Nashville Wholesale Company, Inc.; Denial of Application, 52159-52160 [E6-14523]
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Federal Register / Vol. 71, No. 170 / Friday, September 1, 2006 / Notices
signature, 21 CFR 1306.05(a), the CSA
does not authorize a practitioner to
delegate her authority to prescribe a
controlled substance to another
employee. Respondent clearly delegated
her authority to prescribe controlled
substances to Mastridge, who lacked
authority to prescribe a controlled
substance. This constitutes a serious
violation of the Act. See United States
v. Singh, 390 F.3d 168, 184–87 (2d Cir.
2004) (affirming criminal conviction of
physician for aiding and abetting illegal
distribution of controlled substances
where physician gave pre-signed blank
prescription pads to nurses, who
although not authorized to prescribe,
wrote patients prescriptions for
controlled substances).9
Factor Three—Respondent’s Conviction
Record
It is undisputed that Respondent has
never been convicted of violating any
federal or State law relating to the
manufacture, distribution, or dispensing
of controlled substances. While this
factor is not dispositive, it does support
a finding that Respondent’s continued
registration would not be inconsistent
with the public interest.
Factor Four—Respondent’s Compliance
With Applicable Federal, State, or Local
Controlled Substances Laws
As explained above under factor two,
Respondent violated 21 U.S.C. 829(b),
and 21 CFR 1306.04, when she
prescribed controlled substances
without a legitimate medical purpose to
the undercover operatives. While I agree
with the ALJ that Respondent’s presigning of prescriptions violated 21 CFR
1306.05(a), I further find that
Respondent violated Federal law by
giving the prescription forms to Mr.
Mastridge and delegating to him the
authority to prescribe controlled
substances when he was not registered
to do so under Federal law and could
sroberts on PROD1PC70 with NOTICES
9 Respondent
asserts that her conduct in presigning prescriptions ‘‘was not willful or knowing,
but was done in good faith and only after advising
the nurse first of the parameters of the
prescription.’’ Resp. Br. 62. Respondent did not,
however, testify that she met with Mastridge and
discussed what controlled substances Mastridge
was to prescribe for Massey on the April 22nd visit.
Respondent’s testimony contains only vague
generalities on the subject of Mastridge’s
prescribing. See Tr. 469–72.
As for Respondent’s contention that she believed
in good faith that it was legal to do so, there are
numerous DEA final orders sanctioning registrants
for engaging in this practice. See, e.g., Walter S.
Gresham, M.D., 57 FR 44213, 44214 (1992);
Maimoona Hakim Husain, M.D., 54 FR 16173,
16174 (1989); William T. McPhail, M.D., 53 FR
47275, 47276 (1988); Richard T. Robinson, M.D., 53
FR 15153, 15154 (1988); James Beale, M.D., 53 FR
15149, 15150 (1988). I therefore reject Respondent’s
contention.
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16:21 Aug 31, 2006
Jkt 208001
not lawfully prescribe them under State
law. See 21 CFR 1306.03(a). This factor
thus supports a finding that
Respondent’s continued registration
would be inconsistent with the public
interest.
Factor Five—Other Conduct Which May
Threaten Public Health and Safety
As I recently held, DEA precedents
establish that ‘‘an applicant’s
acceptance of responsibility for [her]
prior misconduct is a highly relevant
consideration under this factor.’’
Kennedy, 71 FR35709; see also Barry H.
Brooks, 66 FR 18305, 18309 (2001);
Prince George Daniels, D.D.S., 60 FR
62884, 62887 (1995); Carmel BenEliezer, M.D., 58 FR 65400, 65401
(1993). Here, the ALJ found that
Respondent had refused to accept
responsibility for her misconduct in
prescribing controlled substances to the
three undercover visitors when there
was no legitimate medical purpose for
doing so. See ALJ Dec. at 43.
I recognize that Respondent admitted
that she should not have given presigned prescription forms to Mr.
Mastridge, that she should have
performed a physical exam on the
patients, and that she should not have
created false records. Respondent,
however, persisted in maintaining that
she had validly prescribed controlled
substances to the undercover operatives.
For example, when cross-examined
about whether she had knowingly and
intentionally distributed a controlled
substance to Detective Keys,
Respondent insisted that she had not.
When asked whether she had
committed this offense she testified:
‘‘No, it says here, did knowingly. No,
it’s not true. Patients come to us in
chronic pain. I assume they have pain.’’
Tr. 652. Respondent further testified
that:
Intentionally I did not dispense
medication, I did not distribute outside of the
usual course of medical practice. In the
context of the clinical pain management, I
knew the medication [was] not to transfer,
not to sell the drug to the street or anything.
My intention here is believe the patient, give
them the benefit of chronic pain, and
evaluate them, and do what is appropriate for
them.
Id.
I am deeply troubled by Respondent’s
testimony and her evident
misapprehension of a registrant’s
obligations under the CSA. Contrary to
Respondent’s understanding, a
practitioner violates the Act by
prescribing a controlled substance
without a legitimate medical purpose. It
is no less a violation that the ‘‘patient’’
PO 00000
Frm 00108
Fmt 4703
Sfmt 4703
52159
will personally use the drug rather than
sell it on the street.
I recognize the substantial measures
undertaken by Respondent to reform her
practice. But in the case of a
practitioner, the most important control
against diversion is the individual
registrant herself. When the individual
registrant’s conduct is the source of the
problem, and that registrant refuses to
acknowledge her responsibilities under
the law, all of the aforementioned
reforms will still not adequately protect
public health and safety.
Therefore, I conclude that factor five
supports a finding that Respondent’s
continued registration would threaten
public health and safety and indeed,
that this factor is dispositive in
determining that her continued
registration is inconsistent with the
public interest.
Order
Accordingly, pursuant to the
authority vested in me by 21 U.S.C.
823(f) and 824(a)(4), as well as 28 CFR
0.100(b) and 0.104, I hereby order that
DEA Certificate of Registration, No.
AK2006648, issued to Respondent
Jayam Krishna-Iyer, M.D., be, and it
hereby is, revoked. I further order that
any pending applications for renewal or
modification of such registration be, and
they hereby are, denied. This order is
effective October 2, 2006.
Dated: August 22, 2006.
Michele M. Leonhart,
Deputy Administrator.
[FR Doc. E6–14568 Filed 8–31–06; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
Nashville Wholesale Company, Inc.;
Denial of Application
On July 12, 2005, the Deputy
Assistant Administrator, Office of
Diversion Control, issued an Order to
Show Cause to Nashville Wholesale
Company, Inc., (Respondent) of
Nashville and Memphis, Tennessee. The
Show Cause Order proposed to deny
Respondent’s pending application for
registration as a non-retail distributor of
List I chemicals on the ground that
Respondent’s registration would be
inconsistent with the public interest.
See 21 U.S.C. 823(h); Show Cause Order
at 1.
The Show Cause Order specifically
alleged that Respondent, through its
owner Nael Abodabba, submitted an
application to distribute
pseudoephedrine, a List I chemical
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52160
Federal Register / Vol. 71, No. 170 / Friday, September 1, 2006 / Notices
which is commonly diverted to the
illicit manufacture of
methamphetamine, a Schedule II
controlled substance. Show Cause Order
at 2. The Show Cause Order alleged that
Mr. Abodabba had previously owned
the Memphis Wholesale Company,
which engaged in the distribution of
List I chemicals under a DEA
grandfather exemption. See id. The
Show Cause Order further alleged that
Mr. Abodabba had sold his interest in
Memphis Wholesale to Mr. Mohammed
Issa, who proceeded to distribute List I
chemicals without obtaining a new DEA
registration. See id. The Show Cause
Order further alleged that Mr. Abodabba
failed to notify DEA of the change in
corporate ownership and that this
resulted in Memphis Wholesale
‘‘conducting continuing distribution
activities without authorization.’’ Id.
The Show Cause Order further alleged
that while Mr. Abodabba told DEA
Diversion Investigators that he only
intended to sell ‘‘traditional’’
pseudoephedrine products, several of
his proposed suppliers sold only ‘‘nontraditional pseudoephedrine and
ephedrine products.’’ Id. at 2–3. The
Show Cause Order also alleged that
several of Mr. Abodabba’s proposed
customers had been found to be selling
excessive amounts of ephedrine
products and that other proposed
customers had been receiving List I
chemical products from distributors
who had either surrendered a
registration or were the subject of a
show cause proceeding. See id. at 3.
Finally, the Show Cause Order alleged
that ‘‘[i]t appears that Mr. Abodabba is
attempting to ‘churn’ his distribution
activities in order to evade scrutiny, and
if registered, would likely supply
retailers who already have an excessive
source of supply.’’ Id. at 4. The Show
Cause Order also notified Respondent of
its right to a hearing.
The Show Cause Order was served on
Respondent by certified mail, return
receipt requested at its proposed
registered location; on July 26, 2005,
DEA received the signed return receipt
card. Since that time, neither
Respondent, nor anyone purporting to
represent it, has responded. Because (1)
more than thirty days have passed since
Respondent’s receipt of the Show Cause
Order, and (2) no request for a hearing
has been received, I conclude that
Respondent has waived its right to a
hearing. See 21 CFR 1309.53(c). I
therefore enter this final order without
a hearing.
Findings
I take official notice of the records of
the Tennessee Secretary of State.
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16:21 Aug 31, 2006
Jkt 208001
According to those records, on June 25,
2004, the Tennessee Secretary of State
filed a notice of determination that
grounds existed for dissolving
Respondent. Thereafter, on September
17, 2004, the Secretary filed a certificate
of dissolution thereby administratively
dissolving Respondent. Under
Tennessee law, ‘‘[a] corporation
administratively dissolved continues its
corporate existence but may not carry
on any business except that necessary to
wind up and liquidate its business and
affairs * * * and notify claimants.’’
Tenn. Code Ann. § 48–24–202 (West.
2006) (citations omitted). Respondent is
thus prohibited from engaging in
business operations involving the
distribution of products.
Under DEA regulations, a registration
terminates ‘‘if and when’’ a registrant
‘‘discontinues business.’’ 21 CFR
1309.62(a). While there is no provision
addressing the status of a pending
application when the applicant
discontinues business, it would make
no sense to grant an application to
register an entity which cannot engage
in business. Therefore, because
Respondent is no longer authorized to
engage in business other than for the
purpose of winding up its affairs, it is
not entitled to registration and it is
unnecessary to consider whether
Respondent’s registration would be
inconsistent with the public interest.
See 21 U.S.C. 823(h).
Order
Accordingly, pursuant to the
authority vested in me by 21 U.S.C.
823(h), and 28 CFR 0.100(b) and 0.104,
I hereby order that the previously
submitted application of Nashville
Wholesale Company, Inc., for a DEA
Certificate of Registration as a
distributor of List I chemicals be, and it
hereby is denied. This order is effective
October 2, 2006.
Dated: August 22, 2006.
Michele M. Leonhart,
Deputy Administrator.
[FR Doc. E6–14523 Filed 8–31–06; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. 04–4]
Tri-County Bait Distributors; Denial of
Application
Introduction and Procedural History
On August 11, 2003, the Deputy
Assistant Administrator, Office of
Diversion Control, Drug Enforcement
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Frm 00109
Fmt 4703
Sfmt 4703
Administration (DEA), issued an Order
to Show Cause to Tri-County Bait
Distributors (Respondent) of Dorchester,
South Carolina. The Show Cause Order
proposed to deny Respondent’s
application for a DEA Certificate of
Registration as a distributor of the List
I chemicals ephedrine and
pseudoephedrine on the ground that its
registration would be inconsistent with
the public interest as that term is
defined in 21 U.S.C. 823(h).
The Show Cause Order specifically
alleged that Respondent was seeking to
distribute products containing
ephedrine and pseudoephedrine, which
are precursor chemicals that are used in
the production of methamphetamine, a
schedule II controlled substance. Show
Cause Order at 1. The Show Cause
Order alleged that Respondent was
proposing to sell these products
exclusively to convenience stores and
combination bait shops/convenience
stores, and that these establishments are
part of the non-traditional or gray
market for these products. Id. at 4. The
Show Cause Order further alleged that
Respondent’s owner, Mr. Terry L.
Carroll, had stated that ‘‘he had no prior
experience in the sale or marketing of
OTC medications,’’ and that the
distribution of List I chemicals would be
‘‘approximately 20 percent of his
business.’’ Id. at 2. The Show Cause
Order also alleged that ‘‘many smaller or
non-traditional stores * * * purchase
inordinate amounts of these products
and become conduits for the diversion
of listed chemical[s] into illicit drug
manufacturing.’’ Id. at 2–3. Finally, the
Show Cause Order alleged that
Respondent’s proposed ‘‘product mix
and sales of combination ephedrine
products are inconsistent with the
known legitimate market and known
end-user demand for products of this
type’’ and that the registration of
Respondent ‘‘would likely lead to
increased diversion of List I chemicals.’’
Id. at 4.
Respondent requested a hearing. The
matter was assigned to Administrative
Law Judge (ALJ) Mary Ellen Bittner,
who conducted a hearing in Charleston,
South Carolina, on October 5, 2004.
Both the Government and Respondent
submitted post-hearing briefs.
On July 6, 2005, the ALJ issued her
decision. The ALJ concluded that the
Government had proved by a
preponderance of the evidence that
Respondent’s registration would be
inconsistent with the public interest.
See ALJ at 15–17. The ALJ thus
recommended that Respondent’s
application be denied. Id. at 17. Neither
party filed exceptions.
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Agencies
[Federal Register Volume 71, Number 170 (Friday, September 1, 2006)]
[Notices]
[Pages 52159-52160]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-14523]
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DEPARTMENT OF JUSTICE
Drug Enforcement Administration
Nashville Wholesale Company, Inc.; Denial of Application
On July 12, 2005, the Deputy Assistant Administrator, Office of
Diversion Control, issued an Order to Show Cause to Nashville Wholesale
Company, Inc., (Respondent) of Nashville and Memphis, Tennessee. The
Show Cause Order proposed to deny Respondent's pending application for
registration as a non-retail distributor of List I chemicals on the
ground that Respondent's registration would be inconsistent with the
public interest. See 21 U.S.C. 823(h); Show Cause Order at 1.
The Show Cause Order specifically alleged that Respondent, through
its owner Nael Abodabba, submitted an application to distribute
pseudoephedrine, a List I chemical
[[Page 52160]]
which is commonly diverted to the illicit manufacture of
methamphetamine, a Schedule II controlled substance. Show Cause Order
at 2. The Show Cause Order alleged that Mr. Abodabba had previously
owned the Memphis Wholesale Company, which engaged in the distribution
of List I chemicals under a DEA grandfather exemption. See id. The Show
Cause Order further alleged that Mr. Abodabba had sold his interest in
Memphis Wholesale to Mr. Mohammed Issa, who proceeded to distribute
List I chemicals without obtaining a new DEA registration. See id. The
Show Cause Order further alleged that Mr. Abodabba failed to notify DEA
of the change in corporate ownership and that this resulted in Memphis
Wholesale ``conducting continuing distribution activities without
authorization.'' Id.
The Show Cause Order further alleged that while Mr. Abodabba told
DEA Diversion Investigators that he only intended to sell
``traditional'' pseudoephedrine products, several of his proposed
suppliers sold only ``non-traditional pseudoephedrine and ephedrine
products.'' Id. at 2-3. The Show Cause Order also alleged that several
of Mr. Abodabba's proposed customers had been found to be selling
excessive amounts of ephedrine products and that other proposed
customers had been receiving List I chemical products from distributors
who had either surrendered a registration or were the subject of a show
cause proceeding. See id. at 3. Finally, the Show Cause Order alleged
that ``[i]t appears that Mr. Abodabba is attempting to `churn' his
distribution activities in order to evade scrutiny, and if registered,
would likely supply retailers who already have an excessive source of
supply.'' Id. at 4. The Show Cause Order also notified Respondent of
its right to a hearing.
The Show Cause Order was served on Respondent by certified mail,
return receipt requested at its proposed registered location; on July
26, 2005, DEA received the signed return receipt card. Since that time,
neither Respondent, nor anyone purporting to represent it, has
responded. Because (1) more than thirty days have passed since
Respondent's receipt of the Show Cause Order, and (2) no request for a
hearing has been received, I conclude that Respondent has waived its
right to a hearing. See 21 CFR 1309.53(c). I therefore enter this final
order without a hearing.
Findings
I take official notice of the records of the Tennessee Secretary of
State. According to those records, on June 25, 2004, the Tennessee
Secretary of State filed a notice of determination that grounds existed
for dissolving Respondent. Thereafter, on September 17, 2004, the
Secretary filed a certificate of dissolution thereby administratively
dissolving Respondent. Under Tennessee law, ``[a] corporation
administratively dissolved continues its corporate existence but may
not carry on any business except that necessary to wind up and
liquidate its business and affairs * * * and notify claimants.'' Tenn.
Code Ann. Sec. 48-24-202 (West. 2006) (citations omitted). Respondent
is thus prohibited from engaging in business operations involving the
distribution of products.
Under DEA regulations, a registration terminates ``if and when'' a
registrant ``discontinues business.'' 21 CFR 1309.62(a). While there is
no provision addressing the status of a pending application when the
applicant discontinues business, it would make no sense to grant an
application to register an entity which cannot engage in business.
Therefore, because Respondent is no longer authorized to engage in
business other than for the purpose of winding up its affairs, it is
not entitled to registration and it is unnecessary to consider whether
Respondent's registration would be inconsistent with the public
interest. See 21 U.S.C. 823(h).
Order
Accordingly, pursuant to the authority vested in me by 21 U.S.C.
823(h), and 28 CFR 0.100(b) and 0.104, I hereby order that the
previously submitted application of Nashville Wholesale Company, Inc.,
for a DEA Certificate of Registration as a distributor of List I
chemicals be, and it hereby is denied. This order is effective October
2, 2006.
Dated: August 22, 2006.
Michele M. Leonhart,
Deputy Administrator.
[FR Doc. E6-14523 Filed 8-31-06; 8:45 am]
BILLING CODE 4410-09-P