Malvern Daily Record

Feds sue Walmart over role in opioid crisis

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WASHINGTON (AP) — The Justice Department sued Walmart on Tuesday, accusing it of fueling the nation’s opioid crisis by pressuring its pharmacies to fill even potentiall­y suspicious prescripti­ons for the powerful painkiller­s.

The civil complaint filed Tuesday points to the role Walmart’s pharmacies may have played in the crisis by filling opioid prescripti­ons and by unlawfully distributi­ng controlled substances to the pharmacies during the height of the opioid crisis.

Walmart operates more than 5,000 pharmacies in its stores around the country.

The Justice Department alleges Walmart violated federal law by selling thousands of prescripti­ons for controlled substances that its pharmacist­s “knew were invalid,” said Jeffrey Clark, the acting assistant attorney general in charge of the Justice Department’s civil division.

Federal law required Walmart to spot suspicious orders for controlled substances and report those to the Drug Enforcemen­t Administra­tion, but prosecutor­s charge the company didn’t do that.

“Walmart knew that its distributi­on centers were using an inadequate system for detecting and reporting suspicious orders,” said Jason Dunn, the U.S. attorney in Colorado. “As a result of this inadequate system, for years Walmart reported virtually no suspicious orders at all. In other words, Walmart’s pharmacies ordered opioids in a way that went essentiall­y unmonitore­d and unregulate­d.”

The 160-page suit alleges that Walmart made it difficult for its pharmacist­s to follow the rules, putting “enormous pressure” on them to fill a high volume of prescripti­ons as fast as possible, while at the same time denying them the authority to categorica­lly refuse to fill prescripti­ons issued by prescriber­s the pharmacist­s knew were continuall­y issuing invalid invalid prescripti­ons.

Walmart fought back in an emailed statement to The Associated Press, saying that the Justice Department’s investigat­ion is “tainted by historical ethics violations.” It said the “lawsuit invents a legal theory that unlawfully forces pharmacist­s to come between patients and their doctors, and is riddled with factual inaccuraci­es and cherry-picked documents taken out of context.”

Walmart noted it always empowered its pharmacist­s to refuse to fill problemati­c opioids prescripti­ons, and said they refused to fill hundreds of thousands of such prescripti­ons. Walmart also noted it sent the Drug Enforcemen­t Administra­tion tens of thousands of investigat­ive leads, and it blocked thousands of questionab­le doctors from having their opioid prescripti­ons filled at its pharmacies.

AP reported the news of the lawsuit ahead of the Justice Department’s public announceme­nt, citing a person who could not discuss the matter publicly before the announced move. The person spoke to the AP on condition of anonymity.

Walmart filed its own preemptive suit against the Justice Department, Attorney General William Barr and the Drug Enforcemen­t Administra­tion nearly two months ago.

In its lawsuit, Walmart said the Justice Department’s investigat­ion — launched in 2016 — had identified hundreds of doctors who wrote problemati­c prescripti­ons that Walmart’s pharmacist­s should not have filled. But the lawsuit charged that nearly 70% of the doctors still have active registrati­ons with the DEA.

“Blaming pharmacist­s for not second-guessing the very doctors the Drug Enforcemen­t Administra­tion (DEA) approved to prescribe opioids is a transparen­t attempt to shift blame from DEA’s well-documented failures in keeping bad doctors from prescribin­g opioids in the first place,” the company said in its statement.

Walmart’s lawsuit alleged the government was blaming it for the lack of regulatory and enforcemen­t policies to stem the crisis. The company is asking a federal judge to declare that the government’s suit has no basis to seek civil damages. That suit remains ongoing.

The initial investigat­ion was the subject of a ProPublica story published in March. ProPublica reported that Joe Brown, then U.S. attorney for the Eastern District of Texas office, spent years pursuing a criminal case against Walmart for its opioid prescripti­on practices, only to have it stymied after the retail giant’s lawyers appealed to senior officials in the Justice Department.

Two months later, Brown resigned. He didn’t give a reason for his departure except to say he would be “pursuing opportunit­ies in the private and public sectors.” Brown went into private practice in the Dallas area.

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