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Post Reports

The ‘kingpin’ of opioid makers

Post Reports

The Washington Post

Daily News, Politics, News

4.45.1K Ratings

🗓️ 11 May 2022

⏱️ 23 minutes

🧾️ Download transcript

Summary

A cache of more than 1.4 million newly released records exposes the inner workings of the nation’s largest opioid manufacturer. Today on “Post Reports,” we go inside the sales machine at Mallinckrodt.


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The largest manufacturer of opioids in the United States once cultivated a reliable stable of hundreds of doctors it could count on to write a steady stream of prescriptions for pain pills.


But one left the United States for Pakistan months before he was indicted on federal drug conspiracy and money laundering charges. Another was barred from practicing medicine after several of his patients died of drug overdoses. Another tried to leave the country in the face of charges that he was operating illegal pill dispensing operations, or pill mills, in two states. He was arrested and sent to prison for eight years.


These doctors were among 239 medical professionals ranked by Mallinckrodt Pharmaceuticals as its top prescribers of opioids during the height of the pain pill epidemic, in 2013. That year, more than 14,000 Americans died of prescription opioid overdoses.


More than a quarter of those prescribers — 65 — were later convicted of crimes related to their medical practices, had their medical licenses suspended or revoked, or paid state or federal fines after being accused of wrongdoing, according to a Washington Post analysis of previously confidential Mallinckrodt documents and emails, along with criminal and civil background checks of the doctors. Between April and September of that year, Mallinckrodt’s sales representatives contacted those 239 prescribers more than 7,000 times.


The documents, made public after years of litigation and bankruptcy proceedings, shed new light on how aggressively Mallinckrodt sought to increase its market share as the epidemic was raging.


Meryl Kornfield and Scott Higham report



Transcript

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0:00.0

So, there is this company called Malenkrat, and you might never have heard of them, but

0:08.1

they are a major part of the story of the opioid epidemic.

0:12.1

As a country was being flooded by 100 billion opioid pills, the largest share of those

0:17.2

were made by this company.

0:19.9

And part of how they did that was encouraging the sale of their pain pills, in part with

0:24.9

promotional songs like this one.

0:27.2

This song is called Propados, and it was actually commissioned by Malenkrat.

0:48.1

So the lyrics here, just in case you can't hear them, are you can start at the middle,

0:52.4

you can start at the top, you can start with very little, but that's not where you should

0:55.8

stop.

0:56.8

So basically, they're encouraging people to write prescriptions for opioids, and not

1:02.0

to hesitate to increase the dosage.

1:13.1

This song is just one example in a trove of newly obtained internal records from Malenkrat.

1:19.3

These records were released this week as part of a legal settlement, and part of the

1:22.5

larger fight over who is accountable for the opioid epidemic.

1:27.0

According to federal data released today, more than 100,000 Americans died of drug overdoses

1:32.6

in 2021, higher than any previous year.

1:36.7

And when it comes to the origins of the opioid epidemic in the US, Malenkrat doesn't have

1:41.8

the same name recognition as Purdue or the Sackler family, but it probably should.

1:47.4

When you look at the numbers, Malenkrat produced way more opioids than other companies that

1:52.8

have become household names such as Purdue Pharma.

1:56.2

We did an analysis based on internal DEA data, and we found that Malenkrat accounted for

...

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