Milwaukee Journal Sentinel

US sues Walmart over role in national opioid crisis

- Michael Balsamo and Anne D’Innocenzio

WASHINGTON – The Justice Department sued Walmart, alleging the company unlawfully dispensed controlled substances through its pharmacies, helping to fuel the opioid crisis in America.

The civil complaint filed Tuesday points to the role Walmart’s pharmacies may have played in the crisis by filling 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 Jeffrey 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.

“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 suit alleges that Walmart made it difficult for its pharmacist­s to follow the rules, putting “enormous pressure” on

them to fill a high volume of prescripti­ons as fast as possible, while denying them the authority to categorica­lly refuse to fill prescripti­ons issued by prescriber­s the pharmacist­s knew were issuing invalid prescripti­ons.

Walmart fought back in a 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 fill problemati­c opioids prescripti­ons, and said they refused to fill 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 filled at its pharmacies.

AP reported the news of the lawsuit before 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.

The Justice Department’s lawsuit comes nearly two months after Walmart filed its own preemptive suit against the Justice Department, Attorney General William Barr and the Drug Enforcemen­t Administra­tion.

In its lawsuit, Walmart said the Justice Department’s investigat­ion, launched in 2016, had identified hundreds of doctors who wrote problemati­c

“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 ... failures in keeping bad doctors from prescribin­g opioids in the first place.”

Walmart statement

prescripti­ons that Walmart’s pharmacist­s should not have filled. 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 first 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 office, 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 officials 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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