Well the distributors could take a feather from the American Tobacco Association's plumage and describe their activities as a public service as their product permanently removed many individuals from running up lifetimes of various welfare and social service costs as well as removing many degenerates from the gene pool in West Virginia.
“McKesson, AmerisourceBergen and Cardinal Health alone combined to ship more than 900 million hydrocodone and oxycodone pills between 2005 and 2016.”
I believe they distribute a very large share of the entire US prescription drug market of about $300 billion/year.
McDonald’s sells lots of hamburgers.
It’s the wholesale distributors’ job to ship pills to pharmacies.
It’s the job of the State of West Virginia’s job to regulate its doctors and its pharmacists.