The Mercury News Weekend

Ex-pharmaceut­ical exec gets 5 1⁄2 years for pushing opioids

- By Collin Binkley

The founder of an Arizona pharmaceut­ical company was ordered to spend 5 ½ years in prison Thursday for orchestrat­ing a bribery and kickback scheme prosecutor­s said helped fuel the opioid crisis.

John Kapoor, 76, the former chairman of Insys Therapeuti­cs, was sentenced in Boston’s federal court after a jury found him guilty of racketeeri­ng conspiracy last May. The 10-week trial revealed sensationa­l details about the company’s marketing tactics, including testimony that a sales executive once gave a lap dance to a doctor the company was wooing.

Kapoor was also ordered to pay a $250,000 fine, the maximum under sentencing guidelines.

He and others were accused of paying millions of dollars in bribes to doctors across the United States to prescribe the company’s highly addictive oral fentanyl spray, known as Subsys. The bribes were paid in the form of fees for sham speaking engagement­s that were billed as educationa­l opportunit­ies for other doctors.

The company was also accused of misleading insurers to get payment approved for the drug, which is meant to treat cancer patients in severe pain and can cost as much as $19,000 a month.

Along with Kapoor, four others from Insys also were convicted last year and two pleaded guilty. All of them have been dealt prison sentences, ranging from a year and a day to nearly three years.

Prosecutor­s were requesting 15 years in prison for Kapoor, calling him the “linchpin” of the operation.

“This was in every way a top- down conspiracy that John Kapoor ran,” Assistant U.S. Attorney Nathaniel Yeager said at the hearing. “He was already a billionair­e when this started, and this made him even richer.”

Kapoor’s lawyers countered that the scheme was organized by other executives and that Kapoor was never aware of any wrongdoing that could harm patients. They called him an “immigrant success story,” noting that the India-born Kapoor developed Subsys after seeing his wife suffer and die from breast cancer.

During the hearing Thursday, several patients addressed the court and described their suffering after being prescribed high doses of Subsys by doctors who were paid by Insys.

Some said the drug caused their teeth to fall out and left them with memory loss. Some said they became addicted to the drug for years.

Kapoor silently watched them speak and, when he was allowed to address the court, opened with an apology.

“I’m heartbroke­n by the words of the patients who spoke here today and those who spoke at the trial,” he said. “I sincerely apologize to them and their families.”

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