United States of America v. Health One Pharmaceuticals, Inc. et al

Filing 9

CONSENT DECREE OF PERMANENT INJUNCTION filed by Judge Beverly Reid O'Connell. IT IS HEREBY ORDERED, ADJUDGED, AND DECREED as follows (see attachment Consent Decree for further details). Defendants and each and all of their directors, officers, agents, representatives, employees, attorneys, successors and assigns, and any and all persons or entities in active concert or participation with any of them who have received actual notice of this Decree by personal service or otherwise, are permanently restrained and enjoined. The parties shall bear their own costs and attorneys' fees in this action. (MD JS-6. Case Terminated.) (jp)

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JS-6 1 UNITED STATES DISTRICT COURT 2 CENTRAL DISTRICT OF CALIFORNIA 3 4 5 6 7 8 9 10 11 12 UNITED STATES OF AMERICA, ) ) Plaintiff, ) ) v. ) ) HEALTH ONE PHARMACEUTICALS, ) INC., a California corporation; and ) RICHARD S. YEH, an individual, ) ) Defendants. ) ) ____________________________________) CASE NO. 2:14-cv-09734 CONSENT DECREE OF PERMANENT INJUNCTION 13 CONSENT DECREE OF PERMANENT INJUNCTION 14 15 Plaintiff, the United States of America, by its undersigned counsel, having 16 filed a Complaint for Permanent Injunction against Health One Pharmaceuticals, 17 18 19 20 Inc., a corporation, and Richard S. Yeh, an individual (collectively, “Defendants”), and Defendants having appeared and consented to entry of this Decree without contest and before any testimony has been taken, and the United States of America, 21 22 23 having consented to this Decree; IT IS HEREBY ORDERED, ADJUDGED, AND DECREED as follows: 24 25 26 27 1. This Court has jurisdiction over the subject matter and all parties to this action. 2. The Complaint states a cause of action against Defendants under the 28 1 1 2 Federal Food, Drug, and Cosmetic Act, 21 U.S.C. §§ 301 et seq. (the “Act”). 3. Defendants violate 21 U.S.C. § 331(a) by introducing or delivering for 3 4 5 introduction, or causing to be introduced or delivered for introduction, into interstate commerce articles of food (dietary supplements), as defined by 21 U.S.C. 6 7 8 9 § 321(ff), that are: A. Adulterated within the meaning of 21 U.S.C. § 342(g)(1) in that they have been prepared, packed, or held in violation of current good 10 11 manufacturing practice regulations for dietary supplements (“Dietary Supplement 12 CGMP”), set forth in 21 C.F.R. Part 111; and 13 B. Misbranded under 21 U.S.C. § 343 because their labels fail to: 14 15 (1) list the common or usual names of all product ingredients, as required by 21 16 U.S.C. § 343(i)(2); (2) identify the part of the plant (e.g., root, leaves) from which 17 18 19 20 a botanical dietary ingredient is derived, as required by 21 U.S.C. § 343(s)(2)(C); (3) bear nutrition information that provides serving size and the number of servings or other units of measure per container, as required by 21 U.S.C. § 343(q)(1)(A) 21 22 23 and (B); (4) bear nutrition information required by regulation, namely a “Supplement Facts” panel, as required by 21 U.S.C. § 343(q)(5)(F); (5) bear the 24 25 26 27 place of business (city, state, ZIP) of the manufacturer, packer, or distributor, as required by 21 U.S.C. § 343(e)(1); and/or (6) include a domestic address or domestic telephone number through which the responsible person (as described in 28 2 1 2 21 U.S.C. § 379aa-1) may receive a report of a serious adverse event associated with the product, as required by 21 U.S.C. § 343(y). 3 4 5 4. Defendants violate 21 U.S.C. § 331(k) by causing articles of food (dietary supplements) that Defendants hold for sale after shipment of one or more 6 7 8 9 of their components in interstate commerce to be adulterated within the meaning of 21 U.S.C. § 342(g)(1) and/or misbranded within the meaning of 21 U.S.C. § 343, as described above in paragraph 3. 10 11 12 5. Defendants violate 21 U.S.C. § 331(d) by introducing or delivering for introduction, or causing to be introduced or delivered for introduction, into 13 interstate commerce new drugs, as defined by 21 U.S.C. § 321(p), that are neither 14 15 approved pursuant to 21 U.S.C. § 355(a) nor exempt from approval pursuant to 21 16 U.S.C. § 355(i). 17 18 19 20 6. Defendants violate 21 U.S.C. § 331(k) by causing articles of drug that Defendants hold for sale after shipment of one or more of their components in interstate commerce to be misbranded within the meaning of 21 U.S.C. § 352(f)(1) 21 22 23 because their labels fail to bear adequate directions for use. 7. Upon entry of this Decree, Defendants represent to this Court that 24 25 26 27 Defendants are not directly or indirectly engaged in manufacturing, preparing, packing, labeling, holding, and/or distributing any articles of food (including but not limited to dietary supplements and their components) and/or any articles of 28 3 1 2 drug. If Defendants later intend to resume any such operations, Defendants must first notify FDA in writing at least sixty (60) business days in advance of resuming 3 4 5 operations and comply with paragraphs 8(A)-(D) of this Decree. Defendants’ notice shall identify the type(s) of food and/or drug that Defendants intend to 6 7 8 9 manufacture, prepare, pack, label, hold, and/or distribute, and the location at which Defendants intend to resume operations. Defendants shall not resume operations until FDA has inspected Defendants’ facility and operations pursuant to paragraph 10 11 8(E), Defendants have paid all costs pursuant to paragraph 8(F), and Defendants 12 have received written notice from FDA, as required by paragraph 8(G), and then 13 shall resume operations only to the extent authorized in FDA’s written notice. 14 15 16 8. Upon entry of this Decree, Defendants and each and all of their directors, officers, agents, representatives, employees, attorneys, successors and 17 18 19 20 assigns, and any and all persons or entities in active concert or participation with any of them who have received actual notice of this Decree by personal service or otherwise, are permanently restrained and enjoined under 21 U.S.C. § 332(a), and 21 22 23 the equitable authority of this Court, from directly or indirectly manufacturing, preparing, packing, labeling, holding, or distributing any articles of food (including 24 25 26 27 but not limited to dietary supplements and their components) and/or drug, unless and until: A. Defendants retain, at Defendants’ expense, an independent 28 4 1 2 person (“CGMP Expert”) who is without any personal or financial ties (other than the retention agreement) to Defendants and/or their families, and who, by reason of 3 4 5 background, training, education, or experience, is qualified to inspect Defendants’ facility to determine whether the facility, methods, processes, and controls are 6 7 8 9 operated and administered in conformity with Dietary Supplement CGMP, 21 C.F.R. Part 111, and: (1) Defendants notify FDA in writing of the identity and 10 11 12 qualifications of the CGMP Expert as soon as they retain such expert; and (2) The CGMP Expert performs a comprehensive inspection 13 of Defendants’ facility and the methods, processes, and controls used to 14 15 manufacture, prepare, pack, label, and hold dietary supplements, and certifies in 16 writing to FDA the following: he or she has inspected Defendants’ facility, 17 18 19 20 methods, processes, and controls; all Dietary Supplement CGMP deviations brought to Defendants’ attention by FDA, the CGMP Expert, and any other source have been corrected; and Defendants’ facility and the methods, processes, and 21 22 23 controls used to manufacture, prepare, pack, label, and hold dietary supplements are, in the CGMP Expert’s opinion, in compliance with this Decree, the Act, and 24 25 26 27 its implementing regulations. The CGMP Expert’s report of the inspection, which shall be submitted to FDA, shall include, but not be limited to, a determination that Defendants have methods, processes, and controls to ensure that 28 5 1 2 they: (a) Conduct at least one appropriate test or examination to 3 4 5 verify the identity of every component that is a dietary ingredient before using such component, as required by 21 C.F.R. § 111.75(a)(1)(i); 6 7 8 9 (b) Determine whether component specifications that must be established in accordance with 21 C.F.R. § 111.70(b) are met before using such component, as required by 21 C.F.R. § 111.75(a)(2); 10 11 12 (c) Establish specifications for each component that include the following: an identity specification; component specifications to ensure that 13 specifications for the purity, strength, and composition of the finished batch of the 14 15 dietary supplement are met; and limits on those types of contamination that may 16 adulterate or may lead to adulteration of the finished batch of the dietary 17 18 19 20 supplement to ensure the quality of the dietary supplement, as required by 21 C.F.R. § 111.70(b); (d) Establish product specifications for the identity, purity, 21 22 23 strength, and composition of the finished batch of the dietary supplement, and for limits on those types of contamination that may adulterate, or that may lead to 24 25 26 27 adulteration of, the finished batch of the dietary supplement to ensure its quality, as required by 21 C.F.R. § 111.70(e); (e) Determine whether finished dietary supplement batches 28 6 1 2 meet the product specifications that must be established in accordance with 21 C.F.R. § 111.70(e), as required by 21 C.F.R. § 111.75(c); 3 (f) 4 5 Establish and implement quality control operations for reviewing and approving all master manufacturing records and batch production 6 7 8 9 records, as required by 21 C.F.R. § 111.123(a)(1), (a)(2), and for making and keeping documentation of the review and approval of those records, as required by 21 C.F.R. § 111.140(b); and 10 (g) 11 12 Establish and implement quality control operations for conducting material review and making disposition decisions in accordance with 13 21 C.F.R. § 111.113, as required by 21 C.F.R. § 111.123(a)(4), and for making and 14 15 keeping documentation of any material review and disposition decision, as 16 required by 21 C.F.R. § 111.140(b); 17 18 19 20 B. Defendants retain, at Defendants’ expense, an independent person (“Labeling Expert”) who is without any personal or financial ties (other than the retention agreement) to Defendants and/or their families, except that this 21 22 23 person may be the same as the CGMP Expert described in paragraph 8(A), and who, by reason of background, training, education, or experience, is qualified to 24 25 26 27 review Defendants’ dietary supplement labeling to determine whether the labeling complies with 21 U.S.C. § 343 and applicable regulations and whether it contains claims that cause any dietary supplement that Defendants manufacture, prepare, 28 7 1 2 pack, label, hold, or distribute to meet the Act’s definition of a drug set forth in 21 U.S.C. § 321(g), and: 3 (1) 4 5 Defendants notify FDA in writing of the identity and qualifications of the Labeling Expert as soon as they retain such expert; and 6 (2) 7 8 9 The Labeling Expert performs a comprehensive review of all of Defendants’ dietary supplement labeling and certifies in writing to FDA the following: he or she has reviewed Defendants’ dietary supplement labeling; 10 11 Defendants’ dietary supplement labeling complies with 21 U.S.C. § 343 and 12 applicable regulations; and, Defendants’ dietary supplement labeling does not 13 contain claims that cause any dietary supplement that Defendants manufacture, 14 15 prepare, pack, label, hold, or distribute to meet the Act’s definition of a drug set 16 forth in 21 U.S.C. § 321(g). The Labeling Expert’s report of the labeling review 17 18 shall be submitted to FDA; C. 19 20 Defendants recall and destroy, under FDA’s supervision and in accordance with the procedures provided in paragraph 9, all dietary supplements 21 22 23 that were manufactured, prepared, packed, labeled, held, or distributed between September 1, 2011, and the date of entry of this Decree; 24 D. 25 26 27 Defendants report to FDA in writing the actions they have taken to: (1) correct the Dietary Supplement CGMP deviations 28 8 1 brought to Defendants’ attention by FDA, the CGMP Expert, and any other source; 2 (2) ensure that the methods used in, and the facilities and 3 4 5 controls used for, manufacturing, preparing, packing, labeling, holding, and distributing dietary supplements are operated and will be continuously 6 7 administered in conformity with Dietary Supplement CGMP; (3) 8 9 correct the labeling deviations brought to Defendants’ attention by FDA, the Labeling Expert, and any other source; and 10 (4) 11 12 ensure that the dietary supplement labeling used by Defendants (i) complies with 21 U.S.C. § 343 and its implementing regulations, 13 and (ii) does not contain claims that cause any dietary supplement that Defendants 14 15 manufacture, prepare, pack, label, hold, or distribute to meet the Act’s definition of 16 a drug set forth in 21 U.S.C. § 321(g); 17 18 19 20 E. As and when FDA deems necessary, FDA representatives inspect Defendants’ facility to determine whether the requirements of this Decree have been met and whether Defendants are operating in conformity with the Act, 21 22 23 its implementing regulations, and this Decree; F. Defendants have paid all costs of FDA’s inspections, 24 25 26 27 investigations, supervision, analyses, examinations, and reviews with respect to paragraph 8, at the rates set forth in paragraph 16; and G. FDA notifies Defendants in writing that they appear to be in 28 9 1 2 compliance with the requirements set forth in paragraphs 8(A)-(D) and (F) of this Decree. In no circumstance shall FDA’s silence be construed as a substitute for 3 4 5 written notification. 9. Within twenty (20) business days after entry of this Decree, 6 7 8 9 Defendants shall recall all dietary supplements that were manufactured, prepared, packed, labeled, held, or distributed between September 1, 2011, and the date of entry of this Decree. Within thirty (30) business days after entry of this Decree, 10 11 Defendants, under FDA’s supervision, shall destroy all dietary supplements that 12 are in Defendants’ possession, custody, or control. Defendants shall bear the 13 costs of destruction and the costs of FDA’s supervision. Defendants shall not 14 15 dispose of any dietary supplement in a manner contrary to the provisions of the 16 Act, any other federal law, or the laws or any State or Territory, as defined in the 17 18 19 20 Act, in which the dietary supplements are disposed. 10. Upon resuming operations after complying with paragraphs 8(A)-(D) and (F), and receiving FDA’s written notification pursuant to paragraph 8(G), 21 22 23 Defendants shall: A. Retain an independent person (the “CGMP Auditor”) who shall 24 25 26 27 meet the criteria for the CGMP Expert described in paragraph 8(A), and who may be the same person retained as an Expert pursuant to paragraphs 8(A) or 8(B), to conduct CGMP audit inspections of Defendants’ facility no less frequently than 28 10 1 2 once every six (6) months for a period of no less than five (5) years and then at least once every year thereafter. The first CGMP audit shall occur not more than 3 4 5 six (6) months after Defendants have received FDA’s written notification pursuant to paragraph 8(G); 6 7 8 9 B. At the conclusion of each CGMP audit inspection, the CGMP Auditor shall prepare a detailed written audit report (“CGMP Audit Report”) analyzing whether Defendants are in compliance with Dietary Supplement CGMP 10 11 and identifying any deviations from such requirements (“CGMP Audit Report 12 Observations”). As a part of every CGMP Audit Report (except the first one), the 13 CGMP Auditor shall assess the adequacy of corrective actions taken by Defendants 14 15 to correct all previous CGMP Audit Report observations. The CGMP Audit 16 Reports shall be delivered contemporaneously to Defendants and FDA by courier 17 18 19 20 service or overnight delivery service, no later than five (5) business days after the CGMP Audit Inspection is completed. In addition, Defendants shall maintain the CGMP Audit Reports in separate files at Defendants’ facility and shall promptly 21 22 23 make the CGMP Audit Reports available to FDA upon request; C. If a CGMP Audit Report contains any observations indicating 24 25 26 27 that Defendants’ dietary supplements are not in compliance with the Dietary Supplement CGMP, Defendants shall, within ten (10) business days after receipt of the CGMP Audit Report, correct those observations, unless FDA notifies 28 11 1 2 Defendants that a shorter time period is necessary. If, after receiving the CGMP Audit Report, Defendants believe that correction of the deviations will take longer 3 4 5 than ten (10) business days, Defendants shall, within five (5) business days after receipt of the CGMP Audit Report, submit to FDA in writing a proposed schedule 6 7 8 9 for completing corrections (“CGMP Audit Correction Schedule”). The CGMP Audit Correction Schedule must be reviewed and approved by FDA in writing prior to implementation by Defendants. In no circumstance shall FDA’s silence 10 11 be construed as a substitute for written approval. Defendants shall complete all 12 corrections according to the approved CGMP Audit Correction Schedule. 13 Immediately upon completion of all corrections, Defendants shall submit 14 15 documentation of their corrections to the CGMP Auditor. Within twenty (20) 16 business days after the CGMP Auditor’s receipt of Defendants’ documentation of 17 18 19 20 corrections, unless FDA notifies Defendants that a shorter time period is necessary, or, if there is an FDA-approved CGMP Audit Correction Schedule, within the time period provided therein, the CGMP Auditor shall review the actions taken by 21 22 23 Defendants to correct the CGMP Audit Report Observations. Within five (5) business days after beginning that review, the CGMP Auditor shall report in 24 25 26 27 writing to FDA whether each of the CGMP Audit Report Observations has been corrected and, if not, which CGMP Audit Report Observations remain uncorrected; D. Retain an independent person (the “Labeling Auditor”) who 28 12 1 2 shall meet the criteria for the Labeling Expert described in paragraph 8(B), and who may be the same person as the CGMP Auditor or the person retained as an 3 4 5 Expert pursuant to paragraphs 8(A) or 8(B), to conduct audit reviews of Defendants’ labeling no less frequently than once every six (6) months for a period 6 7 8 9 of no less than five (5) years and then at least once every year thereafter. The first labeling audit shall occur not more than six (6) months after Defendants have received FDA’s written notification pursuant to paragraph 8(G); 10 11 12 E. At the conclusion of each labeling audit, the Labeling Auditor shall prepare a detailed written audit report (“Labeling Audit Report”) analyzing 13 whether Defendants comply with 21 U.S.C. § 343 and its implementing 14 15 regulations, and whether they cause any dietary supplement that they manufacture, 16 prepare, pack, label, hold, or distribute to meet the Act’s definition of a drug set 17 18 19 20 forth in 21 U.S.C. § 321(g), and identifying any deviations from such requirements for dietary supplement labeling (“Labeling Audit Report Observations”). As a part of every Labeling Audit Report, the Labeling Auditor shall assess the 21 22 23 adequacy of corrective actions taken by Defendants to correct all previous Labeling Audit Report observations. The Labeling Audit Reports shall be 24 25 26 27 delivered contemporaneously to Defendants and FDA by courier service or overnight delivery service, no later than five (5) business days after the Labeling Audit Inspection is completed. In addition, Defendants shall maintain the 28 13 1 2 Labeling Audit Reports in separate files at Defendants’ facility and shall promptly make the Labeling Audit Reports available to FDA upon request; and 3 4 5 F. If a Labeling Audit Report contains any observations indicating that Defendants do not comply with 21 U.S.C. § 343 and its implementing 6 7 8 9 regulations, or cause any dietary supplement that they manufacture, prepare, pack, label, hold, or distribute to meet the Act’s definition of a drug set forth in 21 U.S.C. § 321(g), Defendants shall, within ten (10) business days after receipt of the 10 11 Labeling Audit Report, correct those observations, unless FDA notifies Defendants 12 that a shorter time period is necessary. If, after receiving the Labeling Audit 13 Report, Defendants believe that correction of the deviations will take longer than 14 15 ten (10) business days, Defendants shall, within five (5) business days after receipt 16 of the Labeling Audit Report, submit to FDA in writing a proposed schedule for 17 18 19 20 completing corrections (“Labeling Audit Correction Schedule”). The Labeling Audit Correction Schedule must be reviewed and approved by FDA in writing prior to implementation by Defendants. In no circumstance shall FDA’s silence 21 22 23 be construed as a substitute for written approval. Defendants shall complete all corrections according to the approved Labeling Audit Correction Schedule. 24 25 26 27 Immediately upon completion of all corrections, Defendants shall submit documentation of their corrections to the Labeling Auditor. Within twenty (20) business days after the Labeling Auditor’s receipt of Defendants’ documentation of 28 14 1 2 corrections, unless FDA notifies Defendants that a shorter time period is necessary, or, if there is an FDA-approved Labeling Audit Correction Schedule, within the 3 4 5 time period provided therein, the Labeling Auditor shall review the actions taken by Defendants to correct the Labeling Audit Report Observations. Within five (5) 6 7 8 9 business days after beginning that review, the Labeling Auditor shall report in writing to FDA whether each of the Labeling Audit Report Observations has been corrected and, if not, which Labeling Audit Report Observations remain 10 11 12 uncorrected. 11. Defendants are permanently restrained and enjoined under 21 U.S.C. 13 § 332(a) from directly or indirectly doing or causing to be done any of the 14 15 following acts: 16 A. Violating 21 U.S.C. § 331(a), by introducing or delivering for 17 18 19 20 introduction, or causing to be introduced or delivered for introduction, into interstate commerce articles of food (including but not limited to dietary supplements and their components) that are adulterated within the meaning of 21 21 22 23 U.S.C. § 342(g)(1) or misbranded within the meaning of 21 U.S.C. § 343; B. Violating 21 U.S.C. § 331(k), by causing articles of food 24 25 26 27 (including but not limited to dietary supplements and their components) that Defendants hold for sale after shipment of one or more of their components in interstate commerce to become adulterated within the meaning of 21 U.S.C. 28 15 1 § 342(g)(1) or misbranded within the meaning of 21 U.S.C. § 343; 2 C. Violating 21 U.S.C. § 331(d) by introducing or delivering for 3 4 5 introduction, or causing to be introduced or delivered for introduction, into interstate commerce new drugs, as defined by 21 U.S.C. § 321(p), that are neither 6 7 8 approved pursuant to 21 U.S.C. § 355(a) nor exempt from approval pursuant to 21 U.S.C. § 355(i); 9 D. Violating 21 U.S.C. § 331(k) by causing articles of drug that 10 11 Defendants hold for sale after shipment of one or more of their components in 12 interstate commerce to become misbranded within the meaning of 21 U.S.C. 13 § 352(f)(1); and 14 15 E. Failing to implement and continuously maintain the 16 requirements of this Decree. 17 18 19 20 12. If, at any time after entry of this Decree, FDA determines, based on the results of an inspection, the analysis of a sample, a report, or data prepared or submitted by Defendants, the CGMP Expert, Labeling Expert, CGMP Auditor, 21 22 23 Labeling Auditor, or any other information, that Defendants have failed to comply with any provision of this Decree, Defendants have violated the Act or its 24 25 26 27 implementing regulations, or additional corrective actions are necessary to achieve compliance with this Decree, the Act, or its implementing regulations, FDA may, as and when it deems necessary, notify Defendants in writing of the 28 16 1 2 noncompliance and order Defendants to take appropriate corrective action, including, but not limited to, ordering Defendants to immediately take one or more 3 4 of the following actions: 5 A. Cease manufacturing, preparing, packing, labeling, holding, or 6 7 distributing any and all products; B. 8 9 Recall, at Defendants’ expense, any product that in FDA’s judgment is adulterated, misbranded, or otherwise in violation of this Decree, the 10 11 Act, or its implementing regulations; 12 C. Revise, modify, expand, or continue to submit any reports or 13 plans prepared pursuant to this Decree; 14 15 D. Submit additional reports or information to FDA as requested; 16 E. Institute or reimplement any of the requirements set forth in this F. Issue a safety alert; and/or G. Take any other corrective actions as FDA, in its discretion, 17 18 Decree; 19 20 21 22 23 deems necessary to protect the public health or bring Defendants into compliance with this Decree, the Act, or its implementing regulations. 24 25 26 27 This remedy shall be separate and apart from, and in addition to, any other remedy available to the United States under this Decree or under the law. 13. Upon receipt of any order issued by FDA pursuant to paragraph 12, 28 17 1 2 Defendants shall immediately and fully comply with the terms of the order. Any cessation of operations or other action described in paragraph 12 shall continue 3 4 5 until Defendants receive written notification from FDA that Defendants appear to be in compliance with this Decree, the Act, and its implementing regulations, and 6 7 8 9 that Defendants may resume operations. Defendants shall pay all costs of FDA’s inspections, investigations, supervision, analyses, examinations, sampling, testing, reviews, document preparation, travel, and subsistence expenses to implement and 10 11 monitor the remedies set forth in paragraph 12, at the rates specified in paragraph 12 16. 13 14. Representatives of FDA shall be permitted, without prior notice and 14 15 as and when FDA deems necessary, to inspect Defendants’ operations and, without 16 prior notice, take any other measures necessary to monitor and ensure continuing 17 18 19 20 compliance with the terms of this Decree, the Act, and all applicable regulations. During such inspections, FDA representatives shall be permitted to: have immediate access to Defendants’ places of business including, but not limited to all 21 22 23 buildings, equipment, raw ingredients, in-process materials, finished products, containers, packaging material, labeling, and other material therein; take 24 25 26 27 photographs and make video recordings; take samples of Defendants’ raw ingredients, in-process materials, finished products, containers, packaging material, labeling, and other material; and examine and copy all records relating to the 28 18 1 2 manufacture, preparing, packing, labeling, holding, and distribution of any and all of Defendants’ products and their components. The inspections shall be 3 4 5 permitted upon presentation of a copy of this Decree and appropriate credentials. The inspection authority granted by this Decree is separate from, and in addition 6 7 8 9 to, the authority to make inspections under the Act, 21 U.S.C. § 374. 15. Defendants shall promptly provide any information or records to FDA upon request regarding the manufacturing, preparing, packing, labeling, holding, 10 11 12 and distribution of Defendants’ products. 16. Defendants shall pay all costs of FDA’s inspections, investigations, 13 supervision, analyses, examinations, and reviews that FDA deems necessary to 14 15 evaluate Defendants’ compliance with any part of this Decree at the standard rates 16 prevailing at the time the costs are incurred. As of the date that this Decree is 17 18 19 20 signed by the parties, these rates are: $88.45 per hour or fraction thereof per representative for inspection and investigative work; $106.03 per hour or fraction thereof per representative for analytical or review work; $0.56 per mile for travel 21 22 23 expenses by automobile; government rate or the equivalent for travel by air or other means; and the published government per diem rate for subsistence expenses 24 25 26 27 where necessary. In the event that the standard rates applicable to FDA supervision of court-ordered compliance are modified, these rates shall be increased or decreased without further order of the Court. 28 19 Defendants shall make 1 2 payment in full to FDA within twenty (20) business days of receiving written notification from FDA of the costs. 3 4 5 17. Within five (5) business days after entry of this Decree, Defendants shall post a copy of this Decree in a conspicuous location in a common area at 6 7 8 9 Defendants’ facility and at any other location at which Defendants manufacture, prepare, pack, label, hold, or distribute articles of food and shall ensure that the Decree remains posted for as long as the Decree remains in effect. Within ten (10) 10 11 business days after entry of this Decree, Defendants shall provide to FDA an 12 affidavit, from a person with personal knowledge of the facts stated therein, stating 13 the fact and manner of compliance with this paragraph. 14 15 16 18. Within ten (10) business days after entry of this Decree, Defendants shall hold a general meeting or series of smaller meetings for all employees, at 17 18 19 20 which they shall describe the terms and obligations of this Decree. Within fifteen (15) business days after entry of this Decree, Defendants shall provide to FDA an affidavit, from a person with personal knowledge of the facts stated therein, stating 21 22 23 the fact and manner of compliance with this paragraph and a copy of the agenda, list of attendees, and meeting minutes from the meeting(s) held pursuant to this 24 25 26 27 paragraph. 19. Within ten (10) business days after entry of this Decree, Defendants shall provide a copy of the Decree by personal service or certified mail (return 28 20 1 2 receipt requested) to each and all of their directors, officers, agents, representatives, employees, attorneys, successors, and assigns, and any and all 3 4 5 persons or entities in active concert or participation with any of them (“Associated Persons”). Within twenty (20) business days after entry of this Decree, 6 7 8 9 Defendants shall provide to FDA an affidavit, from a person with personal knowledge of the facts stated therein, stating the fact and manner of compliance with this paragraph, identifying the names, addresses, and positions of all 10 11 Associated Persons who have received a copy of this Decree, and attaching a copy 12 of the executed certified mail return receipts. 13 20. In the event that any of the Defendants becomes associated with any 14 15 additional Associated Person(s) at any time after entry of this Decree, Defendants 16 shall immediately provide a copy of this Decree, by personal service or certified 17 18 19 20 mail (return receipt requested) to such Associated Person(s). Within five (5) business days of each time that any of the Defendants becomes associated with any additional Associated Person, Defendants shall provide to FDA an affidavit, from a 21 22 23 person with personal knowledge of the facts stated therein, stating the fact and manner of compliance with this paragraph, identifying the names, addresses, and 24 25 26 27 positions of all Associated Persons who received a copy of this Decree pursuant to this paragraph, and attaching a copy of the executed certified mail return receipts. 21. Defendants shall notify FDA in writing at least ten (10) business days 28 21 1 2 before any change in ownership, name, or character of their business that occurs after entry of this Decree, including an incorporation, reorganization, creation of a 3 4 5 subsidiary, relocation, dissolution, bankruptcy, assignment, sale, or any other change in the structure or identity of Health One Pharmaceuticals, Inc., or the sale 6 7 8 9 or assignment of any business assets, such as buildings, equipment, or inventory that may affect obligations arising out of this Decree. Defendants shall provide a copy of this Decree to any prospective successor or assign at least twenty (20) 10 11 business days prior to any sale or assignment. Defendants shall furnish FDA with 12 an affidavit of compliance with this paragraph no later than ten (10) business days 13 prior to such assignment or change in ownership. 14 15 16 22. If any Defendant fails to comply with any provision of this Decree, the Act, or its implementing regulations, including any time frame imposed by this 17 18 19 20 Decree, then Defendants shall pay to the United States of America: seven thousand five hundred dollars ($7,500) in liquidated damages for each day such violation continues; an additional sum of seven thousand five hundred dollars 21 22 23 ($7,500) in liquidated damages per day, per violation for each violation of this Decree, the Act, or its implementing regulations; and an additional sum in 24 25 26 27 liquidated damages equal to twice the retail value of any product distributed in violation of this Decree, the Act, or its implementing regulations. Defendants understand and agree that the liquidated damages specified in this paragraph are 28 22 1 2 not punitive in nature and their imposition does not in any way limit the ability of the United States to seek, or the Court to impose, additional civil or criminal 3 4 5 penalties to be paid by Defendants, or remedies based on conduct that may also be the basis for payment of liquidated damages pursuant to this paragraph. 6 23. 7 8 9 Should the United States bring and prevail in a contempt action to enforce the terms of this Decree, Defendants shall, in addition to other remedies, reimburse the United States for its attorneys’ fees (including overhead), expert 10 11 witness fees, travel expenses incurred by attorneys and witnesses, investigational 12 and analytical expenses, administrative and court costs, and any other costs or fees 13 relating to such contempt proceedings. 14 24. 15 16 Defendants shall abide by the decisions of FDA, and FDA’s decisions shall be final. All decisions conferred upon FDA in this Decree shall be vested in 17 18 19 20 FDA’s discretion and, to the extent that these decisions are subject to review, shall be reviewed by the Court under the arbitrary and capricious standard set forth in 5 U.S.C. § 706(2)(A). Review by the Court of any FDA decision rendered 21 22 23 pursuant to this Decree shall be based exclusively on the written record before FDA at the time the decision was made. No discovery shall be taken by either 24 25 26 27 party. 25. All notifications, correspondence, and communications to FDA required by the terms of this Decree shall be prominently marked “Decree 28 23 1 2 Correspondence” and addressed to the District Director, Los Angeles District Office, United States Food and Drug Administration, 19701 Fairchild, Irvine, 3 4 5 California 92612-2506, and shall reference this civil action by case name and civil action number. 6 7 8 9 26. Except as provided in the foregoing provisions of this Decree, the parties shall bear their own costs and attorneys’ fees in this action. 27. This Court retains jurisdiction over this action and the parties thereto 10 11 for the purpose of enforcing and modifying this Decree and for the purpose of 12 granting such additional relief as may be necessary or appropriate. 13 SO ORDERED, this 15th day of January, 2015. 14 15 16 17 18 IT IS SO ORDERED. Dated: January 15, 2015 ____________________________________ HONORABLE BEVERLY REID O’CONNELL UNITED STATES DISTRICT COURT JUDGE 19 20 21 22 23 24 25 26 27 28 24 1 2 Entry consented to: For Defendants 3 4 5 6 7 ________________________ RICHARD S. YEH Individually and on behalf of Health One Pharmaceuticals, Inc., as its President For Plaintiff JOYCE R. BRANDA Acting Assistant Attorney General JONATHAN F. OLIN Deputy Assistant Attorney General MICHAEL S. BLUME Director 8 9 10 11 12 13 14 ________________________ [ATTORNEY NAME] Attorney for Defendants By:________________________ PATRICK R. RUNKLE Trial Attorney Consumer Protection Branch Department of Justice, Civil Division P.O. Box 386 Washington, D.C. 20044 202-532-4723 patrick.r.runkle@usdoj.gov 15 16 17 18 19 20 21 22 23 24 25 26 27 28 OF COUNSEL: WILLIAM B. SCHULTZ General Counsel ELIZABETH H. DICKINSON Chief Counsel Food and Drug Division ANNAMARIE KEMPIC Deputy Chief Counsel for Litigation CLAUDIA J. ZUCKERMAN Senior Counsel Office of the Chief Counsel Food and Drug Administration 10903 New Hampshire Avenue Bldg. 31, Room 4550 Silver Spring, MD 20993-0002 301-796-8609 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 26

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