Skip to main content

The independent source for health policy research, polling, and news.

Subscribe Follow Us Donate
  • Trump 2.0

    Trump 2.0

    • Agency Watch
    • State Watch
    • Rural Health Payout
  • Public Health

    Public Health

    • Vaccines
    • CDC & Disease
    • Environmental Health
  • Audio Reports

    Audio Reports

    • What the Health?
    • Health Care Helpline
    • KFF Health News Minute
    • An Arm and a Leg
    • Health Hub
    • HealthQ
    • Silence in Sikeston
    • Epidemic
    • See All Audio
  • Special Reports

    Special Reports

    • Bill Of The Month
    • The Body Shops
    • Broken Rehab
    • Deadly Denials
    • Priced Out
    • Dead Zone
    • Diagnosis: Debt
    • Overpayment Outrage
    • Opioid Settlement Tracking
    • See All Special Reports
  • More Topics

    More Topics

    • Elections
    • Health Care Costs
    • Insurance
    • Prescription Drugs
    • Health Industry
    • Immigration
    • Reproductive Health
    • Technology
    • Rural Health
    • Race and Health
    • Aging
    • Mental Health
    • Affordable Care Act
    • Medicare
    • Medicaid
    • Children’s Health

  • Surgeon General
  • Cigna’s ACA Exit
  • Visa Program
  • Medicaid Work Requirements
  • Gavin Newsom

TRENDING TOPICS:

  • Surgeon General
  • Cigna's ACA Exit
  • Visa Program
  • Medicaid Work Requirements
  • Gavin Newsom

Morning Briefing

Summaries of health policy coverage from major news organizations

  • Email

Monday, Apr 22 2019

Full Issue

Drug Distributors' Role In Opioid Crisis Has Flown Under Radar, But A Reckoning Could Be Fast Approaching

As the financial muscle behind the opioid epidemic, drug distributors rank among the largest American companies by revenue, with the three leading companies distributing more than 90 percent of the nation’s drug and medical supplies. They've faced numerous accusations that they deliberately circumnavigated regulators in favor of profit. Now, in what could be a test case, the United States attorney’s office for the Southern District of New York and the DEA are wrapping up an investigation that appears likely to result in the first criminal case involving a major opioid distributor. In other news on the crisis: generic nasal spray for overdoses, involuntary commitment for addiction treatment, arrests, and disappointing news for a novel pain drug.

The New York Times: The Giants At The Heart Of The Opioid Crisis

There are the Sacklers, the family that controls Purdue Pharma, the maker of OxyContin. There are the doctors who ran pill mills, and the rogue pharmacists who churned out opioid orders by the thousands. But the daunting financial muscle that has driven the spread of prescription opioids in the United States comes from the distributors — companies that act as middlemen, trucking medications of all kinds from vast warehouses to hospitals, clinics and drugstores. The industry’s giants, Cardinal Health, McKesson and AmerisourceBergen, are all among the 15 largest American companies by revenue. (Hakim, Rashbaum and Rabin, 4/22)

The Associated Press: FDA OKs 1st Generic Nasal Spray Of Overdose Reversal Drug

U.S. regulators have approved the first generic nasal spray version of Narcan, a drug that reverses opioid overdoses. The Food and Drug Administration on Friday OK'd naloxone spray from Israel's Teva Pharmaceuticals. Naloxone has been sold as a nasal spray in the U.S. since 2016 under the brand name Narcan. Pharmacists can dispense it without a prescription. It is also sold as a generic or brand-name drug in automatic injectors, prefilled syringes and vials. (4/19)

NPR: Prison For Forced Addiction Treatment? A Parent's 'Last Resort' Has Consequences

Robin Wallace thought her years of working as a counselor in addiction treatment gave her a decent understanding of the system. She has worked in private and state programs in Massachusetts and with people who were involuntarily committed to treatment. So in 2017, as her 33-year-old son, Sean Wallace, continued to struggle with heroin use — after years of coping with mental health issues and substance use — she thought she was making the right choice in forcing him into treatment. (Becker, 4/20)

NPR: When Opioid Prescribers Are Arrested, What Happens To Their Patients?

A pharmacist in Celina, Tenn., was one of 60 people indicted on charges of opioid-related crimes this week, in a multistate sting. John Polston was charged with 21 counts of filling medically unnecessary narcotic prescriptions. He was also Gail Gray's pharmacist and the person she relied on to regularly fill her opioid prescriptions. "I take pain medicine first thing in the morning. I'm usually up most of the night with pain," she says. "I hurt all the time." (Farmer, 4/19)

Stat: Disappointing Trial Results Dim Hopes For A New Class Of Pain Drugs 

They were supposed to be novel pain treatment and future blockbusters. Instead it appears that hopes for a class of medicines called NGF inhibitors are increasingly dim. Pfizer (PFE) and Eli Lilly (LLY) announced late Thursday that their experimental NGF inhibitor didn’t meet its goals in a trial meant to support approval by the Food and Drug Administration. And, more damning, patients who got the drug had significantly more issues of joint damage — the big risk tied to NGF treatments — than those who got over-the-counter pain pills like ibuprofen. (Garde, 4/19)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
Newsletter icon

Sign Up For Our Newsletter

Stay informed by signing up for the Morning Briefing and other emails:

Recent Morning Briefings

  • Friday, May 1
  • Thursday, April 30
  • Wednesday, April 29
  • Tuesday, April 28
  • Monday, April 27
  • Friday, April 24
More Morning Briefings
RSS Feeds
  • Podcasts
  • Special Reports
  • Morning Briefing
  • About Us
  • Donate
  • Staff
  • Republish Our Content
  • Contact Us

Follow Us

  • Instagram
  • YouTube
  • LinkedIn
  • Facebook
  • X
  • Bluesky
  • TikTok
  • RSS

Sign up for emails

Join our email list for regular updates based on your personal preferences.

Sign up
  • Editorial Policy
  • Privacy Policy

© 2026 KFF