Dr. Philip D. Dean of Warrenton has been indicted in federal court, accused of illegally prescribing powerful opioid pain medication for women he was having personal relationships with.Dean, 62, is a neurologist with an office in Warrenton at the corner of East Booneslick Road and Highway 47. He has been operating the office for more than 10 years.Dean was indicted Thursday by the U.S. Attorney’s Officer for the Eastern District of Missouri with eight felony charges for making false statements to Medicare and Medicaid and illegally distributing fentanyl, hydrocodone and other controlled prescription drugs without a legitimate medical purpose.According to the indictment, during relationships with several women, Dean wrote one woman multiple prescriptions using the name of her family member, and personally paid for and picked up some of the drugs from the pharmacy.With another woman, Dean allegedly exchanged sexual text and social media messages before making prescription decisions for her.Dean also allegedly prescribed a drug called Subsys for one woman, a pain relief drug that contains fentanyl. The drug is only approved for use in cancer patients in significant pain, and the woman in question did not have cancer, according to the indictment.The Subsys prescription caused Medicaid to pay approximately $213,000.If convicted of lying to Medicare and Medicaid, Dean could face a maximum penalty of five years in prison and pay a $250,000 fine. The drug distribution charges have maximum penalties of either 20 or 5 years in prison and a fine of either $1,000,000 or $250,000. The determination of what sentencing to apply will have to be made by a federal judge.The case is being investigated by the U.S. Department of Health and Human Services, Office of the Inspector General, and the Drug Enforcement Administration, with assistance from the FBI, the Medicaid Fraud Control Unit of the Missouri Attorney General’s Office, and the Warrenton Police Department.Crime