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DEPARTMENT OF HEALTH, STATE OF FLORIDA DEPARTMENT OF HEALTH PETITIONER, v. CASE NO. 2018-00939 LARRY B. HOWARD, R.PH., RESPONDENT. ADMINISTRATIVE COMPLAINT COMES NOW, Petitioner, Department of Health, by and through its undersigned counsel, and files this Administrative Complaint before the Board of Pharmacy against Respondent, Larry B. Howard, R.Ph., and in support thereof alleges: 1. Petitioner is the state agency charged with regulating the practice of pharmacy pursuant to Section 20.43, Florida Statutes; Chapter 456, Florida Statutes; and Chapter 465, Florida Statutes. 2. At all times material to this Administrative Complaint, Respondent was a licensed pharmacist (R.Ph.) within the state of Florida, having been issued license number PS22661.

3. Respondent's address of record is 5757 Oak Lake Trail, Oviedo, Florida 32765. 4. Respondent may also be found at 2864 West Main Street, Leeburg, Florida 34748. 5. On or about January 12, 2018, in the United States District Court, Middle District of Florida, Respondent was convicted of the following crimes: a. One count of conspiracy to offer, pay, solicit, and receive healthcare kickbacks, a felony in violation of Title 18, United States Code, Section 371; and b. Two counts of payment of healthcare kickbacks in connection with a federal health care benefit program, a felony in violation of Title 42, United States Code, Section 1320a-7b(b)(2)(A). 6. Conspiracy to offer, pay, solicit, and receive healthcare kickbacks is a crime which relates to health care fraud. 7. Payment of healthcare kickbacks in connection with a federal health care benefit program is a crime which relates to health care fraud. DOH v. Larry B. Howard, R.Ph. 2

8. Section 456.072(1)(11), Florida Statutes (2017), provides that being convicted of, or entering a plea of guilty or nolo contendere to, any misdemeanor or felony, regardless of adjudication, a crime in any jurisdiction which relates to health care fraud constitutes grounds for disciplinary action. 9. Respondent was convicted of the following crimes which relate to health care fraud: a. Conspiracy to offer, pay, solicit, and receive healthcare kickbacks; and b. Payment of healthcare kickbacks in connection with a federal health care benefit program. 10. Based on the foregoing, Respondent has violated Section 456.072(1)(11), Florida Statutes (2017). [ remainder of page intentionally left blank] DOH v. Larry B. Howard, R.Ph. 3

WHEREFORE, the Petitioner respectfully requests that the Board of Pharmacy enter an order imposing one or more of the following penalties: permanent revocation or suspension of Respondent's license, restriction of practice, imposition of an administrative fine, issuance of a reprimand, placement of the Respondent on probation, corrective action, refund of fees billed or collected, remedial education and/or any other relief that the Board deems appropriate. SIGNED this 6- -k% day of NICAir(4-0 2018. Celeste Philip, M.D., M.P.H. Surgeon General and Secretary FILED DEPARTMENT OF HEALTH DEPUTY CLERK CLERK Angel Sanders DATE MAR 0 82018 +e'k ) HANNAH PHILLIPS Assistant General Counsel Fla. Bar No. 1003347 DOH Prosecution Services Unit 4052 Bald Cypress Way, Bin C-65 Tallahassee, Florida 32399-3265 Telephone: (850) 558-9824 Facsimile: (850) 245-4662 Email: hannah.phillips@flhealth.gov PCP.Meeting: March 8, 2018 PCP Members: Michele Weizer; Jonathan Hickman DOH v. Larry B. Howard, R.Ph. 4

NOTICE OF RIGHTS Respondent has the right to request a hearing to be conducted in accordance with Section 120.569 and 120.57, Florida Statutes, to be represented by counsel or other qualified representative, to present evidence and argument, to call and cross-examine witnesses and to have subpoena and subpoena duces tecum issued on his or her behalf if a hearing is requested. A request or petition for an administrative hearing must be in writing and must be received by the Department within 21 days from the day Respondent received the Administrative Complaint, pursuant to Rule 28-106.111(2), Florida Administrative Code. If Respondent fails to request a hearing within 21 days of receipt of this Administrative Complaint, Respondent waives the right to request a hearing on the facts alleged in this Administrative Complaint pursuant to Rule 28-106.111(4), Florida Administrative Code. Any request for an administrative proceeding to challenge or contest the material facts or charges contained in the Administrative Complaint must conform to Rule 28-106.2015(5), Florida Administrative Code. Please note that mediation under Section 120.573, Florida Statutes, is not available to resolve this Administrative Complaint. NOTICE REGARDING ASSESSMENT OF COSTS Respondent is placed on notice that Petitioner has incurred costs related to the investigation and prosecution of this matter. Pursuant to Section 456.072(4), Florida Statutes, the Board shall assess costs related to the investigation and prosecution of a disciplinary matter, which may include attorney hours and costs, on the Respondent in addition to any other discipline imposed. DOH v. Larry B. Howard, R.Ph.