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Drug Diversion

In the Community Pharmacy


Ronald J. D’Ulisse
Corporate Security
Purdue Pharma

Diversion in the Community Pharmacy

• Supply Chain – Hijacking, Theft in Transit


• Grey Market – Secondary Wholesalers
• Black Market – Stolen, Counterfeit,
Outdated, etc.
• Prescribers (Stolen Pads)
• Forgery, photocopy,
h altered,
l d Computer
C generatedd
Rx’s & call-in Rx’s
• Employees/relief workers (Internal Thefts)
• Burglaries/robberies

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Supply Chain - Escorting Cargo

Security Company Escorts


All contractors, drivers and security escorts have
complete background investigations

Supply Chain - Armored Escort


Drivers Armed Drivers 50 State Criminal
Checks
Never Left Unattended
Excellent Law Enforcement
Tracked, Panic Button Response To Trouble

Brinks, Inc. Armored Tractors - Long Haul

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Supply Chain

Bullet
Resistant
Windows
GPS With
Panic Alert

Armored
Doors & Cab

Brinks, Inc. Armored Tractors - Long Haul

Prescription Drug Supply

Retail Patients
a

Small “Wholesalers”
Selling Direct to Retailers
(Unsolicited Faxes) & to
Major Secondary “Wholesalers”
Manufacturer
Wholesalers

Secondary
Wholesalers
Government,
Not For Profits, Patients
etc.

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Case Study in Counterfeiting

Case Study in Counterfeiting

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Case Study in Counterfeiting

Case Study in Counterfeiting

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Case Study in Counterfeiting

Case Study in Counterfeiting

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Case Study in Counterfeiting

Example of GMP of Counterfeit Imports

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Example of GMP of Counterfeit Imports

“Paxil”

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Ritlian (sp)

Ambien

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Example of GMP of Counterfeit Imports

Example of GMP of Counterfeit Imports.

Labeling Machines – Excellent Quality

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Example of OTC Imported Drugs

Bogotá, Colombia

Captain Richard Conklin


S
Stamford
f d (CT) P
Police
li D Department

Community Pharmacy
Crime Trends & Strategies

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Legend (12/10/2007)
Robbery Fraud
Burglary Other
Forgery Employee Theft
Shoplifting Cargo Theft

Incident States - Burglary

• OH 25% • OK 8%
• PA 11% • OR 8%
• MI 10% • NC 7%
• TX 9% • MO 6%
• AL 6%
• TN 9%

Rev. RxPATROL® 07-02-08

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Incident State - Robbery

• MA 19% • AZ 8%
• IN 15% • WI 7%
• OH 15% • UT 6%
• FL 12% • CA 5%
• PA 8% • KY 4%

RxPatrol® Rev 07-02-08

Day of the Week - Burglary

• Monday 14%
• Tuesday 15%
• Wednesday 16%
• Thursday 12%
• Friday 10%
• Saturday 14%
• Sunday 20%

RxPATROL® Rev 07-02-08

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Time of the Day - Burglary

• 12:00 am – 03:59 am 50%


• 04:00 am – 07:59 am 24%
• 08:00 am – 11:59 am 3%
• 12:00 pm – 03:59 pm >1%
• 04 00 pm – 07:59
04:00 07 59 pm 2%
• 08:00 pm – 11:59 pm 20%

RxPATROL® 07-02-08

Entry Type - Burglary

• Front Door 47%


• Rear Door 21%
• Window 20%
• Wall 6%
• Ceiling 5%
• Fire Escape >1%
• Basement >1%

RxPATROL® Rev 07-02-08

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Alarm & Video - Burglary

• Had Alarm 67%


• No Alarm 33%
• Had Video 18%
• No Video 82%

RxPATROL® Rev 7-02-08

Suspect Count - Burglary

• 1 Suspect(s) 66%
• 2 Suspect(s) 25%
• 3 Suspect(s) 8%
• 4 Suspect(s) >1%

RxPATROL® Rev 07-02-08

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Safe/No Safe - Burglary

• Had Safe 16%


• No Safe 84%

RxPATROL® Rev 7-02-08

Day of Week - Robbery

• Monday 20%
• Tuesday 15%
• Wednesday 15%
• Thursday 15%
• Friday 14%
• Saturday 11%
• Sunday 9%

RxPATROL® Rev 07-02-08

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Time of the Day - Robbery

• 12:00 am – 03:59 am 8%
• 04:00 am – 07:59 am 6%
• 08:00 am – 11:59 am 21%
• 12:00 pm – 03:59 pm 23%
• 04:00 pm – 07:59 pm 24%
• 08:00 pm – 11:59 pm 18%

RxPATROL® Rev 07-02-08

Entry Type - Robbery

• Front Door 88%


• Rear Door 10%
• Window >2%
• Basement 0%
• Fire Escape 0%
• Wall 0%
• Ceiling 0%

RxPATROL® Rev 07-02-08

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Exit Type - Robbery

• Front Door 78%


• Rear Door 17%
• Fire Escape 4%
• Window 2%
• Basement 0%
• Wall 0%
• Ceiling 0%

RxPATROL® Rev 07-02-08

Suspect Race - Robbery

• White 88%

• Black 8%

• Hispanic 4%

• Others 1%

RxPATROL® Rev 07-02-08

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Suspect Count - Robbery

• 1 Suspect(s) 83%
• 2 Suspect(s) 15%
• 3 Suspect(s) 2%
• 4 Suspect(s) >1%

RxPATROL® Rev 07-02-08

Suspect Gender - Robbery

• Male 93%

• Female 7%

RxPATROL® Rev 07-02-08

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Suspect Age - Robbery

• Teen 6%
• 20s 59%
• 30s 19%
• 40s 13%
• 50s 4%
• 60s >1%

RxPATROL® Rev 07-02-08

Weapon vs. No Weapon

• Armed Weapon Displayed 54%

• Armed Weapon Not Displayed 22%

• Not Armed/Unknown 24%

RxPATROL® Rev 07-02-08

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Weapon Type - Robbery

• Handgun 51%
• Knife 11%
• Rifle >1%
• Shotgun 2%
• Others 27%

RxPATROL® Rev 07-02-08

Characteristics – Robbery - Summary

• A White (88%), male (93%), in their 20-30’s


(78%) acting alone (83%), armed (76%) will
enter the front door (88%) and leave the front
door (78%).

RxPATROL® Rev 07-02-08

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“Five suspects have been arrested surrounding a
pharmacy robbery in Durham, NC, after the
individuals were brought to the attention of local
law enforcement through RxPATROL.”

(Continued…)

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Captain Richard Conklin
Tel 1-800-663-4159
Fax 1-203-588-6236
RxPATROL@pharma.com

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Robbery – Top Ten States

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Sample Suspect Profile for Florida

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Pharmacy Robbery Task Force
Intel Analyst Work Product

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Narrative

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Attachment List

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RxPATROL - Results

Kidnapper Entering Store

Source – RxPATROL®

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RxPATROL - Results

Kidnapper taking pharmacist hostage

Source – RxPATROL®

Police Name Kidnap Suspect

Hilliard Police are charging Joshua


Leach with aggravated robbery and
kidnapping.

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IN CUSTODY!!!

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“Officials believe Westminster man is person seen in
surveillance video taking painkillers from drugstore.”

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“A man suspected of burglarizing a local pharmacy
in the Lake Forest area has been arrested as a
result of a p
public alert and reward issued by
y
RxPATROL/Crime Stoppers.”

“LEBANON – Police hope a $10,000 reward and new


information from a robbery in Texas will lead to the
arrest of the two men suspected in the July 14 armed
robbery
bb off B
Bryan’s
’ FFamily
il Ph
Pharmacy on E
Eastt M
Main
i
Street in Lebanon.”

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CCTV

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CCTV

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CCTV

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Times Square

Matthew Triplet’s Home

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“Lenior, NC – Two men charged with armed robberies
in Texas Harrison
“Matthew and Ohio Triplet,
were held
28,in Caldwell
and County,
Roy Jacob Blair,
25, were arrestedauthorities
on fugitivesaid.”
warrants from Texas
during raids on two residences Thursday.”

Triplet Blair

47
“RxPATROL allowed several agencies to compare
surveillance
“The ability to videos and conclude
use RxPATROL asthat we were
a resource todealing
review
with
photos
“We the same
and
began suspects,”
suspect
to lose hope said
information
these Commander
proved to be
individuals John
vital
would bein
Burke
helping
pp usofidentity
apprehended thefour
Warren
these County
or five weeksDrug
suspects,” Task
said
after Force
Sgt.
the Sharon
robbery,”
y,
Carey
saidofBryan
the Mount Pleasant
Hutcheson (TX)
owner Police
and Department.
pharmacist of
Bryan’s Family Pharmacy.

“Pharmacy robbery suspects returned to Mt.


Pleasant”

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“The US Drug Enforcement Administration is
searching
“The for a truckload
painkillers, of more than
worth an estimated $8016 million
million on
Vicodin
th bl
the black pills
k market, stolen
k t were b from
being a Troy truck
i ttransported stop.
stop ”
t d ffrom ddrug
maker Watson Pharmaceuticals Inc. in California to
the Chicago area”

Troy, Ill. – July 2nd 2007 - RXTIPS/Crime Stoppers is


offering a cash reward of up to $5,000 for information
leading to the arrest of the suspect(s) responsible for a
cargo
ca go theft
t e t containing
co ta g over
ove $5 million
o oof p
prescription
esc pt o
medications.”

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“(KMOV) – A stolen truck carrying tens of millions of
dollars worth of prescriptions drugs was found in
Illinois thanks to a tip from a News 4 viewer.
Illinois, viewer ”

“A local resident will receive $5,000.00 from Crime


Stoppers and RxPATROL for his help in the recovery
off a stolen
t l trailer
t il containing
t i i about
b t $5 million
illi worth
th off
pain killers.”

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“”There’s no telling how long the truck would have sat
there if it was not for Crimestoppers (sp) getting this
out to the citizens where they could give us a call,
alert them to look for it, so they could recover it.”

Capt. Robert Rizzard, Troy Police Department

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Protect Your Pharmacy NOW
Spotlight on Solutions to Pharmacy Crime
Steve Morton
Neenah, Wisconsin

Robbery Prevention

• Policy & Procedures


• Training
• Facilities

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Morton Policy

• Comply with the perpetrator’s request


and avoid direct eye contact.
• Do not attempt to disarm, engage or
pursue the perpetrator.
• Contact the police immediately after the
perpetrator has left the premises.
premises

E-Mail Alert
All Morton Team Members:

If you are not aware, Kimberly Pharmacy was robbed by gunpoint last Friday around 5:45
PM. The ppolice have a strong
g lead,, but,, no arrest has yyet been made. Morton
Pharmacy last experienced a robbery in 1987. The following points are critical to
remember in the unlikely event of a robbery:

Comply with the perpetrators requests (drugs and cash can be replaced; you can’t).

Avoid direct eye contact with the perpetrator (eye contact can be viewed as a sign of
aggression).

Do not attempt to disarm, engage or pursue the perpetrator (this is an unacceptable risk).

Contact the police immediately after the perpetrator has left the premises (I emphasize “left
the premises”).

In addition, attempt to remember as many details as possible e.g. personal appearance,


behaviors, vehicle, direction or travel, etc. We are working to acquire a training
program on robbery and will make it available to all team-members once received.

Steve

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Training

• Awareness training
• Situational training
• Pharmacy Security-Robbery Video
– Annual Employee Meeting

Training

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Training

• Self Defense – When to act (60 seconds)

Training

• Mock Robbery

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Facilities

• Alarm Systems
• Cameras
• Access Control
• Signage

PREVENTION

Alarm Systems

• Alarm Systems
– Panic buttons

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Camera Systems

Access Control

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Signage

This Pharmacy
Protected by
Recorded Surveillance

Survive!

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