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§ 841): First offense: Up to 1 year imprisonment, fines up to $1,000 Subsequent offense: Up to 2 years imprisonment, fines up to $2,500 Possession with intent to distribute: 5 to 10 years imprisonment, fines up to $250,000 State penalties (example: California Health and Safety Code § 11350): Misdemeanor possession: Up to 1 year county jail, fines up to $1,000 Felony possession (if combined with other charges): 16 months to 3 years state prison Customs penalties: Seizure of package (no criminal charge if first offense and small quantity) Formal warning letter from CBP Referral to FDA Office of Criminal Investigations if repeat offense or large quantity Practical enforcement: Most individuals caught with small quantities of prescription medication for personal use receive a warning and seizure rather than criminal prosecution