United States v. Scully , 877 F.3d 464 ( 2017 )


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  • 16-3073-cr
    United States v. Scully
    UNITED STATES COURT OF APPEALS
    FOR THE SECOND CIRCUIT
    August Term, 2017
    (Argued: August 24, 2017 Decided: December 13, 2017)
    Docket No. 16-3073-cr
    UNITED STATES OF AMERICA,
    Appellee,
    — v. —
    WILLIAM SCULLY, AKA Liam Scully
    Defendant-Appellant,
    SHAHRAD RODI LAMEH,
    Defendant.
    B e f o r e:
    POOLER and LYNCH, Circuit Judges, and COGAN, District Judge.*
    *
    Judge Brian M. Cogan, of the United States District Court for the Eastern District
    of New York, sitting by designation.
    William Scully appeals from a conviction in the United States District
    Court for the Eastern District of New York (Arthur D. Spatt, Judge) for mail and
    wire fraud and conspiracy to commit the same; conspiracy to defraud the United
    States through the introduction of misbranded drugs into interstate commerce;
    introduction of misbranded drugs into interstate commerce; receipt of
    misbranded drugs into interstate commerce and delivery thereof for pay;
    introduction of unapproved drugs into interstate commerce; and unlicensed
    wholesale distribution of prescription drugs. The principal issue on appeal is
    whether the district court erred in excluding evidence related to Scully’s advice-
    of-counsel defense. Because we find that it was error to exclude that evidence, the
    judgment of the district court is VACATED and REMANDED for further
    proceedings consistent with this opinion.
    KENNETH M. ABELL, Assistant United States Attorney (Amy
    Busa and Charles P. Kelly, Assistant United States Attorneys,
    on the brief), for Bridget M. Rohde, Acting United States
    Attorney for the Eastern District of New York, for Appellee.
    SCOTT A. RESNIK (Michael M. Rosensaft, on the brief), Katten
    Muchin Rosenman LLP, New York, NY, for Defendant-
    Appellant.
    GERARD E. LYNCH, Circuit Judge:
    William Scully appeals from a judgment of conviction entered following a
    five-week jury trial in the United States District Court for the Eastern District of
    New York (Arthur D. Spatt, Judge).
    The jury found Scully guilty of mail and wire fraud and conspiracy to
    commit the same in violation of 
    18 U.S.C. §§ 1341
    , 1343, and 1349; conspiracy to
    2
    defraud the United States through the introduction of misbranded drugs into
    interstate commerce in violation of 
    18 U.S.C. § 371
    ; introduction of misbranded
    drugs into interstate commerce in violation of 
    21 U.S.C. §§ 331
    (a) and 333(a)(2);
    receipt of misbranded drugs into interstate commerce and delivery thereof for
    pay in violation of 
    21 U.S.C. §§ 331
    (c) and 333(a)(2); introduction of unapproved
    drugs into interstate commerce in violation of 
    21 U.S.C. §§ 331
    (d) and 333(a)(2);
    and unlicensed wholesale distribution of prescription drugs in violation of 
    21 U.S.C. §§ 331
    (t), 333(b)(1)(D), and 355. He was sentenced principally to 60 months
    in prison.
    The main issue on appeal is whether the district court properly excluded
    evidence relating to Scully’s advice-of-counsel defense. Because we find that the
    evidence was admissible and its exclusion was not harmless error, we VACATE
    the district court’s judgment and REMAND for further proceedings consistent
    with this decision.1
    1
    We need not address Scully’s claim that the government’s presentation of two
    later-dismissed counts unfairly prejudiced the jury against Scully because a new
    trial on remand will not include these counts.
    3
    BACKGROUND
    The jury found Scully guilty of all charges relevant to this appeal, so we
    consider the evidence in the light most favorable to the government. See United
    States v. Bouchard, 
    828 F.3d 116
    , 120 (2d Cir. 2016).
    I.    The Rise and Fall of Pharmalogical
    Scully and Shahrad Rodi Lameh founded Pharmalogical, Inc., in 2002 or
    2003 as equal owners, Scully running the company’s day-to-day operations and
    Lameh managing payments and providing most of the capital. They initially
    planned to acquire pharmaceutical products from manufacturers and sell those
    products to retail customers (such as doctors, hospitals, and clinics) as a
    wholesale distributor. To that end, Pharmalogical received a license from New
    York State authorizing it to act as a wholesale distributor of pharmaceutical
    products. Pharmalogical struggled to turn a profit for several years, and
    eventually Scully decided to set the company on a new course: parallel
    importing. That is, rather than buying prescription drugs and medical devices
    approved by the U.S. Food and Drug Administration from the drug
    manufacturers, the company would import foreign versions of FDA-approved
    products into the United States from European distributors. Pharmalogical could
    4
    purchase these drugs at reduced prices and then sell them to customers in the
    United States for far less than the going rate on the domestic market. Around the
    same time, the company also began doing business under the name Medical
    Device King or MDK.
    Pharmalogical launched its parallel importing business around 2009 with
    purchases of Botox from a Canadian distributor. One of the company’s first
    potential customers, Dr. James Avellini, expressed concern that the product
    labels did not include a National Drug Code (“NDC”)2 and requested assurances
    of the product’s legitimacy before he placed an order. Dr. Avellini’s inquiry
    prompted Scully and Lameh to approach an attorney, Richard Gertler, then of
    Thaler & Gertler, LLP, to research whether it was legal to resell the imported
    products in the United States. Gertler produced an opinion letter dated May 27,
    2009, indicating that “Pharmalogical has not received any correspondence or
    notification from the FDA advising that Pharmalogical is operating in violation of
    any of the provisions of the Federal Food, Drug and Cosmetic Act,” and that
    2
    The NDC is a unique number assigned to each drug that allows for easy
    identification of the labeler of the product (i.e., manufacturer, repackager, or
    distributor); the product’s active ingredients, strength, and dosage form; and the
    package size and type. See 
    21 C.F.R. § 207.33
     (2016).
    5
    “Pharmalogical has no reason to believe that it is not in full compliance with the
    FFDCA or any other statute or regulation.” App’x 400. The letter satisfied Dr.
    Avellini and others that Pharmalogical was authorized to sell Botox.
    Scully and Lameh soon learned that the Canadian distributor with which
    they had been placing Botox orders simply forwarded those orders to a European
    distributor, which then shipped the product to Pharmalogical in the United
    States. Pharmalogical decided to cut out the Canadian middleman and began to
    place orders for Botox and a second product, Mirena intrauterine devices,
    directly with the European company. They also began buying Mirena IUDs at an
    even lower price from a Turkish company that sold the devices with Finnish- and
    Turkish-language labels and packaging. Around that time, the FDA responded to
    an inquiry from Scully regarding the sale of the Mirena IUDs, notifying him that
    foreign-made versions of FDA-approved drugs were considered unapproved
    new drugs. Scully and Lameh asked Gertler to look into the matter and Gertler
    once again produced an opinion letter, finding that “the importation of Mirena
    . . . from Finland to the United States by Pharmalogical, Inc., for resale to the end
    user, would not violate the criminal laws of the United States.” App’x 417.
    6
    As had occurred with Botox, when a potential customer for the Mirena
    IUDs, Planned Parenthood, requested assurances that the product was lawful to
    purchase, Scully and Lameh provided Gertler’s Mirena letter. Planned
    Parenthood then placed a small order for Mirena IUDs, but then rejected and
    returned the order because the product labels were missing NDCs. Scully and
    Lameh nevertheless resolved to continue selling the Mirena IUDs to doctors. As
    the company’s sales of Botox and Mirena IUDs increased, Scully and Lameh
    further expanded their business into oncology products. Gertler did not issue a
    separate legal opinion regarding Pharmalogical’s importation and sale of
    oncology drugs.
    The first signs of trouble for Pharmalogical came in May 2012, when FDA
    agents executed warrants to search Pharmalogical’s offices. In response, Gertler
    and other lawyers, including Peter Tomao for Scully and Geoffrey Kaiser for
    Lameh, arranged meetings with prosecutors, and Pharmalogical ceased selling
    oncology products. But Scully made at least one shipment of oncology products
    after the search through Taranis Medical Corp., a company that he had
    incorporated in December 2011 and for which he executed written agreements
    authorizing it to use Pharmalogical’s wholesale license to distribute prescription
    7
    drugs, all without Lameh’s knowledge. Scully did not consult Gertler or Lameh
    before making the Taranis shipment.
    II.   Indictment and Pre-Trial Motions
    Scully and Lameh were indicted and arrested in April 2014. The indictment
    alleged that the two men used Pharmalogical (doing business as Medical Device
    King and MDK) and Taranis, to knowingly and willfully import foreign versions
    of prescription drugs and medical devices not approved by the FDA for use in
    the United States, and that they sold those products to customers under
    materially false and fraudulent pretenses. After initially pleading not guilty,
    Lameh entered into a cooperation agreement with the government and pled
    guilty to conspiracy to commit wire fraud and conspiracy to distribute
    misbranded drugs.
    Prior to trial, Scully moved to strike all counts based on violations of FDA
    regulations, as well as Count 72, charging fraudulent importation and
    transportation of goods, and Count 73, charging trafficking in counterfeit drugs.
    The district court denied the motions, but ordered the government to provide a
    bill of particulars identifying the specific fraud alleged in each count and the
    misbranding alleged in each count. The government provided such a bill, and
    8
    obtained a superseding 75-count indictment that added two new counts charging
    Scully with the introduction of unapproved new drugs into interstate commerce
    and the unlicensed wholesale distribution of prescription drugs.
    III.   The Trial
    At trial, the government called dozens of witnesses to prove that Scully
    purchased prescription drugs and medical devices with labels bearing
    instructions in foreign languages and lacking NDCs from foreign distributors,
    misrepresented those products to medical professionals as FDA-approved
    products with English-language labeling, and continued selling such
    pharmaceuticals through Taranis after government officials raided
    Pharmalogical. The witnesses included Lameh, who detailed Pharmalogical’s
    activities and Scully’s knowledge regarding the legality of the company’s
    business model throughout the company’s history; some of the medical
    professionals who purchased products from Scully and testified to
    representations that Scully made about the products; and pharmaceutical
    company representatives and government officials who testified to the
    importance of FDA approval and NDCs.
    9
    At the close of the government’s case, Scully moved to dismiss all counts of
    the superseding indictment for insufficient evidence. The district court denied
    that motion except as to Counts 72 and 73, which charged fraudulent importation
    and transportation of goods and trafficking in counterfeit drugs, on which the
    court reserved decision.
    Scully then advanced an advice-of-counsel defense, contending that he
    lacked the requisite intent for all counts alleging fraud due to his good faith
    reliance on advice from Gertler and Tomao regarding the legality of his conduct.
    The defense called Gertler as its first witness, and both parties questioned him
    extensively on the nature of his relationship with Scully. In particular, Gertler
    testified to his legal experience with health care matters, the information that
    Scully shared with him about Pharmalogical’s business and products, the advice
    he provided to Scully and Pharmalogical, and Tomao’s role on Scully’s legal
    team.
    The government’s direct examination of Lameh and cross-examination of
    Gertler and Scully effectively undermined Scully’s advice-of-counsel defense as
    to Gertler. In particular, the government presented evidence that Scully and
    Lameh only approached Gertler for opinion letters after they had purchased
    10
    products and potential customers raised concerns about the legitimacy of the
    products sold by Pharmalogical; that Scully provided Gertler with false
    information, including that the products sold by Pharmalogical were FDA-
    approved and that Pharmalogical followed all laws and regulations for importing
    their products into the United States; that Scully did not inform Gertler that
    Pharmalogical would advertise FDA-approved products on its website, but
    sometimes provide to customers foreign equivalents of those products that were
    not FDA-approved; and that Scully did not inform Gertler that U.S. customs
    officials seized, sometimes permanently, some of the prescription drugs
    Pharmalogical purchased from abroad because they were misbranded.
    The defense did not call Tomao to testify. Instead, they sought to introduce
    evidence of Tomao’s legal advice to Scully through Scully’s own testimony. The
    government objected to that course of action after the following exchange during
    defense counsel’s direct examination of Scully:
    Q.     Did Mr. Tomao also give you an oral legal
    opinion as to his conclusions about your business
    model?
    A.     Yes. We sat down and met at Mr. Gertler’s office.
    We had a meeting. It was Rodi, myself, Mr.
    Gertler and Peter Tomao, and Peter had given his
    approval and said the business was completely
    legal.
    11
    App’x 279. The government moved to strike, which the district court sustained as
    to “[t]he statement that Peter gave us his approval.” 
    Id.
     As the court explained:
    When we have the alternative of his state of mind and
    the jury hearing hearsay, very important testimony, the
    answer is no. I will not permit that. . . .
    Bring in Mr. Tomao. . . .
    It is extremely prejudicial to the Government for you to
    allow [Scully] to give that testimony. That overtakes the
    state of mind in my opinion. . . .
    It is not an exception to this hearsay rule which is that
    where you have a major figure, a very important figure
    which you do not bring in, I’m not going to let the
    hearsay come in, state of mind or otherwise.
    
    Id.
     at 280–81.
    The following day, Scully asked the district court to reconsider that ruling,
    noting that the defense offered evidence of Tomao’s advice to Scully not for the
    truth of the matters asserted, but to establish Scully’s state of mind as part of the
    advice-of-counsel defense. Accordingly, the defense argued, that evidence fell
    outside of the hearsay rule. See Fed. R. Evid. 801(c)(2). On further reflection, the
    district court agreed that the testimony was not technically hearsay, but ruled
    that evidence of Tomao’s advice was nevertheless inadmissible under the
    balancing inquiry of Federal Rule of Evidence 403, noting:
    12
    This testimony is extremely important to the defense,
    and as the prosecutor said, totally prejudicial to the
    government. Where is Mr. Peter Tomao? We all know
    he is a trial lawyer readily available. Why should I
    permit this totally prejudicial evidence for a state of
    mind where it is outweighed by the danger of unfair
    prejudice? . . . So I rule that the evidence’s probative
    value is substantially outweighed by the danger of
    unfair prejudice.
    App’x 302. The court then again pointed out that Tomao was “readily available”
    and “in court every day.” 
    Id.
    After both sides rested their cases, the district court dismissed Counts 72
    and 73 for lack of sufficient evidence, as well as Counts 6 and 22, charging mail
    and wire fraud relating to a Dr. R. Daniel Jacob, on the government’s motion
    because Dr. Jacob was unable to testify at trial. Although the court did not
    provide printed copies of its proposed charge to the parties, it read to them its
    proposed jury charge, including its instructions on the advice-of-counsel defense.
    The defense’s only requested changes to the court’s instructions on the advice-of-
    counsel defense were to remove the term “affirmative” from descriptions of the
    defense and to change references to Scully’s “crimes” to his “acts.” App’x 333–34.
    The government raised no objections to those proposed changes, and the court
    accepted them both.
    13
    Later that day, however, the government filed a letter motion objecting on
    various grounds to the court’s proposed charge and verdict sheet on the advice-
    of-counsel defense. Scully’s counsel responded by letter arguing that “[t]here is
    no reason or basis for the Court to now rewrite the advice-of-counsel instruction
    it drafted and discussed to the satisfaction o[f] both parties” and urging the court
    to use the charge “as agreed during the Court’s charging conference.” G. App’x
    56. The court denied the government’s motion as to the jury charge, and
    proceeded to instruct the jury on the 71 remaining counts in the superseding
    indictment. Of relevance to this appeal, the court instructed the jury on Scully’s
    advice-of-counsel defense as follows:
    Now I am going to instruct you on the defense of
    reliance on the advice of an attorney. . . .
    In this regard, I instruct you that the defendant has the
    burden of producing evidence to support the defense,
    but the burden of proof in this case remains on the
    government.
    I further instruct you that the defendant has to satisfy
    the following three elements to sustain the defense of
    advice of counsel:
    First, that the defendant sought the advice of counsel
    honestly and in good faith prior to committing any of
    these crimes;
    14
    Second, that the defendant fully and honestly placed all
    of the facts before his counsel, and;
    Third, that the defendant followed his counsel’s advice
    in good faith and honestly believing it to be correct and
    intending that his actions are lawful.
    Each of these three requirements must be satisfied.
    App’x 368–69.
    The court also described to the jury how it was to consider the advice-of-
    counsel defense on the verdict form:
    As to each count you will be asked to render your
    verdict and mark the verdict sheet. The verdict sheet
    will list every count. And next to it . . . the words “not
    guilty or guilty.” . . .
    [I]f you find the defendant guilty of that count, then you
    will be asked to determine if the defense of “advice of
    counsel” has been established.
    Next to the question on advice of counsel there will be
    two markings, “established,” if the defense has been
    established and “not established” if the defense has not
    been established. If you find the defendant guilty of the
    crime at issue, but also find that the defense of advice of
    counsel has been established, I advise you that the
    defendant will be acquitted of that count.
    App’x 369–70.
    15
    The jury deliberated for two days and returned a guilty verdict on all
    counts except five counts of wire fraud.
    IV.   Post-Trial Developments
    After the jury’s verdict, Scully moved for a judgment of acquittal on all
    counts and, in the alternative, a new trial. The district court granted the motion
    only as to Counts 45 and 62, which concerned the purchase and sale of Altuzan to
    the Hematology and Oncology Center of Iowa. The court then entered judgment
    and sentenced Scully to 60 months in prison.3 This appeal followed.
    DISCUSSION
    On appeal, Scully does not renew his post-trial challenge to all counts for
    lack of sufficient evidence to prove criminal intent.4 Instead, Scully’s main
    challenge on appeal focuses on two alleged impediments to the fair presentation
    and consideration of his advice-of-counsel defense, his only defense at trial: the
    3
    In sentencing Scully, the district court applied two sentencing enhancements:
    abuse of a position of trust under U.S.S.G. § 3B1.3 and a leadership role in a
    criminal activity under U.S.S.G. § 3B1.1(c). Because we vacate Scully’s conviction
    and remand for a new trial, we need not address the propriety of these
    enhancements.
    4
    Scully does raise legal challenges to his convictions on certain specific counts.
    Those arguments are discussed in Part III below.
    16
    district court’s exclusion of evidence of Tomao’s legal advice and the jury
    instructions on the advice-of-counsel defense. We now turn to those issues.
    I.    Evidence of Tomao’s Legal Advice
    Scully argues that the district court abused its discretion when it excluded
    testimony and evidence relating to the legal advice that Scully received from
    Tomao. The abuse of discretion standard is “famously slippery” and “there has
    been little consensus over the years as to precisely what the phrase means.”
    Zervos v. Verizon New York, Inc., 
    252 F.3d 163
    , 168 n.4 (2d Cir. 2001) (Cabranes, J.).
    A district court’s evidentiary determinations generally “will not be disturbed
    unless they are manifestly erroneous.” Davis v. Velez, 
    797 F.3d 192
    , 201 (2d Cir.
    2015) (internal quotation marks omitted). “Under Rule 403, so long as the district
    court has conscientiously balanced the proffered evidence’s probative value with
    the risk for prejudice, its conclusion will be disturbed only if it is arbitrary or
    irrational.” United States v. Awadallah, 
    436 F.3d 125
    , 131 (2d Cir. 2006). In general,
    a district court is said to abuse its discretion “when its decision cannot be located
    within the range of permissible decisions or is based on a clearly erroneous
    factual finding or an error of law.” United States v. Rigas, 
    490 F.3d 208
    , 238 (2d Cir.
    2007) (internal quotation marks omitted).
    17
    During Scully’s trial, the district court ruled that Scully could not introduce
    evidence of Tomao’s legal advice through Scully’s direct examination. The court
    initially excluded that evidence on hearsay grounds, basing that decision on its
    sense that the importance of Tomao’s advice and the “extremely prejudicial”
    nature of that testimony to the government’s case “overt[ook] the state of mind”
    exception to the hearsay rule. App’x 281.
    Even after defense counsel demonstrated that the testimony was not
    hearsay because it went to Scully’s state of mind and was not offered for the truth
    of the matter asserted, the court continued to maintain that the evidence was
    unfairly prejudicial to the government and therefore inadmissible under Federal
    Rule of Civil Procedure 403. Though the district court changed the legal basis for
    its ruling, hearsay concerns permeated the court’s reasoning. For example, the
    court noted that Tomao was “readily available” and “in court every day,” and
    that “allow[ing] this defendant to testify as to what Peter Tomao told him” is
    “extremely important and prejudicial probably to the government.” App’x 302.
    The court further explained in its post-trial ruling on Scully’s motion to vacate
    the judgment that the proposed evidence did “not shed its fundamental character
    as hearsay,” “bore the trappings of unreliable hearsay,” and was “largely
    18
    cumulative of his testimony regarding Gertler.” United States v. Scully, 
    170 F. Supp. 3d 439
    , 475–76 (E.D.N.Y. 2016).
    We find that the district court erred in its balancing of the probative value
    and prejudicial effect of the proposed evidence under Rule 403. As the district
    court noted, Scully’s efforts to bolster his only defense at trial with relevant
    evidence of the advice of a second attorney was “extremely important to the
    defense.” App’x 302. But it is difficult to identify what unfair prejudice that
    testimony would have imposed on the government. The district court’s
    continued concern with the hearsay character of Scully’s secondhand relaying of
    Tomao’s words was misplaced. A statement is only hearsay if it is offered “to
    prove the truth of the matter asserted.” Fed. R. Evid. 801(c)(2). “Where, as here,
    the statement is offered as circumstantial evidence of [the defendant’s] state of
    mind, it does not fall within the definition given by Rule 801(c)[,] because it was
    not offered to prove the truth of the matter asserted.” United States v. Detrich, 
    865 F.2d 17
    , 21 (2d Cir. 1988). Though “the fact that a statement falls within an
    exception to the hearsay rule does not mean that the statement is not to be
    classified as hearsay,” United States v. Gupta, 
    747 F.3d 111
    , 131 (2d Cir. 2014),
    19
    Scully’s proposed testimony does not fall within a hearsay exception; it is, by
    definition, not hearsay at all.
    Nor was it appropriate to require that Scully call Tomao as a witness in
    order to ensure the reliability of Scully’s testimony. There may be reasons to
    doubt the credibility and reliability of Scully’s testimony in that regard, and the
    government may well be correct that the documents proffered by Scully were
    unlikely to sway a jury. But such determinations are the province of the jury
    alone. See United States v. Khan, 
    53 F.3d 507
    , 514 (2d Cir. 1995). Scully is
    competent to testify to the advice he received from counsel, even if his testimony
    is one-sided and self-serving; we are now a long way from the common law rule
    that “excluded as witnesses . . . persons interested in the result of the trial,”
    Wolfson v. United States, 
    101 F. 430
    , 435 (5th Cir. 1900).
    It was thus error for the district court, in effect, to consider as an element of
    prejudice to the government the increased possibility that Scully’s testimony
    about Tomao’s oral advice would be false if uncorroborated by testimony from
    Tomao himself. One party to a trial will frequently believe that testimony offered
    by the other side is false or misleading. That, however, is not a factor to be
    weighed against the receipt of otherwise admissible testimony. The opposing
    20
    party has ample means to challenge the credibility of a party’s testimony, which
    is to be decided by the jury. Here, for example, if Scully had been permitted to
    testify to what he claims Tomao told him, the government could have cross-
    examined him about that testimony, noted in summation the self-serving nature
    of the testimony due to Scully’s interest in the outcome and the conspicuous lack
    of corroboration from Tomao himself, challenged the likelihood that a reputable
    attorney would have given such a significant opinion orally, or called Tomao as a
    rebuttal witness, as it did Lameh’s attorney Geoffrey Kaiser. The government’s
    strategic preference not to take those steps does not affect the admissibility of
    Scully’s evidence.
    The government’s argument that evidence of Tomao’s advice to Scully
    would have been cumulative is also unavailing. Scully’s entire defense rested on
    the advice he allegedly received from two lawyers, Gertler and Tomao. The
    government effectively cross-examined Gertler, raising questions as to Scully’s
    version of the relevant events and Gertler’s level of experience with FDA matters.
    Evidence of the legal advice of another attorney, and in particular a former
    federal prosecutor with acknowledged experience working on FDA compliance
    matters, might well have bolstered Scully’s case in the eyes of the jury. Though
    21
    the record includes references to Tomao and his role on Scully’s legal team, such
    stray bits of testimony do not substitute for Scully’s direct account of the advice
    that he claims to have received from Tomao, particularly where the case revolved
    around what Scully told his attorneys and what they told him.
    Finally, we conclude that that error was not harmless. In assessing whether
    the improper exclusion of defense evidence was harmless, we consider
    (1) the importance of the unrebutted assertions to the
    government’s case; (2) whether the excluded material
    was cumulative; (3) the presence or absence of evidence
    corroborating or contradicting the government's case on
    the factual questions at issue; (4) the extent to which the
    defendant was otherwise permitted to advance the
    defense; and (5) the overall strength of the prosecution’s
    case.
    United States v. Oluwanisola, 
    605 F.3d 124
    , 134 (2d Cir. 2010). Scully’s defense was
    that he relied on the advice of counsel in operating his business and therefore
    lacked the requisite fraudulent intent that the government had to prove at trial.
    Evidence of Tomao’s advice was necessary to rebut the government’s claim. Of
    course, the most persuasive evidence of that advice would have been testimony
    from Tomao himself. But Scully was not legally required to call Tomao. He was
    fully competent to testify about his own state of mind, and about how Tomao’s
    22
    advice affected his state of mind. It was for the jury to determine whether that
    testimony was credible and raised a reasonable doubt about Scully’s guilt.
    On that basis, Scully is entitled to a new trial.
    II.   Advice-of-Counsel Jury Instructions
    Scully also argues that the district court’s jury charge on the advice-of-
    counsel defense improperly placed the burden on Scully to establish the defense,
    rather than on the government to demonstrate that Scully had the requisite
    intent. Scully waived that argument, however, when defense counsel, in response
    to the government’s letter motion objecting to the advice-of-counsel jury charge
    and verdict sheet, urged that “[t]here is no reason or basis for the Court to now
    rewrite the advice-of-counsel instruction it drafted and discussed to the
    satisfaction o[f] both parties” and that the charge “should be read to the jury as
    agreed during the Court’s charging conference.” G. App’x 56. Such affirmative
    endorsement of the district court’s jury instructions waives the right to appellate
    review. See United States v. Hertular, 
    562 F.3d 433
    , 444 (2d Cir. 2009); cf. United
    States v. Crowley, 
    318 F.3d 401
    , 414 (2d Cir. 2003). Accordingly, were we not
    remanding for a new trial in any event, Scully’s belated appellate objection to the
    district court’s jury instructions would not warrant vacating his conviction. But
    23
    because a new trial is required on other grounds, we take the opportunity to
    provide some guidance to the district court on the issue.
    While “the prosecution must prove guilt beyond a reasonable doubt,” “the
    long-accepted rule was that it was constitutionally permissible to provide that
    various affirmative defenses were to be proved by the defendant.” Patterson v.
    New York, 
    432 U.S. 197
    , 211 (1977). An affirmative defense is “[a] defendant’s
    assertion of facts and arguments that, if true, will defeat the plaintiff’s or
    prosecution’s claim, even if all the allegations in the complaint are true.” Black’s
    Law Dictionary 451 (8th ed. 2004); see also Saks v. Franklin Covey Co., 
    316 F.3d 337
    ,
    350 (2d Cir. 2003). In a fraud case, however, the advice-of-counsel defense is not
    an affirmative defense that defeats liability even if the jury accepts the
    government’s allegations as true. Rather, the claimed advice of counsel is
    evidence that, if believed, can raise a reasonable doubt in the minds of the jurors
    about whether the government has proved the required element of the offense
    that the defendant had an “unlawful intent.” United States v. Beech-Nut Nutrition
    Corp., 
    871 F.2d 1181
    , 1194 (2d Cir. 1989). The government must carry its burden to
    prove Scully’s intent to defraud, and that burden does not diminish because
    Scully raised an advice-of-counsel defense. Accordingly, the district court must
    24
    advise the jury in unambiguous terms that the government at all times bears the
    burden of proving beyond a reasonable doubt that the defendant had the state of
    mind required for conviction on a given charge.
    That said, defendants are entitled to an advice-of-counsel instruction only
    if there are sufficient facts in the record to support the defense. United States v.
    Evangelista, 
    122 F.3d 112
    , 117 (2d Cir. 1997). There must be evidence such that a
    reasonable juror could find that the defendant “honestly and in good faith sought
    the advice of counsel,” “fully and honestly laid all the facts before his counsel,”
    and “in good faith and honestly followed counsel’s advice.” United States v.
    Colasuonno, 
    697 F.3d 164
    , 181 (2d Cir. 2012) (brackets and internal quotation
    marks omitted). Once the evidence meets that threshold, it is for the government
    to carry its burden of proving fraudulent intent beyond a reasonable doubt and
    for the jury to decide whether that burden was met. It is therefore potentially
    confusing to instruct the jury that the defendant “has the burden of producing
    evidence to support the defense”5 or must “satisfy” the elements of the defense,
    5
    The “burden of producing evidence,” App’x 368, simply means that the issue is
    not for the jury’s consideration at all absent some evidence of the required facts.
    Whether that burden is met is thus, in the first instance, for the court to decide.
    See, e.g., United States v. Bok, 
    156 F.3d 157
    , 164 (2d Cir. 1998). It is generally
    preferable, in our view, not to use the language of “burden of production” in jury
    25
    or that it is the jury’s job to determine whether the defense was “established.”
    App’x 368–70.
    In drafting a more appropriate instruction on the advice-of-counsel
    defense, it may be tempting to turn to the Supreme Court’s century-old
    formulation, adopted by this Court in Beech-Nut:
    [I]f a man honestly and in good faith seeks advice of a
    lawyer as to what he may lawfully do . . . , and fully and
    honestly lays all the facts before his counsel, and in
    good faith and honestly follows such advice, relying
    upon it and believing it to be correct, and only intends
    that his acts shall be lawful, he could not be convicted of
    [a] crime which involves willful and unlawful intent[,]
    even if such advice were an inaccurate construction of
    the law. But, on the other hand, no man can willfully
    and knowingly violate the law and excuse himself from
    the consequences thereof by pleading that he followed
    the advice of counsel.
    
    871 F.2d at
    1194–95 (alterations in original), quoting Williamson v. United States,
    
    207 U.S. 425
    , 453 (1908). But that language, like many excerpts from appellate
    opinions articulating legal principles for an audience of judges and lawyers, is
    unwieldy for a jury instruction.
    instructions for fear that it would confuse the jury about the all-important burden
    of proof that remains on the prosecution.
    26
    More manageable contemporary formulations are available. The treatise on
    jury instructions authored by the late Leonard B. Sand, a wise and experienced
    trial judge, and his colleagues, offers the following template that translates the
    Williamson/Beech-Nut formulation into clearer language:
    You have heard evidence that the defendant received
    advice from a lawyer and you may consider that
    evidence in deciding whether the defendant acted
    willfully and with knowledge.
    The mere fact that the defendant may have received
    legal advice does not, in itself, necessarily constitute a
    complete defense. Instead, you must ask yourselves
    whether the defendant honestly and in good faith
    sought the advice of a competent lawyer as to what he
    may lawfully do; whether he fully and honestly laid all
    the facts before his lawyer; and whether in good faith he
    honestly followed such advice, relying on it and
    believing it to be correct. In short you should consider
    whether, in seeking and obtaining advice from a lawyer,
    the defendant intended that his acts shall be lawful. If
    he did so, it is the law that a defendant cannot be
    convicted of a crime that involves willful and unlawful
    intent, even if such advice were an inaccurate
    construction of the law.
    On the other hand, no man can willfully and knowingly
    violate the law and excuse himself from the
    consequences of his conduct by pleading that he
    followed the advice of his lawyer.
    27
    Whether the defendant acted in good faith for the
    purpose of seeking guidance as to the specific acts in
    this case, and whether he made a full and complete
    report to his lawyer, and whether he acted substantially
    in accordance with the advice received, are questions
    for you to determine.
    1 Leonard B. Sand, et al., Modern Federal Jury Instructions: Criminal, Instruction
    8-4, at 8-19 (2017).
    We also refer district courts to the model instructions drafted by our sister
    circuits, particularly the Seventh Circuit’s model, which reads as follows:
    If the defendant relied in good faith on the advice of an
    attorney that his conduct was lawful, then he lacked the
    [intent to defraud; willfulness; etc.] required to prove
    the offense[s] of [identify the offense] charged in
    Count[s] __.
    The defendant relied in good faith on the advice of
    counsel if:
    1. Before taking action, he in good faith sought the
    advice of an attorney whom he considered competent to
    advise him on the matter; and
    2. He consulted this attorney for the purpose of
    securing advice on the lawfulness of his possible future
    conduct; and
    3. He made a full and accurate report to his attorney of
    all material facts that he knew; and
    28
    4. He then acted strictly in accordance with the advice
    of this attorney.
    [You may consider the reasonableness of the advice
    provided by the attorney when determining whether
    the defendant acted in good faith.]
    The defendant does not have to prove his good faith.
    Rather, the government must prove beyond a
    reasonable doubt that the defendant acted [with intent
    to defraud; willfully; etc.] as charged in Count[s] __.
    Seventh Circuit Pattern Criminal Jury Instructions, § 6.12 (2012 ed.).
    Neither of these instructions muddles the question of burden of proof by
    injecting the concept of a “burden of production” or asserting that a defendant
    must “show” or “establish” or “satisfy” the jury about particular facts. The last
    paragraph of the Seventh Circuit instruction, which explicitly informs the jury
    that a defendant need not establish her good faith, seems to us a valuable final
    reminder of the burden of proof that the prosecution must carry and should be
    included in any instruction to the jury on the advice-of-counsel defense.6
    6
    For similar reasons, we disapprove of the format of the verdict sheet adopted by
    the district court in this case. Where the government must establish a defendant’s
    fraudulent intent, the jury should not be instructed to first decide whether a
    defendant is “guilty” and then determine separately “if the defense of ‘advice of
    counsel’ has been established.” App’x 370. Reliance on the advice of counsel, in
    cases where fraudulent intent is a required element for guilt, is a defense that
    tends to refute the government’s proof of such intent. If the defendant lacks such
    intent, he is not guilty of the offense.
    29
    III.   Scully’s Challenges to Additional Counts
    In addition to the claims of trial error discussed above, Scully also contests
    his guilt on several specific counts of which he was convicted. First, Scully argues
    that the district court should have dismissed all counts premised on his
    distribution of prescription drugs not bearing English-language labeling because
    those requirements are imposed by FDA regulation and therefore cannot serve as
    the basis of a criminal charge. Second, Scully claims that there was insufficient
    evidence to convict him of the two remaining counts relating to Dr. Jacob because
    Dr. Jacob did not testify at trial. We find no merit to these arguments.
    Scully claims that he was erroneously convicted of counts based on the sale
    of prescription drugs with labels in languages other than English. His argument
    misunderstands both the bases for his conviction and the law. A drug is
    misbranded if its labeling lacks “adequate directions for use,” 
    21 U.S.C. § 352
    (f),
    or “if at any time prior to dispensing the label of the drug fails to bear, at a
    minimum, the symbol ‘Rx only,’” 
    21 U.S.C. § 353
    (b)(4)(A). In the bill of
    particulars filed by the government at court order, the government alleged that
    each of the drugs that Scully sold “failed to bear the phrase ‘Rx only.’” G. App’x
    13–18. Scully did not claim otherwise at trial or on appeal. Accordingly, the
    30
    evidence of guilt was sufficient without regard to the foreign-language label. But
    in any event, we find no legal flaw in the government’s alternative theory based
    on the absence of English-language labels. Prescription drugs affixed with
    foreign-language labels do not provide adequate directions for use as required by
    the statute, and not merely by FDA regulations. It requires no administrative
    regulation to reach the common-sense conclusion that medical products bearing
    labels in languages other than the prevailing language in the relevant
    marketplace—here, English—are, in effect, not labeled at all.
    Scully also argues that the record lacked sufficient evidence to support his
    conviction on Counts 40 and 57, charging introduction of Botox into interstate
    commerce and receipt of Botox in interstate commerce and delivery thereof to Dr.
    R. Daniel Jacob for pay with the intent to defraud or mislead. Because Dr. Jacob
    was unable to testify at trial due to illness, Scully argues that the government
    failed to prove that Dr. Jacob relied on Scully’s representations when purchasing
    the misbranded Botox, thereby defeating any finding of fraudulent intent. But
    reliance by a victim is not an element of felony introduction of misbranded drugs
    into interstate commerce nor of felony receipt of misbranded drugs in interstate
    commerce and delivery thereof for pay, which are complete when the defendant
    31
    formulates a fraudulent scheme and introduces or receives and sells misbranded
    drugs through interstate commerce. Moreover, “direct proof of defendant's
    fraudulent intent is not necessary.” United States v. Guadagna, 
    183 F.3d 122
    , 129
    (2d Cir. 1999). “[A] jury may bring to its analysis of intent on individual counts
    all the circumstantial evidence it has received on the scheme and the purpose of
    the scheme in which the defendant allegedly participated.” 
    Id. at 130
    . There is
    substantial evidence in the record from which a jury could find that Scully was
    engaged in a scheme to defraud doctors, clinics, and hospitals; the whole
    corporate enterprise was built on Scully’s assurances that the drugs sold in the
    name of Pharmalogical, Medical Device King, and Taranis were appropriate for
    sale in the United States. The government need not present testimony from each
    victim of Scully’s fraudulent scheme to prove intent as to that victim.
    CONCLUSION
    For the reasons stated above, the judgment of the district court is
    VACATED and REMANDED for further proceedings in accordance with this
    opinion.
    32