11th NJ Doctor Faces Trouble For Opioids, Other Drugs: Officials

At least 11 New Jersey doctors have now been sanctioned recently because of inappropriate use or distribution of opioids and other drugs, according to state officials.

The state Board of Medical Examiners revoked the license of a Warren County doctor this week after he allegedly placed patients at risk by prescribing the tightly-restricted cancer pain medication “Subsys,” according to the Office of Attorney General.

These patients did not meet the criteria for receiving the powerful opioid painkiller even though Kenneth P. Sun accepted more than $100,000 from the drug’s maker, Insys Therapeutics Inc., to push the medication, according to an OAG release.

Sun, a pain management practitioner in Phillipsburg, is the latest New Jersey doctor to have his license revoked, or face similar sanctions, after prescribing opioids and other drugs that put patients at risk, state officials say (see list below).

Sun prescribed an opioid despite restrictions placed on Subsys, a potent under-the-tongue opioid spray approved by the federal Food and Drug Administration, according to the OAG release.

The drug treats breakthrough pain in cancer patients already receiving, and tolerant to, around-the-clock opioid therapy for their underlying cancer pain. Prescribing Subsys outside its approved parameters exposes patients to grave risks, including the risk of a fatal overdose, according to the release.

Sun is also among numerous doctors nationwide who accepted payments from Insys – in the form of speaking and consulting fees – that were, in reality, cash incentives to promote prescriptions of Subsys beyond its approved parameters, according to the release.

“We cannot end the opioid crisis unless we crack down on doctors who put profit over patient care,” said Attorney General Gurbir S. Grewal. “Dr. Sun pushed a dangerous opioid painkiller on patients who didn’t need it and weren’t approved to receive it. The revocation of Dr. Sun’s license is simply the latest in a growing list of actions we are taking against the doctors who have fueled this public health crisis.”

Here are other doctors who have also recently run into trouble:

Toms River Doctor Temporarily Barred From Prescribing Pain Meds

A Toms River doctor who specializes in pain management has been temporarily suspended from prescribing medication after an investigation that showed he had prescribed opioids to patients who told him they had sold pills.

Bruce M. Coplin, a physiatrist whose office is on Hospital Drive, has been suspended from prescribing any controlled dangerous substances as of Aug. 23 by the state Board of Medical Examiners, according to the disciplinary order on file with the state. Read more here....

South Jersey Doctor's License Revoked After Patient's Death: AG

The State Board of Medical Examiners has permanently revoked the license of a South Jersey doctor it says indiscriminately prescribed a powerful spray form of the painkiller fentanyl to three patients, killing one, Grewal announced.

The fatality is at the center of allegations leveled against the company that makes the powerful opioid-fentanyl drug Subsys and its billionaire founder, John Kapoor. Read more here...

5 NJ Doctors Lose Licenses In Illegal Opioid Investigations

Five doctors were recently accused of improperly prescribing opioids, anabolic steroids, and other controlled substances to their patients in New Jersey, costing them their licenses, according to the Office of Attorney General.

The doctors include two convicted on federal charges of illegal drug distribution, according to an OAG release. Read more here...

The doctors who lost their licenses are:

• Jose J. Leyson, a Newark urologist from Long Valley
• Kevin T. Custis, a family physician in Asbury Park from Belle Meade
• William F. Mclay, a family physician in Cape May County
• Bonnie Chen, a West Caldwell internist
• Anthony Enrico, Jr., a Paterson podiatrist from North Haledon.

7 In NJ Charged In Massive Opioid, Health Care Fraud Bust

Seven people in New Jersey – including a doctor – and one in Philadelphia have been arrested in what the Justice Department is calling the "largest health care fraud and opioid enforcement action ever taken," authorities announced on Thursday.

Robert Agresti, a 61-year-old doctor from Essex Falls, recently admitted that from November 2014 through September 2017, he prescribed medically unnecessary compounded prescriptions for a company that sold them, according to authorities.

He was paid $300 cash for every prescription he authorized, regardless of it was medically necessary, authorities said. He signed prescriptions brought to him by other people involved in the scheme without examining or speaking with the patients. Multiple health benefit programs paid more than $8.9 million as a result of Agresti's phony prescriptions, authorities said. Read more here...

State Says Middlesex County Doctor Pushed Painkillers

A Middlesex County doctor had his medical license temporarily suspended recenty after a state investigation found that he indiscriminately prescribed highly addictive opioids in excessive amounts to his patients over the past year, the state alleges.

Eddie Gamao, a general practitioner in Piscataway, voluntarily agreed to temporarily surrender his license to the state Board of Medical Examiners amid allegations he gave his patients painkiller prescriptions that far exceeded the safe limits. This allegedly occurred between February 2017 and February 2018, the state Division of Consumer Affairs said. Read more here...

State Suspends Doctor Accused Of Illegally Prescribing Opioids

A Burlington County doctor who is accused of indiscriminately prescribing addictive opioid pain medications to patients has been temporarily barred from treating patients, Grewal announced.

Louis Spagnoletti, a pain management specialist in Marlton, is accused of treating patients with high doses of powerful opioids for years without justification, sometimes refilling full-month supplies multiple times a month, according to the complaint filed by the state. Read more here...

Sun, meanwhile, wrote more than 775 Subsys prescriptions indiscriminately prescribing the drug to patients who did not have breakthrough cancer pain and/or who were already on stable pain management prescribing routines, the state says. His prescriptions generated more than $4.8 million in revenues for Insys and earned Sun over $117,000 in compensation from the drug company, according the OAG.

“Dr. Sun was willing to violate standards of professional and ethical conduct to enrich himself, without regard for the lives he put at risk,” said Paul R. Rodríguez, acting director of the Division of Consumer Affairs. “There is no place in the medical profession for doctors who sacrifice the safety of their patients in exchange for payments from drug manufacturers, and the Division will continue to provide oversight to prevent such abuses.

Sun, whose license had been temporarily suspended since December 2016, agreed to settle the state’s allegations against him by consenting to the revocation of his license and his New Jersey Registration that allows him to prescribe controlled dangerous substances.

In a Consent Order filed on August 27, the board found that Sun had engaged in the indiscriminate prescribing of controlled dangerous substances and other misconduct that constituted professional misconduct and gross negligence, or gross incompetence, that endangered the health, welfare, and safety of his patients.

Photo by Karen Wall, Patch staff