United States v. Brown

553 F.3d 768, 78 Fed. R. Serv. 180, 2008 U.S. App. LEXIS 26431, 2008 WL 5255903
Court of Appeals for the Fifth Circuit·Decided December 18, 2008·No. 05-20997·Published·Cited by 120 cases

Opinion

PATRICK E. HIGGINBOTHAM, Circuit Judge:

The appellants were pharmacists who were convicted of illegally conspiring with doctors to distribute large quantities of medicines under cover of false prescriptions written by the doctors.

A hung jury ended their first trial. In a second trial the appellants were convicted of the charged crimes. All defendants timely appealed.

I. BACKGROUND AND FACTS

In 2002, a Texas doctor, Dr. Callie Her-pin, then working at a pediatrics clinic, met Isaac Achobe, who owned and operated a pharmacy in her building. Herpin had grown tired of the rigors of practice, and Achobe suggested that Herpin open a “pain management” clinic. Such clinics are enterprises specializing in the distribution of powerful pain killers and related drugs. Some clinics operate within the bounds of the law and serve a valuable medical purpose, but others flood the streets with dangerous, addictive narcotics while preserving some trappings of lawful medical practice. Hydrocodone, one of the drugs at issue in this case, is one such narcotic. 1 The other drug at issue, prome-thazine with codeine; is a strong medicinal syrup, often consumed in combination with alcohol and other substances. 2 The Hous *774 ton area is a hot-spot for the distribution and consumption of these narcotics.

In his conversation with Herpin, Achobe referred her to Drs. Peters and Gbanaa-dor, who ran “pain management” clinics. Achobe gave other advice about running a pain management practice and assured her that he could send “patients” to her. Her-pin opened her practice, C.H. Medical Consultants, in Houston, in September 2002. Many of Herpiris “patients” were drug dealers and addicts who would purchase non-medically-indieated prescriptions 3 from her and have them filled at pharmacies such as those run by appellants. They could then consume the drugs or resell them on the streets for significant mark-ups. Herpin soon went from writing a couple of fraudulent prescriptions (“scripts”) for each of her patients to selling long lists of fictitious patient names with corresponding prescriptions. In short, Herpin ran what is referred to as a “script mill.”

Herpin testified as a government witness, having pled to drug violations as well as to large-scale, unrelated Medicare fraud. Etta Williams, who also testified for the government pursuant to a plea agreement, 4 started as a “patient” of Her-piris, buying illicit prescriptions in her own name and in the names of family members. She was eventually hired by Herpin and played a large role in developing the script mill at C.H. Medical Consultants, beginning in early 2003. Another government witness, Tresy Eze, also started as a drug dealing “patient” of Herpin but then came to work at Herpiris front desk, and to take care of Herpiris baby. At the height of their activities, Herpin and her staff used phone books and computer data manipulation to generate lists of names for prescriptions. 5 Records suggest that Her-piris clinic generated up to twenty-five thousand dollars a day, in cash, in revenue from prescriptions.

In January 2003, Herpin came to the attention of the Drug Enforcement Agency’s diversion unit, which investigates the diversion of licit substances into illicit markets. Undercover law enforcement officers purchased illegitimate prescriptions from Herpin over a three month period and had the prescriptions filled at the pharmacy of appellant Otukayode Otufale. Based on these controlled purchases, DEA obtained search warrants for Herpiris office and Etta Williams’ residence. In an August 23, 2003, raid, DEA agents seized lists of fictitious patients, cash, prometha-zine with codeine, computers, pre-printed prescriptions, and doctor dispensing reports. 6 The investigation brought appel *775 lants’ and others’ pharmacies to DEA’s attention. DEA agents served notices of inspection on the pharmacies, visited the pharmacies, questioned the pharmacists, and obtained copies of dispensing reports.

On September 29, 2004, a federal grand jury sitting in the Houston Division of the Southern District of Texas returned a 121 count indictment against the appellants and others. A 190 count superceding indictment issued on November 24, 2004, and the case went to trial. On May 17, 2005, after thirteen days of trial proceedings, and five days of jury deliberation without a verdict, Judge Hittner of the United States District Court for the Southern District of Texas declared a mistrial due to the hung jury.

On June 9, 2005, the grand jury handed down an 82 count second superceding indictment charging the appellants as well as four other defendants with numerous crimes related to their drug conspiracy. 7 The indictment included notices of criminal forfeiture pursuant to 18 U.S.C. § 982 and 21 U.S.C. § 853. The second jury trial began on August 16, 2005, and on October 4, 2005 the jury convicted the appellants of all offenses charged under the indictment. All were convicted of one count of conspiracy to unlawfully distribute two controlled substances, hydroco-done (a Schedule III controlled substance) and promethazine with codeine (a Schedule V controlled substance), from October 2002 to December 2003. 8 Otufale was also convicted of actual distribution from December 2002 to August 2003. 9 Combs and Brown were convicted of distribution from January to November 2003. 10 Wiley and Esset were convicted of distribution from December 2002 to December 2003. 11 Otu-fale was convicted of seven counts of Money Laundering Promotion. 12 Combs and Brown were convicted of ten counts of *776 Money Laundering Promotion 13 and seven counts of Money Laundering Concealment. 14 Wiley and Essett were convicted of ten counts of Money Laundering Promotion, 15 for fourteen counts of Money Laundering Concealment, 16 and for six counts of Engaging in Monetary Transactions in Property Derived from Specified Unlawful Activity. 17 Wiley was convicted of an additional three counts of this latter offense, 18 and Essett of a separate seven counts of the same offense as well. 19

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United States v. Brown, 553 F.3d 768, 78 Fed. R. Serv. 180, 2008 U.S. App. LEXIS 26431, 2008 WL 5255903 (5th Cir. 2008).

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