On August 29, 2019, Christopher William Armstrong, a Louisiana PA, was sentenced to seven years in prison and required to forfeit $168,000 for his role in a conspiracy to unlawfully distribute thousands of oxycodone pills. While employed at Louisiana Spine & Sports LLC, Armstrong admitted to creating fraudulent prescriptions for over 40,000 oxycodone pills over a period of five years, either forging physician signatures or causing physicians to unknowingly sign prescriptions. Armstrong relied on co-conspirators to fill prescriptions at local pharmacies who then returned the pills to him in exchange for cash.