"The indictment also alleged that marketing group employees would contact Tricare's pharmacy-benefits consultant, Express Scripts, to find out whether certain drugs were covered. These employees then would adjust the prescriptions to maximize payments from Tricare "without any regard for the medical necessity for the prescriptions.'"

quoted from http://www.usatoday.com/story/news/nation-now/2017/01/01/phoenix-doctor-indicted-100-million-fraud-case/96072826/