Ljudmil Kljusev, the son of the first Prime Minister to an independent Macedonia, Nikola Kjlusev, stood before District Judge Alvin Thompson in Hartford, USA and pleaded guilty to distributing narcotics outside of the scope of professional practice, and health care fraud, said a statement to “Meta” by the United States Department of Justice.

According to court documents and statements made in court, Kljusev, who operated a psychiatry practice in Milford, was a high-volume prescriber of Adderall and Xanax to patients, many of whom paid for office visits and prescriptions in cash.

Adderall, which is classified as a Schedule II drug by the DEA, is the brand name for a drug containing a combination of amphetamine and dextroamphetamine, both of which are central nervous system stimulants. This combination of drugs is used to treat narcolepsy and attention deficit hyperactivity disorder (“ADHD”). Xanax, which is classified as a Schedule IV drug by the DEA, is a brand name for a drug containing Alprazolam, a benzodiazepine drug. Alprazolam is commonly used to treat anxiety disorders or panic disorders.

“The investigation, which included the use of confidential witnesses and an undercover officer posing as patients, revealed that Kljusev prescribed the drugs without a full medical examination of the patient, provided prescriptions without confirming conditions that would medically require treatment using these drugs and dispensed prescriptions in exchange for cash to patients who display substance abuse and addiction behaviors. Kljusev also directed non-physician employees to write prescriptions signed by Kljusev when he was out of the country”, said the statement.

In 2014 and 2015, Kljusev improperly billed private health insurers approximately $76,983 for medical services rendered when he was out of the country.

Kljusev has been detained since his arrest on November 12, 2015.

Kljusev pleaded guilty to one count of conspiracy to possess with intent to distribute narcotics, which carries a maximum term of imprisonment of 20 years, and one count of health care fraud, which carries a maximum term of imprisonment of 10 years.

“This doctor sold controlled substances out of his office for cash, like a common drug dealer. We are finding with increasing frequency that the types of pills he distributed are contributing to drug overdose deaths. They are incredibly dangerous if taken inappropriately and particularly toxic if combined with an opioid,” said U.S. District Attorney of Connecticut, Deirre Dali.

In a binding plea agreement, if accepted by the court, the parties have agreed that a sentence between 26 and 77 months of imprisonment is appropriate in this case. KLJUSEV also has agreed to the forfeiture of property located at 227 Naugatuck Avenue in Milford, where his practice was based, as well as $173,095.20 in cash that was seized from his office on the day of his arrest. He also has agreed to forfeit an additional $117,431.13 contained in his business checking account, and to pay restitution in the amount of $76,983.

Judge Thompson scheduled sentencing for February 22, 2017.