Susan I. Nwoga v. Warden, et al.

CourtDistrict Court, D. Maryland
DecidedMarch 27, 2026
Docket1:22-cv-03299
StatusUnknown

This text of Susan I. Nwoga v. Warden, et al. (Susan I. Nwoga v. Warden, et al.) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Susan I. Nwoga v. Warden, et al., (D. Md. 2026).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

SUSAN I. NWOGA, *

Petitioner, *

v. * Civ. No. DLB-22-3299

WARDEN, et al., *

Respondents. *

MEMORANDUM OPINION

Susan I. Nwoga filed a petition for writ of habeas corpus pursuant to 28 U.S.C. § 2254. ECF 1, 3. The respondents filed an answer to the petition, asserting it must be dismissed because the claims either lack merit or are procedurally defaulted. ECF 10. No hearing is necessary. See Rule 8(a), Rules Governing § 2254 Cases in the U.S. Dist. Cts.; Loc. R. 105.6 (D. Md. 2025); see also Fisher v. Lee, 215 F.3d 438, 455 (4th Cir. 2000) (petitioner not entitled to a hearing under 28 U.S.C. § 2254(e)(2)). For the following reasons, the petition is dismissed in part and denied in part, and a certificate of appealability shall not issue. I. BACKGROUND On April 24, 2018, Nwoga was indicted in the Circuit Court for Baltimore City on 320 counts, including charges of Medicaid fraud, theft of over $100,000, and distribution of controlled dangerous substances (“CDS”). ECF 10-1, at 88, 322. According to the Appellate Court of Maryland, the following facts were adduced at trial: The State’s theory of the case was that Nwoga, a licensed pharmacist, participated in a drug distribution scheme by filling hundreds of false prescriptions for medications containing opioids and other [CDS, that is, substances listed in Md. Code Ann., Crim. Law §§ 5-402 – 5-406]. She fraudulently billed Maryland’s Medicaid program for these medications and received hundreds of thousands of dollars in reimbursements. Although the evidence produced at trial in this case was voluminous, the underlying facts were largely uncontested. Beginning in 2012 and ending in 2016, Nwoga operated the Poplar Grove Pharmacy in Baltimore. She was Poplar Grove’s sole pharmacist and filled thousands of prescriptions for medications containing [CDS]. Under the relevant federal and state regulations, pharmacists must ensure that [CDS] prescriptions are written for legitimate medical purposes by physicians or other health professionals acting within the normal scope of their professional practices. [See Md. Code Regs. 10.34.20.02 (requirements for how prescriptions are conveyed to pharmacists).] A pharmacist is also required to exercise her professional judgment to assess the validity of each prescription for CDS medication before filling it. Poplar Grove was a Medicaid provider. As part of the agreement to become a Medicaid provider, Poplar Grove agreed to comply with all federal and state laws and regulations, administrative policies and guidelines issued by the Food and Drug Administration and the Maryland Department of Health, including filing accurate and truthful claims submitted to the Department for reimbursement. All pharmacies are subject to periodic inspections by agents of the Department of Health’s Division of Drug Control (the “DDC”) [now called the Office of Controlled Substance Administration]. In 2012, DDC inspector Peter Smith reviewed Poplar Grove’s records for CDS prescriptions and discovered “seven or eight” apparently fraudulent prescriptions as well as discrepancies in Nwoga’s record-keeping. He discussed these problems with her. In May 2013, Smith and James Polek, the Deputy Director of the DDC, conducted another inspection. They uncovered a large number of apparently fraudulent CDS prescriptions. The prescriptions contained errors in the security features and/or the accompanying physician’s directions as to dosage were unusual. For example, the directions on some prescriptions directed the ultimate user to take the medicine every 46 or 68 hours, instead of four to six or six to eight hours and the same errors appeared on prescriptions from different physicians. In other prescriptions, the first and last names of the prescribing physician were transposed. Polek and Smith contacted the prescribing physicians to verify the legitimacy of the prescriptions. This led the inspectors to conclude that 260 prescriptions appeared to be fraudulent, which was an extremely high number for a pharmacy. Polek discussed his findings with Nwoga and explained to her why these prescriptions were suspicious and probably fraudulent. He provided her with a list of “red flags,” that is, indicators that a prescription was potentially fraudulent.[1] He

1 The red flags included: “cocktail prescriptions,” that is, multiple prescriptions for [CDS] to the same patient and the same time; prescriptions paid for in cash; prescriptions for high strengths or large quantities of CDS medications; unusual distances between the patient, the prescriber, and/or the pharmacy; a prescription warned her that the presence of one or more red flags should cause her to exercise her due diligence to make sure that the prescription was legitimate. In their 2014 inspection of Nwoga’s records, Smith and Polek uncovered 62 fraudulent prescriptions. Once again, Polek provided Nwoga with a report explaining the “red flags” uncovered in the inspection. The last inspection was not a routine one. The Department of Health received a complaint that a Darnella Carter [a co-defendant who was tried separately] and a staff member of a methadone clinic were obtaining drugs from Nwoga by means of fraudulent prescriptions. Polek reviewed Poplar Grove’s records and found that the pharmacy had filled prescriptions for Carter. The DDC then subpoenaed records for all of Poplar Grove’s prescriptions for medications containing [CDS] that were filled between January 1, 2012, and September 24, 2015, approximately 6,000 prescriptions in total. Polek did not complete his analysis of these records—he stopped after finding 748 fraudulent prescriptions. As a result of the information uncovered by the investigation, Nwoga was charged with a total of 320 counts of theft, fraud and drug distribution. At the trial, the State introduced physical and testimonial evidence. It first produced the HIPAA logs that Nwoga maintained at her pharmacy. These logs contained information about the prescriptions filled by Nwoga and the signatures of the persons who had picked them up. The State matched this information with claims that Poplar Grove submitted to Medicaid. Polek, who was qualified as an expert witness, testified that the 2015 inspection showed an “overwhelming presence of fraudulent activity.” He also noted that Nwoga had shown him seven prescriptions that she did not fill because she thought they were fraudulent. Polek told the court that if Nwoga had been “able to spot those,” then she should have been able to identify the other fraudulent prescriptions. Additionally, the State called as witnesses five physicians and one physician’s assistant who purportedly issued the prescriptions that were referenced in the indictment. They testified that they had not written the prescriptions in question, that none of those who signed the HIPAA logs were in fact their patients, that Nwoga had never reached out to them to verify the prescriptions, and that many of the prescriptions themselves had glaring issues. These problems included prescriptions that lacked the patient’s date of birth or address, prescriptions for

being filled too soon; multiple family members receiving prescriptions for the same CDS medications; prescriptions for the same drugs to more than one person at the same address; and error in directions for dosages and usage. ECF 10-1, at 326 n.6. unusually high dosages or amounts of medication, and prescriptions for multiple opiates for the same patient on the same day.

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Susan I. Nwoga v. Warden, et al., Counsel Stack Legal Research, https://law.counselstack.com/opinion/susan-i-nwoga-v-warden-et-al-mdd-2026.