Prescription Drugs – “Pill Mill”
“Pill Mill” is a term investigators and prosecutors use to describe pharmacists, doctors, or other medical professionals who prescribe or distribute prescription drugs, usually pain pills, for non-medical purposes. Because of the opioid crisis, law enforcement agencies, including the DEA and FBI, are aggressively investigating and prosecuting pharmacists, doctors, and other medical professionals who work at pain clinics or who law enforcement officers and agents think prescribe or dispense an unusually high rate of prescription pain pills.
Drug diversion is the abuse or illegal distribution of prescription drugs or use for purposes not intended by the prescriber. Drug diversion can occur when a doctor, nurse, nurse practitioner, pharmacist, or other medical professional prescribes or provides a narcotic, usually pain pills, to a patient when the drugs are not medically necessary or therapeutic. Law enforcement officers, federal agents, and prosecutor investigate medical professionals who prescribe or dispense large quantities of hydrocodone, alprazolam, and carisoprodol – also known as the “Houston Cocktail” or “Holy Trinity” alleging that the drugs are not medically necessary and are being over prescribed.
Drug diversion cases are usually investigated and prosecuted by federal law enforcement agents, such as the Drug Enforcement Agency (DEA) or the Federal Bureau of Investigation (FBI). Federal charges are usually filed under 21 United States Code §841(c), which carries up to 20 years in federal prison and up to a $5 million fine.
Drug diversion cases can also be investigated and prosecuted in state court under §481.1285 of the Texas Health & Safety Code. If charged in state court the penalties range from a State Jail Felony of 180 days to 2 years in the State Jail or a 3rd degree felony punishable from 2 years to 10 years in prison.
When a medical professional or pharmacist is investigated and prosecuted for drug diversion, their professional license can be severely impacted by either being probated, suspended or revoked; thus, a person can lose their ability to work in their career and chosen profession.
Throughout his career as a Houston Criminal Defense Attorney James Alston has represented many physicians, nurses, nurse practitioners, pharmacists, and other medical professionals who have been investigated and or charged with drug diversion, operating or working at a Pill Mill, or drug possession or distribution. Attorney James Alston has extensive experience and training in federal law enforcement investigative techniques including the use of confidential informants, Title III wire intercepts (telephone taps), cell site tracking devices, and surveillance. As an Assistant United States Attorney, James Alston prosecuted numerous federal cases from the initial stages of an investigation through jury trial. James Alston knows the means and methods that prosecutors use to investigate cases and seek convictions. James Alston uses his experience as a former prosecutor to develop the best and most aggressive defenses for his clients.
As a drug crime defense lawyer, James Alston has defended many doctors, pharmacists, nurses, and other medical professionals, who have been charged with drug diversion and illegal possession and distribution of drugs, for their involvement, employment or ownership in pharmacies or pain clinics, including Pill Mills. James Alston uses his 30 plus years of experience in the criminal justice system, as both a prosecutor and criminal defense attorney, to develop the best defense for his clients.