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36484 Federal Register / Vol. 72, No.

127 / Tuesday, July 3, 2007 / Notices

DEPARTMENT OF JUSTICE Carolina. The Order to Show Cause engaged in a scheme to provide
proposed the revocation of controlled prescription drugs to drug
Drug Enforcement Administration Respondent’s DEA Certificate of dealers. Id. According to the Show
Registration, BM5526009, as a Cause Order, the dealers’ runners would
Manufacturer of Controlled practitioner, on the ground that go to Respondent’s residence to receive
Substances; Notice of Registration Respondent’s continued registration the prescriptions; after the prescriptions
By Notice dated March 19, 2007, and would be inconsistent with the public were filled, the dealer would provide
published in the Federal Register on interest. Show Cause Order at 1 (citing Respondent with half of the drugs and
March 27, 2007, (72 FR 14297), Stepan 21 U.S.C. 824(a)(4)). The Immediate sell the other half to drug abusers. Id.
Company, Natural Products Dept., 100 Suspension was imposed based on my Finally, the Show Cause Order alleged
W. Hunter Avenue, Maywood, New preliminary finding that Respondent that on May 10, 2006, law enforcement
Jersey 07607, made application by had ‘‘diverted large quantities of officers executed a search warrant at
renewal to the Drug Enforcement controlled substances,’’ and that there Respondent’s home during which they
Administration (DEA) to be registered as was a ‘‘substantial likelihood that [he] found marijuana, pills which appeared
a bulk manufacturer of the basic classes would continue to divert controlled to be prescription controlled substances,
of controlled substances listed in substances to drug abusers.’’ Id. at 1–2. and assorted drug-related paraphernalia.
schedule II: I therefore concluded that Respondent’s Id.
‘‘continued registration during the On January 12, 2007, DEA
Drug Schedule pendency of these proceedings would investigators personally served the
constitute an imminent danger to the Show Cause Order on Respondent.
Cocaine (9041) ............................. II public health and safety.’’ Id. Since that time, neither Respondent, nor
Ecgonine (9180) ........................... II The Show Cause Order alleged that anyone purporting to represent him, has
Respondent ‘‘frequently grew marijuana responded. Because (1) more than thirty
The company plans to manufacture in in [his] residence,’’ that he ‘‘regularly days have passed since service of the
bulk for distribution to its customers. purchased large quantities of Show Cause Order, and (2) no request
No comments or objections have been marijuana,’’ that ‘‘he smoked marijuana for a hearing has been received, I
received. DEA has considered the throughout the day on a daily basis,’’ conclude that Respondent has waived
factors in 21 U.S.C. 823(a) and and that he ‘‘regularly distributed his right to a hearing. See 21 CFR
determined that the registration of marijuana from [his] residence.’’ Id. at 2. 1301.43(d). I therefore enter this final
Stepan Company to manufacture the The Show Cause Order further alleged order without a hearing based on
listed basic class of controlled substance that Respondent ‘‘regularly exchanged relevant material contained in the
is consistent with the public interest at controlled substance prescriptions for investigative file and make the
this time. DEA has investigated Stepan marijuana and other prescription following findings.
Company to ensure that the company’s controlled substances.’’ Id. The Show
registration is consistent with the public Cause Order also alleged that Findings
interest. The investigation has included Respondent ‘‘routinely sold controlled Respondent is the holder of DEA
inspection and testing of the company’s substance prescriptions and large Certificate of Registration, BM5526009,
physical security systems, verification quantities of marijuana to known drug as a practitioner, which authorizes him
of the company’s compliance with State peddlers.’’ Id. to dispense controlled substances in
and local laws, and a review of the More specifically, the Show Cause schedules II through V. Respondent’s
company’s background and history. Order alleged that Respondent had registration was last renewed on
Therefore, pursuant to 21 U.S.C. 823, distributed marijuana on a continuing February 15, 2006, and expires on
and in accordance with 21 CFR 1301.33, basis in quantities ranging from ‘‘small January 31, 2009.
the above named company is granted user amounts’’ to as much as five In July 1996, Respondent was
registration as a bulk manufacturer of pounds. Id. The Show Cause Order also disciplined by the State Board of
the basic class of controlled substance alleged that Respondent had prescribed Medical Examiners of South Carolina,
listed. Adderall, a schedule II controlled which found that he had written
substance, and hydrocodone, a schedule prescriptions for Lortab 7.5
Dated: June 26, 2007.
III controlled substance, for a person (hydrocodone), and Didrex
Joseph T. Rannazzisi, without ‘‘performing any tests or (benzphetamine),1 using the names of
Deputy Assistant Administrator, Office of formulat[ing] a diagnosis during the other patients, which he then had filled
Diversion Control, Drug Enforcement initial visit,’’ and he had ‘‘continued to
Administration.
and diverted to his personal use.
authorize prescriptions for [these] Respondent admitted to the State’s
[FR Doc. E7–12942 Filed 7–2–07; 8:45 am] controlled substances without an allegation. The Board fined him $7500,
BILLING CODE 4410–09–P examination or further care.’’ Id. issued a reprimand, and imposed
Relatedly, the Show Cause Order various conditions on his medical
alleged that Respondent subsequently license including random drug testing.
DEPARTMENT OF JUSTICE ‘‘received some of the hydrocodone On October 17, 2000, however, the
from the prescriptions [he] wrote for Board removed the conditions.
Drug Enforcement Administration
this’’ person. Id. According to the investigative file, the
Michael F. Myers, M.D.; Revocation of Next, the Show Cause Order alleged Board’s conditions appeared to have
Registration that Respondent had ‘‘prescribe[d] had only a limited impact on
controlled substances to a person [he] Respondent. Beginning in the summer
On January 10, 2007, I, the Deputy knew was addicted to [them],’’ and that of 1999, while the Board’s conditions
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Administrator of the Drug Enforcement Respondent also ‘‘knew [that] this were still in effect, Respondent
Administration, issued an Order to person was selling the filled purchased marijuana from a person who
Show Cause and Immediate Suspension prescriptions to support [his]
of Registration to Michael F. Myers, addiction.’’ Id. The Show Cause Order 1 Both drugs are schedule III controlled

M.D. (Respondent) of Woodruff, South further alleged that Respondent had substances. See 21 CFR 1308.13.

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Federal Register / Vol. 72, No. 127 / Tuesday, July 3, 2007 / Notices 36485

lived with him. During an interview, Subsequently, investigators and the end of 2003, he had supplied
this person related that from 1999 until interviewed the above person’s brother, Respondent with over one hundred
2003, he had sold Respondent who corroborated his father’s pounds of marijuana. This person stated
approximately 100 pounds of marijuana. relationship with Respondent. that during the last three to four months
The person further stated to Specifically, this person confirmed that of 2003, he traveled to North Carolina
investigators that he regularly traded for approximately five years, every other week for the purpose of
marijuana for Lortab and Xanax Respondent had provided his father obtaining marijuana for Respondent.
prescriptions issued by Respondent. with prescriptions for Lortab, Xanax, According to this person, prior to each
More specifically, Respondent would Roxicodone, Percocet and Oxycontin. trip, Respondent provided him with
provide this person with prescriptions The person stated that he had lived with approximately $ 2000 to $ 3000 dollars,
for 240 Lortab and 120 Xanax at the his father from the year 2000 until 2003, which was used to purchase three to
beginning of each month; Respondent during which time he observed his four pounds of marijuana. Moreover, the
would also write identical prescriptions father sell large quantities of controlled person observed Respondent sell
in the name of the person’s girlfriend at substances to numerous individuals in approximately twenty-five to thirty
the end of each month. The person also the Williamston, South Carolina area. pounds of marijuana and that he was
told investigators that he could make According to this person, his father growing marijuana.
more money selling the Lortab and would sell controlled substances to as The person also told investigators that
Xanax than he could selling marijuana. many as twenty persons a day and made from the end of 2002 through the end of
Finally, the person related that a significant amount of money doing so. 2003, Respondent issued him and
Respondent gave him the combination The person further related that his another person, prescriptions for 240
to a safe that was located in father had both personally obtained Lortab and 120 Xanax in exchange for
Respondent’s home and instructed him controlled substance prescriptions from one pound of marijuana. The person
to place the marijuana in the safe. Respondent and also used a ‘‘runner’’ to stated that after filling the prescriptions,
Investigators also interviewed a obtain them. he would sell the Lortab and Xanax on
person who related that his father was The person also stated that he was the street. Finally, this person related an
the number one seller of OxyContin in present on approximately five to seven incident in which he and Respondent
the Williamston, South Carolina area. occasions during which his father had smoked marijuana prior to the
According to this person, his father was purchased marijuana from Respondent. latter’s performing surgery on his
addicted to OxyContin, which The person also told investigators that girlfriend.
Respondent had prescribed to him. This while he was between the ages of fifteen
Investigators next interviewed the
person stated that Respondent would to eighteen, he had purchased marijuana
father of the two individuals whose
write controlled substance prescriptions approximately twenty times from
statements are related above. This
in other persons’ names, and that his Respondent’s son at his residence, and
person stated that he had been abusing
father would send a ‘‘runner’’ to that on some occasions, he personally
drugs most of his adult life, but it was
Respondent’s practice to pick up the witnessed Respondent hand the
not until Respondent gave him
prescriptions. The person further marijuana to his son, who then
prescriptions for 150 Oxycontin (80 mg.)
advised that after the prescriptions were delivered it to him.
Investigators also interviewed a per month that he developed the worst
filled, his father would give half of the
person who stated that he had sold addiction he had experienced in his life.
drugs to the runner and swap the
remaining half with Respondent for marijuana for Respondent from the According to this person, he became
marijuana. The person also related that summer of 2004 through the summer of ‘‘hooked’’ on Oxycontin within six to
he had been present during a fall 2004 2005. The person further related that eight months after Respondent first
incident in which his father had gone to from the time he first met Respondent prescribed it for him, and began taking
Respondent’s home and obtained 2.5 in the year 2003 until the summer of the drug intravenously. According to
pounds of marijuana. Moreover, during 2005, he had observed approximately this person, Respondent also provided
this incident, Respondent showed this twenty-five to thirty pounds of him with prescriptions for 240
person ten marijuana plants that he was marijuana at Respondent’s home, scales Roxicodone tablets each month.
growing in his basement. This person used to weigh marijuana for resale, and The person also told investigators that
also told investigators of another fall a box of index cards which contained he had had numerous conversations
2004 incident in which he accompanied records of customers to whom with Respondent regarding his
his father to Respondent’s home as the Respondent had extended credit. The addiction to Oxycontin, that he had told
latter retrieved one pound of marijuana person also related that Respondent Respondent that he was shooting up the
from the mailbox. provided him with discounted drug, and that he told Respondent that
Finally, this person, who was being marijuana as payment for his selling the he was selling the drug to support his
treated by Respondent for anxiety, drug on the latter’s behalf, and that he habit. Respondent, however, never
related a late fall/early winter 2004 visit had observed Respondent give another suggested taking him off of Oxycontin,
to Respondent’s medical office. During individual five to six pounds of the drug or that he enter a treatment program.
the appointment, Respondent issued to sell. The person further related that he and
him prescriptions for both Xanax and This person also told investigators Respondent would supply each other
Lortab. The person related to that anytime he was in Respondent’s with marijuana when the other’s supply
investigators that he was surprised to presence, Respondent would be was low. The person stated that he had
receive the Lortab prescription. Shortly smoking marijuana. The person also supplied Respondent with
after leaving Respondent’s office, the stated that he was present numerous approximately 1⁄4 pound to one pound
person was contacted by his father who times when Respondent came home for of marijuana and that Respondent had
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asked for half of the Lortab. The person lunch and that Respondent would supplied him with three to four pounds.
further told investigators that he smoke marijuana before returning to The person also told investigators that
believed that Respondent had told his work. he had observed multiple pounds of
father about the issuance of the Lortab Investigators interviewed another marijuana while at Respondent’s
prescription. person who related that between 1999 residence.

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36486 Federal Register / Vol. 72, No. 127 / Tuesday, July 3, 2007 / Notices

On May 10, 2006, law enforcement intentionally distributing Lortab analyzing the evidence under factors
authorities executed a search warrant at (hydrocodone), and three counts of two and four establishes that
Respondent’s residence. During the knowingly and intentionally Respondent has committed acts
search, the authorities found marijuana distributing Xanax (alprazolam), outside ‘‘inconsistent with the public interest,’’
roaches, marijuana seeds, two scales, of the usual course of medical practice and posed ‘‘an imminent danger to
and various paraphernalia including and for other than a legitimate medical public health or safety,’’ which justified
rolling papers, hemostats, pipes, and purpose, to an individual identified the immediate suspension of his
rollers. only as person A. See id. sections registration. Relatedly, the record also
Thereafter, investigators interviewed 841(a)(1), 841(b)(1)(D), & 841(b)(2). demonstrates that Respondent’s
an additional acquaintance of Finally, the grand jury indicted continued registration would be
Respondent, who had met him through Respondent on thirteen additional inconsistent with the public interest and
the latter’s son. This person counts of knowingly and intentionally that his registration should be revoked.
corroborated the information regarding distributing Lortab, outside of the usual
Respondent’s dealings in marijuana Factors Two and Four—Respondent’s
course of medical practice and for other Experience in Dispensing Controlled
including the name of his primary than a legitimate medical purpose, to an
supplier, his index card system for Substances and Record of Compliance
individual identified only as person B. with Applicable Laws
recording transactions, and his personal See 21 U.S.C. 841(a)(1) & 841(b)(1)(D).
use. The person also stated that The evidence in this case
Respondent had given him marijuana to Discussion overwhelmingly establishes that
try on five to ten occasions, and that Section 304(a) of the Controlled Respondent has engaged in the criminal
between 2003 and the end of 2004, he Substances Act provides that a distribution of controlled substances in
would obtain marijuana from a safe in registration to ‘‘dispense a controlled violation of 21 U.S.C. 841. More
Respondent’s home approximately one substance * * * may be suspended or specifically, the evidence shows that
to two times per week. revoked by the Attorney General upon Respondent was a marijuana dealer/
The person further related that a finding that the registrant * * * has distributor and had engaged in this
towards the end of 2004, he had told committed such acts as would render criminal conduct for a period of at least
Respondent that he had knee pain and his registration under section 823 of this five years. Moreover, the evidence
suspected that he suffered from title inconsistent with the public establishes that Respondent engaged in
Attention Deficit Disorder. Respondent interest as determined under such the illegal manufacturing of marijuana.
told him to come to his office. While section.’’ 21 U.S.C. 824(a)(4). In making Id.
Respondent tested his reflexes during the public interest determination, the Furthermore, Respondent used his
the visit, he conducted no further tests Act requires the consideration of the DEA registration for criminal purposes.
and gave no diagnosis. Nonetheless, following factors: More specifically, the evidence shows
Respondent prescribed Adderall, a (1) The recommendation of the that Respondent issued prescriptions for
schedule II controlled substance, and appropriate State licensing board or controlled substances which included
hydrocodone. Shortly after filling the professional disciplinary authority. OxyContin and Percocet (schedule II),
initial prescription, the person visited (2) The applicant’s experience in Lortab (hydrocodone, schedule III), and
Respondent’s home and smoked dispensing * * * controlled substances. Xanax (schedule IV), which he then
marijuana. During this visit, Respondent (3) The applicant’s conviction record traded for marijuana.
asked the person to give him some of his under Federal or State laws relating to Respondent also issued prescriptions
hydrocodone. Moreover, upon filling a the manufacture, distribution, or without a legitimate medical purpose.
second prescription for hydrocodone, dispensing of controlled substances. See 21 CFR 1306.04(a) (‘‘A prescription
Respondent again asked the person to (4) Compliance with applicable State, for a controlled substance * * * must
give him the tablets that he did not Federal, or local laws relating to be issued for a legitimate medical
need. controlled substances. purpose by an individual acting in the
Respondent issued this person (5) Such other conduct which may usual course of his professional
prescriptions for hydrocodone on a threaten the public health and safety. practice.’’). Relatedly, Respondent
monthly basis between January 2005 Id. ‘‘[T]hese factors are * * * issued prescriptions in the names of
and May 2006. The person admitted to considered in the disjunctive.’’ Robert other ‘‘patients’’ so that he or his
investigators that he took very few A. Leslie, M.D., 68 FR 15227, 15230 associates would then be able to acquire
hydrocodone tablets and regularly (2003). I ‘‘may rely on any one or a the drugs. Notably, Respondent had
provided Respondent with sixty of combination of factors, and may give previously been sanctioned by the State
them. The person further admitted to each factor the weight [I] deem[] Board for the same conduct. Finally, the
selling the majority of the remaining appropriate in determining whether a record establishes that Respondent
tablets to his mother. The person also registration should be revoked.’’ Id. continued to prescribe Oxycontin to a
stated that following Respondent’s Moreover, case law establishes that I am ‘‘patient,’’ notwithstanding that the
arrest, Respondent told him not to tell ‘‘not required to make findings as to all ‘‘patient’’ had told him: (1) That he was
the authorities that he was giving of the factors.’’ Hoxie v. DEA, 419 F.3d addicted to the drug, (2) that he was
hydrocodone to Respondent. 477, 482 (6th Cir. 2005); see also Morall taking the drug intravenously, and (3)
On December 12, 2006, a federal v. DEA, 412 F.3d 165, 173–74 (D.C. Cir. that he was selling the drug to support
grand jury indicted Respondent, 2005). his habit.
charging him with conspiring to possess Finally, section 304(d) provides that It is indisputable that Respondent’s
with the intent to distribute, and to ‘‘[t]he Attorney General may, in his criminal conduct created an ‘‘imminent
distribute, marijuana, see 21 U.S.C. 846; discretion, suspend any registration danger to public health or safety,’’ 21
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and maintaining a residence for the simultaneously with the institution of U.S.C. 824(d), and was ‘‘inconsistent
purpose of distributing and using proceedings under this section, in cases with the public interest.’’ Id. 824(a)(4).
marijuana. See id. section 856(a)(1). The where he finds that there is an I therefore hold that Respondent’s
grand jury also indicted Respondent on imminent danger to the public health or continued registration would be
twelve counts of knowingly and safety.’’ 21 U.S.C. 824(d). Here, ‘‘inconsistent with the public interest’’

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Federal Register / Vol. 72, No. 127 / Tuesday, July 3, 2007 / Notices 36487

and that his registration should be [its] supplying controlled substances to Internet to prescribe controlled
revoked. Id. Moreover, for the same pharmacies that it knew or should have substances, the requirement for a valid
reasons that led me to find that known were engaged in the widespread prescription under federal law and
Respondent posed ‘‘an imminent danger diversion of controlled substances.’’ Id. existing professional standards, DEA’s
to the public health or safety,’’ id. The Show Cause Order alleged that regulation requiring the reporting of
section 824(d), I conclude that the several of Respondent’s customers were suspicious orders, and the ‘‘practices
public interest requires that his distributing ‘‘large amounts of and ordering patterns of internet
registration be revoked effective hydrocodone based on orders placed by pharmacies.’’ Id. The Show Cause Order
immediately. customers using various Internet Web further alleged that notwithstanding this
sites.’’ Id. information, in August 2006,
Order The Show Cause Order specifically Respondent proceeded to distribute
Pursuant to the authority vested in me alleged that ‘‘from December 12, 2005, large quantities of hydrocodone to five
by 21 U.S.C. 823(f) & 824(a), as well as to August 31, 2006, [Respondent] different internet pharmacies. Id. The
28 CFR 0.100(b) & 0.104, I hereby order distributed approximately 8,671,000 Show Cause Order thus alleged that
that DEA Certificate of Registration, dosage units of hydrocodone products Respondent ‘‘has failed to maintain
BM5526009, issued to Michael F. to Medipharm-Rx, Inc.,’’ and did so effective controls against diversion and
Myers, M.D., be, and it hereby is, ‘‘under circumstances that clearly that [its] continued registration * * *
revoked. I further order that any indicated that Medipharm was engaged would be inconsistent with the public
pending applications for renewal or in the diversion of controlled interest.’’ Id.
modification of such registration be, and substances.’’ Id. at 1–2. The Show Cause On December 6, 2006, the Show
they hereby are, denied. This order is Order further alleged that these Cause Order was served on Respondent.
effective immediately. circumstances included that ‘‘ninety- ALJ Ex. 2. Thereafter, on December 29,
nine percent of Medipharm’s business 2006, Respondent, through its counsel,
Dated: June 22, 2007.
[with Respondent] involved the sale of requested a hearing. ALJ Ex. 3. The
Michele M. Leonhart, controlled substances,’’ that Medipharm matter was assigned to Administrative
Deputy Administrator. was owned by an individual who also Law Judge (ALJ) Gail Randall, who
[FR Doc. E7–12771 Filed 7–2–07; 8:45 am] owned a Web site ‘‘that solicit[ed] conducted a hearing in Arlington,
BILLING CODE 4410–09–P orders for controlled substances’’ and Virginia, from February 5 through
used practitioners who issued February 8, 2007. At the hearing, both
prescriptions outside of ‘‘the usual parties called witnesses and introduced
DEPARTMENT OF JUSTICE course of professional practice,’’ and documentary evidence. Following the
that ‘‘Medipharm’s orders were of an hearing, both parties submitted briefs
Drug Enforcement Administration unusual size, deviated substantially containing proposed findings of fact,
[Docket No. 07–7] from a normal pattern, and were of an conclusions of law, and argument.
unusual frequency.’’ Id. at 2. On March 30, 2007, the ALJ issued
Southwood Pharmaceuticals, Inc.; Relatedly, the Show Cause Order her recommended decision (ALJ). In
Revocation of Registration alleged that Respondent had ‘‘also that decision, the ALJ concluded that
supplied controlled substances under DEA had proved that ‘‘Respondent’s
On November 30, 2006, I, the Deputy similarly suspicious circumstances’’ to continued registration to handle
Administrator of the Drug Enforcement fourteen other pharmacies. Id. The hydrocodone products would be against
Administration, issued an Order to Show Cause Order thus alleged that the public interest.’’ ALJ at 61–62. The
Show Cause and Immediate Suspension Respondent ‘‘repeatedly supplied ALJ concluded, however, that
of Registration to Southwood excessive quantities of hydrocodone to Respondent ‘‘has kept an open dialogue
Pharmaceuticals, Inc. (Respondent), of pharmacies that it knew or should have with the DEA and has attempted to
Lake Forest, California. The Order known were diverting hydrocodone.’’ come into compliance with the DEA’s
immediately suspended Respondent’s Id. Moreover, the Show Cause Order regulations.’’ Id. at 62. While
DEA Certificate of Registration, alleged that notwithstanding ‘‘the acknowledging ‘‘the egregious quantities
RS0204898, based on my preliminary unusual size and frequency of the orders of hydrocodone products the
finding that its continued registration placed by Medipharm and others, as Respondent irresponsibly sold to
‘‘constitute[s] an imminent danger to the well as the fact that the orders registered [i]nternet pharmacies during
public health and safety because of the substantially deviated from the normal 2005 and 2006,’’ the ALJ nonetheless
substantial likelihood that Southwood pattern of orders received by’’ it, ‘‘conclude[d] that revocation of * * *
[would] continue to supply pharmacies Respondent never reported any of the Respondent’s entire DEA registration is
that divert large quantities of controlled orders as suspicious. Id. at 2–3. too severe a remedy.’’ Id.
substances.’’ Show Cause Order at 3. Next, the Show Cause Order alleged Continuing, the ALJ explained that
The Order also sought the revocation of that on July 17, 2006, the Office of ‘‘the record contains no evidence of
Respondent’s registration on the ground Diversion Control’s E-Commerce * * * Respondent’s improper handling
that its continued registration is Section held a conference call with of any other controlled substances,
‘‘inconsistent with the public interest.’’ Respondent’s representatives to discuss especially in its sales of manufactured
Id. at 1 (citing 21 U.S.C. 823(d) & ‘‘the distribution of controlled products to its practitioner customers.’’
824(a)(4)). substances to Internet pharmacies.’’ Id. Id. Noting that Respondent had hired an
The Show Cause Order alleged that at 3. During the call, DEA officials ‘‘experienced officer who will be
between November 2005 and August allegedly presented Respondent with making the final decisions concerning
2006, Respondent’s sales to pharmacies ‘‘information on the characteristics of [its] compliance measures,’’ and that
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of hydrocodone products ‘‘increased Internet pharmacies and the nature of this would provide ‘‘an increased level
from approximately 7,000 dosage units their illegal activities.’’ Id. DEA officials of protection of the public interest,’’ the
per month to approximately 3,000,000 also allegedly discussed with ALJ recommended that Respondent’s
dosage units per month,’’ and that the Respondent such subjects as DEA’s 2001 authority to handle hydrocodone
increase was ‘‘directly attributable to Guidance Document on the use of the products be revoked but that it retain its

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