A New York City pharmacy owner and three managers have been arrested and charged with defrauding Medicaid out of more than $10 million in a scheme that allegedly involved paying kickbacks to Medicaid recipients to fill HIV prescriptions that were sometimes never dispensed, according to Attorney General Letitia James in a news release.

The scheme, allegedly run by pharmacy owner Irina Pichkhadze and her managers Raymond Dieffenbacher, Yana Dubrinskaya and Tarlan Pinkhasov, centered around First Choice Pharmacy in Harlem. The four defendants allegedly acted together to pay or direct their employees to pay cash kickbacks to Medicaid recipients in return for promises to fill HIV prescriptions at Pichkhadze’s First Choice Pharmacy at 245 East 124th St., James said last Friday.