Petitioner: LAWRENCE ABELE
Respondent: DEPARTMENT OF MANAGEMENT SERVICES, DIVISION OF STATE GROUP INSURANCE
Judges: YOLONDA Y. GREEN
Agency: Department of Management Services
Locations: Tallahassee, Florida
Filed: Jan. 07, 2020
Status: Closed
Recommended Order on Thursday, May 14, 2020.
Latest Update: May 14, 2020
Summary: The issue to be determined in this proceeding is whether Petitioner is entitled to a refund of the costs paid for prescriptions for compound Midrin.Petitioner did not prove that he is entitled to reimbursement as his prescription for compound drug was not covered under the Prescription Drug Plan for State of Florida employees.
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STATE OF FLORIDA DEPARTMENT OF MANAGEMENT SERVICES
LAWRENCE ABELE,
Petitioner,
Final Order No.: DMS-20-0052
vs. DOAH Case No.: 20-0056
STATE OF FLORIDA,
DEPARTMENT OF MANAGEMENT SERVICES, DIVISION OF STATE GROUP INSURANCE,
Respondent.
/
FINAL ORDER
This matter comes before the Department of Management Services (“Department”) for entry of a Final Order in accordance with section 120.569(1), Florida Statutes.
On May 14, 2020, Yolanda Y. Green, Administrative Law Judge (“ALJ”), issued a Recommended Order recommending that the Department enter a Final Order denying Petitioner Lawrence Abele (“Mr.Abele”)’s request for reimbursement for a compounded medication prescription. Mr. Abele did not file exceptions to the Recommended Order. After a thorough review of the record, and being fully advised in the premises, the Department hereby makes the following findings of fact and conclusion of law:
FINDINGS OF FACTS
Following a thorough review of the record, the Findings of Fact set forth in the Recommended Order are hereby adopted in their entirety and are incorporated herein by reference.
Page 1 of 3
Filed September 8, 2020 1:43 PM Division of Administrative Hearings
CONCLUSIONS OF LAW
Following a thorough review of the record and applicable laws, the Conclusions of Law set forth in the Recommended Order are adopted in their entirety and are incorporated herein by reference.
It is hereby ORDERED AND ADJUDGED:
The Recommended Order issued in this case is adopted and incorporated herein by reference;
The Department’s decision denying Mr. Abele’s appeal is AFFIRMED; and
This final Order shall become effective on the date of filing with the Department’s Agency Clerk.
DONE and ORDERED on this
8/26/2020 I 1:59 PM EDT
JONATHAN R. SATTER
Agency Secretary
Department of Management Services 4050 Esplanade Way, Suite 285
Tallahassee, Florida 32399
Copies Furnished:
841 Maderia Circle
Tallahassee, FL 32312
Lawrence Abele
Via Email: atya@comcast.net
Jacob Koffsky, Esquire Foley & Lardner LLP
2 South Biscayne Boulevard, Suite 1900
Miami, Florida 33131
Via Email: Jkoffsky@foley.com
Erica D. Moore, Assistant General Counsel Department of Management Services
4050 Esplanade Way, Suite 160
Tallahassee, Florida 32399-0950 Erica.Moore@dms.fl.gov
NOTICE OF RIGHT TO APPEAL
Unless expressly waived by a party such as in a stipulation or in other similar forms of settlement, any party substantially affected by this Final Order may seek judicial review by filing an original notice of appeal with the agency clerk of the Department of Management Services, and a copy, accompanied by the filing fees prescribed by law, with the clerk of the appropriate District Court of Appeal. The notice of appeal must be filed within thirty (30) days of rendition of this order, in accordance with Rule 9.110, Florida Rules of Appellate Procedure, and Section 120.68, Florida Statutes.
Certificate of Clerk:
Filed in the Office of the Agency
Clerk of the Department of Management Services on this 8/27/2020 I 10:39 AM EDT
Diane Wint Agency Clerk
Docket for Case No: 20-000056
Issue Date |
Proceedings |
Sep. 08, 2020 |
Agency Final Order filed.
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May 14, 2020 |
Recommended Order (hearing held March 17, 2020). CASE CLOSED.
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May 14, 2020 |
Recommended Order cover letter identifying the hearing record referred to the Agency.
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Apr. 24, 2020 |
Motion for Confidential Court Filing of Respondent's Amended Proposed Recommended Order (Motion to Determine Confidentiality of Document) filed.
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Apr. 24, 2020 |
Respondent's Amended Proposed Final Order filed (confidential information, not available for viewing). 
 Confidential document; not available for viewing. |
Apr. 24, 2020 |
Motion for Confidential Court Filing of Respondent's Proposed Recommended Order (Motion to Determine Confidentiality of Document) filed.
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Apr. 24, 2020 |
Respondent's Proposed Final Order filed (medical information, not available for viewing). 
 Confidential document; not available for viewing. |
Apr. 23, 2020 |
Petitioner's Proposed Recommended Order filed.
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Apr. 14, 2020 |
Notice of Filing Transcript.
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Apr. 13, 2020 |
Transcript of Proceedings (not available for viewing) filed. |
Mar. 19, 2020 |
Certification of Oath or Affirmation & Verification of Identity of Witness for Respondent at Division of Administrative Hearing on March 17, 2020 filed.
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Mar. 18, 2020 |
Certification of Oath or Affirmation & Verification of Identity of Witness for Respondent at Division of Administrative Hearing on March 17, 2020 (Adam Korn) filed.
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Mar. 18, 2020 |
(Amended) Certification of Oath or Affirmation & Verification of Identity of Witness for Respondent at Division of Administrative Hearings on March 17, 2020 filed.
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Mar. 17, 2020 |
CASE STATUS: Hearing Held. |
Mar. 16, 2020 |
Order Granting Motion to Adopt Certfication of Oath Form.
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Mar. 13, 2020 |
Respondent's Motion to Adopt Certification of Oaths & Verifications of Identity (with Form Attached) filed.
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Mar. 13, 2020 |
Respondent's Motion to Adopt Certification of Oaths & Verifications of Identity filed.
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Mar. 13, 2020 |
Certification of Oath or Affirmation & Verification of Identity of Witness for Respondent at Division of Administrative Hearing on March 17, 2020 (Dr. Anthony Arnett, M.D) filed.
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Mar. 12, 2020 |
Respondent's Proposed Exhibits filed (exhibits not available for viewing). |
Mar. 12, 2020 |
Amended Respondent's Motion for Telephonic Appearance of Witness filed.
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Mar. 12, 2020 |
Respondent's Motion for Telephonic Appearance Of Witness filed.
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Mar. 12, 2020 |
Amended Respondent's Witness and Exhibit Lists (as to Exhibit 12) filed.
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Mar. 12, 2020 |
Respondent's Witness and Exhibit Lists filed.
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Mar. 12, 2020 |
CASE STATUS: Pre-Hearing Conference Held. |
Mar. 12, 2020 |
Notice of Appearance (Gayla Grant) filed.
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Mar. 11, 2020 |
Amended Joint Pre-Hearing Stipulation (Track changes removed) filed.
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Mar. 10, 2020 |
Joint Pre-Hearing Stipulation filed.
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Mar. 10, 2020 |
Petitioner's Exhibits filed (medical information not available for viewing). 
 Confidential document; not available for viewing. |
Mar. 09, 2020 |
Notice of Telephonic Pre-hearing Conference (set for March 12, 2020; 9:30 a.m.).
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Mar. 09, 2020 |
Notice of Special Appearance (CVS Pharmacy, Inc.) filed.
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Mar. 05, 2020 |
Order Allowing Testimony by Telephone.
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Mar. 04, 2020 |
Respondent's Motion for Telephonic Appearance of Witnesses filed.
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Feb. 28, 2020 |
Order on CVS Pharmacy, Inc.'s Motion to Limit Subpoena.
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Feb. 26, 2020 |
CASE STATUS: Motion Hearing Held. |
Feb. 19, 2020 |
Notice of Telephonic Motion Hearing (motion hearing set for February 26, 2020; 1:00 p.m.).
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Feb. 18, 2020 |
CVS Pharmacy, Inc.'s Motion to Limit Subpoena Served by Petitioner Lawrence Abele filed.
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Feb. 18, 2020 |
Notice of Service of Respondent's Ongoing Response to Petitioner's Discovery Request filed.
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Feb. 14, 2020 |
CVS Pharmacy, Inc.'s Notice of Special Appearance filed.
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Feb. 14, 2020 |
Notice of Appearance (Jacob Koffsky) filed.
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Feb. 03, 2020 |
Order of Pre-hearing Instructions.
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Feb. 03, 2020 |
Notice of Hearing (hearing set for March 17, 2020; 9:30 a.m.; Tallahassee).
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Jan. 31, 2020 |
CASE STATUS: Status Conference Held. |
Jan. 30, 2020 |
Notice of Telephonic Status Conference (status conference set for January 31, 2020; 10:00 a.m.).
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Jan. 30, 2020 |
Joint Response to Initial Order filed.
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Jan. 16, 2020 |
Order Granting Extension of Time.
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Jan. 16, 2020 |
Respondent's Motion for Extension of Time to File Joint Response filed.
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Jan. 07, 2020 |
Initial Order.
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Jan. 07, 2020 |
Order Transferring Matter to the Division of Administrative Hearings filed.
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Jan. 07, 2020 |
Notice of Continuation of Informal Hearing filed.
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Jan. 07, 2020 |
Attachments from Informal hearing docket filed (medical information; not available for viewing). 
 Confidential document; not available for viewing. |
Jan. 07, 2020 |
Petition for Informal Hearing filed.
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Jan. 07, 2020 |
Agency action letter filed.
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Jan. 07, 2020 |
Agency referral filed.
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Orders for Case No: 20-000056
Issue Date |
Document |
Summary |
Aug. 26, 2020 |
Agency Final Order
|
|
May 14, 2020 |
Recommended Order
|
Petitioner did not prove that he is entitled to reimbursement as his prescription for compound drug was not covered under the Prescription Drug Plan for State of Florida employees.
|
May 14, 2020 |
Recommended Order
|
Petitioner did not prove that he is entitled to reimbursement as his prescription for compound drug was not covered under the Prescription Drug Plan for State of Florida employees.
|