A fatal combination of medications can be the result of negligent actions by a doctor or other medical professional in Ohio and across the country. Recent federal and state indictments prove their actions could also be criminal. Florida recently took action against what it terms "pill mills" by charging four pain clinics as organized crime enterprises. Officials say their medical practices resulted in a fatal overdose. The arrests were made as a culmination of a three-year investigation dubbed Operation Oxy Alley. Federal indictments were returned on racketeering charges against 32 people for their participation in a pill mill business that dispensed more than 20 million Oxycodone pills, generating an income of over $40 million.