A man has now been charged in connection with the 2011 death of a 16-year-old girl in Lenoir County.
In June 2011, deputies responded to a reported drowning on Bonnie Walters Road in Lenoir County.
CPR was done on Kaitlyn Rouse and she was taken to the hospital, but she died two days later.
Officials say toxicology results showed Rouse had a high level of Fentanyl in her system, and the official cause of death was a toxic combination of Fentanyl and Xanax.
During the investigation, officials say they discovered Rouse had purchased Fentanyl and Xanax from Ralph Winn, age 46, of Kinston just hours before she became unresponsive.
This week, a Lenoir County Grand Jury indicted Winn on several charges, including second degree murder and drug possession and sale.
Winn was arrested and placed under a $450,000 bond.
“While Kaitlyn paid the ultimate price for ingesting this substance," said Sheriff Chris Hill, "the person who provided this deadly concoction to Kaitlyn will now have to deal with the consequences.”
Court records show Winn has several convictions on his record, including two in 2012 for drug manufacturing and larceny and two in 2006 for DWI and drunk and disorderly.
According to webmd.com, "Fentanyl is used to manage moderate to severe pain, usually in people who have chronic pain. Fentanyl is often used when your other pain medicines no longer work."
The website goes on to say that the correct dosage is critical, as too much can lead to death and "for people with cancer who are already on opioid pain medicine such as morphine or oxycodone, fentanyl works well for treatment of cancer pain."
Xanax is used most often to treat anxiety and panic disorders.