WILLIAMSPORT – Federal prosecutors have been given the green light to present evidence at the trial of a Northumberland County doctor that he was the first prescriber of controlled substances in Pennsylvania.
US Intermediate District Judge Matthew W. Brann on Tuesday dismissed a defense motion to exclude data from the Pennsylvania Prescription Drug Monitoring Program from next month’s trial of Dr. Raymond Kraynak.
Kraynak, 64, is accused of prescribing millions of doses of opioids not for legitimate medical purposes and of illegally distributing controlled substances, including oxycodone and hydrocodone, which resulted in death .
The judge’s ruling will allow the government to present data showing that Kraynaki prescribed from May 2012 to January 31, 2016, a total of 3,622,598 oxycodone tablets and from January 1, 2016 to July 31, 2017, a total of 2,792,490. dosage units. oxycodone, hydrocodone, OxyContin and fentanyl in 2,838 patients.
Evidence that some patients received multiple prescriptions in a single day and requested early refills shows that Kraynak prescribed significant amounts of controlled substances, the government maintains.
Brann also rejected Kraynak’s motion to exclude pharmacy records that the government says show he was the largest supplier of opioids in Pennsylvania.
He said the records are irrelevant because he “was one of the few family doctors in this part of coal mining country at the time of this incident.”
Brann’s decision also allows jurors to learn about:
- A consent agreement with the Office of Professional and Professional Affairs in which Kraynak did not admit any wrongdoing but agreed that he had not complied with relevant medical practices regarding the issuance of prescriptions for controlled substances.
- Administrative measures, including the requirement of six hours of remedial continuing medical education, taken against him for failure to comply with the standards in force for the prescription of controlled substances.
The judge concluded that the prescriptions for controlled substances in enormous quantities and in dangerous combinations support a reasonable inference that they were dispensed outside the ordinary course of professional practice and without a legitimate medical purpose.
Evidence demonstrating that Kraynak prescribed significant amounts of controlled substances may be presented to demonstrate that he exceeded the legitimate limits of medical practice, Brann wrote.
In November, the judge dismissed a defense motion to prevent testimony from a doctor who reviewed the records of 54 patients, 12 of whom have died, taken from Kraynak’s offices in Shamokin and Mount Carmel.
Kraynak, accused of operating a “pill mill,” gave up his Drug Enforcement Administration license to distribute controlled substances as a condition of being released on unsecured $ 500,000 bail.
The state suspended his license to practice medicine and removed his name from the list of people authorized to dispense medical marijuana.
His trial is expected to last up to a month.
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