STATE OF FLORIDA AGENCY FOR HEATH CARE ADMINISTRATION * TWIN TOWERS PHARMACY, Petitioner, ‘~ me. clon vs. CASE NO. 01-2165 _ Provider No. 10426700 AGENCY FOR HEALTH CARE PR tht ce VAL AROA- 03 — FE =O ADMINISTRATION, 2 AC LARC Respondent. / eS FINAL ORDER THE PARTIES resolved all disputed issues and executed a “settlement agreement”, which is incorporated by reference. The parties are directed to comply with the terms of the “settlement agreement”. Based on the foregoing, this proceeding is CLOSED. ff DONE and ORDERED on this the day of oy Le by 10 pH , 2003, in Tallahassee, Florida. Lhnwille yey Rhonda Mj/ Medows, M.D., Secretary Agency for Health Care Administration A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE oF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND COPY ALONG WITH FILING FEE AS PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED. Copies furnished to: Thomas F, Gonzalez Beggs & Lane Post Office Box 12950 Pensacola, Florida 32591-2950 Kim A. Kellum, Esquire Attorney for Agency ‘AGENCY FOR HEALTH CARR ADMINISTRATION 2727 Mahan Drive Fort Knox Building 3, Mail Stop 3 Tallahassee, Florida 32308 P.M. Ruff Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Jean Lombardi, Finance and Accounting Ken Yon, Medicaid Program Integrity CERTIFICATE OF SERVICE EE SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above named addressees by U.S. Mail on this the ze) day of JED Cucse y , 2003. ~— Caen ti Ou) So Lealand McCharen Agency Clerk State of Florida Agency for Health Care Administration 2727 Mahan Drive, Building #3, Mail Stop 3 Tallahassee, Florida 32308-5403 STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION TWIN TOWERS PHARMACY, Petitioner, vs. Case No. 01-2165 Provider No. 10426700 AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / SETTLEMENT AGREEMENT Respondent, the State of Florida, Agency for Health Care Administration, and Petitioner, Twin Towers Pharmacy, ‘by and through the undersigned individuals, hereby stipulate and agree as follows: 1. This settlement agreement is entered into between the parties in order to resolve a dispute that arose as the result of an audit. 2. In a final agency audit letter dated April 11, 2001, Petitioner was informed that the Agency sought recoupment in the amount of $224,020.47. A copy of the recoupment letter is attached to this agreement. 3. Petitioner challenged Respondent's action and requested a formal hearing regarding the claims in question. 4. Subsequently, the Respondent reviewed additional documentation. 6. This settlement does not constitute an admission of wrongdoing or error by either party. However, the parties believe that this matter should be settled. 7. Both parties request that the Agency close the file in this case. 8. Each party shall bear its Own attorney's fees and costs. 9. This agreement represents the entire agreement between the parties regarding settlement of this case. No modification or waiver of any provision shall be valida unless a written amendment to the agreement is completed and properly executed by the parties. The signatories to this agreement, acting in a representative Capacity, represent that they are duly authorized to act on behalf of the parties to the agreement. Venue for any action arising from this agreement shall be in Leon County, Florida. 10. Petitioner for itself and for its attorneys, heirs, executors or administrators, does hereby discharge the State of Florida, Agency for Health Care Administration, and its agents, representatives, and attorneys of and from all claims, demands, actions, causes of action, suits, damages, losses and expenses, of any and every nature whatsoever, arising out of or in any way related to this Matter and AHCA's actions herein, including, but not limited to, any claims that were or may be asserted in any federal Or state court or administrative forun, including any claims arising out of this agreement, by or on behalf of Facility. r Dated this _// day of Lebranry of 2003. AGENCY FOR HEALTH CARE ADMINISTRATION 0 Me Valda oie Christian General Counsel Agency for Health Care Administration 2727 Mahan Drive Ft. Knox Building 3 Tallahagsee, i / Rufus Ng#le, Inspector General Agency for Health Care Administration 2727 Mahan Drive Ft. Knox Building 3 Tallahassee, Florida 32308 AO Gx (Prva Towers Pharmacy 1717 North E. Street Pensacola, Florida 32501 { a A Post office pox i 12950" a Pensaco Florida 32591-2950 Cc: Ken Yon, Medicaid Program Integrity Willie Bivens, Finance and Accounting

Docket for Case No: 01-002165