Novartis Pharmaceuticals Corporation v. Fitch

CourtDistrict Court, S.D. Mississippi
DecidedJuly 1, 2024
Docket1:24-cv-00164
StatusUnknown

This text of Novartis Pharmaceuticals Corporation v. Fitch (Novartis Pharmaceuticals Corporation v. Fitch) is published on Counsel Stack Legal Research, covering District Court, S.D. Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Novartis Pharmaceuticals Corporation v. Fitch, (S.D. Miss. 2024).

Opinion

FOR THE SOUTHERN DISTRICT OF MISSISSIPPI SOUTHERN DIVISION

NOVARTIS PHARMACEUTICALS § PLAINTIFF CORPORATION § § § v. § Civil No. 1:24-cv-164-HSO-BWR § § LYNN FITCH § in her official capacity as Attorney § General of the State of Mississippi § DEFENDANT

MEMORANDUM OPINION AND ORDER DENYING MOTION [4] FOR PRELIMINARY INJUNCTION

This matter comes before the Court on Plaintiff Novartis Pharmaceuticals Corporation’s (“Novartis” or “Plaintiff”) Motion [4] for Preliminary Injunction. Having considered the allegations set forth in Plaintiff’s Complaint [1], the parties’ Memoranda [5], [12], [27], and relevant legal authority, and having heard argument at a hearing held on June 27, 2024, the Court will deny the Motion [4]. I. BACKGROUND Plaintiff’s Motion [4] asks the Court to enjoin the enforcement of Mississippi’s recently enacted “Defending Affordable Prescription Drug Costs Act,” 2024 Miss. H.B. 728 (“H.B. 728”), which is set to take effect on July 1, 2024. House Bill 728 concerns a federal program referred to as Section 340B. See 42 U.S.C. § 256b. Under Section 340B, pharmaceutical manufacturers who participate in Medicaid and Medicare Part B must offer certain drugs at discounted prices to certain healthcare providers, called “covered entities,” that generally provide care for the poor. See infra, Part I.A. In essence, H.B. 728 requires manufacturers to deliver drugs ordered through the 340B program to for-profit pharmacies called “contract pharmacies” with which covered entities have arrangements under which the pharmacy will dispense discounted drugs to the covered entity’s patients.

Plaintiff claims that H.B. 728, in requiring it to deliver discounted drugs to an unlimited number of contract pharmacies, invalidly expands its obligation to provide discounted drugs to covered entities. See id. at 2, 6–7. It asserts that H.B. 728 is preempted by § 256b and various federal laws—such as patent laws—that provide regulatory exclusivities that enable manufacturers to reap high profits as incentives for innovation in pharmaceuticals. See id. at 1–3. Plaintiff therefore seeks a preliminary injunction to stay the enforcement of H.B. 728. Because it is

unable to satisfy the necessary elements for such relief, Plaintiff’s Motion [4] will be denied. A. The Section 340B program Section 340B requires pharmaceutical manufacturers that want the federal government to cover their drugs under Medicaid and Medicare Part B to provide discounts on their drugs to certain healthcare providers. 42 U.S.C. §§ 256b, 1396r-

8(a)(1), (5); see Sanofi Aventis U.S. LLC v. United States Dep’t of Health & Hum. Servs., 58 F.4th 696, 699 (3d Cir. 2023), judgment entered, No. 21-3167, 2023 WL 1325507 (3d Cir. Jan. 30, 2023). Those healthcare providers are “called ‘340B’ or ‘covered’ entities,” and “include public hospitals and community health centers, many of” which are “providers of safety-net services to the poor.” Astra USA, Inc. v. Santa Clara Cnty., Cal., 563 U.S. 110, 113 (2011). The 340B Program “is superintended by the Health Resources and Services Administration,” (“HRSA”), “a unit of the Department of Health and Human Services,” (“HHS”). Id. “Drug manufacturers,” such as Plaintiff, “opt into the 340B Program by

signing a form Pharmaceutical Pricing Agreement” (“PPA”) “used nationwide.” Id. These agreements “are not transactional, bargained-for contracts. They are uniform agreements that recite the responsibilities § 340B imposes, respectively, on drug manufacturers and the Secretary of HHS.” Id. PPAs must “require that the manufacturer offer each covered entity covered outpatient drugs for purchase at or below the applicable ceiling price if such drug is made available to any other purchaser at any price.” § 256b(a)(1).

Through Section 340B, Congress leverages the federal government’s market power in healthcare—Medicare and Medicaid cover “almost half the annual nationwide spending on prescription drugs,” Sanofi Aventis, 58 F.4th at 699 (citing Cong. Budget Off., Prescription Drugs: Spending, Use, and Prices 8 (2022))—to aid covered entities in their mission to care for low-income Americans, see id. The statute enables covered entities “to give uninsured patients drugs at little or no

cost.” Id. Covered entities also obtain “extra revenue from serving insured patients” because “they turn a profit when insurance companies reimburse them at full price for drugs that they bought at the 340B discount.” Id. (citing Gov’t Accountability Off., Drug Pricing: Manufacturer Discounts in the 340B Program Offer Benefits, but Federal Oversight Needs Improvement 17–18 (GAO-11-836, Sept. 2011)). Section 340B contains two provisions that prohibit covered entities from abusing their ability to obtain discounted drugs. Covered entities cannot “resell or otherwise transfer” discounted drugs “to a person who is not a patient of the entity.”

§ 256b(a)(5)(B). Covered entities also cannot obtain “duplicate discounts or rebates,” meaning they cannot obtain Medicaid rebates under title XIX of the Social Security Act, see 42 U.S.C. § 1396 et seq., for drugs that they purchase at a discount under Section 340B, see § 256b(a)(5)(A)(i). To ensure covered entities do not resell discounted drugs or obtain duplicate discounts, the statute contains an auditing provision. It states: A covered entity shall permit the Secretary and the manufacturer of a covered outpatient drug that is subject to an agreement under this subsection with the entity (acting in accordance with procedures established by the Secretary relating to the number, duration, and scope of audits) to audit at the Secretary’s or the manufacturer’s expense the records of the entity that directly pertain to the entity’s compliance with the requirements described in subparagraphs (A) or (B) with respect to drugs of the manufacturer. § 256b(a)(5)(C). And “[i]f the Secretary finds, after audit as described in subparagraph (C) and after notice and hearing,” that the covered entity illegally resold discounted drugs or obtained duplicate discounts, “the covered entity shall be liable to the manufacturer of the covered outpatient drug that is the subject of the violation in an amount equal to the reduction in the price of the drug . . . provided under the agreement between the entity and the manufacturer.” § 256b(a)(5)(D). The Secretary can impose additional sanctions. Covered entities that the Secretary finds knowingly and intentionally resold discounted drugs must “pay a monetary penalty to a manufacturer or manufacturers in the form of interest on sums for which the covered entity is found liable under [§ 256(a)(5)(D)].” § 256b(d)(2)(B)(v)(I). Where the Secretary finds the covered entity’s reselling “was systematic and egregious as well as knowing and intentional,” the Secretary can

remove the covered entity from the program entirely. § 256b(d)(2)(B)(v)(II). B. The dispensation of 340B drugs at contract pharmacies and related litigation The issue in this case concerns a matter notably absent from the foregoing discussion: how discounted drugs under Section 340B are to be delivered to patients of covered entities. Between 1996 and March 2010, HRSA’s 1996 Guidance “acknowledged that section 340B ‘is silent as to permissible drug distribution systems,’ but it nonetheless sought to fill ‘gaps in the legislation’ and thereby ‘move

the program forward.’” Novartis Pharms. Corp. v. Johnson, 102 F.4th 452, 456–57 (D.C. Cir. 2024) (quoting Notice Regarding Section 602 of the Veterans Health Care Act of 1992; Contract Pharmacy Services, 61 Fed. Reg. 43,549, 43,549–50 (Aug.

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Novartis Pharmaceuticals Corporation v. Fitch, Counsel Stack Legal Research, https://law.counselstack.com/opinion/novartis-pharmaceuticals-corporation-v-fitch-mssd-2024.