Drug Co. Pfizer Fined US$2.3b for Repeated Cheating

Pfizer, the world’s No. 1 drugmaker, agreed to pay allegation claims of US$2.3b for repeatedly committing criminal offences that included cheating patients and doctors by claiming 13 medications for conditions as yet unapproved by the Authority. This brings to question its integrity as a manufacturer-marketer.

It goes to show that even gigantic manufacturers like Pfizer can err by using unscrupulous sales tactics to woo customers—all in the name of achieving more gains. But Pfizer Inc. was not the only company to have committed such an offense. (It is noteworthy, though, that this is the largest settlement amount thus far for the illegal marketing of prescription medicines.) Companies can go to great lengths in order to achieve their sales goals.

Read below Reuter’s report dated September 2, 2009:

Pfizer to pay $2.3 bln, agrees to criminal plea

Last Updated: 2009-09-02 17:00:23 -0400 (Reuters Health)

* Cited for marketing of Bextra, 12 other drugs
* Pfizer operations to stay under US supervision for 5 yrs
* Pfizer had announced $2.3 bln charge in January
* Pfizer shares slide 0.5 pct

By Ransdell Pierson and Jeremy Pelofsky

NEW YORK/WASHINGTON (Reuters) - Pfizer Inc agreed on Wednesday to plead guilty to a U.S. criminal charge relating to promotion of its now-withdrawn Bextra pain medicine and will pay a record $2.3 billion to settle allegations it improperly marketed 13 medicines.

The world's biggest drugmaker was slapped with the huge fines after being deemed a repeat offender in pitching drugs to patients and doctors for unapproved conditions.

Pfizer, whose shares slid 0.5 percent, had pleaded guilty in 2004 to an earlier criminal charge of improper sales tactics and its marketing practices have been under federal supervision since then.

The company in January said it took a $2.3 billion charge late last year to resolve allegations involving Bextra and other drugs, but did not provide details at the time.

Wednesday's agreement was unveiled by the U.S. Department of Justice and Health and Human Services Department.

"The size and seriousness of this resolution, including the huge criminal fine of $1.3 billion, reflect the seriousness and scope of Pfizer's crimes," said Mike Loucks, acting U.S. attorney for the District of Massachusetts.

The settlement includes a $1.3 billion criminal fine related to methods of selling Bextra, which was withdrawn from the market in 2005 on safety concerns. Pfizer acquired Bextra in its 2003 purchase of Pharmacia Corp.

Pfizer's marketing team promoted Bextra for acute pain, surgical pain and other unapproved uses, while its salesforce promoted the drug directly to doctors for those unapproved uses and dosages, according to the Justice Department.

The company and Pharmacia also used advisory boards, consultant meetings and provided travel to lavish resorts to improperly promote Bextra to doctors and made false and misleading claims about the drug's safety and efficacy, the government said.

The settlement also includes $1 billion in civil payments related to so-called "off-label" sales of drugs -- meaning for uses not authorized by the U.S. Food and Drug Administration -- and payments to healthcare professionals. Pfizer denied all of the civil allegations, except for acknowledging improper promotions of the antibiotic Zyvox.

"We regret certain actions taken in the past, but are proud of the action we've taken to strengthen our internal controls," said Amy Schulman, Pfizer's general counsel.

Justice Department officials said cracking down on fraud in the healthcare industry was a key priority and comes as President Barack Obama is trying to push through reforms of the $2.5 trillion healthcare system to clip soaring costs.

The settlement and guilty plea are not expected to significantly hurt Pfizer's ability to sell drugs, Morningstar analyst Damien Conover said, "however, it could send the wrong message at a time when you're making some pretty critical negotiations with the U.S. government on healthcare reform."

Sandra Jordan, a former federal prosecutor and professor at the Charlotte School of Law in North Carolina, said: "Pfizer can survive this and pay the money. If it had fought the government at trial and lost, and a judge imposed a criminal sentence, that could have resulted in a corporate death penalty. That would have put Pfizer out of business."

The settlement is the largest to date for improper marketing of prescription drugs, topping the $1.42 billion Eli Lilly and Co agreed to pay earlier this year for off-label sales of its Zyprexa schizophrenia drug.

Pfizer said it will pay $503 million to resolve practices involving Bextra, $301 million related to its schizophrenia drug Geodon, $98 million for Zyvox and about $50 million for its blockbuster Lyrica used to treat nerve pain and seizures.

On top of the $2.3 billion fine, Pfizer said it would take new charges of up to $33 million in the third quarter to resolve state civil consumer fraud allegations related to past promotions of Geodon.

"Pfizer ripped off taxpayers across the country to pad its bottom line," New York Attorney General Andrew Cuomo said.

The company said most of the alleged improprieties took place during or before 2005. But some are as recent as 2007, while Pfizer was essentially still on probation for improper Neurontin promotions.

Six whistle-blowers, including John Kopchinski, a former sales representative who blew the whistle on Pfizer's Bextra marketing tactics, sparking the government probes, will be rewarded with more than $102 million under the False Claims Act.

Kopchinski's share of the reward was expected to be more than $51.5 million.

Pfizer Chief Executive Jeffrey Kindler had been its general counsel from 2002 until taking the helm in 2006.

Pfizer did not specify whether it had disciplined any executives in connection with the latest infractions.

In the 2004 case, Pfizer agreed to pay $430 million to federal and state governments and pleaded guilty to criminal charges of illegally marketing epilepsy drug Neurontin for migraine headaches, pain and bipolar disorder. Pfizer obtained Neurontin in its 2000 acquisition of Warner Lambert Corp.

Due to the earlier settlement, Pfizer's marketing practices have been under federal supervision for the past five years.

Under the new settlement, Pfizer has entered into another Corporate Integrity Agreement with the U.S. Department of Health and Human Services, requiring it to adhere to a specified compliance program for five more years.

The pact will require Pfizer to post on its Web site information about payments to doctors such as travel or honorarium, and set up a system for doctors to report questionable conduct by Pfizer's representatives.

Pfizer shares were down 9 cents, or about 0.5 percent, at $16.29 in afternoon trading on the New York Stock Exchange.

(Reporting by Jeremy Pelofsky in Washington and Ransdell Pierson, Bill Berkrot, Lewis Krauskopf, Jonathan Stempel and Joan Gralla in New York; Editing by Maureen Bavdek)