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Read any newspaper and you will be confronted with articles to related to the opioid crisis. Whether the news is highlighting death related to overdoses, over-prescriptions, a medication grey market or doctors sending patients to pill mills, the focus is one: too many opioids are being prescribed and it’s time for pharmacists to take on additional roles in the national fight against opioid addiction and death. Several states have implemented new rules related to a pharmacy’s reporting obligations while other states, such as New York, are taking distribution companies to court...Currently, lawsuits are focusing on drug distributors like RDC and McKesson, which distribute opioid drugs to pharmacies who in turn disseminate those drugs to patients. But from 2017 to the present, several pharmacy owners have been jailed and fined millions of dollars for filling fake prescriptions...READ MORE

Multibillion-dollar settlements in pharma are a rare occurrence, but things are changing rapidly. Only weeks ago, two drugmaker deals were floated that would rank among the biggest ever if they are eventually approved...The first—a whopping $23 billion deal from Teva to end thousands of state and local opioid lawsuits...The largest deal ever approved was Merck’s $4.85 billion agreement in 2007 to settle thousands of suits against its arthritis drug Vioxx...The second deal reportedly on the table—a $4 billion opioid offer from Johnson & Johnson—would rank as the second largest settlement ever reached. That’s not even mentioning the deal Purdue Pharma is reportedly working on for up to $12 billion to end its own opioid suits...READ MORE

1. Reckitt Benckiser—$1.4B
2. Johnson & Johnson, Bayer—$775M
3. Allergan—$750M
4. Actelion—$360M
5. Teva, Endo, Teikoku Seiyaku—$270M combined
6. Purdue—$270M
7. Pfizer, GlaxoSmithKline, Johnson & Johnson, others—$248M combined
8. Insys—$225M
9. Teva—$135M
10. Astellas, Amgen—$125M combined

Mexican drug cartels are making “mass quantities” of fake prescription pills containing the synthetic opioid fentanyl with the intention of selling them to users throughout North America...Mexico’s cartels have for years diversified into a wide variety of illicit activity, helped by porous domestic law enforcement agencies as well as long-standing trafficking routes into the United States...READ MORE

Endo International Plc, Johnson & Johnson and other drugmakers that face litigation over the opioid crisis are exploring a way to settle the cases by participating in Purdue Pharma LP’s bankruptcy...Five drugmakers battling the cases - Endo, J&J, Teva Pharmaceutical Industries Ltd, Allergan Plc and Mallinckrodt Plc - are looking to enact a global settlement of the litigation that would be implemented through Purdue’s Chapter 11 case...The mechanism, if successful, would allow the companies to contribute money into a trust set up through the bankruptcy in exchange for a complete release from liability...READ MORE

The U.S. government is barring federal dollars meant for opioid addiction treatment to be used on medical marijuana...The move is aimed at states that allow marijuana for medical uses, particularly those letting patients with opioid addiction use pot as a treatment, said Dr. Elinore McCance-Katz, whose federal agency doles out money to states for treatment programs...“There’s zero evidence for that,” McCance-Katz said. “We felt that it was time to make it clear we did not want individuals receiving funds for treatment services to be exposed to marijuana and somehow given the impression that it’s a treatment.”...READ MORE

Johnson & Johnson was on the losing end of the nation’s first opioid trial...even though it's appealing, the company is already fighting to limit its future liability as politicians put on a squeeze for more payments down the line...After the August verdict against the company for $572 million, Gov. Kevin Stitt and two prominent Republican lawmakers filed a brief arguing that future costs beyond the first year shouldn’t go to taxpayers...J&J should pay billions in addition to the $572 million verdict over many years to fund crisis abatement...READ MORE

A landmark trial over the U.S. opioid epidemic is on track to begin on Monday after drug companies and local governments failed to agree on a settlement on Friday that had been expected to be valued at around $50 billion...Top executives of the largest U.S. drug distributors and drugmaker Teva Pharmaceutical Industries Ltd left a Cleveland courthouse on Friday and lawyers for states and thousands of local governments said there was no agreement...After nearly 11 hours of negotiations...it was “profoundly disappointing” that local governments would not go along with a settlement he valued at $48 billion, including $22 billion in cash and $26 billion in products and services...READ MORE

OxyContin is a dying business in the United States. Purdue Pharma, owned by the billionaire Sackler family, is collapsing under an avalanche of lawsuits that accuse the company of using false claims to push its blockbuster painkiller in the U.S., profiting as an unsuspecting nation slipped into a devastating drug crisis...Meanwhile, another company owned by the family in China has been promoting OxyContin with the same tactics Purdue was forced to abandon...the Sacklers’ Chinese affiliate, Mundipharma, tell doctors that time-release painkillers like OxyContin are less addictive than other opioids...Mundipharma has pushed ever larger doses of opioids…In China, Mundipharma managers tried to boost profits by requiring sales representatives to copy patients’ private medical records without consent, in apparent violation of Chinese law...As in the U.S., marketing materials in China made claims about OxyContin’s safety and effectiveness based on company-funded studies and outdated data that has been debunked...READ MORE

Drug law enforcement officers from China and the United States will jointly brief the media...on a fentanyl smuggling case, in an unusual disclosure of rare Sino-U.S. cooperation in cracking down on fentanyl crimes...China’s National Narcotics Control Commission and enforcement officers from both countries will give “detailed information” at a press conference in Xingtai city in northern Hebel province about a fentanyl smuggling case that was jointly uncovered by both sides, according to a notice circulated by the State Council Information Office...The sudden show of cooperation announced on Tuesday coincides with intense bilateral negotiations over a phase-one trade agreement which Trump said he hoped to sign with Xi...READ MORE

A Virginia doctor convicted in May of illegally prescribing more than half a million opioid tablets was sentenced...to 40 years in a federal prison...Joel Smithers, who was convicted of 859 counts of illegally prescribing drugs... was sentenced to 480 months in prison in US District Court for the Western District of Virginia in Abingdon, where he was also given a supervised release of three years and ordered to pay a special assessment of $86,000...READ MORE