Filing # 95754861 E-Filed 09/16/2019 01:20:19 PM IN THE CIRCUIT COURT OF THE SEVENTEENTH JUDICIAL CIRCUIT IN AND FOR BROWARD COUNTY, FLORIDA FLORIDA HEALTH SCIENCES CENTER, INC., NORTH BROWARD HOSPITAL DISTRICT, HALIFAX HOSPITAL MEDICAL Case No. __________________ CENTER, BAYFRONT HMA MEDICAL CENTER, LLC, CGH HOSPITAL, LTD., CITRUS HMA, LLC, CENTRAL FLORIDA JURY TRIAL DEMANDED HEALTH, CRESTVIEW HOSPITAL CORPORATION, DELRAY MEDICAL CENTER, INC., FLAGLER HOSPITAL, INC., GOOD SAMARITAN MEDICAL CENTER, INC., HAINES CITY HMA, LLC, HERNANDO HMA, LLC, HIALEAH HOSPITAL, INC., HMA SANTA ROSA MEDICAL CENTER, LLC, KEY WEST HMA, LLC, LAKE SHORE HMA, LLC, LAKE WALES HOSPITAL CORPORATION, LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS, LLC, LARKIN COMMUNITY HOSPITAL, INC., LARKIN COMMUNITY HOSPITAL BEHAVIORAL SERVICE, INC., LEESBURG REGIONAL MEDICAL CENTER, INC., LIFEMARK HOSPITALS OF FLORIDA, INC., LIVE OAK HMA, LLC, NAPLES HMA, LLC, NORTH SHORE MEDICAL CENTER, INC., OSCEOLASC LLC, PALM BEACH GARDENS COMMUNITY HOSPITAL, INC., PORT CHARLOTTE HMA, LLC, PUNTA GORDA HMA, LLC, ST. MARY'S MEDICAL CENTER, INC., STARKE HMA, LLC, THE VILLAGES TRI-COUNTY MEDICAL CENTER, INC., AND VENICE HMA, LLC, Plaintiffs, v. RICHARD SACKLER; BEVERLY SACKLER; DAVID SACKLER; ILENE SACKLER LEFCOURT; JONATHAN SACKLER; KATHE SACKLER; MORTIMER D.A. SACKLER; THERESA SACKLER; JOHN STEWART; MARK TIMNEY; CRAIG LANDAU; RUSSELL GASDIA; BARBARA C. MILLER, BRIANN PARSON-BARNES, BECCA BECK HARVILLE, LINDSEY BONIFACIO, TAMMY HEYWARD, JAMES SPEED, DAMON STORHOFF, DIANA C. MULLER, DRAUPADI DALEY; AMNEAL PHARMACEUTICALS, LLC; AMNEAL PHARMACEUTICALS, INC.; TEVA PHARMACEUTICAL INDUSTRIES, LTD.; TEVA PHARMACEUTICALS USA, INC.; CEPHALON, INC.; JOHNSON & JOHNSON; JANSSEN PHARMACEUTICALS, INC.; ORTHO-MCNEIL-JANSSEN PHARMACEUTICALS, INC. n/k/a JANSSEN PHARMACEUTICALS, INC., JANSSEN PHARMACEUTICA, INC. n/k/a JANSSEN PHARMACEUTICALS, INC.; ABBOTT LABORATORIES; ABBOTT LABORATORIES, INC.; ASSERTIO THERAPEUTICS, INC.; ENDO HEALTH SOLUTIONS, INC.; ENDO PHARMACEUTICALS, INC.; PAR PHARMACEUTICAL, INC.; PAR PHARMACEUTICALS COMPANIES, INC.; MALLINCKRODT, LLC; MALLINCKRODT PLC; SPECGX, LLC; ALLERGAN PLC; ALLERGAN FINANCE, LLC; ALLERGAN SALES, LLC; ALLERGAN USA, INC.; WATSON LABORATORIES, INC.; ACTAVIS LLC; ACTAVIS PHARMA, INC.; ANDA, INC.; H.D. SMITH, LLC f/k/a H.D. SMITH WHOLESALE DRUG CO.; HENRY SCHEIN, INC.; AMERISOURCEBERGEN DRUG CORPORATION; CARDINAL HEALTH, INC.; THE KROGER CO.; KROGER LIMITED PARTNERSHIP II; CVS HEALTH CORPORATION; CVS PHARMACY, INC.; CVS INDIANA, L.L.C.; WAL-MART INC.; WAL-MART STORES EAST, LP; NORAMCO, INC.; WALGREEN CO., and WALGREEN EASTERN CO., INC. Defendants. ______________________________________ TABLE OF CONTENTS I. INTRODUCTION .............................................................................................................. 2 A. The Opioid Crisis in Florida ........................................................................................... 2 B. The Opioid Crisis Nationally .......................................................................................... 7 C. The Impact of Opioids on Florida Hospitals ................................................................. 17 D. Financial Impact of Defendants’ Activities on Plaintiffs ............................................. 22 E. The Roles of Defendants in Causing and Perpetuating the Opioid Crisis .................... 25 II. JURISDICTION AND VENUE ....................................................................................... 27 III. PARTIES .......................................................................................................................... 28 A. Plaintiffs ........................................................................................................................ 28 1. Bayfront Health ......................................................................................... 28 2. Broward Health ......................................................................................... 29 3. Central Florida Health ............................................................................... 29 4. Coral Gables Hospital ............................................................................... 30 5. Delray Medical Center .............................................................................. 30 6. Flagler Hospital ......................................................................................... 30 7. Good Samaritan Medical Center ............................................................... 30 8. Halifax Hospital Medical Center .............................................................. 31 9. Heart of Florida Regional Medical Center................................................ 31 10. Hialeah Hospital ........................................................................................ 31 11. Lake Wales Medical Center ...................................................................... 31 12. Larkin Community Hospital ..................................................................... 32 13. Lower Keys Medical Center ..................................................................... 32 14. North Okaloosa Medical Center ............................................................... 32 15. North Shore Medical Center ..................................................................... 33 16. Palm Beach Gardens Medical Center ....................................................... 33 17. Palmetto General Hospital ........................................................................ 33 18. Physicians Regional Medical Center ........................................................ 33 19. Santa Rosa Medical Center ....................................................................... 33 20. Seven Rivers Regional Medical Center .................................................... 34 21. Shands Lake Shore Regional Medical Center .......................................... 34 22. Shands Live Oak Regional Medical Center .............................................. 34 23. Shands Starke Regional Medical Center ................................................... 34 ii 24. St. Cloud Regional Medical Center .......................................................... 34 25. St. Mary's Medical Center ........................................................................ 34 26. Tampa General Hospital ........................................................................... 35 27. Venice Regional Bayfront Health ............................................................. 35 B. Defendants .................................................................................................................... 36 1. Marketing Defendants ............................................................................... 36 a. Purdue ........................................................................................... 36 b. Teva and Associated Companies .................................................. 45 c. Janssen and Associated Companies .............................................. 48 d. Endo and Associated Companies .................................................. 51 e. Abbott Laboratories ...................................................................... 52 f. Amneal Pharmaceuticals, LLC ..................................................... 53 g. Assertio Therapeutics, Inc. ........................................................... 54 h. Mallinckrodt Entities .................................................................... 54 i. Allergan and Associated Companies ............................................ 56 2. Distributor Defendants .............................................................................. 59 a. AmerisourceBergen Drug Corporation ......................................... 59 b. Anda, Inc. ...................................................................................... 60 c. Cardinal ......................................................................................... 60 d. H. D. Smith, LLC .......................................................................... 60 e. Henry Schein Entities ................................................................... 61 3. National Retail Pharmacies ....................................................................... 62 a. CVS ............................................................................................... 62 b. The Kroger Co. ............................................................................. 62 c. Walgreens ..................................................................................... 62 d. Wal-Mart ....................................................................................... 63 4. Defendants’ Agents and Affiliated Persons .............................................. 63 IV. FACTUAL BACKGROUND ........................................................................................... 64 A. The History of Opioids ................................................................................................. 64 B. The Opioid Epidemic .................................................................................................... 66 C. Congressional Response to the Opioid Crisis ............................................................... 69 V. THE MARKETING DEFENDANTS’ FALSE, DECEPTIVE, AND UNFAIR MARKETING OF OPIOIDS ........................................................................................................ 70 iii A. The Marketing Defendants’ False and Deceptive