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July • August 2003 - Ontario College of Pharmacists

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DISCIPLINE<br />

DISCIPLINE<br />

regulations there under<br />

• Engaged in conduct or performed an act relevant to the<br />

practice <strong>of</strong> pharmacy that, having regard to all the circumstances<br />

would reasonably be regarded by members as<br />

disgraceful, dishonorable or unpr<strong>of</strong>essional<br />

The following Agreed Statement <strong>of</strong> Fact formed the<br />

basis <strong>of</strong> Mr. Nathwani’s admission <strong>of</strong> pr<strong>of</strong>essional misconduct.<br />

Facts<br />

Mr. Nathwani was the owner, designated manager and<br />

dispensing pharmacist <strong>of</strong> Northfield Pharmacy. Through a<br />

series <strong>of</strong> random provider service audits, Green Shield<br />

discovered that claims were being submitted by Mr. Nathwani’s<br />

pharmacy, and paid by Green Shield, when no<br />

medication was actually provided to the patients. Green<br />

Shield provided subscriber confirmation letters from<br />

patients who denied receiving prescriptions related to<br />

claims made in their name by Northfield Pharmacy.<br />

The <strong>College</strong> contacted two <strong>of</strong> the eight patients in question<br />

who verified that they did not receive the medication as<br />

claimed by Northfield Pharmacy. The <strong>College</strong> also met with<br />

a physician who denied prescribing three prescriptions<br />

attributed to her by Northfield Pharmacy.<br />

Reasons<br />

The Committee considered the undisputed fact that Mr.<br />

Nathwani’s conduct was a deliberate attempt to defraud a<br />

third-party insurer and to create records to cover up the<br />

fraud. The misconduct occurred over a 10-month period <strong>of</strong><br />

time and involved 34 prescriptions, eight subscribers and a<br />

total <strong>of</strong> $1,438.83. Mr. Nathwani did not provide the<br />

Committee with any explanation for his conduct other than<br />

to express shame and regret.<br />

In concluding that the penalty is fair, reasonable and<br />

consistent, the Committee considered that Mr. Nathwani<br />

had no prior discipline record, as well as the fact<br />

that its penalty affirms the seriousness <strong>of</strong> Mr. Nathwani’s<br />

misconduct in a real and immediate sense. At the same<br />

time, the penalty provides Mr. Nathwani with an opportunity<br />

to rehabilitate while also providing necessary<br />

public protection.<br />

Order<br />

1. A reprimand<br />

2. Specified terms, conditions and limitations on Mr. Nathwani’s<br />

Certificate <strong>of</strong> Registration, and in particular, that<br />

Mr. Nathwani complete successfully, at his own expense,<br />

within 12 months <strong>of</strong> the date <strong>of</strong> this order, the OCP<br />

Jurisprudence Seminar as well as remedial training in<br />

the following courses and evaluations from the Canadian<br />

Pharmacy Skills Program: “Law Lesson 2 – The<br />

Regulation <strong>of</strong> Pharmacy Practice”, “Law Lesson 4 – Standards<br />

<strong>of</strong> Practice”, and “Law Lesson 7 – Pr<strong>of</strong>essional<br />

Liability”<br />

3. A six-month suspension <strong>of</strong> Mr. Nathwani’s Certificate<br />

<strong>of</strong> Registration<br />

4. Additional specified terms, conditions and limitations<br />

on Mr. Nathwani’s Certificate <strong>of</strong> Registration, and in<br />

particular that, for a period <strong>of</strong> one year following the<br />

completion <strong>of</strong> his suspension, (December 01, <strong>2003</strong> –<br />

November 30, 2004):<br />

i) Mr. Nathwani is prohibited from having any proprietary<br />

interest in a pharmacy, in any capacity<br />

ii) Mr. Nathwani cannot act as a designated manager<br />

in any pharmacy<br />

iii) Mr. Nathwani must inform all employers in a pharmacy<br />

setting <strong>of</strong> the full details <strong>of</strong> the decision <strong>of</strong> the<br />

Discipline Committee and ensure that they<br />

confirm their information with the <strong>College</strong> directly<br />

iv) Mr. Nathwani’s employment remuneration shall be<br />

based only on hourly or weekly rates and his<br />

employer(s) are to confirm this arrangement in<br />

writing with the <strong>College</strong><br />

5. Costs to the <strong>College</strong> in the amount <strong>of</strong> $3,000<br />

Pharmacy Connection <strong>July</strong> • <strong>August</strong> <strong>2003</strong> 37

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