EZ CONTACTS

Report

• Report Number: MW5163458
• Event Type: Injury
• Date Received: December 6, 2024
• Date of Event: October 17, 2024
• Report Date: December 6, 2024
• Manufacturer: EZCONTACTS USA
• Product Code: HQG
• Adverse Event: Yes
• Report Source: Voluntary report
• Reporter Occupation: OTHER HEALTH CARE PROFESSIONAL
• Health Professional: *

Narratives

Description of Event or Problem · 0

EZ CONTACTS SENT TWO DIFFERENT FRAUDULENT RX VERIFICATION REQUESTS TO (B)(6). REFERENCE #: (B)(4) WAS SENT ON (B)(6)2024 FOR (B)(6) CONTACTS AND REFERENCE #: (B)(4) WAS SENT ON (B)(6)2024 FOR (B)(6) CONTACT LENSES. BOTH OF THESE PRESCRIPTIONS WERE FRAUDULENT. NO CONTACT LENS EXAMINATION WAS DONE. NO CONTACT LENS PRESCRIPTION WAS WRITTEN. THE PATIENT WAS TREATED FOR A MEDICAL EYE CONDITION AND TOLD NOT TO WEAR CONTACT LENSES. UNSUCCESSFUL ATTEMPTS WERE MADE TO CONTACT EZ CONTACTS TO CONFIRM IF THE PATIENT PURCHASED CONTACT LENSES OR NOT FROM THE FRAUDULENT PRESCRIPTIONS.

Devices

Seq	Brand	Generic	Product Code	Manufacturer	Model	Lot	UDI-DI
2150878	EZ CONTACTS	LENS, SPECTACLE, NON-CUSTOM (PRESCRIPTION)	HQG	EZCONTACTS USA

Patients

Seq	Age	Sex	Outcome	Treatment
1	NA	Unknown

Terms

Patient problem · 1

• No Clinical Signs, Symptoms or Conditions

Type of report · 1

• Initial submission