United States v. Donald v. Costanzo, United States of America v. Scott A. Clawson, United States of America v. Anthony Thomas Civella

4 F.3d 658
CourtCourt of Appeals for the Eighth Circuit
DecidedOctober 8, 1993
Docket92-2665, 92-2720 and 92-2841
StatusPublished
Cited by35 cases

This text of 4 F.3d 658 (United States v. Donald v. Costanzo, United States of America v. Scott A. Clawson, United States of America v. Anthony Thomas Civella) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Donald v. Costanzo, United States of America v. Scott A. Clawson, United States of America v. Anthony Thomas Civella, 4 F.3d 658 (8th Cir. 1993).

Opinions

BOWMAN, Circuit Judge.

Donald Costanzo, Scott Clawson, and Anthony Civella appeal from their convictions in the District Court1 on an array of mail fraud, wire fraud, and transportation of stolen goods charges. See 18 U.S.C. §§ 1341, 1343, 2314 (1988). Civella also appeals from his sentence. For the reasons set forth below, we affirm.

I.

The charges in this case arise out of a scheme to “divert” pharmaceuticals. Costan-zo, Clawson, and Civella controlled a number of institutional pharmacies (that is, pharmacies that provided medication to patients in institutional settings such as nursing homes) in the Kansas 'City area. , The scheme for which they were prosecuted involved the purchase of pharmaceuticals by these pharmacies and the subsequent resale of the drugs to a pharmaceutical wholesaler. It resulted from a particular opportunity available to institutional pharmacies: namely, drug manufacturers sell pharmaceuticals to institutional-pharmacies at prices that may be as low as twenty-five percent of the prices at which the companies sell drugs to other customers. Defendants were able to garner large profits merely by reselling to a wholesaler drugs purchased from manufacturers at institutional prices.

One reason that drug manufacturers offer institutional pharmacies low prices is that manufacturers recognize that the amount that insurance companies and the government, which pay for many of the patients in institutions, will reimburse for pharmaceuticals is relatively low. In addition, drug manufacturers want doctors in institutions to be able to prescribe the manufacturer’s drugs, since this increases the chances that the doctors will prescribe the same drtigs to patients the doctor sees in other contexts. Finally, manufacturers hope that patients who are treated with a certain drug in an institutional setting will continue to use that particular medication after they are released from the institution.

In order to ensure that the sale of deeply discounted drugs to institutional pharmacies [660]*660does not undermine their ability to sell to other purchasers at normal wholesale prices, manufacturers include what are known as “own-use clauses” in the contracts under which they sell drugs to institutional pharmacies. These clauses provide that drugs purchased at institutional prices may be dispensed only to patients in institutional settings. The clause used by Ciba-Geigy Corporation, the drug manufacturer involved in most of the instances of diversion for which defendants were charged, is fairly typical and provides that:

Products purchased from CIBA-GEIGY at other than standard prices or terms are to be used exclusively for long term care facility inpatients for whom we are the pharmacy provider. Any other use of these products will be cause for immediate termination of this account as well as any pricing Agreements then in force with CIBA-GEIGY.

Ciba-Geigy Corp., Long Term Care Facilities Provider- Account Application (Exhibit 721).

Defendants’ actions in purchasing drugs at institutional prices and reselling them to pharmaceutical wholesalers are referred to as a “diversion” because drugs were diverted from the nursing home inpatients contemplated in - institutional buying contracts to other persons. Apparently, no federal law expressly proscribes drug diversion per se. Thus, the government prosecuted defendants for mail fraud, wire fraud, and transportation of stolen goods in violation of 18 U.S.C. §§ 1341, 1343, 2314. Central to the charges was the claim that defendants defrauded drug manufacturers by obtaining pharmaceuticals at highly discounted prices by falsely representing that the pharmaceuticals would be used solely by nursing home patients, although defendants intended all the while to divert the drugs to wholesalers in violation of the own-use restrictions.

II.

The events underlying this case began in 1985 when ' Costanzo2 and John Sansone formed a partnership with Lou Ferro, Sr., and Lou Ferro, Jr., to start an institutional pharmacy servicing nursing homes in Kansas City. The Ferros already owned a retail pharmacy in Kansas City named Penn Park Pharmacy, and the new partnership began to serve patients in nursing homes, as well as members of the general public, out of this pharmacy. Although the pharmacy was providing drugs to patients in institutional settings, it was not purchasing drugs at institutional prices. Business grew rapidly and before long Clawson was hired as an additional pharmacist.

In 1986, Costanzo, Sansone, and both Fer-ros travelled to Las Vegas to investigate the possibility of opening another pharmacy to service a nursing home there. While in Las Vegas, they met Wilbur Swift and Martin Rubin, the owners of B.W. Wholesale, a pharmaceutical wholesaler that specialized in purchasing diverted pharmaceuticals. Swift suggested that Penn Park Pharmacy purchase drugs at institutional prices and resell them to B.W. Wholesale. Swift offered to pay Penn Park Pharmacy the cost of diverted pharmaceuticals plus a twenty-five percent markup and to pay all shipping costs. Swift said that diversion was legal, but that the pharmacy should not sign an own-use clause or B.W. Wholesale would not be able to purchase diverted pharmaceuticals from it.

After returning from Las Vegas, Costanzo asked Ferro, Jr., to investigate Swift’s proposal. Ferro, Jr., attended a trade convention in New Orleans and spoke with representatives of pharmaceutical companies who informed him that Penn Park Pharmacy could purchase pharmaceuticals at institutional prices for its institutional patients. These representatives also told him that pharmacies could only purchase drugs at institutional prices if they signed own-use clauses and that these clauses prohibited the resale of the pharmaceuticals. Ferro, Jr., relayed this information to Costanzo and said that he did not believe that they should resell [661]*661pharmaceuticals purchased at institutional prices.

In December 1986, Penn Park Pharmacy applied to join GeriMed, a buying group through which institutional pharmacies purchase drugs from manufacturers at institutional prices. To satisfy GeriMed’s membership requirements, the pharmacy had to conduct its institutional business out of a location separate from its retail business. Therefore the partnership opened up a pharmacy named Penn Park Institutional Pharmacy (“Penn Park”) at a new location. Shortly after this institutional pharmacy was opened, Costanzo and Sansone quarreled with the Ferros and the partnership was dissolved — the Ferros kept the retail pharmacy they originally had owned, and Costan-zo and Sansone took the institutional pharmacy. Clawson also moved to the institutional pharmacy.

Following the split, Sansone executed institutional pricing contracts and credit applications on behalf of Penn Park with a number of individual drug manufacturers. Like the contract that the pharmacy executed with GeriMed, these agreements contained own-use restrictions so clearly set forth that anyone perusing the typically one-page agreements would recognize the restriction. Nevertheless, Sansone told Clawson and Robert Shuey, the other pharmacist at Penn Park, that he was planning to purchase drugs through the pharmacy and resell them to a wholesaler. Sansone also told Clawson and Shuey that this was a grey area under the law and asked them not to tell anyone about the diversion.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
4 F.3d 658, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-donald-v-costanzo-united-states-of-america-v-scott-a-ca8-1993.