Fentanyl diversion cases
181 documented cases, 2000–2026.
Figures are derived from the 931 case records collected on this site, not from any official total. A record counts here when its Drug field names fentanyl; it also appears on the opioids page.
Monetary penalties stated
Median: $10,000
Smallest $1,000 · largest $4,500,000
Median of 34 amounts in US dollars (civil settlements and penalties, criminal fines, restitution, forfeiture) stated in 31 of 181 records. 150 records state no dollar amount.
Custodial sentences stated
Shortest: 3 months
Longest: 468 months (39 years)
43 prison or jail terms stated in 43 of 181 records. Probation, supervised release, home confinement and suspended terms are not counted.
Roles named in the records
| Role | Records |
|---|---|
| Nurse (role unspecified) | 107 |
| Registered nurse (RN) | 17 |
| Physician / surgeon | 16 |
| Not stated in the record or its title | 14 |
| Nurse anesthetist (CRNA) | 9 |
| Paramedic / EMT | 7 |
| Pharmacy technician | 5 |
| Nurse practitioner / APRN | 2 |
| Surgical / OR technician | 2 |
| Dentist / oral surgery | 1 |
| Pharmacist | 1 |
From the Role field (19) or, where the record has none, the case title (148).
States with the most records
| State | Records |
|---|---|
| Iowa | 13 |
| New Hampshire | 11 |
| Colorado | 10 |
| Massachusetts | 10 |
| Oklahoma | 9 |
| Connecticut | 8 |
| South Dakota | 8 |
| Wisconsin | 8 |
44 states and territories in all; every state.
Settings involved
| Setting | Records |
|---|---|
| Hospital / health system | 101 |
| Other / not classified | 57 |
| Ambulatory surgery / OR | 9 |
| Emergency services / EMS | 4 |
| Dental / oral surgery | 2 |
| Fertility / reproductive | 2 |
| Home health / hospice | 1 |
| Long-term care | 1 |
| Retail pharmacy | 1 |
| No setting stated | 3 |
Other drugs and classes
Cases
Newest first · page 6 of 8, 126–150 of 181
- South Dakota hospital nurse convicted of tampering with fentanyl vials and replacing contents with saline 2021-08 · Chamberlain, SD · Hospital / health system
- Nurse Tampered with Fentanyl Vials at Yale Fertility Clinic 2021-05-25 · Orange, Connecticut · Fertility / reproductive
- Nurse Arrested for Stealing 1,400+ Vials of Fentanyl from Long Island Hospital 2021-05-18 · Manhasset, New York · Hospital / health system
- Connecticut fertility clinic nurse replaced fentanyl with saline, leaving patients in pain 2021-03 · Fertility / reproductive
- Oklahoma physician, pharmacist and clinic owner sentenced over pre-signed prescription scheme 2021-02 · Retail pharmacy
- Maryland Prescriber Sentenced in Opioid Diversion Case (2021) 2021 · Maryland · Other / not classified
- Louisiana Nurse Charged in Controlled Substance Diversion Case (2021) 2021 · Louisiana · Other / not classified
- Southwest Michigan nurse summarily suspended over alleged fentanyl-for-saline substitution 2020-10-28 · Other / not classified
- Paramedic Stole and Diluted Ambulance Fentanyl and Hydromorphone 2020-09-17 · Carthage / Mount Vernon, Missouri · Emergency services / EMS
- Eastern Iowa ICU Nurse Sentenced for Stealing Patient's Fentanyl and Morphine 2020-06-26 · Cedar Rapids, Iowa · Hospital / health system
- ICU Nurse Steals Fentanyl IV Bags at Research Medical Center 2020-06-18 · Kansas City, Missouri · Hospital / health system
- South Dakota ICU nurse's lawsuit over termination for fentanyl discrepancies rejected on appeal 2020-06-17 · Hospital / health system
- South Dakota ICU nurse fired after fentanyl accountability review; wrongful-discharge suit fails on appeal 2020-06-17 · Hospital / health system
- ICU nurse at a Sioux Falls hospital accused of diverting fentanyl, lorazepam and hydromorphone after medication records review 2020-06 · Sioux Falls, SD · Hospital / health system
- CRNA Tampered with Fentanyl Vials at Charles City Hospital 2020-05-29 · Charles City, Iowa · Hospital / health system
- Nurse accused of diverting fentanyl and hydromorphone at Danville hospital 2020-05 · Danville, VA · Other / not classified
- Pembina County Long-Term Care Nurse Charged With Stealing Resident Narcotics 2020-04-13 · Mountain, North Dakota · Long-term care
- Air-Evacuation Paramedic Tampered with Fentanyl and Ketamine Vials 2019-12-09 · Weatherford, Oklahoma · Other / not classified
- ICU Nurse Sentenced for Stealing Fentanyl at Parker Adventist Hospital 2019-11-13 · Parker, Colorado · Hospital / health system
- Pain Clinic Nurse Accused of Replacing Stolen Fentanyl Vials 2019-10-31 · Greenville, MI · Other / not classified
- St. Francis Hospital Nurse Turned Off Infusion Pumps to Divert Narcotics 2019-08-14 · Hartford, CT · Hospital / health system
- Wausau Physician Pleads Guilty to Diverting Fentanyl Patches from Patients 2019-07-18 · Wausau, Wisconsin · Hospital / health system
- Nurse practitioner forged physicians' signatures to issue unauthorized controlled-substance prescriptions at two Montgomery pill-mill practices 2019-06 · Montgomery, AL · Other / not classified
- Boise Hospital Nurse Sentenced for Diverting Fentanyl Vials from an Automated Dispensing Cabinet 2019-04-16 · Boise, ID · Hospital / health system
- Boise hospital nurse diverted fentanyl vials by falsifying dispensing-system records 2019-04 · Boise, ID · Hospital / health system
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Disclaimer
Case summaries are based on public records (DOJ press releases, court documents, licensing-board orders, news reports). Charges are allegations unless a conviction is noted. Analysis is educational, not legal advice.
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