Texas physician sentenced for issuing 3 million illegal opioid prescriptions

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A physician in Texas was sentenced to 12.5 years in prison for operating a medical clinic as an illegal pill mill. 

Maryam Qayum, MD, owned, operated and was the sole prescriber at Recare Health Clinic in Houston. The clinic was operated as a cash-only pill mill, and Dr. Qayum issued prescriptions without a legitimate medical purpose, according to an Aug. 5 news release from the Justice Department. 

Between 2022 and 2025, Dr. Qayum issued more than 3 million prescriptions for opioids including oxycodone and hydrocodone. Law enforcement shut down the clinic in 2025.

According to court documents, a prescription for oxycodone cost as much as $500, while hydrocodone prescriptions were often $300.

In March 2026, Dr. Qayum pleaded guilty to conspiracy to unlawfully distribute controlled substances.  

Four other defendants were previously sentenced in the case, the release said. 

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