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Four
Pharmaceutical Companies Agree to Pay $124 Million for Alleged
Submission of False Claims to Medicaid
BALTIMORE,
MD ( October 22, 2009) - Attorney General Douglas
F. Gansler announced today that Maryland has joined with other
states and the federal government and reached agreement with
four pharmaceutical companies to pay $124 million to resolve
claims that they violated the False Claims Act by failing to
pay appropriate rebates for drugs that were paid for by Medicaid.
Mylan Pharmaceuticals,
Inc. (“MPI”), UDL Laboratories,
Inc. (UDL), AstraZeneca Pharmaceuticals LP, and Ortho McNeil Pharmaceutical,
Inc., are participants in the Medicaid Rebate Program and executed
rebate agreements with the United States. By agreeing to participate
in the Medicaid Rebate Program and signing the rebate agreements,
the companies agreed to pay quarterly rebates to Medicaid that
were based upon the amount of money that Medicaid paid for each
company’s drugs. The precise amount of a rebate is determined
in part by whether a drug is considered an “innovator” drug
or a “non-innovator” drug. The rebate that must be
paid for innovator drugs is higher than the rebate for non-innovator
drugs.
Each of the companies agreed to pay a settlement to resolve allegations
that it had sold innovator drugs that were manufactured by other
companies and had classified those drugs as non-innovator drugs
for Medicaid rebate purposes. As a result of the improper classification
of these drugs, the companies underpaid their rebate obligations
to the Medicaid Program.
MPI and UDL agreed
to pay $118 million to resolve allegations that they underpaid
their rebate obligations with respect to several
MPI drugs and several UDL drugs. From the total, $7,279,135 will
be paid to entities that participated in the Public Health Service’s
Drug Pricing Program. AstraZeneca agreed to pay $2.6 million to
resolve allegations that it underpaid its rebate obligations with
respect to Albuterol. Ortho McNeil agreed to pay $3.4 million to
resolve allegations that it underpaid its rebate obligations with
respect to Dermatop.
As part of the settlements, the State of Maryland will recover
$862,267.29 in total.
A National Association of Medicaid Fraud Control Units team participated
in the settlement negotiations with all four pharmaceutical companies
on behalf of the settling states. Team members included representatives
from the Offices of the Attorneys General for the States of New
Hampshire, Ohio, and New York.
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