HUMANA INC. v. MERCK & COMPANY, INC.

CourtDistrict Court, D. New Jersey
DecidedDecember 30, 2024
Docket2:23-cv-23023
StatusUnknown

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Bluebook
HUMANA INC. v. MERCK & COMPANY, INC., (D.N.J. 2024).

Opinion

NOT FOR PUBLICATION

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY

HUMANA INC.,

Plaintiff, Case No. 2:23-cv-23023 (BRM) (LDW) v. OPINION MERCK & CO., INC., et al.,

Defendants.

MARTINOTTI, DISTRICT JUDGE

Before this Court is Defendants Merck & Co., Merck Sharp & Dohme Corp., Schering- Plough Corporation, Schering Corporation (collectively, “Merck”), and Glenmark Pharmaceuticals Limited’s (“Glenmark”) (together with Merck, “Defendants”) Partial Motion to Dismiss (ECF No. 46) Plaintiff Humana Incorporated’s (“Humana”) Second Amended Complaint (“Second Amended Complaint”) (ECF No. 32) pursuant to Federal Rule of Civil Procedure 12(b)(6).1 Plaintiff opposes the Motion (ECF No. 47), and Defendants filed a reply (ECF No. 48).

1 This case is one of two that were originally filed in the District of New Jersey, see Humana Inc. v. Merck & Co., Inc., et al., Case No. 2:23-cv-23023 (D.N.J. Sept. 22, 2021), and then consolidated in a Multi-District Litigation (“MDL”) in the Eastern District of Virginia by the JPML pursuant to 29 U.S.C. § 1407, see Humana Inc. v. Merck & Co, et al., Case No. 2:21-cv- 01007 (E.D. Va. Oct. 18, 2021); Centene Corp. v. Merck & Co, et al., Case No. 2:21-cv-17363 (E.D. Va. Oct. 18, 2021). At the time Humana was joined to the MDL, there were at least seven other actions ongoing with common questions of fact. On December 12, 2023, the JPML remanded both cases to this Court. (See ECF No. 8.) The two cases are represented by the same attorneys and raise roughly the same claims against Defendants, who submitted identical briefs in support of their Motions to Dismiss against the two Plaintiffs. Having reviewed the parties’ submissions filed in connection with the Motion and having declined to hold oral argument pursuant to Federal Rule of Civil Procedure 78(b), for the reasons set forth below and for good cause having been shown, Defendants’ Partial Motion to Dismiss (ECF No. 46) is GRANTED in part and DENIED in part.

I. BACKGROUND For the purpose of this Motion to Dismiss, the Court accepts the factual allegations in the Second Amended Complaint as true and draws all inferences in the light most favorable to Plaintiff. See Philips v. Cnty. Of Alleghany, 515 F.3d 224, 228 (3d Cir. 2008). The Court also considers any “document integral to or explicitly relied upon in the complaint.” In re Burlington Coat Factory Sec. Litig., 114 F.3d 1410, 1426 (3d Cir. 1997). A. The Parties Humana Inc. is a Delaware corporation with its principal place of business in Louisville, Kentucky, that provides healthcare related services, including “insuring risk for prescription drug costs for more than 8 million members in all 50 States, the District of Columbia, and Puerto Rico.” (Id. ¶ 9.) When a Humana member fills a prescription for Zetia, Vytorin, or generic

equivalents at a pharmacy, Humana pays a large share of the cost; for example, through its health plans, Humana has paid hundreds of millions of dollars to pharmacies for prescriptions for Zetia, Vytorin, and generic equivalents dispensed to Humana members. (Id. ¶ 10.) In addition to payments made through its various plans, Humana has spent millions of dollars on both Zetia and Vytorin dispensed by Humana’s own mail-order pharmacy, Humana Pharmacy, Inc. (“HPI”), and retail pharmacy locations. (Id. ¶ 11.) Humana purchases Zetia, Vytorin, and other drugs relevant to this action from distributors like AmerisourceBergen Drug Corporation (“ABDC”), who in turn purchases its drugs from Defendants. (Id.) In an agreement made effective on May 6, 2022, Humana, HPI, and ABDC entered into an agreement through which ABDC assigned its rights to assert claims against Defendants to Humana arising out of or relating to ABDC’s purchases of Zetia and Vytorin which were then resold to HPI from 2011 to present. (Id. ¶ 12.) Merck & Co., Inc. is a corporation organized under the laws of New Jersey. (Id. ¶ 14.) Merck Sharp & Dohme Corp. is a subsidiary of Merck & Co., Inc., organized under the laws of

New Jersey and the assignee of patents relevant to this matter. (Id. ¶ 15.) MSP Singapore Co. LLC is a subsidiary of Merck and formerly the exclusive licensee of the relevant patents. (Id. ¶ 21.) Schering-Plough Corp. (“Schering-Plough”) was also a corporation organized under the laws of New Jersey, as was Schering Corp. (“Schering”), a wholly owned subsidiary of Schering-Plough and the original assignee of the relevant patents. (Id. ¶ 16–17.) Merck & Co. acquired Schering-Plough in 2009 and thereafter changed its name to Merck & Co., Inc., and the company formerly known as Merck & Co., Inc. became Merck Sharp & Dohme Corp. (Id. ¶ 18.) Glenmark Pharmaceuticals Limited is an Indian corporation with a principal place of business and registered office in Mumbai, India. (Id. ¶ 19.) Glenmark Pharmaceuticals Inc., USA (“Glenmark”), a wholly owned subsidiary of Glenmark Pharmaceuticals Limited incorporated in

2002, is a corporation with a principal place of business in New Jersey that has been referred to, done business as, or been known as both Glenmark Pharmaceuticals Inc., USA and Glenmark Generics Inc., USA. (Id. ¶ 22.) Par Pharmaceutical, Inc is a corporation under the laws of New York. (Id. ¶ 20.) Par Pharmaceutical, Inc. is a subsidiary of Endo International plc (“Endo”), an Irish corporation with a headquarters in Malvern, Pennsylvania. (Id.) Endo acquired Par Pharmaceutical Holdings, Inc. and its subsidiaries (including Par Pharmaceutical, Inc.) and merged it with its existing generics subsidiary, Qualitest Pharmaceuticals. (Id.) The Second Amended Complaint refers to all of Par’s predecessors and successors, collectively, as “Par.” (Id.) B. The Regulatory Structure for Approval of New Drugs Before releasing a new pharmaceutical product into the market, companies must first file a New Drug Application (“NDA”) with the Food and Drug Administration (“FDA”) providing information on any relevant patents and demonstrating the safety and efficacy of the proposed drug. (ECF No. 32 ¶ 27.) Once approved, the FDA creates a list of information regarding any

patents identified as covering the proposed drug by the manufacturing company—specifically, patents: (1) claiming the approved drug or its approved uses; and (2) for which a patent infringement claim could be reasonably asserted under 21 U.S.C. §§ 355(b)(1) and (c)(2)—in the Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”). (Id. ¶ 28.) The FDA relies on a company’s representations about the validity and applicability of asserted patents. (Id. ¶ 29.) The drugs covered by NDAs are commonly referred to as “brand- name drugs” or “branded drugs,” and pharmaceutical companies that receive NDA approval are entitled to a 180-day period of “regulatory exclusivity[]” as a first-filer, during which time the FDA cannot approve any other similar generic drug applications. (Id. ¶¶ 27, 30, 45.) However, the manufacturer of the brand drug is still entitled to market and sell its own authorized generic

version during this exclusivity period, thereby capturing some of the sales that would otherwise go to a first filer of a generic version. (Id. ¶ 45.) “Generic versions of brand-name drugs contain the same active ingredient as the branded drug and have been determined by the FDA to be just as safe and effective as the brand.” (Id.

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HUMANA INC. v. MERCK & COMPANY, INC., Counsel Stack Legal Research, https://law.counselstack.com/opinion/humana-inc-v-merck-company-inc-njd-2024.