Philidor Rx Services is a Pennsylvania-licensed specialty online pharmacy, which mainly sold[4][5] Valeant Pharmaceuticals International Inc drugs directly to patients and handled insurance claims on the customers' behalf.
[2] BQ6 Media, which is located just four kilometres from Philidor's head office,[9] self-defined as game theorists that combined "creative vision with empirical data and market expertise.
[6] Prior to the acquisition by Isolani, R&O Pharmacy had dispensed a modest number of prescription medications to patients and collected reimbursements from insurance companies.
[6] According to a Wall Street Journal article in October 2015, "Valeant employees were placed at Philidor while the pharmacy was in its infancy" to provide help on "structures and processes.
[17] Most of the prescriptions filled by Philidor were for Valeant's expensive drugs like Solodyn, an oral antibiotic approved to treat moderate to severe acne and Jublia,[2][18] a treatment for onychomycosis of the toenails.
"According to Reuters, "Specialty pharmacies are designed to handle medicines that require complex storage or administration, often for serious conditions such as cancer or rheumatoid arthritis.
[25] According to "former employees and an internal document", Philidor who filled Valeant's prescriptions "altered doctors’ orders to wring more reimbursements out of insurers.
[26] For example, Bijal Patel, a manager of access solutions at Valeant in Scottsdale, Arizona used the email name of Peter Parker, the alter ego of Spider-Man at Philidor where he tracked prescriptions.
[2] In October 2015, major pharmacy benefit management (PBM) organizations — such as Express Scripts — the largest PBM organization in the United States[27] — began reviewing pharmacy programs run by AbbVie Inc and Teva Pharmaceuticals Industries Ltd regarding the potential use of tactics employed by Philidor that "can allow drugmakers to work around reimbursement restrictions" from Express Scripts and other insurers.