On February 21, Texas pharmacist Dehshid ‘David’ Nourian, 62, of Plano, was sentenced to 17 years and six months in prison and ordered to pay over $115 million in restitution for his role in a $145 million scheme to defraud the Department of Labor through the submission of fraudulent claims for prescription compound creams.
On March 6, the court also forfeited $405 million in assets tied to Nourian’s fraud and money laundering schemes.
According to court documents and evidence presented at trial, Nourian and others conspired to pay doctors to prescribe medically unnecessary compound creams to injured federal workers.
Nourian and others owned and operated three pharmacies located in Fort Worth and Arlington, Texas.
Over the course of the scheme, they paid doctors millions of dollars in illegal bribes and kickbacks for referring expensive compound medications to be filled by those pharmacies.
Evidence at trial showed these compounds were being mixed in the back rooms of the pharmacies by untrained teenagers at a cost to the defendants of around $15 per prescription and then billed to the Department of Labor’s Office of Workers’ Compensation Programs (DOL-OWCP) for as much as $16,000 per prescription.
Patients who received the creams testified at trial to the creams’ ineffectiveness and, in some instances, that using the creams resulted in painful, irritating skin rashes.
Matthew R. Galeotti, head of the Justice Department’s Criminal Division, said, “This 17-year sentence sends a clear message that our prosecutors, working shoulder-to-shoulder with our investigative partners, will identify, investigate, and prosecute even the most sophisticated fraud schemes that target taxpayer money and endanger patients.
“As a result of our tireless efforts, this defendant was tried, convicted, and ordered to forfeit more than $400 million – the highest forfeiture ever obtained in a health care fraud case in the Department’s history – and now his ill-gotten proceeds will be returned to the taxpayers and programs designed to care for our most vulnerable citizens.”
In less than three years, between May 2014 and March 2017, the pharmacies billed the DOL-OWCP and Blue Cross Blue Shield more than $145 million and were paid more than $90 million for unnecessary prescriptions referred by medical providers in exchange for the illegal bribes and kickbacks.
Nourian and others then attempted to conceal their ill-gotten gains by laundering the money through purported holding companies and attempted to evade paying $24 million in federal income taxes on the illicit proceeds.
In November 2023, a federal jury in the Northern District of Texas convicted Nourian of one count of conspiracy to commit health care fraud, eight counts of health care fraud, one count of conspiracy to launder money, five counts of money laundering, and one count of conspiracy to defraud the United States by failing to report and attempting to evade the collection of taxes owed to the IRS.
In an order issued following Nourian’s sentencing, the court also ruled that Nourian will forfeit $405 million in seized assets tied to his crimes.
Evidence at trial demonstrated that Nourian and his co-conspirators used a complex web of bank accounts and shell companies to launder their fraud proceeds, ultimately depositing tens of millions of dollars into Nourian’s and other family members’ bank and investment accounts.
The forfeiture order returned that money to the taxpayers and included the forfeiture of $395 million in brokerage accounts, over $2 million in bank accounts, real estate in Dallas and Austin worth $8 million, and a BMW luxury vehicle.
