OxyContin Maker Purdue Pharma To Plead Guilty To 3 Criminal Charges

Purdue Pharma, the company that makes OxyContin, the powerful prescription painkiller that experts say helped touch off an opioid epidemic, will plead guilty to three federal criminal charges as part of a settlement of more than $8 billion, Justice Department officials announced Wednesday.

The company will plead guilty to three counts, including conspiracy to defraud the United States and violating federal anti-kickback laws, the officials said. The resolution will be detailed in a bankruptcy court filing in federal court.

The deal does not release any of the company’s executives or owners — members of the wealthy Sackler family — from criminal liability, and a criminal investigation is ongoing. One state attorney general said the agreement fails to hold the Sacklers accountable, while family members said they had acted “ethically and lawfully.”

The settlement is the highest-profile display yet of the federal government seeking to hold a major drug maker responsible for an opioid addiction and overdose crisis linked to more than 470,000 deaths in the country since 2000.

“Purdue deeply regrets and accepts responsibility for the misconduct detailed by the Department of Justice in the agreed statement of facts,” Steve Miller, who became chairman of the company’s board in 2018, said in a statement. No members of the Sackler family remain on that board, though they still own the company.

Family members, in a statement, expressed “deep compassion for people who suffer from opioid addiction and abuse and hope the proposal will be implemented as swiftly as possible to help address their critical needs.”

The deal comes less than two weeks before a presidential election where the opioid epidemic has taken a political back seat to the coronavirus pandemic and other issues. It does give President Donald Trump’s administration an example of action on the addiction crisis, which he promised early in his term.

But to Massachusetts Attorney General Maura Healey, the Justice Department “failed” and she said in a statement that she was not done with either Purdue or the Sacklers.

“Justice in this case requires exposing the truth and holding the perpetrators accountable, not rushing a settlement to beat an election,” she said.

Ed Bisch, who lost his 18-year-old son to an OxyContin overdose nearly 20 years ago, said he wants to see people associated with Purdue prosecuted.

“The fact that this doesn’t grant anyone immunity, I’m heartened by that,” he said after the deal was announced.

As part of the resolution, Purdue is admitting that it impeded the Drug Enforcement Administration by falsely representing that it had maintained an effective program to avoid drug diversion and by reporting misleading information to the agency to boost the company’s manufacturing quotas, the officials said.

Purdue is also admitting to violating federal anti-kickback laws by paying doctors, through a speaking program, to induce them to write more prescriptions for the company’s opioids and for using electronic health records software to influence the prescription of pain medication, according to the officials.

Purdue will make a direct payment to the government of $225 million, which is part of a larger $2 billion criminal forfeiture. In addition to that forfeiture, Purdue also faces a $3.54 billion criminal fine, though that money probably will not be fully collected because it will be taken through a bankruptcy, which includes a large number of other creditors. Purdue will also agree to $2.8 billion in damages to resolve its civil liability.

Purdue would transform into a public benefit company, meaning it would be governed by a trust that has to balance the trust’s interests against those of the American public and public health, officials said. The Sacklers would not be involved in the new company and part of the money from the settlement would go to aid in medication-assisted treatment and other drug programs to combat the opioid epidemic, the officials said.

As part of the plea deal, the company admits it violated federal law and “knowingly and intentionally conspired and agreed with others to aid and abet” the dispensing of medication from doctors “without a legitimate medical purpose and outside the usual course of professional practice,” according to a copy of the plea agreement obtained by the AP.

First lady Melania Trump, who has focused many of her public efforts on health issues such as this epidemic, tweeted that the agreement was “another big step in defeating” the crisis.

But even before the deal was announced, it was facing resistance from state attorneys general, Democratic members of Congress and advocates who wrote Attorney General William Barr asking him not to make the bargain with the company and the family. They said it does not hold them properly accountable and they raised concerns about some of the details.

The Sackler family has already pledged to hand over the company itself plus at least $3 billion to resolve thousands of suits against the Stamford, Connecticut-based drug maker. The company declared bankruptcy as a way to work out that plan, which could be worth $10 billion to $12 billion over time. Family members said in their statement that the company’s value is more than twice as much as they profited from OxyContin.

About half the states oppose that settlement, and also wrote Barr to ask him not to make the federal deal that includes converting Purdue into a public benefit corporation. They say it would be wrong for governments to rely on earnings from the sale of more OxyContin to fund programs to mitigate the toll of an opioid crisis wrought by prescription drugs as well as heroin and illicitly produced fentanyl.

The Sackler family was once listed among the nation’s wealthiest by Forbes magazine. A 2019 court filing said they had made up to $13 billion over the years from the blockbuster drug, though a lawyer said they brought in far less after taxes and reinvestment in the company.

Until recently, the family’s name was on museum galleries and educational programs around the world because of gifts from family members. But under pressure from activists, institutions from the Louvre in Paris to Tufts University in Massachusetts have dissociated themselves from the family in the last few years.

Judge Rules Opioid Victims Can Begin Filing Claims Against Purdue Pharma

The federal judge overseeing the bankruptcy case of OxyContin maker Purdue Pharma set a June 30 deadline to file claims against the company. That includes governments, entities such as hospitals and, for the first time, individuals with personal injury claims. There is no guarantee that people who became addicted to opioids or their families would receive any money, and the judge emphasized that those claims would be open only to people who believe they were harmed by Purdue. Purdue plans to spend $23.8 million to advertise the deadline, an unusually large amount to notify potential creditors in a bankruptcy case.

Nonprofit Advocates Opioid Settlement Money Should Go To Hospitals

In the late 1990s, the tobacco industry agreed to pay billions of dollars in fines to state governments to offset some of the medical costs associated…

In the late 1990s, the tobacco industry agreed to pay billions of dollars in fines to state governments to offset some of the medical costs associated with caring for the millions of Americans dealing with the effects of nicotine addiction. 

 

Inspired by the tobacco model, state and local governments came together in recent years to sue Purdue Pharma, manufacturer of the drug OxyContin, for its role in the opioid crisis. That lawsuit came to a tentative resolution Wednesday. 

How should any settlement money be divvied up? West Virginia University president Gordon Gee, argues that at least some of it should go to hospitals. 

“For example…let me just use Ruby,” he said, meaning Ruby Memorial Hospital in Morgantown.

“We have about 25 to 30 opioid patients in our hospital right now who are in need of heart valve replacements. And this is part of the result of the opioid crisis. Each one of those people will stay in our hospital for 50 to 60 days, a lot of it unreimbursed. So this is in the order of millions of dollars of uncompensated care,” he said.

Gee added that though Medicaid and Medicare offsets some of this care, much of the financial burden falls on the hospital.  “Therefore you have to raise the prices on other goods and services delivered in the hospital or on paying patients.”

To address this problem, former Ohio Governor John Kasich and Gee unveiled a new non-profit, Citizens for Effective Opioid Treatment, in August. The main goal of this initiative is to funnel opioid settlement money directly to hospitals rather than to the coffers of local and state governments. 

“In this instance, if the settlement is appropriate, it will really go to those who are impacted,” said Gee. “Not so much as a reimbursement system, but as a system of filling the hole that has already been developed.”

Gee said the tobacco settlement showed the wrong way of directing this money. While the money was intended to go toward smoking prevention and healthcare, in reality much of it was spent on filling state budget gap holes or paying off debts. 

“The ideal outcome would be for us to defeat this damn crisis,” he said. “That would be the ideal outcome. But the intermediate outcome would be making sure we have the resources to attack the crisis.” In other words, he wants  the health care system to be “appropriately recognized, compensated and given opportunity to really attack this crisis” as a result of any settlement.

The cities of Huntington and Charleston, as well as the state of West Virginia, are all plaintiffs in the Purdue Pharma case. 

We reached out to all of these plaintiffs asking if they had a plan for how the money would be used. A lawyer involved in the Huntington and Charleston cases said both cities do have a plan for using the money for treatment, but didn’t share specifics. The Charleston mayor’s office issued a statement saying, “At this time, we are waiting to see if a settlement will be reached. If a settlement is reached, the administration will work with Charleston City Council and other interested parties to create a plan for the funds.”

The Attorney General’s office did not respond to the question but did issue a press release Thursday afternoon that said the state will not “sign on to any final deal unless it puts our state in the strongest possible position to fight this epidemic.”

 

Appalachia Health News is a project of West Virginia Public Broadcasting, with support from Marshall Health and Charleston Area Medical Center.

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