Southeastern Pennsylvania Transportation Authority v. Gilead Sciences, Inc.

102 F. Supp. 3d 688, 2015 U.S. Dist. LEXIS 58535, 2015 WL 1963588
CourtDistrict Court, E.D. Pennsylvania
DecidedMay 4, 2015
DocketCivil Action No. 14-6978
StatusPublished
Cited by33 cases

This text of 102 F. Supp. 3d 688 (Southeastern Pennsylvania Transportation Authority v. Gilead Sciences, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Southeastern Pennsylvania Transportation Authority v. Gilead Sciences, Inc., 102 F. Supp. 3d 688, 2015 U.S. Dist. LEXIS 58535, 2015 WL 1963588 (E.D. Pa. 2015).

Opinion

MEMORANDUM

DALZELL, Judge.

I. Introduction

We consider here defendant Gilead Sciences, Inc.’s (“Gilead”) motion to dismiss under Fed.R.Civ.P. 12(b)(6). Plaintiffs— the Southeastern Pennsylvania Transportation Authority (“SEPTA”), John Doe, and Jane Doe — are suing Gilead on behalf of themselves and others similarly situated alleging that Gilead’s pricing scheme for the sale of its patented Hepatitis C drugs violates Section 1557(a) of the Patient Protection and Affordable Care Act, constitutes unjust enrichment, breaches the im[694]*694plied duties of good faith and fair dealing, and violates California Business & Professions Code. § >17200. Amend. Compl. at ¶¶ 124-61. Gilead moves to dismiss the entire Amended Complaint.

We have jurisdiction over plaintiffs’-federal claim pursuant to 28 U.S.C. § 1331 and supplemental jurisdiction -over their state law claims pursuant to 28 U.S.C. § 1367.1

II. Standard of Review

A defendant moving to dismiss under Fed.R.CivJP. 12(b)(6) bears the burden of proving that the plaintiff has failed to state a claim for relief. See Fed.R.Civ.P. 12(b)(6); see also, e.g., Hedges v. United States, 404 F.3d 744, 750 (3d Cir.2005). To survive a Rule 12(b)(6) motion, the complaint must contain sufficient factual matter, accepted as true, to state a facially plausible claim to relief; Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009); Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007). A claim is plausible “when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. at 678, 129 S.Ct. 1937.

As the Supreme Court stresses, “the tenet that a court must accept as true all of the allegations contained in a complaint is inapplicable to legal conclusions. Threadbare recitals of the elements of a cause of action...... do not suffice.” Id. Courts “are not bound to accept as true a legal conclusion couched as a factual allegation.” Twombly, 550 U.S. at 555, 127 S.Ct. 1955. In the wake of Twombly and Iqbal, our Court of Appeals laid out a two-part test to apply when considering a motion .to dismiss under Fed.R.Civ.P. 12(b)(6):.

First, the factual and legal elements of a claim should be separated. The District Court must accept all of the complaint’s well-pleaded facts as true, but may disregard any legal conclusions. Second, a District Court must then determine whether the facts alleged in the complaint are sufficient to show that the plaintiff has a ‘plausible claim for relief.’

Fowler v. UPMC Shadyside, 578 F.3d 203, 210-11 (3d Cir.2009) (internal citations omitted). In deciding a motion to dismiss, we may consider “the allegations contained in the complaint, exhibits attached to the complaint;and matters of public record,” and any “undisputedly authentic document that a defendant attaches as an exhibit to a motion to dismiss jf the plaintiffs claims are based on the document.” Pension Benefit Guar. Corp. v. White Consol. Indus., Inc., 998 F.2d 1192, 1196 (3d Cir. 1993); see also Pryor v. National Collegiate Athletic Ass’n, 288 F.3d 548, 560 (3d Cir.2002) (explaining that a court may consider a document not attached to the pleading iff its contents ar.e alleged in the complaint and, no party questions its authenticity)..-

We recite ■ the relevant facts as they appear in- the Amended Complaint.

III. Factual Background

Defendant Gilead manufactures Sovaldi and Harvoni, two highly effective — and profitable — treatments for Hepatitis C. Amend. Compl. at ¶¶ 1-3, 29, 37. Twelve-week courses of Sovaldi and Harvoni cost $84,000 and $94,500, respectively. Id. at ¶6. Gilead has made billions of dollars from the sale of these drugs. Id. at ¶ 91.

Plaintiff SEPTA is the regional transportation authority for public transit serving Bucks, -Chester,' Delaware, Montgom[695]*695ery, and Philadelphia Counties in the Commonwealth of Pennsylvania. Id. at ¶ 20, SEPTA maintains an employee health and welfare benefit plan pursuant to which it reimburses and pays for certain of its employees’ prescription drug purchases. Id. In 2014, SEPTA paid more than $2.9 million for Sovaldi and $850,000 for Harvoni for its employees. Id.

Plaintiff Jane Doe is a resident of Souderton, Pennsylvania, whose insurance company denied her coverage for Sovaldi after she was diagnosed with Hepatitis C, and who Gilead said was ineligible for its Patient Assistance program because of her private insurance. Id. at ¶21. Plaintiff John Doe is a resident of Sun City West, Arizona, whose insurance company also denied him coverage for Sovaldi after his Hepatitis C diagnosis. Id. at ¶ 22.

Plaintiffs allege that Gilead sells sofosbuvir — the active ingredient in Sovaldi and Harvoni — at much lower prices abroad and has announced plans to license a generic version of its drugs in developing countries at deeply discounted prices. Id. at ¶¶ 7-8, 38-39. Some federal agencies and large prescription benefit managers also receive significant discounts on Sovaldi. Id. at ¶¶ 7, 41-42, 47. But, as a result of Gilead’s domestic pricing scheme, many consumers — such as Jane Doe and John Doe — and government programs have been unable to obtain either Sovaldi or Harvoni. Id. at ¶¶ 10-11. Some health insurers and prescription benefit managers have been rationing, delaying, or limiting the availability of Sovaldi and Harvoni. Id: at ¶¶ 11, 62-63, 65. Plaintiffs allege that Gilead’s pricing scheme “has had a disproportionately adverse impact oh racial minorities and those in lower income brackets.” Id. at ¶ 12. State Medicaid programs have also developed strict protocols to limit the provision of Sovaldi and Harvoni to only the sickest patients. Id. Some prescription benefit managers have responded to these high prices by entering into exclusive deals with Gilead or one of its competitors, Abb Vie, Inc., in order to obtain Sovaldi and Harvoni at discounted prices. Id. at ¶ 13.

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102 F. Supp. 3d 688, 2015 U.S. Dist. LEXIS 58535, 2015 WL 1963588, Counsel Stack Legal Research, https://law.counselstack.com/opinion/southeastern-pennsylvania-transportation-authority-v-gilead-sciences-inc-paed-2015.