CEO of an Opioid Pharmaceutical Company Convicted of Racketeering, Bribing Doctors to Prescribe Fentanyl

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A federal jury on Thursday found the top executives of pharmaceutical company Insys Therapeutics guilty of criminal racketeering for orchestrating an elaborate scheme of bribes and kickbacks to doctors to boost the prescribing of an opioid painkiller it manufactured. The landmark conviction of Insys founder and former chairman John Kapoor is the first of a drug company CEO in the federal government’s pursuit of those responsible for fomenting the deadly opioid crisis. Kapoor and other executives at the Arizona-based company could face prison sentences for the felony convictions that run as long as 20 years.

John Kapoor, the billionaire founder of Insys Therapeutics, leaves the federal courthouse in Boston on March 13.
Reuters/Brian Snyder/File Photo

The details of the company’s sales practices are chilling: To help boost the number of prescriptions and its bottom line, Insys created incentives for doctors that pushed them to prescribe highly addictive pain medication, usually reserved for cancer patients, to patients who didn’t medically require it. The company profited from the wider distribution of the under-the-tongue fentanyl spray Subsys, which can be as much as 100 times more potent than morphine. 


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