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CRIMINAL PROSECUTIONS: 
PATIENT SAFETY 
Partnership for Safe Medicines Interchange 2014 
September 18, 2014 
Newseum, Washington, D.C. 
Moderator: Linda I. Marks 
Senior Litigation Counsel 
Consumer Protection Branch 
U.S. Department of Justice 
linda.marks@usdoj.gov 
Views offered in this presentation are my own views, and not necessarily views of the 
Department of Justice. 
Views offered in this presentation are my own views, and not necessarily views of the Department of Justice.
PANELISTS 
• Lindsay Kelly, AUSA, Eastern District of Virginia 
• Jaime Peña, AUSA, District of Colorado
UPDATE FROM LAST YEAR
FROM TURKEY TO MISSOURI (EDMO) 
2012 
• MISSOURI ONCOLOGIST: DR. ABID NISAR 
• CALIFORNIA WHOLESALERS: JAMES 
NEWCOMB/SANDRA BEHE (BDMI) 
• PACKAGE TO NISAR INCLUDED COLD CHAIN 
“GOOEY MESS”
FROM TURKEY TO MISSOURI (EDMO) 
• Blast Faxes to Target Doctors: lower costs (40- 
60% typical)
FROM TURKEY TO MISSOURI (EDMO) 
2013 
• BRITISH WHOLESALER: RICHARD TAYLOR 
(RICHARD’S PHARMA LTD.) 
• “UNFORTUNATE EXPERIENCE” & “IMMEDIATE 
BAD REACTIONS” WHERE PATIENT “STARTED TO 
SHAKE” 
• ALTUZAN WAS A “HIGH RISK PLAY” WITH 
TURKISH LABELING
FROM TURKEY TO MISSOURI (EDMO) 
2014 
• TURKISH SUPPLIERS TO TAYLOR: OZKAN 
SEMIZOGLU/SABAHADDIN AKMAN (OZAY 
PHARMACEUTICAL) 
• BOTH DEFENDANTS PLED GUILTY AND AWAIT 
SENTENCING
FROM TURKEY TO MISSOURI (EDMO) . . . 
and beyond 
Other physicians prosecuted: 
-- Isabella Martire (PG; motion to withdraw FDCA 
misd guilty plea pending) 
-- Joel Bernstein (PG; FDCA misd - unapproved 
Mabthera) 
-- Joel Bernstein, Inc. (PG; health care fraud; 
bought $3.4 million oncology drugs)
U.S. v. SANDHU (EDMO) 
AND KSANDHU INDICTED 10/14 
• OPERATED “ONLINEBOTOX.COM” 
• SOLD BOTOX & JUVEDERM 
• SISTERS KAMALDEEP AND NAVDEEP SANDHU 
INDICTED: CONSPIRACY, SMUGGLING, FDCA 
ADULTERATED DRUGS, OBSTRUCTION 
CHARGES INCLUDE CONSPIRACY, 
SMUGGLING, INTRODUCING
Botox – 30% Less than US Price
GALLANT PHARMA, EDVA 
March 2013 
• 10 INDIVIDUALS & 1 CORP. INDICTED FOR 
CONSPIRACY, SMUGGLING, INTRODUCING 
MISBRANDED DRUGS, WIRE FRAUD, 
UNLICENSED WHOLESALING
GALLANT PHARMA, EDVA 
• CANCER & INJECTABLE COSMETIC DRUGS 
• UNLICENSED WHOLESALER 
• UNAPPROVED DRUGS IMPORTED FROM 
TURKEY, INDIA, SWITZERLAND, UAE 
REPACKAGERS IN U.K. & CANADA
GALLANT PHARMA, EDVA 
• 13 DEFENDANTS: COMPANY OWNERS, SALES 
REPS, OPERATORS; SUPPLIERS; PHYSICIAN & 
OFFICE MANAGER 
• 11 CONVICTIONS (& 2 FUGITIVES)! 
• REPACKAGERS IN U.K. & CANADA
GALLANT PHARMA, EDVA 
ENNNNNNNNNNNNNEXT: 
U.S. v. JAMES EDWARD QUINN, WORLD 
MEDICAL LTD, & ATLANTIC PHARMACEUTICALS 
AG 
-- UK REPACKAGERS/SHIPPERS 
-- CHEMO & COSMETIC DRUGS, IUDs
HOSPITAL DRUG DIVERSION: 
D. COLO. 
• U.S. v. KRISTEN PARKER – SCRUB TECH; 
STOLEN FENTANYL SYRINGES; HEP-C 
• U.S. v. ASHTON DAIGLE – RN; FENTANYL 
SYRINGES REPLACED WITH TAP WATER OR 
SALINE SOLUTION 
• UNLICENSED WHOLESALER
MEDICAL DEVICES: 
SPECTRANETICS, D. COLO. 
E WHOLESALER 
• U.S. v. GEORGE JOHN SCHULTE (CEO) 
• MEDICAL LASERS -- LEAD WIRES APPROVED 
FOR SPECIFIC TYPES OF OCCLUSIONS 
• UNAPPROVED GUIDEWIRES, CATHETER 
BALLOONS, LASERS, & STENTS USED IN 
SURGERIES
MEDICAL DEVICES: 
SPECTRANETICS, D. COLO. 
• UCENSED WHOLESALER 
• SCHULTE CONVICTED OF MAKING FALSE 
STATEMENTS TO FDA 
• JANUARY 2014: 10TH CIR. UPHELD 
CONVICTION 
REPACKAGERS IN U.K. & CANADA
U.S. v. VAUGHAN CIPPERLY, 
D. COLO. 
• PHYSICIAN PURCHASED CHEMO DRUGS 
FROM QUALITY SPECIALTY PRODUCTS (QSP), 
CANADA 
• UNAPPROVED, FOREIGN-MADE 
• PLED GUILTY TO CONSPIRACY TO INTRODUCE 
UNAPPROVED DRUGS; FORFEITED $500,000 
• EPACKAGERS IN U.K. & CANADA)
Q & A TIME (then lunch . . . )

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PSM Interchange 2014 Panel 2: Linda Marks, Criminal Prosecutions: Patient Safety

  • 1. CRIMINAL PROSECUTIONS: PATIENT SAFETY Partnership for Safe Medicines Interchange 2014 September 18, 2014 Newseum, Washington, D.C. Moderator: Linda I. Marks Senior Litigation Counsel Consumer Protection Branch U.S. Department of Justice linda.marks@usdoj.gov Views offered in this presentation are my own views, and not necessarily views of the Department of Justice. Views offered in this presentation are my own views, and not necessarily views of the Department of Justice.
  • 2. PANELISTS • Lindsay Kelly, AUSA, Eastern District of Virginia • Jaime Peña, AUSA, District of Colorado
  • 4. FROM TURKEY TO MISSOURI (EDMO) 2012 • MISSOURI ONCOLOGIST: DR. ABID NISAR • CALIFORNIA WHOLESALERS: JAMES NEWCOMB/SANDRA BEHE (BDMI) • PACKAGE TO NISAR INCLUDED COLD CHAIN “GOOEY MESS”
  • 5. FROM TURKEY TO MISSOURI (EDMO) • Blast Faxes to Target Doctors: lower costs (40- 60% typical)
  • 6. FROM TURKEY TO MISSOURI (EDMO) 2013 • BRITISH WHOLESALER: RICHARD TAYLOR (RICHARD’S PHARMA LTD.) • “UNFORTUNATE EXPERIENCE” & “IMMEDIATE BAD REACTIONS” WHERE PATIENT “STARTED TO SHAKE” • ALTUZAN WAS A “HIGH RISK PLAY” WITH TURKISH LABELING
  • 7. FROM TURKEY TO MISSOURI (EDMO) 2014 • TURKISH SUPPLIERS TO TAYLOR: OZKAN SEMIZOGLU/SABAHADDIN AKMAN (OZAY PHARMACEUTICAL) • BOTH DEFENDANTS PLED GUILTY AND AWAIT SENTENCING
  • 8. FROM TURKEY TO MISSOURI (EDMO) . . . and beyond Other physicians prosecuted: -- Isabella Martire (PG; motion to withdraw FDCA misd guilty plea pending) -- Joel Bernstein (PG; FDCA misd - unapproved Mabthera) -- Joel Bernstein, Inc. (PG; health care fraud; bought $3.4 million oncology drugs)
  • 9.
  • 10. U.S. v. SANDHU (EDMO) AND KSANDHU INDICTED 10/14 • OPERATED “ONLINEBOTOX.COM” • SOLD BOTOX & JUVEDERM • SISTERS KAMALDEEP AND NAVDEEP SANDHU INDICTED: CONSPIRACY, SMUGGLING, FDCA ADULTERATED DRUGS, OBSTRUCTION CHARGES INCLUDE CONSPIRACY, SMUGGLING, INTRODUCING
  • 11. Botox – 30% Less than US Price
  • 12. GALLANT PHARMA, EDVA March 2013 • 10 INDIVIDUALS & 1 CORP. INDICTED FOR CONSPIRACY, SMUGGLING, INTRODUCING MISBRANDED DRUGS, WIRE FRAUD, UNLICENSED WHOLESALING
  • 13. GALLANT PHARMA, EDVA • CANCER & INJECTABLE COSMETIC DRUGS • UNLICENSED WHOLESALER • UNAPPROVED DRUGS IMPORTED FROM TURKEY, INDIA, SWITZERLAND, UAE REPACKAGERS IN U.K. & CANADA
  • 14. GALLANT PHARMA, EDVA • 13 DEFENDANTS: COMPANY OWNERS, SALES REPS, OPERATORS; SUPPLIERS; PHYSICIAN & OFFICE MANAGER • 11 CONVICTIONS (& 2 FUGITIVES)! • REPACKAGERS IN U.K. & CANADA
  • 15. GALLANT PHARMA, EDVA ENNNNNNNNNNNNNEXT: U.S. v. JAMES EDWARD QUINN, WORLD MEDICAL LTD, & ATLANTIC PHARMACEUTICALS AG -- UK REPACKAGERS/SHIPPERS -- CHEMO & COSMETIC DRUGS, IUDs
  • 16. HOSPITAL DRUG DIVERSION: D. COLO. • U.S. v. KRISTEN PARKER – SCRUB TECH; STOLEN FENTANYL SYRINGES; HEP-C • U.S. v. ASHTON DAIGLE – RN; FENTANYL SYRINGES REPLACED WITH TAP WATER OR SALINE SOLUTION • UNLICENSED WHOLESALER
  • 17. MEDICAL DEVICES: SPECTRANETICS, D. COLO. E WHOLESALER • U.S. v. GEORGE JOHN SCHULTE (CEO) • MEDICAL LASERS -- LEAD WIRES APPROVED FOR SPECIFIC TYPES OF OCCLUSIONS • UNAPPROVED GUIDEWIRES, CATHETER BALLOONS, LASERS, & STENTS USED IN SURGERIES
  • 18. MEDICAL DEVICES: SPECTRANETICS, D. COLO. • UCENSED WHOLESALER • SCHULTE CONVICTED OF MAKING FALSE STATEMENTS TO FDA • JANUARY 2014: 10TH CIR. UPHELD CONVICTION REPACKAGERS IN U.K. & CANADA
  • 19. U.S. v. VAUGHAN CIPPERLY, D. COLO. • PHYSICIAN PURCHASED CHEMO DRUGS FROM QUALITY SPECIALTY PRODUCTS (QSP), CANADA • UNAPPROVED, FOREIGN-MADE • PLED GUILTY TO CONSPIRACY TO INTRODUCE UNAPPROVED DRUGS; FORFEITED $500,000 • EPACKAGERS IN U.K. & CANADA)
  • 20. Q & A TIME (then lunch . . . )