Pharmacists in sting operations

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Silvermist

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... talk about a rock and a hard place 🙄

http://www.heraldtribune.com/article/20100607/ARTICLE/6071048/2416?p=all&tc=pgall&tc=ar

Police put pharmacists in criminal dilemma


By Todd Ruger


Published: Monday, June 7, 2010 at 1:00 a.m.
Last Modified: Sunday, June 6, 2010 at 10:04 p.m.
( page all of 3 )
SARASOTA - State and federal laws prohibit pharmacists from filling prescriptions they know to be fraudulent, yet local police conducting sting operations are instructing pharmacists to break those laws.


Instead of arresting a suspect for passing a bogus prescription, detectives are telling pharmacists to fill the prescription while officers wait outside, ready to arrest the person carrying the pills.
Police get better evidence for court, and the suspect faces more time in prison on a more serious drug trafficking charge.
But caught in the middle are pharmacists who must balance their professional obligations as a health care provider with helping law enforcement in an action that is a crime and could put their professional licenses at risk.
As law enforcement agencies focus more resources on battling the illegal prescription drug trade, leaders in the pharmacy community are divided on what to do when asked to break dispensing laws.
The stings put pharmacists in a potentially dangerous situation that turns them from health care provider to an arm of law enforcement, the Florida Pharmacy Association says. And it may open them up to liability in a civil lawsuit if something went wrong.
"We are not trained to be in law enforcement," said Michael Jackson, vice president of the Florida's largest trade group for pharmacists. "I would have fear over what would happen to my employees if for some reason the law enforcement officer were unable to restrain this person."
Nationally, retail giant Wal-Mart has an internal policy prohibiting its pharmacists from participating in such stings, which "may threaten the safety of customers and associates," court records state.
Recent incidents have shown the volatility of crimes related to prescription pill abuse. Last month, a Sarasota pharmacist shot a man who pulled a gun and demanded oxycodone from the clerk, the second time in two years he fired at someone trying to steal drugs from Bee Ridge Pharmacy.
But others, like University of Florida College of Pharmacy Professor David Brushwood, with more than 30 years of teaching future pharmacists, said the tactic is not new and the profession has a responsibility to cooperate with law enforcement.
"If law enforcement believes they can more effectively do their job by filling, then despite the fact it's technically illegal, the pharmacist's responsibility is to comply with the request of law enforcement," Brushwood said.
Florida law does not directly provide legal cover for a pharmacist who fills a prescription they know to be fraudulent, experts say, although it is highly unlikely a pharmacist would face license sanctions or criminal charges for participating in a sting.
Yet Tallahassee lawyer Marty Dix, whose practice focuses on pharmacy law, says participating in a sting is simply not legal, and he suggests pharmacists nicely tell police: "I can't do that, this is not a valid prescription."
Sarasota Police use the stings as a small part of their broader policing to stop prescription pill trafficking.
Most trafficking arrests are from undercover drug buys usually associated with cocaine or other street drugs, court records show.
Sarasota Police say the stings have won approval from a judge and the State Attorney's Office. Prescription drug overdoses are the county's top cause of accidental death.
"It's a really serious problem and people are dying," Sarasota Police Capt. Paul Sutton said.
Presenting a fraudulent prescription is a felony that carries up to five years in prison.
Catching a suspect with the drugs allows prosecutors to take advantage of a 2008 law that instituted mandatory minimum prison sentences of either three or 15 years for trafficking charges, depending on the amount.
Sarasota Police have conducted at least three such stings since the law took effect, all with non-chain, community pharmacies, court records show.
Alexandra Coe, 22, faces a minimum of 15 years in prison if convicted on charges stemming from a 2009 sting at Hedges Pharmacy where she bought $155 worth of pills.
She dropped off two fake prescriptions for painkillers, and the pharmacy manager called Sarasota Police, court records state. The pharmacist filled them, and a clerk took her payment. As Coe walked out the front door, police swooped in and arrested her.
Possessing the pills not only ups the charges, but demonstrates the intent of the suspect and provides better evidence in court, Capt. Sutton said.
Coe's defense attorney, however, is attacking the tactic as a violation of Coe's constitutional rights.
Sarasota attorney Liane McCurry said in a court motion that Coe would not face the steeper trafficking charge without police telling the pharmacist to break the law and give her the pills.
That argument was rejected in the case of Barbara Dirito, after prosecutors defended the legality of the sting. But McCurry feels her argument is stronger now. She said she could not discuss the case because it is pending and will be heard next month.
The manager at Hedges Pharmacy, on Lime Avenue, said he follows the rules of the state Board of Pharmacy. The Florida Board of Medicine says pharmacists would not have a problem with them if they go along with the stings.
"We are required to cooperate with law enforcement," Chris Mottram said.
But he said he would double-check with state regulators about whether he should participate in the future.
 
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