A New Hampshire doctor made his initial appearance in Burlington, Vermont, on charges related to his alleged involvement in conspiracies to illegally distribute controlled substances and to commit healthcare fraud. According to court documents, Adnan S. Khan, MD, 48, of Grantham, orchestrated his alleged illegal prescribing and healthcare fraud conspiracies through New England Medicine and Counseling Associates (NEMCA), which operated a network of clinics located in Vermont, New Hampshire, and Maine. Through NEMCA, Khan allegedly distributed drugs to individuals outside the usual course of professional practice and without a legitimate medical purpose. Khan allegedly required that patients pay cash in exchange for their prescriptions, despite many of his patients having insurance through Medicare and Vermont Medicaid. Khan allegedly prescribed the drugs knowing that at least some of his patients were abusing and diverting the drugs. In addition, Dr. Khan allegedly ordered medically unnecessary definitive urine drug testing while soliciting kickbacks and bribes from laboratories, knowing that federal healthcare programs would be billed for the medically unnecessary tests.