United States v. Limberopoulos

                  UNITED STATES COURT OF APPEALS
                      FOR THE FIRST CIRCUIT

                                           

No. 92-1954

                          UNITED STATES,
                            Appellee,

                                v.

                     NICHOLAS LIMBEROPOULOS,
                      Defendant, Appellant.
                                      

No. 92-1955

                          UNITED STATES,
                            Appellee,

                                v.

                      WILLIAM LIMBEROPOULOS,
                      Defendant, Appellant.
                                      

No. 92-2075

                          UNITED STATES,
                            Appellant,

                                v.

                     NICHOLAS LIMBEROPOULOS,
                       Defendant, Appellee.
                                      

No. 92-2076

                          UNITED STATES,
                            Appellant,

                                v.

                      WILLIAM LIMBEROPOULOS,
                       Defendant, Appellee.
                                           

          APPEALS FROM THE UNITED STATES DISTRICT COURT

                FOR THE DISTRICT OF MASSACHUSETTS

             [Hon. Rya W. Zobel, U.S. District Judge]
                                                    

                                           

                              Before

                       Breyer,* Chief Judge,
                                           
                Selya and Boudin, Circuit Judges.
                                                

                                           

  Steven J.  Rappaport with whom Rappaport,  Freeman &  Pinta was on
                                                             
briefs for Nicholas Limberopoulos.
  Barry P.  Wilson with  whom Craig A.  Cellitti was  on briefs  for
                                                
William Limberopoulos.
  Michael Kendall,  Assistant United States  Attorney, and Frank  A.
                                                                    
Libby, Jr.,  Assistant  United  States  Attorney, with  whom  A.  John
                                                                    
Pappalardo, United States Attorney, was on briefs for United States of
        
America.

                                           

                          June 14, 1994
                                           

                  
*Chief Judge Stephen  Breyer heard  oral argument in  this matter  and
participated in the drafting  of the opinion, but did  not participate
in  issuance  of the  panel's opinion.    The remaining  two panelists
therefore issue this opinion pursuant to 28 U.S.C.   46(d).

                                2

          SELYA, Circuit  Judge.   A jury convicted  Nicholas and
                               

William   Limberopoulos,  both  pharmacists,   of  conspiring  to

dispense,  without  proper  prescriptions,  approximately  18,000

pills,  about 12,000 of which were Percodan or Percocet and about

4,000   of  which  were  Valium.    See  21  U.S.C.     841(a)(1)
                                       

(distributing   or  dispensing  addictive  drugs);  21  U.S.C.   

843(a)(2) (false  DEA numbers);  21 U.S.C.    843(a)(4)(A) (false

prescriptions); 21 U.S.C.   846 (conspiracy).  At sentencing, the

district court  departed from the specified  guideline sentencing

ranges (GSRs)    235-293 months for  Nicholas and 188-235  months

for  his  son, William    and  instead  sentenced Nicholas  to 36

months in prison  and William to 30 months in  prison.  The court

departed  because,  in its  view,  the  defendants' conduct  fell

outside the "heartland" of the unlawful-drug-trafficking statute,

21  U.S.C.   841, but within the "heartland" of an unlawful-drug-

prescribing statute, 21 U.S.C.   843.  Since this latter statute,

which  is regulatory in nature, limits prison terms to a 48-month

maximum, far less than  the maximum under section 841,  the court

felt justified in departing downward.

          Both sides appeal.   We agree with  the government that

the  district  court's  "heartland" determinations  rest  upon an

erroneous  conception  of the  unlawful-drug-prescribing statute.

We  do not accept  the defendants' arguments  on this, or  on any

other issue.  Consequently, we affirm the defendants' convictions

and  remand the  case for  resentencing.   We specify  that, even

though we  find the  court's given ground  for departure  legally

                                3

inadequate,  the  court remains  free  to  consider departure  if

other, legally adequate reasons exist.

                                I

                            Background
                                      

                                A.

                            The Trial
                                     

          As   is   well  known,   the  unlawful-drug-trafficking

statute,  21  U.S.C.    841,  forbids,  among other  things,  the

distribution, dispensing, or possession with intent to distribute

of highly addictive  "Schedule II" drugs.   Other less well-known

statutes  apply  to  pharmacists,  requiring  that  they maintain

inventory  records, dispense  drugs only  in pursuance  of proper

prescriptions, and  keep copies  of all such  prescriptions, duly

canceled  to prevent unauthorized reuse.   See 21  U.S.C.    827-
                                              

830.  What we  have called the unlawful-drug-prescribing statute,

21 U.S.C.   843, makes it a crime, among other things, to violate

certain of these record-keeping requirements. 

          In  this case,  the  government charged  the defendants

both with  violating  the unlawful-drug-prescribing  statute,  21

U.S.C.    843, and with conspiring  to violate the unlawful-drug-

trafficking statute,  21 U.S.C.    841.   It introduced  evidence

that, in essence, showed the following:

          1.   In  1988  and  again  in  1989,  Drug  Enforcement
          Administration (DEA) agents found that Limby's Pharmacy
          in Lowell, Massachusetts had not kept inventory records
          of its addictive drugs.   The agents seized a  group of
          Limby's  canceled  prescriptions (written  between 1986
          and 1988) and concluded that they were fraudulent.

                                4

          2.  Seven physicians testified that they had not signed
          their  names   to  particular  prescriptions,   as  the
          pharmacy's records indicated.   Some of these witnesses
          pointed out that  the prescriptions bore  signatures or
          customer  names  that   seemed  not  only  false,   but
          obviously so,  as, for example, the  customer name "Tin
          Can" on a prescription form falsely bearing the name of
          a  Vietnamese physician.    An eighth  doctor had  died
          before   the  time   of   the  purported   issuance  of
          prescriptions   bearing  his   name.     Five  of   the
          "recipients" listed on  the prescriptions, according to
          their own testimony or that of their relatives, had not
          requested,   or   received,   the   drugs   purportedly
          prescribed.

          3.   A drug addict  testified that he  had often bought
          addictive  drugs  at  Limby's,   without  prescription,
          between  1986 and 1987.   He added  that Limby's clerk,
          from  whom he bought the  drugs, told him  not to worry
          about the  fact that  Nicholas Limberopoulos knew  that
          the clerk was selling him addictive drugs. 

On the basis of  this, and related, evidence, the  jury convicted

Nicholas Limberopoulos,  who owned  Limby's  Pharmacy and  worked

there occasionally, of writing 13  false prescriptions.1  See  21
                                                             

U.S.C.   843(a)(4)(A).  It convicted his son, William, who worked

at Limby's  regularly, of  writing 39 other  false prescriptions.

See id.  It  convicted William, but acquitted Nicholas,  of using
      

false DEA numbers.  See 21  U.S.C.   843(a)(2).  And it convicted
                       

both defendants  of conspiring  to distribute addictive  drugs to

others.  See 21 U.S.C.    841, 846.
            

                                B

                            Sentencing
                                      

          At sentencing, the district  court first calculated the

GSRs,  properly using the June 15, 1988 version of the guidelines

                    

1One  of the  counts of  conviction has  since been  dismissed on
motion of the government.

                                5

(to which we shall refer throughout).  The court referred to  the

guideline  applicable to  a  conspiracy to  dispense Schedule  II

drugs  unlawfully,  see U.S.S.G.    2D1.4  &  App. A-19,  as that
                       

guideline  instructs,  found  the  weight of  the  various  pills

involved, and  converted these weights into  an equivalent weight

in heroin.  The court did so by aggregating the weight of all the

pills   listed  on   the  false   prescriptions   underlying  the

substantive counts on  which either Nicholas or William  had been

convicted (as well  as a few other pills listed  on a small group

of related prescriptions).  See U.S.S.G.   1B1.3(a)(2) & comment.
                               

(2).  For  example, the  jury found Nicholas  responsible for  13

false  prescriptions, which,  taken  together, accounted  for the

dispensing  of 275 grams of  Percocet and 392.7  grams of Valium.

The jury  found William responsible for  92 violations concerning

false  prescriptions  and  DEA numbers,  which,  taken  together,

involved 2145 grams of Percocet, 1720 grams of Percodan, and 50.5

grams of  Valium.   The guidelines specified  that these  amounts

(plus the weight of  the few additional related pills)  should be

treated  as  the equivalent  of between  3  and 9.9  kilograms of

heroin, yielding a base offense level of 34.  The court added two

more  levels for each defendant's "abuse of a position of trust,"

U.S.S.G.    3B1.3, and it added two further levels for Nicholas's

"obstruction of  justice."  Id.    3C1.1.  The result    level 38
                              

for  Nicholas and level 36 for William    produced GSRs for these

two first-time offenders of 235-293 months  for Nicholas and 188-

235 months for William.

                                6

          The lower  court then  departed downward from  the GSRs

because it believed that the defendants' conduct amounted, not to

unlawful  drug   trafficking,  but,   rather,  to  the   kind  of

"regulatory" offense forbidden  by the  unlawful-drug-prescribing

statute, with  its maximum penalty of  48 months in prison.   The

court wrote:

          [I]t is the case here that  the object of the
          conspiracy charged,  the charged part  of the
          conspiracy, is dispensing  drugs pursuant  to
          prescriptions not issued  for [a]  legitimate
          medical purpose.  That is also the essence of
          the substantive offenses charged.

          Under  these  circumstances,  the  mechanical
          application of [the] guidelines  with respect
          to count 1 [drug  trafficking] significantly,
          significantly, overstates  the seriousness of
          the predicate and substantive offenses.  This
          case is not  a typical drug  conspiracy case.
          Indeed, all  of the substantive  offenses are
          violations of a regulatory statute [21 U.S.C.
             843], and  Congress's intent  with respect
          thereto was, in this  case, overridden by the
          use of sections 846 [the  conspiracy statute]
          and 841 [the drug  trafficking statute] . . .
          . Accordingly, I shall depart for the reasons
          I have just mentioned.

This said, the court  imposed a 36-month prison term  on Nicholas

and a  30-month prison term on  William.  The government  and the

defendants now cross-appeal.

                                II

                     The Government's Appeal
                                            

          The government  appeals the court's decision  to depart

downward.   It acknowledges  that the  district  court has  broad

power to depart from a properly calculated sentencing range in an

unusual  case   a case  that lies outside  the "heartland" of the

                                7

base  guideline that would otherwise apply.  See United States v.
                                                              

Rivera, 994 F.2d 942, 947 (1st Cir. 1993); United States v. Diaz-
                                                                 

Villafane, 874 F.2d 43, 49 (1st Cir.), cert. denied, 493 U.S. 862
                                                   

(1989); see also  U.S.S.G. Ch.  I, Pt. A,  intro. comment.  4(b).
                

But the sentencing court must  give its reason(s) for  departing,

see 18 U.S.C.   3553(c)(2); and the government asks this court to
   

review  the legal  adequacy  of those  reasons,  as well  as  the

reasonableness  of the result.   See Rivera, 994  F.2d at 950-52;
                                           

Diaz-Villafane,  874 F.2d at 50; see also 18 U.S.C.   3742(e)(3).
                                         

In  particular, the government urges us to find that the district

court's reason  for departing reflects a  misunderstanding of the

basic aim that animates the unlawful-drug-prescribing statute.  

          The district  court's reason for departing  here is its

professed  belief  that  defendants'  conduct  fell  outside  the

"heartland" of  the strict unlawful-drug-trafficking  statute, 21

U.S.C.    841,  but within  the "heartland"  of the  more lenient

unlawful-drug-prescribing statute, 21  U.S.C.   843.  That  is to

say,  the  court  thought  that  the  offenders'  conduct,  while

technically falling  within a specific statute  and guideline, in

reality more  closely resembled conduct forbidden  by a different

statute  and guideline  (as,  for example,  a  technical tax  law

conviction might involve conduct  more appropriately described as

"insider trading").    And, for  that reason,  it concluded  that

departure was appropriate.

          The  district  court  misunderstood   the  relationship

between the two relevant statutes   the unlawful-drug-trafficking

                                8

statute,  section 841, and the unlawful-drug-prescribing statute,

section 843    and therefore, misapplied its  theory of departure

here.   The  court  seemed  to  think  that  the  former  statute

primarily  targets non-pharmacists (those,  say, who sell illegal

drugs  on  the  street),   while  the  latter  primarily  targets

pharmacists  selling drugs  unlawfully  without prescriptions  in

their  shops.   For  that reason,  it  felt that  the defendants'

conduct more appropriately fell within the "heartland" of section

843, not section 841.  Our  examination of the history and use of

the two  statutes, however, indicates that they  basically make a

different  distinction     a  distinction  between unlawful  drug

distribution  on one  hand,  and unlawful  record-keeping on  the

other hand.   Here,  moreover, the  defendants' conduct seems  to

involve the former considerably more than the latter.

          We begin  the process of adding flesh to this barebones

legal conclusion about the  interrelationship of the two statutes

by remarking the obvious:  the unlawful-drug-trafficking statute,

21  U.S.C.   841, does  not exempt pharmacists  who sell narcotic

drugs  without  prescriptions, nor  does  it  suggest that  their

conduct  is somehow less seriously wrong than the conduct of non-

pharmacist drug dealers.  On the contrary, the statute applies to

the two groups' conduct in the same  way.  The statute's language

simply  makes   it  a  crime  "knowingly   or  intentionally"  to

"distribute or  dispense" narcotic drugs.   And this  language is

reinforced  by well-established  case law  making clear  that the

statute  applies   to  a  pharmacist's   (or  physician's)  drug-

                                9

dispensing activities  so long  as  they fall  outside the  usual

course of professional practice.  See United States v. Moore, 423
                                                            

U.S. 122, 142  (1975); United  States v. DeBoer,  966 F.2d  1066,
                                               

1068-69  (6th Cir. 1992); United States v. Hughes, 895 F.2d 1135,
                                                 

1143 (6th Cir. 1990); United States v. Vamos, 797 F.2d 1146, 1152
                                            

(2d Cir. 1986), cert. denied, 479 U.S. 1036 (1987); United States
                                                                 

v. Norris,  780 F.2d 1207, 1209 (5th Cir. 1986); United States v.
                                                              

Lawson, 682 F.2d 480, 482 (4th  Cir.), cert. denied, 459 U.S. 991
                                                   

(1982); United States  v. Hayes,  595 F.2d 258,  260 (5th  Cir.),
                               

cert. denied, 444  U.S. 866  (1979); United States  v. Kirk,  584
                                                           

F.2d 773, 784 (6th Cir.), cert. denied, 439 U.S. 1048 (1978); see
                                                                 

also 21  C.F.R.   1306.04(a) (explicitly  subjecting a pharmacist
    

to  the  penalties  of  section  841  if  he  knowingly  fills  a

prescription  "not issued  in  the usual  course of  professional

treatment"); cf.  21 U.S.C.   822(b)  (exempting pharmacists from
                

section  841  but  only  "to  the   extent  authorized  by  their

registration"). 

          This  standard   might  mean  that   a  drug-dispensing

pharmacist does not  violate section  841 if he  believes that  a

customer (even a  customer who lacks a  valid prescription) needs

the  drugs for legitimate medical treatment.  Cf. Moore, 423 U.S.
                                                       

at  138-39 (implicitly  approving a  jury instruction  explaining

that a physician could be  convicted if he knowingly  distributed

controlled drugs  "other than in  good faith .  . . in  the usual

course of a professional practice"); United States v. Seelig, 622
                                                            

F.2d 207, 213 (6th Cir.) (stating that section 841(a)(1) requires

                                10

proof beyond a reasonable doubt "that the drugs were  distributed

outside  the  usual  course  of  professional  practice"),  cert.
                                                                 

denied, 449 U.S. 869 (1980).   It is certainly arguable that,  at
      

the  very least,  that  kind of  "good  faith" case  would  skirt

section 841's  heartland.  But if  the drug-dispensing pharmacist

knows that a  customer not  only lacks a  valid prescription  but

also will not use the drugs for legitimate medical purposes, then

section  841 applies in full flower and treats the dispenser like

a  pusher.   See  Moore,  423  U.S. at  142-43.    Indeed, it  is
                       

difficult to find a relevant difference between a pharmacist who,

without proper prescriptions, knowingly supplies a drug addict or

trafficker with narcotics, and any other drug dealer who does the

same.

          Another line of reasoning leads to the same conclusion.

The unlawful-drug-prescribing statute, 21  U.S.C.   843, is aimed

for the  most part at a  pharmacist's knowing failure to  use and

maintain proper  prescription  forms, registration  numbers,  and

kindred  records.   Such  a failure  might,  or might  not,  come

accompanied with  the pharmacist's  knowing sale of  narcotics to

addicts  or traffickers.    The pharmacist,  for example,  simply

might  have failed to report his drug supply properly, see, e.g.,
                                                                

United States v.  Sterber, 846  F.2d 842  (2d Cir.  1988); or  he
                         

might have  acquired the narcotics improperly,  see, e.g., United
                                                                 

States v. Pastor, 557 F.2d 930  (2d Cir. 1977); or, he might have
                

used an expired DEA registration number in filling a prescription

for a customer whom he believed legitimately needed the drugs for

                                11

medicinal purposes, see, e.g., United States v. Carranza, 632  F.
                                                        

Supp. 1030 (S.D.N.Y. 1986).   The provision's legislative history

indicates  that Congress intended it chiefly  to address a threat

to the integrity of  the regulatory system, i.e., the  system for
                                                

administrative control of the legitimate drug industry.   See 116
                                                             

Cong.  Rec.  996-98  (1970) (statements  of  Sen.  Dodd  and Sen.

Griffin);  see  also  Moore, 423  U.S.  at  135.   The  statute's
                           

comparatively low  maximum penalty  provision suggests  the same.

Compare 21 U.S.C.    843(c) (48-month maximum) with id.    841(b)
                                                      

(life imprisonment maximum).

          Our  search of  the  case law  confirms the  regulatory

thrust  of section  843.   Close  perscrutation reveals  that the

government has used section  843, in separate prosecutions, where

regulatory, not  drug-trafficking, problems  are at issue.   See,
                                                                

e.g.,  Sterber, 846 F.2d at  842; United States  v. Cantor, Crim.
                                                          

No.  91-00021, 1991 WL 161017 (E.D. Pa. Aug. 14, 1991); Carranza,
                                                                

632 F.  Supp. at 1031.   The fact  that the  government sometimes

charges  violations  of  both  sections  841  and  843  in  drug-

trafficking  cases, see,  e.g., Vamos, 797  F.2d at  1148; United
                                                                 

States  v. Devous, 764 F.2d  1349, 1351 (10th  Cir. 1985); United
                                                                 

States  v. Goldfine, 538 F.2d  815,817 (9th Cir.  1976), does not
                   

show the contrary, for in such instances,  if the same conduct is

involved, section 843 would be a lesser included offense.  

          In the  case before us, the government claimed that the

defendants  systematically and  knowingly  sold  narcotic  drugs,

without proper  prescriptions, to  drug addicts and  drug dealers

                                12

whom they knew had no legitimate medical need for the drugs.  The

court  instructed the jury that it could acquit the defendants if

it found  that  they had  acted  in "good  faith," but  the  jury

declined to do  so; it thereby  accepted the government's  claims

that  the defendants acted with  knowledge and evil  intent.  For

this  reason, one  cannot  easily characterize  their conduct  as

involving, simply or only,  the kind of record-keeping violations

at which section 843  seems basically aimed, and which  appear to

provide the  rationale for its 48-month  ceiling on imprisonment.

Thus, the district court's view that the defendants' conduct fell

within  the "heartland" of section  843, but not  of section 841,

reflects a  misunderstanding of the  basic objectives of  the two

statutes and their interplay.2   That being so, we must set aside

the defendants'  sentences and return the  case for resentencing.

                    

2Our determination  that the defendants' conduct,  as charged and
proven, fell within the "heartland" of section 841 bears a strong
analytical resemblance to our recent decision in United States v.
                                                              
LeBlanc,     F.3d    , (1st Cir. 1994) [No. 93-1998].  There, the
       
district court,  confronted  with bookmakers  who  had  laundered
gambling  proceeds and  who stood  convicted of  violating, inter
                                                                 
alia,  18  U.S.C.      1956-1957  (proscribing  "structuring"  of
    
certain  monetary transactions),  departed downward  to make  the
sentences  commensurate  with  the  relatively  modest  GSR  that
customarily  characterized gambling  offenses  (rather  than  the
relatively  steep   GSR  that  customarily   characterized  money
laundering  offenses).  The  court premised the  departure on the
ground  that the  money laundering  offenses "stem[med]  from the
prior  specified  unlawful  activity  of  operating  an   illegal
gambling business,"  and,  therefore, fell  "outside  . .  .  the
'heartland' of  the money  laundering  guidelines."   Id. at     
                                                         
[slip  op.  at  11].    We  reversed,  holding  that,  since  the
proscribed conduct  "not only comes  within the plain  meaning of
[the  anti-structuring statute],  but  also was  within the  full
contemplation  of Congress when it enacted  that statute," id. at
                                                              
     [slip op.  at 15],  the court's  stated ground  of departure
could not be upheld, id. at 16-17.  So it is here.
                        

                                13

See Rivera, 994 F.2d  at 951 (explaining that an  appellate court
          

will review a purely legal determination without deference to the

district court).

          Counsel for  the defendants have argued  that there are

several other special features of  this case that make  departure

appropriate.   We express no  view about whether  that is,  or is

not, so.  Departure decisions are for the sentencing court in the

first  instance.  On remand,  the district court  remains free to

consider departure for other reasons.  See id. at 956.
                                              

                               III

                 Nicholas Limberopoulos's Appeal
                                                

          In Nicholas Limberopoulos's appeal, he claims primarily

that the district court did not correctly calculate the GSR (from

which  it  then  departed).    We  find  no legal  error  in  the

challenged calculations.

          1.  The Number  of Pills.  The guideline  applicable to
                                  

drug  trafficking  conspiracies3 relates  base offense  levels to

the  amount   of   "heroin-equivalent"  drug   involved  in   the

conspiracy.  See  U.S.S.G.    2D1.1 (Drug Quantity  Table).   The
                

amount of heroin-equivalent drug depends upon the total weight of

the Percodan, Percocet, and other pills, which is  then converted

into  heroin  equivalents.    See,  id.,  comment.  (n.10)  (Drug
                                       

                    

3Technically,  there are  two statutes  involved in the  count of
conviction here.  21 U.S.C.   846 outlaws conspiracies to violate
drug  trafficking laws, while 21  U.S.C.   841  is the particular
drug trafficking law that these defendants allegedly conspired to
violate.  For ease in reference, we shall refer to the conspiracy
as a "section 841 conspiracy."

                                14

Equivalency  Table).   Recognizing  that, in  this instance,  the

total weight of the  pills depends upon the total number of pills

for which each defendant  is responsible,  Nicholas Limberopoulos

argues that the  district court wrongly  attributed to him  pills

for which William, not he, should have been held accountable.  He

rests this conclusion  on the  premise that the  jury might  have

thought  that he was involved  in a conspiracy  not with William,

but  with others; and  that, if the  jury did think  so, it would

also have thought that William's pills had nothing to do with the

conspiracy underbracing Nicholas's conviction.

          The  problem with  this thesis  is that  the guidelines

normally  leave  to  the  sentencing  judge,  not  the jury,  the

determination of the "conduct"  that is "relevant" to sentencing.

See U.S.S.G.    6A1.3.   Nothing the jury  decided prevented  the
   

judge  from finding  a conspiracy  between Nicholas  and William.

Furthermore,  the  evidence  to  support  a  finding  of  such  a

conspiracy, whether by judge or jury, is ample.

          The  evidence showed, for  example, that Nicholas owned

Limby's Pharmacy.  He worked there on weekends and some weekdays.

William, his son, worked there  most weekdays and occasionally on

weekends.   The only  other employee involved  in drug-dispensing

was a clerk.  The unlawful sales involved a large number of pills

and took place at frequent intervals over a period of two  years.

The clerk told a  drug-addict customer (who had obvious  physical

symptoms of drug withdrawal)  that it did not matter  if Nicholas

knew that  the clerk was  selling drugs to  the addict without  a

                                15

proper prescription.  From this evidence the court (and the jury,

too) might  reasonably have  concluded that Nicholas  and William

each knew  the other was  dispensing drugs  unlawfully, and  that

each agreed  to help the  other do so  through the ownership  and

operation of the pharmacy, the maintenance of  false records, and

the  like.  Such an  implicit agreement amounts  to a conspiracy.

See, e.g., Direct Sales Co.  v. United States, 319 U.S.  703, 714
                                             

(1943).   The  court,  therefore, could  reasonably attribute  to

Nicholas the pills  that William  sold, having found  them to  be

"part of  the same  . .  . common  scheme or plan."   U.S.S.G.   

1B1.3(a)(2).    By  like  token, the  court  could  attribute  to

Nicholas  pills  that  William  improperly  dispensed  prior   to

February  10,  1987 (the  earliest  date of  a  prescription that

Nicholas canceled).

          2.   The Weight.   Nicholas also argues  that the court
                         

erred  in  calculating drug  weight by,  in effect,  weighing the

entire  pill, and, thus, counting the weight of both narcotic and

nonnarcotic ingredients (increasing the  weight, say, of a single

Percocet pill from roughly five one-thousandths to five-tenths of

a gram).   In doing so,  however, the court  simply followed  the

instructions  of the  Sentencing Commission,  which  tells judges

that the

          scale amounts for  all controlled  substances
          refer to the  total weight of  the controlled
          substance.  Consistent with the provisions of
          the Anti-Drug Abuse Act,  if any mixture of a
          compound  contains any detectable amount of a
          controlled  substance,  the entire  amount of
          the  mixture or compound  shall be considered
          in measuring the quantity.

                                16

U.S.S.G.   2D1.1 (Drug Quantity Table, n.*).

          All seven circuits that have considered the matter have

held  that this  language  (or the  language  of a  substantially

similar  amended version of the note, see id. (Nov. 1989)), means
                                            

what  it says, namely, that the sentencing court must include the

weight of an entire  pharmaceutical pill and not just  the weight

of  the  active  narcotic  ingredients.   See  United  States  v.
                                                             

Crowell,  9 F.3d  1452, 1454  (9th Cir.  1993); United  States v.
                                                              

Young,  992 F.2d  207,  209 (8th  Cir.  1993); United  States  v.
                                                             

Blythe,  944  F.2d 356,  362 (7th  Cir.  1991); United  States v.
                                                              

Shabazz, 933 F.2d 1029, 1032-33 (D.C. Cir.), cert. denied, 112 S.
                                                         

Ct. 431 (1991);  United States  v. Lazarchik, 924  F.2d 211,  214
                                            

(11th Cir.), cert. denied, 112 S. Ct. 96 (1991); United States v.
                                                              

Meitinger, 901 F.2d 27, 29 (4th Cir.), cert. denied, 498 U.S. 985
                                                   

(1990);  United  States v.  Bayerle, 898  F.2d  28, 31  (4th Cir.
                                   

1989),  cert.  denied,  498 U.S.  819  (1990);  United States  v.
                                                             

Gurgiolo,  894 F.2d 56,  61 (3d Cir.  1990).  We  agree with this
        

authority.

          The defendants sing one  esoteric tune which, they tell

us, the other courts did not fully consider.  They point out that

the instruction  we have quoted  prefaces its statement  with the

words "[c]onsistent  with the  provisions of the  Anti-Drug Abuse

Act."   They  then assert  that that  Act specifies  weighing the

"entire mixture  or compound" for  street drugs, such  as heroin,
                                         

but says nothing about pharmaceutical drugs.   The defendants add
                                     

that the rationale the Supreme Court has identified as underlying

                                17

the   use  of  gross,  as  opposed  to  net,  weights     namely,

maintaining  serious punishment  for  street  pushers of  diluted

mixtures, see Chapman  v. United  States, 111 S.  Ct. 1919,  1927
                                        

(1991)    does not make sense, and, hence, should not apply, when

pharmaceutical drugs are at issue.

          The chief problem with  this construct is that it  does

not  show  an inconsistency  between the  Act and  the Sentencing

Commission's instruction.  The  Act does not forbid use  of gross

pharmaceutical drug weights  as a  way to measure  just how  many

pills,  say of Percodan, warrant  the same punishment  as a given

amount of heroin.   Nor have defendants  convinced us that it  is

irrational to  tie these  punishment equivalencies to  gross pill

weight,  rather than  applying some  mechanical operation  to net

weight  (say, multiplying  active ingredient  weight by  100) and

thereby  reaching  approximately  the same  punishment  results.4

Nor, finally, is it clear to us what the use of  gross weight for

purposes   of  conversion  has  to  do  with  the  existence,  or

nonexistence, of street pushers of pharmaceutical drugs.

                                IV

                  William Limberopoulos's Appeal
                                                

          William's   appeal   repeats   various  of   Nicholas's

arguments,  which  we  reject   for  reasons  previously  stated.

William  also makes  two fresh  arguments.   First, he  points to

Bruton v. United States, 391 U.S. 123 (1968), a case in which the
                       

                    

4Other  circuits have  found  this approach  to be  rational and,
consequently,  have rejected  similar  importunings.   See, e.g.,
                                                                
Crowell, 9 F.3d at 1454; Shabazz, 933 F.2d at 1036-37.
                                

                                18

Court held  that admission of incriminating  statements made out-

of-court by  a nontestifying codefendant (unavailable  for cross-

examination)  entitled  the defendant  to  a  new, and  separate,

trial.   He then claims  that three such  pieces of evidence were

admitted  against him  here, namely,  (1) portions  of Nicholas's

grand jury testimony, (2)  a false exculpatory statement made  by

Nicholas  to his attorney, and (3) Nicholas's action in giving up

Limby's DEA  license,  which in  William's  view amounted  to  an

admission of guilt. 

          It is unclear whether William objected to this evidence

at the  time of its admission (though he did move for a severance

with regard to  the grand jury testimony before  trial).  We have

nonetheless reviewed  the record  before us to  determine whether

this  evidence is of  the sort to which  Bruton applies, that is,
                                               

evidence that  has the "'powerfully incriminating'  effect of one

accomplice  pointing  the  finger directly  at  another,  without

subjecting  himself  to  cross-examination."   United  States  v.
                                                             

DiGregorio, 605 F.2d  1184, 1190 (1st Cir.)  (quoting Bruton, 391
                                                            

U.S. at 135), cert. denied, 444 U.S. 937 (1979);  see also United
                                                                 

States v.  Nason, 9 F.3d 155, 160  (1st Cir. 1993), cert. denied,
                                                                

114 S. Ct. 1331 (1994); United  States v. Barnett, 989 F.2d  546,
                                                 

558 (1st Cir.), cert. denied, 114 S. Ct. 148 (1993).  We conclude
                            

that it is not.  

          The grand  jury testimony  that the government  read at

trial does not implicate William.  The remaining portions of that

testimony suggest that  some of the false prescriptions  may have
                                                            

                                19

been  in  William's handwriting,  but  they add  little  to other

evidence  on  this  point.    Similarly,  Nicholas's  exculpatory

statements  to his lawyer and his surrender of Limby's license do

not directly show  William's guilt.   Rather, their relevance  in

this  respect   requires  a  considerable   chain  of  subsidiary

inferences (i.e.,  that the exculpatory statement  was an obvious
                

attempt at  deceit and coverup, or the surrender of the license a

kind of confession, both  showing Nicholas's consciousness of his

own   guilt,  which   knowledge,  through   association,  implies

William's guilt  as well).  Such  out-of-court statements neither

name  nor impugn William directly, and thus cannot be supposed to

have  implanted in  the  jurors' minds  the  kinds of  powerfully

incriminating impressions  against which  Bruton  protects.   See
                                                                 

Richardson v. Marsh, 481 U.S. 200, 208-11 (1986) (explaining that
                   

Bruton applies  to evidence  incriminating on  its  face, not  to
      

inferential  incrimination,  which  can   be  cured  by  limiting

instructions);  cf.  DiGregorio, 605  F.2d  at  1190 (ruling  the
                               

unadorned fact that a codefendant's out-of-court admission tended

to corroborate the government's case against the defendant to  be

insufficient to trigger Bruton).  Again, in context, this out-of-
                              

court evidence is weak, adding little, if anything, to the weight

of the remaining evidence.   Nor can we find anything  else about

the  admission of this evidence  that deprived William  of a fair

trial, "resulting in a miscarriage of justice."  United States v.
                                                              

McLaughlin, 957 F.2d 12,  18 (1st Cir. 1992)  (citation omitted).
          

Consequently, the law does not require relief on this ground.  

                                20

          Second,  William  complains that  the  sentencing court

should  have  ordered a  mental  examination  under 18  U.S.C.   

3552(c).   That provision, however,  says that  a district  court

"may" order a  psychological examination of  the defendant if  it
    

"desires  more information than is otherwise available to it as a

basis  for determining  the mental  condition of  the defendant."

Id.  (emphasis supplied).   In  this case,  the court  was keenly
   

aware of  William's psychological  difficulties.  The  records he

placed before the  district judge  showed a history  of drug  and

alcohol  abuse   as  well  as  personality   disorders,  such  as

narcissism.  The  judge could reasonably have  concluded that the

first set of matters  was not directly related to  the sentencing

decision, see U.S.S.G.    5H1.4, p.s., while a mental examination
             

would  add little or  nothing of  value to  what it  already knew

about the  second.   In our  view, the court  did not  exceed its

discretionary authority to decide not to order the examination.5

                                V

                            Conclusion
                                      

          We  need  go  no   further.    Though  the  combination

comprises a bitter  pill, defendants' convictions  appear lawful,

but their  reduced sentences appear to  have been inappropriately

conceived.   Consequently, for the  reasons we have discussed, we

affirm the convictions but vacate the defendants'  sentences.  We

                    

5We  note,  moreover,  that  William  does  not  claim  financial
inability  to arrange for such an examination at his own expense.
Cf.  18  U.S.C.     3006A(e)(1) (instructing  courts  to  appoint
  
"investigative, expert,  or other services"  where such  services
are necessary and the defendant cannot otherwise afford them).

                                21

remand  the  matter  to   the  district  court  for  resentencing

consistent with this opinion.

So ordered.
           

                                22