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A British man who hacked high profile Twitter – now known as X – accounts as part of a Bitcoin scam has been ordered to hand over £4.1m in stolen cryptocurrency.

Joseph O’Connor, from Liverpool, hijacked more than 130 accounts in July 2020, including those of Barack Obama, Joe Biden and Elon Musk.

The 26-year-old fled to Spain where his mother lives before being arrested and extradited to the US for trial.

He was sentenced to five years for cyber crimes but now must hand over a haul of crypto he gathered through various hacks and scams.

O’Connor, who went by the alias PlugwalkJoe, carried out the so-called “giveaway scam” with other young men and teenagers – breaking into Twitter’s internal systems and taking over high profile accounts.

Three other hackers have been charged over the scam, with US teenager Graham Clark pleading guilty to his part in the deception in 2021.

The hackers gained access to the accounts by first convincing a small number of Twitter employees to hand over their internal login details – which eventually granted them access to the social media site’s administrative tools.

They used social engineering tricks to get access to the powerful internal control panel at the site.

Once inside the Twitter accounts of famous individuals, they pretended to be the celebrities and tweeted asking followers to send Bitcoin to various digital wallets promising to double their money.

As a result of the fraud, an estimated 350 million Twitter users viewed suspicious tweets from official accounts of some of the platform’s biggest users, including Apple, Uber, Kanye West and Bill Gates.

Thousands were duped into believing that a crypto giveaway was real.

Between 15 and 16 July 2020, 426 transfers were made to the scammers of various amounts from people hoping to double their money.

A total of over 12.86 BTC was stolen which at the time was worth around $110,000 (£83,500). It is now worth $1.2m.

The UK’s Crown Prosecution Service (CPS) said investigators believed more crypto linked to O’Connor was obtained through criminal hacks he carried out with other teenagers and young people he met whilst playing Call of Duty online.

The CPS has recovered 42 Bitcoin and other digital currency in total from him.

Adrian Foster, Chief Crown Prosecutor for the CPS Proceeds of Crime Division, said O’Connor “targeted well known individuals and used their accounts to scam people out of their crypto assets and money”.

“Even when someone is not convicted in the UK, we are still able to ensure they do not benefit from their criminality,” he said.

Novo Nordisk is chopping prices again for its popular obesity treatment Wegovy, but doctors say the expense will remain challenging for patients without insurance.

The drugmaker said Monday that it has started selling higher doses of the injectable treatment for $349 a month to patients paying the full bill. That’s down from $499 and in line with terms of a drug pricing agreement outlined earlier this month by President Donald Trump’s administration.

Novo also has started a temporary offer of $199 a month for the first two months of low doses of Wegovy and the drug’s counterpart for diabetes, Ozempic. The new pricing will be available at pharmacies nationwide through home delivery and from some telemedicine providers.

Rival Eli Lilly also plans price breaks for its weight-loss drug Zepbound once it gets a new, multi-dose pen on the market.

Obesity treatments like Zepbound and Wegovy have soared in popularity in recent years. Known as GLP-1 receptor agonists, the drugs work by targeting hormones in the gut and brain that affect appetite and feelings of fullness.

In clinical trials, they helped people shed 15% to 22% of their body weight — up to 50 pounds or more in many cases. But affordability has been a persistent challenge for patients.

A recent poll by the nonprofit KFF found that about half of the people who take the treatments say it was hard to afford them.

Previous research has shown that people have difficulty paying for a medication when the cost rises above $100 per month for a prescription or refill, said Stacie Dusetzina, a Vanderbilt University Medical Center professor and prescription drug pricing expert.

She said new prices like those outlined by Novo are “not going to really move the needle for a person who doesn’t have a pretty reasonable amount of disposable income.”

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.