When insurance stopped covering certain formulations of the medications, Tornari and Bruno informed Sokalsky that he needed to authorize new prescriptions. Sokalsky also prescribed the medications to existing patients of his medical practice, as opposed to other medications or no medications at all, to financially benefit Tornari, Bruno, and himself.

Sokalsky then billed insurance plans for patient visits for the people Bruno directed to his medical practice. Sokalsky prescribed the medications to people Bruno paid cash to agree to receive the medications, even though those individuals did not need those medications and did not have a pre-existing doctor-patient relationship with Sokalsky. Sokalsky agreed to prescribe the medications in exchange for cash and other remuneration. Tornari and Bruno approached Sokalsky to secure his authorization for prescription medications made by the compounding pharmacy.Tornari then paid Bruno 20 percent of that amount. Tornari’s company had an agreement with a compounding pharmacy in Pennsylvania to receive 50 percent of the insurance reimbursement for prescriptions that were arranged by him and those working with him, such as Bruno.They learned that certain insurance plans, including insurance plans for state and local government employees and certain other insurance plans, covered these medications.

The conspirators learned that certain medications made by compounding pharmacies reimbursed for up to thousands of dollars for an individual’s one-month supply.

Attorney for the United States Vikas Khanna's office says,

Goldennugget ac