
Stephen Costa, a 40-year-old man, has been sentenced to 14 years in prison after pleading guilty to a conspiracy involving the distribution of diverted pharmaceutical drugs. As the ringleader, Costa orchestrated an operation that funneled $78 million worth of medications, intended for critical conditions like HIV and cancer, into the legitimate supply chain, duping pharmacies and patients across the United States. The criminal network, which spanned from the early part of 2013 through May 2019, was brought down by the collaborative efforts of the FDA-OCI and FBI Miami, according to the U.S. Attorney's Office.
Costa, having been previously caught in a similar scheme in New York, enlisted the help of old accomplices, some known since high school, and new recruits to run the complex operation. With these associates, he acquired licensed pharmaceutical wholesale companies and directed the illicit flow of drugs. Working with trusted suppliers, he rerouted these misbegotten pharmaceuticals, which were eventually sold to unsuspecting patients around the country. Despite being tasked to shut down after a conviction, Costa set up a co-conspirator to keep the scheme alive while he served his term.
The announcement of Costa's sentencing was made by U.S. Attorney Hayden P. O'Byrne for the Southern District of Florida. Assistant U.S. Attorneys Frank Tamen and Nicole Grosnoff led the prosecution and are handling asset forfeiture, respectively. Details of the case, documented under number 19-cr-20674, can be accessed through the United States Attorney's Office for the Southern District of Florida's website, offering a copy of the press release and related court documents and information.
Costa's central role in the conspiracy not only shattered trust within the pharmaceutical industry but also posed a serious threat to patient safety, as mishandled medications may have been compromised. The case came to light following a series of superseding indictments issued between 2019 and 2024, ultimately leading to the prosecution of 20 individuals connected to the scheme. Despite being incarcerated, Costa attempted to prolong the operation from behind bars before finally facing sentencing.









