Cynthia Ham v. Novartis International Ag

New Jersey Superior Court Appellate Division·Decided May 7, 2026·No. A-3481-24·Unpublished

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited . R. 1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION

DOCKET NO. A-3481-24

CYNTHIA HAM, Plaintiff-Appellant,

v.

NOVARTIS INTERNATIONAL AG, NOVARTIS PHARMACEUTICALS CORPORATION, ELIZABETH McGEE and SHEFALI KOTHARI, jointly, severally and in the alternative,

Defendants-Respondents.

Submitted December 16, 2025 – Decided May 7, 2026

Before Judges Gooden Brown and Torregrossa-

O'Connor.

On appeal from the Superior Court of New Jersey, Law Division, Morris County, Docket No. L-0946-23.

Berkowitz, Lichtstein, Kuritsky, Giasullo & Gross, LLC, attorneys for appellant (Evan Silagi and John C.

Messina, on the briefs).

Duane Morris LLP, attorneys for respondents Novartis International AG, Novartis Pharmaceuticals Corporation, Elizabeth McGee and Shefali Kothari (Kristin D. Sostowski, Cassandra J. Neugold, Christa C. Cottrell, Rebecca Fitzpatrick and Amelia H. Bailey, on the brief).

The Dwyer Law Firm, LLC, attorneys for amicus curiae National Employment Lawyers Association of New Jersey (Andrew Dwyer, of counsel and on the brief).

PER CURIAM By leave granted, 1 plaintiff Cynthia Ham appeals from the January 3, 2025 Law Division order dismissing with prejudice pursuant to Rule 4:6-2(e) five counts of her twelve-count complaint against her former employer and two company executives, as well as the February 14, 2025 order denying her motion for reconsideration. The complaint alleged violations of the New Jersey Conscientious Employee Protection Act (CEPA), N.J.S.A. 34:19-1 to -14, and the New Jersey Law Against Discrimination (NJLAD), N.J.S.A. 10:5-1 to -50. Plaintiff was employed as a compliance officer for defendant Novartis and sued parent company Novartis International AG, subsidiary Novartis Pharmaceuticals Corporation (collectively, Novartis), as well as Novartis

1 We denied plaintiff's motion for leave to appeal and plaintiff moved for leave to appeal in our Supreme Court, which granted the motion and summarily remanded to this court for consideration on the merits.

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executives, Elizabeth McGee and Shefali Kothari, alleging retaliatory discharge, hostile work environment, disability discrimination, and failure to accommodate. The National Employment Lawyers Association of New Jersey (NELA) was granted leave to appear as amicus curiae. For the reasons that follow, we reverse and remand.

I.

We discern the following facts from the face of plaintiff's complaint, giving plaintiff the benefit of all reasonable factual inferences. See Darakjian v. Hanna, 366 N.J. Super. 238, 248 (App. Div. 2004) ("[T]he facts as pleaded must be taken to be true for the purposes of the motion [to dismiss for failure to state a claim] . . . .").

Background

Plaintiff was hired by Novartis on May 1, 2018, as an "Ethics, Risk, and Compliance Advisor" in their "U.S. Patient Support Services (PSS) and Managed Markets" division. Plaintiff, an attorney, had over twenty years of compliance experience. Novartis Pharmaceuticals Corporation is a subsidiary of Novartis International AG, a Swiss multinational pharmaceutical corporation based in Basel, Switzerland. Prior to plaintiff's employment, Novartis had entered into a settlement with the U.S. Department of Justice (DOJ) to resolve

A-3481-24

claims of historical unlawful pharmaceutical practices. As part of the settlement, Novartis signed a Corporate Integrity Agreement (CIA) under which the Office of Inspector General (OIG) would continue to monitor Novartis's conduct for compliance.

As part of her employment, plaintiff was assigned to four "leadership teams" at Novartis: Managed Markets; PSS; Ethics and Compliance; and U.S. Pharma. In the course of her employment, plaintiff identified potential violations in three areas: Novartis's "Cardiac Nurse" program; a training slide deck entitled "Sales Guidance on Interactions with Pharmacies"; and inadequacies in compliance review associated with Novartis's acquisition of ophthalmic drug "Xiidra" (the "Pillpack Agreement"). In her complaint, plaintiff alleged expressing her objections in these areas caused her to be subjected to retaliation that continued until her termination.

Cardiac Nurse Program

Shortly after plaintiff's employment began, she identified the Cardiac Nurse program as a potential violation of the Federal Anti-Kickback Statute, 42 U.S.C. § 1320a-7b. The complaint described the Cardiac Nurse program as follows:

Novartis hired licensed cardiac nurses to visit cardiac patients that had been prescribed [heart failure

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medication] Entresto and report back to the prescribing cardiologists, free of charge. As a result, physicians prescribing Entresto were receiving free cardiac nursing services which were paid for by Novartis, providing an illegal incentive for physicians to prescribe Entresto.

Kothari, who was Novartis's Vice President of Legal and, at the time, reported directly to McGee, Novartis's U.S. General Counsel, "approved" the program for the PSS group.

On July 2, 2018, plaintiff emailed her manager, U.S. Chief Compliance Officer Bryant Aaron, notifying him of her findings. Later that month, plaintiff met with Aaron and requested guidance "on how to end or reform" the Cardiac Nurse program. Aaron assured her he would speak to Kothari and McGee about her concerns. When Aaron failed to follow-up, plaintiff told him she would speak to Kothari herself.

After plaintiff spoke to Kothari, Kothari became "defensive" and "claim[ed] that she had not worked on the program." Plaintiff alleged Kothari "was unable to articulate how the Cardiac Nurse [p]rogram could be compliant" with the relevant law, and refused to provide her with the program approval documents. Subsequently, Aaron, Kothari, McGee, and others "had a number of meetings about the Cardiac Nurse [p]rogram." Plaintiff was excluded from those meetings.

A-3481-24

Additionally, plaintiff "began to be excluded from other meetings and discussions that were material to her ability to perform her job," and plaintiff noticed "she was avoided and shunned by key managers and members of leadership," including McGee. When plaintiff confronted Aaron about the exclusions, and noted her concern that "her whistle[]blowing had damaged her career at Novartis," Aaron told her that many individuals were "pissed" because her concerns regarding the Cardiac Nurse program caused "people [to] have egg on their faces."

Later, Matt Zeller, the commercial head of the Cardiac Nurse program, met with plaintiff. At the meeting, Zeller "yelled and berated [plaintiff] in an outrageous manner, using profanity, to the point that his face turned red and a vein was bulging in his forehead." Zeller told plaintiff he had heard "[she was] trying to shut down the program" and asked, "[H]ow dare you?" Plaintiff was "extremely shaken and distressed following th[e] meeting" and "began to fear that her career was in danger."

After the meeting, Kothari announced the Cardiac Nurse program would be terminated, citing "changes in the current government enforcement environment." Shortly after the announcement, plaintiff was moved from the position of "Compliance Advisor for PSS and Managed Markets" to a role

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"support[ing] the Ophthalmology Franchise's legacy products," a transfer plaintiff believed was retaliatory. Plaintiff alleged the "department and company" had to be "rearrange[d]" in order for plaintiff to be moved. After the reassignment, plaintiff notified Aaron she believed this was "punish[ment] for identifying the non-compliant Cardiac Nurse [p]rogram."

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