Prescription Drug Fraud in Ohio: How Charges Differ From Street Drug Crimes

On Behalf of Patrick M. Farrell Co L.P.A.
August 28, 2025
Drug Crimes

Across Cleveland and communities throughout Northeast Ohio, prescription drug fraud is increasingly prosecuted with the same intensity as street-level drug offenses. Prosecutors, judges, and investigators often treat prescription fraud cases as a major contributor to the opioid crisis, meaning the stakes are extremely high for those accused. At Patrick M. Farrell Co. L.P.A., our Cleveland criminal defense attorneys understand the difference between prescription drug fraud and traditional narcotics charges—and why that difference matters. If you face accusations in Cuyahoga County or nearby courts, the right defense strategy can make a critical difference.

What Is Prescription Drug Fraud in Ohio?

Prescription drug fraud involves obtaining or attempting to obtain controlled substances through deceptive, forged, or illegal methods. Under O.R.C. § 2925.23, deception to obtain dangerous drugs is a felony offense. Unlike simple possession, fraud charges usually involve allegations such as:

  • Forging or altering prescriptions
  • “Doctor shopping” to get multiple prescriptions from different physicians
  • Stealing prescription pads or blanks
  • Using another person’s identity to obtain medication
  • Submitting false information to pharmacies or healthcare providers

Drugs often tied to fraud cases include opioids (oxycodone, hydrocodone, fentanyl), benzodiazepines (Xanax, Valium), and stimulants (Adderall, Ritalin).

How Prescription Drug Fraud Differs From Street Drug Crimes

While both involve controlled substances, prescription fraud charges are treated differently than street drug crimes such as heroin or cocaine possession.

  • Intent: Fraud usually involves misrepresentation, forgery, or theft, not just physical possession.
  • Evidence: Cases often rely on pharmacy records, electronic prescribing systems, or medical documentation.

  • Charges: Street drug crimes typically fall under ORC § 2925.11 (possession) or ORC § 2925.03 (trafficking). Fraud charges focus on obtaining controlled substances through illegal documents or deception.
  • Penalties: Fraud frequently results in felony convictions, license suspensions, and long-term collateral consequences beyond incarceration.

Because prescription fraud is linked to the opioid epidemic, prosecutors in Cuyahoga County Common Pleas Court and Cleveland Municipal Court often pursue these cases aggressively.

Common Prescription Drug Fraud Charges in Ohio

Several statutes cover different forms of prescription drug crimes, each with specific penalties:

  • Deception to Obtain Dangerous Drugs (O.R.C. § 2925.23): Includes doctor shopping, false information, or identity fraud.
  • Illegal Processing of Drug Documents (O.R.C. § 2925.22): Forgery, theft of prescription pads, or creating false labels.
  • Illegal Dispensing of Drug Samples: Supplying sample medications without authorization.
  • Prescription Forgery: Altering or forging a prescription, or knowingly possessing a forged prescription.

Each charge can range from a fifth-degree felony (up to one year in prison) to a first-degree felony (up to 11 years in prison), depending on the type and amount of the drug involved.

Penalties for Prescription Drug Fraud Under Ohio Law

Convictions carry serious legal and personal consequences:

  • Prison Sentences: From 6 months to 11 years, depending on the offense level.
  • Fines: Up to $20,000 for higher-degree felonies
  • Driver’s License Suspension: Up to five years, even if the crime did not involve a vehicle
  • Probation and Community Control: Supervision, mandatory treatment programs, and drug testing
  • Permanent Criminal Record: Making employment, housing, and educational opportunities more difficult to secure

Unlike many street drug crimes, fraud convictions also harm professional reputations and may affect medical, nursing, or pharmacy licenses.

Defenses to Prescription Drug Fraud Charges

No two cases are the same, and the strongest defense depends on the evidence. At Patrick M. Farrell Co. L.P.A., our Cleveland prescription drug fraud lawyers carefully examine every detail to protect clients’ rights. Potential defenses include:

  • Valid Prescription: Demonstrating you had lawful authorization for the medication.
  • Lack of Intent: Showing no intent to deceive or commit fraud.
  • Illegal Search and Seizure: Suppressing evidence obtained without a proper warrant or probable cause.
  • Insufficient Evidence: Challenging the prosecution’s reliance on paperwork or records that cannot be verified.
  • Entrapment: Arguing law enforcement induced actions you would not otherwise have taken.

Why You Need a Local Cleveland Prescription Drug Fraud Attorney

Prescription drug fraud cases are not handled like ordinary possession charges. They involve medical records, pharmacy systems, and criminal statutes that prosecutors use to build a detailed case. That is why you need a defense lawyer with both legal knowledge and local courtroom experience.

At Patrick M. Farrell Co. L.P.A., our attorneys:

  • Appear regularly in Cuyahoga County Common Pleas Court, Cleveland Municipal Court, and courts across Northeast Ohio, including Akron, Parma, and Lakewood
  • Understand how local prosecutors investigate and prosecute prescription fraud cases and the strategies needed to challenge their evidence
  • Develop personalized defense plans tailored to the details of your case, whether you are accused of prescription fraud, street drug crimes, or related charges
  • Focus on protecting your rights, minimizing penalties, and safeguarding your future at every stage of the process

When your freedom and record are at stake, having a Cleveland prescription drug fraud attorney who knows the local system inside and out can make all the difference.

Protect Your Future Against Prescription Drug Fraud Charges

Prescription drug fraud cases are unlike ordinary drug offenses because they involve a paper trail, electronic records, and complex statutes that prosecutors use aggressively. At Patrick M. Farrell Co. L.P.A., we know how to dissect the government’s evidence and expose weaknesses in their case. If you are accused in Cleveland, Akron, Parma, or anywhere in Northeast Ohio, our defense team is prepared to fight for your future. Call or text Patrick M. Farrell Co. L.P.A. at (216) 661-5050 today for a free, confidential consultation with an experienced Cleveland prescription drug fraud lawyer. You can also complete our secure online form. Your information will remain private, and a member of our legal team will respond quickly. Our Cleveland drug crimes defense lawyers are ready to stand between you and the prosecution, protect your rights, and fight for the best possible outcome in your prescription fraud case.

Why Choose Patrick M. Farrell Co. L.P.A.?

At Patrick M. Farrell Co. L.P.A., we prioritize your rights and freedom. Our experienced team is dedicated to providing you with personalized defense strategies that yield results.