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Cardinal Health (CAH), one of the largest pharmaceutical wholesalers, agreed to pay $13.1 million to settle allegations of paying kickbacks to more than three dozen physician practices for purchasing specialty drugs, a move that U.S. authorities say placed rival distributors at a disadvantage.

Typically, doctors purchase medicines and then seek reimbursement from payers, including Medicare Part B and state Medicaid programs, for specialty drugs that they administer to patients. In this instance, Cardinal allegedly paid doctors upfront cash discounts to purchase the medicines, which can be legal under certain circumstances.

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