SEATTLE--(BUSINESS WIRE)--A group of EpiPen purchasers today hit Mylan with a national class-action lawsuit stating that the drug company has engaged in an illegal organized scheme to systematically increase EpiPen prices by 574 percent, according to Hagens Berman.
The lawsuit states that since Mylan (NASDAQ: MYL) acquired the rights to market and distribute the EpiPen in 2007, it has increased the list prices 17 times, from $90.28 to $608.62, causing some patients to resort to carrying expired EpiPens, or to use syringes to manually inject epinephrine.
According to the complaint, this once affordable drug that has been available for more than 100 years and costs pennies to produce is now out of reach for many patients due to a behind-the-scenes quid pro quo arrangement between Mylan and other players, designed to increase profits and guarantee Mylan’s EpiPen is chosen by insurance companies for use over its competitor’s alternatives.
Vis-à-vis these continued price increases, the lawsuit says that Mylan has failed to disclose that the skyrocketing increases in the list prices for EpiPens were due to this scheme – the payment of rebates to pharmacy benefit manufacturers (PBMs) – until the summer of 2016, and has tried to blame the increases on a “broken system.”
“Mylan has tried every trick in the book to avoid taking accountability to the millions of people who are living without the EpiPen they need to prevent a life-threatening allergic reaction. Despite the fiction that Mylan has tried to sell the public, and sell Congress, the numbers don’t lie – Mylan has been the motivating force behind the jaw-dropping 574 percent EpiPen price hike,” said Steve Berman, managing partner of Hagens Berman, which represents the patients. “We say, let’s put it all on the table and let the courts decide. Mylan’s victims deserve their day in court.”
According to the lawsuit, filed Apr. 3, 2017, in the U.S. District Court for the Western District of Washington, Mylan has exploited the drug-pricing system in a way that ensures higher profits for it and other players, leaving those living with allergies who need EpiPens crippled by high costs. These acts, says the lawsuit, constitute a RICO enterprise, and violate the Racketeer Influenced and Corrupt Organizations Act and various state consumer protection laws.
The lawsuit seeks to represent a nationwide class of consumers who have purchased EpiPens at recently skyrocketing prices, to reclaim economic losses in an amount to be determined at trial and to put in place an injunction halting this behavior. Those who have purchased an EpiPen out-of-pocket or, either with co-insurance, a high deductible plan, or Medicare Part D or who have bought fewer than desired, due to high price can find out more here.
“Mylan is no victim”
The lawsuit details Mylan’s actions that have caused the list price to skyrocket: “…as Mylan has admitted, it pays ‘intermediaries’ in the pharmaceutical distribution system known as pharmacy benefit managers (‘PBMs’) and those payments increase the price that many consumers pay.”
These middlemen negotiate prices with drug manufacturers on behalf of health plans.
“Together, the three biggest PBMs—Express Scripts, CVS Health, and OptumRx—bring in more than $200 billion a year in revenue. They also control over 80% of the PBM market, covering 180 million insured people,” the suit states.
The lawsuit explains that as compensation for their role as negotiator, PBMs pocket a percentage of the difference between the reported benchmark price and the undisclosed real price they are able to secure. This difference in prices is known as the “spread.” The larger the spread, the higher the PBMs’ profits, and the higher likelihood PBMs will choose a certain drug company’s product to receive a favorable formulary position, and be prescribed more often.
Neither the drug companies nor the PBMs disclose the rebates given to PBMs to secure formulary placement, labeling them as trade secrets.
“Mylan is no victim,” Berman said. “Mylan has tried to pass the buck and excuse itself from any responsibility, attempting to wash its hands of the dubious scheme that has plagued allergy sufferers with unbearably high prices. This suit sets the record straight and gives the full picture, revealing Mylan as the ringleader in this tightly organized enterprise to spike EpiPen prices.”
Charts in the lawsuit depict the lack of effect competing alternatives have had on EpiPen prices.
When list prices for EpiPen were increasing most dramatically, some companies tried to introduce auto-injectors to compete with EpiPen, according to the suit, but those competitors never succeeded in displacing EpiPen’s market dominance because they did not pay the rebates Mylan paid the PBMs.
Adrenaclick, one auto-injector, had a list price one-third of EpiPen’s, but was withdrawn from the market because PBMs did not place the drug on formularies. Auvi-Q, another auto-injector, attempted to match Mylan’s list prices but, every time it did, Mylan matched the increase, and, as a result, Auvi-Q fought for months to get the favorable formulary position that EpiPen had before Auvi-Q was withdrawn from the market for other reasons.
“It’s clear that consumers cannot rely on drug companies to put their best interests forward,” Berman said. “It is our hope that this suit will bring meaningful change and put an end to Mylan’s profiteering.”
Find out more about the lawsuit against Mylan for EpiPen overpricing.
Hagens Berman Sobol Shapiro LLP is a consumer-rights class-action law firm with offices in 10 cities. The firm served as lead counsel in historic settlements involving inflated benchmark drug prices, including Average Wholesale Price MDL and a class-action lawsuit against McKesson Corp., one of the nation's largest drug wholesalers, recovering more than $500 million for plaintiffs. More about the law firm and its successes can be found at www.hbsslaw.com. Follow the firm for updates and news at @ClassActionLaw.