United States of America v. Med-Pharmex, Inc. et al

Filing 51

CONSENT DECREE OF PERMANENT INJUNCTION filed by Judge John A. Kronstadt. IT IS HERBY ORDERED, ADJUDGED, AND DECREED as follows: Defendants and each and all of their directors, officers, agents, representatives, employees, attorneys, successors, and assigns, and allpersons in active concert or participation with any of them (including individuals, directors, partnerships, corporations, subsidiaries, franchisees, affiliates, and "doing business as" entities), who receive notice of this Decree by personal service or otherwise (collectively, "Associated Person(s)"), are permanently restrained and enjoined Defendants shall pay to the United States of America the sum of $5,000.00 in liquidated damages for each day such violation continues; an additional sum of $5,000.00 in liquidated damages for each violation of this Decree, the Act, or its implementing regulations; and an additional sum equal to five (5) times the retail value of each shipment of an adulter ated drug in liquidated damages for each such unlawful shipment. The amount of liquidated damages imposed under this paragraph shall not exceed $250,00.00 in any one calendar year. (MD JS-6. Case Terminated.) See Consent Decree for further specifics. (jp)

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1 2 3 4 5 6 7 UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA 8 9 10 UNITED STATES OF AMERICA, 11 Plaintiff, 12 v. 13 14 15 16 17 18 MED-PHARMEX, INC., a corporation, GERALD P. MACEDO and VINAY M. RANGNEKAR, PH.D., individuals, No. 2:20-cv-09844-JAK-AFM CONSENT DECREE OF PERMANENT INJUNCTION JS-6 Defendants. Plaintiff, the United States of America, by its undersigned counsel, and on behalf 19 of the United States Food and Drug Administration (“FDA”), having filed a First 20 Amended Complaint for Permanent Injunction (“Complaint”) against Med-Pharmex, 21 Inc. (“MPX” or “the company”), a corporation, Gerald P. Macedo and Vinay M. 22 Rangnekar, Ph.D., individuals, and Defendants MPX and Gerald P. Macedo 23 (collectively, “Defendants”) having appeared and consented to entry of this Decree 24 without contest, without admitting the allegations in the Complaint, before any 25 testimony has been taken, and the United States of America having consented to this 26 Decree; 27 28 IT IS HERBY ORDERED, ADJUDGED, AND DECREED as follows: 1 1. This Court has jurisdiction over the subject matter of this action under 21 2 U.S.C. § 332 and has personal jurisdiction over all parties to this action under 28 U.S.C. 3 §§ 1331, 1337, and 1345. Venue is proper in this district under 28 U.S.C. § 1391(b) and 4 (c). 5 2. The Complaint states a cause of action against Defendants under the Federal 6 Food, Drug, and Cosmetic Act, 21 U.S.C. § 301 et seq. (“FDCA” or the “Act”). 7 3. The Complaint alleges that Defendants violate 21 U.S.C. § 331(a) by 8 introducing or delivering for introduction, or causing to be introduced or delivered for 9 introduction, into interstate commerce animal drugs that are adulterated within the 10 meaning of 21 U.S.C. § 351(a)(2)(B) in that they are manufactured, processed, packed, 11 and held in violation of the current good manufacturing practice (“cGMP”) regulations 12 for drugs set forth in 21 C.F.R. Part 211. 13 4. The Complaint alleges that Defendants violate 21 U.S.C. § 331(k) by 14 causing articles of animal drug that they hold for sale after shipment of one or more of 15 their components in interstate commerce to become adulterated within the meaning of 16 21 U.S.C. § 351(a)(2)(B). 17 5. The term “MPX’s Facilities” includes the facility at 2727 Thompson Creek 18 Road, Pomona, California 91767 and any other facility where MPX now or in the future 19 directly or indirectly manufactures, processes, packs, holds, or distributes any articles of 20 drug. The term “MPX’s Facilities” does not include the Cephazone Pharma, LLC 21 facility at 250 East Bonita Avenue, Pomona, California 91767. 22 6. The terms “sterile drug” or “articles of sterile drug” means a drug that 23 purports to be sterile and is intended for parenteral administration, an ophthalmic or oral 24 inhalation drug in aqueous format, or a drug that is required to be sterile under Federal 25 or State law. 21 U.S.C. § 353b(d)(5). “Sterile drug” or “articles of sterile drug” does 26 not include euthanasia products and natural and synthetic steroid hormonal ear implants 27 intended for use in bovine and ovine species. 28 2 1 7. Defendants represent that: (a) MPX discontinued all sterile drug 2 manufacturing at MPX’s Facilities in or about July 2020; and (b) at the time of entry of 3 this Decree, Defendants are not engaged in sterile manufacturing at MPX’s Facilities, 4 and have no intention to engage in sterile manufacturing in the future at MPX’s 5 Facilities. If Defendants later intend to resume sterile drug manufacturing at MPX’s 6 Facilities, they must comply with Paragraph 8 of this Decree. Defendants shall not 7 resume sterile drug manufacturing until FDA has inspected MPX’s Facilities pursuant 8 to Paragraph 8.F, Defendants have paid the costs of such inspection(s) pursuant to 9 Paragraph 8.G, and Defendants have received written notification from FDA that 10 Defendants appear to be in compliance with the Decree, the Act, and its implementing 11 regulations, and that Defendants may resume sterile drug manufacturing at MPX’s 12 Facilities. 13 8. Upon entry of this Decree, Defendants and each and all of their directors, 14 officers, agents, representatives, employees, attorneys, successors, and assigns, and all 15 persons in active concert or participation with any of them (including individuals, 16 directors, partnerships, corporations, subsidiaries, franchisees, affiliates, and “doing 17 business as” entities), who receive notice of this Decree by personal service or otherwise 18 (collectively, “Associated Person(s)”), are permanently restrained and enjoined under 21 19 U.S.C. § 332(a), and the inherent equitable authority of this Court, from directly or 20 indirectly manufacturing, processing, packing, holding, and distributing any articles of 21 sterile drug manufactured at MPX’s Facilities, unless and until: 22 A. Defendants ensure that the methods, facilities, and controls used to 23 manufacture, process, pack, hold, and distribute sterile drugs at or from MPX’s Facilities 24 are established, operated, and administered in conformity with cGMP. See 21 U.S.C. 25 § 351(a)(2)(B) and 21 C.F.R. Part 211; 26 B. Defendants select and retain, at their expense, an independent person 27 or persons (the “Expert”), to conduct inspections of MPX’s operations and to review 28 3 1 MPX’s procedures and methods for manufacturing, processing, packing, holding, and 2 distributing articles of sterile drug, to determine whether the methods, facilities, and 3 controls are operated and administered in conformity with this Decree, the FDCA, and 4 its implementing regulations. The Expert shall be qualified by education, training, and 5 experience to conduct such inspections, have specific expertise in evaluating compliance 6 with the cGMP requirements for sterile drugs as set forth in 21 C.F.R. Part 211, have 7 expertise in aseptic processing and microbiology as it relates to sterile drug 8 manufacturing, and be without personal or financial ties (other than a retention 9 agreement or contract between the parties, covering the Expert’s activities under the 10 Decree) to Defendants’ officers or employees or their families; 11 C. Defendants shall notify FDA in writing of the identity and 12 qualifications of the Expert within ten (10) business days of retaining such Expert, or, if 13 such Expert has already been retained upon entry of this Decree, within ten (10) business 14 days after entry of this Decree; 15 D. The Expert shall perform a comprehensive inspection of MPX’s 16 Facilities and the methods and controls used to manufacture, process, pack, hold, and 17 distribute sterile drugs. The Expert shall determine whether MPX’s Facilities and the 18 methods and controls used to manufacture, process, pack, hold, and distribute sterile 19 drugs are in compliance with cGMP for sterile drugs, the FDCA and its implementing 20 regulations, and this Decree. The Expert’s report of the inspection of MPX’s Facilities 21 shall be submitted to FDA and shall include, but not be limited to, the following: 22 i. An evaluation of MPX’s current state of compliance with 23 respect to the violations set forth on FDA’s Lists of Inspectional Observations issued to 24 MPX since February 2016; 25 ii. A determination of whether Defendants have established and 26 implemented at MPX’s Facilities adequate procedures, processes, equipment, and 27 facilities designed to prevent microbiological contamination of each component and 28 4 1 batch of sterile drug product to ensure that they are free of objectionable organisms; 2 iii. A determination of whether the accuracy, sensitivity, 3 specificity, and reproducibility for all test methods used at MPX’s Facilities have been 4 established and documented; 5 iv. A determination of whether Defendants have established and 6 are following at MPX’s Facilities laboratory controls that include scientifically sound 7 and appropriate specifications, standards, sampling plans, and test procedures designed 8 to assure that components, sterile drug product containers, closures, in-process materials, 9 labeling, and sterile drug products conform to appropriate standards of identity, strength, 10 quality and purity; 11 v. A determination of whether Defendants have established and 12 are following at MPX’s Facilities written procedures for equipment cleaning and 13 maintenance, including utensils, used in the manufacturing, processing, packing, 14 labeling, and distributing of sterile drug products; 15 vi. An evaluation of whether MPX’s Quality Assurance Unit 16 reviews and approves all sterile drug product production and control records to 17 determine compliance with all established, written procedures before a batch is released 18 or distributed, as required by 21 C.F.R.§ 211.192; 19 vii. A determination of whether Defendants have corrected all 20 violations set forth in FDA’s Inspectional Observations (“Forms FDA-483”) from all 21 prior FDA inspections of MPX’s Facilities since February 2016; 22 viii. A determination of whether, based upon this comprehensive 23 inspection, Defendants’ sterile drug manufacturing operations at MPX’s Facilities are 24 operated in conformity with this Decree, the FDCA, and its implementing regulations. 25 The Expert shall submit his/her report(s) to FDA at the address specified in Paragraph 26 21; and 27 ix. A written report to FDA with the actions that Defendants have 28 5 1 taken to (a) correct all violations brought to Defendants’ attention by the Expert and/or 2 set forth in FDA’s Forms FDA-483 from all prior FDA inspections of MPX’s Facilities 3 since February 2016; and (b) ensure that the methods used in, and the facilities and 4 controls used for manufacturing, processing, packing, holding, and distributing articles 5 of sterile drug at or from MPX’s Facilities are designed, operated, and administered, and 6 will be continuously operated and administered, in conformity with this Decree, the 7 FDCA, and its implementing regulations. Defendants shall include with their report a 8 copy of a written certification from the Expert that Defendants are in compliance with 9 this Decree, the FDCA, and its implementing regulations; 10 E. Within twenty (20) business days after submission of the Expert 11 report to FDA, Defendants shall give written notice to FDA that, at their own expense 12 and under FDA’s supervision, they are prepared to destroy all articles of sterile drug in 13 their possession, custody, or control that were manufactured at MPX’s Facilities. 14 Defendants’ notice shall specify the proposed time, place, and method of destruction 15 (“Destruction Plan”). Defendants shall neither commence nor permit any other person 16 to commence destruction until they have received written authorization from FDA to 17 commence the destruction. At or after the time FDA evaluates the Expert report as 18 discussed in Paragraph 8.H.i, FDA will decide if and when to authorize destruction; 19 F. FDA, as and when it deems necessary, inspects MPX’s Facilities to 20 determine whether the requirements of this Decree have been met, and whether 21 Defendants’ sterile drug manufacturing operations at MPX’s Facilities are otherwise 22 operated in conformity with cGMP, the FDCA, and its implementing regulations; 23 G. Defendants pay all costs of expenses incurred under Paragraph 8 for 24 FDA inspections, investigations, supervision, reviews, examinations, evaluations, and 25 analyses, at the rates set forth in Paragraph 15 of this Decree; and 26 H. FDA notifies Defendants in writing that Defendants appear to be in 27 compliance with the requirements set forth in Paragraph 8.A – 8.G and that Defendants 28 6 1 may resume directly or indirectly manufacturing articles of sterile drug at or from MPX’s 2 Facilities. In no circumstance shall FDA’s silence be construed as a substitute for written 3 notification. i. 4 Within forty-five (45) business days after FDA’s receipt of the 5 Expert’s report discussed above in Paragraph 8.D and 8.D, subparagraphs i. – ix., FDA 6 will notify Defendants in writing whether the Expert report demonstrates that 7 Defendants appear to be in compliance with the requirements set forth in Paragraph 8.A 8 – 8.G. If FDA notifies Defendants that the Expert’s report does not demonstrate that 9 Defendants appear to be in compliance with the requirements set forth in Paragraph 8.A 10 – 8.G, FDA shall identify in writing any deficiencies in the report. If FDA determines 11 that an inspection under Paragraph 8.F is necessary to determine whether Defendants 12 appear to be in compliance with Paragraph 8.A – 8.G, FDA shall begin an inspection as 13 soon as is practicable, taking into account then-existing public health circumstances, 14 including the COVID-19 pandemic. I. 15 Nothing in Paragraph 8 of this Decree shall preclude Defendants 16 from holding sterile drugs that are maintained solely as stability and retention samples. 17 No drugs held under this subparagraph may be commercially distributed. 18 9. Upon entry of this Decree, Defendants and each and all of their Associated 19 Person(s) who receive notice of this Decree by personal service or otherwise are 20 permanently restrained and enjoined, pursuant to 21 U.S.C. § 332(a), from directly or 21 indirectly doing or causing to be done any act that: 22 A. Violates the FDCA, 21 U.S.C. § 331(a), and results in the 23 introduction or delivery for introduction into interstate commerce of articles of drug that 24 are adulterated; or 25 B. Violates the FDCA, 21 U.S.C. § 331(k), and results in an article of 26 drug becoming adulterated while held for sale after shipment of one or more of its 27 components in interstate commerce. 28 7 1 10. Within ten (10) business days after entry of this Decree, Defendants shall 2 select and retain an independent person or persons (the “Auditor”), at Defendants’ 3 expense, to conduct audit inspections of Defendants’ drug manufacturing operations at 4 MPX’s Facilities, not less than once every four (4) months for a period of two (2) years 5 and not less than once every twelve (12) months for a period of three (3) years thereafter, 6 for a total of five (5) years. The Auditor shall be qualified by education, training, and 7 experience to conduct such inspections, and shall be without personal or financial ties 8 (other than a retention agreement or contract entered into by the parties covering the 9 Auditor’s activities under this Decree) to Defendants’ officers or employees or their 10 families. The Auditor may be the same person or persons described as the Expert in 11 Paragraph 8.B. Additionally: 12 A. At the conclusion of each audit inspection of MPX’s Facilities, 13 Defendants shall ensure that the Auditor shall prepare a written audit report (the “Audit 14 Report”) analyzing whether Defendants’ operations are operated and administered in 15 compliance with cGMP, the FDCA, its implementing regulations, and this Decree, and 16 identifying in detail any deviations from the foregoing (“Audit Report Observations”). 17 As part of every Audit Report, except the first, Defendants shall ensure that the Auditor 18 shall assess the adequacy of corrective actions taken by Defendants to correct all 19 previous Audit Report Observations. Defendants shall ensure that the Audit Reports 20 shall be delivered contemporaneously to Defendants and FDA no later fifteen (15) 21 business days after the date the audit inspections are completed. If any Audit Report 22 identifies any deviations from the FDCA, its implementing regulations, and/or this 23 Decree, FDA may, in its discretion, require that the five (5) year auditing cycle be 24 extended for two (2) years. In addition, Defendants shall maintain complete Audit 25 Reports and all of their underlying data in separate files at MPX’s Facilities and shall 26 promptly make the Audit Reports and underlying data available to FDA upon request; 27 and 28 8 B. 1 If an Audit Report contains any adverse Audit Report Observations, 2 Defendants shall, within thirty (30) business days after receipt of the Audit Report, 3 correct those observations, unless FDA notifies Defendants that a shorter time period is 4 necessary. For any adverse Audit Report Observations that are not corrected within 5 thirty (30) business days after receipt of the Audit Report, Defendants shall propose a 6 schedule for completing such corrections, including Defendants’ justification for 7 additional time (the “Corrections Schedule”). FDA may approve, modify, or reject the 8 proposed Correction Schedule in writing. In no circumstance shall FDA’s silence be 9 construed as a substitute for written approval of the proposed Correction Schedule. C. 10 Within thirty (30) business days after Defendants’ receipt of an Audit 11 Report, or within the time period provided in a Correction Schedule approved by FDA, 12 the Auditor shall review the actions taken by Defendants to correct the adverse Audit 13 Report Observation(s). Within fifteen (15) business days of the beginning of that review, 14 the Auditor shall report in writing to FDA whether each of the adverse Audit Report 15 Observations has been corrected and, if not, which adverse Audit Report Observations 16 remain uncorrected. 17 11. Upon entry of this Decree, if at any time FDA determines, based on the 18 results of an inspection of MPX’s Facilities, the analysis of a sample, a report, a review, 19 or any other information, that Defendants have failed to comply with any provision of 20 this Decree, have violated the FDCA or its implementing regulations, and/or that 21 additional corrective actions are necessary to achieve compliance with this Decree, the 22 FDCA, and/or its implementing regulations, FDA may, as and when it deems necessary, 23 notify Defendants in writing of the noncompliance and order Defendants to take 24 appropriate corrective action, including, but not limited to, ordering Defendants to 25 immediately take one or more of the following actions: 26 A. Cease manufacturing, processing, packing, 27 distributing any or all articles of drugs at or from MPX’s Facilities; 28 9 holding, and/or B. 1 Recall, at Defendants’ sole expense, any specific articles of drug 2 manufactured, held, and/or distributed at or from MPX’s Facilities that are adulterated 3 or otherwise in violation of this Decree, the FDCA, or its implementing regulations; C. 4 Revise, modify, expand, or continue to submit any reports or plans 5 prepared pursuant to this Decree; 6 D. Submit additional reports or information to FDA; 7 E. Issue a press release about a safety issue or recall; and 8 F. Take any other corrective actions as FDA, in its discretion, deems 9 necessary to bring Defendants into compliance with this Decree, the FDCA, and its 10 implementing regulations. 11 The provisions of Paragraph 11 shall be apart from, and in addition to, all other remedies 12 available to FDA. 13 12. The following process and procedures shall apply in the event that FDA 14 issues an order under Paragraph 11. 15 A. Unless a different timeframe is specified by FDA in its order, within 16 ten (10) business days after receiving such order, Defendants shall notify FDA in writing 17 either that: (1) Defendants are undertaking or have undertaken corrective action, in 18 which event Defendants shall also describe the specific action taken or proposed to be 19 taken and the proposed schedule for completing the action; or (2) Defendants do not 20 agree with FDA’s order. If Defendants notify FDA that they do not agree with FDA’s 21 order, Defendants shall explain in writing the basis for their disagreement; in doing so, 22 Defendants may propose specific alternative actions and timeframes for achieving 23 FDA’s objectives. 24 B. If Defendants notify FDA that they do not agree with FDA’s order, 25 FDA will review Defendants’ notification, and thereafter, in writing, affirm, modify, or 26 withdraw its order, as FDA deems appropriate. If FDA affirms or modifies its order, it 27 will explain the basis for its decision in writing. The written notice of affirmation or 28 10 1 modification shall constitute final agency action. C. 2 If FDA affirms or modifies its order, Defendants shall, upon receipt 3 of FDA’s order, immediately implement the order (as modified, if applicable), and may, 4 if they so choose, bring the matter before the Court on an expedited basis. While seeking 5 Court review, Defendants shall continue to diligently implement and comply with FDA’s 6 order, unless and until the Court stays, reverses, or modifies the order. Any judicial 7 review of FDA’s order under this paragraph shall be made pursuant to Paragraph 20. D. 8 The process and procedures set forth in Paragraphs 12.A-12.C shall 9 not apply to any order issued pursuant to Paragraph 11 if such order states that, in FDA’s 10 judgment, the matter raises significant public health concerns. In such case, Defendants 11 shall, upon receipt of such order, immediately and fully comply with the terms of that 12 order. Should Defendants seek to challenge any such order, they may petition this Court 13 for relief while they implement FDA’s order. Any judicial review of FDA’s order under 14 this paragraph shall be made pursuant to Paragraph 20. 15 13. Any cessation of operations or other action described in Paragraph 11 shall 16 continue until Defendants receive written notification from FDA that Defendants appear 17 to be in compliance with this Decree, the FDCA, and its implementing regulations, and 18 that Defendant may, therefore, resume operations. Defendants may submit to FDA a 19 written request to resume operations. Within forty-five (45) business days after FDA’s 20 receipt of a written request to resume operations, FDA will determine whether 21 Defendants appear to be in compliance with this Decree, the FDCA, and its 22 implementing regulations and notify Defendants whether they may resume operations. 23 14. FDA shall be permitted, without prior notice and as FDA deems necessary, 24 to inspect MPX’s Facilities and without prior notice take any other measures necessary 25 to monitor and ensure continuing compliance with the terms of this Decree, the FDCA, 26 and its implementing regulations. During inspections of MPX’s Facilities, FDA shall be 27 permitted to have immediate access to buildings, equipment, raw ingredients, in-process 28 11 1 materials, finished products, containers, packing material, labeling, and other material 2 therein; to take photographs and make video recordings; to take samples of Defendants’ 3 raw ingredients, in-process materials, finished products, containers, packing material, 4 labeling, and other material; and examine and copy all records relating to manufacturing, 5 processing, packing, holding, and distributing any and all articles of drug and their 6 respective components. The inspection shall be permitted upon presentation of a copy 7 of this Decree and appropriate credentials. The inspection authority granted by this 8 Decree is separate from, and in addition to, the authority to conduct inspections under 9 the FDCA, 21 U.S.C. § 374. 10 15. Defendants shall reimburse FDA for the costs of all inspections, 11 investigations, supervision, reviews, examinations, evaluations, and analyses that FDA 12 deems necessary to evaluate Defendants’ compliance with this Decree. The costs shall 13 be borne by Defendants at the prevailing rates in effect at the time the costs are incurred. 14 As of the date this Decree is signed by the parties, the rates are $102.39 per hour or 15 fraction thereof per representative for inspection work; $122.71 per hour or fraction 16 thereof per representative for analytical work; and $0.56 per mile (plus tolls) for travel 17 expenses for travel by automobile; government rate or the equivalent for travel by air or 18 other means; and the published government per diem rate or the equivalent for the areas 19 in which the inspections are performed per representative and per day for subsistence 20 expenses, where necessary. In the event that the standard rates generally applicable to 21 FDA’s supervision of court-ordered compliance are modified, these rates shall be 22 increased or decreased without further order of this Court. 23 16. Within fifteen (15) business days after entry of this Decree, Defendants 24 shall post a copy of this Decree in common areas at MPX’s Facilities and at any other 25 location at which the MPX conducts business, including any at which it contracts to 26 manufacture, store, or distribute drugs, and shall ensure that the Decree remains posted 27 for as long as it remains in effect. Defendants shall ensure that the decree remains posted 28 12 1 as described for not less than twenty-four (24) months. 2 17. Within fifteen (15) business days after entry of this Decree, Defendants 3 shall provide a copy of the Decree by personal service, personal delivery via electronic 4 mail with acknowledgment of receipt (return receipt email) or certified mail (restricted 5 delivery, return receipt requested) to each Associated Person(s). Within thirty (30) 6 business days after entry of this Decree, Defendants shall provide to FDA an affidavit 7 stating the fact and manner of its compliance with this paragraph, and identifying the 8 names, addresses, and positions of all persons who have received a copy of this Decree. 9 18. In the event that Defendants become associated with any additional 10 Associated Person(s) at any time after entry of this Decree, Defendants shall 11 immediately provide a copy of this Decree, by personal service or certified mail 12 (restricted delivery, return receipt requested), to such Associated Person(s). Every six 13 (6) months, Defendants shall provide to FDA an affidavit stating the fact and manner of 14 its compliance with this paragraph, and identifying the names, addresses, and positions 15 of all persons who have received a copy of this Decree pursuant to this paragraph. 16 Within ten (10) business days of receiving a request from FDA for any information or 17 documentation that FDA deems necessary to evaluate compliance with this paragraph, 18 Defendants shall provide such information or documentation to FDA. 19 19. Defendants shall notify FDA in writing at least fifteen (15) business days 20 before any change in ownership, name, or character of its business that occurs after entry 21 of this Decree, including an incorporation, reorganization, creation of a subsidiary, 22 relocation, dissolution, bankruptcy, assignment, sale, or any other change in the structure 23 or identity of Med-Pharmex, Inc., or the sale or assignment of any business assets, such 24 as buildings, equipment, or inventory, that may affect obligations arising out of this 25 Decree. Defendants shall provide a copy of this Decree to any potential successor or 26 assignee at least fifteen (15) business days prior to any sale or assignment. Defendants 27 shall furnish FDA with an affidavit of compliance with this paragraph no later than 28 13 1 fifteen (15) business days prior to such assignment or change in ownership. 2 20. All decisions specified in this Decree shall be vested in the discretion of 3 FDA and shall be final. When contested by Defendants, FDA’s decisions under this 4 Decree shall be reviewed by the Court under the arbitrary and capricious standard set 5 forth in 5 U.S.C. § 706(2)(A). Review shall be based exclusively on the written record 6 before FDA at the time the decision was made. No further discovery shall be taken by 7 either party. 8 21. All notifications, correspondence, and communications required to be sent 9 to FDA by the terms of this Decree shall be addressed to the Director, Division of 10 Pharmaceutical Quality Operations IV, FDA Los Angeles District Office, 19701 11 Fairchild, Irvine, CA 92612, and ORAPHARM4_Responses@FDA.HHS.GOV, and 12 shall reference the case name and civil action number. 13 22. The parties may, at any time, petition each other in writing to extend any 14 deadline provided herein, and the parties may grant such an extension without seeking 15 leave of the Court. Any such petitions shall not become effective unless and until 16 granted in writing. 17 23. Should Defendants fail to comply with any provision of this Decree, the 18 FDCA, or its implementing regulations, the Defendants shall pay to the United States of 19 America the sum of Five Thousand Dollars ($5,000.00) in liquidated damages for each 20 day such violation continues; an additional sum of Five Thousand Dollars ($5,000.00) 21 in liquidated damages for each violation of this Decree, the Act, or its implementing 22 regulations; and an additional sum equal to five (5) times the retail value of each 23 shipment of an adulterated drug in liquidated damages for each such unlawful shipment. 24 Defendants understand and agree that the liquidated damages specified in this paragraph 25 are not punitive in nature and their imposition does not in any way limit the ability of 26 the United States of America to seek, and the Court to impose, additional criminal or 27 civil penalties based on conduct that may also be the basis for payment of the liquidated 28 14 1 damages. The amount of liquidated damages imposed under this paragraph shall not 2 exceed Two Hundred and Fifty Thousand Dollars ($250,000.00) in any one calendar 3 year. 4 24. Should Plaintiff bring, and prevail in, a contempt action to enforce the 5 terms of this Decree, Defendants shall, in addition to other remedies, reimburse Plaintiff 6 for its attorneys’ fees and overhead, investigational and analytical expenses, expert 7 witness fees, travel expenses incurred by attorneys and witnesses, administrative court 8 costs, and any other costs or fees relating to such proceedings. 9 25. If any deadline in this Decree falls on a weekend or federal holiday, the 10 deadline is continued until the next business day. 11 26. Sixty (60) months after entry of this Decree, Defendants may petition this 12 Court for full relief from this Decree or for specific relief from this Decree with regard 13 to one or more of MPX’s Facilities. If, at the time of the petition, Defendants have 14 satisfied all of their obligations under this Decree with respect to the specific facilities 15 for which Defendants are seeking relief and, in FDA’s judgment, Defendants have 16 maintained a state of continuous compliance with this Decree, the Act, and its 17 implementing regulations for at least sixty (60) months, the United States shall not 18 oppose the petition, and Defendants may request the Court to grant such relief. 19 27. Nothing in this Decree shall prevent FDA from accepting for filing, 20 reviewing, and approving any supplemental new animal drug application (NADA) or 21 supplemental abbreviated new animal drug application (ANADA) submitted by MPX 22 and listing MPX’s Facilities as a manufacturing facility. Further, FDA shall not 23 withhold approval of any such supplemental NADA or supplemental ANADA for a non24 sterile drug solely on the basis of MPX’s Facilities’ inspectional classification prior to 25 FDA performing an inspection at MPX’s Facilities after entry of this Decree. 26 28. This Court retains jurisdiction over this action for the purpose of enforcing 27 or modifying this Decree and for the purpose of granting such additional relief as may 28 15 1 be necessary or appropriate. 2 3 IT IS SO ORDERED. 4 5 November 19 Dated this _____ day of ___________________, 2021. 6 7 8 9 ____________________________________ 10 John A. Kronstadt 11 United States District Judge 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 16

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