People v. Pharmacia Corp.

27 Misc. 3d 368
CourtNew York Supreme Court
DecidedFebruary 3, 2010
StatusPublished
Cited by7 cases

This text of 27 Misc. 3d 368 (People v. Pharmacia Corp.) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
People v. Pharmacia Corp., 27 Misc. 3d 368 (N.Y. Super. Ct. 2010).

Opinion

OPINION OF THE COURT

Richard M. Platkin, J.

Defendant Pharmacia Corporation moves for summary judgment pursuant to CPLR 3212, seeking dismissal of the complaint brought by plaintiff, the People of the State of New York (the State). Plaintiff cross-moves for partial summary judgment, seeking a ruling that Pharmacia violated General Business Law [370]*370§ 349 and Executive Law § 63 (12) by causing false and inflated prices for its prescription drugs to be published and relied upon as a basis for reimbursement under certain government health programs. For the reasons that follow, neither side has established an entitlement to judgment as a matter of law.

Background

Pharmacia is a manufacturer of prescription drugs. Government health plans available in New York State — including the federal Medicare program, the joint federal-state Medicaid program, and the State’s Elderly Pharmaceutical Insurance Coverage (EPIC) program — rely upon the “average wholesale price” of prescription medications in providing reimbursement to pharmacies. The average wholesale prices (AWPs) used for this purpose were those reported in certain industry publications, which were based upon price reports made by prescription drug manufacturers, including Pharmacia.

By this action, which was commenced in February 2003, the State alleges that Pharmacia intentionally reported false and inflated wholesale prices for its products that did not reflect the actual drug acquisition costs of pharmacies. This conduct allegedly caused the State and certain Medicare consumers to pay higher prices for Pharmacia’s prescription drugs. The State alleges that defendant’s conduct runs afoul of General Business Law § 349, which prohibits deceptive consumer-oriented business practices, as well as Executive Law § 63 (12), which proscribes repeated acts of fraud or deception in the carrying on of a business.1

To aid in defending against these claims, Pharmacia sought the production of information and documents from state agencies and officials that allegedly would demonstrate that the State had long been aware that the industry-published AWP figures did not reflect the prices actually paid by pharmacies. This court (McCarthy, J.) denied Pharmacia’s motion to compel disclosure, holding that the requested materials were irrelevant to what the Legislature meant by the term “average wholesale price” used in the various reimbursement statutes.

On appeal, the Appellate Division, Third Department, affirmed, stating as follows:

“[The drug manufacturers] concede that the prices [371]*371they provided to the reporting services were not average prices actually paid by the pharmacies, but rather they were list wholesale prices before discounts. They maintain, however, that they did not represent the reported prices to be the prices actually paid, and the affected state agencies and officials knew this. However, regardless of what officials may have known, the causes of action against [the drug manufacturers] ultimately depend upon [the State’s] ability to prove that the Legislature intended the ‘average wholesale price’ to be based upon prices actually paid and that respondents were required to provide those prices rather than list prices to the reporting services. Because [the State’s] claims do not depend upon an allegation that agencies or officials were deceived, but rather that [the manufacturers] intentionally inflated the reported prices in order to manipulate and deceive the mandated statutory reimbursement formulae, any evidence that agencies or officials were aware of respondents’ failure to provide prices actually paid would be neither necessary nor material to their defense. It is, among other things, the statutory mandate that reimbursements be calculated based upon reported prices, regardless of what agencies or officials may have known about those prices” (39 AD3d 1117, 1118-1119 [3d Dept 2007] [emphasis added]).

Following an opportunity for pretrial discovery, Pharmacia now moves for summary judgment seeking dismissal of the State’s complaint. Pharmacia contends that there is nothing in the applicable statutes, legislative history or agency regulations that would permit the State to meet its burden of proving “that the Legislature intended the ‘average wholesale price’ to be based upon prices actually paid” (39 AD3d at 1119). Defendant further contends that the State cannot demonstrate that Pharmacia was “required to provide [prices actually paid] rather than list prices to the reporting services” (id.). With regard to the latter contention, Pharmacia observes that no federal or state law, rule or regulation imposes price reporting obligations upon it, much less establishes a requirement that it report “prices actually paid” rather than “list prices.” In addition, Pharmacia argues that the State’s claims are barred by the statute of limitations and that the Attorney General inappropriately relies upon General Business Law § 349 and Executive Law § 63 (12) “to seek Court-sanctioned price controls.”

[372]*372The State opposes defendant’s motion and cross-moves for partial summary judgment on the issue of Pharmacia’s liability under General Business Law § 349 and Executive Law § 63 (12) for causing false and inflated prices to be published and relied upon as a basis for reimbursement. The State argues that the plain language of the applicable statutes requires Pharmacia to report the prices actually paid at the wholesale level for its products. According to the State, Pharmacia admits that the prices it reported to industry publications did not meet this requirement and, instead, were intentionally inflated, allegedly for the purpose of increasing sales and maximizing profits. The State further argues that the other threshold defenses put forward by defendant are without merit.

Analysis

Summary judgment is a drastic remedy and should only be granted if there are no material issues of disputed fact (Sillman v Twentieth Century-Fox Film Corp., 3 NY2d 395 [1957]). In evaluating a motion for summary judgment, a court should simply determine whether material issues of disputed fact preclude the grant of judgment as a matter of law (S.J. Capelin Assoc. v Globe Mfg. Corp., 34 NY2d 338 [1974]). The party moving for summary judgment has the initial burden of coming forward with admissible evidence to support the motion, so as to warrant the court directing judgment in movant’s favor; the burden then shifts to the opposing party to demonstrate, by admissible evidence, the existence of any factual issue requiring a trial (see Zuckerman v City of New York, 49 NY2d 557 [1980]). A. Statute of Limitations

As a threshold matter, Pharmacia argues that the State’s claims are barred by the applicable statute of limitations, which allegedly expired long before the State filed its complaint in February 2003. Specifically, Pharmacia contends that the State’s causes of action accrued no later than the 1980s, by which time state officials were well aware that published AWPs did not reflect pharmacies’ actual wholesale acquisition costs. Belatedly, Pharmacia argues that the State cannot rely upon the “continuing violation” doctrine to toll the statute of limitations.

There is no dispute that the State’s General Business Law § 349 claim is governed by a three-year statute of limitations (Gaidon v Guardian Life Ins. Co. of Am., 96 NY2d 201, 210 [2001]).

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Bluebook (online)
27 Misc. 3d 368, Counsel Stack Legal Research, https://law.counselstack.com/opinion/people-v-pharmacia-corp-nysupct-2010.