Las Vegas Doctor Sentenced for Opioid

What Happened

Dr. William Alvear, 69, of Las Vegas, was sentenced in September 2024 to 27 months in prison, three years of supervised release and a $75,000 fine for unlawfully distributing opioid pain medications. Court documents state he distributed hydrocodone without a legitimate medical purpose and outside the usual course of professional practice, prescribing opioids when a patient offered to pay cash, and also unlawfully distributed and dispensed alprazolam. In November 2023, a jury found him guilty of three counts of distributing a Schedule II substance and five counts of distributing or dispensing a Schedule IV substance in the District of Nevada.

“Alvear was found guilty of three-counts of distributing a controlled substance”
U.S. Department of Justice / U.S. Attorney's Office press release, Sep 30, 2024

Related Guidance

15 Red Flags of Drug Diversion — Behavioral and transactional indicators of diversion.
Investigation Playbook — How to investigate suspected diversion inside an organization.

Sources

U.S. Department of Justice / U.S. Attorney's Office press release, Sep 30, 2024

Case at a Glance

Setting: Physician practice
Drug: Hydrocodone, alprazolam
Method: Prescribed opioids when patients offered cash, without a legitimate medical purpose
Status: Sentenced September 2024 to 27 months in prison, three years supervised release, $75,000 fine

Source: U.S. Department of Justice

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Where this record connects to the site's working material. Links are chosen from the case's setting, drug and method fields.

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Last reviewed: September 2026 · Educational content, not legal advice.

About the author

DivertGuard is built and maintained by Alex Rodriguez, MHIIM, CPhT (also known as Jesus Rodriguez) — a drug diversion prevention program manager with more than a decade in pharmacy practice, including direct responsibility for a health-system controlled substance diversion prevention program.

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2025 — The Rounding Revolution: A High-Tech Approach to Diversion Prevention (with Emily Spiceland, PharmD)
2024 — No Pill Left Behind: Strategies for Comprehensive Drug Accountability (with Eric Andrews)
2022 — Ready for My Close Up! Implementing, Maintaining, and Expanding Drug Diversion Prevention Cameras (with Jeremy Quinn, Shawn Young, and John Bailey)

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Faculty, ASHP Drug Diversion Certificate
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Published author, Pharmacy Purchasing & Products

Credentials

Doctorate candidate — Doctor of Health Informatics (DHI), Rutgers University, School of Health Professions; research on health data analytics and the prediction of cognitive decline
MHIIM — master's in health informatics, University of Tennessee Health Science Center (2019–2021)
CPhT — Certified Pharmacy Technician, with 10+ years of pharmacy practice across retail, hospice, compounding, home-health, and hospital settings

The assessment items, weighting, and case registry behind this site come from that operational background — building and running a diversion prevention program, not from vendor marketing. Every tool here is free, requires no signup, and is based on published regulatory and professional standards (DEA, Joint Commission, ASHP, CDC).

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Related Resources

Diversion Settlements & Fines

Settlements, civil penalties and criminal fines paid by hospitals and pharmacies in documented drug diversion cases, with the amount, year and primary source for each

Penalty Outcomes in the Case Records

Counts of the outcomes the registry records state: prison, probation, fines, licence actions and restitution, with stated sentence lengths by band and by drug class

Registry Insights: Sentences, Fines, States and Outcomes

Sentence lengths, fines and restitution, cases per 100,000 pharmacists by state, and plea and licence outcomes, each counted from the case records with its n, plus charts of cases by year, state and drug class

Las Vegas Doctor Sentenced for Opioid Distribution