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	<title>CCHR International &#187; criminal fine</title>
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		<title>Despite criminal conviction &#8211; Drug makers again violated federal law with &#8220;off-label&#8221; marketing of antipsychotics</title>
		<link>http://www.cchrint.org/2009/11/09/despite-criminal-conviction-drug-makers-again-violated-federal-law-with-off-label-marketing-of-antipsychotics/</link>
		<comments>http://www.cchrint.org/2009/11/09/despite-criminal-conviction-drug-makers-again-violated-federal-law-with-off-label-marketing-of-antipsychotics/#comments</comments>
		<pubDate>Tue, 10 Nov 2009 01:10:45 +0000</pubDate>
		<dc:creator>cchrint</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[criminal fine]]></category>
		<category><![CDATA[Eli Lilly]]></category>
		<category><![CDATA[off-label promotion]]></category>
		<category><![CDATA[Pfizer]]></category>
		<category><![CDATA[Zyprexa]]></category>

		<guid isPermaLink="false">http://www.cchrint.org/?p=2887</guid>
		<description><![CDATA[Across the U.S., pharmaceutical companies have been pleading guilty to criminal charges or paying penalties in civil cases when the U.S.Department of Justice finds that they deceptively marketed drugs for unapproved uses, putting millions of people at risk of chest infections, heart attacks, suicidal impulses or death.]]></description>
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<p>David Evans<br />
Bloomberg<br />
Nov. 9, 2009</p>
<p>Prosecutor Michael Loucks remembers clearly when lawyers for Pfizer Inc., the world’s largest drug company, looked across the table and promised it wouldn’t break the law again.</p>
<p>It was January 2004, and the attorneys were negotiating in a conference room on the ninth floor of the federal courthouse in Boston, where Loucks was head of the health-care fraud unit of the U.S. Attorney’s Office. One of Pfizer’s units had been pushing doctors to prescribe an epilepsy drug called Neurontin for uses the Food and Drug Administration had never approved.</p>
<p>In the agreement the lawyers eventually hammered out, the Pfizer unit, Warner-Lambert, pleaded guilty to two felony counts of marketing a drug for unapproved uses.</p>
<p>New York-based Pfizer agreed to pay $430 million in criminal fines and civil penalties, and the company’s lawyers assured Loucks and three other prosecutors that Pfizer and its units would stop promoting drugs for unauthorized purposes.</p>
<p>What Loucks, who’s now acting U.S. attorney in Boston, didn’t know until years later was that Pfizer managers were breaking that pledge not to practice so-called off-label marketing even before the ink was dry on their plea.</p>
<p>On the morning of Sept. 2, 2009, another Pfizer unit, Pharmacia &amp; Upjohn, agreed to plead guilty to the same crime. This time, Pfizer executives had been instructing more than 100 salespeople to promote Bextra, a drug approved only for the relief of arthritis and menstrual discomfort, for treatment of acute pains of all kinds.</p>
<p>Record High Fine</p>
<p>For this new felony, Pfizer paid the largest criminal fine in U.S. history: $1.19 billion. On the same day, it paid $1 billion to settle civil cases involving the off-label promotion of Bextra and three other drugs with the U.S. and 49 states.</p>
<p>“At the very same time Pfizer was in our office negotiating and resolving the allegations of criminal conduct in 2004, Pfizer was itself in its other operations violating those very same laws,” Loucks, 54, says. “They’ve repeatedly marketed drugs for things they knew they couldn’t demonstrate efficacy for. That’s clearly criminal.”</p>
<p>The penalties Pfizer paid this year for promoting Bextra off-label were the latest chapter in the drug’s benighted history. The FDA found Bextra to be so dangerous that Pfizer took it off the market for all uses in 2005.</p>
<p>Across the U.S., pharmaceutical companies have been pleading guilty to criminal charges or paying penalties in civil cases when the U.S. Department of Justice finds that they deceptively marketed drugs for unapproved uses, putting millions of people at risk of chest infections, heart attacks, suicidal impulses or death.</p>
<p>Read entire article: <a href="http://www.bloomberg.com/apps/news?pid=20601109&amp;sid=a4yV1nYxCGoA&amp;pos=10" target="_blank">http://www.bloomberg.com/apps/news?pid=20601109&amp;sid=a4yV1nYxCGoA&amp;pos=10</a></p>
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<h3  class="related_post_title">Related Posts</h3><ul class="related_post"><li><a href="http://www.cchrint.org/2011/05/31/cause-for-alarm/" title="Cause for alarm: Antipsychotic drugs for nursing home patients">Cause for alarm: Antipsychotic drugs for nursing home patients</a> (0)</li><li><a href="http://www.cchrint.org/2009/09/09/public-citizens-dr-sidney-wolfe-calls-off-label-marketing-of-zyprexa-part-of-well-organized-crime-in-the-us/" title="Public Citizen&#8217;s Dr. Sidney Wolfe calls off-label marketing of Zyprexa part of well-organized crime in the US">Public Citizen&#8217;s Dr. Sidney Wolfe calls off-label marketing of Zyprexa part of well-organized crime in the US</a> (0)</li><li><a href="http://www.cchrint.org/2011/11/30/time-magazine-why-are-so-many-foster-care-children-taking-antipsychotics/" title="Time Magazine: Why Are So Many Foster Care Children Taking Antipsychotics?  ">Time Magazine: Why Are So Many Foster Care Children Taking Antipsychotics?  </a> (1)</li><li><a href="http://www.cchrint.org/2011/05/13/feds-want-1b-in-risperdal-probe/" title="WSJ: Feds want $1B settlement in J&#038;J Risperdal probe">WSJ: Feds want $1B settlement in J&#038;J Risperdal probe</a> (0)</li><li><a href="http://www.cchrint.org/2011/03/15/profiting-from-mental-ill-health/" title="Profiting from mental ill-health">Profiting from mental ill-health</a> (1)</li></ul>]]></content:encoded>
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		<title>Public Citizen&#8217;s Dr. Sidney Wolfe calls off-label marketing of Zyprexa part of well-organized crime in the US</title>
		<link>http://www.cchrint.org/2009/09/09/public-citizens-dr-sidney-wolfe-calls-off-label-marketing-of-zyprexa-part-of-well-organized-crime-in-the-us/</link>
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		<pubDate>Wed, 09 Sep 2009 18:37:32 +0000</pubDate>
		<dc:creator>cchrint</dc:creator>
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		<description><![CDATA[“The US pharmaceutical industry, long one of the most profitable in the country with profits last year of close to $50 billion, has engaged in an unprecedented amount of criminal activity in the past decade, all aimed at increasing sales, often by illegally promoting drugs for diseases for which evidence that benefits outweigh harm is lacking - also known as illegal off-label promotion,” says Dr Wolfe.]]></description>
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<p>Lynne Taylor<br />
Pharma Times<br />
September 9, 2009</p>
<p><span>The pharmaceutical industry has made major contributions to the health of the US public, but it must also be considered part of the nation’s well-organized crime, says an industry critic.</p>
<p>Last week’s $2.3 billion settlement between Pfizer and the US Justice Department for unlawful prescription drug promotion may sound large, but it is not enough to ensure drug companies will curb their bad behavior &#8211; in fact, it just shows there is competition in the pharmaceutical industry, according to Sidney Wolfe, director of US advocacy group Public Citizen’s Health Research Group.</p>
<p>Pfizer has broken a record set by Eli Lilly in January for what was then described by the Justice Department as the “largest individual corporate criminal fine” in U.S. history &#8211; more than $500 million in criminal penalties for off-label promotion of Zyprexa (olanzapine), its treatment for psychotic conditions including schizophrenia and bipolar disorder &#8211; but now, just seven months later, Pfizer has broken this record with a criminal fine of $1.2 billion, the largest ever imposed in the US for any matter, he says. The rest of the $2.3 billion represents civil penalties.</span></p>
<p><span>Read entire article: </span><a href="http://www.pharmatimes.com/WorldNews/article.aspx?id=16547" target="_blank">http://www.pharmatimes.com/WorldNews/article.aspx?id=16547</a></p>
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<h3  class="related_post_title">Related Posts</h3><ul class="related_post"><li><a href="http://www.cchrint.org/2009/11/09/despite-criminal-conviction-drug-makers-again-violated-federal-law-with-off-label-marketing-of-antipsychotics/" title="Despite criminal conviction &#8211; Drug makers again violated federal law with &#8220;off-label&#8221; marketing of antipsychotics">Despite criminal conviction &#8211; Drug makers again violated federal law with &#8220;off-label&#8221; marketing of antipsychotics</a> (0)</li><li><a href="http://www.cchrint.org/2011/11/30/time-magazine-why-are-so-many-foster-care-children-taking-antipsychotics/" title="Time Magazine: Why Are So Many Foster Care Children Taking Antipsychotics?  ">Time Magazine: Why Are So Many Foster Care Children Taking Antipsychotics?  </a> (1)</li><li><a href="http://www.cchrint.org/2011/05/31/cause-for-alarm/" title="Cause for alarm: Antipsychotic drugs for nursing home patients">Cause for alarm: Antipsychotic drugs for nursing home patients</a> (0)</li><li><a href="http://www.cchrint.org/2011/05/13/feds-want-1b-in-risperdal-probe/" title="WSJ: Feds want $1B settlement in J&#038;J Risperdal probe">WSJ: Feds want $1B settlement in J&#038;J Risperdal probe</a> (0)</li><li><a href="http://www.cchrint.org/2011/03/15/profiting-from-mental-ill-health/" title="Profiting from mental ill-health">Profiting from mental ill-health</a> (1)</li></ul>]]></content:encoded>
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