State of Mississippi v. Bayer Corporation

CourtMississippi Supreme Court
DecidedAugust 29, 2008
Docket2008-CA-01659-SCT
StatusPublished

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

Bluebook
State of Mississippi v. Bayer Corporation, (Mich. 2008).

Opinion

IN THE SUPREME COURT OF MISSISSIPPI

NO. 2008-CA-01659-SCT

STATE OF MISSISSIPPI

v.

BAYER CORPORATION, BAYER PHARMACEUTICALS CORPORATION AND BAYER HEALTHCARE, LLC

DATE OF JUDGMENT: 08/29/2008 TRIAL JUDGE: HON. WILLIAM H. SINGLETARY COURT FROM WHICH APPEALED: HINDS COUNTY CHANCERY COURT ATTORNEYS FOR APPELLANT: D. RONNIE MUSGROVE J. LERAY McNAMARA FRANK KOLB GEORGE W. NEVILLE WILSON DANIEL “DEE” MILES, III ANDY LOWRY ATTORNEYS FOR APPELLEES: MICHAEL P. DOSS WILLIAM F. GOODMAN, III STEVEN D. ORLANSKY RICHARD D. RASKIN NATURE OF THE CASE: CIVIL - OTHER DISPOSITION: REVERSED AND REMANDED - 04/15/2010 MOTION FOR REHEARING FILED: MANDATE ISSUED:

EN BANC.

KITCHENS, JUSTICE, FOR THE COURT:

¶1. The State of Mississippi filed suit in the Chancery Court of the First Judicial District

of Hinds County against more than eighty pharmaceutical manufacturers, including Bayer

Corporation, Bayer Pharmaceuticals Corporation, and Bayer Healthcare, LLC (“Bayer”). The State alleged that each of the defendants had fraudulently misrepresented the average

wholesale prices (AWP) of drugs provided to beneficiaries of the Mississippi Medicaid

program, causing the State to overpay drug providers.

¶2. After investigating the State’s claim, two special masters appointed by the trial court

concluded that a 2001 Settlement Agreement between the State and Bayer made Bayer

unique among the defendants, and that because the State had failed to plead around the 2001

Settlement Agreement, its claims against Bayer should be dismissed pursuant to Rules

12(b)(6) and 9(b) of the Mississippi Rules of Civil Procedure. Following the special masters’

recommendation to dismiss for failure to state a claim upon which relief can be granted, the

chancellor dismissed with prejudice the State’s claims against Bayer. The State appeals that

decision.

FACTS

¶3. In 2001, the State of Mississippi and Bayer Corporation entered into a Settlement

Agreement after federal officials and forty-seven states had alleged that, during the time

period of January 1993 through August 1999, Bayer Corporation had misrepresented the

prices at which it had sold certain drugs to the drug providers of those states. In the ensuing

Settlement Agreement, Bayer denied that it had engaged in any fraudulent conduct, and noted

that it had entered into the settlement agreement in 2001 solely “to avoid the delay,

uncertainty, inconvenience and expense of protracted litigation of claims.”

2 ¶4. The Settlement Agreement was limited to “covered conduct,” which related to Bayer’s

alleged actions regarding qui tam drugs.1 In exchange for a release of any civil or

administrative claims related to the “covered conduct,” Bayer paid Mississippi $48,608.09

and agreed to provide the State “with true pricing information that accurately reflects the

prices at which actual purchasers buy the drug and biological products sold by Bayer” for a

period of five years, commencing on the date of the settlement agreement.

¶5. On October 20, 2005, four years after entering into the Settlement Agreement with

Bayer, the State filed the complaint in this case against Bayer Corporation, Bayer

Pharmaceuticals Corporation, Bayer Healthcare, LLC, and more than eighty other

pharmaceutical manufacturers, alleging that each defendant had misrepresented the AWPs

of drugs sold to drug providers of Mississippi. Specifically, the State alleged that the AWP

is a vital part of the formula used by the State’s Medicaid program to establish the amount

of reimbursement due from that program to drug providers, and that, as a consequence of the

drug manufacturers’ misrepresentation of the AWPs, the State had reimbursed the drug

providers of Mississippi at a higher rate than necessary, resulting in monetary damages to the

State and its taxpayers. The actual causes of action alleged by the State in the first amended

complaint are State Medicaid fraud, deceptive trade practices, and common-law fraud.

1 A qui tam action is “[a]n action brought under a statute that allows a private person to sue for a penalty, part of which the government or some specified public institution will receive.” Black’s Law Dictionary 1282 (8th ed. 2004). The referenced qui tam drugs included (1) Koate-HPAntihemophilic Factor (Human), (2) Kogenate Antihemophilic Factor (Recombinant), (3) Konyne-80 Factor IX Complex (Human), (4) Gamimune N, 5% Immune Globulin Intravenous (Human, 5%), (5) Gamimune N, 10% Immune Globulin Intravenous (Human, 10%), and (6) Thrombate III Antithrombin III (Human).

3 ¶6. On June 1, 2006, Bayer moved to dismiss the State’s claim against the Bayer

defendants pursuant to Mississippi Rule of Civil Procedure 12(b)(6), claiming that the 2001

Settlement Agreement barred the State’s claims, and that the State had failed to plead fraud

with the particularity required by Mississippi Rule of Civil Procedure 9(b). The special

masters recommended granting Bayer’s motion and entered Report, Recommendation and

Order No. 2 (R&R No. 2) on July 28, 2006. R&R No. 2 is as follows:

First, contrary to the State’s assertion, the plain language of the release is not limited to claims based on fraud. Rather, the release covers ‘any civil or administrative monetary claim, action, suit or proceeding the State has or may have under any source of law for the Covered Conduct.’ This language plainly requires the dismissal of all claims for pre-settlement conduct pertaining to the six Qui Tam Drugs. All claims as to those drugs are dismissed with prejudice.

Second, the State has pleaded no basis for a claim relating to pre-settlement conduct as to products other than the Qui Tam Drugs. The only mention in the Complaint of any Bayer products occurs in Exhibit B, which refers to AWP data on three products – Koate, Kogenate, and Gamimune – each of which is a Qui Tam Drug covered by the release. Further, the settlement was preceded by a broad based investigation of Bayer led by the federal government and joined by 47 states. Had concerns arisen about price reporting on products other than the six Qui Tam Drugs, we trust that those concerns would have been addressed in the course of the investigation and settlement. In any event, absent any specific allegation of wrongdoing as to Non-Qui Tam Drugs, we find no basis for the State’s claims relating to the pre-settlement period to proceed at this point. If at a later date the State has evidence the comprehensive investigation previously made against Bayer that resulted in the settlement should have included other drugs for the time prior to 2001, the State may bring a new action at that time. All claims for Bayer drugs other than the six Qui Tam drugs prior to 2001 are dismissed without prejudice.

Third, and finally, the State has not pleaded a claim with respect to the post- settlement time period. The settlement requires Bayer to report to the State on a quarterly basis the average sales price for every one of its drugs. These reports are designed to provide the State with ‘true pricing information that accurately reflects the prices at which actual purchasers buy the drug and biological products sold by Bayer.’ Absent any allegation that Bayer has not complied with this requirement, the State’s claims – to the extent that they are

4 directed at the post-settlement time period – are moot. Those claims are thus dismissed with prejudice.

(Emphasis added.)

¶7. On September 5, 2006, the special masters entered Report, Recommendation and

Order No. 16 (R&R No. 16), granting the defendants’ motion for a more definite statement.

R&R No. 16 stated:

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