitted false claims for certain compound drugs by substituting a less expensive drug for a more expensive drug; by billing for medication that was not provided; by overcharging for certain medications; by paying deductibles for beneficiaries, in violation of the Anti-Kickback Statute (“AKS”), 42 U.S.C. § 1320a-7b(b); and by illegal payment of commissions or kickbacks, in violation of the AKS. See ECF 30, ¶¶ 28–43. Notably, some of the claims lodged by the Relator were the subject of a federal criminal

prosecution of Mr. Blair. See United States v. Matthew Blair, ELH-19-410 (D. Md.) (“Criminal Case”). Mr. Blair was indicted on August 27, 2019. Criminal Case, ECF 1. A Superseding Indictment was filed on March 3, 2020. Id.; ECF 20. It added allegations as to Scheme 5. See, e.g., ECF 20, ¶ 21. Pursuant to a Plea Agreement in the Criminal Case (id., ECF 181; ECF 181- 1), Mr. Blair entered a plea of guilty on December 3, 2021, to one count charging him with payment of illegal remunerations, in violation of the AKS, 42 U.S.C. § 1320a-7b(b)(2)(A). As discussed, infra, the charge is predicated on Mr. Blair’s payment of kickbacks to Atlas Group, LLC (“Atlas”), owned by Bahram Alavi,4 with regard to prescription medication claims paid by TRICARE.5 On February 10, 2022 (id., ECF 188), pursuant to Fed. R. Crim. P. 11(c)(1)(C), the Court sentenced Mr. Blair to a term of imprisonment of twelve months and one day. See id., ECF 189 (Judgment). Mr. Blair was also ordered to pay restitution to the government in the sum of

$3,176,470.83. Id. That sum has been paid. Id., ECF 194. Schnupp filed a post-discovery motion for summary judgment. ECF 149. It pertained to “the defendants’ violations of the Anti-Kickback statute which have been conclusively established in this action by Matthew Blair’s criminal conviction.” Id. at 9. This corresponded to what the parties have referred to as the Fifth Scheme or Scheme 5.6 Schnupp stated: “‘Scheme 5’ for which the pending motion seeks summary judgment in favor of the United States involves the same transactions at issue in Blair’s criminal proceedings.” ECF 165 at 15 (emphasis in ECF 165). In particular, as to Scheme 5, Schnupp claimed that Blair “recruited” Alavi, the owner of Atlas, “to market” BPI’s “compounded drug prescriptions to physicians treating Medicare and

TRICARE beneficiaries.” ECF 30, ¶ 36. Further, the Relator alleged that BPI and Atlas entered into a “Distributor Agreement” on November 24, 2014. Id. ¶ 37; see ECF 156-7. It provided that Atlas would market the Pharmacy’s scar and pain medications to physicians treating patients who

4 In some submissions, Bahram Alavi is identified as “B.A.” See, e.g., ECF 181-1. 5 Blair filed a Third-Party Complaint against Alavi and Atlas Medical Solutions, LLC, f/k/a Atlas Group, LLC, seeking contribution and indemnification. ECF 76. Blair subsequently filed an Amended Third-Party Complaint. ECF 127. By Memorandum (ECF 161) and Order (ECF 162) of September 5, 2024, I stayed the proceedings as to the Third-Party Complaint, pending resolution of Schnupp’s FCA claims. 6 The Amended Complaint does not identify the different fraud schemes by number. But, the parties did so in their submissions with respect to summary judgment, and I have used their descriptions. had Medicare or TRICARE benefits, and then use the Pharmacy to fill the prescriptions. ECF 30, ¶¶ 36, 38; see ECF 156-7. Moreover, the Amended Complaint asserts that Blair agreed to pay Alavi7 a commission equal to 50 percent of the gross reimbursement paid to BPI as a result of Atlas’s marketing efforts. Id. ¶ 37; see also id. ¶¶ 38–41. In response, defendants filed a combined cross motion for summary judgment and

opposition to Schnupp’s summary judgment motion. ECF 156. Notably, the cross motion was aimed at all five schemes alleged in the Amended Complaint. Id. It was supported by thirty-three exhibits. ECF 156-1 to ECF 156-33. With respect to Scheme 5, Blair relied on the FCA’s public disclosure bar. ECF 156 at 13– 14; see 31 U.S.C. § 3730(e)(4). According to Blair, Schnupp could not prevail because the factual allegations underlying the qui tam suit were publicly disclosed when the qui tam suit was filed in August 2017. ECF 156 at 35. Moreover, defendants vigorously argued that Schnupp does not qualify as an original source under the FCA. Id. In this regard, Blair posited that the Relator’s “disclosures were not voluntary,” nor did the Relator “provide the Government with any

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