Novartis Pharmaceuticals Corp v. Secretary United States Department of Health

CourtCourt of Appeals for the Third Circuit
DecidedSeptember 11, 2025
Docket24-2968
StatusPublished

This text of Novartis Pharmaceuticals Corp v. Secretary United States Department of Health (Novartis Pharmaceuticals Corp v. Secretary United States Department of Health) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Novartis Pharmaceuticals Corp v. Secretary United States Department of Health, (3d Cir. 2025).

Opinion

PRECEDENTIAL

UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT ____________

No. 24-2968 ____________

NOVARTIS PHARMACEUTICALS CORP., Appellant

v.

SECRETARY UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES; ADMINISTRATOR CENTERS FOR MEDICARE & MEDICAID SERVICES; UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES; CENTERS FOR MEDICARE & MEDICAID SERVICES; SECRETARY UNITED STATES DEPARTMENT OF THE TREASURY; UNITED STATES DEPARTMENT OF THE TREASURY; COMMISSIONER INTERNAL REVENUE SERVICE; INTERNAL REVENUE SERVICE ____________

On Appeal from the United States District Court for the District of New Jersey (D.C. No. 3:23-cv-14221) District Judge: Honorable Zahid N. Quraishi ____________

Argued on April 8, 2025 Before: HARDIMAN, PHIPPS, and FREEMAN, Circuit Judges.

(Filed: September 11, 2025)

Samir Deger-Sen [Argued] Nikita Kansra Latham & Watkins 1271 Avenue of the Americas New York, NY 10020

Cherish A. Drain Christina R. Gay Graham B. Haviland Daniel Meron Latham & Watkins 555 11th Street NW Suite 1000 Washington, DC 20004

Counsel for Appellant

Eric J. Hamilton Michael S. Raab Catherine M. Padhi* [Argued] Maxwell A. Baldi Lindsey Powell United States Department of Justice Civil Division * Catherine M. Padhi withdrew as counsel on July 11, 2025, prior to the issuance of this opinion.

2 Rooms 7237, 7712, 7513, and 7259 950 Pennsylvania Avenue NW Washington, DC 20530

Sean R. Keveney Lena Yueh David L. Hoskins Kenneth R. Whitley Anant Kumar United States Department of Health and Human Services Office of the General Counsel 200 Independence Ave. S.W. Washington, D.C. 20201

Counsel for Appellees

Michael D. Lieberman Rucha Desai Fairmark Partners 400 7th Street NW Suite 304 Washington, DC 20004

Counsel for Amicus Curiae Patients for Affordable Drugs in Support of Appellees

Robin F. Thurston Democracy Forward Foundation P.O. Box 34553 Washington, DC 20043

Counsel for Amici Curiae American Public Health Association, American College of Physicians, Society of

3 General Internal Medicine, American Geriatrics Society, and American Society of Hematology in Support of Appellees

Nandan M. Joshi Allison M. Zieve Wendy Liu Public Citizen Litigation Group 1600 20th Street NW Washington, DC 20009

Andrew M. Milz Jody T. López-Jacobs Flitter Milz 1814 E Route 70 Suite 350 Cherry Hill, NJ 08003

Counsel for Amici Curiae Public Citizen, Doctors for America, Families USA, and Protect Our Care in Support of Appellees

Brianne J. Gorod Elizabeth B. Wydra Nina G. Henry Constitutional Accountability Center 1200 18th Street NW Suite 501 Washington, DC 20036

Counsel for Amicus Curiae Constitutional Accountability Center in Support of Appellees

4 Julie Nepveu Kelly Bagby William Alvarado Rivera AARP Foundation Litigation 601 E Street NW Washington, DC 20049

Counsel for Amici Curiae AARP, AARP Foundation, Justice in Aging, Center for Medicare Advocacy, Medicare Rights Center in Support of Appellees

Hannah W. Brennan Claudia Morera Rebekah Glickman-Simon Hagens Berman Sobol Shapiro One Faneuil Hall Square 5th Floor Boston, MA 02109

Counsel for Amici Curiae Law Professors and Scholars in Support of Appellees

Alyssa H. Card Margaret Dotzel William B. Schultz Zuckerman Spaeder 2100 L Street NW Suite 400 Washington, DC 20037

Counsel for Amici Curiae Stuart Altman, Robert Berenson, Donald Berwick, David Blumenthal, Francis

5 J. Crosson, Paul Ginsburg, Marilyn Moon, and Bruce Vladeck in Support of Appellees

Flavio L. Komuves Weissman & Mintz 220 Davidson Avenue Suite 410 Somerset, NJ 08873

Counsel for Amicus Curiae Abrams Institute for Freedom of Expression in Support of Appellees

Hannah W. Brennan Hagens Berman Sobol Shapiro One Faneuil Hall Square 5th Floor Boston, MA 02109

Counsel for Amici Curiae Center for American Progress, Century Foundation, and UnidosUs Action Fund in Support of Appellees

___________

OPINION OF THE COURT ____________

HARDIMAN, Circuit Judge.

Novartis appeals a summary judgment rejecting its constitutional challenge to portions of the Inflation Reduction Act of 2022 (the Act). As relevant here, the Act was passed to

6 slow the rapid growth of federal outlays for prescription drugs. To that end, the Act established what it called the “Drug Price Negotiation Program” (the Program). The Program directs the Department of Health and Human Services (HHS)—through the Centers for Medicare and Medicaid Services (CMS)—to “negotiate” prices with drug manufacturers. See 42 U.S.C. § 1320f(a)(3).

Novartis contends that the Program (1) threatens it with an excessive fine in violation of the Eighth Amendment; (2) takes its property without just compensation in violation of the Fifth Amendment; and (3) compels it to speak in violation of the First Amendment. Perceiving no error in the District Court’s judgment, we will affirm.

I

“Medicare is a federal medical insurance program for people ages sixty-five and older and for younger people with certain disabilities.” AstraZeneca Pharms. LP v. Sec’y U.S. Dep’t of HHS, 137 F.4th 116, 119 (3d Cir. 2025). “Medicaid is a joint federal and state program that provides medical coverage for people with limited incomes.” Id.

The Program at issue in this appeal targets Medicare Parts B and D. See id. at 120. Part B is a “supplemental insurance program that covers outpatient care, including certain prescription drugs that are typically administered by a physician.” Id. Part D is a “prescription drug benefit program that subsidizes the cost of prescription drugs and prescription

7 drug insurance premiums for Medicare enrollees.” Id. (citation omitted).

Part D is administered through prescription drug plans operated by private insurers called “sponsors.” Id. Sponsors bid to be accepted into Medicare Part D and contract with CMS for reimbursement. See 42 U.S.C. §§ 1395w-111–1395w-112; see also 42 C.F.R. § 423.301 et seq. (setting forth rules for reimbursing sponsors). Sponsors, in turn, work with subcontractors, such as pharmacy benefit managers, who process claims and perform other administrative tasks. See AstraZeneca, 137 F.4th at 120. Those subcontractors then work with the pharmacies that dispense prescription drugs to Medicare Part D beneficiaries. See id.

When Congress enacted Part D in 2003, it prohibited CMS from “interfer[ing] with the negotiations between drug manufacturers and pharmacies and . . . sponsors” and from “institut[ing] a price structure for the reimbursement of covered part D drugs.” 42 U.S.C. § 1395w-111(i)(1), (3) (2003). Almost twenty years later, however, the Act created an exception, directing CMS to “negotiate . . . maximum fair prices” for certain drugs, id. § 1320f(a)(3), subject to price ceilings derived from a benchmark market-based price, id. § 1320f-3(c). A “selected drug’s ‘maximum fair price’ applies beginning in a given drug-pricing period (a period of one calendar year), the first of which is 2026, until the drug is no longer eligible for negotiation or the price is renegotiated.” AstraZeneca, 137 F.4th at 120 (citing 42 U.S.C. §§ 1320f(b)(1)–(2), 1320f–1(c), 1320f–3(f)).

The Act required CMS to select ten drugs for the first drug-pricing period. See 42 U.S.C.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Bailey, Collector of Internal Revenue v. George
259 U.S. 16 (Supreme Court, 1922)
Child Labor Tax Case
259 U.S. 20 (Supreme Court, 1922)
Enochs v. Williams Packing & Navigation Co.
370 U.S. 1 (Supreme Court, 1962)
Bob Jones University v. Simon
416 U.S. 725 (Supreme Court, 1974)
Massachusetts v. Environmental Protection Agency
549 U.S. 497 (Supreme Court, 2007)
National Federation of Independent Business v. Sebelius
132 S. Ct. 2566 (Supreme Court, 2012)
Swan v. Clinton
100 F.3d 973 (D.C. Circuit, 1996)
Haaland v. Brackeen
599 U.S. 255 (Supreme Court, 2023)
FDA v. Alliance for Hippocratic Medicine
602 U.S. 367 (Supreme Court, 2024)

Cite This Page — Counsel Stack

Bluebook (online)
Novartis Pharmaceuticals Corp v. Secretary United States Department of Health, Counsel Stack Legal Research, https://law.counselstack.com/opinion/novartis-pharmaceuticals-corp-v-secretary-united-states-department-of-ca3-2025.