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It was one of the first clinics opened by Christopher George of Wellington, who with his twin brother, Jeff, would grow his enterprise into one of the largest pill mills in the country from clinics in Palm Beach and Broward counties. How Florida spread oxy across America. Reliably red on the political map, Huntington is a West Virginia town with a year-old university, a storied football team and more than churches. The West Virginia vans were part of a nationwide caravan heading to South Florida. Cars bearing tags from Kentucky, Tennessee, the Carolinas, Virginia and Ohio crowded into one clinic parking lot after another, loading up on pills and prescriptions. By , Florida was the oxycodone drug dealer of choice for drug users and dealers in the Great Lakes, Northeast and Mid-Atlantic regions as well as the Southeast, DEA records show, an area spanning virtually every state east of the Mississippi. For 10 years, key lawmakers and agency heads repeatedly looked the other way as crooked doctors and bogus clinics flooded almost half the nation with the highly addictive drug. In failing to crack down, Florida extended by years the amount of time highly addictive oxycodone would be available to both first-time experimenters and addicts. It gave criminals the raw materials for trafficking. Teenage high-school wrestling buddies in New Port Richey ran oxycodone into Tennessee ; they were paid with cash hidden in teddy bears. Wellington twins and pill mill kingpins Chris and Jeff George oversaw one of the largest operations in the country from their five Palm Beach and Broward clinics, pushing oxycodone into Kentucky, Tennessee, Ohio and South Carolina. A husband and wife team operating out of a Forest Hill Boulevard clinic funneled pills to Delaware. In Rhode Island, police pulled over a Lauderhill man caught speeding through Providence. They found oxycodone tablets and 56 morphine pills in the car. Senior citizen and Tulane business graduate Joel Shumrak funneled more than 1 million pills into eastern Kentucky from his South Florida and Georgia clinics, much of it headed for street sales — an estimated 20 percent of the illicit oxycodone in the entire state. In Miami, Vinny Colangelo created 1, internet website names to entice drug users throughout the nation to one of his six South Florida pain clinics or pharmacies. Even the Mafia got in on the Florida oxy action: A Bonanno crime family associate oversaw a local crew stocking up on Palm Beach and Broward pain clinic oxycodone, upstreaming profits to the New York family. At times, it seemed almost no section of the country was free of Florida-supplied pills: When Olubenga Badamosi was arrested driving his Bentley Continental in Miami in , the Oregon man was one of two traffickers overseeing a crew smuggling South Florida oxycodone to sell in Salt Lake City, Seattle and Denver as well as Oregon, Nevada, Texas and even Alaska. Oxycodone milligram tablets were favored by addicts. And in and , roughly four of every 10 of those pills were sold in Florida. In the first six months of , Ohio doctors and health care practitioners bought the second-largest number of oxycodone doses in the country: Just under 1 million. From August to November , a new pain clinic opened in Broward and Palm Beach counties on average every three days , a Broward County grand jury found. Pharmacies, too, ordered jaw-dropping numbers of pills from drug distributors, the middlemen between manufacturers and pharmacies. West of Jupiter, a Walgreens drug distribution center sold 2. It shipped more than 1. By contrast, a single Walgreens pharmacy in the Central Florida town of Oviedo bought , doses of oxycodone in 30 days. In Fort Pierce, a Walgreens pharmacist accidentally provided an extra oxycodone pills to a customer. That was in September. The same man came back to the same Walgreens in December and January with a prescription in hand. Cincinnati-based Masters Pharmaceuticals Inc. It sold to other customers in other states. But mostly, it sold to Florida: Oxycodone made up more than 60 percent of its drug sales in and , according to federal records. Of its top 55 oxycodone customers, 44 were in Florida. A trip to Broward did nothing to ease his mind. Bus and park benches touted pain clinics. When Smith picked up and thumbed through City Beat, a free magazine, he found pages of ads for pain clinics. Masters executives figured the pharmacies would keep an eye out for excessive prescriptions written by pill mill doctors. In , the small pharmacy off Lucerne Avenue in Lake Worth had a history. It had been in business for 43 years. The owner and head pharmacist had been there for When a Masters inspector visited, he was alarmed to find Tru-Valu Drugs bustling with a long line of young, thin, tattooed customers arriving in groups of 10 to pick up pills. There were signs in the pharmacy warning of limits on the number of oxycodone pills handed out. Even Mallinckrodt Pharmaceuticals, an oxycodone manufacturer, was worried about the volume of its pill sales there. Of the , doses of all drugs the small pharmacy dispensed in December , , were for oxycodone 30 mg , the dosage preferred by traffickers and users alike. The huge oxycodone volume was no accident. And, despite the torrent of oxycodone going out the door, the pharmacy owner expressed frustration that drug distributors were limiting the amount of narcotics they would sell to his now-closed pharmacy. A Masters inspector found cars from Tennessee and Kentucky in the parking lot and young men leaving the pharmacy carrying large trash bags. Superior Pharmacy not only filled oxycodone prescriptions for pain clinics, it shared waiting room space with a pain clinic in a Temple Terrace strip mall outside Tampa. Neither Masters nor Superior had so much as Googled the background of pain clinic doctors writing those prescriptions, the DEA later said. Hundreds of thousands of oxycodone pills were sent from Ohio distributors to Florida pharmacies. Unknown thousands of pills headed right back up to Ohio. A construction worker whose own pill habit started at age 14, Thompson oversaw a ring of 15 Ohio buyers who traveled to Florida to pick up oxycodone to resell in Central Ohio. Kidd orchestrated a ring of buyers traveling to West Palm Beach and Central Florida to pick up oxycodone for resale on the streets of eastern Ohio and West Virginia. In January , say police, Fort Lauderdale pathologist Dr. Lynn Averill started a seven-month oxycodone shopping spree, buying , oxycodone pills from drug distributors. The year-old collected prescriptions for pills and overdosed two days later. Brian Moore traveled 13 hours from his Laurel County, Ky. He left with prescriptions for pills and also overdosed within 48 hours. He had a seizure after picking up prescriptions for pills and died in an Ocala gas station parking lot. His body was dumped on the side of a remote South Carolina road after he overdosed in the back seat of a car the same day of his clinic visit. He had collected eight prescriptions totaling doses of oxycodone, methadone, Soma and Xanax. Konkol had every reason to believe he would get those prescriptions: In three previous visits to the Plantation clinic, he had picked up prescriptions for 1, pills. An estimated 60 percent of her patients were from out of state , a former medical assistant told the DEA. In , Averill pleaded not guilty to eight manslaughter charges. She is awaiting trial in Broward County. Averill was just one doctor at just one clinic. Deeply religious, Williams is hardly a violent man. His first act upon learning the scope of the drug problem in his town was to hold a prayer vigil. One of the first dinners Florida Gov. Among those sitting at the table with Bush were Lt. Toni Jennings, state Sen. By the time the meal ended, all had agreed on the need for establishing a prescription drug monitoring program that would collect information and track prescriptions written for controlled substances, such as oxycodone. And there was no way to know whether a doctor was overprescribing, key to pinpointing whether a pill mill was operating, and where. Similar databases had been adopted by more than a dozen states. In , OxyContin-maker Purdue Pharma was fending off early criticism of its blockbuster painkiller. Purdue and three top executives later pleaded guilty to federal charges of illegally marketing the drug. Far from being safe and non-addictive, OxyContin carried the same addiction risk as morphine, and was every bit as potent. But that was six years away. In , towns in Maine reported an alarming uptick in crime tied to OxyContin. The first of several congressional hearings was ramping up. Critics and parents who lost children were piling on. Reporters were starting to write stories. In late , Butterworth called a young assistant attorney general into his office and gave him a magazine article on OxyContin and an assignment: Look into Purdue marketing. During the yearlong inquiry, Floridians died after taking oxycodone. Nothing criminal was found, Aronberg later said. The entire country, not just Florida, would benefit. There was one catch. State lawmakers had to vote to create the prescription monitoring program by , or Purdue would keep its money. Burt, now an Ormond Beach insurance executive. A rising state lawmaker in , now-U. Marco Rubio had the clout to make or break the legislation. He had been one of two state House majority whips and was on the fast track to becoming House speaker. Burt cast the vote. Rubio was the first, not the last, in a line of state legislative leaders over years who would refuse to seriously consider the bill. Most cited privacy concerns. In doing so, it could have curbed a national opioid epidemic when it was just an emerging problem, not the monster it would become. Court-ordered to drug treatment and then briefly to jail, Noelle Bush survived her pill addiction. Sixteen days after the Legislature adjourned without creating a prescription monitoring database, a West Palm Beach mother collapsed at the home of her ex-husband. Jamie Lea Massey overdosed on an unknown number of the 19, pills she had purchased in the preceding 10 months. Five local doctors had written prescriptions for the drugs, each unaware the former husband was getting more drugs elsewhere. The deadline for greenlighting a monitoring system passed. I tell people all the time I am a hick sheriff from a hick location. Greenup is near the stretch of interstate highways that provided drug traffickers and users with a straight shot to Palm Beach and Broward pill mills. Arrests for Florida pills soon eclipsed local arrests for pot. He called the state pharmacy board, too. He got no response. I was calling them all, the whole state. Of course, I was talking to the state police the entire time. Frazier was on a scholarship to play baseball at his junior college in Chicago when he suffered a torn rotator cuff. Doctors prescribed Percocet, a pill containing oxycodone, in Mikey Frazier talks about his prison experience, drug addiction and life in recovery in in Greenup County, Ky. Others followed suit. OxyContin and generic oxycodone still could be had — just not in Kentucky, which had a prescription drug monitoring database. Before her office was raided by law enforcement in December , Asuncion M. Lucie internist and acupuncturist. She was one of the most prolific prescribers of OxyContin in the state. That was just OxyContin. Luyao was prescribing an array of addictive drugs. Nor did the raid slow her down. Between the raid and her arrest on trafficking charges four months later, Luyao wrote another OxyContin prescriptions billed to Medicaid. In 24 months, taxpayers footed the bill for more than 49 million doses of pills containing oxycodone, The Palm Beach Post found in , even though there were only 1. Half were children. The sheer volume of pills might have been a tipoff that the drugs were not all intended for legitimate use. So were arrest reports dating to The Florida Panhandle physician was the first doctor in the nation convicted of killing patients by overprescribing OxyContin. Addiction risk for people taking high doses of oxycodone begins climbing after just three days, a recent study concluded. And most people on Florida Medicaid getting oxycodone prescriptions in were getting much more than a few days worth. They were getting an average of nine months worth of pills, state officials said. Carrington was arrested for overprescribing in March Perper was busted at a Delray Beach pill mill operated by a former felon in The state did not act against his license until Joseph M. Hernandez was writing prescriptions from his car, a veritable pill mill on wheels, when he was busted in February on one count of trafficking in oxycodone. Skidmore was wary of opioid painkillers, though, one reason her willingness in to work with Purdue was surprising. OxyContin and prescription opioids, a serious problem in , had evolved into a full-blown crisis in the ensuing seven years. Deaths tied to oxycodone had exploded, up by percent since the prescription monitoring database had first been proposed and killed. Overdoses from prescription opioids were claiming more than seven lives a day. The database law passed with gaping loopholes. No health care professional would have to report opioid prescriptions or check the database before prescribing more. And the prescription monitoring database, mired in a vendor dispute, remained stalled. In early , when Gov. Rick Scott took office, just one drug — oxycodone — was tied to six fatal overdoses a day. Deaths tied to all drugs claimed 25 a day. In the handful of Appalachian states where traffickers were bringing back South Florida pills, it was worse. And in West Virginia, home to hard-hit Huntington, death rates tied to pill mill drugs such as oxycodone and Opana had climbed by percent. Attorney General Pam Bondi had also ridden the tea party wave to her position. Unlike Scott, the former prosecutor relentlessly lobbied to keep the database alive. Everyone knew prescription monitoring was going to kill the pill smuggling business, said a corrupt Florida Highway Patrol trooper as he drove a load of pills out of Florida, according to a federal lawsuit. He has to be. In Kentucky, where as much as 60 percent of the illicit oxycodone in that state flowed from Florida, Lt. Three U. Scott met Brandi when she was 3 years old, said her mother, Lisa, when both the Meshad and Scott families lived in Nashville. It was twice halted after she entered rehab. Each time, she left with new hope. The year-old had relapsed and taken Opana, an opioid frequently trafficked by pill mills. She had been found by her father. Meshad said she believed Scott, whom she supports, was in a difficult position over the database. Lisa Meshad, now Lisa Brandy, drove to Tallahassee, friends and family with her in a car caravan to lobby in support of the prescription monitoring database and tough new laws reining in pill mills. Testifying before a U. The newly installed attorney general had been up till in the morning lobbying for their passage. Florida emergency room overdoses from oxycodone and similar opioids immediately began dropping. So did deaths. The street price of oxycodone soared. Search for:. Share This Story. Will Lockwood, a drug addict turned director of operations at The Lifehouse, a recovery center in Huntington, W. Florida was. Your browser does not support the video tag. Will Lockwood. It was tens of thousands. It gave Will Lockwood the OxyContin needed to feed his growing habit. It paved the way for his eventual jump to heroin. Jumping state lines Teenage high-school wrestling buddies in New Port Richey ran oxycodone into Tennessee ; they were paid with cash hidden in teddy bears. They were keeping busy. They were rapidly selling them. On average in , a U. The pharmacy filled his prescriptions every time. Walgreens delivered huge numbers of oxycodone doses — well beyond the national average of 73, — to its drug stores in small Florida towns. Distributions to a single store Note: Figures reflect sales to drug store by the distributor Source: Drug Enforcement Administration action against Walgreen Corp. But the company continued to shovel millions of oxycodone pills to Florida pharmacies. But not all pharmacies were worrying about doctors at pain clinics. Some were courting them. It also had a drug problem. Road trips to death With more drugs came more deaths. Lynn Averill. Florida let the pills flow Kentucky reined in its pill mills. Ohio, Delaware, North Carolina, Connecticut acted, too. Huntington Mayor Steve Williams. Jeb Bush backed a solution One of the first dinners Florida Gov. There was an urgent topic on the agenda that night: the explosion of prescription painkillers. Attorney general cuts a deal In , OxyContin-maker Purdue Pharma was fending off early criticism of its blockbuster painkiller. It was the sales pitch. Instead, Butterworth and Purdue struck a settlement. It could have been a groundbreaking deal. Marco Rubio kills the bill A political spat killed the program. It was politics. Former Florida state Sen. Locke Burt, R-Ormond Beach. Marco Rubio, R-Fla. Others did not. Booking photo of Noelle Bush, daughter of then-Florida Gov. Jeb Bush, after her arrest in January on a prescription fraud charge. Palm Beach Post file photo. Her ex had prescriptions of his own for 2, pills, including OxyContin tablets. But by , the rural county and its sheriff had big city problems. On the other side of the law in Greenup, Mikey Frazier was banking on it. The Oxy Express Frazier was on a scholarship to play baseball at his junior college in Chicago when he suffered a torn rotator cuff. When doctors cut him off, he bought it on the street. In , he moved to OxyContin, nearly pure oxycodone. In , he gave his friends money to go to Florida and bring him back pills. It was financing it. Asuncion Luyao, arrested in Port St. She was not an outlier. Read more. Chris and Jeff George. Working out of a Delray Beach pain clinic founded by a convicted drug smuggler, Dr. Zvi Harry Perper, son of the Broward County medical examiner, was arrested on trafficking charges, but not before he wrote prescriptions to Medicaid patients for , doses of oxycodone in 90 days. In Lake Worth, Dr. Cesar Deleon was arrested as part of a DEA pill mill sweep and charged with 55 counts of illegally distributing drugs. Deleon wrote orders for 20, oxycodone pills for Medicaid patients. Miami internist Dr. Selwyn Carrington authorized 32, doses of oxycodone for Medicaid patients in just two years. He was busted for signing his name to hundreds of prescriptions. Former state Rep. Kelly Skidmore. Still, it was a start. And the state refused to pay for it. Florida Gov. Greenup County Sheriff Keith Cooper. And then Brandi Meshad died. She was still in high school when a friend gave her oxycodone. Lisa Meshad now Lisa Brandy and her daughter, Brandi, who overdosed and died in March at age Sarasota Herald-Tribune photo contributed by Lisa Brandy. Almost immediately, her parents, Lisa and Gavin Meshad, got on the phone with Scott. Like Bush before him, Scott had his own personal back story, which he rarely shared. In June, Scott signed off on the pill mill laws. In September , the database went live. The pill pipeline supplying half the country began drying up. But worse was coming. Reporter Lawrence Mower and staff researcher Melanie Mena contributed to this story. Four young people who turned to heroin. Four young people who died in Palm Beach County.

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