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distribution is somewhat biased in favor of established industries, favoring "past experience" and a record of compliance with drug laws The
Controlled Substances Act also provides for the registration of medical practitioners (i.e., physicians, dentists, veterinarians, etc.), pharmacies and hospitals that prescribe, administer, or dispense controlled substances directly to patients, as well as individuals conducting approved research involving controlled substances. This category also includes narcotic treatment programs that administer and dispense primarily
36:
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104:, but the transfer of a controlled substance alone usually does not constitute a diversion, since certain controlled substances that are prescribed to a child are intended to be administered by an adult, as directed by a medical professional. The term comes from the "diverting" of the drugs from their original licit medical purpose. In some jurisdictions,
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According to the DEA, a pharmacist at that location stated to investigators that "her customers often requested certain brands of oxycodone using street slang," an indicator that the drugs were being diverted and not used for legitimate pain management. In response, CVS in a statement issued
February
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For manufacturers of other drugs, and for drug distributors, the regulations are substantially less strict: "The
Attorney General shall register an applicant… unless he determines that the issuance of such registration is inconsistent with the public interest." The criteria for both manufacture and
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provides for registration of manufacturers and distributors of controlled substances. The criteria for registering manufacturers of
Schedule I and II drugs are particularly strict and call for "limiting the importation and bulk manufacture of such controlled substances to a number of establishments
229:, "Most pharmaceuticals abused in the United States are diverted by doctor shopping, forged prescriptions, theft and, increasingly, via the Internet." To reduce the occurrence of pharmaceutical diversion by doctor shopping and prescription fraud, almost all states have established
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averaged 5,364 oxycodone pills a month. DEA investigators serving a warrant to a CVS pharmacy in
Sanford on October 18, 2011 noted that "approximately every third car that came through the drive-thru lane had prescriptions for oxycodone or hydrocodone."
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then called
Rannazzisi to a meeting at Justice Department headquarters where Cole warned him “it made good sense to listen to what Cardinal had to say”. Rannazzisi was fired from the drug diversion office in August 2015. Cardinal was never fined.
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has reported on its frequency. John Burke, an expert on the issue, was quoted as saying, "Pharmaceutical diversion is kind of funny because it's going on in every community, but it appears not to exist unless you go after it purposely."
650:
341:'s "Ensuring Patient Access and Effective Drug Enforcement Act". The bill, which increases the burden of proof enforcers need to show against drug distributors, was signed into law by President
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which can produce an adequate and uninterrupted supply of these substances under adequately competitive conditions for legitimate medical, scientific, research, and industrial purposes." The
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are available to first time offenders of diversion drug laws, which "divert" offenders from the criminal justice system to a program of education and rehabilitation.
287:, ordered enough painkillers to supply a population eight times its size. Sanford has a population of 53,000 but the supply would support 400,000. According to the
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said the company is committed to working with the DEA and had taken "significant actions to ensure appropriate dispensing of painkillers in
Florida."
291:(DEA), in 2010 a single CVS pharmacy in Sanford ordered 1.8 million oxycodone pills, an average of 137,994 pills a month. Other pharmacy customers in
396:"Diversion of drugs within health care facilities, a multiple-victim crime: patterns of diversion, scope, consequences, detection, and prevention"
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from the individual for whom it was prescribed to another person for any illicit use. The definition varies slightly among different
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that facilitate the collection, analysis, and reporting of information regarding pharmaceutical drug prescriptions.
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must make a positive determination that the registration would be "consistent with the public interest."
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651:"Investigation: The DEA slowed enforcement while the opioid epidemic grew out of control"
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444:"Drug Diversion Defined: A Patient Safety Threat | Safe Healthcare | Blogs | CDC"
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is a medical and legal concept involving the transfer of any legally prescribed
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Transfer of legally prescribed controlled pharmaceuticals to other individuals
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Controlled prescription drug classes which are commonly diverted include:
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474:"Medical use, illicit use, and diversion of abusable prescription drugs"
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According to the US Justice
Department, in 2011 CVS pharmacies in
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693:
Controlled
Substances Act – U.S. Drug Enforcement Administration
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Berge KH, Dillon KR, Sikkink KM, Taylor TK, Lanier WL (2012).
601:"Cardinal Health Blocked From Shipping Painkiller in Florida"
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deal primarily with the United States and do not represent a
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337:, spent $ 13 million lobbying Congress to pass Congressman
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17 in response to opioid trafficking questions from
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321:to suspected pill mills. Deputy Attorney General
309:In February 2012, Joseph Rannazzisi, chief of the
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547:"Prescription Drug Monitoring Programs (PDMPs)"
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43:The examples and perspective in this article
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279:DEA investigation into oxycodone diversion
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81:Learn how and when to remove this message
266:This activity can occur in many venues:
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231:prescription monitoring programs (PMPs)
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472:McCabe SE, Teter CJ, Boyd CJ (2006).
179: – prescription pain medications
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522:"US Department of Justice web site"
227:United States Department of Justice
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572:"Police target prescription abuse"
258:for narcotic addiction treatment.
120:Chemical structure of zolpidem, a
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686:
619:"Most Popular E-mail Newsletter"
570:Whitehead, Shelly (2005-01-18).
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311:Drug Enforcement Administration
289:Drug Enforcement Administration
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599:Schoenberg, Tom (2012-02-29).
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237:Registration of drug suppliers
218:(Lunesta) – prescription
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412:10.1016/j.mayocp.2012.03.013
197: – prescribed to treat
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57:, discuss the issue on the
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718:United States criminal law
355:Diversion (disambiguation)
490:10.3200/JACH.54.5.269-278
243:Controlled Substances Act
370:Pharmaceuticals in India
18:Pharmaceutical diversion
241:21 U.S.C. § 823 of the
112:Commonly diverted drugs
106:drug diversion programs
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679:, 114th Cong. (2015).
582:E. W. Scripps Company
150: – prescription
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331:McKesson Corporation
329:Cardinal, alongside
98:controlled substance
63:create a new article
55:improve this article
656:The Washington Post
649:(22 October 2016).
577:The Cincinnati Post
271:The Cincinnati Post
708:Illegal drug trade
210: – including
163: – including
134: – including
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645:Lenny Bernstein;
335:AmerisourceBergen
225:According to the
220:sleep medications
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132:Benzodiazepines
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723:Medical law
677:S. 483
551:www.cdc.gov
360:Unused drug
216:Eszopiclone
187:amphetamine
169:hydrocodone
152:anxiolytics
702:Categories
556:2016-05-04
532:2009-07-01
458:2015-07-15
381:References
339:Tom Marino
214:(Ambien),
203:narcolepsy
183:Stimulants
148:alprazolam
144:clonazepam
623:USA Today
605:Bloomberg
365:Oxycodone
319:oxycodone
303:USA Today
256:methadone
195:modafinil
173:oxycodone
156:sedatives
140:temazepam
59:talk page
662:17 March
508:16539219
430:22766087
375:Steroids
349:See also
262:Examples
212:zolpidem
185: –
165:morphine
136:diazepam
53:You may
499:1876754
421:3538481
293:Florida
208:Z-drugs
177:codeine
161:Opioids
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193:, and
146:, and
122:Z-drug
61:, or
664:2017
504:PMID
426:PMID
333:and
201:and
199:ADHD
175:and
154:and
494:PMC
486:doi
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