Advanced Nurse Practitioner Gets 30 Years for Illegally Prescribing Millions of Opioids Causing 5 Deaths

Former Advanced Nurse Practitioner Jessica Joyce Spayd (52) was sentenced in U.S. District Court to 30 years (360 months) imprisonment for illegally prescribing and dispensing opioids outside the scope of legitimate medical practice that resulted in the deaths of five people between 2014 and 2019. A jury convicted Spayd on October 27, 2022, of 10 crimes including five counts of illegal drug distribution that resulted in death and one count of maintaining a drug involved premises. She was also ordered to forfeit $117,000 in unlawful proceeds.

Evidence presented during the trial showed that Spayd prescribed and dispensed 4.5 million dosages of opioids in just over five years including fentanyl, methadone, oxycodone, and hydromorphone. Many times she combined those prescriptions with prescriptions for dangerous other drugs like valium and muscle relaxers, known as the “holy trinity,” greatly increasing the chances of overdose death. She wrote these prescriptions with little to no medical justification or treatment plan; minimal, if any, tests or physical examinations; and little, if any, considerations of non-opioid treatment. Many of her patients were vulnerable and suffering from chronic pain, addiction, and mental illness, yet Spayd disregarded their medical histories, risk factors, past overdoses, symptoms, and pleas to reduce or taper their doses. She also ignored warnings from patients’ family members, pharmacists, and other medical providers, and defied thousands of warning letters sent by insurance companies about the dangers of her practices.

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