those pharmacies are raided nonstop. from what i've seen, most don't continue their evil ways. pills have dried up here. Five yuear ago, everyone everywhere was chew on zanny bars. not today.
Used to be you only had to have a business license to open a pain pill shop. Just so you could get insurance and advertise, zoning laws, etc..
You didn't have to be a doctor or have any degree at all. You simply had to hire docs to see the patients and write the scripts. Pill mills here were recruiting these India docs fresh out of school to come over and write scripts. There was never a shortage of docs either. Or they would hire docs that were burnt out on regular practice and hospitals. Pay them 50% of the patient fee for everyone they saw and some docs were knocking out $1200-$1500 per day just in their cut alone. Those two twin brothers they just arrested didn't have degrees and they owned pain clinics. They made over 40 million in two years and that was after paying salaries and such. 40 million was their profit. That they know of. They suspect they have even more hidden away somewhere.
Now they require the owner to have a doc license and cert. So the business owners sold the businesses to their docs that they had working there. They then open up pharmacies that the docs direct all patients to. The patients pay almost 100% markup on the pills but they don't care because they are not going to be able to hit 3 different Walgreens in a week with a loaded scripts from other pain clinics. With the small pharms they can do that because those pharms don't link databases. They can only look at their's and see if the patient has been in within the last 30 days.
Now they are flipping these pharms over to the pharmacists that are working for them and staying on as a "consultant" or something else where they rake in 30% of the profits plus a 20% payment from the pharmacist each year for 5 years financing when they bought the business from the guys.
Dudes are making $$$ hand over fist.