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Pain doctor shows legislative impact on opioid epidemic, then has reputation questioned


Timothy Deer
CHARLESTON – Tables turned as an expert witness for Cardinal Health had his professional reputation challenged during his testimony at the bellwether federal opioid trial. 
Enu Mainigi, representing Cardinal Health, called local physician Timothy Deer as an expert in pain management and the standard of care for pain management. 
Deer testified that he was asked to look at the standard care in West Virginia between 1994 and 2021, the change of opioid prescribing and “what really happened” in West Virginia. 
Mainigi
Huntington and Cabell County sued the three large distribution companies – AmerisourceBergen, Cardinal Health and McKesson – in 2017, seeking the parties be held responsible for their part in the opioid epidemic. Five of 77 pharmacies in Cabell County and Huntington, received over 23.2 million pills between 2006 and 2014 according to DEA data.  ....

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Emails show McKesson employees felt 'overwhelmed,' 'not possible to be truly diligent'


CHARLESTON – As the landmark federal opioid trial entered its fourth week, plaintiffs jumped into McKesson Corporation’s threshold guidelines and due diligence process. 
During testimony on May 24, McKesson Corp. Director of Regulatory Affairs Michael Oriente testified that the Controlled Substance Monitoring Program was being developed as he transitioned into the DRA position. 
Under CSMP, a threshold system was created for all schedule two through five substances. Oriente said customers only were permitted to receive up to the threshold number and then they would be blocked. McKesson had a three-level review process to determine if the order was suspicious. 
Faber
McKesson distribution centers are sectioned into four districts and have five DRA positions, according to Oriente.  ....

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