They put gods opiate-based drugs on the narcotics market: the totality with the “favor” of an Italian doctor this compiled the prescriptions. An association is in difficulty, made up almost entirely of people of Egyptian origin. prescriptions, made in favor of really sick but unsuspecting patientsenabled the group to acquire the substances for free, being reimbursed by the National Health System. A well-established modus operandi that cost more than 2,500,000 euros in damages over four years. To the doctor 600 euros for each block of prescriptions (up to 200 at a time) released.
MAXI OPERATION OF THE CARABINIERI
At the first light of dawn, in the municipalities of Trivolzio (PV), Pero (MI), Cornaredo (MI), Corsico (MI), Rho (MI) and Milan, the soldiers of the Carabinieri Company of Monza, assisted in the executive phase by the personnel of the provincial command of Monza and Brianza, Milan and Pavia, executed an order of precautionary measure in prison issued by the investigating judge of the court of Monza, at the request of the local public prosecutor , versus 12 peoplea Italian doctoralready under house arrest for similar facts, e 11 Egyptians (including 4 untraceable), being investigated for various reasons for drug trafficking, abusive prescriptions, criminal association, fraud against the State or public administration, in particular against the NHS, ideological lying in the certificates committed by a person operating a service of public necessity, bribery for acts contrary to official duties, improper exercise of a profession and trade or administration of broken or imperfect medicines.
The investigation, coordinated by Rep. Lawyer dr. Marco Giovanni Santini and made by Monza Company NOR soldiers during the 2019-2021 biennium, is inspired by the detention of an Egyptian citizen, stuck in a Monza pharmacy where he bought a disproportionate amount of oxycodoneusing recipes stolen from a doctor’s office. In the circumstances, it was the pharmacy owner who, suspecting the authenticity of the ordinances, had alerted 112.
Subsequent investigations carried out at the ARI, compared to a first period taken into consideration, it appeared comand out of a total of 6,959 oxycodone recipes disseminated in Lombardy, around 30% were for the benefit of people of Egyptian origin, is it 940 had been issued by a single Milan doctor.
Survey resultscarried out with the help of telephone and environmental interceptions supported by the services and feedback of the OCP, also corroborated by the arrest in flagrante delicto against one of the partners caught in possession of 12,000 opiate tablets and more than 40,000 euros in cash, confirmed the initial circumstantial picture, namely the existence of an associative structure of a stable and continuous nature, organized on a rigid division of roles, composed almost entirely of Egyptians and active throughout the Lombard territory.
THE MODUS OPERANDI
The group acted with a very specific modus operandi: first acquired in compliant medical practices, receipts issued unduly attesting diseases affecting people who do not need it, often unconscious, who have been prescribed opiate-based drugs (oxycodone and tramadol) typically used for tpain therapy, with an exemption code and therefore fully reimbursed by the National Health System. Then, they bring the recipes to the pharmacies in order to physically obtain the packaging; finally, sold the packages on the parallel drug trafficking market, finalized with final transfer to third parties.
The choice of patients to whom the prescriptions, most of the time unconscious, were made at the table by the doctor and by the Egyptian subjects.. It was precisely the doctor, in fact, a select among its patients those who suffer from severe disabilitiesto enable its associates to obtain the drugs free of charge, as they are reimbursed by the NHS The choice was not immediate: in addition to evaluating the patient’s clinical picture, his surname was also examined (those with Arabic assonances were sought) and the place of residence (which should not be too far away), so as not to arouse suspicion at pharmacists.
TURNOVER OF MORE THAN 2,500,000 EUROS
Regarding the turnover, in about 4 years (from 01.01.2016 to 30.09.2020) the association would have intended for the shop approximately 28,000 packages unduly acquired opiates (15,000 oxycodone and 13,000 tramadol), causing damage to the SSN of more than 2,500,000.00 euros, while compensation for corrupt doctors could also reach 600 euros for a single service relating to the dissemination of recipes, which has exceeded 200 units on several occasions.
“The probationary framework has been enriched by the valuable collaboration provided to the investigators by external organizations, namely:RIA of the Lombardy Region, who provided the relevant data to identify all prescriptions and associated scans of the targeted drugs; F-Lombarda, Federfarma, Farma Co.M., who forwarded to the pg several reports from associated pharmacies concerning suspicious prescriptions; ATS Brianzawho provided legislative/regulatory details on how medicines are reimbursed by the NHS; NAS Milano, which served as a link between some of the aforementioned bodies and the operational PG, also providing useful investigative information on how to acquire the data necessary to verify irregularities in drug prescriptions”, explains the command of the Carabinieri of Monza and Brianza.
The seriousness of the conduct (as also underlined by the AG) is commensurate with the devastating effects that poorly purchased analgesics can have since: oxycodone, considered a narcotic, produces euphoric effects from instantaneous alcohol intoxication, with a risk of permanent intoxication (twice as strong as morphine and once as heroin); Tramadol increases the capacity for physical effort by reducing the feeling of fatigue: also called combatant’s drug, its use is widespread in theaters of war in the Middle East.