One of the men, 33-year-old Swapnadip Roy, was extradited from Italy and made his initial appearance in U.S. District Court in Tampa, Florida, on Tuesday.
Roy and his alleged co-conspirator, Vicky Ramancha, 37, are charged in an indictment with one count of conspiracy to commit smuggling and to defraud the U.S., three counts of smuggling, and two counts of selling counterfeit drugs and holding counterfeit drugs for sale. If convicted, they both face a maximum sentence of 71 years in prison.
Ramancha remains at large.
The material they and their co-conspirators allegedly distributed “included counterfeit packaging, package inserts, pen labels, and needles meant to deceive downstream customers into believing they were purchasing authentic Ozempic authorized by the manufacturer,” DOJ said.
The case comes as the use of so-called GLP-1 medications such as Ozempic for weight loss has become increasingly popular in the U.S.
In July, Gallup reported that the percentage of U.S. adults who take GLP-1 medications for weight loss purposes rose to 11% in 2026, compared to 3% in 2024.
“And 15% report having used the medicine for weight loss at some point, an increase of nine percentage points” over 2024, Gallup noted.
“Counterfeit prescription drugs — especially common ones — threaten the health and safety of every American who depends on the integrity of our pharmaceutical supply,” Assistant Attorney General A. Tysen Duva of the DOJ’s Criminal Division said in a statement Tuesday.
“These defendants allegedly exploited people’s health to pay themselves. We will keep pursuing anyone who seeks to deceive American consumers with counterfeit drugs,” Duva said.
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