Annandale-Based Doctor Pleads Guilty to Distributing Oxycodone and Promethazine-Codeine Solution, Money Laundering

ABINGDON, Va. – An Annandale-based doctor, who conspired with others to distribute more than 7,000 oxycodone pills, 34,000 milliliters of hydrocodone-chlorpheniramine solution, and 107,000 milliliters of promethazine-codeine solution, pled guilty this week in federal court.

Rotimi Iluyomade, 68, of Alexandria, Virginia, waived his right to be indicted and pled guilty to a two-count Information charging him with one count of conspiracy to distribute and possess with the intent to distribute oxycodone, to obtain drugs by fraud and to maintain a place for the purpose of disturbing a controlled substance and one count of money laundering.

“Every doctor takes an oath to treat their patient and to do no harm, but when a doctor falls short of that oath, they must be held accountable,” United States Attorney Christopher R. Kavanaugh said today. “In this case, a doctor put many in harm’s way. I am grateful to those who worked to stop the supply of these addictive and dangerous substances from reaching our communities and holding accountable a doctor who profited from the addictions of others.”

“Healthcare providers have a vital responsibility when it comes to dispensing medications to meet the health needs of their patients,” mentioned DEA Special Agent in Charge Jarod Forget. “This plea demonstrates Iluyomade’s criminal indifference to the lives of others, and the families who loved them. His reckless and fraudulent practices placed profits over the fragile lives of others. Our team is dedicated to safeguarding the safety and well-being of all individuals across the nation. This commitment includes ensuring that licensed professionals adhere to the law and report any hazardous conduct.”

According to court documents, between 2023 and June 2024, Iluyomade and at least 8 other co-conspirators entered into an agreement to distribute more than 7,000 oxycodone pills and more than 34,000 milliliters of hydrocodone-chlorpheniramine solution to individuals in multiple states. In addition, the co-conspirators agreed to acquire and obtain promethazine-codeine solution by fraud and to maintain a medical clinic known as Crossover Medical Center in Annandale, Virginia, for the purpose of unlawfully distributing controlled substances.

The conspiracy began in 2022 when, after an almost 30-year career as an emergency medicine physician, Iluyomade leased office space at the Crossover Medical Center and opened a pain management and weight loss clinic. Shortly after opening his clinic, an individual came to the clinic requesting a specific medication, promethazine-codeine solution (also known as “lean” or “purple drank”) for what they claimed was a chronic cough. Iluyomade examined the individual and prescribed promethazine-codeine solution.

The individual returned to the clinic several times and told Iluyomade that they were not using the promethazine-codeine for themself but was selling it to others for profit. 

Beginning in 2023, multiple individuals visited Iluyomade’s clinic to obtain fraudulent prescriptions for promethazine-codeine solution, as well as fraudulent prescriptions for oxycodone pills and hydrocodone-chlorpheniramine solution, also known as “Tussionex.”  On many occasions, the individuals provided Iluyomade with lists of multiple “patients” with fake identifying information or different variations of names and false addresses, and requested prescriptions be sent to pharmacies throughout the United States for the “patients” on the lists. Iluyomade issued the requested prescriptions without examining the “patients” and often co-prescribed non-controlled medications such as steroids and antibiotics to attempt to make the prescriptions for controlled substances look legitimate.

Iluyomade was paid $300 for each fraudulent prescription he wrote. He wrote the prescriptions knowing they had no legitimate medical purpose and solely for his own monetary gain.

At least 70 of the illegal controlled substance prescriptions were transmitted to and/or filled at pharmacies in the Western District of Virginia.

The Drug Enforcement Administration, the Federal Bureau of Investigation, the Virginia State Police, the Salisbury, Maryland Police Department, the Loudoun County Sheriff’s Office, and the Russell County Sheriff’s Office are investigating the case.  Valuable investigative assistance was provided by the United States Attorney’s Office for the Eastern District of Virginia.

Assistant U.S. Attorney Lena Busscher is prosecuting the case.