Twenty-Seven Years of Pharmaceutical Industry Criminal and Civil Penalties: 1991 Through 2017
Twenty-Seven Years of Pharmaceutical Industry Criminal and Civil Penalties: 1991 Through 2017 March 14, 2018 Sammy Almashat, M.D., M.P.H. Ryan Lang, M.D., M.P.H. Sidney M. Wolfe, M.D. Michael Carome, M.D. ––––––––––––––––––– www.citizen.org Public Citizen Pharmaceutical Industry Settlements: 1991-2017 About Public Citizen Public Citizen is a national nonprofit organization with more than 400,000 members and supporters. We represent consumer interests through lobbying, litigation, administrative advocacy, research, and public education on a broad range of issues, including consumer rights in the marketplace, product safety, financial regulation, safe and affordable health care, campaign finance reform and government ethics, fair trade, climate change, and corporate and government accountability. 2 Public Citizen Pharmaceutical Industry Settlements: 1991-2017 Table of Contents Executive Summary 4 Introduction 7 Methods 7 Results 7 Combined federal and state trends 7 Federal settlements 8 State settlements 8 Civil versus criminal settlements 10 False Claims Act and qui tam settlements 10 Worst and repeat offenders and largest settlements 11 Types of violations 11 Discussion 12 Federal settlements 13 State settlements 17 More enforcement needed 19 Limitations and future research 23 Conclusion 23 Appendix 1: Figures and Tables 25 Appendix 2: Detailed methodology 52 3 Public Citizen Pharmaceutical Industry Settlements: 1991-2017 Executive Summary Background Public Citizen has published three previous reports — in 2010,1 2012,2 and 20163 — documenting the number and size of criminal and civil settlements and court judgments reached between the federal and state4 governments and pharmaceutical manufacturers. The 2016 report, which included all settlements from 1991 through 2015, revealed that the pace of settlement activity had decreased considerably in the then-most-recent two-year period.
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