United States v. Howard, No. 18-11602 (11th Cir. 2022)
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Defendants Bramwell, Howard, and Stone were convicted of crimes involving the millions of dollars that Tricare paid Howard for filling compounded cream prescriptions for patients. Bramwell wrote the vast majority of those prescriptions, and Stone helped in recruiting some of the patients for whom Howard filled prescriptions. Defendants were convicted for paying or receiving kickbacks and conspiring to do it. Howard was also convicted of laundering some of the proceeds.
The Eleventh Circuit concluded that the evidence was sufficient to support defendants' convictions. In this case, the evidence was sufficient to prove that Howard paid, and Bramwell received kickbacks and that they conspired to do so; that Howard paid, and Stone received, kickbacks and that they conspired to do so; and that Howard laundered money. The court also concluded that there was no constructive amendment to the indictment. However, the court concluded that Bramwell's sentence of probation is substantively unreasonable where the district court clearly erred in weighing the 18 U.S.C. 3553(a) factors. Accordingly, the court vacated Bramwell's sentence and remanded for further proceedings. The court otherwise affirmed the judgments.
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