Opioid diversion cases
588 documented cases, 1983–2026.
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 a opioid (buprenorphine, codeine, fentanyl, hydrocodone, hydromorphone, meperidine, methadone, morphine, oxycodone, sufentanil, tramadol).
Monetary penalties stated
Median: $27,250
Smallest $400 · largest $4,500,000
Median of 84 amounts in US dollars (civil settlements and penalties, criminal fines, restitution, forfeiture) stated in 74 of 588 records. 514 records state no dollar amount.
Custodial sentences stated
Shortest: 1 month
Longest: 468 months (39 years)
133 prison or jail terms stated in 130 of 588 records. Probation, supervised release, home confinement and suspended terms are not counted.
Roles named in the records
| Role | Records |
|---|---|
| Nurse (role unspecified) | 215 |
| Pharmacist | 75 |
| Pharmacy technician | 72 |
| Physician / surgeon | 68 |
| Not stated in the record or its title | 67 |
| Registered nurse (RN) | 41 |
| Licensed practical / vocational nurse | 11 |
| Nurse anesthetist (CRNA) | 10 |
| Nurse practitioner / APRN | 8 |
| Paramedic / EMT | 8 |
| Dentist / oral surgery | 4 |
| Nurse aide / assistant | 3 |
| Surgical / OR technician | 3 |
| Veterinarian | 3 |
From the Role field (105) or, where the record has none, the case title (416).
States with the most records
| State | Records |
|---|---|
| Massachusetts | 26 |
| New York | 24 |
| Maryland | 21 |
| Illinois | 19 |
| Florida | 18 |
| Iowa | 18 |
| Michigan | 17 |
| Connecticut | 16 |
52 states and territories in all; every state.
Settings involved
| Setting | Records |
|---|---|
| Other / not classified | 235 |
| Hospital / health system | 199 |
| Retail pharmacy | 100 |
| Long-term care | 19 |
| Ambulatory surgery / OR | 9 |
| Dental / oral surgery | 6 |
| Emergency services / EMS | 5 |
| Home health / hospice | 5 |
| Fertility / reproductive | 2 |
| No setting stated | 8 |
Drugs named
| Drug | Records |
|---|---|
| oxycodone | 248 |
| fentanyl | 181 |
| hydrocodone | 157 |
| hydromorphone | 124 |
| morphine | 87 |
| alprazolam | 31 |
| methadone | 23 |
| tramadol | 23 |
| codeine | 16 |
| amphetamine | 14 |
| meperidine | 14 |
| lorazepam | 11 |
| midazolam | 9 |
| propofol | 5 |
| ketamine | 4 |
| buprenorphine | 2 |
| methylphenidate | 2 |
| sufentanil | 2 |
| phenobarbital | 1 |
| testosterone | 1 |
A record naming two drugs counts under both.
Other drugs and classes
Cases
Newest first · page 11 of 24, 251–275 of 588
- North Carolina Nurse Charged in Opioid Diversion Case (2023) 2023 · North Carolina · Other / not classified
- Michigan Nurse Sentenced in Opioid Diversion Case (2023) 2023 · Michigan · Other / not classified
- Maryland Physician Sentenced in Opioid Diversion Case (2023) 2023 · Maryland · Other / not classified
- Massachusetts Nurse Sentenced in Opioid Diversion Case (2023, case 2) 2023 · Massachusetts · Other / not classified
- Massachusetts Nurse Sentenced in Opioid Diversion Case (2023) 2023 · Massachusetts · Other / not classified
- Indiana Nurse Sentenced in Controlled Substance Diversion Case (2023) 2023 · Indiana · Other / not classified
- Illinois Pharmacy Technician Sentenced in Opioid Diversion Case (2023) 2023 · Illinois · Retail pharmacy
- Illinois Nurse Sentenced in Opioid Diversion Case (2023) 2023 · Illinois · Hospital / health system
- Hawaii Physician Agrees to Plead Guilty in Benzodiazepine Diversion Case (2023) 2023 · Hawaii · Other / not classified
- District of Columbia Physician Sentenced in Opioid Diversion Case (2023) 2023 · District of Columbia · Other / not classified
- California Physician Convicted in Opioid Diversion Case (2023) 2023 · California · Other / not classified
- Alabama Pharmacist Sentenced in Opioid Diversion Case (2023) 2023 · Alabama · Retail pharmacy
- Alaska Physician Convicted in Opioid Diversion Case (2023) 2023 · Alaska · Other / not classified
- Central Pennsylvania hospital nurse charged with diverting morphine from an emergency department 2022-12-13 · Hospital / health system
- Kentucky hospital agrees to $4.4 million civil penalty over recordkeeping that allowed pharmacy technician to divert 60,000 opioid doses 2022-12-08 · Hospital / health system
- Kentucky hospital pharmacy technician diverted over 60,000 opioid doses; hospital paid civil penalty 2022-12 · Hospital / health system
- Iowa Nurse Pleads Guilty to Diverting Fentanyl From Elderly Patients' IV Pumps 2022-11-21 · Clear Lake, Iowa · Other / not classified
- Vermont chain pharmacy manager diluted hydromorphone oral solution and falsified inventory records 2022-11 · Retail pharmacy
- South Dakota hospital ambulance fentanyl vials found filled with saline; no suspect identified 2022-11 · Hospital / health system
- Le Roy pharmacy technician pleaded guilty to diverting hydrocodone and other controlled substances 2022-11 · Retail pharmacy
- Colorado Nurse Sentenced Over ICU Fentanyl Drip Diversion 2022-11 · Denver, Colorado · Hospital / health system
- DC nurse diverted fentanyl from two Washington hospitals 2022-10-27 · Washington, DC · Hospital / health system
- St. Louis County Hospital Nurse Pleads Guilty to Fraudulently Obtaining Fentanyl 2022-10-27 · St. Louis County, Missouri · Hospital / health system
- Traveling Nurse Sentenced for Diverting Opioids at Four Montana Facilities 2022-10-13 · Anaconda, Montana · Hospital / health system
- Former Nurse Pleads Guilty to Diverting Opioids From Two Boston-Area Hospitals 2022-10-04 · Boston, Massachusetts · 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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