The Swiss drugmaker will pay $678 million to resolve claims it
organized tens of thousands of sham educational events where it
lavished doctors with exorbitant speaker fees, expensive dinners and
alcohol to induce them to prescribe its cardiovascular and diabetes
drugs more often.
It will also pay $51.25 million to resolve charges it funneled money
through three charitable foundations to cover co-payments of
Medicare patients so they would purchase its drugs.
Both settlements resolved civil charges that Novartis violated the
federal False Claims Act.
A Novartis spokesman said the costs of the settlement were covered
by provisions that it had already made.
Its shares were indicated 0.4% higher in pre-market activity on
Thursday.
Acting U.S. Attorney Audrey Strauss in Manhattan called the
incentives for doctors "nothing more than bribes" and said federal
healthcare programs paid hundreds of millions of dollars in
reimbursements for prescriptions tainted by kickbacks.
"Giving these cash payments and other lavish goodies interferes with
the duty of doctors to choose the best treatment for their patients
and increases drug costs for everyone," Strauss said in a statement.
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The Justice Department said the speaker programs and other promotional events
occurred from 2002 to 2011, while the co-payments were made from 2010 to 2014.
In connection with the settlements, Novartis agreed to curtail its speaker
programs and enter a five-year corporate integrity agreement.
It also accepted responsibility for many allegations underlying the larger
settlement, for which it set aside funds in July 2019.
"We are a different company today, with new leadership, a stronger culture and a
more comprehensive commitment to ethics," CEO Vas Narasimhan said in a
statement.
The $678 million payout includes $591.4 million in damages to the U.S.
government, a $38.4 million forfeiture for violating an anti-kickback statute
and $48.2 million to U.S. states.
(Reporting by Jonathan Stempel in New York; additional reporting by Nate Raymond
in Boston and Michael Shields in Zurich; editing by Leslie Adler, Cynthia
Osterman and Jason Neely)
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