In 2017, the U.S. Drug Enforcement Administration (DEA) apprehended the dark web vendor known as UsToUs after a three-year investigation into online drug sales on black market websites, with transactions totaling millions of dollars. However, it was only when the Miami Task Force took over the local law enforcement case in Saint Louis, Missouri-one that had generated significant profits-that the full extent of the illicit operations was uncovered. Despite a backdrop of murder, betrayal, and the involvement of paid confidential informants authorized to engage in criminal acts, Duncan Bell was just one of four individuals responsible for managing the vendor account that was the first to manufacture its own pharmaceuticals, creating a pill empire.