Tonight on Nightline: The full story behind the first ever pharmaceutical CEO to be convicted for a crime related to the opioid epidemic. Tune in for the latest on today’s sentencing and more.
“The vertebrae had slipped off each other,” he said. “And the back was actually in jeopardy of sliding off and causing paralysis, if not worse.”
But he said there were moments when the pain from his spinal injuries was unbearable. He was prescribed Percocet, oxycodone and a host of other prescription painkillers. According to Buchalter, Tham told him,"There's this new medication that I think will keep you out of the emergency room." That medication was SUBSYS, which patients spray and hold under their tongue for up to a minute.
Nixon claimed that her employer was “asking me to lie to insurance companies about patients having cancer and breakthrough cancer pain.” The National Cancer Institute describes breakthrough cancer pain as when a cancer patient, who may already experience chronic pain, has a sudden increase in pain or a severe flare-up.
Fuller’s mother, Deborah Fuller, told “Nightline” last year that she said to Matalon, “Sarah is addicted to painkillers. So when you deal with her chronic pain, you gotta find another avenue, like maybe yoga or something like that, or physical therapy. Something that isn't drugs.” These programs, hosted by pharmaceutical companies, are legal and are commonly held to teach doctors about new medications. But in the case of Insys, prosecutors argue that the company conceived its program as a front for bribes.
A 2016 complaint filed by states attorneys general on behalf of 24 states said Insys promised one physician a $100,000 payment for his “support with Subsys” and that “Insys spent $58,000 on meal expenses for doctors in just one month.” “She never worked in the pharmaceutical industry,” Hollawell said. “And they're bringing somebody in that was an exotic dancer and ran an escort service to sell a product that could kill somebody with one prescription. And that was their M.O.”
By then, Kapoor, a soft-spoken immigrant from India, had become a billionaire. By 2015, he was on Forbes’ annual “Richest People in America” list. In the recording, the Insys rep is heard telling the insurance rep that the doctor was treating Fuller “for breakthrough cancer pain.” “[On] her wedding day we all met here [at Sarah’s grave site], her fiance, us, and everybody left something,” Deborah Fuller said. “My daughter and I brought wedding balloons. My husband brought a wedding topper and two champagne flutes. Her fiance left a bouquet of flowers.
"The magnitude of the conduct that was involved. We are in an opioid epidemic and people are dying every day. People are becoming addicted," Hollawell said Thursday."This is the most powerful drug out there -- fentanyl -- and it was treated like financial fraud, accounting fraud. So I am deeply disappointeIn May 2018, the New Jersey Board of Medical Examiners revoked Matalon’s license.
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