In re Revlimid & Thalomid Purchase Antitrust Litigation

CourtDistrict Court, D. New Jersey
DecidedMarch 18, 2026
Docket2:19-cv-07532
StatusUnknown

This text of In re Revlimid & Thalomid Purchase Antitrust Litigation (In re Revlimid & Thalomid Purchase Antitrust Litigation) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re Revlimid & Thalomid Purchase Antitrust Litigation, (D.N.J. 2026).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

IN RE REVLIMID & THALOMID PURCHASE ANTITRUST LITIGATION No. 19-cv-07532 (MEF)(MAH)

OPINION

Table of Contents I. Background A. The Allegations B. Procedural History C. The Motion II. Where To Start III. The Cause of Action A. The Public Benefit Rule B. An Implication of the Rule IV. Can the Court Ask? V. Should the Court Ask? A. Interest B. Representation C. Usefulness D. Novelty VI. Conclusion * * * A pharmaceutical company funded charities that helped people afford its cancer drug --- and an insurance company that was often billed for the drug came to believe that the charity payments were a scheme, designed to get more doctors and patients to select the drug. So the insurance company sued the pharmaceutical company, including under a Minnesota law. The pharmaceutical company now moves to dismiss, arguing, among other things, that claims under the Minnesota law cannot go forward here because there is no cause of action. But the scope of any potentially-available cause of action is tied to the scope of the Minnesota Attorney General’s power to pursue his own enforcement actions. So before the Court decides the motion to dismiss, it will solicit the AG’s views. * * * I. Background A. The Allegations This is a dispute between an insurance company1 and a pharmaceutical company.2 The pharmaceutical company held the key patents on an important brand-name cancer drug.3 See Second Amended Complaint (“Complaint”) (ECF 463) ¶¶ 2, 182, 166. * * * To see what the allegations here are about, start off by imagining three things. First, imagine a cancer patient whose doctor prescribes her the drug. Second, take it as a given that the drug costs, say, $10 per dose.4

1 United Healthcare Services, Inc. 2 Celgene Corporation. Note that in 2019, Bristol-Myers Squibb Co. bought Celgene Corporation. See Second Amended Complaint (ECF 463) ¶ 19. But Bristol-Myers Squibb Co. is not a named defendant here. See id. ¶¶ 11-26; see also Plaintiff United Healthcare Services, Inc’s Memorandum of Law in Opposition to Defendant Celgene Corporation’s Motion to Dismiss (Issue E) (ECF 537) at 1 n.1. 3 Revlimid. 4 The numbers used throughout this Opinion are just examples. They do not purport to be accurate. Not at all. Rather, they And third, hypothesize that the cancer patient has an arrangement with the insurance company --- under which the insurance company will pay for the drug for the woman, but only after certain other boxes are checked, things like her deductibles and co-pays being taken care of. Say these add up to $3. And collectively call costs like these (deductibles, co- pays, etc.) “insurance-related-costs.” * * * What follows are the allegations here. They take up the remainder of this Part I.A.5 * * * Insurance-related-costs were designed by the insurance company to work, in part, as a kind of speed bump. To encourage the patient (and her doctor) to slow down a bit, and to consider lower-cost options --- something cheaper than the drug.6 But the pharmaceutical company did not want patients (and doctors) turning to “lower cost alternative[s].” Id. ¶ 655. Presumably for everyday commercial reasons.7 And also for an added reason. The pharmaceutical company was “work[ing] to exclude generics from the market.” Id. ¶ 650.

are used just to boil things down and illustrate the allegations. 5 Because this is a motion to dismiss, the Court must treat all of the complaint’s allegations as true. See McTernan v. City of York, 577 F.3d 521, 526 (3d Cir. 2009). Whether they are in fact true would be a question for later in the case. 6 See Complaint ¶ 658 (describing “cost-sharing obligations . . . as a market-based check on . . . prescription volume”); see generally Nicole Fusco, et al., Cost-Sharing and Adherence, Clinical Outcomes, Health Care Utilization, and Costs: A Systematic Literature Review, 29 J. Managed Care & Specialty Pharmacy 4, 5 (2023) (noting the conventional view that “cost- sharing . . . compel[s] consumers to be more thoughtful and selective in their health care choices if they are required to shoulder a greater burden for such services”). 7 The kinds of reasons that apply in all sorts of contexts, beyond the pharmaceutical industry. The short of it: Ford wants people buying Fords, not Chevys. This was to keep prices for the brand-name drug much higher than they otherwise would have been. See id. ¶ 5. So the pharmaceutical company had an extra reason to ensure that people were choosing its drug. See id. ¶ 650. Namely, given the pharmaceutical company’s “exclu[sion]” of generics, each dose of the drug would be especially pricey, id. ¶¶ 293, 300, 651, 678 - -- and the pharmaceutical company would therefore make significant per-unit profits on each sale. See generally id. ¶ 318. * * * Against this backdrop, the pharmaceutical company allegedly subsidized some consumers’ insurance-related-costs. See id. ¶¶ 653, 672, 758. If, through a subsidy, someone else covered the hypothetical cancer patient’s $3 in insurance-related-costs, then there would be that much less reason for her (and her doctors) to steer away from the $10 drug. See id. ¶ 655; see footnote 6. This was a plus for the pharmaceutical company. It allowed the company to sell more of the drug. See Complaint ¶¶ 653, 655, 671-72, 682, 753, 756. And it worked as a safety valve. It released the pressure that would otherwise have built up --- the pressure on the pharmaceutical company from patients and doctors to put the drug within easier financial reach, by allowing generic drugs to more broadly compete with the brand-name drug. See id. ¶¶ 653, 656- 58, 756-57. This pent up pressure might ultimately have caused the price of the drug to fall. See generally id. ¶ 657, 756. But the pressure was instead released, and so it dissipated.8

8 As to the safety valve, the “scheme” is alleged to have worked roughly as follows. The pharmaceutical company constrained supply by limiting the availability of generic versions of the drug. See Complaint ¶¶ 5, 293, 401, 414. This kept prices for the drug high. See id. ¶¶ 5, 283, 294, 303, 401. And then, to relieve pressure that would have built up to lower across-the- board drug prices, the pharmaceutical company subsidized some people’s demand, by using charities to cover their insurance- related-costs. See id. ¶¶ 653, 655, 658, 672, 753, 758. Cf., e.g., Arnold Kling, Specialization and Trade: A Re-Introduction to Economics 127-28 (2016) (describing what the author takes to be a similar dynamic in a range of other areas, a dynamic of The pharmaceutical company’s subsidies, in short, impacted both (i) the volume of the drug that was sold and (ii) the price at which it was sold. See id. ¶¶ 655, 658, 672, 682, 753, 755-56. This injured the insurance company. When one of its insureds obtained the drug, the insurance company had to cover part of the cost. So if more people were taking the drug, it would have to do more covering. And when the insurance company had to cover the drug’s cost, it was covering a relatively higher cost. See, e.g., id. ¶¶ 15, 655, 672. * * * As to the just-referenced subsidies: how were they paid by the pharmaceutical company? “[S]ecretly.” Id. ¶¶ 655, 757. Through “donations” from the pharmaceutical company to nominally “independent” charities.9 See id. ¶¶ 652, 654, 672, 682. The charities then allegedly used this money to help patients who had arrangements with the insurance companies. How? By covering some or all of the patients’ insurance-related-costs10 for the drug --- thereby producing an “illusion for physicians and patients that [the pharmaceutical company’s drug] was ‘free’ (or close to it).” Id. ¶ 658. But although the drug might have appeared free, the insurance company still had to pay. See id. ¶¶ 679, 758-59.

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In re Revlimid & Thalomid Purchase Antitrust Litigation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-revlimid-thalomid-purchase-antitrust-litigation-njd-2026.