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    July 18 (Reuters) - An Ohio drug wholesale distributor and two former executives were charged on Thursday with profiting from the U.S. opioid epidemic by selling millions of pills despite signs the addictive drugs were being misused.

    Federal prosecutors in Cincinnati charged Miami-Luken Inc and four people in the second U.S. criminal case against a drug distributor over its role in a crisis that has killed hundreds of thousands of people.

    The indictment charged the Springboro, Ohio-based company; Anthony Rattini, its ex-president; James Barlay, Miami-Luken's former compliance officer, and two pharmacists with conspiring to distribute controlled substances.

    Prosecutors said Miami-Luken and the executives failed to guard against the dangerous drugs it shipped to pharmacies in five states from being diverted for illegal uses or to report suspicious orders to the U.S. Drug Enforcement Administration.

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    James McQueen, a lawyer for Ballengee, said he believed he would be exonerated. The other defendants' lawyers could not be identified. Miami-Luken last year discontinued operations.

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    Top executives from distributors as well as Miami-Luken were called to testify before a Congressional committee in May 2018 regarding the opioid epidemic. Asked if they contributed to it, only Miami-Luken's then-chairman, Joseph Mastandrea, said yes.

    Prosecutors said Miami-Luken, which closed in October, made more than $173 million in consolidated sales from 2008 to 2015 supplying drugs to 200 pharmacies in Ohio, West Virginia, Kentucky, Indiana and Tennessee.

    Federal prosecutors in Manhattan in April brought the first opioid-related criminal case against a distributor, upstate New York's Rochester Drug Co-operative Inc. The company paid $20 million to resolve the charges. ( Reporting by Nate Raymond in Boston Editing by Susan Thomas and Marguerita Choy)

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