Connecticut et al v. Teva Pharmaceuticals USA, Inc.
Filing
1
COMPLAINT against All Defendants, filed by State of Oklahoma, State of Ohio, State of Mississippi, State of Florida, State of New Jersey, Commonwealth of Massachusetts, State of West Virginia, State of Nevada, State of Minnesota, State of Illinois, State of North Dakota, Commonwealth of Pennsylvania, State of Indiana, State of New York, State of Tennessee, State of Vermont, State of Iowa, State of Louisiana, State of Maine, State of Wisconsin, State of Michigan, State of Alabama, State of Maryland, State of Connecticut, State of North Carolina, State of New Mexico, State of Utah, Commonwealth of Kentucky, State of Nebraska, State of Missouri, Commonwealth of Virginia, State of Montana, State of Kansas, State of Delaware, State of Alaska, Commonwealth of Puerto Rico, State of Idaho, State of Hawaii, State of South Carolina, State of Arizona, State of Oregon, State of Rhode Island, State of Washington, State of Colorado. (Attachments: #1 Civil Cover Sheet, #2 Cover Sheet Attachments)(Murphy, Tatihana)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF CONNECTICUT
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STATE OF CONNECTICUT;
STATE OF ALABAMA;
STATE OF ALASKA;
STATE OF ARIZONA;
STATE OF COLORADO;
STATE OF DELAWARE;
STATE OF FLORIDA;
STATE OF HAWAII;
STATE OF IDAHO;
STATE OF ILLINOIS;
STATE OF INDIANA;
STATE OF IOWA;
STATE OF KANSAS;
COMMONWEALTH OF KENTUCKY;
STATE OF LOUISIANA;
STATE OF MAINE,;
STATE OF MARYLAND;
COMMONWEALTH OF
MASSACHUSETTS;
STATE OF MICHIGAN;
STATE OF MINNESOTA;
STATE OF MISSISSIPPI;
STATE OF MISSOURI;
STATE OF MONTANA;
STATE OF NEBRASKA;
STATE OF NEVADA;
STATE OF NEW JERSEY;
STATE OF NEW MEXICO;
STATE OF NEW YORK;
STATE OF NORTH CAROLINA;
STATE OF NORTH DAKOTA;
STATE OF OHIO;
STATE OF OKLAHOMA;
STATE OF OREGON;
COMMONWEALTH OF
PENNSYLVANIA;
COMMONWE,ALTH OF PUERTO RICO;
STATE OF RHODE ISLAND;
STATE OF SOUTH CAROLINA;
STATE OF TENNESSEE;
STATE OF UTAH;
STATE OF VERMONT;
COMMONWEALTH OF VIRGINIA;
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May 10,2019
COMPLAINT
Public Version
THE STATE OF WASHINGTON;
THE STATE OF WEST VIRGINIA;
THE STATE OF WISCONSIN;
TEVA PHARMACEUTICALS USA, INC.;
ACTAVIS HOLDCO US, INC.;
ACTAVIS PHARMA, INC.;
AMNEAL PHARMACEUTICALS, INC. ;
APOTEX CORP.;
ARA APRAHAMIAN;
AUROBINDO PHARMA U.S.A., INC.;
DAVID BERTHOLD;
BRECKENRIDGE PHARMACEUTICAL, INC.;
JAMES (JIM) BROWN;
MAUREEN CAVANAUGH;
TRACY SULLIVAN DIVALERIO ;
DR. REDDY'S LABORATORIES, INC.;
MARC FALKIN;
GLENMARK PHARMACEUTICALS, [NC.,
USA;
JAMES (JIM) GRAUSO;
KEVIN GREEN;
GREENSTONE LLC;
ARMANDO KELLUM;
LANNETT COMPANY, INC.;
LUPIN PHARMACEUTICALS, INC. ;
MYLAN PHARMACEUTICALS INC.;
JILL NAILOR;
JAMES (JIM) NESTA;
PAR PHARMACEUTICAL COMPANIES, INC.;
NISHA PATEL;
PFIZER,INC.;
KONSTANTIN OSTAFICIUK;
DAVID REKE,NTHALER;
RICHARD (RICK) ROGERSON;
SANDOZ, INC.;
TARO PHARMACEUTICALS USA, INC.
UPSHER-SMITH LABORATORIES, LLC ;
WOCKHARDT USA LLC;
ZYDUS PHARMACEUTICALS (USA), INC.
TABLE OF CONTENTS
PAGE
I.
SUMMARY OF THE CASE
2
II.
JUzuSDICTION AND VENUE
9
M.
THE PARTIES
10
IV.
FACTS SUPPORTING THE LEGAL CLAIMS
l8
A.
Factual Support For The Allegations
18
B
The Generic Drug Market
20
l.
The Hatch-Waxman
2
The Importance Of Generic Drugs
2t
J
The Players In The Drug Distribution System
22
a.
b.
c.
d.
e.
4.
b.
6.
C.
.
Manufacturer s/Supplier.ç ..........
llho I e s al e r s /D i s tr i butor s
Group Purchas ing Organizations (GP Os)
Pharmacy and supermarket Chains .........
Customer Incentives
20
22
25
26
26
27
The Cozy Nature Of The Industry And Opportunities For Collusion..... 29
a.
5
Act
Trade Association and Customer Conferences
Industry Dinners and Private Meetings
29
30
The Overarching Conspiracy Between Generic Drug Manufacturers
Playing Nice In The Sandbox ..............
.............. 33
Generic Drug Price Spikes Since 2013
The Illegal Schemes
The Overarching Conspiracy In Operation: Customer And Market
Allocation Agreements To Maintain Market Share And Avoid Price
Erosion
a.
Teva/Mylan ..................
i.
Fenohbrate .......
ll.
Clonidine -TTS Patch ...
iii
Tolterodine Extended Re lease
iv
Capecitabine
50
51
51
52
52
55
60
65
b.
Teva/Sandoz
ll.
iii
iv
c.
d.
e.
f.
g.
68
68
Portia and Jolessa .......
Temozolomide ............
Tobramycin
Dexmethylphenidate HCL Extended Release
70
74
76
Teva/Lupin
i.
LamivudinelZidovudine(genericCombivir)
ii. Irbesartan
iii. Drospirenone and ethinyl estradiol (Ocella)
iv. Norethindrone/ethinyl estradiol (Balziva@)
79
79
Teva"/Greenstone .................
88
89
i.
ii.
iii.
iv.
83
84
88
Oxaprozin Tablets ..
Tolterodine Tartrate
Piroxicam
Cabergoline
92
94
97
Teva/Actavis ...........
i, Amphetamine/Dextroamphetamine Extended Release
ii. Amphetamine/Dextroamphetamine Immediate Release
iii. Dextroamphetamine Sulfate Extended Release
iv. Clonidine-TTs ............
v. Budesonidelnhalation
vi. Celecoxib
98
98
99
101
101
103
104
Teva/Par
i.
ii.
iii.
iv.
v.
Omega-3-Acid Ethyl Esters
Entecavir
Budesonide DR Capsules ..
Clonidine-TTS ..................
Budesonide Inhalation ......
106
106
108
110
..
..
101
103
Teva/Taro
112
l
tt2
ii
h
T ev
i.
ii.
iii.
iv.
l.
Enalapril Maleate
Nortriptyline Hydrochloride ........
alZydus ...............
120
Fenofibrate
120
Paricalcitol
Niacin ER ............
Etodolac Extended Release
l2s
t28
Teva/Glenmark
i.
ii.
iii.
ll6
131
133
Moexipril Hydrochloride Tablets
Desogestrel/EthinylEstradiolTables(Kariva)
134
Gabapentin Tablets
136
n
135
iv.
j.
k.
l.
2.
Etodolac Extended Release
131
Teva/Lannett
Baclofen
137
138
................... 140
Teva/Amneal ..............
i.
Norethindrone Acetate
140
Teva/Dr. Reddy's ......
i.
Oxaprozin..
ii. Paricalcitol
141
141
143
Taking The Overarching Conspiracy To A New Level: Price Fixing
(2012 -201s)
â..
148
Teva July 31,2012 Price Increase .....
150
Nadolol ...........
Labetalol
Nitrofurantoin MAC Capsules
151
i.
ii.
iii.
154
154
Increasing Prices Before A New Competitor Enters The
Market: Budesonide Inhalation Suspension
(February - April 2013)
155
c.
Early 2013: Teva's Generics Business Struggles
157
d.
April 2013: Teva Hires Defendant Nisha
158
e.
Ranking "Quality of Competition" to Identify Price
Increase Candidates ...
The "High Quality" Competitor Relationships
i.
Ð Mylan (+3)
b
Patel
162
163
163
165
166
166
t67
t67
f.
}l4ay
i
24,2013: The First List of Increase Candidates
168
t70
1l
Sandoz
174
111
ù
Þ'
Glenmark
Taro
...
177
July 3, 2013 Price Increases
i.
Upsher-Smith .........
ii. Mylan
iii. Sandoz......
178
lll
180
182
186
h
July 19,2013 Price Increase (Enalapril Maleate)
187
i.
August 9,2013 Price Increases ("Round2") .........
i.
Mylan .............
ii. Pravastatin (Glenmark/ApotexlZydus/Lupin) .........
iii. Etodolac and Etodolac ER .........
iv. Impact of Price Increases
193
201
207
211
Price Increase Hiatus
212
j.
k.
l.
March 7,2014: Price Increases and Overarching Conspiracy
Converge Qlliacin ER)
198
.
April 4,2014 Price Increases
...............
Lupin (Cephalexin Oral Suspension) ..... . . .. . ............
Greenstone(AzithromycinOralSuspension,
Azithromycin Suspension, and Medroxyprogesterone
Tablets)
................
iii. Actavis (Clarithromycin ER Tablets, Tamoxifen
Citrate and Estazolam
iv. Multiple Manufacturers (Ketoconazole Cream and
i.
ii.
213
216
222
224
227
Tablets)
New Relationships Emerge
a) Breckenridge .........
b) Rising
234
234
236
c)
v.
23t
238
239
Versapharm
Impact
vi.
m.
April
n
July 1, 2014 Price Increase (Fluocinonide)
241
o
August 28,2014 Price Increases
Mylan
ll
lll
246
15, 2014 Price Increase (Baclofen)
239
252
IV
p.
3
January 28,2015 Price Increases
i.
ii.
iii.
Propranolol .........
Ciprofloxacin HCL and Glimepiride
Griseofulvin ...............
Competitors Become "High Quality" After Successfully Colluding
With Teva.
a.
|i4ay 2014: Defendant Patel Updates The Quality Competitor
Rankings to Reflect New Relationships
1V
262
265
266
269
270
270
l.
Apotex
ii.
i ii.
iv.
Zydus
Heritage
vi.
vii.
viii
ix.
X.
4
Lupin
.
...
Par........
Greenstone..,
Amneal........
Rising
Breckenridge
Glenmark......
"Quality Competitors" Collude With Each Other As Well Q'{ot Just
With Teva)
a.
One Example: The Sandoz/Mylan Relationship .........
Market Allocation - Valsartan HCTZ
Price Increases - Summ er 2013
i..
ii.
b..
a)
b)
c)
d)
e)
Haloperidol and Trifluoperazine HCL..
Benazepril HCTZ........
Levothyroxine.............
Clomipramine HCL
Tizanidine
IndividualDefendantRelationships......
1..
Ara Aprahamian......
ii.
David eefthold ........
i ii.
Jim Brown
iv.
Maureen Cavanaugh
Marc Falkin................
vi.
Jim Grauso.........
vii.
Kevin Green.......
viii, Armando Kellum
ix.
Jill Nailor
X.
James Nesta.........
xi.
xii.
Konstantin Ostaficiuk
Nisha PateI.........
David Rekenthaler ...............
Rick Rogerson.............
Tracy Sullivan.....
xiii.
xiv.
XV,
5
284
285
286
289
290
293
295
299
305
307
308
309
310
3lt
312
313
31s
317
318
319
320
32t
323
324
32s
A commitment To The overarching conspiracy was Instrumental
To The Success Of The Price Fixing Agreements...............
6.
..... 270
)7')
..... 274
..... 275
..... 276
..... 278
..... 279
..... 281
..... 282
..... 283
326
"Quality Competitor" Rankings Relate To price Increases, But
Even "Low Quality" Competitors Comply With The Overarching
Conspiracy
328
a.
7.
Example: Camber Pharmaceuticals, Inc. (and its President,
Defendant Ostaficiuk)
328
Teva Profitability Increases Dramatically As A Result Of Price
Increases...
..334
8.
9.
D
Teva and Its Executives Knowingly Violated The Antitrust Laws ....... 335
Price Increases Slow Dramatically After Government
Investigations Commence..............
Consciousness Of GuiIt...........
1.
2.
338
340
Spoliation of Evidence
Obstruction of Justice
341
342
V.
TRADE AND COMMERCE............
344
VI.
MARKET EFFECTS
344
VII.
CAUSES OF ACTION
COI.INT ONE
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT TEVA
AND ALL OTHER CORPORATE DEFENDANTS I.]NDER JOINT AND
SEVERAL LIABILITY - HORIZONTAL CONSPIRACY TO ALLOCATE
MARKETS AND FIX PRICES FOR MULTIPLE GENERIC DRUGS IN
VIOLATION OF SECTION 1 OF THE SHERMAN ACT MARKET EFFECTS
345
COI.INT TWO
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
MYLAN AND ALL OTHER CORPORATE DEFENDANTS UNDER JOINT
AND SEVERALLIABILITY) _ HORIZONTAL CONSPIRACY TO ALLOCATE
MARKETS AND FIX PRICES FOR MULTIPLE GENERIC DRUGS TN
VIOLATION OF SECTION I OF THE SHERMAN ACT..........
349
COUNT THREE
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
SANDOZ AND ALL OTHER CORPORATE DEFENDANTS TINDER JOINT
AND SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO ALLOCATE
MARKETS AND FIX PRICES FOR MULTIPLE GENERIC DRUGS IN
.............. 351
VIOLATION OF SECTION 1 OF THE SHERMAN ACT..........
COUNT FOUR
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
ACTAVIS AND ALL OTHER CORPORATE DEFENDANTS LINDER JOINT
AND SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO ALLOCATE
VI
MARKETS AND FIX PRICES FOR MULTIPLE GENERIC DRUGS IN
vroLATroN oF sECTroN 1 OF ITHE SHERMAN ACT.........
.. 353
COUNT FIVE
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
TARO AND ALL OTHER CORPORATE DEFENDANTS TINDER JOINT
AND SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO ALLOCATE
MARKETS AND FIX PRICES FOR MULTIPLE GENERIC DRUGS IN
VIOLATION OF SECTION 1 OF THE SHERMAN ACT..........
.............. 355
COTINT SIX
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
GLENMARK AND ALL OTHER CORPORATE DEFENDANTS UNDER
JOINT AND SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT
357
COTINT SEVEN
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
LUPIN AND ALL OTHER CORPORATE DEFENDANTS UNDER JOINT
AND SEVERAL LIABILITY) _ HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION I OF THE SHERMAN ACT
359
COI.INT EIGHT
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
AMNEAL AND ALL OTHER CORPORATE DEFENDANTS UNDER JOINT
AND SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT
360
COUNT NINE
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
APOTEX AND ALL OTHER CORPORATE DEFENDANTS UNDER JOINT
AND SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION I OF THE SHERMAN ACT.............
362
COUNT TEN
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
AUROBINDO AND ALL OTHER CORPORATE DEFENDANTS TINDER
JOINT AND SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT..........
363
I
COUNT ELEVEN
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
vll
BRECKENRIDGE AND ALL OTHER CORPORATE DEFENDANTS UNDER
JOINT AND SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION I OF THE SHERMAN ACT
365
COLINT TWELVE
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
DR. REDDY'S AND ALL OTHER CORPORATE DEFENDANTS UNDER
JOINT AND SEVERAL LIABILITY) _ HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION I OF THE SHERMAN ACT
366
COUNT THIRTEEN
(BY ALL PLAINTIFF STATES AGAINST DEFENDANTS
PFIZER AND GREENSTONE AND ALL OTHER CORPORATE DEFENDANTS
UNDER JOINT AND SEVERAL LIABILITY) _ HORIZONTAL CONSPIRACY
TO ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT.........
368
COTINT FOURTEEN
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
LANNETT AND ALL OTHER CORPORATE DEFENDANTS LINDER JOINT
AND SEVERAL LIABILITY) _ HORIZONTAL CONSPIRACY TO ALLOCATE
MARKETS AND FIX PRICES FOR MULTIPLE GENERIC DRUGS TN
VIOLATION OF SECTION I OF THE SHERMAN ACT..........
369
COLINT FIFTEEN
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
PAR AND ALL OTHER CORPORATE DEFENDANTS I.INDER JOINT AND
SEVERAL LIABILITY) _ HORIZONTAL CONSPIRACY TO ALLOCATE
MARKETS AND FIX PRICES FOR MULTIPLE GENERIC DRUGS IN
VIOLATION OF SECTION 1 OF THE SHERMAN ACT..........
371
COI.INT SIXTEEN
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
UPSHER-SMITH AND ALL OTHER CORPORATE DEFENDANTS IJNDER
JOTNT AND SEVERAL LIABILITY) _ HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT...............
372
COUNT SEVENTEEN
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
WOCKHARDT AND ALL OTHER CORPORATE DEFENDANTS LINDER
JOINT AND SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT............
374
VIII
COTINT EIGHTEEN
(BY ALL PLAINTIFF STATES AGAINST DEFENDANT
ZYDUS AND ALL OTHER CORPORATE DEFENDANTS LINDER JOINT AND
SEVERAL LIABILITY) - HORIZONTAL CONSPIRACY TO ALLOCATE
MARKETS AND FIX PRICES FOR MULTIPLE GENERIC DRUGS IN
............,, 375
VIOLATION OF SECTION 1 OF THE SHERMAN ACT..........
COLINT NINETEEN
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT ARA APRAHAMIAN) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT...........
377
COTINT TWENTY
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT DAVID BERTHOLD) _ HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT..........
378
COI.INT TV/ENTY-ONE
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT JAMES (JIM) BROWN) _ HORIZONTAL CONSPIRACY
TO ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT
380
COUNT TWENTY-TWO
(BY CERTAIN PLATNTIFF STATES AGAINST
DEFENDANT MAUREEN CAVANAUGH) - HORIZONTAL CONSPIRACY
TO ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION I OF THE SHERMAN ACT...................... 382
COTINT TWENTY-THREE
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT MARC FALKIN) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT.......
386
COI.INT TV/ENTY-FOUR
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT JAMES (JIM) GRAUSO) - HORIZONTAL CONSPIRACY
TO ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT
388
COUNT TWENTY-FIVE
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT KEVIN GREEN) - HORIZONTAL CONSPIRACY TO
IX
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION I OF THE SHERMAN ACT.......
389
COLINT TWENTY-SX
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT ARMANDO KELLUM) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENE,RIC
DRUGS IN VIOLATION OF SECTION I OF THE SHERMAN ACT.......
392
COUNT TWENTY-SEVEN
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT JILL NAILOR) _ HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION I OF THE SHERMAN ACT
394
COLINT TWENTY-EIGHT
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT JAMES NESTA) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT.......
39s
COI.INT TWENTY-NINE
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT KONS TANTIN O STAFICIUK) _ HORIZONTAL
CONSPIRACY TO ALLOCATE MARKETS AND FIX PRICES FOR
MULTIPLE GENERIC DRUGS IN VIOLATION OF
SECTION 1 OF THE SHERMAN ACT..........
398
COUNT THIRTY
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT NISHA PATEL) _ HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT.......
399
COUNT THIRTY-ONE
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT DAVID REKENTHALER) - HORIZONTAL CONSPIRACY
TO ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION 1 OF THE SHERMAN ACT.............
403
COI.INT THIRTY-TWO
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT RICHARD (RICK) ROGERSON) - HORIZONTAL
CONSPIRACY TO ALLOCATE MARKETS AND FIX PRICES FOR
MULTIPLE GENERIC DRUGS IN VIOLATION OF
SECTION 1 OF THE SHERMAN ACT..........
407
X
COTINT THIRTY-THREE
(BY CERTAIN PLAINTIFF STATES AGAINST
DEFENDANT TRACY SULLIVAN) - HORIZONTAL CONSPIRACY TO
ALLOCATE MARKETS AND FIX PRICES FOR MULTIPLE GENERIC
DRUGS IN VIOLATION OF SECTION I OF THE SHERMAN ACT.........
409
COTINT THIRTY-FOUR
SUPPLEMENTAL STATE LAW CLAIMS.........
410
4r0
Connecticut...
Alabama........
Alaska
Arizona..........
Colorado...
Delaware
Florida
Hawaii
Idaho
4tt
412
412
414
414
415
417
lllinois
418
418
Indiana......
4r9
Iowa..........
420
Kansas
420
Kentucky
Louisiana..
Maine
Maryland
421
42s
425
425
426
427
Massachusetts .....
Michigan
Minnesota.
Mississippi
Missouri...
Montana...
Nebraska..
Nevada.....
New Jersey
New Mexico....
New York........
North Carolina
North Dakota...
Ohio.................
Oklahoma.
428
432
433
433
435
436
437
438
439
440
444
445
44s
Oregon......
Pennsylvania .......
Puerto Rico..........
Rhode Island.......
South Carolina....
445
446
457
457
458
XI
Tennessee
4s9
Utah..........
Vermont
461
46t
Virginia
'Washington
462
462
.....
West Virginia..
463
463
Wisconsin........
PRAYTER FOR RELIEF
465
JURY DEMAND.
467
xll
People of the same trade seldom meet together, even for merriment and diversior¡ but the
conversation ends in a conspiracy against the public, or in some contrivance to raise prices.
Adam Smith, TheWealth of Nøtions,7776
Teva said in a statement it would continue to defend itself and that while it does "review
prices in the context of market conditions, availability and cost of productior¡" it does not
"discuss individual pricing rationale/strategies." It denied that it engaged in anything that
would lead to criminal or civil liability.
"Overall, we establish prices to enable patient access, maintain our commitment to
innovative and generic medicines and fulfill obligations to our shareholders," Teva said.
"Teva delivers high-quality medicines to patients around the world, and is committed to
complying with all applicable competition laws and regulations in doing so. Teva fosters a
culture of compliance with these laws and regulations, and is dedicated to conducting
business with integrity and fairness. Litigation surrounding U.S. generic pricing of several
companies, including Tev4 continues to be the subject of innacurate media stories."
Støtements by Teaø reported in Løw360, Jønuøry 18,
201_9
COMPLAINT
The States of Connecticut, Alabama, Alaska, Arizona, Colorado, Delaware, Florida,
Hawaii,Idaho,Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Maryland, Michigan,
Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Jersey, New Mexico, New
York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina,
Tennessee, Utah, Vermont, Washington, West Virginia, Wisconsin, the Commonwealths
of
Kentucky, Massachusetts, Pennsylvania, Puerto Rico and Virginia (the "Plaintiff States"), by and
through their Attorneys General, bring this civil law enforcement action against Teva
Pharmaceuticals USA, Inc. ("Teva"), Actavis Holdco US, Inc., Actavis Pharma, Inc., Amneal
Pharmaceuticals, Inc., Apotex Corp., Ara Aprahamian, Aurobindo Pharma U.S.A., Inc., David
Berthold, Breckenridge Pharmaceutical, Inc., James (Jim) Brown, Maureen Cavanaugh,Tracy
Sullivan DiValerio, Dr. Reddy's Laboratories, Inc., Marc Falkin, Glenmark Pharmaceuticals,
Inc., USA, James (Jim) Grauso, Kevin Green, Greenstone LLC, Armando Kellum, Lannett
Company, Inc., Lupin Pharmaceuticals, Inc., Mylan Pharmaceuticals Inc., Jill Nailor, James
(Jim) Nesta, Konstantin Ostaficiuk, Par Pharmaceutical Companies, Inc., Nisha Patel, Pfizer,
Inc., David Rekenthaler, Richard (Rick) Rogerson, Sandoz, Inc., Taro Pharmaceuticals USA,
Inc., Upsher-Smith Laboratories, LLC, Wockhardt USA LLC, and Zydus Pharmaceuticals
(USA), Inc. (collectively, the "Defendants") and allege as follows:
I.
SUMMARY OF THE CASE
1.
For many years, the generic pharmaceutical industry has operated pursuant to an
understanding among generic manufacturers not to compete with each other and to instead settle
for what these competitors refer to as "fair share." This understanding has permeated every
segment of the industry, and the purpose of the agreement was to avoid competition among
generic manufacturers that would normally result in significant price erosion and great savings to
the ultimate consumer. Rather than enter a particular generic drug market by competing on price
in order to gain market share, competitors in the generic drug industry would systematically and
routinely communicate with one another directly, divvy up customers to create an artificial
equilibrium in the market, and then maintain anticompetitively high prices. This "fair share"
understanding was not the result of independent decision making by individual companies to
avoid competing with one another. Rather, it was a direct result of specific discussion,
negotiation and collusion among industry participants over the course of many years.
2.
By 2012, Teva and other co-conspirators decided to take this understanding to the
next level. Apparently unsatisfied with the status quo of "fair share" and the mere avoidance of
price erosion, Teva and its co-conspirators embarked on one of the most egregious and damaging
price-fixing conspiracies in the history of the United States. Teva and its competitors sought to
leverage the collusive nature of the industry to not only maintain their "fair share" of each
2
generic drug market, but also to significantly raise prices on as many drugs as possible. In order
to accomplish that objective, Teva selected a core group of competitors with which it already had
very profitable collusive relationships
- Teva referred
to them as "High Quality" competitors
and targeted drugs where they overlapped. Teva had understandings
-
with its highest quality
competitors to lead and follow each other's price increases, and did so with great frequency and
success, resulting in many billions of dollars of harm to the national economy over a period
of
several years.
3.
At the zenith of this collusive activity involving Teva, during a l9-month period
beginning in July 2013 and continuing through January 20l5,Teva significantly raised prices on
approximately 112 different generic drugs. Of those 112 different drugs, Teva colluded with its
"High Quality" competitors on at least 86 of them (the others were largely in markets where
Teva was exclusive). The size of the price increases varied, but a number of them were well
over 1,000o/o.
4.
In July 2014, the State of Connecticut initiated a non-public investigation into
suspicious price increases for certain generic pharmaceuticals. Over time, the investigation
expanded and Connecticut was joined in its efforts by forty-eight (a8) additional states and U.S.
territories. The allegations in this Complaint are based on, and supported by, information and
evidence gleaned directly from the investigation, including: (1) the review of many thousands
documents produced by dozens of companies and individuals throughout the generic
pharmaceutical industry, (2) an industry-wide phone call database consisting of more than
11
million phone call records from hundreds of individuals at various levels of the Defendant
companies and other generic manufacturers, and (3) information provided by several as-of-yet
unidentified cooperating witnesses who were directly involved in the conduct alleged herein.
3
of
5.
As a result of the information and evidence developed through that investigation,
which is still ongoing, the Plaintiff States allege that Defendant Teva consistently and
systematically, over a period of several years, along with the other Defendants named herein and
other unnamed co-conspirators, engaged in contracts, combinations and conspiracies that had the
effect of unreasonably restraining trade, artificially inflating and maintaining prices and reducing
competition in the generic pharmaceutical industry throughout the United States, including but
not limited to, the markets for well more than one-hundred (100) different generic drugs, many
of which are identified herein. This conduct has resulted in many billions of dollars of
overcharges to the Plaintiff States and others, and has had a significant negative impact on our
national health and economy.
6.
Plaintiff States also allege that Defendants participated in an overarching
if not thwart competition
conspiracy, the effect of which was to minimize
across the generic drug
industry. The overarching conspiracy was effectuated by a series of conspiracies that affected
and continue to affect the market for a number of generic drugs identified in this Complaint.
7.
The Plaintiff States focus here on the role of these named Defendants and their
participation in and agreement with this overarching conspiracy. The Complaint describes
conspiracies regarding the sale of specific drugs, and how these specific conspiracies are also
part of the larger overarching conspiracy. The Plaintiff States continue to investigate additional
conspiracies, involving these and other generic drug manufacturers, regarding the sale of other
drugs not identified in this Complaint, and
will likely bring additional
actions based on those
conspiracies at the appropriate time in the future.
8.
Defendants' illegal agreements have raised prices, maintained artificially inflated
prices, thwarted Congress's goalto lower the prices of drugs, and thus frustrated the potential
4
of
the industry to deliver great value to Plaintiff States and those they represent. Generic drugs are
pharmaceutically equivalent to the referenced brand name drug in dosage, form, route of
administration, strength or concentration, and amount of active ingredient. Generic drugs can
save (and have saved) consumers, other purchasers ofdrugs, and taxpayers tens
ofbillions of
dollars annually because generic drugs are a lower-priced altemative to brand name drugs.
When the manufacturer of a branded drug loses the market exclusivity that comes with patent
rights, generic drugs offer lower prices and greater access to healthcare for all consumers in the
United States through genuine competition. A consumer with a prescription can
fill
that
prescription not only with the brand name drug, but also with a generic version of that drug,
one is available. State laws often require pharmacists to
fill
if
prescriptions with generic versions
ofthe drug.
9.
Typically, when the first generic manufacturer enters a market for a given drug,
the manufacturer prices its product slightly lower than the brand-name manufacturer. When a
second generic manufacturer enters, that reduces the average generic price to nearly half the
brand-name price. As additional generic manufacturers market the product, the prices continue
to
fall. For drugs that attract
a large number
of generic manufacturers, the average generic price
falls to 20Yo or less of the price of the branded drug.
10.
Generic drugs were one of the few "bargains" in the United States healthcare
system. Health care experts believe cost savings from the growing number of generic drugs
helped keep the lid on increasing health care costs. With the Hatch-Waxman Act
of
1984,
Congress designed the generic drug market to keep costs low, and the market initially operated
that way.
5
1
1.
At some point, that price dynamic changed for many generic drugs. Prices for
hundreds of generic drugs have risen
-
while some have skyrocketed, without explanation,
sparking outrage from politicians, payers and consumers across the country whose costs have
doubled, tripled, or even increased 1,000yo or
more. The growing outrage
and public reports
of
unexplained and suspicious price increases caused the State of Connecticut to commence its
investigation in July 2014. Shortly thereafter, Congress opened an inquiry and various
companies acknowledged that a criminal grand
jury investigation
had been convened by the
United States Department of Justice Antitrust Division.
12.
Generic drug manufacturers argued publicly that the signifìcant price increases
were due to a myriad of benign factors, such as industry consolidation, FDA-mandated plant
closures, or elimination of unprofitable generic drug product lines. What the Plaintiff States
have found through their investigation, however, is that the reason underlying many of these
price increases is much more straightforward
-
illegal collusion among generic drug
manufacturers. Prices of many generic pharmaceuticals were and remain artifrcially inflated
through collusive bid rigging and market allocation agreements designed to prevent price wars
from occurring when key competitive opportunities arise in the marketplace.
13.
Generic drug manufacturers, through their senior leadership and marketing, sales
and pricing executives, have routine and direct interaction. The Defendants exploited their
interactions at various and frequent industry trade shows, customer conferences and other similar
events, to develop relationships and sow the seeds for their illegal agreements. These
anticompetitive agreements are further refined and coordinated at regular "industry dinners,"
"girls'nights out," lunches, parties, golf outings, frequent telephone calls, e-mails and text
messages.
6
14.
The anticompetitive conduct
markets and otherwise thwart competition
-
-
schemes to
fix
and maintain prices, allocate
has caused, and continues to cause, significant harm
to the United States healthcare system, which is ongoing. Moreover, executives and others at the
highest levels in many of the Defendant companies, including but not limited to Defendants Ara
Aprahamian, David Berthold, James (Jim) Brown, Maureen Cavanaugh, Tracy Sullivan
DiValerio, Marc Falkin, James (Jim) Grauso, Kevin Green, Armando Kellum, Jill Nailor, James
(Jim) Nesta, Konstantin (Kon) Ostaficiuk, Nisha Patel, David Rekenthaler, and Richard (Rick)
Rogerson, among others, conceived, directed and ultimately benefited from these schemes.
15.
Defendant Teva is a consistent participant in the conspiracies identified in this
Complaint, but the conduct is pervasive and industry-wide. The schemes identified herein are
part of a larger, overarching understanding about how generic manufacturers
fix prices
and
allocate markets to suppress competition. Through its senior-most executives and account
managers, Teva participated in a wide-ranging series of restraints with more than a dozen generic
drug manufacturers, all of whom knowingly and willingly participated. As a result of these
conspiracies, Defendants reaped substantial monetary rewards.
16.
Defendants'anticompetitive conduct falls principally into two categories, the
overarching goal being to avoid price erosion and maintain inflated pricing within and across
their respective broad product portfolios and, at times, increase pricing for targeted products
without triggering a "frght to the bottom" among existing competitors. First, to avoid competing
with one another and thus eroding the prices for a myriad of generic drugs, Defendants
- either
upon their entry into a given generic market or upon the entry of a new competitor into that
market
-
communicated with each other to determine and agree on how much market share and
which customers each competitor was entitled to. They then implemented the agreement by
7
either refusing to bid for particular customers or by providing a cover bid that they knew would
not be successful.
17.
Second, and often in conjunction with the market allocation schemes, competitors
in a particular market communicated -- either in person, by telephone, or by text message -- and
agreed to collectively raise and/or maintain prices for a particular generic drug.
18.
Defendants here understood and acted upon an underlying code ofconduct that is
widespread in the generics industry: an expectation that any time a competitor is entering a
particular generic drug market, it can contact its competitors and allocate the market according to
a generally agreed-upon standard
of "fair share" in order to avoid competing and keep prices
high. While different drugs may involve different
sets
of companies, this background
understanding remains constant and is an important component of the Defendants' ability to
reach agreements for specific drugs.
19.
The Defendants knew their conduct was unlawful. The conspirators usually chose
to communicate in person or by cell phone, in an attempt to avoid creating a written record of
their illegal conduct. The structure of the generic drug industry provided numerous opportunities
for collusive communications at trade shows, customer events and smaller more intimate dinners
and meetings. When communications were reduced to
writing or text message, Defendants often
took overt and calculated steps to destroy evidence of those communications.
20.
As a result of the conspiracies identified in this Complaint, consumers and payors
nationwide, including the Plaintiff States, paid substantially inflated and anticompetitive prices
for numerous generic pharmaceutical drugs, and the Defendants illegally prof,rted as a result.
21.
The Plaintiff States seek a finding that the Defendants' actions violated federal
and state antitrust and consumer protection laws; a permanent injunction preventing the
8
Defendants from continuing their illegal conduct and remedying the anticompetitive effects
caused by their illegal conduct; disgorgement of the Defendants' ill-gotten gains; damages on
behalf of various state and governmentalentities and consumers in various Plaintiff States;and
civil penalties and other relief
II.
as a result
of Defendants' violations of law.
JURISDICTION AND VENUE
22.
15 U.S.C. 5
23.
This Court has jurisdiction over this action under Section
I &.26,
I of the Sherman Act,
and under 28 U.S.C. gg 1331 and 1337.
In addition to pleading violations of federal law, the Plaintiff States also allege
violations of state law, as set forth below, and seek civilpenalties, damages and equitable relief
under those state laws.
All claims under federal and state law are based on a common
nucleus
of
operative fact, and the entire law enforcement action commenced by this Complaint constitutes a
single case that would ordinarily be tried in one judicial proceeding. The Court has jurisdiction
over the non-federal claims under 18 U.S.C. $ 1367(a), as well as under principles of pendent
jurisdiction. Pendent jurisdiction will avoid unnecessary duplication and multiplicity of actions,
and should be exercised in the interests
24.
ofjudicial economy, convenience,
and fairness.
This Court may exercise personal jurisdiction over all of the Defendants because
they either transact business in the District of Connecticut where this action was commenced, or
they have engaged in anticompetitive and illegal conduct that has had an impact in the District of
Connecticut. Specifically, the corporate Defendants market and sell generic pharmaceutical
drugs in interstate and intrastate commerce to consumers nationwide through drug wholesalers
and distributors, pharmacy and supermarket chains, and other resellers of generic pharmaceutical
drugs. The individual Defendants were executives of various Defendants or non-Defendant coconspirators who engaged in and directed some of the unlawful conduct addressed herein. The
9
acts complained of have, and
will
continue to have, substantial effects in the District
of
Connecticut.
25.
Venue is proper in this district under Section l2 of the Clayton Act, 15 U.S.C.
$
22, and 28 U.S.C. $ 1391(b)-(c). At all times relevant to the Plaintiff States' Complaint, the
Defendants resided, transacted business, were found, or had agents in this District, and a portion
of the affected interstate trade and commerce described below has been carried out in this
District.
ilI.
THE PARTIES
26.
The Attorneys General are the chief legal officers for their respective States.
They are granted authority under federal and state antitrust and consumer protection laws to
bring actions to protect the economic well-being of the Plaintiff States and obtain injunctive and
other relief from the harm that results from the violations of antitrust and consumer protection
laws alleged herein.
All Plaintiff
States seek equitable and other relief under federal antitrust
laws in their sovereign or quasi-sovereign capacities. To the extent specified in the state claims
asserted in the Complaint, certain Attorneys General of the
Plaintiff States have and here
exercise authority to secure relief, including monetary relief, including for governmental entities
and consumers in their states who paid or reimbursed for the generic pharmaceutical drugs that
are the subject
of the Complaint. As specif,red in Count 34, some states also seek damages for
state entities or their consumers under state antitrust law, and some states seek additional
relief
for violations of state consumer protection laws.
27.
Defendant Teva Pharmaceuticals USA, Inc. ("Teva") is a corporation organized
and existing under the laws of the State of Delaware
l0
with its principal place of business at 1090
Horsham Road, North Wales, Pennsylvania. At all times relevant to the Complaint, Teva has
marketed and sold generic pharmaceuticals in this District and throughout the United States.
28.
Defendant Actavis Holdco US, Inc. ("Actavis Holdco"), is a corporation
organized and existing under the laws of the State of Delaware with its principal place
of
business in Parsippany, New Jersey. In August 2016, Teva Pharmaceuticals USA, Inc. acquired
the Actavis generics business of Allergan plc, including Actavis,
Actavis, Inc.
- the acquired
Watson Pharmaceuticals)
Inc. Upon the acquisition,
Allergan plc generics operating company (formerly known as
- was renamed Allergan Finance,
LLC, which in turn assigned all of
the assets and liabilities of the former Allergan plc generic business to the newly formed Actavis
Holdco, including subsidiaries Actavis Pharma, Inc. and Actavis Elizabeth LLC (a research and
development and manufacturing entity for Actavis generic operations), among others. Actavis
Holdco is a wholly-owned subsidiary of Teva Pharmaceuticals USA, Inc., which is a Delaware
corporation with its principal place of business in North Wales, Pennsylvania.
29.
Defendant Actavis Pharma, Inc. is a Delaware corporation with its principal place
of business at 400 Interpace Parkway, Parsippany, New Jersey. It is
a
wholly-owned subsidiary
of Actavis Holdco and is a principal operating company in the U.S. for Teva's generic products
acquired from Allergan
plc. It manufactures,
markets, and/or distributes generic
pharmaceuticals. Unless addressed individually, Actavis Holdco and Actavis Pharma, Inc. are
collectively referred to herein as "Actavis." At alltimes relevant to the Complaint, Actavis has
marketed and sold generic pharmaceuticals in this District and throughout the United States.
30.
Defendant Amneal Pharmaceuticals, Inc. ("Amneal") is a corporation organized
and existing under the laws of the state of Delaware, with a principal place of business at 400
l1
Crossing Boulevard, Bridgewater, New Jersey. At all times relevant to the Complaint, Amneal
has marketed and sold generic pharmaceuticals in this District and throughout the United States.
31.
Defendant Apotex Corp. ("Apotex") is a corporation organized and existing under
the laws of the State of Delaware. Its principal place of business is 2400 North Commerce
Parkway, Weston, Florida. At all times relevant to the Complaint, Apotex has marketed and sold
generic pharmaceuticals in this District and throughout the united States.
32.
Defendant Ara Aprahamian ("Aprahamian") is an individual residin g at 74
Catalpa Court, Bardonia, New
York. At all times relevant to the Complaint, Aprahamian was
the Vice President of Sales and Marketing at Defendant Taro Pharmaceuticals USA, Inc.
33.
Defendant Aurobindo Pharma U.S.A., Inc. ("Aurobindo") is a corporation
organized and existing under the laws of the State of Delaware with its principal place
business at 6 Wheeling Road, Dayton, New Jersey.
of
At all times relevant to the Complaint,
Aurobindo has marketed and sold generic pharmaceuticals in this District and throughout the
United States.
34.
Defendant David Berthold ("Berthold") is an individual residing at
2l Hillcrest
Road, Towaco, New Jersey. At all times relevant to the Complaint, Berthold was the Vice
President of Sales at Defendant Lupin Pharmaceuticals, Inc.
35.
Defendant Breckenridge Pharmaceutical, Inc. ("Breckenridge") is a Delaware
corporation with its principal place of business at 1 Passaic Avenue, Fairfield, New Jersey. At
all times relevant to the Complaint, Breckenridge has marketed and sold generic pharmaceuticals
in this District and throughout the United States.
t2
36.
Defendant James (Jim) Brown ("Brown") is an individual residing at 4521
Christensen Circle, Littleton, Colorado. At all times relevant to the Complaint, Brown was the
Vice President of Sales at Defendant Glenmark Pharmaceuticals, Inc.
37.
Defendant Maureen Cavanaugh ("Cavanaugh") is an individual residing ar.529
North York Road, Hatboro, Pennsylvania. At all times relevant to the Complaint, Cavanaugh
was the Senior Vice President, Commercial Officer, North America, for Defendant Teva
Pharmaceuticals USA, Inc.
38.
Defendant Tracy Sullivan DiValerio ("Sullivan") is an individual residing at 2
Pierre Court, Marlton, New Jersey. At all times relevant to the Complaint, Sullivan was a
Director of National Accounts at Defendant Lannett Company, Inc.
39.
Defendant Dr. Reddy's Laboratories, Inc. ("Dr. Reddy's") is a corporation
organized and existing under the laws of the State of New Jersey with its principal place
business at 107 College Road East, Princeton, New Jersey.
of
At all times relevant to the
Complaint, Dr. Reddy's has marketed and sold generic pharmaceuticals in this District and
throughout the United States.
40.
Defendant Marc Falkin ("Falkin") is an individual residing at2975 Weston Road,
Westin, Florida. At all times relevant to the Complaint, Falkin was the Vice President,
Marketing, Pricing and Contracts at Defendant Actavis.
41.
Defendant Glenmark Pharmaceuticals Inc., USA ("Glenmark") is a corporation
organized and existing under the laws of the State of Delaware with a principal place of business
at750 Corporate Drive, Mahwah, New Jersey. At all times relevant to the Complaint, Glenmark
has marketed and sold generic pharmaceuticals in this District and throughout the United States.
13
42.
Defendant James (Jim) Grauso ("Grauso") is an individual residing
aT
713
Windsor Lane, Ramsey, New Jersey. Defendant Grauso worked at Defendant Aurobindo as a
Senior Vice President, Commercial Operations from December 2011 through January 2014.
Since February 2014, Grauso has been employed as the Executive Vice President, N.A.
Commercial Operations at Defendant Glenmark.
43.
Defendant Kevin Green ("Green") is an individual residing at 110 Coachlight
Circle, Chalfont, Pennsylvania. Defendant Green worked at Defendant Teva as a Director of
National Accounts from January 2006 through October 2013. Since November 2013, Green has
worked at Defendant Zydus Pharmaceuticals (USA) Inc. and is cunently the Vice President of
Sales.
44.
Defendant Greenstone LLC ("Greenstone") is a limited liability company located
at 100 Route 206, North Peapack, New Jersey. Greenstone is a wholly-owned subsidiary of
Defendant Pftzer Inc. ("Pfizer"), a global pharmaceutical company headquartered in New York,
New York, and has at all relevant times operated
as
the generic drug division of Pfizer.
Greenstone operates out of Pfizer's Peapack, New Jersey campus, and a majority of Greenstone's
employees are also employees of Pfizer's Essential Health Division, including Greenstone's
President. Greenstone employees also use Pfizer for financial analysis, human resources and
employee benefit purposes, making the two companies essentially indistinguishable. At all times
relevant to the Complaint, Greenstone has - under the direction and control of Pfizer
- marketed
and sold generic pharmaceuticals in this District and throughout the United States.
45.
Defendant Armando Kellum ("Kellum") is an individual residing at 56 Gravel
Hill Road, Huntingdon Valley, Pennsylvania. At all times relevant to the Complaint, Kellum
was the Vice President, Contracting and Business Analytics at Defendant Sandoz, Inc.
t4
46.
Defendant Lannett Company, Inc. ("Lannett") is a corporation organized and
existing under the laws of the State of Delaware with its principal place of business at 9000 State
Road, Philadelphia, Pennsylvania. At all times relevant to the Complaint, Lannett has marketed
and sold generic pharmaceuticals in this District and throughout the United States.
47.
Defendant Lupin Pharmaceuticals, Inc. ("Lupin") is a Delaware corporation with
its principal place of business in Baltimore, Maryland. Lupin is a wholly-owned subsidiary
of
Lupin Limited, an Indian company with its principal place of business in Mumbai, India. At all
times relevant to the Complaint, Lupin has marketed and sold generic pharmaceuticals in this
District and throughout the United States.
48.
Defendant Mylan Pharmaceuticals Inc. ("Mylan") is a corporation organized and
existing under the laws of the State of Delaware with its principal place of business at 1000
Mylan Boulevard, Canonsburg, Pennsylvania. At all times relevant to the Complaint, Mylan has
marketed and sold generic pharmaceuticals in this District and throughout the United States.
49.
Defendant Jill Nailor ("Nailor") is an individual residing at 1918 McRae Lane,
Mundelein, Illinois. At all times relevant to the Complaint, Nailor was the Senior Director of
Sales and National Accounts at Defendant Greenstone.
50.
Defendant James (Jim) Nesta ("Nesta") is an individual residin g at 9715
Devonshire Drive, Huntersville, North Carolina. At all times relevant to the Complaint, Nesta
was the Vice President of Sales at Defendant Mylan.
51.
Defendant Konstantin Ostaficiuk ("Ostaficiuk") is an individual residing at 29
Horizon Drive, Mendham, New Jersey. At all times relevant to the Complaint, Ostaficiuk was
the President of Camber Pharmaceuticals, Inc. ("Camber").
15
52.
Defendant Par Pharmaceutical Companies, Inc. ("Par") is a corporation organized
and existing under the laws of the State of Delaware
Ram Ridge Road, Chestnut Ridge, New
with its principal place of business at One
York. At all times relevant to the Complaint,
Par has
marketed and sold generic pharmaceuticals in this District and throughout the United States.
53.
Defendant Nisha Patel ("Patel") is an individual residing at 103 Chinaberry Lane
Collegeville, Pennsylvania. At all times relevant to the Complaint, Patel worked as a Director of
Strategic Customer Marketing and as a Director of National Accounts at Defendant Teva.
54.
Defendant Pfrzer,Inc. ("Pifizer") is a corporation organized and existing under
the laws of Delaware, with its principal place of business at 235 East 42nd Street New York, New
York. Pftzer is a global biopharmaceutical company and is the corporate parent of Defendant
Greenstone. At all times relevant to the Complaint, Pftzer has marketed and sold generic
pharmaceuticals in this District and throughout the United States, and has also participated in and
directed the business activities of Defendant Greenstone.
55.
Defendant David Rekenthaler ("Rekenthaler") is an individual residing at2626
Lulworth Lane, Marietta, Georgia. At all times relevant to the Complaint, Rekenthaler was the
Vice President, Sales US Generics at Defendant Teva.
56.
Defendant Richard (Rick) Rogerson ("Rogerson") is an individual residing at 32
Chestnut Trail, Flemington, New Jersey. At all times relevant to the Complaint, Rogerson was
the Executive Director of Pricing and Business Analytics at Defendant Actavis.
57.
Defendant Sandoz, Inc. ("Sandoz") is a corporation organized and existing under
the laws of the State of Colorado, with its principal place of business at 100 College Road West,
Princeton, New Jersey. Sandoz is a subsidiary of Novartis AG, a global pharmaceutical company
l6
based in Basel, Switzerland.
At all times relevant to the Complaint, Sandoz has marketed and
sold generic pharmaceuticals in this District and throughout the United States.
58.
Defendant Taro Pharmaceuticals USA, Inc. ("Taro") is a corporation organized
and existing under the laws of the State of New York, with its principal place of business at 3
Skyline Drive, Hawthorne, New York. At all times relevant to the Complaint, Taro marketed
and sold generic pharmaceutical drugs in this District and throughout the United States.
59.
Defendant Upsher-Smith Laboratories, LLC (formerly known as Upsher-Smith
Laboratories, Inc.) ("Upsher-Smith"), is a Minnesota limited liability company located at 6701
Evenstad Drive, Maple Grove,
MN. Upsher-Smith
is a subsidiary of Sawaii Pharmaceutical Co.,
Ltd., a large generics company in Japan. At all times relevant to the Complaint, Upsher-Smith
has marketed and sold generic pharmaceuticals in this District and throughout the United States.
60.
Defendant Wockhardt USA LLC ("Wockhardt") is a Delaware limited liability
company located at 20 Waterview Boulevard, 3'd Floor, Parsippany, New Jersey. At all times
relevant to the Complaint, Wockhardt has marketed and sold generic pharmaceuticals in this
District and throughout the United States.
61.
Defendant Zydus Pharmaceuticals (USA), Inc. ("Zydus") is a corporation
organized and existing under the laws of the State of New Jersey with its principal place
of
business at 73 Route 31 North, Pennington, New Jersey. At all times relevant to the Complaint,
Zydus has marketed and sold generic pharmaceuticals in this District and throughout the United
States.
62.
Whenever any reference is made in any allegation of the Complaint to any
representation, act or transaction of Defendants, or any agent, employee or representative
thereof, such allegation shall be deemed to mean that such principals, offìcers, directors,
17
employees, agents or representatives of Defendants, while acting within the scope of their actual
or apparent authority, whether they were acting on their own behalf or for their own benefit, did
or authorized such representations, acts or transactions on behalf of Defendants, respectively.
IV.
FACTS SUPPORTING THE LEGAL CLAIMS
A.
Factual Support For The Allegations
63.
The allegations in this Complaint are supported and corroborated by facts and
evidence obtained from numerous sources, including but not limited to those set fodh below.
64.
During the course of the investigation, the Plaintiff States have issued over 30
subpoenas to various generic drug manufacturers, individuals and third parties, and have
compiled over 7 million documents in a shared document review platform.
65.
The Plaintiff States have issued more than 300 subpoenas to various telephone
carriers, and have obtained phone call and text message records for numerous companies and
individuals throughout the generic pharmaceutical industry. The Plaintiff States have loaded
those call and text records into a software application for communications surveillance,
collection and analysis, designed exclusively for law enforcement. The Plaintiff States have also
loaded the names and contact information for over 600 sales and pricing individuals throughout
the industry, at every level
-
giving the Plaintiff States a unique perspective to know who in the
industry was talking to who, and when.
66.
Defendant Teva has, at all times relevant to the Complaint, maintained a live
database that it refers to as Delphi where it has catalogued nearly every decision it has made
regarding the products it sells, including those decisions that were made collusively
-
which
Teva often referred to as "strategic" decisions. Although the Plaintiff States have not been
provided with full access to that important database from Teva, they have obtained static images
18
of the database that were internally disseminated over time by Teva, which were referred to
as
Market Intel Reports. Through its review and investigation of some of those reports, in
combination with the phone records, the Plaintiff States have, to date, identified over 300
instances of collusion where Teva spoke to competitors shortly before or at the time it made what
the company referred to as a "strategic" market decision. A number of those instances are
detailed throughout this Complaint.
67
.
During the course of their investigation, the States have also obtained valuable
cooperation from a number of individuals. The expected testimony from certain of those
individuals will directly support and corroborate the allegations throughout this Complaint.
Some of those cooperating witnesses include:
(a)
A former pricing executive at Defendant Sandoz during the time period
relevant to this Complaint [refered to herein as CW-1];
(b)
A former sales and marketing executive at Rising Pharmaceuticals, Inc.
and Defendant Sandoz during the time period relevant to this Complaint freferred to
herein as CW-21;
(c)
A former senior sales executive at Defendant Sandoz during the time
period relevant to this Complaint [referred to herein as CW-3];
(d)
A former senior
sales executive at Defendant Sandoz during the time
period relevant to this Complaint [referred to herein as CW-4];
(e)
A former senior executive
at Defendant Glenmark during the time period
relevant to this Complaint [referred to herein as CW-5]; and
(Ð
Jason Malek
("Malek"), former Vice President of Commercial Operations
at Heritage Pharmaceuticals, Inc. ("Heritage")
19
B.
The Generic Drug Market
1.
68.
The Hatch-Waxman Act
In 1984, Congress enacted the Drug Price Competition
Restoration Act, commonly known as the "Hatch-Waxman"
and Patent Term
Act. Its intention
was to balance
two seemingly contradictory interests: encouraging drug innovation, and promoting competition
between brand and generic drugs in order to lower drug prices. To encourage innovation, Hatch-
Waxman gave branded drug manufacturers longer periods of market exclusivity for newlyapproved products; this increased the financial returns for investment in drug research and
development.
69.
To promote price competition, the law established a new regulatory approval
pathway for generic products to help ensure that generic drugs became available more quickly
following patent expiration. To gain approval for a new drug, drug manufacturers must submit a
new drug application ("NDA") to the United States Food and Drug Administration ("FDA")
showing that the new drug is safe and effective for its intended use. Developing a new drug and
obtaining an NDA can take many years and cost tens or hundreds of millions of dollars.
70.
The Hatch-Waxman Act encouraged faster approval for generic versions of
brand-name drugs through the use of "abbreviated new drug applications"
("ANDAs").
These
applications rely on the safety and efficacy evidence previously submitted by the branded drug
manufacturer, permitting generic manufacturers to avoid conducting costly and duplicative
clinical trials.
71.
Hatch-Waxman succeeded in both of its goals. Since the law was passed in 1984,
generic drugs have moved from being less than 20o/o of prescriptions f,rlled in the United States to
nearly
90%o
of prescriptions filled. A recent study found that, in 2011 alone, generic medicines
20
saved $193
billion for consumers. During the same period, innovation has continued to lead to
many new and helpful drugs.
2.
72.
The Importance Of Generic Drugs
Like their branded counterparts, generic drugs are used in the diagnosis, cure,
mitigation, treatment or prevention of disease and, thus, are integral components in modern
healthcare, improving health and quality of life for nearly all people in the United States. In
2015, sales of generic drugs in the United States were estimated at $74.5 billion dollars. Today,
the generic pharmaceutical industry accounts for nearly 90o/o of all prescriptions written in the
United States.
73.
A branded drug manufacturer that develops an innovative drug can be rewarded
with a patent granting
a
period of exclusive rights to market and sell the drug. During this period
of patent protection, the manufacturer typically markets and sells its drug under a brand name,
and the lack of competition can permit the manufacturer to set its prices extremely high.
74.
Once the brand-name drug's exclusivity period ends, additional firms that receive
FDA approval are permitted to manufacture and sell "generic" versions of the brand-name drug.
As generic drugs enter the market, competition typically leads to dramatic reductions in price.
Generic versions of brand name drugs are priced lower than the brand-name versions. Under
most state laws, generic substitution occurs automatically, unless the prescriber indicates on the
prescription that the branded drug must be "dispensed as written."
75.
As additional manufacturers enter a particular drug market, competition pushes
the price down much more dramatically. Often, the price of a generic drug
20Yo
will
end up as low as
of the branded price or even lower. For this reason, generic drugs have long been referred
to as one of the few "bargains" in the United States healthcare system. Experts have stated that
21
the substantial cost savings gained from the growing number of generic drugs have played a
major role in keeping health care costs from increasing more dramatically.
76.
Where there is genuine competition, the savings offered by generics drugs over
their brand-name equivalents provide tremendous benef,rts to consumers and health care payors.
Patients typically see lower out of pocket expenses, while lower costs for payors and insurers can
lead to lower premiums for those who pay for health insurance, and lower costs to government
health care programs like Medicare and Medicaid mean greater value for taxpayers.
3.
77.
The Players In The Drus Distribution System
The United States prescription drug distribution system includes entities that are
involved at various levels before prescription drugs are ultimately delivered to end users.
ø.
78.
Manufacturers/Supnliers
Drug manufacturers are the source of the prescription drugs in the pharmaceutical
supply chain. Unlike branded drug manufacturers, generic manufacturers typically do not
develop new drug therapies, but instead manufacture generic drugs that can be substituted (often
automatically under state law) for the branded drug after expiration of the brand's exclusivity.
Generic pharmaceuticals can be manufactured in a variety of forms, including tablets, capsules,
injectables, inhalants, liquids, ointments and creams. A manufacturer seeking to sell a "new
drug" in the United States (including generic versions of previously approved drugs) must obtain
approval from the FDA, which evaluates many factors, including drug safety, efficacy, raw
material suppliers, manufacturing processes, labeling and quality control.
79.
Generic drug manufacturers operate manufacturing facilities, and compete with
each other to sell the generic drugs they produce to wholesalers, distributors, and in some cases,
22
directly to retailpharmacy chains, mail-order and specialty pharmacies, hospital chains, and
some health plans.
80.
Generic drug manufacturers also sell some of their drugs through auctions to
different purchasers in the supply chain, e.9., group purchasing organizations, retail pharmacies
and supermarket chains with pharmacies.
81.
In marketing their generic drugs, manufacturers often do not attempt to
differentiate their products because, primarily, a generic drug is a commodity. Consequently,
competition is dictated by price and supply. As a result, generic drug manufacturers usually all
market the drug under the same name, which is the name of the active ingredient (e.g.,
Acetazolamide).
82.
Drug suppliers include the manufacturers themselves,
as
well as other companies
that have agreements to sell or distribute certain generic pharmaceutical drugs manufactured by
another company. The corporate Defendants in this action are all drug manufacturers and
suppliers who compete with one another for the sale of generic pharmaceutical drugs which are
ultimately sold to consumers in the United States.
83.
Drugs sold in the United States may be manufactured either domestically or
abroad. Many manufacturers that produce drugs for the United States market are owned by, or
are, foreign companies. Generic drugs may be manufactured by the same companies that
manufacture brand-name drugs (even in the same factories), or may come from companies that
manufacture generics exclusively. Drug manufacturers typically sell their products through
supply agreements negotiated with their customers.
84.
Generic manufacturers report certain benchmark or list prices for each generic
drug that they offer, including the average wholesale price ("AWP") and wholesale acquisition
23
cost ("WAC"); these sometimes serve as benchmarks, but given the different characteristics
different buyers and the nature of individual negotiations,
a manufacturer
will frequently
of
supply
the same generic drug at several different prices depending on the customer or type of customer.
85.
In addition, generic manufacturers that enter into
a
Medicaid rebate agreement
must report their average manufacturer prices ("AMP") to the federal Centers for Medicare and
Medicaid Services on a monthly and quarterly basis. Pursuant to federal law, AMP is defined
as
the average price paid to the manufacturer for the drug in the United States by (a) wholesalers for
drugs distributed to retail community pharmacies and (b) retail community pharmacies that
purchase drugs directly from the manufacturer.
86.
Medicaid reimbursement for certain generic drugs is calculated using a formula
that is derived from a manufacturer's AMP for that specific generic drug. Put another way, a
manufacturer's AMP may have a direct impact on how much a state Medicaid program pays for a
generic drug dispensed to a Medicaid benefrciary.
87.
The corporate Defendants in this case are among the largest generic
pharmaceutical manufacturers in the industry. Each has a broad portfolio of generic drugs which
it sells to distributors, retailers and group purchasing organizations, many of whom have a
nationwide presence. Competitors for particular pharmaceutical products vary given the shifting
pharmaceutical landscape as drugs lose exclusivity, and as manufacturers decide to enter or exit
an existing drug market.
At all time relevant to this Complaint, every Defendant's portfolio
remained broad, and was marketed to customers in virtually every state across the United States.
88.
The Defendants' customers supply generic pharmaceuticals to a wide swath of
consumer populations, including but not limited to Medicaid recipients; private and public sector
employees with commercial payor, employer-funded, or self-funded health plans; patients in
24
non-profit, for-profit, or public hospitals or long-term care facilities; uninsured "cash pay"
consumers; and prisons.
89.
The generic pharmaceutical portfolios of the Defendants run the gamut of
indications, servicing a wide range of health needs. These include potentially less common
health problems such as human immunodeficiency virus (HIV) treated with
Lamivudine/Zidovudine and long-term kidney disease treated by Paricalcitol, as well as more
commonplace conditions such as high blood pressure treated with medications including
Clonidine-TTS Patch, Irbesartan, Moexipril HCL and Enalapril Maleate, high cholesterol treated
with medications such as Fenofibrate, Pravastatin or Niacin ER, and attention deficit
hyperactivity disorder (ADHD) treated by Dexmethylphenidate or
Amphetam ine/Dextroamphetamine.
90.
Taken together, customers purchase a wide range of generic pharmaceutical
products, in enormous volumes, in every state. Defendants'business plans and strategies for
their broad portfolios focus on the nationwide supply and demand chain that funnels their
products through various purchasers, including state govemments, municipalities, and private
sector employers, in order to reach consumer populations in every state. This supply and
demand chain is described in more detail below.
b.
91.
Wholesalers/Dislributors
Wholesalers and distributors purchase pharmaceutical products from
manufacturers and distribute them to a variety of customers, including pharmacies (retail and
mail-order), hospitals, long-term care and other medical facilities. Some wholesalers sell to a
broad range of customers while others specialize in sales of particular products (e.g., biologic
products) or sales to a particular type of customer (e.g., nursing homes).
25
92.
Wholesalers and distributors have similar business models, but distributors
typically provide more services to their customers. Some of the largest wholesalers and
distributors of generic drugs include AmerisourceBergen Corporation ("ABC"), Cardinal Health,
Inc. ("Cardinal"), H.D. Smith,LLC ("HD Smith"), McKesson Corporation ("McKesson") and
Morris & Dickson, LLC ("Morris & Dickson").
c.
93.
Grouo Purchasins Orgønizations (GPOsl
Group purchasing organizations ("GPOs") are membership-based entities that
negotiate with manufacturers, wholesalers, and distributors on behalf of a large group
of
purchasers. GPOs leverage their buying power to obtain better prices and terms for their
members, and assist buyers in trade relations and contract management with sellers. GPOs have
formed to serve state and local governments, hospital groups, retail pharmacies, and supermarket
chains. Some of the GPOs who sell large volumes of Defendants' generic products for
distribution nationwide include Vizient (formerly Novation), Premier, Inc. ("Premier"), Intalere
(formerly Amerinet), the Minnesota Multistate Contracting Alliance for Pharmacy ("MMCAP")
and Econdisc Contracting Solutions ("Econdisc").
d.
94.
Pharmacv and Supermarket Chains
Pharmacies are the final step on the pharmaceutical supply chain before drugs
reach the consumer. There are several types of pharmacies, including chain and independent
retail pharmacies, pharmacies in supermarkets and other large retail establishments, and mailorder pharmacies.
If
a retail pharmacy or supermarket chain purchases generic drugs
on alarge
enough scale, manufacturers may agree to contract with them directly. Such retailers can obtain
attractive terms by avoiding the markups or fees charged by wholesalers, distributors, and GPOs.
Retailers large enough to purchase drugs directly from manufacturers include Rite Aid
26
corporation ("Rite Aid"), CVS Health ("cvS"), The walgreen company ("walgreens"), walMart Stores, Inc. ("Walmart"), Target Corporation, and Publix Super Markets, Inc. ("Publix").
e.
95.
Customer Incentíves
Some of the largest buyers that purchase from generic manufacturers actually
benefit when prices are higher. For example, in McKesson's 2014 l0-K filing, the company
reported the following:
A significant portion of our distribution anangements with the
manufacturers provides us compensation based on a percentage of
our purchases. In addition, we have certain distribution
affangements with pharmaceutical manufacturers that include an
inflation-based compensation component whereby we benefit when
the manufacturers increase their prices as we sell our existing
inventory at the new higher prices. For these manufacturers, a
reduction in the frequency and magnitude of price increases, as
well as restrictions in the amount of inventory available to us,
could have a material adverse impact on our gross profit margin.
In that same filing, McKesson also reported that "The business' practice is to pass on to
customers published price changes from suppliers."
96.
Similarly, in Cardinal's201410-K filing, the company reported that
Gross margin in our Pharmaceutical segment is impacted by
generic and branded pharmaceutical price appreciation and the
number and value of generic pharmaceutical launches. In past
years, these items have been substantial drivers of Pharmaceutical
segment profit. Prices for generic pharmaceuticals generally
decline over time. But at times, some generic products experience
price appreciation, which positively impacts our margins.
97.
ABC's Annual Summary 2014 and Annual Report 2014 make very similar
observations
Our results of operations continue to be subject to the risks
and uncertainties of inflation in branded and generic
pharmaceutical prices and deflation in generic pharmaceutical
prices.
27
Certain distribution service agreements that we have entered into
with branded and generic pharmaceutical manufacturers continue
to have an inflation-based compensation component to them.
Arrangements with a small number of branded manufacturers
continue to be solely inflation-based. As a result, our gross profit
from brand-name and generic manufacturers continues to be
subject to fluctuation based upon the timing and extent of
manufacturer price increases. If the frequency or rate of branded
and generic pharmaceutical price increases slows, our results of
operations could be adversely affected.In addition, generic
pharmaceuticals are also subjectto price deflation. If thefrequency
or rate of generic pharmaceutical price deflation accelerates, our
results of operations could be adversely affected.
98.
Other large retail customers have similar contractual provisions in their contracts
with generic manufacturers that allow for potentially greater compensation when prices
are
higher. For example, contracts between Walgreens Boots Alliance Development GmbH,
a
GPO, and generic manufacturers contain provisions about Rebates and Administrative fees that
are directly tied to "total contract sales"
-
a number that increases when prices increase. In other
words, that GPO (and other larger retail customers with similar contractual terms) may make
more money when generic pharmaceutical prices are higher
99.
The generic manufacturers are keenly aware that some of their customers benefit
from their price increases. In fact, many of the generic drug manufacturers regularly tout these
price increases in their discussions with customers. As just one example, when Teva met with
large customer Red Oak (a joint venture between Cardinal and CVS) in December 2014,it
boasted that during its August 28,2014 price increase it had been able to increase twenty
different product families, resulting in an estimated $29.0M price increase value to the customer
28
4.
100.
The Cozv Nature Of The fndustrv And Onoortunities tr'or Collusion
The generic drug market is structured in a way that allows generic drug
manufacturers, including but not limited to the Defendants, to interact and communicate with
each other directly and in person, on a frequent basis.
a.
101.
Trade Association and Customer Conferences
Many customers of the Defendants, including but not limited to (a) large
wholesalers or distributors like ABC, Cardinal, HD Smith, McKesson and Morris & Dickson, (b)
GPOs like Premier, MMCAP and Econdisc, and (c) other large drug purchasers like pharmacy or
grocery store chains, hold multi-day conferences throughout the year in various locations
throughout the United States. Generic manufacturers from across the United States are invited to
attend.
102.
Additionally, the Defendants and other generic drug manufacturers also attend
various industry trade shows throughout the year, including those hosted by the National
Association of Chain Drug Stores ("NACDS"), Healthcare Distribution Management Association
("HDMA") (now the Healthcare Distribution Alliance), the Generic Pharmaceutical Association
("GPhA") and Efficient Collaborative Retail Marketing ("ECRM"), in
a
variety of locations
throughout the United States.
103.
At these various conferences and trade shows, sales representatives from many
generic drug manufacturers, including Defendants, interact with each other and discuss their
respective businesses and customers. Many of these conferences and trade shows include
organized recreational and social events such as golfoutings, lunches, cocktail parties and
dinners that provide additional opportunities to meet with competitors. Defendants use these
opportunities to discuss and share competitively-sensitive information concerning upcoming
29
bids, specific generic drug markets, pricing strategies and pricing terms in their contracts with
customers.
104.
These trade shows and customer conferences provide generic drug manufacturers,
including but not limited to the Defendants, with ample opportunity to meet, discuss, devise and
implement a host of anticompetitive schemes that unreasonably restrain competition in the
United States'market for generic drugs.
b.
105.
Industrv Dínners and Prìvate Meetínss
In addition to these frequent conferences and trade shows, senior executives and
sales representatives gather in smaller groups, allowing them to further meet face-to-face with
their competitors and discuss competitively sensitive information.
106.
Many generic drug manufacturers, including several of the Defendants, are
headquartered in close proximity to one another in New Jersey or eastern Pennsylvania, giving
them additional opportunities to foster connections and meet and collude. At least forty-one (41)
different generic drug manufacturers are concentrated between New York City and Philadelphia,
including, among others, Defendants Actavis, Aurobindo, Breckenridge, Dr. Reddy's, Glenmark,
Greenstone, Lannett, Pat,Pftzer, Sandoz, Taro, Teva, Wockhardt and Zydus.
107
.
High-level executives of many generic drug manufacturers get together
periodically for what some of them refer to as "industry dinners." For example, in January 2014,
at a time when the prices of a number of generic drugs were reportedly soaring, at least thirteen
(13) high-ranking executives, including CEOs, Presidents and Senior Vìce Presidents of various
generic drug manufacturers, met at a steakhouse in Bridge\¡/ater, New Jersey. Executives
(including individual Defendants Berthold, Falkin and Ostaficiuk) from Defendants Actavis,
30
Aurobindo, Breckenridge, Dr. Reddy's and Lannett, among many other generic manufacturers,
attended this particular dinner.
108.
At these industry dinners, one company is usually responsible for paying for all of
the attendees. For example, in a group e-mail conversation among the competitors in December
2013, one of the participants -- a high-ranking executive for Defendant Dr. Reddy's -- joked
"[y]ou guys are still buying for Mark and I, right?" The response from another executive:
"Well. . . I didn't think the topic would come up so quickly but . . . we go in alphabetical order by
company and [a generic drug manufacturer not identified in this Complaint as a conspirator]
picked up the last bill. . . . PS. . . . no backing out now! Its [sic] amazinghow many in the group
like l8 year-old single malt scotch when they aren't buying."
109.
Other groups of competitors gather routinely for golf outings, where they have the
opportunity to spend several days at a time together without interruption. One such annual event
was organized by a packaging contractor in Kentucky. From September
17
-19,2014, for
example, high-level executives from Defendants Teva, Apotex, Actavis, Amneal, Lannett, Par,
Zydus and others were invited to a gathering at a country club in Bowling Green, Kentucky
where they would play golf all day and socialize at night. Defendant Rekenthaler was in
attendance with high-level executives from Defendants Lannett, Amneal, Apotex, Wockhardt
and other generic manufacturers. Rekenthaler and a high-level executive from Apotex, J.H.,
actually stayed together in the home of the owner of the packaging company that sponsored the
event. At the conclusion of the outing, one of the executives
mail to the other attendees, stating:
-
Defendant Ostaficiuk
-
sent an e-
'
"' As discussed
more
fully
below in Section lV.C.6.a, Defendants Rekenthaler and Ostaficiuk used this golf outing as an
31
opportunity to negotiate Camber's anticompetitive entry into the market for two different Teva
drugs.
110.
Some generic pharmaceutical sales representatives also get together regularly for
what they refer to as a "Girls Night Out" ("GNO"), or alternatively "Women in the Industry"
meeting or dinner. During these events, the sales representatives meet with their competitors and
discuss competitively sensitive information.
II
1.
Many "Women in the Industry" dinners were organized by 4.S., a salesperson
from non-Defendant Heritage Pharmaceuticals, Inc. who resides in the State of Minnesota.
Other participants in these meetings were employees of generic drug manufacturers located in
Minnesota, or salespeople residing in the area. However, out-of-town sales representatives were
also aware of these dinners and were included when in the area. For example, in November
2014,Defendant Sullivan of Defendant Lannett sent A.S. a text message asking "[w]hen is your
next industry women event? I'm due for a trip out there and I'd love to plan for it if possible...."
A.S. responded: "There is an XMas [sic] party at Tanya's house on Dec 6th. Yes that is a
Saturday. We do it about once a quarter and usually it is during the week -- this was an
exception."
l12.
Sometimes dinners were also planned around visits of out-of-town competitors.
As A.S. stated in organizing the dinner:
Sorry if the meeting/dinner invite is a little short notice, but [K.N.,
a National Account Representative at Defendant Dr. Reddy's] will
[be] in MN on Sept 29th and it would be a great time for everyone
to get together! So much has been happening in the industry too --
we can recap all our findings from NACDS [trade show] over
martini or glass of wine! :) Plus the food is super Yummy!
113.
a
Several different GNOs were held in 2015, including: (1) at the ECRM
conference in February (involving Defendants Dr. Reddy's, Greenstone, Lannett, Teva, Upsher32
Smith and Zydus, among others
-
including individual Defendants Nailor and Sullivan); (2) in
Baltimore in May (involving Defendants Dr. Reddy's, Lupin and Teva among others); and (3) at
the NACDS conference in August (involving Defendant Dr. Reddy's among others).
5
ll4.
The Overarching Conspiracv Betryeen Generic Drug Manufacturers
Plavine Nice In The Sandbox
-
As a result of these communications, sales and marketing executives in the
generic pharmaceutical industry are well aware of their competitors'current and future business
plans. This reciprocal sharing of inside information greatly facilitates agreements among
competitors to allocate markets to avoid price competition.
I
15.
The overarching conspiracy among generic manufacturers, however
together all of the agreements on individual drugs identified in this Complaint
-
-
which ties
is an agreed-
upon code that each competitor is entitled to its "fair share" of the market, whether that market is
a
particular generic drug, or a number of generic drugs. Coined "fair share," the term is
generally understood as an approximation of how much market share each competitor is entitled
to, based on the number of competitors in the market, with a potential adjustment based on the
timing of entry. Once a manufacturer has achieved its "fair share," it is generally understood that
the competitor
will no longer compete for additional business.
The common goal or purpose
of
this overarching agreement is to keep prices high, avoid price erosion and serve as the basis for
further supra-competitive price increases.
116.
This overarching agreement is widespread across the generic drug industry and is
broader than the Defendant manufacturers named in this Complaint. The Plaintiff States focus
here on the role of these named Defendants and their participation in, and agreement with, this
overarching conspiracy. This Complaint describes conspiracies regarding the sale of specific
drugs, and how these specific conspiracies are also part ofthe larger overarching conspiracy.
3-t
117.
The exact contours of this "fair share" understanding, which has been in place for
many years (and pre-dates any of the specific conduct detailed herein), has evolved over time
during the numerous in-person meetings, telephonic communications, and other interactions
between generic manufacturers about specific drugs. These business and social events occur
with such great frequency that there is an almost constant ability for Defendants to meet in
person and discuss their business plans. For example, between February 20,2013 and December
20, 2013 (a 4 I -week period), there were at least forty-four (44) different tradeshows or customer
conferences where the Defendants had the opportunity to meet in person. These in-person
meetings gave the Defendants the opportunity and cover to have these conversations, and reach
these agreements, without fear of detection.
I
18.
As described in more detail below, when necessary, this larger understanding was
reinforced through phone calls and text messages between the Defendants to discuss "fair share"
and the desire to maintain or raise prices with respect to specific drugs. These types
of
communications occur with great frequency across the industry, including among Defendants.
1
19.
For example, from the period of January 1,2013 through December 31,2013,
senior sales executives and other individuals responsible for the pricing, marketing and sales
of
generic drugs at Defendant Teva spoke to representatives of every signif,rcant competitor by
phone andlor text on multiple occasions. Phone calls and text messages with several of those
key competitors during the 2013 calendar year are set forth below. The following Table (Table
l), which
is conservative because it is based on phone and text message records from only some
of the executives and salespeople at issue, and therefore shows only some of the phone calls and
text messages between the Defendants during that period, sheds some light on the frequency with
which Defendants communicated with each other throughout 2013.
34
Table
1
Teva phone/text communications with other Defendants (by month)
January 1,2013 - December 31,2013
Jun-13
Jul-13
Âup-1 q
Sên-1?
O.t-1q
Nôv-13
Dec-13
Totals
1
17
1)
15
40
13
47
183
)6
9
6
I
I
12
L4
tb
95
4
5
6
7
0
2
7
r,
59
g
19
I
5
13
6
0
12L
26
26
16
1
L
0
LL
26r
16
18
14
3
0
9
2
104
2
L
8
L1,
0
1,L
t
1
35
20
30
40
59
2T
34
14R
5R
47
531
72
L67
tol
159
9)
5g
))7
101
131
1389
lãn-13
Feb-13
2
2
0
7
0
3
0
0
2
0
20
L
Lup¡n
10
5
9
3
Mylan
31
47
32
17
5
4
4
72
o
o
0
0
13
21
42
75
85
107
120.
M
a
r-13
ADr-13
Mav-13
Of the 1,389 calls listed in Table 1,1,234 of them
- or 89o/o - involved
Defendants Green, Patel and Rekenthaler of Teva speaking with competitors. Many
not all
- of those communications involve
121.
-
though
matters that are addressed throughout this Complaint.
Similarly, from the period of January 1,2074 through December 31,2014, senior
sales executives and other individuals responsible for the pricing, marketing and sales of generic
drugs at Defendant Teva continued to speak to representatives of every significant competitor by
phone and/or text on multiple occasions. Phone calls and text messages with several of those
key competitors during the 2014 calendar year are set forth below. The following Table (Table
2), which is conservative because it is based on phone and text message records from only some
of the executives and salespeople at issue, and therefore shows only some of the phone calls and
text messages between the Defendants during that period, sheds similar light on the frequency
with which Defendants communicated with each other throughout 2014.
35
Table 2
Teva phone/text communications with other Defendants (by month)
January lr2014
-
December 3lr2014
lan-14
Feb-14
Mar-14
Aor- 14
Mav-14
lu n-14
31
t7
47
42
76
I
4
11
17
7
7
2
T7
3
13
3
7
11
5
13
4
6
1
1
5
10
1,
AUP-14
Seo-14
Oct-14
Nov-14
Dec-14
24
36
21
I
l4
9
6
I
6
3
3
70
1
6
1
9
0
0
o
54
0
0
0
0
0
0
0
0
33
'J,
7
2
0
10
13
5
2
I
s7
7
10
0
1,
28
7
4
7
6
3
82
1
7
4
t7
16
5
2
1
0
0
1,
55
18
36
44
24
37
t4
19
15
5
5
4
4
225
93
84
!43
95
L45
45
105
65
69
40
23
34
941
122.
Jul-14
Of the 941 calls listed in Table 2,778 of them
- or 83o/o -
Totals
365
involved Defendants
Patel and Rekenthaler of Teva speaking with competitors (by this time, Defendant Green no
longer worked at Teva). Many
-
though not all
-
of those communications involve matters that
are addressed throughout this Complaint.
123.
It was not just Teva personnel speaking to their competitors, however. All of
these individuals were speaking to each other, when needed, hundreds or even thousands
of
times to ensure adherence to the overarching conspiracy. Because it would be too voluminous to
list the total number of calls among all of the Defendants, the following graphic shows the
interlocking web of communications and relationships between just some of the individuals
employed by Teva and its key competitors. Each line in the graphic below demonstrates that at
least one phone call or text message was sent between those individuals (identified by their
initials) while they \¡/ere competitors. For many of these individuals, there were hundreds of
calls and texts with competitors, but the volume of those communications is not captured by this
graphic.
36
&hHtu
comPony
e
=g{e
Actavis
124.
In order to provide some organizational principle around the massive amount of
collusive behavior by the Defendants described in this Complaint, certain sections are centered
around the relationship between Defendant Teva and another conspirator. However, this
convenience should not imply that the Complaint is solely concerned with bilateral relationships
involving Teva.
125.
The specific drug agreements often involve overlapping sets of Defendants in
communication with each other, all following their agreed-upon "fair share" code of conduct.
For example, to view only a small portion of the interlocking, overlapping web of collusion
formed by Defendants: Teva, Taro and Wockhardt discussed amongst themselves the allocation
of the Enalapril Maleate market; Teva and Taro communicated with Sandoz concerning the
prices for Ketoconazole Cream; Sandoz worked with Mylan to allocate the market for Valsartan
HCTZ; Teva, Mylan and Par all communicated with each other in the spring of 2014 concerning
the market for Budesonide DR Capsules. These are not isolated, one-off agreements, but rather
demonstrate the ongoing, sprawling nature of the Defendants' overarching conspiracy.
7
126.
Referred to sometimes as the
for the generic drug industry,
the fair share understanding among Defendants dictates that when two generic manufacturers
enter the market at the same time, they generally expect that each competitor is entitled to
approximately
50%o
of the market. When a third competitor enters, each competitor expects to
obtain 33Yo share; when a fourth competitor enters, each expects 25Yo; and so on, as additional
competitors enter the market.
127.
When a generic drug manufacturer is the first to enter a particular drug market on
an exclusive basis
it is commonly understood that that manufacturer is entitled to a little more
than its proportional share of the market. For example, when Defendant Dr. Reddy's was about
to enter the market for a drug in January 2013, the Vice President of Sales and Marketing
explained during negotiations with his competitor that "he views it this
way. If they [Dr.
Reddy's] are first and others come out after, he deserves 60%o. If he launches with others on day
[one], he considers fair share 2-50yo,3-33yo, 4-25Yo, etc."
128.
little
Conversely, those generic manufacturers that enter later are typically entitled to a
less than their proportional share. One of the many examples of this occurred in March
2014, when
- as discussed more fully below - Defendant
Lupin entered the Niacin ER market
after Defendant Teva had previously been exclusive. Defendants Patel of Teva and Berthold
Lupin spoke directly by phone
a number
of
of times during this period, including three (3) calls on
March 24,2014. That same day, Defendant Rekenthaler of Teva sent an internal e-mail to
Defendant Patel stating:
Here, Teva's
expectation to maintain 600/o share in a two-player market, after being the first in that market,
was consistent with the overarching conspiracy.
38
L29.
Defenda¡rt Talo went so far as to create a pgaphic represeutatiou of that
turderstaudiug, taking into accourt both the uuurber of competitors and order of enhy to estirnate
what its "fail share" should be in auy given rnalket:
[TARO_0002241s0.1
130.
Although these general pararneters are well-known, there is no precise methocl for
apportioning "fair share" because rnarket share is ultiruately cletermined by either y¡inning or
maiutaining the busiuess of various ctutomers. which is irrherently variable in a giveu year. The
shared objective, however, is to attain a state of equilibriuur, where lro courpetitors are
i¡rceutivized to compete for additio¡ral ¡narket share by erodiug price.
13l.
Jtlis sernrnon goal was stated succinctly by Defendant Aprahauúan, who advised
the Taro Pricing Department in haining doctunents fiorn September aud November 2013 that
As demonstlated throughout the
Conrplaint, Apraharnian's idea
of
meaut constantly reachiug out to courpetitors
in order to coordinate giving trp share to reach a "fai¡" allocation aud keep prices hipilr.
132.
This scheure to urinirnize cornpetition and allocate "fair share" is typically
irnpleurented as
follows. First. Defendants allocate the urarket for an indiviclual drug basecl on
39
the number of competitors and the timing of their entry so that each competitor obtains an
acceptable share of the market. Then, the competitors agree on ways to avoid competing on
price and, at times, significantly raise price. This pattern is frequently followed even in the
absence of direct communication between the competitors, demonstrating the universal code
of
conduct agreed to by Defendants.
133.
This "fair share" understanding has been particularly effective when
competitor enters the market
-
a
a new
time when, in a free-functioning, competitive market for generic
drugs, prices would be expected to go down. In today's generic drug markets, a new competitor
will
either approach or be approached by the existing competitors. Existing competitors
will
agree to "walk away" from a specific customer or customers by either refusing to bid or
submitting a cover bid. The new competitor's transition into the market is seamless; the new
entrant is ceded market share and immediately charges a supra-competitive price. The
competitors then continue this process of dividing up customers until the market reaches a new
artificial equilibrium. This is referred to
134.
as a
"stable" market.
"Fair share" principles also dictate how generic drug manufacturers respond when
a competitor experiences supply issues.
will refrain from taking
If the disruption is temporary, the existing competitors
any action that might upset the market balance. By contrast, if the
disruption is for a longer term, the competitors will divide up customers until each player
achieves a revised "fair share" based on the number of players remaining in the market. For
example, in July 2013, a retail pharmacy customer e-mailed Defendant Taro stating that one
Defendant Mylan's products was on back order and asked Taro to bid for the business.
Defendant Aprahamian sent an internal e-mail stating
40
of
uld be:
request was due to a competitor's
137
-
price
ease
'When a generic uranufactu'er par-ticipates
in this scheme, and prices stay hig;h,
this is viewed as "playing ¡rice in the sandbox." For example
- as discussed
more fully below
-
in December 2014 Defendant Teva \lras approached by a large retail custouler on behalf of
Defendaut Greenstone. The custorner indicated that Gleenstone was entering the market for
Cabergoline a¡rd was seekiug to target specific customers. The customer specifically requested
I
that Teva give up alarge customer to the new entrant, and indicated that "Greenstone has
promised to play nice in the sandbox." After discussing the matter intemally, a Teva
representative responded to the customer:
and we
will
"[t]ell Greenstone \¡/e are playing nice in the sandbox
let them have fthe targeted customer.]"
138.
Similarly, when a generic manufacturer is "playing nice in the sandbox," it is
generally referred to as a "responsible" or "rational" competitor. For instance, in May 2013,
R.T., a senior sales and marketing executive at Defendant Sandoz, sent an intemal e-mail to J.G.,
another Sandoz senior executive, stating
139.
Defendant Sandoz, in turn, uses that same terminology to refer to its competitors
that are acting in accordance with "fair share" principles. For example, in internal company
presentations throughout 2014, Sandoz consistently referred to Defendant Actavis as a
and Defendant Taro as a
140.
Defendant Teva had its own term of aft
-
referring to the competitors it had the
most collusive relationships with as "high quality" competitors. As explored more fully below,
Teva had long-standing relationships with these competitors, including several of the corporate
Defendants, which affected nearly every overlapping drug they sold. As just one example,
Defendant Patel of Teva exchanged seven (7) text messages and had two (2) long phone calls
with Defendant Aprahamian of Taro on June 3 and 4,2014. After a lengthy twenty-five (25)
minute call with Aprahamian on the morning of June 4,Patel sent an internal e-mail to K.G., a
Teva senior marketing executive, stating
42
l4l.
Adherence to the rules regarding "fair share" is critical in order to maintain high
prices. Indeed, that is the primary purpose of the agreement. If even one competitor does not
participate (and, thus behave in accordance with) the larger understanding, it can lead to
unwanted competition and lower prices. In the relatively few instances where a competitor
prioritizes gaining market share over the larger understanding of maintaining "fair share," that
competitor is viewed as "irresponsible," and is spoken to by other competitors. For example, in
March 2015, Defendant Upsher-Smith learned that Defendant Sandoz had submitted a bid on a
product not identified in the Complaint at one of Upsher-Smith's GPO customers. B.P., a senior
account manager at Upsher-Smith, forwarded that information internally stating
142.
"Fair share," "playing nice in the sandbox," and similar terminology have become
part of the industry lexicon, and thus part of the larger understanding between Defendants.
Generic drug manufacturers actively and routinely monitor their fair share and that of their
competitors, as well as discuss customer allocation amongst each other within the context of
agreements on specihc drugs, as set forth more
fully below. For example, in July 2013,LJ.,
a
senior marketing executive at Sandoz, sent an internal e-mail identifying 47 products where
After some back-and-forth internal joking
Sandoz did not have "fair share" of the market.
among Sandoz executives about the idea that Sandoz might actually attempt to compete for
business in those markets by driving prices down, Defendant Kellum responded by emphasizing
the truly industry-wide nature of the agreement:
43
that
145.
Further, in Janury 2015. Defendant Teva was in disctusions with a lalge retail
customer about the possibility of becoming its supplier for
custorner stated
M
Moex
I HCL HCTZ Tablets. The
146.
a
Customers at times also facilitate price increases, asking competitors to
market by raising prices. For example, in November 2013, S.G., a senior account
executive at Sandoz, sent an internal e-mail stating
147.
The "fair share" agreement is not limited to any one market; these principles
constantly inform and guide the market actions that generic drug manufacturers decide to take
(or not take) both within and across product markets. For example, in November 2013,
Defendant Dr. Reddy's won the
"8" slotl
business at alarge wholesale customer on a product not
identified in the Complaint. Dr. Reddy's had previously won the "4" slot business at that
customer because Defendant Mylan had
from the business. J.4., a senior
account executive at Dr. Reddy's, sent an internal e-mail stating
148.
Similarly, in October 2013, CW-1, a senior pricing executive at Sandoz, sent an
internal e-mail, including to Defendant Kellum, stating that Sandoz had decided not to bid on
two drugs not identified in the Complaint at a large retail customer. CW-1 explained his
reasoning as follows:
Similarly, in June 2014, Sandoz chose not to bid at a customer
on a product not identified in the Complaint out of concem that Defendant Mylan would
'
Some large customers contract with multiple suppliers - referring to them as primary ("4 slot") or secondary
- so that in the event ofa supply disruption for a particular drug, there is a secondary source of
slot") suppliers
supply.
45
("8
retaliate. As C'W-l explained,
As discussed more fully below in Section IV.C.4.a, these decisions were made by Sandoz
executives as a direct result of communications between the competitors, and in the context of an
ongoing understanding between Defendants Sandoz and Mylan to fix prices and avoid
competition on a number of different drugs, including Nadolol and Benazepril HCTZ.
149. A similar
scenario occurred in August 2015, when Defendant Taro declined to bid
on Etodolac Extended Release (ER) Tablets at a large supermarket chain where DefendantZydus
was the incumbent. Taro voiced concerns internally that Zydus might retaliate and take share
from them on another product, Warfarin Sodium Tablets. As C.L., an analyst at Taro, reasoned
in an internal e-mail, Zydus
As discussed more fully below, both Etodolac ER and Warfarin
were drugs where Taro had previously agreed with its competitors, including Teva and Zydus, to
fix prices
and allocate customers
in2014. Taro's focus on playing nice in the sandbox was
merely an extension of those already-existing agreements.
150.
As these examples make clear, the interdependence among generic manufacturers
transcends product markets as these companies make decisions not only based on what impact
their actions will have in a given product market, but also on how those actions will impact other
product markets where the competitors overlap, and any future markets where they might
eventually compete.
151
agreements
.
In fact, as explained in more detail below, certain Defendants had long-standing
with some of their competitors to limit competition on any products on which the
companies overlapped. For instance, shortly after Defendant Patel was hired by Teva in2013,
46
she reached out to
CW-l
and asked how Sandoz handled price increases. Patel explained that
she had been hired by Teva to identify products where Teva could increase prices. CW-1 told
Patel that Sandoz would
follow any Teva price increases and that Sandoz would not poach
Teva's customers after Teva increased price. CW-1 reiterated his conversation to Defendant
Kellum, who understood and approved.
152.
Indeed, generic manufacturers often communicated about, and colluded on,
multiple drugs at any given time. As just one example, in July 2013, Defendant Teva increased
pricing on a list of 21 different products. There was a great deal of internal pressure from
management at Sandoz
Teva price increase
-
including from Defendant Kellum and CW-1
list. As a result, CW-2 (then
-
to obtain a copy of the
a Sandoz employee) reached out to his former
colleague, Defendant Rekenthaler, the Vice President of Sales at Teva, to obtain a copy of the
full Teva price increase list. Defendant Rekenthaler forwarded the list to his own personal
e-
mail address before then forwarding it to CW-2's personal e-mail address. Upon receiving the
list, CW-2 read it to his supervisor
-
CW-1
-
over the phone. Notably, the Teva list included a
number of products that Defendant Sandoz did not even sell.
153.
It was not uncommon for generic manufacturers to communicate with each other
about products that they did not
sell. In another example, Defendants Teva, Wockhardt,
and
Mylan collusively raised pricing on Enalapril in July 2013 (discussed more fully below). After a
lengthy conversation with Defendant Patel in the midst of the price increases, Defendant
Aprahamian of Taro (not in the market for Enalapril at that time) sent an internal e-mail,
including to M.P., a senior Taro executive, stating
And Taro did move fast. By December 2073, Aprahamian spoke again with Defendant Patel,
47
M.4.,
an account manager at Defendant Mylan, and M.C., a senior sales and marketing
executive at Defendant Wockhardt. Taro then re-entered the Enalapril market and matched
competitor pricing.
154.
In another example, on January 1,2013
increase on a number of items
Nesta of
-
-
the day before a substantial Mylan price
Defendant Green of Teva spoke five (5) times with Defendant
Mylan. The next day, Defendant Green spoke with Defendant Kellum of
Sandoz.
Defendant Kellum then sent an internal e-mail to the sandoz team stating
Despite that fact that Teva did not sell Levothyroxine, Green still conveyed to Sandoz that Mylan
raised price on that product.
155.
Unlike their branded counterparts, generic drugs are commodities and generic
manufacturers are constantly making decisions to enter new markets and leave existing markets.
Often these decisions are made, at least in part, based on who the competitors are and how strong
the relationship is between the two companies. As one example, in July 2013,Defendant Sandoz
was looking to implement a
that involved temporarily delisting ten products that
they overlapped on with Defendant Taro. This strategy would allow Taro to raise price on these
products while Sandoz was out of the market, and then Sandoz could re-enter later at the higher
pnce.
156.
This interdependence between generic manufacturers is further demonstrated by
the countless examples of companies sharing sensitive information with competitors as a matter
of course. The Plaintiff States have gathered evidence going back more than a decade of generic
companies routinely communicating and sharing information with each other about bids and
48
pricing
strategy.
s
iucludes forwalding bid packages received û'om a ctrstomer (e.g., a
Request for Proposal or "RFP") to a courpetitor, either on their own initiative, or at the request
a
co
of
etitor.
to cover trp evidence of the overarching conspiracy. For example, in May 2014, a large custoruer
of Taro's received a bid on a product not identified iu the Complaint and gave Taro an
opportuuity to bid to retain the busi¡ress. 4.L., a senior contracting executive at Taro, seut au
internal e-rnail
Defendant Aprahamian replied:
49
6.
Generic Drus Price Spikes Since 2013
"[t]he prices of more than 1,200 generic rnedications increased an average of 448 percent
between July 2013 and
J
2014." A separate analysis conducted by Defendant Sandoz showed
tlrat during the calendar years 2013 artd,2Ol4, there were 1,487
50
(increases
of tlre WAC price ppeater than
100
, of which l2olo (178) were increased by ptreater than
1,000%.
162- These increases
2013
in 2013 and20l4 were staggering
co
ared to prior years. The
20t4:
lll soule cases.
to0%.
C.
The Illegal Schemes
1.
165.
The Overarching Conspiracy In Operation: CustomerAnd Market
Allocstion Agreements To M¡int¡in Market Shere And Avoid Price
Erosion
When entering a generic dnrg rnalket, Teva a¡rd the other Defendants routinely
and systematically soupçht out thei¡'competitors in an effort to reach agreement to allocate ruarket
share, ruaintain higür prices and/or avoid corupeting on
5l
pdce. hese agf,eements had the effect of
artificially maintaining high prices for
a large number
of generic drugs and creating an
appearance of competition where in fact little to none existed.
166.
Some illustrative examples of these agreements are set forth below, organized by
company relationship and describing specific examples relating to specific drugs over time.
à.
Teva/lVlylan
i.
167.
Fenofibrate
Fenofibrate-also known by brand names such as Tricor-is
a
medication used to
treat cholesterol conditions by lowering "bad" cholesterol and fats (such as LDL and
triglycerides) and raising "good" cholesterol (HDL) in the blood.
168.
As of the end of 2012, Teva and Lupin were the only major suppliers of generic
Fenofibrate 48mg and l45mg tablets, with Teva having approximately 65Yo market share and
Lupin having approximately
169.
35%o
market share.
On February 27,2013, K.G., a senior marketing executive at Teva, e-mailed
multiple Teva colleagues asking them to provide
Specifically, K.G. was
seeking
on Mylan's potential entry to the market. In order to get this
information, Defendant Green called Mylan's Vice President of National Accounts, Defendant
Jim Nesta. Over the course of that day, Green and Nesta spoke at least four (4) different times.
That same day, Green reported back to K.G. and other Teva colleagues what he had learned:
Mylan planned to launch Fenofibrate 48mg and 145mg sometime around November 2013.
170. A few months later, however, Teva learned that Mylan was moving up its launch
date for Fenofibrate. In advance of this launch, Teva, Lupin, and Mylan conspired to allocate the
market for Fenofibrate. On May 8, 2013, Defendant Green e-mailed his colleagues at Teva that
52
To assist in Teva's
e
rts to
allocate the Feuofibrate mailiet. Green asked a colleague for the
l45mg tablets
and that he needed Teva's Fenofibrate sales
profrtability
tion
to
Mylan,
contact by phone. These calls include at least those listed belorv. Ou these calls. Teva, Mylan.
allocate market share to Mylau
Voice
Voice
Patel, N¡sha
Patel, Nisha
Voice
Voice
Green, Kevin (Teva)
Patel, Nisha (Teva)
Outgo¡ng
Voice
Voice
Voice
Voice
Voice
Nesta, Jim (tuÎylan)
Nesta, Jím (Mylan)
Outgoing
lncoming
Nesta, Jim (tvllan)
Outgo¡ng
Nesta, Jim (tt ylan)
Nesta, Jim (lvlylan)
sl812OL3
Voice
sl812OL3
Voice
Voice
Voice
Voice
Nesta, Jim (ùlylan)
Nesta, Jim (lvlylan)
Outgoing
lncoming
Outgoíng
Outgoing
lncoming
51612013
;516/2OL3
sl7l2O73
sl7/2OL3
slil2oL3
slil2oL3
sl8l2OL3
slgl20t3
sl812OL3
sl812OL3
sle/2ot3
sl9/2Ot3
sle/2073
172.
Voice
Voice
Voice
(Teva) Outgoing Berthold,
(Teva) lncoming Berthold,
(tfilan)
lncoming
(tupin)
David (tupin)
David
0:ü):32
O:22:O2
Berthold, David ([upin)
Berthold, David ([upin)
Green, Kevin (Teva)
Green, Kevin (Teva)
Green, Kevin (Teva)
Berthold, David (Lupin)
Berthold, David (tupin)
Berthold, David (Lupi n)
Green, Kevin (Teva)
Nesta, Jim (Mylan)
Nesta, Jim (fvlylan)
Outgo¡ng
Green, Kevin (Teva)
Green, Kevin (Teva)
lncoming
Green, Kevin (Teva)
0:03:¡16
Green, Kevin (Teva)
Green, Kevin (Teva)
Outgoing
lncoming
lncoming
Berthold, David (Lupin)
Berthold, David ( Lupin)
0:01:ü)
Green, Kevin (Teva)
0:04:05.
Nesta, Jim
Nesta, Jim (Mylan)
0:12:00
In one shiking example of the coorclination between the tluee corupanies,
Defenclant Nesta called Defenclant Green at2:427tttt ou May 7 aud they spoke for urore thzur
5-3
eleven
(l I ) minutes. Immediately after hanging up the phone -
at 2:54pm
-
Nesta called
Defendant Berthold and spoke for nearly three (3) minutes.
173.
On May 10,2013, K.G. received the Teva sales and profitability information he
requested. After having the information for barely a half hour, and before there was even a
formal price challenge by Mylan at any of Teva's customers, K.G. concluded that
By
conceding Econdisc to Mylan, Teva would walk away from its single biggest customer (in terms
of gross profit) for the 48mg tablets and the third largest out of six customers (in terms of gross
profit) for the 145mg tablets. Defendant Patel, who had been at Teva for only two weeks at that
point, said she
The
logic, of course, was to allocate a customer of sufÍicient size to Mylan so that Mylan would be
cornfortable with its "fair share" and not need to compete on price to acquire market share.
174.
Teva executives immediately reached out to executives at Mylan and Lupin
through a series of phone calls. These calls include at least those listed below. On these calls,
executives of Teva, Mylan, and Lupin confirmed the market allocation scheme.
Date
Target Name
Direction
Contact Name
5/L0/20L3Yoice
CallType
Nesta, Jim (Mylan)
Green, Kevin (Teva)
0:00:28
5/IO/2Ot3 Voice
5/LO/20t3 Yoice
Nesta, Jim (Mylan)
Outgoing
lncoming
lncoming
Green, Kevin (Teva)
0:10:46
Green, Kevin (Teva)
0:02:19
Patel, Nisha (Teva)
0:05:25
Berthold, David ( Lupin)
Berthold, David ( Lupi n)
Berthold, David (Lupin)
0:00:17
5lI0/20I3',Voice
5/!O/2O!3 Yoice
5lI0l2013 Voice
5/tO/2Ot3 Voice
175.
Nesta, Jim (Mylan)
Nesta, Jim (Mylan)
Patel, Nisha (Teva)
Patel, Nisha (Ieva)
Patel, Nisha (Teva)
O
utgoi ng
Outgoing
lncoming
lncoming
Duration
0:07:26
O:t7:28
Teva made good on its agreement to concede Econdisc to Mylan. On May 15,
2013, Econdisc informed Teva that a new market entrant had submitted a competitive offer for
Fenofibrate 48mg and 145mg tablets and asked Teva for a counteroffer to retain Econdisc's
business. Less than an hour after receiving the notice of the price challenge, Defendant Green
54
K.G. later agreed:
recommended conceding Econdisc based on
176.
I
Following Teva's internal confirmation of the market allocation scheme, Teva
executives spoke with executives at Mylan and Lupin numerous times. These calls include at
least those listed
below. On these calls, executives of Teva, Mylan, and Lupin confirmed that
Teva was sticking to the market allocation scheme by conceding Econdisc to Mylan.
Date
Direction
Name
Call
Contact Name
Duration
(Teva) Outsoins Berthold, David (Lupin)
Patel, Nisha (Teva) lncoming Berthold, David (Lupin)
Patel, Nisha (Teva) lncomins Berthold, David (Lupin)
5/L6/2Ot3 Voice
5/16/2013 Voice
5/L6/2073 Voice
5/L6/2013 Voice
Patel, Nisha
Patel, Nisha T
lncomi
Voice
Voice
Voice
Voice
Voice
Patel, Nisha
lncomi
Patel, Nisha
Ou
Berthold David
o
Berthold David
Voice
David Lu
Berthol
David Lu
n
Jim
N
ii.
I
N
isha
Patel, Nisha (Teva)
Nesta, Jim (Mylan)
Nesta, Jim (Mylan)
Nesta, Jim (Mylan)
Nesta, Jim (Mvlan)
0:00:07
David
Jim
Lu
an
lncomi
Gree
Kevi n
Ou
Gree
Kevi n
Nesta, Jim
Pate
0:02:07
Berthold, David
Ou
(Mylan) lncomins
Nesta, Jim (Mvlan) Outsoins
Patel, Nisha (Teva) Outgoins
Voice
Voice
Voice
5/L7/20L3 Voice
5/L7/20t3 Voice
5/L7/2OL3 Voice
5/17/2013 Text
5/17/2OL3 Voice
177.
Nisha
Berthol
Voice
5/L7/2OL3
5/17/2013
5/L7/2O!3
7
Pate
0:00:36
lncomi
0:
Green, Kevin (Teva)
0:11:50
Green, Kevin (Teva)
O:O2:23
Berthold, David
Berthol
(Lupin)
David Lu
n
Outgoing Berthold, David (Lupin)
lncoming
Outgoing
Outgoing
lncomins
0:00:09
0:00:2
O;LI:!2
Green, Kevin (Teva)
0:04:25
Green, Kevin (Teva)
0:00:05
Green, Kevin (Teva)
0:00:0C
Green, Kevin (Teva)
0:16:02
Clonidine-TTS Patch
Clonidine-TTS Patch-also known by the brand name Catapres-TTS
-is
a
medication in the form of a transdermal patch that is used to treat high blood pressure.
178.
As of September 2011, Mylan and Teva were at rough parity in the market for
generic Clonidine-TTS, with Mylan having approximately 48.4%o market share and Teva having
approximately 44.4% market share. At the end of 2011 and beginning of 2012, however, Teva
began to take more than its
"fair share."
55
179.
In November 2011, Teva took over Mylan's business for Clonidine-TTS at
Walgreens after Walgreens solicited Teva to provide a
bid. Then, in late January 2012, Cardinal
Health solicited a bid from Teva for a one-time-buy to cover an alleged
short-terml
that Mylan was experiencing. A few days after Teva submitted its offer to Cardinal
for the one-time-buy, Cardinal asked Teva to become Cardinal's primary supplier for Clonidine-
TTS. Believing that Cardinal's request was prompted by Mylan having supply issues, Teva
accepted and took over the primary position at Cardinal for Clonidine-TTS.
180.
On February 10,2012, the move of Cardinal's business to Teva prompted K.G.
of
Teva to order his colleagues to get intelligence on the extent of Mylan's alleged supply issues.
That same day, Defendant Rekenthaler called 8.P., a senior national accounts executive at
Mylan, to obtain the information and they spoke for six (6) minutes. Later that day, Rekenthaler
reported back to his Teva colleagues that, contrary to Teva's assumptions,
I
Rekenthaler was concerned that
and cautioned that Teva should
Mylan might retaliate against Teva for taking more than its "fair share" without consulting with
Mylan. With the awards from Walgreens and Cardinal, Teva was projected to have between
65y"-70y" market share for Clonidine-TTS.
181.
To gain back some market share, Mylan challenged Teva's Clonidine-TTS
business at McKesson. To de-escalate the situation, Teva
I
Then, in
April 2072,Mylan
aggressively challenged Teva's Clonidine-TTS business at
CVS to gain back market share and further signal its displeasure with Teva for taking the
Cardinal business. Internally, Teva lamented that Mylan was
Ultimately, Teva
s6
182.
Teva heard Mylan's retaliatory message loud and clear. On May 4,2012,
justa
few days after losing the CVS Clonidine-TTS business to Mylan, Teva was approached by
Cardinal about a different drug, Doxazosin. At the time, Mylan was the primary supplier for
Doxazosin at Cardinal. Cardinal representatives told Teva that Mylan was on backorder for one
of the four Doxazosin dosage strengths until the end of June 2072, but Cardinal wanted to move
the entire Doxazosin line to Teva. Rather than take this business, K.G. cautioned his colleagues
that Teva
183.
On July 78,2012, E,.G., a senior Teva product manager, circulated an internal e-
mail to Teva's national account managers that the
Teva learned of
thisl
directly from Mylan over the
course of at least two calls between Defendants Green and Nesta on July 17 and the morning
of
July 1 8,2072. Those calls lasted three (3) minutes and five (5) minutes, respectively.
184.
On the morning of September 28,2012, Defendants Nesta and Green spoke by
phone at least twice, once for four (4) minutes and once for fourteen (14) minutes. On those
calls, Nesta informed Green of Mylan's impending temporary exit from the Clonidine-TTS
market. As expected, later in the day on September 28,2012, Teva began getting solicitations
from Mylan customers, such as Wal-Mart and CVS, seeking a bid from Teva for Clonidine-TTS
because Mylan had
185.
just issued
a
temporary discontinuation notice.
Mylan's exit from the Clonidine-TTS market presented an opportunity to raise
prices and collusively reallocate the market at the inflated prices when Mylan fully reentered the
market. For example, in April 2012, before Mylan had challenged Teva's Clonidine-TTS
57
business at CVS, Teva's direct invoice price to CVS for the .l mg, .2mg, and.3mg Clonidine-
TTS was 522.13, $37.81, and $54.41, respectively. Mylan's retaliation against Teva drove the
prices for CVS down to below $10.49, $18.17, and $26.51 for those dosages, respectively.
Because of Mylan's exit from the market, however, when Teva took back the CVS business in
October 2012,Teva was able to charge CVS a direct invoice price of $33.28, $56.08, and
$80.76, respectively.
186.
Mylan and Teva maintained regular contact
as
former Mylan customers came to
Teva because of Mylan's supply issues with Clonidine-TTS. For example, Teva submitted bids
to CVS and Wal-Mart-which were ultimately accepted by those companies-on October 4,
2012 and October 5,2012, respectively. In the days leading up to those bids, Teva and Mylan
representatives had at least the following phone calls:
Date
Direction
CallType Target Name
70/Ll2072 Voice Rekenthal er, David (Teva)
to/1./2012 Voice Nesta, Jim (Mylan)
to/u2oL2 Voice Nesta, Jim (Mylan)
t0/t/2012
Voice
Nesta, Jim (Mylan)
!0/Ll2012
Voice
Voice
Outgoing
lncoming
Outgoing
lncoming
Outgoing
lncoming
Nesta, Jim (Mylan)
10/4/20L2
187.
Green, Kevin (Teva)
Contact Name
B.P. (Mylan)
Duration
0:01-:00
Green, Kevin (Teva)
0:00:10
Green, Kevin (Teva)
Green, Kevin (Teva)
Green, Kevin (Teva)
Nesta, Jim (Mylan)
0:00:04
0:00:06
0:05:00
0:11:00
Teva and Mylan representatives continued to keep in contact going forward so
that if Mylan reentered the Clonidine-TTS market, Mylan could regain market share without
eroding price through competitive bidding. For example, on October 10,2012, Defendants
Green and Nesta spoke for ten (10) minutes. That same day, E.G. of Teva sent an e-mail to Teva
national account managers and other senior representatives reiterating that Teva representatives
should
188.
In or about February 2013, Mylan relaunched Clonidine-TTS and began seeking
market share, In early March 2013 Mylan sought to secure the Clonidine-TTS business at
Econdisc. Rather than competitively bid for the business, Teva's internal documents state that
58
they chose
to
Econdisc back to
Mylan. By April 2013 Teva
also
McKesson to Mylan.
and
189.
In a stark admission of Teva's willingness to help Mylan regain market share
without competition, Defendant Rekenthaler acknowledged in an internal e-mail dated February
to Mylan. Because
28,2013 that Teva was
Teva had been able to increase the price at CVS following Mylan's exit, Mylan gave a bid to
For its part,
CVS that was higher than Mylan's
Teva was
I
if CVS brought Mylan's price challenge to Teva's attention. CVS
pushed Mylan to
lower its bid in light of its prior prices but, confident that its brinkmanship would work because
of Teva's cooperation, Mylan would not do so. Ultimately, CVS declined Mylan's bid because
of Mylan's refusal to lower its bid in light of its prior pricing. Nonetheless, because Mylan's bid
to CVS was not competitive-but rather an effort to allocate the market without eroding
price-
Teva was able to maintain artificially higher prices at CVS.
190.
To cary out their scheme to allocate the Clonidine-TTS market without eroding
price, representatives of Teva and Mylan remained in regular contact. In February and March
2013 alone, Teva and Mylan representatives called each other at least 33 different times and
spoke for nearly 2 hours and 45 minutes.
191.
By April 2013, Teva had
Having successfully allocated the market, however, Mylan and Teva were now conspiring to
raise prices on Clonidine-TTS. On
April 8,2073,1.L.,
a
marketing manager at Teva, reported
internally to his Teva colleagues, including Defendant Rekenthaler, that Mylan had agreed to
raise prices:
59
Cloni
e-TTS.
üi.
193.
Tolterodine Extended Release
Pfizer is the bra¡rded drug manufachrer for
De
I
LA. To resolve
patent
infringernent sl¿irrts against Teva by Pfizer related to Detlol LA, Teva and Pfizer entered into
settleurent ap¡reement under which Teva would distribute au authorized generic of Tolterodine
ER. To resolve sirnilar
6t¿inrs, Mylan entered into its own settlement apreement with Pfizer,
which allowed Mylan to laurch its generic version Tolterodine ER. Ou Octotrer 31, 2013,
60
a
Mylan's ANDA for Tolterodine ER was approved. Under their respective settlement agreements
with Pfizer, this triggering event allowed Teva and Mylan to launch their respective generics on
January 2,2074.
194.
Teva planned to launch on January
2,2014. During the first half of December
2013,Teva was under the impression-based on conversations with potential customers-that
Mylan was not in
a
position to launch until 30 to 60 days after Teva launched. Nonetheless,
Teva was considering how to allocate the market with Mylan when it did eventually launch. On
December 3,2013, J.K., a marketing executive atTeva, sent an e-mail to Defendant Rekenthaler,
K.G., and several other Teva colleagues stating
To prepare offers and figure out the allocation of
customers that would bring Teva its desired
50o/o
to
60%o market share, Teva executives were
instructed to gather usage from potential customers.
195.
Through the first half of December 2013, as Teva was soliciting usage amounts
from potential customers, customers were asking Teva to send in pricing offers before the
launch. Teva resisted sending out those offers and instead did not plan to do so until the January
2,2014 launch date. Teva's delay in putting together pricing for potential customers was part of
aplan to drive up the amount it could charge for Tolterodine ER. Specifically, Teva expected
that on January 7,2014,Pftzer would raise the price of branded Detrol
LA. This would allow
Teva to peg its price to the now inflated price of the branded drug and thereby command a higher
price for Tolterodine ER on the January 2,2014 generic launch date.
196.
At the end of the day on Friday December 20,2073, T.C. of Teva learned from
D.H. at Cardinal that Mylan intended to launch its Tolterodine ER on January 2,2014. D.H.
61
further provided T.C. with Mylan's pricing for two dosages, and conveyed that Mylan is
and that Teva
197.
Figure it out they did. T.C. informed her Teva colleagues of Mylan's plans. K.G.
of Teva then worked over the weekend to turn this information into initial pricing for all of
Teva's potential customers and then shared it intemally. In a telling admission that Teva had no
intention to bid competitively for all accounts, K.G. noted that the next step was
bids. The goal in
bids was to ensure that both
Mylan and Teva received their previously stated market share goals: Teva wanted
I
while Mylan was only
198.
On Monday, December 23,2013, Rekenthaler, Patel, K.G., T.C., and several
others at Teva had a telephone conference scheduled from 8:00am to 9:00am to discuss the
Tolterodine ER launch strategy. Just minutes before the meeting was to start, Rekenthaler tried
calling Defendant Nesta at Mylan. Nesta returned Rekenthaler's call at
8:
l5am, which was
during Teva's scheduled Tolterodine ER phone conference. Rekenthaler nonetheless answered
Nesta's call on his cell phone and the pair spoke for
I minute, 26 seconds. Immediately
after
Teva's scheduled Tolterodine ER phone conference, Rekenthaler tried calling Nesta two more
times. At 70:22am, Nesta returned Rekenthaler's calls and the pair spoke for an additional
12
minutes, 2 seconds. During these calls, Defendants Rekenthaler and Nesta exchanged the details
about their offers to various customers, including the specific contractual language used in their
offers.
199.
+For example, at 1O:33am-while Rekenthaler was still on the phone with Nesta,
K.G. sent an e-mail to Rekenthaler and others asking about the appropriate contractual language
62
[TUS000654798.1
20L
In exclmnge for Mylan either subrnitting cover bids or ¿þsf¿ining from bidding on
these custotners, Teva reciprocated by suburitting cover bids and/or refruing to subrnit bids to
custourers that Mylan talgeted. This is dernonsh'ated by the fact that Teva's newly revised
63
pricing plan now irrcluded corrsiderably higher dilect invoice prices for major crntomers
allocated to Mylan: namely trValpleens, Cigra. Huurana. Ophuu RX Prirne Therapuetics. ancl
Kaiser. The table belorv includes a conparison of Teva's pricing plan for these lv{ylau customers
before and aftel Defendaut Rekenthaler spoke rvith Defendant Nesta on
Dece
er 23- 2013:
Prlce after Dave Rekent{raler
Dosages
lnltlal Prfclng Plan
64
Speaks wlth Jlm Nesta
iv.
Capecitabine
period of t
tlrat tlrey could allocate the market betweeu them. For
J.P., a natioual accorurts executive at
Teva,
exa
le, in a January 31,2014 e-rnail,
rmed K.G., Defendaut Rekenthaler, and others at
Teva that Mylan was courting a specific customer, Annada Health Care, and
65
tnat!
Teva
from Mylan i¡rto its
foll
o
incorporated
s data
it received
launch plan for Capecitabine.
e-mail:
Defendant Cavanaugh responded that she would be in the ofüce the next day and wanted to
discuss it with Rekenthaler in person.
2ll.
Less thau an hotu'later, Rekerrthaler sent another e-urail. just to Defendant Patel,
asking her to nur a custourer report and iudicating that Mylan
66
will
Mylan
did seek the business for each of these three companies and Teva conceded each of them,
pursuant to the agreement Rekenthaler had reached with Nesta.
2I2.
On August 7,2014, McKesson informed Teva that it received a bid for
Capecitabine and gave Teva the opportunity to bid to retain the business. Defendant Patel then
sent an e-mail to K.G., Defendant Rekenthaler, and C.B. at Teva to ask if they had
C.8., a senior operations executive at Teva, replied that Teva
but C.B. did not want to put the plan in writing. Instead C.B. told Patel she
did
to discuss
it.
K.G., separately, questioned whether the competitive bid was coming
from Mylan, and asked Defendant Rekenthaler whether he had any additional information.
Defendant Rekenthaler also did not want to put that
in writing, so he
responded:
213. Thel
was the market allocation scheme previously agreed to by Defendants
Nesta and Rekenthaler on behalf of Mylan and Teva. The same day that Mylan put a bid in to
McKesson
-
August 7,2014
- Defendants Nesta and Rekenthaler
spoke by phone for nearly
thirteen (13) minutes. On that call, Defendants Rekenthaler and Nesta discussed Mylan's bid to
McKesson and reconfirmed their market allocation scheme.
214.
This market
allocationl
was highlighted in other e-mails as
well.
On
August 70,2074, C.B. e-mailed Defendant Rekenthaler, Defendant Patel, and K.G. about the
plan. C.B. stated that C.B.'s
but that C.B. wanted to confirm. Defendant Rekenthaler
corrected C.8., stating that Mylan is
Teva
but that
Rekenthaler knew Mylan was targeting Econdisc,
67
even though Econdisc had not contacted Teva, because he and Defendant Nesta had previously
discussed it.
215.
The next morning, at 8:30am on August 11,2014, Defendant Rekenthaler alerted
others at Teva that Mylan had received formal approval to market Capecitabine and that he was
Five minutes later, Rekenthaler received a call from Defendant
Nesta. After exchanging voicemails, the two spoke at 8:52am. The call lasted nearly six (6)
minutes. Shortly after hanging up the phone, at approximately 9:02am. Rekenthaler e-mailed
K.G., Defendant Patel and others at Teva to confirm that Mylan's
He added that Teva
and that he
216.
In accordance with their market allocation scheme, Mylan targeted and Teva
conceded the Capecitabine business at ABC, Econdisc, and McKesson/Rite-Aid.
217.
Teva also conceded some of the
as
agreement. On August 14,2014, for example, a smaller customer
well, pursuant to the
-
Cigna
-
informed Teva that
it received a bid for Capecitabine. On August 78,2014, Rekenthaler called Nesta to discuss the
market allocation scheme and Mylan's bid to Cigna. The pair talked for thirteen (13) minutes.
The next day, K.G. circulated an internal e-mail confirming that Teva
I
atCigna.
b.
Teva/Sandoz
i.
Portia and Jolessa
218. Ethinyl estradiol and levonorgestrel,
when used in combination, is an oral
contraceptive used to prevent pregnancy. During the relevant time period, both Teva and Sandoz
68
marketed ethinyl estradiol and levonorgestrel under multiple names
-
including both Portia and
Jolessa.
219.
In or around May 20l2,Teva had much higher market share than Sandoz for both
Portia and Jolessa. Teva's market share for Portia was
Teva's market share for Jolessa was
220.
43%o
37%o
compared to Sandoz's l7%o,while
compared to Sandoz's l1olo.
On May 11,2012, Walmart contacted Teva with a right of first refusal and
explained that another supplier had made an offer for the sale of four drugs, including Portia and
Jolessa. T.C., a senior sales executive at Teva, responded,
The customer responded that it was Sandoz. T.C. had
initially been very reluctant to let Sandozhave the business, candidly remarking to the customer
that,
221.
After sending out a competitive offer for the sale of three drugs, including Portia
and Jolessa, to the customer on
May 16,2072 and an even more competitive offer on May
Teva abruptly backtracked on }l4ay 23,2012 and removed Portia and Jolessa from the
18
-
offer. The
night before this change in plans, on May 22,Defendant Green of Teva spoke on the phone with
CW-2, then at Sandoz, for five (5) minutes, and agreed to withdraw the offer for Portia and
Jolessa. The decision to concede the Walmart business to Sandoz led to a more equal share split
between the companies for both Portia and Jolessa. Teva discussed the decision internally and
explained that the reason for the
222.
was that Teva was
Sandoz continued to coordinate with Teva to achieve its "fair share" of the
markets for both Portia and Jolessa. On July 2,2013, another key customer contacted Teva
69
stating it had received bids on Portia and Jolessa and in order for Teva to retain the business,
Teva would need to submit
its
On July 9,2013,
CW-l of Sandoz called Defendant
Patel and left a voicemail. Shortly thereafter, they connected for a sixteen (16) minute
call. On
July 10, Teva learned that the challenger was Sandoz. At l2:16pm, Defendant Rekenthaler
forwarded an e-mail to Defendant Patel and posed the question,
Patel did not respond by e-mail, but due to the close proximity of their offices she likely related
her conversation with
CW-l directly to Defendant Rekenthaler.
223. Defendant
Rekenthaler then called CW-2 at Sandoz at l:26pm that same day and
they spoke for two (2) minutes. CW-2 called Rekenthaler back a few minutes later and they
spoke for nine (9) minutes. CW-2 and Rekenthaler would speak once more later that day, at
4:48pm, for seven (7) minutes. Later that same evening, Teva submitted a cover bid to the
customer for Portia and Jolessa, which the customer described as
for
their primary supply. Teva submitted an intentionally inflated bid for the two drugs in order to
ensure that Sandoz obtained the primary award with the customer.
ii.
Temozolomide
224. Temozolomide,
also known by the brand name Temodar, is used to treat
glioblastoma multiforme and refractory anaplastic astrocytoma, both cancers of the brain.
225.
The patent on Temodar was set to expire in early
had independently obtained the right to launch in August 2013
-
20l4,but both Teva
and Sandoz
six months prior to the patent
expiration. Leading up to the launch of the generic, Teva coordinated with Sandoz to divide up
the market.
226.
On July 18, 2013, alarge retail pharmacy customer ("The Pharmacy") submitted
an RFP to Sandoz for Temozolomide. Playing by the rules of the road, Sandozwaited to see
70
what Teva was going to do before submitting their own bid. That same day, CW-1 received a
telephone call from Defendant Patel. Patel sought information on Sandoz's current customers
and discussed options to allocate customers for Temozolomide. Nothing was agreed to on that
call.
227.
On July 22,2013, P.G., a senior Sandoz executive, instructed his team to find out
Teva's plans with regard to The Pharmacy:
I
The next morning, S.G., a national accounts executive at Sandoz, spoke with The
Pharmacy and asked The Pharmacy to find out Teva's plans. S.G. summarizedhis call with The
Pharmacy to his team
228.
At the same time, CW-1 was reaching out to Teva directly to get more
information. CW-1 called Defendant Patel at approximately 1:45pm on July 23,2013. After
exchanging voicemails, they spoke for over fourteen (14) minutes that same afternoon.
229.
Also on the afternoon of July 23,The Pharmacy replied to Sandoz and cryptically
delivered Teva's message regarding its plans for Temozolomide:
7l
urderstood that
Oue Sa¡rdoz executive responded internally
and exclairued that this was
Re
aler
Rekenthaler rnost likely got his informatiou fiom
Defendant Patel. Just one day earlier, on July 29,2013, Patel had called CrW-l at Sandoz and
spoke for rtine (9) urinutes, tvhere the two discussed how to carve up the market for the drug.
72
232. Teva and Sandoz were also coordinating
234.
oupür other chamrels.
After receiving
Teva and Saudoz çenrmtrniç¿ted their filttue plans with each other for other
accounts in additiou to The Phannacy and CVS. On July 31,2013, D.P. of Sandoz e-urailed au
update on Temozolomide to his coworker, stating:
73
235.
Going forward, Sandoz and Teva continued to coordinate with respect to
Temozolomide. On August 72,2013, the same day
as Teva's launch,
CW-2 met in person with
Defendant Rekenthaler at the Grand Lux Café in Las Vegas during the NACDS Total Store Expo
conference. There, Rekenthaler discussed, among other things, Temozolomide and informed
CW-2 that Teva had offrcially launched and shipped all formulations of the drug.
236. Although Teva initially obtained the CVS account in August 2013 due to
Sandoz's inability to supply the 25Omg strength of Temozolomide, the companies had agreed
that the account would revert back to Sandoz once Sandoz could supply that dosage strength. In
an internal e-mail dated August 16,2013, a Teva employee confirmed the plan
237.
CW-1 spoke to Defendant Patel both before and after Sandoz sent out any offers
regarding Temozolomide in an effort to develop and ensure the appropriate fair share balance
between the two competitors.
iii.
238.
Tobramycin
Tobramycin, also known by the brand name Tobi, is an eye drop used to treat
bacterial infections.
239.
Beginning in October 2013, prior to the first generic launch of Tobramycin (for
which Teva would have 180-day generic exclusivity), Sandoz began making plans for its entry
after Teva's exclusivity period. These plans included going after Sandoz's "fair share," but
depended on Teva
being
4.S.,
a Sandoz executive responsible for product launches,
wrote in an internal e-mail in October 2013:
74
240.
As expected, Teva
*u.I
when it came time to give up share to Sandoz.
Nearing Teva's loss of exclusivity and Sandoz's entry, on July I,2074, Teva and Sandoz began
sharing information and coordinating to divide up the market for Tobramycin. Defendant Patel
exchanged seven (7) calls with CW-1 on July 1, during which they discussed Sandoz's launch
plans and how to divide up the market for Tobramycin. Defendant Patel conveyed some of this
information in an internal Teva e-mail the same day, writing,
The next day, Teva made the decision to
concede two different accounts for Tobramycin to Sandoz.
24L
eleven
On July 7,2014, Patel and
CW-l spoke frve more times, including
(l l) minutes. On these calls, CW-1
one call lasting
and Patel discussed how to divide up the market for
Tobramycin, including specific accounts that each would maintain or concede to the other. Patel
then memorialized the agreement in an e-mail two days later. The result: Teva would take
Walgreens, McKesson, Econdisc, ABC, and Omnicare; while Sandoz would take CVS, Cigna,
Prime Therapeutics, Kinney Drugs, and OptumRx. Teva also planned to concede the Cardinal
business to Sandoz.
242. Patel told CW-l specifrcally that Teva would not even submit a bid to CVS. This
was significant because Tobramycin was a very expensive product, and Sandoz was able to
acquire the CVS business by offering only a nominal reduction to the extremely high Teva price.
243.
According to plan, Teva conceded the CVS business to Sandoz after CVS
contacted Teva and requested that Teva submit a lower price to retain the business. Defendant
75
Rekenthaler wrote in an intemal e-mail,
Teva also went
through with its plan to concede Cardinal to Sandoz.
244.
CW-l, in turn, told Defendant Patel that
Sandoz would not pursue business from
ABC and Walgreens. CW-1 spoke with Defendant Kellum about his conversations with
Defendant Patel and the agreement to stay away from Walgreens and ABC, and Kellum agreed
with the plan. Pursuant to that agreement, Sandoz made no effort to contact those two large
customers when it entered the market.
245.
CW-1 and Patel also discussed Sandoz's target market share. CW-1 informed
Patel that Sandoz was seeking a 50Yo share, but Patel thought that was
After discussing Sandoz's share goal with Defendant Rekenthaler,
Patel went back to
CW-l and informed him
Sandoz
appeared to comply with that, as Patel observed that Sandoz
246.
On July 9,2074, one of the above allocated customers, Kinney Drugs, approached
Teva asking for a lower price on Tobramycin. A Teva analyst stated in an internal
e-mail,I
A Teva national accounts
director was confused by this decision and responded,
The analyst responded and said,
Defendant Patel's direction had come after she had called CW-1 at Sandoz twice on July 9,2014
76
and left hirn a
voicemail. CW-l theu retuured her call the sa¡ne day and the two spoke for
es.
iv.
on
Dexmeth
henidate
ruary 20,2014.
77
IICL Exteuded Rele¡se
One of the Teva national account managers on the e-mail responded by confirming that the
approach
250.
On February 14,2014, Teva also refused to lower its price for Dexmeth ER when
approached by a GPO customer, Anda, even though Sandoz's price was not significantly lower
than Teva's
-
251.
essentially conceding the business to Sandoz.
Further, on February 20,2014, another large retail customer approached Teva
indicating that because a new competitor had launched for Dexmeth ER, the customer was
entitled to certain price protection terms (i.e., a lower purchase price for the drug). Patel spoke
to CW-l the same day for almost twenty-one (21) minutes. The next day, February 27,Patel
responded internally about the customer's request, with additional inside information from
Sandoz, stating:
252.
Also on February 21,2014, Patel sent a calendar invite to Rekenthaler and other
team members for a meeting on February 24 where one of the topics to be discussed
for
surprisingly, she called CW-
wasl
Not
I a few
days later, on February
27 ,
to further coordinate about
Dexmeth ER.
253.
Throughout this time period, Sandoz abided by fair share principles and its
ongoing understanding with Teva. In February 2014, Sandoz's target market share for varying
strengths of Dexmeth ER varied by how many manufacturers were in the market.
254. Teva and Sandoz were not alone in allocating customers for certain formulations
of Dexmeth ER. The agreement was also carried out by other manufacturers allowing Sandoz to
78
take share from them. In February 2014, for example, as Sandoz was seeking share on the l5mg
dosage strength of Dexmeth ER, Par
As
Sandoz was entering the market, Defendant Rekenthaler of Teva was speaking to
M.8.,
a senior
national account executive at Par, right around the same times that Patel had been speaking to
CW-l
-
including two calls on February 10 (18 and 3 minutes), two (2) calls on February 19 (2
and22 minutes), and calls on February 24 and25,2014
255.
-
in order to effectuate the scheme.
The market allocation scheme between Teva and Sandoz on Dexmeth ER
continued through at least mid-2015. On May 6,2015, for example, Teva declined to submit a
bid to Walgreens for Dexmeth ER 5mg on the basis that
Similarly, on June 30,2075, Sandoz declined to put in
a
bid to Managed
Health Care Associates, a large GPO, on Dexmeth ER 20mg, on the basis that Sandoz already
had
57%o
market share - greater than its sole competitor on this dosage strength, Teva. When a
Sandoz national account representative communicated this decision to the customer, he lied and
explained that the decision not to bid was based on limited supply.
c.
Tevallupin
i.
Lamivudine/Zidovudine (generic Combivir)
256. LamivudinelZidovudine, also known by the brand name Combivir, is a
combination of medications used in the treatment of human immunodeficiency virus (HIV)
infection. This combination of drugs is often prescribed to decrease the chances that an HIVpositive patient will develop acquired immunodeficiency syndrome (AIDS) or other related
illnesses.
257
.
Teva launched its generic Combivir product in December 2011.
79
t
evidence couspiratorial conununications l¡etween the two competitors. To
cou
this
sa'ue day for twelve (12) minutes and Defendant Berthold of Lupin for four (4) rninutes.
261-
After speakiug with Berfhold, Defeudant Green responded separately to T.C.,
providilg specific
info
ation regarding Lupin's eutry plans, inchrding cornmercially sensitive
80
iutelligence
about il's auticipated bid at a large wholesaler. Green aud Berthold then spoke
again the uext day,
262.
the table
be
April 25, 2012, for
Iu early May, with
seven (7) urinutes.
the
in and Aruobi¡rdo laurches just days away,
:
Voiæ
¡d
Jlm
Text
David
Jim
Voice
David
Jim
Berthold, David
Jim
Jim
Voice
Vole
¡d
zo12
Voice
Berthold, David
2o.L2
Volce
Voice
B€rthold, David
¡d
Vole
Voice
Volce
Voice
Volce
Voice
Volæ
Voice
Voice
Voíce
Jim
Jim
Jim
Jim
id
Jim
Jim
Kevin
Jim
Kevin
David
¡d
Berthold, David
Kevin
Jim
Kevin
¡d
Berthold, David
Jim
¡d
David
Volce Berthold, Orvid (tupin)
2 Voice Berthold, David (tupin)
Volce Gnuso,Jim (Aurcblndo)
5l9l2il2 Voice Berthold, David (tupin)
Volæ Berthold, David (tupin)
2012 Volce Berthold, David ([upin)
Volce
Volce
Voice
263.
lncoming
Ouþoing
Outgolng
lncoming
lnæmlng
Ouþoing
David
Kevin
Green. Kevin (Teval
Grauso, Jim (Aurobindo)
Green, Kevin fTeval
Grauso, Jim (Aurobindof
Grausq Jlm (Aurcbindol
Grauso,
Iim
(Aurobindo]
ùtlz57
0:@:02
0:13fl
0:06:0?
0:01O1
O:01:39
Jim
Kevin
Jlm
Davld
David
Jim
During tlús four-day period, the three individuals were negotiating and discussing
the specific cttstomers that Teva would concede and retain in order to make Lupin aud
8l
above (Green, Berthold
sh
a
o) would speaþ followed by a phone call by one of those
bid, saying:
266.
Tl¡ree days later, when preparing the bid forthat customer, T.C. pushed back on
K.G.'s directive on pdce, asking:
82
I
But K.G. refused, responding that they could not go any lower or else Teva might risk
actually winning the business. He concluded:
267. In a separate e-mail exchange with T.C. on that same day, May 11,2012,K.G.
told T.C. that another of her major customers was not on the list for Teva to retain with respect to
generic Combivir. He reminded her of the goal of the overarching conspiracy, stating that Teva
should concede that customer
K.G. pointed out that such a move would give Teva its fair share as the first entrant,
I
T.C. then informed that customer that Teva would not
compete for its business because
268.
Lupin was able to enter the market for generic Combivir and obtain more than a
30o/o market share
without significantly eroding the price due to the understanding with Teva and
Aurobindo that each was entitled to its fair share of the market.
ii.
269.
Irbesartan
Irbesartan is a drug used in the treatment of hypertension. It prevents the
narrowing of blood vessels, thus lowering the patient's blood pressure. Irbesartan is also known
by the brand name Avapro@.
270.
Teva received approval to manufacture generic Irbesartan in March 2012.
271.
On March 6,2012, Teva's K.G. polled the Teva sales team seeking information
about competitors that were also making offers to supply Irbesartan.
272. At 11:27am, J.P., an account manager at Teva responded:
Less than twenty minutes later, Defendant Green placed a call to Defendant
83
Íecel
id
ity of the customers that received offers. K.G. stated that Teva was iu a position to take up
to a
4OVo
ma¡ket share when it launched kbesarlan on March 3O,20l2.
üi.
275.
Drospirenone and ethinyl estradiol (Ocella)
Drospilenone and ethinyl estradiol, couuuouly known by the brand naure
Ocella@, is a pair of drugs used in courbiuation as
¿ul
oral contraceptive. This drug is also
urarketed turder the brand uarles Yaz@. Yasnrin(D and Gianvi@.
84
276. Barr Pharmaceuticals
received approval to market generic Ocella in 2008, and
Teva continued to market the drug after the acquisition of Barr in2011 under the name Gianvi@.
277.
In late 2}l2,Lupin received approval to market a generic Ocella product.
278. By April 2013, Lupin was making plans for a summer 2013 entry into the market
and contacted Teva to initiate negotiations on how the competitors would allocate fair share
between themselves. On
April 24,2073, Defendant Berthold of Lupin called Defendant Green at
Teva. The two spoke for over three (3) minutes. Berthold called Green two more times the
following day.
279.
competitor
The negotiations intensified the following week among Teva, Lupin, and a third
- Actavis. In preparation,
on April
29
,20 1 3, K.G. of Teva asked a colleague for
current market share figures along with a list of Teva's generic Ocella customers. The colleague
responded
with
a customer list, estimating Teva's current share of the market at70-75Yo.
280. The next day, April 30, 4.B., a senior sales and marketing executive
at Actavis,
and Defendant Rekenthaler of Teva spoke twice by phone. That same day, Defendant Patel
Teva also called
A.B.
of
On May 1, Patel sent A.B. four (4) text messages.
281. The competitors'
communications continued into early May. On May 6,
Defendants Patel and Berthold spoke twice by phone; the second call lasting twenty-two (22)
minutes. Defendants Green and Berthold also spoke that same day. On lr4ay 7, Defendants Patel
and Berthold had yet another call, this one lasting over ten (10) minutes. Patel also placed a call
to Defendant Rogerson at Actavis, which lasted thirty-nine seconds.
282. Faced with the news it had received
from a major customer on May
Actavis had bid for that customer's business for generic Ocella
- Teva doubled
8
-
that
down on its
efforts to reach a deal with its competitors that would give each its fair share. Patel called
85
he had
leamed
m Berlhold. Dtuing that call, the two decided that Patel would call Berthold
back and confirm the agfeernent between Teva and Lupin. Patel called Berthold shortly after aud
the two spoke for more than fotu (4) rninutes. Th"y spoke again first thing the next morning, for
ueady oue
(l) minute.
86
286.
The next day, Patel e-mailed Green, saying:
Green,
confused by the e-mail, responded:
287
.
Discussions between Teva and Lupin continued on July
17
,2013 with a call
between Defendants Green and Berthold that lasted twenty (20) minutes.
288.
On July 29,2013, Defendant Green announced to his colleagues:
289.
The lines of communication between competitors Teva and Lupin remained open
and active over the next few months as they worked on the details of which company would take
which generic Ocella accounts. On September 5, 2013,for example, Defendant Rekenthaler
conveyed to a colleague the importance of retaining a particular customer's account, along with
his understanding of Green's discussions with Berthold about Lupin's desired market share.
Green spoke to Berthold by phone twice the following day to confirm the understanding between
the two companies.
290. On September 9, 2013, K.G. of Teva sent an internal e-mail to his colleagues
conveying his thoughts about Lupin's bid for a portion of another customer's generic Ocella
business. He informed them that because Teva had secured two other signif,rcant customers,
I
291. In mid-October 2013, as Teva and Lupin finalized the allocation of accounts
between them, K.G. sent a word of caution to a co-worker, reminding her of the parameters
the furtive arrangement. He told her to be careful before conceding large customers on
I
rather than drug-by-drug in order to
87
"I
of
iv.
292.
Norethindrone/ethinylestradiol(Balziva@)
Norethindrone/ethinyl estradiol, also known by the brand name Ovcon@35, is a
combination of medications used as an oral contraceptive. Teva markets its generic version of
this combination medication under the name Balziva@.
293.
On January 23,2014, a customer informed Teva that a new market entrant was
seeking a share of its business. Teva employees surmised that the entrant was Lupin, as it had
recently obtained approval to begin marketing its generic of Ovcon@35.
294. Teva employees discussed internally
how to make room for this new player in the
market, with one expressing concern that
295.
The discussions about how to share the market with the recent entrant were not
limited to internal communications, however. On January 24,2014, Defendant Patel spoke to
Defendant Berthold at Lupin twice by phone.
296.
Five days later, on January 29,Patel informed Defendant Rekenthaler of her
recommendation based on her communications with Defendant Berthold, to take a cooperative
stance towards this competitor, saying:
297.
On February 4, Patel received the prohtability analysis she requested in order to
determine how much of the customer's business to hand over to Lupin. That same day, she
spoke to Berthold two more times to further coordinate Lupin's seamless entry into the market.
d.
Teva/Greenstone
88
i.
Oxaprozin Tablets
Vde
Target Name
RH.
Volce
R.H-
Dåte
ilLq
Direction
Contãct Name
Kevln
Duration
8:,47:6
Kevin
L5:24:26
Kevln
Kevin
79:E:4
Kevln
Volæ R.H.
Voice R.H.
Voice R.H.
Voice R.H.
18
18:03:(B
27
Kevin
16:31:¡{)
Volce
Voice
Voice
Voiæ
Text
Volæ
R.HR.H.
Kevin
10:2O36
R.l{-
Kevin
Kevin
en, Kevin
1O¡15:41
1O56:51
Kevin
17:26;4t
R.H.
R.H.
Walnart
lncomi
Parl of the uuderstanding betweeu the
least two lalge custonrers
16:42:27
16:43:56
R.H.
R.H.
300.
Kevin
Kevin
co
1Or5t04
anies was that Teva would concede at
- CVS and Cardiual - to Greenstone, and that Teva would
as a custourer. On
retain
Malch 27,2Ol3, however, Teva leamed that Gleenstone had either
rnisunderstood the deal or was trying to cheat on the agreeurent by approaching Wahnar-t.
89
301.
betweeu
Ou March 27,2Ol3, T.C. of Teva forwarded ar
Teva
e
ail that T.C. hadreceived
e:
Less
than a halfhotu'later, T.C. sent an
304.
relayed the
e-
il to Defendant Green, stating:
After Greeu spoke to T.C., he irn¡nediately called R.H. at Greenstoue. R.H.
info
atiou fi'orn Green to her boss, Defendant Nailor, in a series of conversations
and text üressages over the course of that urorning, and later in the day, as set forth below:
90
Dare I c"tt
3l?8lãJ¡ß Volæ
Target Name
g Direction
R.H. (Greenstonel lnæmlns
R.H.
Volæ
Voiæ
Volce
Volce
Volce
Voice
RH.
(Grcenstone) Ougolng
Contact Name
Green, Kevln fTeval
Kevin
Nallor, Jlll (Greenstone)
Time
a
O.(IÌæ
lt09:5()
11:15:18
J¡II
11:15:39
tÈ1&28
R.l{.
Xevln
Kevln
Kevin
R.H.
J¡II
R.H.
J¡II
13:38:l)
1&5¿14
1&5q45
RH.
RH.
RH.
RH.
Jilt
1A
R-H.
Text
Text
Text
Têxt
Text
Text
Duration
8:57l,21
Jil
R.H.
R.H.
R.H.
R.H.
J¡II
21:15:51
with Teva.
ozi'0'
Reddy's representative courmented positively
that
on Oxaprozin. That
same representative had also talked to wholesaler Ca¡diual about the dnrg, and couveyed that
9l
ii.
307.
bel
Toltero e Tertrate
Tolterodine Tartrate, also
kno
by the brand name Dehol, is in the
:
Terget Name
Oate
Itzil
Volæ
Volce
Patel.Nlsha(Teval
Tcxt
lncomlnß
Nlsh¡
R.H.
UZ 14 Voice
Volæ
Contact Name
ïme
Durat¡on
Patel,NlshalTeva)
J
Patel, Nlsha (TeYal
14:¡l&¡08
&ü):1ll
lTtl
rll
fncomlns llallor,Jlll (@eenstonel 17.33:Ã2
¡ncoming R.H.(Greenstone)
17:37:55 O
RR
Volce
Nallor, Jill fGleenstone)
RH.
17zîl:Tl
JilI
David
J¡II
'J2
1&23fft
Volæ
Text
tlnl
Davld
J¡I I
S47:!16
Vole
It22l2gl4 Voiæ
Nallo¿llll
Patel, Nisha (Teva)
OuEoing Nailor,Jlll(Greenstone) 15:!l!l:20
!221æ14 Tert
Patel. Nisha (Teval
Out¡o¡n¡
lGæenstoneì lnømlm
Teva Phamaæutkals
Nallor. Jill lGrcenstonel
112537
C
ß233:47 fiIlm
t5A:}¿þ
J¡I I
Text
Text
16:(I}¿14
Nisha
J¡II
Pæel, Nisha
Nailor. Jill
16:@59
rll
16:0t01
J
Voice
Nlsha
J¡II
Druing these calls alrd text ulessages, Teva and Greenstone agreed that Teva would concede
busi¡ress to Greenstone
309.
in order to avoid sipnificant price erosiou in the market.
The day after Greenstone's entry
- January 24,2014 - in a message to Teva
uational account rnanagers about how important it was for them to detennine and doctunent
92
help Teva
det
ther to concede or uot) Defendant Patel stated:
wanting to put the details into writing:
93
(16)
s.
üi.
2
oxicam
gcapsules.
Patel:
316.
w
Before responding to that e-mail,
De
Patel souglrt to negotiate strategy
Greeustone. Patel called R.H. at Greenstone at l0:55arn and they spoke briefly. Shortly
after that call, Patel also called R.H.'s boss, Defendant
Defendants Patel and Nailor spoke briefly.
94
Nailor. At 2:l4pm that afternoon,
(as Patel did
those calls are set forth
in
table below:
Narne
Date
Directlon
Contact Name
Time
Duration
NIsha
Voice
R.H.
Volæ
RH.
Voice
Volce
Volce
Nlsha
Patel, Nlsha
enstonel
319.
R.H.
(Greenstone) Outsolng
1il33lB
15:û/:5()
Nallor, Jlll
72:'14:-52
(Greenstone) $:Anß
Jlil
R.H.
Patel, Nlsha
The ¡rext day
l2zl4¡:D
Nisha
RH.
-'I4lpLl!!!(arçe!!sþ¡e)..,.
(Teva) lncomlng Nailor, Jill (Greenstone!
--Ys!_e. !a!e!.1'lE¡?ll!!Ð
Volce
7O:E:E
Nlsha
Nlsha
R.H.
RH.
Volce
(
z¿
-
March T,2014
-\7ÊÆ
17:32:ß
- after the flurry of phone calls detailed
above,
Defendant Patel sent an e-rnail to L.R., a custorner rnarketing manager at Teva, identiffing
specific custoulers to coucede to Greenstone. Based on her several conversations \ryith
95
Greenstone, and her understanding of the concept of fair share, Patelalso noted:
320.
Additional challenges did come. On March 12,2014, Defendant Patel learned
that Greenstone was challenging Teva at CVS
-
Teva's largest account for Piroxicam. Teva
refused to concede CVS to Greenstone because CVS represented26.l%o of Teva's total market
share for that
drug. Teva lowered its price by 20%o, and the next morning CVS notified Teva that
it would retain the account. The same day, after hearing that Teva was not going to back down
on the CVS challenge, R.H. of Greenstone called Defendant Patel at 1:4lpm and they spoke
briefly.
321.
Teva and Greenstone continued to coordinate their allocation over the coming
days and weeks. On March 17,2014, Defendant Patel called R.H. and they spoke
briefly. R.H.
called Patel back at 1 I :35pm that same day and they spoke for fifteen (15) minutes. Immediately
after speaking to Patel, R.H. called Defendant Nailor and they spoke for ten (10) minutes. Teva
retained the CVS account but conceded other customers (representing less market share) to
Greenstone through March and
322.
April.
For example, on March 25,2014 Teva learned of a challenge from Greenstone at
Anda, a wholesaler distributor. Following an analysis of its market share, Teva determined that
it still had more than its fair share of the market. Pursuant to the understanding among generic
manufacturers alleged above, Teva determined that it would be prudent to concede the Anda
business to Greenstone on Piroxicam, in order to alleviate any future challenges from
Greenstone. Defendant Patel agreed with the decision to concede on April 1,2014.
96
iv.
323.
Cebergoline
Cabergoline, also known by the l¡rand narne Dostinex, is used to heat
problerus that occru when too uruch of the
ho
ne prolactin is produced.
m
It cau be used to heat
Sland.
Greenstone and Teva:
Wholesaler represented about l3olo of Teva's total business for Cabergoline, and ab
$861,000
in
net sales.
F.H. responded:
326.
The next day, after some inteural conversation at Teva, T.C. agreed to the
proposed allocation:
97
cal
327. Pursuant to this agreement, Greenstone was able to acquire The Wholesaler
as a
customer for Cabergoline without any fear that Teva would compete to retain the business. In
exchange, Greenstone agreed to "play nice in the sandbox"
-
i.e., not compete with Teva for
other customers and drive prices down in the market.
e.
Teva/Actavis
i.
328.
Amphetamine/I)extroamphetamine Extended Release
Amphetamine/Dextroamphetamine Extended Release, also known by the brand
name Adderall XR@, is a medication used in the treatment of attention deficit hyperactivity
disorder
(ADHD). The drug is comprised of a combination of dextroamphetamine
salts and
levoamphetamine salts and is sometimes referred to as "Mixed Amphetamine Salts" or "MAS."
329.
Teva began marketing generic Amphetamine/Dextroamphetamine Extended
("MAS-XR"), after the expiration of brand manufacturer Shire's patent on Adderall
Release
XR@.
330.
On
April 9,2012, alarge customer contacted Teva to request
because a new competitor had expressed an interest in
a price reduction
of its MAS-XR business. A
senior Teva sales director, T.C., insisted on knowing the identity of the competitor before
deciding what Teva's response would be. The customer responded that the competitor was
Actavis, and that Actavis was expecting approval soon to enter the market for that drug.
331.
Teva deferred its decision on pricing until Actavis was in a position to ship the
product.
332.
Actavis obtained FDA approval to manufacture various formulations of MAS-XR
on June 22,2012. At 9:58pm that same evening, Defendant Rekenthaler instructed Teva
employees to find out Actavis's plans regarding its newly-approved generic, including shipping
98
details and
inv
ory levels. At 8:32a¡n the next moming, Teva enrployee T.S. responded that
she had spoken to M.P., a senior
Actavis sales rud marketing executive, and conveyed to
Rekenthaler the details of their couversation:
allocation of market sha¡e could be
ii.
335.
tricþ.
She
c
oned that
if
Teva decided to concede
a
Amphetemine/Dextroamphetamine Immediate Release
Amphetaniue/Dexhoampheta¡nine Tmmediate Release, also known by the bra¡rd
uarne Adderall IR@, is a uredication used in the h'eaturent of attention deficit hlperactivity
99
disorder
(ADHD). The drug is an immediate release formulation comprised of a combination of
dextroamphetamine salts and levoamphetamine salts and is sometimes referred to as "Mixed
Amphetamine Salts" or "MAS-IR."
336.
In March 2014, Aurobindo was making plans to enter the market with its MAS-IR
product. On March 18,2014, Teva's J.P. shared with her colleagues that Aurobindo's market
share target for the impending launch was 10oá. Teva's senior marketing operations executive,
K.G., indicated that Teva was aware that both Aurobindo and Actavis were launching.
337.
A flurry of telephone communications between Teva and these two competitors
took place on the days surrounding the foregoing e-mail. The day before, on March
17
,2014,
Defendant Patel had spoken to Actavis's Director of Pricing, Defendant Rick Rogerson, three (3)
times. Defendants Rekenthaler and Falkin of Actavis also spoke once on that day. On March
18,2014, the day of the e-mail, Rekenthaler and R.C., a senior-most executive at Aurobindo, had
a
thirty (30) minute telephone conversation. Rekenthaler and Falkin spoke again seven (7) times
on March 20,2014.
338. On April 16,2014, Teva received word from a customer that a new competitor in
the market had offered a lower price than Teva's current price for
MAS-IR. Defendant
Patel
informed K.G. that the challenge was coming from Actavis, and recommended that Teva
concede that customer's account.
At
I :43pm, she communicated to another colleague that the
decision had been made to concede. Apparently closing the loop, she called Defendant Rogerson
at Actavis at
l:55pm. They spoke for just over four (4) minutes.
100
iii.
339.
Dextroamphetamine Sulfate Extended Release
Dextroamphetamine Sulfate Extended Release, also known by the brand name
Dexedrine@ and sometimes referred to as "Dex Sulfate XR," is a medication used to stimulate
the central nervous system in the treatment of hyperactivity and impulse control.
340.
On June 19,2014, as Actavis was entering the market for Dex Sulfate XR,
Defendant Patel reviewed a prohtability analysis for that drug and asked Defendant Rekenthaler
what share of the market Actavis was targeting. Rekenthaler
responded:
Rekenthaler
knew Actavis's market share goals because he and Defendant Falkin of Actavis had spoken twice
by phone that morning
- once for more than eleven (11) minutes
and again for more than nine
(9) minutes.
341.
Five days later on June24,2014,Teva employee S.B. confirmed to her colleagues
in an e-mail that Actavis had entered the market for Dex Sulfate XR. She remarked that Teva had
a72.2o/o share of this
and thus recommended giving up a large customer to
Actavis and reducing Teva's market share to 58.3%
-
in accordance with the industry
understanding to allocate the market, and Teva's ongoing agreement with Actavis. Later internal
e-mails confirmed Teva's decision to concede that customer to Actavis because
iv.
342. Clonidine-TTS
Clonidine-TTS
Patch-also known by the brand name Catapres-TTS
-is
a
medication in the form of a transdermal patch that is used to treat high blood pressure.
343.
manufacturer
Teva began marketing Clonidine-TTS in 2010 after the expiration of brand
B
oehringer Inge theim' s patent on
C
atapres-TTs@.
101
344.
On May 6,2014, Actavis was granted approval to market Clonidine-TTS. Teva
and Actavis immediately commenced an extensive negotiation over price and market share.
Defendants Rekenthaler and Falkin spoke by phone three times that day for fifteen (15) minutes,
one
(l)
minute, and three (3) minutes, respectively.
345.
The next day, Rekenthaler announced to his colleagues that Actavis was entering
the market. K.G. of Teva responded by requesting that Defendant Patel come up with a
recommendation as to which customers Teva should concede to Actavis. At the same time, Teva
low pricing for a new entrant, saying that pricel
employees bemoaned Actavis's
346.
On May 8,2014, Teva personnel accelerated their efforts to convince Actavis to
revise its pricing and market share plans for Clonidine-TTS to more acceptable levels with an
even more intensive fluruy of phone calls. On that day, Rekenthaler spoke to Falkin three more
times (5-, 10-, and 8-minute calls). Patel spoke to Defendant Rogerson at Actavis four times, the
last call coming at9:54am.
At
10:02am, she informed her colleagues of the results of the
negotiations, instructing them:
347.
The following day, May 9, 2014,Defendant Patel learned from yet another
on this drug. Suspecting the source of the challenge
customer of a
was Actavis, Patel called Rogerson three times. Following those conversations, Patel informed
her colleagues that Actavis wanted
want 1 0%-
1
5%o
25%io
of the market. She also stated that Actavis would likely
of that share from Teva. During those conversations, she also likely conveyed
her displeasure to Rogerson about how low Actavis's pricing was, because not long after those
phone calls, she conveyed to her supervisor, K.G., that
102
Shortly after that, Patel also learned that Actavis had
348.
Rekenthaler described to his colleagues the agreement he was willing to strike
with Actavis over market share, saying:
I
Teva's senior sales executive, T.C., cautioned him on the importance of maintaining a
cooperative stance towards this competitor, saying:
349.
The market share give-and-take between Teva and Actavis continued over the
coming weeks, with Teva conceding accounts to the new entrant in order to allow Actavis to
achieve its fair share of the market for Clonidine-TTS. On May 14,2014, for example,
Defendant Pateltold colleagues that Teva must be
and concede a particular
wholesaler's account to Actavis. On May 17,2014, Teva conceded a large retailer account to
Actavis. On May 20,2074, Patel again declined to bid at another customer due to the new
entrant Actavis, stating:
350, When L.R., Teva's analytics manager, recommended
giving up yet another
Clonidine-TTS account to Actavis on May 23,2014, after several conversations between
Defendants Patel and Rogerson the prior day, K.G. of Teva reluctantly approved, saying:
v.
351.
Budesonide Inhalation
Budesonide Inhalation, also known by the brand name Pulmicort Respules@, is an
anti-inflammatory steroid, administered through inhalers or similar devices, used to prevent
asthma attacks.
103
352.
Teva obtained approval to market Budesonide Inhalation in November 2008.
Prior to February 2015, Teva controlled virtually the entire market for generic Budesonide
Inhalation, with other competitors having less than l%o market share.
353.
On February 13,2015, Defendant Rekenthaler informed other Teva employees
of
Actavis's plans to enter the market, saying
Budesonide Inhalation. Rekenthaler and Defendant Falkin of Actavis had spoken by phone three
days earlier on February 10,2015.
354.
On February 16,2075, Defendants Rekenthaler and Falkin had another lengthy
telephone conversation lasting twenty-three (23) minutes. The following morning, Teva's T.C.
confirmed to her colleagues that Teva had conceded the Budesonide Inhalation accounts of two
major customers to Actavis. She explained that Actavis's sense of urgency to obtain the
accounts was due to concerns about getting its product into market before it faced legal action
from the brand manufacturer. Thus, she explained, she was working with the customers on an
to get Teva's product out of the supply channel, so as to streamline Actavis's
entry into the market.
vi.
Celecoxib
355. Celecoxib, also known by the brand name Celebrex@, is a nonsteroidal antiinflammatory medication used in the treatment of pain and inflammation associated with
arthritis, juvenile rheumatoid arthritis, and other disorders.
356.
Teva received approval to market generic Celecoxib inMay 2014.
357.
On November 20,2074, as Teva was preparing to launch its generic Celecoxib
capsules, a customer informed Teva that Actavis was vying for some of the customer's
Celecoxib business. The customer indicated that Actavis was preparing for a launch of its own
104
and had advocated its position by pointing out that it was just trying to
in light
of the fact that Teva had already secured over 30Yo of the market.
358.
Defendant Rekenthaler took a cooperative
- rather than competitive - stance upon
hearing that news, saying
359.
By December 1,2074, however, the issue of where Actavis would obtain its
desired market share remained undecided. Another customer, a large retail pharmacy chain
("The Pharmacy"), became actively involved in trying to broker an agreement between Teva and
Actavis on how much share each company would take upon launch. Actavis reportedly sought
25Yo
of The Pharmacy's Celecoxib business. A representative of The Pharmacy told Teva's T.C.
that
issue
and that he did not have an
with sending Actavis
360.
Rekenthaler's response was consistent with the "fair share" understanding, saying
361.
In the days leading up to Teva's December 10,2014 launch, Teva executives had
numerous telephone conversations with their counterparts at Actavis. Defendant Rekenthaler
had a six (6) minute call with Defendant Falkin at Actavis on November 25. The two spoke
twice more on December 3 - once for two (2) minutes and another time for one (1) minute.
Defendant Patel spoke to
4.8.,
a senior sales and marketing executive at Actavis, for over eight
(8) minutes on December 5, and for over sixteen (16) minutes on December 8. Defendants
Rekenthaler and Falkin resumed their communications the day before the Teva launch
December 9 - with a one
(l)
minute phone call. On the day of the launch
- December
10
-
Rekenthaler and Falkin spoke three times with calls of one (1) minute, nine (9) minutes, and
three (3) minutes in duration.
105
f.
Teva/?ar
i.
Omega-3-Acid Ethyl Esters
T.P. did not respond tlrough Linkedln, btrt texted Patel on her cell phone later that day, initiating
a
flury of ten (10) text messages between
them in the late aftemoon and early evening of Jture
106
26. That night, Patel followed up with C.8., informing her that the ouly thing Patel kuew at that
3A,2014,
cornpetition and keep prices high. For s¡anrFle, in an intemal e-rnail on October 2,2014, Teva's
K.G. stated
Defe¡rdant Rekenthaler l¡ad obtained this information tbrough phone calls with J.H., a
r07
senior sales executive at Apotex, on September 25 and
27
,2014
- and then conveyed the
information intemally at Teva.
370.
Because of supply limitations, Par was not able to meaningfully enter the market
until late November 2014. On November 10,2014, Patel and T.P. exchanged five (5) text
messages. On December 1,2014, Teva was notified by a customer that it had received a price
challenge on Omega-3-Acid Ethyl Esters. T.C. at Teva speculated that the challenge was from
Apotex, but Rekenthaler knew better, stating
Rekenthaler informed
T.C. that Teva would not reduce its price to retain the business
-
thus conceding the business to
Par.
371.
By mid-February 2015, Teva had conceded several large customers to Par to
smooth Par's entry into the market and maintain high pricing. During this time, Defendant
Rekenthaler was speaking frequently with M.8., a senior national account executive at Par, to
coordinate.
372.
By April 2015, Apotex had officially entered the market, and consistent with the
"fair share" understanding, Teva's market share continued to drop. By April25, Teva's share of
the market for new generic prescriptions for Omega-3-Acid Ethyl Esters had droppedro 68.3yo
and its share of the total generic market (new prescriptions and refills) had droppedto 66.8yo.
Defendant Rekenthaler was speaking frequently with J.H. at Apotex to coordinate during the
time period of Apotex's entry in the market.
ii.
Entecavir
373. Entecavir, also known by the brand name Baraclude,
chronic Hepatitis B.
108
is a medication used to treat
374.
As Teva was preparing to enter the market for Entecavir in August2014, T.C., a
senior sales and business relations executive at Teva, informed an executive at WBAD that Teva
was planning on launching
Entecavi.I
depending on when the FDA approved the drug.
T.C. further noted:
375.
On August 28,2014, Defendant Rekenthaler informed Teva sales employees that
Teva had received approval on Entecavir and would circulate offers later that day or the next
day. Rekenthaler noted
Defendant Rekenthaler also noted that Teva would be pricing as
were
if they
in the market, and expressed concern that customers might react negatively to
the launch of this drug
376.
The same day, August29,2014, Rekenthaler had three phone calls with M.8., a
senior national account executive at Par. The two spoke two (2) more times the next day, August
29,2014.
377.
On August 29, aTeva sales employee repofted that a customer had informed her
that Par was launching Entecavir at a lower price point than Teva. The employee inquired
whether Teva might consider reducing its price as well. Defendant Rekenthaler, after speaking
with M.B. atPar several times on August 28 and 29, replied that Teva would remain firm on the
price and noted that he was
Despite Teva's refusalto lower
its price, that customer signed an agreement with Teva to purchase Entecavir
109
378.
Also on August 29, Rekenthaler e-mailed T.C. asking if she had received any
feedback from CVS on Entecavir. T.C. replied that she had not, and followed up later saying
that ABC had indicated that it would sign Teva's offer letter. Defendant Rekenthaler replied:
I
T.C. dismissed that concern:
379.
Teva and Par both launched their respective Entecavir products on September 4,
2014. Within days of its launch, Teva had capturedS0% of the market for new generic
prescriptions and90.9%o of the total generic market (new prescriptions and refills).
380.
Within a few weeks, however, Teva's share of the market was much more in line
with "fair share" principles
-
52.60/0
for new generic prescriptions, and 47Yo of the total generic
market (new prescriptions and refills).
381.
On October 9,2074, another customer, who had already received a discount on
Entecavir, asked for an additional discount to
Teva declined to do so, citing that the
Rekenthaler had spoken to M.B. at Par twice on October 2,2074.
382.
The two-player market for Entecavir remained stable over time. By January 2,
2015, Teva's share of the market for new generic prescriptions was 52.2Yo, and its share of the
total generic market (new prescriptions and refills) was 46.7%o.
iii.
383. Budesonide
Budesonide DR Capsules
DR Capsules, also known by the brand name Entocort EC, is a
steroid used to treat Crohn's disease and ulcerative colitis when taken orally.
110
384.
Teva was preparing to enter the market for Budesonide DR in or about March
2014. At that time, it was a2-player market: Par had
70%o market share and
Mylan had the
remaining 30olo.
385. Shortly before Teva received approval
increase the price of the
drug. On April
1, 2014,
to market Budesonide DR, Par decided to
M.8.,
a senior national account executive at
Par, called Defendant Rekenthaler at Teva. The two executives spoke for twenty-six (26)
minutes. The next day, April 2,2014
-
FDA approval to market Budesonide DR
which happened to be the same day that Teva received
-
Par increased its price for Budesonide DR by over
ts%.
386.
That same day, Teva sales employees were advised to f,rnd out which customers
were doing business with Par and which were with Mylan, so that Teva would have a better
sense of how
387
to obtain its fair share
.
Par and Mylan were also communicating at this
after the Par price increase
time. On April 3,2014 - the day
- K.O., a senior account executive at Par, spoke to M.4.,
a senior
account manager at Mylan, for fifteen (15) minutes.
388.
On
April 4,2014, Defendant Rekenthaler informed
some members of Teva's
sales force that, although the company had received approval to market and manufacture
Budesonide DR, Teva was not prepared to launch the product and he did not yet know when
it
would do so. Nonetheless, Rekenthaler spoke to both Defendant Nesta, the Vice President of
Sales at Mylan, and
M.8.,
a
similarly high-level executive at Par, that same day.
111
389.
Although Teva did not launch Budesonide DR until approximately June 2016,
company executives clearly attempted to coordinate pricing and market share with its
competitors in anticipation of its product launch date.
g.
Teva/Taro
i.
390. Enalapril
Enalapril Maleate
Maleate ("Enalapril"), also known by the brand name Vasotec@, is a
drug used in the treatment of high blood pressure and congestive heart failure.
391.
In2009, Taro discontinued its sales of Enalapril under its own label and
effectively exited the market. lt continued supplying Enalapril thereafter only to certain
government purchasers under the
"TPLI" label.
392. By mid-2013, the Enalapril
60.3yo, Wockhardt with27.5%, and Teva
market was shared by three players: Mylan with
with
10.7o/o.
As discussed more fully below in Section
IV.C.2.h, those three companies coordinated a significant anticompetitive price increase for
Enalapril in July 2013.
393. Shortly before the Teva and Wockhardt price increases, on or about July 12,2013,
Defendant Aprahamian, the Vice President of Sales and Marketing at Taro, was considering
whether to renew or adjust Taro's price on Enalapril for its national contract (for govemment
purchasers), which was slated to expire in September 2013.
394.
In the midst of that coordinated price increase, however, Aprahamian was
communicating with both Defendant Patel of Teva as well as M.C., a senior sales and marketing
executive at Wockhardt, about Enalapril. As a result of those conversations, Taro's plans
changed.
lt2
395.
price increase
On July 17,2Ol3
- Defendant
- the same day that Teva was taking
steps
to
lement the
Patel called Defeudant Aprahaurian aud left a message. He rehuned
s.
the market should look after Ta¡o's re-laurch so that each
"fail;"
co
etitor would have its desired, or
share of the market.
398.
On Jtrly 31,2013, for example, Defendzurt Patel provided her aualysis of the dnrgs
Teva should bid ou in respouse to a request for bids ft'om a major customer, which was largely
based ou whether Teva had reached its
"fair shale" targets. Enalapril was one of the drugs
It3
where, according to Defendant Patel, Teva was
so she authorized the
submission of a bid. Prior to sending that e-mail, Patel had spoken to Defendant Aprahamian on
July 30 (l I minute call) and July 31,2013 (4 minute call). Based on the agreement between the
two companies, and in accordance with the industry's "fair share" code of conduct, Taro
understood that it would not take significant share from Teva upon its launch because Teva had a
relatively low market share compared to others in the market.
399.
Meanwhile, as he worked on pricing for Taro's upcoming re-launch, Aprahamian
emphasized to his colleagues that Taro's final prices would be set largely based on
400.
In early December 2013,Taro was fully ready to re-enter the Enalapril market.
On December 3,2073, Aprahamian consulted twice by phone with Mylan's senior account
executive,
M.4., during conversations of two (2)
401.
and eleven
(l l) minutes.
On December 4,2073, one customer that had recently switched from Wockhardt
to Teva expressed an interest in moving its primary business to Taro for the 2.5mg,5mg, lOmg,
and20mg strengths. At 4:3Opm that afternoon, Defendant Aprahamian instructed a colleague to
prepare a price proposal for that customer for all four products.
402. Before sending the proposal to the customer, however,
sought the input of his competitor, Teva. On December
5
Defendant Aprahamian
, 2013 , he and Defendant Patel spoke
by phone for nearly five (5) minutes.
403.
Taro's fact sheet for the Enalapril re-launch generated on the day of
of
Aprahamian's call with Teva showed a
identical to Teva's and nearly identical to Wockhardt's and Mylan's
114
75Yo,
with pricing
404.
Taro begau submitting
o
rs on Enalapril the following day, Decernber 6. 2013.
But even with the biddingprocess underway, Defendant Aprahamian made certain to
408. By May 2014 the market was stable, and market share for Enalapril was
reasonably distlibuted among the companies. As Teva was considering whether to bid on
ll5
specific drugs for an RFP sent out by a large wholesaler customer, Defendant Patel provided the
following caution with regard to Enalapril
The same day she sent that e-mail
- May 14,2014 -
Patel spoke to
Defendant Aprahamian for more than four (4) minutes, and exchanged eight (8) text messages
with him.
409.
By June 2014, Tarc had obtaine d 25% market share for Enalapril in
a
4-player
market. Mylan and Teva each had approximately 28Yo market share.
ii.
410.
Nortriptyline Hydrochloride
Nortriptyline Hydrochloride ("Nortriptyline"), also known by the brand name
Pamelor, is a drug used to treat depression.
4ll.
While Taro was approved in May 2000 to market generic Nortriptyline, it
subsequently withdrew from the market. As of early 2013, the market was shared by only two
players
-
Teva with a 55olo share, and Actavis with the remaining 45Yo.
412.
By February 2013, Taro personnel had come to believe that they should reclaim a
portion of this market, one opining that
4t3
In early November, Taro was formulating re-launch plans, including
uI
for Nortriptyline of 25o/o that would leave Teva with 42.45Yo and Actavis
with
31.02o/o.
414.
On November 6, 2013, Defendant Aprahamian pressed his team to
He emphasized the need to find out who currently supplied
two particular large customers so that Taro could
ll6
415.
Two days later, on November 8, Aprahamian received confirmation that
McKesson was a Teva customer.
416.
Several days of conversations ensued among the affected competitors in an effort
to sort out how Teva and Actavis would make room for Taro in this market. For example,
Defendant Rekenthaler of Teva and Defendant Falkin of Actavis spoke twice by phone on
November 10,2073.
417.
Then, on November 72,20l3,Taro' s Aprahamian called Defendant Patel at Teva.
Their conversation lasted almost eleven (11) minutes. That same day, Defendant Aprahamian
announced to his colleagues that Taro would not be pursuing Teva's business with McKesson,
Accordingly, he instructed a subordinate to put
saying simply:
together an offer for Cardinal instead.
418.
The discussions of how to accommodate Taro into the Nortriptyline market were
far from over, however. Defendants Falkin of Actavis and Rekenthaler of Teva spoke on
November 14, 15 and 18. Falkin also exchanged two text messages with Defendant Maureen
Cavanaugh of Teva on November 17, and one on November 18,2014.
419.
Immediately following this series of discussions, Aprahamian began delivering a
new message to his team: Taro had enough offers out on Teva customers
rest of its share from
-
it needed to take the
Actavis. On November 19,2013 when a colleague presented an
opportunity to gain business from Teva customer HD Smith, Aprahamian flatly rejected the idea,
saying:
420.
The next day, November 20,2013, another Taro employee succeeded in finding
an Actavis customer that Taro might pursue. Armed
with this new information, Defendant
Aprahamian wasted no time in seeking Actavis's permission, placing a callto M.D., a senior
l17
national account executive at Actavis, less than four hours later. They ultimately spoke on
November 22,2013 for more than eleven (l 1) minutes.
421.
Meanwhile, Teva employees finalized plans to cede Cardinal to Taro as discussed
in the negotiations with Actavis and Taro. On November 21,2013, Teva informed its customer
that
422.
on
The competitors continued consulting with each other over the coming months
Nortriptyline. On December 6,2073, for example, Defendant Aprahamian called M.D.
at
Actavis and the two spoke for over thirteen (13) minutes. On December 10,2013, a Taro
colleague informed Aprahamian that alarge customer, HEB, was with Actavis for all but one
of
the Nortriptyline SKUs, and that HEB was interested in moving the business to Taro.
423.
Having already cleared the move with Actavis during his December 6 call with
M.D., Aprahamian put the wheels in motion the next day for Taro to make an offer to HEB.
424.
Defendant Aprahamian also continued to coordinate with Teva. He called
Defendant Patel on January 28,2014, but she did not pick up. The dialogue continued on
February 4,2014 when Patel called Aprahamian back. The two talked for nearly twenty-four
(24) minutes.
425.
Two days later, on February 6, a potential customer solicited Taro to bid on its
business. When a colleague informed Defendant Aprahamian of that fact and asked if he wanted
to pursue the opportunity, Aprahamian responded firmly that Teva had already done enough to
help Taro with its re-launch and thus only Actavis accounts should be pursued:
ll8
Date
3l
Name
Voice
Volce
Direction
lvlarr
Marc
lncoml
David
Ougolng
Davld
Falkln,lvlarc(Actavls)
Volce
Falki
Voice
Falkl
Contact Name
Duration
Davld
Marc
David
lncoml
Voice
Falkl
Vol ce
UtD.
Vol ce
Falkl
Marc
Volce
Falkl
lvlarc
Marc
lncomi
David
Tarc Pharmaæutlcals
Rekenthele David
Rekenthale
Davld
Voice
Nisha
Patel, Nlsha
Ara
Ara
Voice
Nlsha
Ara
Text
0:0:02
listed by Teva as a potential candidate for a price increase. Ou Malch l0, 2014, however, as
Patel was revising that list of price increase ca¡rdidates (and the sarne day she spoke to Defendant
Aprahamian for rnore than five (5) urinutes), she removed Nortriptyline from contention in order
f6 açssnlnodate Talo's entry. The spreadsheet that she sent to a colleap¡ue on that date expressly
took into account the negotiations over Talo's entry that had occun'ed over the past few weeks.
119
With respect to
I
a possible
As discussed more fully below, Teva subsequently raised the price of Nortriptyline on
January 28,2015
-
h.
428.
a
Nortriptyline price increase, it stated:
in coordination with both Taro and Actavis.
Teva/Zydus
Defendant Green left Teva in November 2013 and moved to Zydus where he took
position as an Associate Vice President of National Accounts. Once at Zydus, Green
capitalized on the relationships he had forged with his former Teva colleagues to collude with
Teva (and other competitors) on several TevalZydtts overlap drugs.
429.
In the spring/early summer o12014 in particular, Zydus was entering four
different product markets that overlapped with Teva. During that time period, Defendant Green
was in frequent contact with Defendants Patel and Rekenthaler, and others, to discuss pricing and
the allocation of customers to his new employer, Zydus. Indeed, given the close timing of entry
on these four products, Green, Patel, and Rekenthaler were often discussing multiple products at
any given time.
i.
430.
Fenofibrate
Fenofibrate, also known by brand names such as Tricor, is a medication used to
treat cholesterol conditions by lowering "bad" cholesterol and fats (such as LDL and
triglycerides) and raising "good" cholesterol (HDL) in the blood.
431.
As discussed in detail in Section IV.C.1.a.i above, Defendant Teva colluded with
Defendants Mylan and Lupin to allocate the Fenofibrate market upon Mylan's entry in May
2013. To effectuate that agreement, Defendant Green was in frequent contact with Defendant
Nesta of Mylan and Defendant Berthold of Lupin.
120
432.
In February 2014, Zydus was preparing to launch into the Fenofibrate market.
Defendant Green, now at Zydus, colluded with Defendants Patel, Rekenthaler, Nesta, and
Berthold to share pricing information and allocate market share to his new employer, Zydus.
433.
On February 21,2014, Teva's Patel sent a calendar invite to Rekenthaler and to
her supervisor, K.G., Senior Director, Marketing Operations, for a meeting to
discussl
on February 24,2014. One discussion item was Zydus's
anticipated entry into the Fenofibrate market. Notably, Defendant Zydus did not enter the
Fenofibrate market until a few weeks later on March 7,2014.
434.
In the days leading up to the meeting, between February 19 and February 24,
Patel and Green spoke by phone at least 17 times
-
including two calls on February 20 lasting
twenty-seven (27) minutes and nearly nine (9) minutes, respectively; one call on February 2l
lasting twenty-five (25) minutes; and a call on February 24lastingnearly eight (8) minutes.
435. On or about March 7,2014, Defendant Zydus entered the Fenohbrate
market at
WAC pricing that matched Defendants Teva, Mylan, and Lupin. In the days leading up to the
launch, Defendants from all four competitors were in regular contact with each other to discuss
pricing and allocating market share to Zydus. Indeed, between March 3 and March 7, these
competitors exchanged at least 26 calls with each other. These calls are detailed in the table
below:
12l
Direction
Name
Date
Voice
Voice
Volce
Volce
David
David
Reke
Volce
Nesta, Jim (lvlylanl
Jim
Patel, Nlsha
Volce
Voice
lncomi
Kevln
Nesta, Jlm (fiAylan)
lncomi
Out3olng
Green, Kevin
Kevln
Kevin
Kevln
Nisha
Jlm
Jim
Jim
Jim
Voice
Kevin
Kevin
Green, Kevln
Kevin
Kevin
m
Voice
Voice
Voice
Voice
Voice
Voice
Davld
Nesta, Jim
Nlsha
Green, Kevin
Kevin
David
Kevin
Kevin
¡d
David
Kevin
Jlm
Kevin
Kevin
Voice
Voice
M.A.
frÂ4.
Kevln
Voice
Kevin
M.A.
Voice
Voice
Kevin
Nisha
M.A.
Voice
eutering the
Duration
n
Nisha
Volce
Voice
Volce
Contact Name
Green. Kevin
narket. A half
0:1
David
( us)
lncoming
M.A. lMylan)
houl after the second call, Patel e-mailed her supen'isor, K.G.,
au
for several products or $¡hich Teva overlapped with
identifying
Later that sarrre day, Patel called Gleen again and they spoke for
more than eleveu
437.
(l l)
ruinutes.
In the mouths that followed, Teva
Zydus in accorda¡rce with the apreement they had reached.
t22
several custorners to
438.
For example, on Friday March 21,2014, J.P., a Director of National Accounts at
Teva, sent an internal e-mail to certain Teva employees, including Defendants Patel and
Rekenthaler, notifying them that Zydus had submitted an unsolicited bid to a Teva customer,
OptiSource. Patel responded that Teva was
439.
That morning, Patel sent a calendar invite to Rekenthaler and to K.G. scheduling a
meeting to discuss
440.
that
Tevaf
One item on the agenda was
The following Monday
- March 24,2014 - Patel sent internal e-mails
directing
optiSource and Humana to Zydus. Patel further stated that Teva provided a
to a third customer, NC Mutual, but stated that Teva should
That same day, Patel called Green and they spoke for more
than fourteen (1a) minutes. She also spoke with Defendant Berthold of Lupin for nearly twelve
(12) minutes.
441.
In the meantime, Zydus bid at another Teva customer, Ahold. On March 25,
201 4, P atel e-mailed Rekenthaler stating
Patel then sent an internal e-mail directing that
the Ahold business. Later
tha'r.
tevaf
day, Patel called Green. He returned the call and they spoke for
nearly eight (8) minutes. Patel also called Defendant Berthold of Lupin and they spoke for five
(5) minutes.
442.
On May 13,2014, Zydus bid on Fenofibrate at Walgreens, which was also Teva's
customer. The next day, on .li4ay 14,2}l4,Patel forwarded the bid to her supervisor, K.G., and
explained
123
443.
K.G. agreed with the approach and on May 15, 2014, Patel sent an internal e-mail
directing that Teva reduce its price to Walgreens, but explained that
Patel
emphasized that we
I
Later that day, Green called Patel and they spoke for twenty (20) minutes.
444.
On June 2,2014, Green called Patel and they spoke for nearly six (6) minutes. He
also called Rekenthaler, and they spoke for two (2) minutes. Two days later, on June 4,2074,
zydus submitted an unsolicited bid for Fenofibrate at Anda, a Teva customer.
445.
On June 10,2014, T.S., Senior Analyst, Strategic Support at Teva e-mailed J.P.,
Director of National Accounts, stating
T.S. forwarded the e-mail to K.G., copying Defendants Patel and
Rekenthaler, asking to
because
Rekenthaler responded,
A few hours later,
J.P
responded that Anda would maintain Teva on secondary and award the primary position to
Zydus. Anda was fully aware that Teva was conceding Anda's business to Zydus because it was
a
new entrant
t24
446.
The next day, on June 17,2014, Defendant Green called Defendant Rekenthaler
and they spoke for eight (8) minutes. Later that day, Patel called Green. He returned the call and
they spoke for nearly fifteen (15) minutes.
ii.
447. Paricalcitol,
Paricalcitol
also known by the brand name Zemplar, is used to treat and prevent
high levels of parathyroid hormone in patients with long-term kidney disease.
448.
Defendant Teva entered the market on Paricalcitol on September 30, 2013. As
the first generic to enter the market, it was entitled to 180 days of exclusivity.
449.
In March 2074,withthe end of the exclusivity period approaching, Teva began
planning which customers it would need to concede. Teva had advance knowledge that
Defendant Zydts and another generic manufacturer not named as a Defendant in this case
planned to enter the market on day 181, which was March 29,2074.
450.
In the month leading up to the Zydus launch, Defendants Patel and Rekenthaler
spoke with Defendant Green and discussed, among other things, which Paricalcitol customers
Teva would retain and which customers it would allocate to the new market entrant.
451.
On February 28,2074, T.S., a Director of National Accounts at Teva, sent an
internal e-mail to ceftain Teva employees, including Defendants Patel and Rekenthaler, advising
that ABC was requesting bids on two Zydus overlap drugs
- Paricalcitol
and
Niacin ER. After
receiving that e-mail, Rekenthaler called Green. The call lasted less than one
(l)
minute (likely a
voicemail). The next business day, on March 3,2074, Rekenthaler called Green again and they
spoke for twenty (20) minutes. Later that afternoon, Patel also called Green. The two
exchanged four calls that day, including one that lasted nearly twenty (20) minutes. On March 4,
Patel called Green again and left a voicemail.
125
452.
On March 12,2014, T.S. e-mailed Defendants Patel and Rekenthaler stating that
Zydus had bid on Paricalcitol at
ABC. That same day, Patel
sent an internal e-mail asking for a
loss of exclusivity report for Paricalcitol, listing out Teva's customers and the percentage
of
Teva's business they represented. This was typically done by Teva employees before calling a
competitor to discuss how to diwy up customers in a market.
453.
On March 13,2074, Patel directed that Teva retain ABC and match the Zydus
pricing. The next day, on March 14,2014, Patel called Green. A few minutes later, Green
returned the call and they spoke for nineteen (19) minutes. Rekenthaler then called Patel and
they spoke for eleven (11) minutes.
454.
During the morning of March 17,2014, Defendants Patel and Green had two
more phone calls, lasting nearly six (6) minutes and just over five (5) minutes. During those
calls they were discussing how to
diwy
up the market for several products where Zydus was
entering the market. A half an hour after the second call, Patel e-mailed her supervisor, K.G.,
identifying
for several products on which Teva overlapped with
Defendant Zydus
-
including Paricalcitol. With respect to Paricalcitol, Patel recommended that
Teva
Later that same day,
Patel called Green again and they spoke for more than eleven (11) minutes.
455.
Over the next several weeks, Defendant Teva would
concede
several customers to the new entrant Zydus.
456.
For example, on March 27,2074, Green called Patel. Defendant Patel returned
the call and they spoke for nearly nine (9) minutes. The next day, on March 28,2014,
OptiSource, one of Teva's GPO customers, notified J.P., a Director of National Accounts at
Teva, that it had received a competing offer from Zydus for its Paricalcitol business. J.P.
t26
forwarded the OptiSource e-mail to Patel. Within minutes, Patel responded
I
457. That same day, Defendant
Teva was notified by another customer, Publix, that
Zydus had submitted a proposal for its Paricalcitol business. On
April 1,2014, Defendant Teva
conceded the customer to Zydus and noted in Delphi that the reason for the concession was
458. Also on April 1, 2014, Defendant Zydus bid for the Parcalcitol business
at
NC
Mutual, another Teva customer. That same day, Patel called Green and left a22-second
voicemail. The next day, on April2,2014,Patel tried Green twice more and they connected on
the second call and spoke for nearly ten (10) minutes. Lafer that evening L.R., an Associate
Manager, Customer Marketing at Teva, sent an internal e-mail to T.S., the Teva Director
of
National Accounts assigned to NC Mutual, copying Patel, asking:
Patel responded,
459.
On
April 75,2074, Walmart
received a competitive bid for its Paricalcitol
business and provided Teva with the opportunity to retain. Two days later, on April
17
,2014,
K.G. responded that he thought it might be Zydus. Patel replied,
Later that day, Green called
Patel. She returned his call and they spoke for nearly twelve (12) minutes. Later that day, after
her discussion with Defendant Green, Patel sent an internal e-mail stating
On
t27
April 22,2014,Patel
sent an internal e-mail regarding Walmart directing,
I
iii.
460.
Niacin ER
Niacin Extended Release ("ER"), also known by the brand name Niaspan
Extended Release, is a medication used to treat high cholesterol.
461.
Defendant Teva entered the Niacin ER market on September 20,2073 as the first-
to-file generic manufacturer and was awarded 180 days of exclusivity. Teva's exclusivity was
set
to expire on March 20,2014.
462.
Teva had advance knowledge that Defendant Lupin planned to enter on March
20, 2014 and that Lupin would have 1 00 days or until June 28, 2014 before a third generic
manufacturer would be allowed to enter. Teva also knew that Defendant Zydus planned to enter
on June 28,2014.
463.
Armed with that knowledge, Teva increased price on Niacin ER on March 7,
2014 in advance of the competitors' entry. In the days leading up to the price increase, all three
competitors exchanged several calls during which they discussed, among other things, the price
increase on Niacin ER and the allocation of customers to the new entrants, Zydus and Lupin.
The communications between Defendant Green and Defendants Patel and Rekenthaler of Teva,
and Defendant Berthold of Lupin are detailed in the chart below. (The calls between Defendants
Teva and Lupin are discussed more
fully below in Section IV.C.2.k.)
128
Name
Date
Volce
Voice
Volce
Voice
Nisha
Kevln
Section
Kevin
Nisha
Kevln
Nlsha
Grcen, Kevln
Nisha
Kevin
Berthold, Dav¡d
David
Green, Kevln
Kevin
Berthold, Dav¡d
Kevin
Voice
below i¡r
Duration
Kevln
Volce
Volce
Contact Name
Rekenthal
David
Patel Nisha
Volæ
Vole
Direstion
.C.2.k.)
Date
Volce
Green, Kevln
31 2Ot4 Voice Green, Kevin (Zydus)
Volæ
Nlsha
Volce
Nlsha
3ll720fl Voioe
3l
ZJ'1.4
Outgo¡ng
Vole
3l ZOL4 Voice
Patel, Nisha
Paæ|, Nlsha
Patel, Nisha
Rekenthaler, fÞvld
Rekenthaler, David (Teva)
0:03:ül
Kevin
Kevin
(Teva)
(Teva)
(Teva)
31 2gt4 Voice Berthold, David (!upin)
Outgolng
Outgolng
Outgoing
Green, Kevin (Zvdus)
Gr€en, Kevln (Zydus|
lnaom¡ng
Green, Kevin (Zydus)
Green, Kevin (Zydus)
û(b:16
û11:tit
û06:26
ù.M1L2
0:07:(n
0:12:39
0:01:(tr
3lnl20t4
Voice
Green, Kevin
(Zydus) I ncoming
2014, Zydus bid on the Niacin ER business at ABC
-
'Eerthold, Davld ([upin)
0:26:00
a Teva customer. The next day, on
May 6,
2014, Defendant C¡reen called Defendant Rekenthaler and they spoke for tlu'ee (3) minutes. Less
than an hour later, Gleen called Defendant Patel and they spoke for eiglrt (8) minutes.
t29
A few
nirìutes later, Green called Patel agail and left a twelve-second voiceruail. Later that evening,
Defeuclant Patel e-mailed K.G. reporling what Teva had leanted on those calls:
K.G. responded that Patel should schedule an intemal rneeting to discnss their strategy for Niacin
ER. ancl inclt¡de Rekenthaler.
466.
Over the next several days, Patel and Rekenthaler exchanged sevelal calls with
listed below.
slil2oL4
sl7l2OL4
slil2ot4
sl7/20L4
sl812Ot4
slel2ot4
slsl20t4
sle/2014
Voice
Voice
Voice
Voice
Voice
Voice
Voice
Voice
Voice
Voice
Green, Kevin (Zydus)
Green, Kevin (Zydus)
Patel, Nisha (Teva)
Patel, Nisha {Teva)
Patel, Nisha (Teva)
Patel, Nisha (Teva)
Patel, Nisha (Teva)
Berthold, David (Lupin)
Berthold, David ( Lupin)
Berthold, David (Lupin)
Outgoing
lncoming
lncoming
lncoming
lncomlng
Outgoing
Outgoing
lncoming
lncoming
Outgoing
130
David
Berthold, David (Lupin)
Green, Kevin (Zydus)
Green, Kevin (Zydus)
Green, Kevin (Zydus)
Green, Kevin (Zydus)
Green, Kevin (Zydus)
Green, Kevin (Zydus)
Green, Kevin (Zydus)
Green, Kevin (Zydus)
0:37:49
467.
Ultimately, the competitors agreed that Teva would retain ABC and concede
McKesson, another large wholesaler, to Zydus.
468.
On May 29,2014, C.D., an Associate Director of NationalAccounts at Teva, sent
an internal e-mail to certain Teva employees, including Defendants Patel and Rekenthaler,
stating:
After receiving the e-mail, Rekenthaler called Green. The call lasted two
(2) minutes. Green returned the call a few minutes later and they spoke for twenty-eight (28)
minutes. Later that day, Patel called Green and they spoke for nearly twenty-one (21) minutes.
469.
On June 2,2014, J.P., a Director of National Accounts at Teva, sent an internal e-
mail stating
Patel replied,
Later that morning, Green called Rekenthaler. The call lasted two (2) minutes. Green then
called Patel and they spoke for nearly six (6) minutes.
470.
On June 5,2014, J.P. sent an intemal e-mail regarding
stating
J.P. also
entered the loss in Teva's internal database
- Delphi -
and noted that the reason for the
concesslon was
471.
On June 28,2074,Lydus formally launched Niacin ER and published WAC
pricing that matched the per-unit cost for both Teva and Lupin.
iv.
Etodolac Extended Release
472. Etodolac Extended Release ("Etodolac ER") is a nonsteroidal anti-inflammatory
drug that is used to treat symptoms ofjuvenile arthritis, rheumatoid arthritis, and osteoarthritis.
131
473.
Taro were the
Prior to Zydus' enhy into the Etodolac ER market, Defendant Teva and Defendant
o
generic suppliers of the product. As described in detail in Section
in
colluded to significantlyraise the price of Etodolac ER
Date
Direction
Name
Call
Volce
t 2013.
Contact Name
Kevin
Nlsha
Kevin
Voice
Voice
Volce
Volce
Text
Text
Text
Text
Voice
Text
Nlsha
Nisha
Nlsha
Nisha
Ara
Nlsha
An
Nisha
Patel, Nisha
Ara
Ara
Patel, Nisha
Ara
Nlsha
Nisha
A¡a
Ara
NIsha
Voice
Volce
Voiæ
Green, Kevln
Kevin
Kevln
Nlsha
Ara
Text
Volæ
Voice
lncomi
Patel, N¡sha (Teva)
Ara
Nisha
Gree
Kevln
Kevln
Kevin
NIsha
Nisha
Kevln
Nlsha
475. On May 14,2014,
da
- a wholesaler
ctutomer of Teva
-
notified Teva that
Zydus had suburitted a bid for its Etodolac ER business. That saure day, Patel excha¡rged eight
(8) text messâges and had a foru (4) minute call with Apraharnian. The uext day, on May 15,
2014, Green called Patel aud they spoke for
twe
t32
(20) rninutes.
476.
On May 20,2014, Defendant Green called Defendant Patel and they spoke for
four (4) minutes. That same day, K.R., a senior sales executive at Zydus, also exchanged two (2)
text messages and had a 39-second call with Defendant Maureen Cavanaugh of Teva. The next
day
- May 21,2014 - Defendant
Green called Defendant Patel again and they spoke for twenty-
eight (28) minutes. That same day, K.R. of Zydus and Defendant Cavanaugh of Teva exchanged
four (4) text messages.
477. The next day, on ,}/ay 22,2014, T.S., Senior Analyst,
Strategic Support at Teva,
sent an internal e-mail to certain Teva employees, including Defendant Patel, stating:
I
Patel
responded:
478,
Similarly, on June 27,2014, Econdisc, a Teva GPO customer, notif,red Teva that it
had received a competitive offer for its Etodolac ER business. Later that day, Patel spoke with
Defendant Aprahamian at Taro for fourteen (14) minutes.
479.
On July 2,2074, Patel called Green and left a four-second voicemail. The next
day, on July 3, 2014, Patel sent an internal e-mail advising that
Later that
day, Teva told Econdisc that it was unable to lower its pricing to retain the business.
480.
When Patel's supervisor, K.G., learned that Teva had lost the Econdisc business,
he sent an internal e-mail asking
Patel
K.G. replied,
l.
Teva/Glenmark
133
responded,l
i.
each
Moexipril llydrochloride T¡blets
intain their "fair share."
iness:
Defendant Rekenthaler forwarded the e-mail only to Defendant Patel because he was aware that
she had been the person at Teva who had been colluding
t34
with Glemralk^
484.
Five
(5)
es after receiviug the e-mail frorn Defendant Rekenthaler,
Defendant Patel responded:
ü.
487.
I)esogestrel/Ethinyl Estradiol Tablets (Kariva)
DesogeshelÆthinyl Eshadiol ("Kariva") is a combiuationpill containing two
honnones: progestin and eshogen. This medication is an oral conhaceptive. Defendant
I35
Glenurark rnarkets this dnrg rurder the narne Viorcle, wlúle Defendaut Teva markets the drug
eutered the nrarket for Kariva 0. l5mg/0.02rn9 tablets
on
nl 4, 2012.
lix.
Name
Date
sltsl2ot4
5ltsl20t4
Volce
Voice
Volce
Voice
Volce
Voice
Pate
Pate
Nisha
Nlsha
Nlsha
Nisha
Nlsha
Directi
fime
Contact Name
Grauso,Jim(Glenmaù) 1t¡!&15
11¡47:03
J.C.
Incomlng
Jim
Jim
Jim
Nísha
originally proposed re-bid price of $76.14 -
8rown, Jim (Glenmark)
v
üL21:ü)
13:37:(E
ti!:37:31
13:5û15
p¡uaranteeing that the business would be
awa¡ded to Glerunark.
üi.
491.
Gabapentin Tablets
Gabapentin, also known by the brand name Netuontin, is part of a class of drugs
called anticouvulsants. The medication is used to treat epilepsy and neuopathic pain. Glenmark
entered the rnarket for Gabapentin 800rng and 600mg tablets on
136
April 1,2006.
492.
On October 13 and 14,2014, Defendant Patel attended the Annual Meeting of the
Pharmaceutical Care Management Association ("PCMA") in Rancho Palos Verdes, California,
along with a number of Teva's competitors. The PCMA described its Annual Meeting
493.
urI
Shortly after returning from that meeting, during the morning of October 15,
2014,Defendant Patel informed colleagues at Teva that Glenmark would be taking a price
increase on Gabapentin, and suggested that this would be a great opportunity to pick up some
market share. The Glenmark increase had not yet been made public, and would not be effective
untilNovember 13, 2014. Nonetheless, Patel informed her colleagues in an e-mail that same day
that there would be a WAC increase by Glenmark effective November 13, and that she had
already been able to obtain certain contract price points that Glenmark would be charging to
distributors. At around the time she sent the e-mail, Defendant Patel exchanged two (2) text
messages
with Defendant Brown of Glenmark.
494.
Having relatively little market share for Gabapentin, Teva discussed whether it
should use the Glenmark price increase as an opportunity to pick up some market share. Over
the next several weeks, Teva did pick up
to be more in line with fair share
principles, but cautioned internally that it did not
I
j.
Teva/Lannett
137
i.
The rnessage was sent at I l:
Baclofen
l6em. At
I
l:30
, Defendant Patel called Defendant Sullivan and
they spoke for seven (7) minutes. This was the first phoue conversation between Sullivan aud
Patel since Patel had joined Teva in
April20l3. Duing
138
the conversation, Defendant Sullivan
follow-up message through Facebook Messenger later that aftemoon, Sullivan coufulred:
es.
colleague:
at saure
S
da¡
responded:
e ct¡storrer asked whether Teva wanted to exercise its
rigût of first refirsal (i.e., offer
sligbtly below Teva's price, Teva declined to bid. Defendant Patel specifically agreed with the
decision to concede, stating
Teva's intemal tracking datal¡ase noted
that the custourer had beeu conceded to a
139
501.
Teva had significantly increased its price for Baclofen in April 2014 (following an
Upsher-Smith price increase), and was able to maintain those prices even after Lannett entered
the market a few months later. In fact, when Lannett entered the market it came in at the exact
same WAC price as Teva.
k.
Teva/Amneal
i.
502.
Norethindrone Acetate
Norethindrone Acetate, also known by the brand name Primolut-Nor among
others, is a female hormone used to treat endometriosis, uterine bleeding caused by abnormal
hormone levels, and secondary amenorrhea.
503.
On September 9, 2014, a customer approached Teva asking if Teva would lower
its pricing on certain drugs, including Norethindrone Acetate. One of Teva's competitors for
Norethindrone Acetate was Defendant Amneal. The same day, Defendant Patel received phone
calls from two different Amneal employees
-
S.R.(2), a senior sales executive (call lasting more
than three (3) minutes), and S.R.(1), a senior sales and finance executive (almost twenty-five
(25) minutes). These were the first calls Defendant Patel had with either S.R.(l) or S.R.(2) since
she
joined Teva in April20l3. That same day, S.R.(1) also spoke severaltimes with Defendant
Jim Brown, Vice President of Sales at Glenmark
- the only other competitor in the market for
Norethindrone Acetate.
504.
After speaking with the two Amneal executives, Teva refused to significantly
reduce its price to the customer; instead providing only a nominal reduction so as not to disrupt
the market. At that time, market share was almost evenly split between the three competitors.
When discussing it later, Defendant Patel acknowledged internally that Teva
the customer based on its understanding
140
hadf
at
By bidding high and not taking the business from Amneal, in
anticipation of a future price increase, Teva reinforced the fair share understanding among the
competitors in the market.
l.
Teva/Dr. Reddy's
i.
505.
Oxaprozin
Oxaprozin, also known by the brand name Daypro, is a non-steroidal anti-
inflammatory drug (NSAID) indicated for the treatment of signs and symptoms of osteoarthritis
and rheumatoid arthritis.
506.
In early 2013,Dr. Reddy's began having internal discussions about re-launching
Oxaprozin in June of that year. In March 2013
market
-
- when Teva was still the sole generic in the
the plan was to target one large chain and one large wholesaler in order to obtain at
least 30% market share. Two months later, in May 2013,Dr. Reddy's adjusted its market share
expectations down to 20Yo after Greenstone and Sandoz both re-launched Oxaprozin.
507.
On June 13,2013, members of the Dr. Reddy's sales force met for an
to
508.
as
Dr. Reddy's re-launched Oxaprozin on June 27,2073 with the same WAC price
Teva. At the time, Teva had 60Yo market share. Dr. Reddy's alrnost immediately got the
Oxaprozin business at two customers, Keysource and Premier. Dr. Reddy's also challenged for
Teva's business at McKesson, but Teva reduced its price to retain that significant customer.
509.
Eager to obtain alarge customer, Dr. Reddy's turned its sights to Walgreens. At a
July l, 2013 sales and marketing meeting, there was an internal discussion among Dr. Reddy's
employees about
at Walgreens.
141
Within
a week,
Dr. Reddy's employees had learned that Teva would defend the Walgreens
business and recognizedthatthey would have to
510.
to obtain that customer.
Dr. Reddy's did bid aggressively at Walgreens. On or around July 14, 2013,
Walgreens informed Defendant Green, then a National Account Director at Teva, that Dr.
Reddy's had made an unsolicited bid for the Oxaprozin business, at a price of roughly half of
Teva's current price. Per Defendant Green, Walgreens did not
5
I
1
.
While the Dr. Reddy's offer to Walgreens was still pending
J.A. of Dr. Reddy's called Defendant Green. That phone call
two individuals that is identified in the phone records
512.
-
-
- on July 23,2013 -
the only one ever between the
lasted for nearly five (5) minutes.
Two days later, Defendant Green noted that
Green also warned, however,
that
if reva decided to defend
and keep walgreens' business, Dr. Reddy's
- meaning Dr. Reddy's would
will!
continue to offer unsolicited bids to Teva customers
and drive prices down.
513. While deciding whether to match the Dr. Reddy's offer at Walgreens or concede
the business to Dr. Reddy's, Teva engaged in internal discussions about strategy. On Júy 29,
2013, K.G. at Teva suggested the possibility of keeping the Walgreens business, but conceding
Teva's next largest customer for Oxaprozin
- Econdisc - to Dr. Reddy's.
Eager to avoid any
further price erosion from the Dr. Reddy's entry, Defendant Rekenthaler immediately asked
Defendant Patel to
I
Rekenthaler's goal was to identify customers other than Walgreens that Teva could
concede to Dr. Reddy's in order to satisfy its market share goals.
142
514. At 12:33pm that day, Defendant
Patel asked a colleague to
It was typical at Teva to run this type of report
before negotiating market share with a competitor. At2.20pm, that colleague provided the
information to Defendant Patel, copying Defendant Rekenthaler and K.G. With this information
in hand, less than an hour later Defendant Rekenthaler placed a call to T.W., a Senior Director of
National Accounts at Dr. Reddy's. The call lasted two (2) minutes, and was their only telephone
conversation in 2013.
515.
After having this conversation with T.W., Teva decided to maintain the
Walgreens business, but concede the Econdisc business to Dr. Reddy's. Teva conceded the
Econdisc business on August
7
,2013. Defendant Green listed
ln
Teva's Delphi database as the reason for conceding the business to Dr. Reddy's.
516.
By September 10, 2013, Dr. Reddy's had achieved its goal of obtaining20Yo
share of the Oxaprozin market.
At that time, its customers included Econdisc, Keysource, and
Premier.
ii.
517
.
Paricalcitol
Paricalcitol, also known by the brand name Zemplar, is used to treat and prevent
high levels of parathyroid hormone in patients with long-term kidney disease.
518.
Teva entered the market for Paricalcitol on September 30,2013 as the fìrst-to-file
generic, and had 180 days of generic exclusivity.
519.
Following its period of exclusivity, Teva's
but
As discussed more fully above in Section IV.C.1.h.ii, during March and
April2014, Teva coordinated with and conceded several customers to Zydus,
143
as Zydus was
entering the market for Paricalcitol. By mid-April 2074,Teva
to Zydus.
520.
By May 2014,Dr. Reddy's started preparing to enter the Paricalcitol market. On
May l, 2014, T.W. of Dr. Reddy's spoke with Defendant Rekenthaler of Teva for nearly eleven
(11) minutes.
521.
At
a May 20 sales and marketing team meeting, the Dr. Reddy's sales force was
instructed to find out which customers were currently purchasing Paricalcitol from which
manufacturers, and their prices. Dr. Reddy's was targeting a20%o market share. At the time,
Teva's share was 73oá.
522. On June 10,2014 - as Dr. Reddy's was starting to approach certain customers including a large retail pharmacy customer ("The Pharmacy")
-
Defendant Patel spoke with
V.8., the Vice President of Sales for North American Generics at Dr. Reddy's, several times. At
8:5Oam, Patel called
V.B. and left a voicemail. V.B. returned the call at 9: l8am, and the two
spoke for more than ten (10) minutes. Later that day, at2:46pm, Dr. Reddy's provided The
Pharmacy with a market share report for Paricalcitol indicating that Teva was the market leader
at 60Yo share.
I
A representative of The Pharmacy responded that it
Shortly after this e-mail exchange, at3:2lpm,V.B. called Defendant Patel again and the
two spoke for nearly nine (9) minutes.
523.
By June 19,2074, Dr. Reddy's had made offers to Omnicare, Cardinal, ABC, and
The Pharmacy. The internal plan was that
if The Pharmacy declined, then Dr. Reddy's would
make an offer to CVS. That same day, Teva agreed to concede its Paricalcitol business at
Omnicare, dropping its market sharcby
3o/o.
144
524.
Teva also sûategically couceded what reurained of its Cardinal business (it had
previously conceded some of that business to Zydus). After
approached Teva and askecl
rvhe
recei
g Dr. Reddy's bid, Cardinal
Teva would bid to retain the foul mcg
pofion of the
K.G.
Relati
C
a
ed.
:
al.
challenge,
Teva
Rekenthaler
re
loyees noted that Dr. Reddy's was
and
ed:
Despite the pricing challeuge, Teva retained the ABC Paricalcitol business. As ABC explained
to Dr. Reddy's,
l4_5
526,
Dr. Reddy's formally launched Paricalcitol on June 24,2014. On or around that
date, it sent offers to, inter alia, Winn-Dixie, Giant Eagle, and Schnucks. On June 26,2014,
Teva's K.G. told Defendant Patel that he was
to Dr. Reddy's
527. Winn-Dixie
informed Teva that it had received a competing offer for Paricalcitol
from Dr. Reddy's. Defendant Patel recommended that Teva concede the business. Teva did,
and
Winn-Dixie informed Dr. Reddy's that it had won its Paricalcitol business on July 9,2074.
528.
Giant Eagle informed Teva that it had received a competing offer on Paricalcitol
on July 10,2014. That same day, V.B. of Dr. Reddy's called Defendant Patel and the two spoke
for more than twelve (12) minutes. Shortly after getting off the phone with V.8., Patel
responded to a question from a colleague regarding an RFP to another supermarket chain. One
of the potential bid items was Paricalcitrol. Patel directed her colleague to
Her colleague responded:
529.
on Paricalcitol.
The next day, Teva conceded the Giant Eagle business to Dr. Reddy's. S.8., a
Teva Strategic Customer Analyst, wrote in an internal e-mail,
Giant Eagle accepted Dr. Reddy's proposal
the next day.
530.
After receiving an offer from Dr. Reddy's, Schnucks also asked Teva for reduced
pricing in order to retain the business. Teva decided internally to concede Paricalcitol at
Schnucks
In order to create the
appearance of competition with this customer, Teva engaged in what Defendant Patel referred to
AS
by which it offered Schnucks an inflated price (cover bid) for Paricalcitol to
146
enstue that Teva did not win the business. Indeed, Schntrcks
was
that it ruoved to Dr. Reddy's the same day it received Teva's
offer. Wheu Defendaut Patel
by Teva's price
with recently):
for Paricalcitol, and that Teva would need to subrnit its best bid in order to retai¡r
Teva initially decided to concede the One
S
the
iuess.
portion of McKesson's busi¡ress only, while
Patel
fi.rther added that Teva had
a¡rd
that
4:Z0pmand left a message. V.B. reftuued the call on Monday mouring, and the two spoke
more tlran
fou
(4)
nutes. They spoke again the next moming, July 22,2014, for urore than six
(6) rninutes. Dtuing these calls, Defendant Patel aud V.B. agleed that Dr. Reddy's would stop
courpeting for additional ruarket shale (and driving price dowu fruther)
if Teva
conceded all
of
its McKesson business (One Stop and Rite Aid) to Dr. Reddy's. hrdeed, Dr'. Reddy's confuned
t47
to McKesson (that same day) that it
- meaning
it would not compete
for additional business because it had attained its fair share. McKesson passed this information
along to Teva on July 22.
533.
business
-
The next day, July 23,2074, Teva decided to concede its entire McKesson
both RiteAid and One Stop
-
to Dr. Reddy's. In making this decision, Defendant
Patel noted: In its Delphi database, Teva noted that the McKesson Paricalcitol business had been
conceded to a
After the fact, former customer McKesson
informed Teva that Dr. Reddy's had been
I
534.
By early August 2014,Dr. Reddy's had attained 15-16% of the total Paricalcitol
market, which it decided
-
pursuant to its understanding with Teva
I
2.
535.
-
it would
Taking The Overarching Conspiracy To A New Level: Price Fixing
(2012-20ts)
As evident from the many examples above, by 2012 the overarching "fair share"
conspiracy was well established in the industry, including among the Defendants. Generic
manufacturers replaced competition with coordination in order to maintain their fair share of a
given generic drug market and avoid price erosion. The structure and inner workings of the
agreement were well understood and adopted throughout the industry.
536.
Around this time, however, manufacturers began to focus more on price increases
than they had in the past. They were no longer satisfied to simply maintain stable prices
-
there
was a concerted effort by many in the industry to significantly raise prices. Manufacturers
started communicating with each other about those increases with greater and greater frequency.
148
537.
A troubling pattern began to emerge. Starting sometime in2012 or even earlier,
and continuing for several years, competitors would systematically communicate with each other
as
they were identifying opportunities and planning new price increases, and then again shortly
before or at the time of each increase. The purpose of these communications was not only to
secure an agreement to raise prices, but also to reinforce the essential tenet underlying the fair
share agreement
-
i.e., that they would not punish a competitor for leading a price increase, or
steal a competitor's market share on an increase. There was an understanding among many
these generic drug manufacturers
be quickly followed; but even
-
including the Defendants
-
of
that a competitor's price increase
if it could not, the overarching conspiracy
dictated that the
competitors who had not increased their prices would, at a minimum, not seek to take advantage
of a competitor's price increase by increasing their own market share (unless they had less than
"fair share").
538.
It is important to note that generic drug manufacturers could not always follow
competitor's price increase quickly. Various business reasons
-
including supply disruptions or
contractual price protection terms with certain customers that would result in the payment
significant penalties
a
- could cause such delays. In those instances
of
when a co-conspirator
manufacturer delayed following a price increase, the underlying fair share understanding
operated as a safety net to ensure that the competitor not seek to take advantage of a competitor's
price increase by stealing market share.
t49
^.
539.
Effective July
Teva July 31,2012 Price Increase
3I
, 2012, Teva increased pricing on a ¡rurnber of different dnrgs.
Many were drugs where Teva was exclusive, but several of ther¡r were
co
dnrgs
etition, including the following:2
Drug
Competltors
Buspirone Hydrochloride Tablets
Estradiol Tablets
Labetalol HCI Tablets
Loperamide HCL Capsules
M imvey (Estradiol/Noreth) Tablets
Mylan (29.5%l; Watson 123.5oÁl
Mylan (26.7%); Watson (t6.4%l
Sandoz (61. ); Watson (10%)
Mylan (67%)
Breckenridge 166.2%l
NadololTablets
Nitrofu rantoin MAC Capsules
Mylan
Tamoxifen Citrate Tablets
My
Before raising prices on
we
ere Teva faced
( 9.8%l; Sandoz (1O.3%l
Mylan (a53%); Alvogen (7.9%l
I
a
n (22.20/"1; Watso n lLO.3o/ol
these gs, Teva coordinated
each of these price increases with its
leading up to the price increase. For example:
a
rtes);
a
on July
o
ll^2012 (2 calls: I and 9
es);
Defendant Green spoke to CW-2 at Sandoz ou July 29.2012 (2 calls:2
aüd 4 nrinutes) and July 31, 2Ol2 (6 minutes).
Ê@gZ:
Breckenridse: Defendant Rekenthaler spoke to D.N. a senior
sales executive at
Brecke¡rridge on July l7 ,2012 (4 minutes);
2 Watsou Phannaceuticals.
Inc. ("Watson"), acquired Actavis i¡r or about October 2012. T\e
two courpanies operated as a sin€ile eutity, albeit under separate ü¿unes, urtil January 2013, when
Watson annoturced that ìt had adopted Actavis, Inc. as its new global naure. [See
actavis-incl
150
a
¡\!ypg:
540.
Teva continued to coordinate with these competitors on these drugs even after
Defendant Green had several calls with Defendant Nesta at Mylan
(noted above) on July 31,2012. After some of those calls between Green and
Nesta on July 31, Defendant Nesta called 8.H., a senior sales and marketing
executive at Alvogen.
July 3I,2072. Examples of this coordination with respect to specific drugs are discussed in
more detail below.
i.
541.
Nadolol
As early as 2012, Teva was speaking to competitors about the drug Nadolol.
Nadolol, also known by the brand name Corgard, is a "beta blocker" which is used to
treat high blood pressure, reducing the risk ofstroke and heart attack. It can also be used to treat
chest pain (angina).
542.
In2012 and2013, Teva's only competitors for Nadolol were Mylan and Sandoz.
All three companies experienced supply problems of some sort during that time period, but they
were in continuous communication to coordinate pricing and market allocation in order to
maintain market stability. Nadolol was a high volume drug and one of the most profitable drugs
where Teva, Mylan and Sandoz overlapped, so it was very important that they maintain their
coordination.
543.
Teva's relationships with Mylan and Sandoz are discussed more fully below, but
by 2012 an anticompetitive understanding among those companies was firmly entrenched.
544.
increase
-
Teva raised its price on Nadolol on July 31,2012. In the days leading up to that
- following a pattern that would become routine and systematic
over the following years
Defendant Kevin Green, at the time in the sales department at Teva, was in frequent
communication with executives at both Sandoz and Mylan. Green spoke to CW-2 from Sandoz
twice on JuIy 29 , 2012, and again on the day of the price increase, July 3l , 2012. Similarly,
151
Defendant Green was communicating with Defendant Nesta of Mylan often in the days leading
up to the increase, including five (5) calls on the day of the price increase.
545.
staggering
Sandoz followed
with its own increase on August27,2012. The increases were
- varying from 7 46%o to 2,7 62%o depending
on the formulation. The day before the
Sandoz increase, Defendant Armando Kellum, then the Senior Director of Pricing and Contracts
at Sandoz, called Defendant Green. They had also spoken once earlier in the month, shortly after
the Teva increase. CW-2 also called Green twice on August 21,2012
-
the same day that
Sandoz requested approval from its Pricing Committee to raise the Nadolol price. The day after
the Sandoz increase, Defendant Green
and Mylan
- called
546.
-
acting as the conduit of information between Sandoz
Nesta of Mylan twice, with one call lasting fourteen (14) minutes.
Mylan, which returned to the market after a brief supply disruption, followed and
matched the Teva and Sandoz increases on January 4,2013. In what had become a routine
component of the scheme, the day before the Mylan increase Nesta spoke to Green four (4)
times. The next day, Defendant Green conveyed the information he had learned from Defendant
Nesta directly to his counterpart at Sandoz. On January 4,2013
- Defendant
-
the day of the Mylan increase
Green called Defendant Kellum twice in the morning, including a six (6) minute call
at9:43am. Shortly after hanging up with Green, Kellum reported internally on what he had
learned
- but concealing the true source of the information - a convention that was frequently
employed by many Sandoz executives to avoid documentation of their coveft communications
with competitors:
t52
Nadolol for approximately the last l5 years. In or about 2004, that individual paid betwee¡r $10
and S20 in out-of-pocket costs for a 90-day supply of Nadolol. Today, that same 90day supply
of Nadolol would cost the complaiuant re than $500.
550.
As discussed more ftilly below, Teva coutinued to conspire with Mylan and
Saudoz al¡out Nadolol and many other dnrgs tluoughout 2013 and ùrto the fuhue.
t53
ii.
551.
Labetslol
Labetalol, also known by brrud naures such as Nonnodyue and Traudate, is a
rnedication tued to treat higfr blood pressuÍe. Labetalol, like Nadolol, is in a class of drugs called
flow ald decrease blood press
that
Teva
s
ld co¡rsider
in order to retain its rnarket sha¡e.
T.C. of Teva apreed:
554.
Watson
Defendant Rekenthaler was not satisfied" however. In order to confum that
s also
still couunitted to rnaintai¡r high pricing on Labetalol, Defendant Rekeuthaler
called and spoke to 4.S., a se¡rior sales executive at Watson, four (a) times on October 18,2012
üi.
555.
Nitrofurantoin MAC Capsules
Nitroñu'antoin Macrocrystal, also known by the brand name Macrodantin, is
ruedicatiou used to heat certain uinary tract infections.
154
a
556.
Teva's July 31, 2012 pnce increase on
9Ù-95o/o depeuding on the dosage a¡rd
coo
Nitrofru'
oin Macrocrystal was between
formulation. After that increase, Teva continued to
nate with Mylan and Alvogen to maiutain those higû prices.
Mylan and 8.H., his
c
b.
erpart at Alvogen.
At l0:0lanr,
Green called Nesta and the two spoke
Increasing Prices Before A New Competitor Enters The
Market: Budesonide Inhnlation Suspension (February - April
201s)
Respules, is a medication used to conhol and prevent s5mrptorns caused by asthma. It belongs to
a class
of drugs called corticosteroids, and works directly in the lungs to make breathing easier
by reducing the irritation and swelling of the airways.
155
559.
As of February 2013, Teva was the only company in the market for generic
Budesonide Inhalation Suspension. Teva knew, however, that a potential legal action
challenging the validity of the patent on the brand drug could allow additional competition into
the generic market shortly. So before any additional competition could enter the market,
effective February 8,2013, Teva raised the WAC price for its Budesonide Inhalation Suspension
by 9o/o. Although a very modest increase in percentage terms, the
9o/o
price increase added $51
million to Teva's annual revenues.
560. On April 1,2013, Actavis
won a legal challenge in federal district court against
the brand manufacturer declaring the patent for the brand drug, Pulmicort Respules, invalid.
Actavis immediately began planning to launch the product "at risk," which is when a generic
manufacturer puts the product on the market before all appeals in the patent lawsuit are formally
resolved and there is still a risk that the new generic entrant might ultimately be found to violate
the patent. That same day, Defendant David Rekenthaler of Teva called his counterpart at
Actavis, A.B.
-
a senior sales and marketing executive
-
and they spoke for two (2) minutes,
This was the first-ever phone call between them based on the phone records produced.
561.
The next day,
April 2,2013, Defendant Rekenthaler
spoke to A.B two (2) more
times, including one call lasting eight (8) minutes. Actavis then immediately began shipping the
product. Instead of competing to obtain market share as a new entrant, however, Actavis entered
the market with the exact same WAC price as Teva. Indeed, when Teva inquired of a customer
that same day to confirm Actavis's pricing, Teva was informed by the customer that Actavis's
prlclng was
562.
At
some point thereafter, further legal action from the brand manufacturer
prevented Actavis from permanently entering the market, but in the interim Teva was able to
156
continue to charge the agreed-upon prices. In addition, once Actavis entered the market in2015,
Teva immediately conceded customers to Actavis in accordance with the fair share agreement
-
after calls between Rekenthaler and Defendant Falkin, by then a Vice President at Actavis. See
Section IV.C.1 .e.v ., supra..
c.
563.
Early 2013: Teva's Generics Business Struggles
Despite Teva's initial attempts to increase its revenues through price increases in
2012 and early 2073, its generic business was struggling as of early 2013. Throughout the first
quarter of 2013, Teva realized it needed to do something drastic to increase profitability. On
|l4ay 2,2073,Teva publicly announced disappointing first quarter 2013 results. Among other
things: (1) net income was down
4%o; and
260/o compared to the
(3) generic sales declinedby
564.
prior year; (2) total net sales were down
7%o.
By this time, Teva had already started to consider new options to increase its
profitability, including more product price increases. Over the next several years, Teva
embarked on an aggressive plan to conspire with its competitors to increase and sustain price on
many generic drugs
- completely turning around the company's
ts7
fortunes.
d.
565.
April 20132 Teva Hires Defendant Nisha Patel
In April 2013,Tevatook a major step toward implementing more significant price
increases by hiring Defendant Nisha Patel as its Director of Strategic Customer Marketing. In
that position, her job responsibilities included, among other things: (1) serving as the interface
between the marketing (pricing) department and the sales force teams to develop customer
programs; (2) establishing pricing strategies for new product launches and in-line product
opportunities; and (3) overseeing the customer bid process and product pricing administration at
Teva.
566.
Most importantly, she was responsible for
-
in her own words
-I
In that role, Patel had 9-10 direct reports in the pricing
department at Teva. One of Patel's primary job goals was to effectuate price increases. This was
a significant factor in her performance evaluations and bonus calculations and, as discussed more
fully below, Patel was rewarded handsomely by Teva for doing it.
567
.
Prior to joining Teva, Defendant Patel had worked for eight years at a large drug
wholesaler, ABC, working her way up to Director of Global Generic Sourcing. During her time
at
ABC, Patel had routine interaction with representatives from every major generic drug
manufacturer, and developed and maintained relationships with many of the most important sales
and marketing executives at Teva's competitors.
568. Teva hired Defendant
Patel specifically to identify potential generic drugs for
which Teva could raise prices, and then utilize her relationships to effectuate those price
increases.
ts8
569.
Even before Defendant Patel started at Teva, she was couunturicating with
poteutial frrtu'e competitors about the rnove, and about her uew role. For exaurple, on April2,
2013
-
nearly tluee weeks tlefore Defeudant Patel started at Teva
the Vice President of Sales and Marketing at
Defe
-
Defendant Ala Aprahamian,
t Taro, sent an e-rnail to the Chief
erating Officer ("COO") at Taro stating:
COO responded by saying
several yeals eallier at ABC.
570. Patel's last day at ABC was ril I l, 2013 and she starled at Teva on April 22,
ABC, before she even started at Teva. For exaurple:
Date
4lrU2ot3
Voice
Text
Text
Text
Text
Text
Text
Text
Volce
Text
Name
Patel, N¡sha (Teva)
Patel, Nisha
Direction
lncoming
CW-l(Sandoz)
(Teva) Incoming
Patel, N¡sha (Teva)
Nisha
Patel, Nisha (Teva)
Duration
Contacl Name
Outgo¡ng
CW-s
R.T. (Sandoz)
0:ü):00
R.r. (Sando4
B.L(Upsher-Smith)
Nisha
Nisha
Pete
R.T
Nisha
B.L.
0:ü):ü)
0:(tr:(þ
0:ü):ü)
0:û):ü)
0:ü)rü)
cw-1
0:(F:05
Pate Nisha
Patel, NÌsha
9gE9J11g-
.
Incomlng
B.L.
(Teva)
lncoming
Once Defenclant Patel began her eurployrnent at Teva, her cotnrntutications with certain
competitors became uuch urore systernatic aud fr'eqtrelt
- aud focused arourd
malket events
such as price ilcreases, uralket enùy, customer challenges and loss of exclusivity.
571.
When she joined Teva, Defendant Patel's hip¡hest priority was identifying dnrgs
where Teva could effectively raise price without corupetitiou. On May
159
l,
2013, Defendant Patel
began creating an
initial spreadsheet with
a
list o
As part of her
process of identifying candidates for price increases, Patel started to look very closely at Teva's
relationships with its competitors, and also her own relationships with individuals at those
competitors. In a separate tab of the same
ranking Teva's
spreadsheet, Patel began
by assigning companies into several categories,
including
572.
Patel understood
-
and stressed internally at Teva
-
that
Thus, it was
very important for Patel to identify those competitors who were willing to share information
about their price increases in advance, so that Teva would be prepared to follow quickly.
Conversely, it was important for Patel to be able to inform Teva's competitors of Teva's increase
plans so those competitors could also follow quickly. Either way, significant coordination would
be required for price increases to be successful
-
and quality competitors were those who were
more willing to coordinate.
573.
As she was creating the list, Defendant Patel was talking to competitors to
determine their willingness to increase prices and, therefore, where they should be ranked on the
scale. For example, in one of her first conversations with CW-1 after Patel joined Teva, Patel
told CW-1 that she had been hired by Teva to identify drugs where Teva could increase its
prices. She asked CW-l how Sandoz handled price increases. CW-1 told Patel that Sandoz
would follow Teva's price increases and, importantly, would not poach Teva's customers after
Teva increased. Not surprisingly, Sandoz was one of Teva's highest "quality" competitors. Patel
and Teva based many price increase (and market allocation) decisions on this understanding with
Sandoz over the next several years.
160
574.
It is iurportant to note that Defe¡rdant Patel had several different ways of
comnruricating with courpetitors. Tluoupilrout this Conrplaint, you will see references to various
phone calls rud text messages that she was exchanging with
co
etitors. But she also
Patel.
Date
Call Typ
Volce
Voice
51u2013 Volce
5|U2OL3 Voice
Voice
Voice
oi reaion$ Contact Name
TarBet Name
Patel, Nlsha
(Teva)
lncomlng
list:
5
0:05:02
cw-5
Nisha
rcon, Rick (Actavlsì
Patel, N¡sha (Teva) Out80ln8
Patel, Nisha (Teva) lncoming CW-S (Glenmark)
Outgo¡ng CW-l(Sandoz)
Nlsha
Nisha (Teva)
Outgoing CW-5(Glenmark)
Patel,
her subordinates directing him to add six (6) different
price increase
Duration
Adapalene Ge[;Nabunetone;
Glenmark
havastatin;
Orü):Gl
0:07:18
tgs to Teva's
idine; Moexipril; and
Moexipril HCTZ. As discussed more fully below, these are all drugs that Gle¡unark eventually
reased prices on two weeks later, ou
May 16, 2013, aud Teva followed with its owu price
increases shortly thereaft er.
161
e.
Ranking I'Quality of Competition" to Identify Price Increase
Candidates
576.
By May 6,2073, Patel had completed her initial ranking of f,rfty-six (56) different
manufacturers in the generic drug market by their "quality." Defendant Patel defined "quality"
by her assessment of the "strength" of a competitor as a leader or follower for price increases.
Ranking was done numerically, from a i3 ranking for the "highest quality" competitor to a -3
ranking for the "lowest quality" competitor. The top ranked competitors at that time included the
following companies:
The lowest ranked competitors were
577.
Defendant Patel created a formula, which heavily weighted those numerical
ratings assigned to each competitor based on their "quality," combined with a numerical score
based on the number of competitors in the market and certain other factors including whether
Teva would be leading or following the price increase. According to her formula, the best
possible candidate for a price increase (aside from a drug where Teva was exclusive) would be a
drug where there was only one other competitor in the market, which would be leading an
increase, and where the competitor was the highest "quality." Conversely, a Teva price increase
in drug market with several "low quality" competitors would not be a good candidate due to the
t62
potential that low quality competitors might not follow Teva's price increase and instead use the
opportunity to steal Teva's market share.
578.
Notably, the companies with the highest rankings at this time were companies
with whom Patel and other executives within Teva had significant relationships. Some of the
notable relationships are discussed in more detail below.
i.
579.
The "High Quality" Competitor Relationships
The highest quality competitors in Defendant Patel's rankings were competitors
where Teva had agreements to lead and follow each others'price increases. The agreements and
understandings regarding price increases were what made each of those competitors a high
quality competitor. As part of their understandings, those competitors also agreed that they
would not seek to compete for market share after a Teva price increase.
a)
580.
Mylan (+3)
Mylan was Teva's highest-ranked competitor by "quality." The relationship
between these two competitors was longstanding, and deeply engrained. It survived changes in
personnel over time, and pre-dated Defendant Patel's creation of the quality competitor rankings.
5
8l
.
Defendant Kevin Green, who was employed by Teva beginning in 2006 through
late October 2013, first began communicating with Defendant Jim Nesta of Mylan by telephone
on February 21,2072. From that time until the time that Defendant Green left Teva, Defendants
Green and Nesta were in almost constant communication, speaking by phone at least 392 times,
and exchanging at least twelve (12) text messages
-
including at or around every significant
price increase taken by either company. This amounts to an average of nearly one call or text
message every business day during this period.
t63
582.
Shortly after Defendant Patel started her employment at Teva, she called
Defendant Nesta on May 10,2013 and the two spoke for over five (5) minutes. Because
Defendant Green had already established a relationship with Mylan, Patel did not need to speak
directly with Defendant Nesta very often. Typically, Patel would e-mail Green and ask him to
obtain market intelligence about certain Mylan drugs; Green would then speak to Nesta
about a long list of drugs
-
often
- and report his findings back to Patel. Several examples of these
communications are outlined more fully in various sections below.
5
83.
When Defendant Green left Teva to
join Zydus in late October 2073, the
institutional relationship and understanding between Teva and Mylan remained strong.
Defendant Rekenthaler promptly took over the role of communicating with Defendant Nesta.
Starting in December 2013, through the time that Defendant Rekenthaler left Teva in April,
2015, Rekenthaler spoke to Nesta 100 times. Prior to Defendant Green leaving Teva in late-
October 2013, Defendants Rekenthaler and Nesta had only spoken by phone once, more than a
year earlier in2012.
584. The relationship between Teva and Mylan even pre-dated the relationship
between Defendants Green and Nesta. For example, between January I,2010 and October 26,
2011, R.C., a senior executive at Teva, communicated with R.P., a senior executive counterpart
at Mylan, by phone or text at least 135
times. The pace of communications between the two
companies slowed dramatically in November 2071 after R.C. left Teva and before Green began
communicating with Nesta
-
but continued nevertheless as needed during that time through
communications between Defendant Rekenthaler and R.P. at Mylan.
164
b)
585.
Watson/Actavis (+3)
Actavis was Teva's next highest quality competitor by ranking. Defendant Patel
with several executives at Actavis, including Defendant Rogerson, the
had strong relationships
Executive Director of Pricing and Business Analytics, and 4.8., a senior sales executive at
Actavis. Defendant Rekenthaler also communicated frequently with 4.S.,
executive at Watson
586.
-
a
a senior sales
relationship that pre-dated Defendant Patel joining Teva.
Defendant Patel contacted A.B. shortly after she started her employment at Teva,
as she was creating the
quality competitor rankings. She called him on April 30, 2013, and the
two exchanged several text messages the next day, May 1, 2013. But as detailed herein,
Defendant Patel communicated on a more frequent basis with Defendant Rogerson, her
counterpart in the pricing department at Actavis. From }i4.ay 2,2013 through November 9,2015,
Patel spoke and/or texted with Rogerson 157 times, including calls at or around every significant
price increase taken by the respective companies.
587.
In August 2013, Defendant Marc Falkin joined Actavis and the relationship
between Teva and Actavis grew stronger through his communications with Defendant
Rekenthaler. From August 7 , 2013 through the date that Rekenthaler left Teva in April, 20 1 5,
Rekenthaler and Falkin communicated by phone or text at least 433 times.
588.
Defendant Maureen Cavanaugh also had a very strong relationship with
Defendant Falkin. The two communicated with great frequency. From August 7,2013 through
the end of May 2016, Defendants Cavanaugh and Falkin spoke or texted with each other 410
times.
165
c)
589.
Sandoz was also considered a top-quality competitor by Teva. Defendant Patel
had a very strong relationship with
590.
Sandoz (+3)
CW-l at Sandoz.
Beginning on April 12,2013
- the day after Defendant
Patel's last day at ABC
-
until August2016, Defendant Patel and CW-1 spoke 185 times by phone, including at or around
every significant price increase taken by either company. As detailed above, in one of her initial
calls with CW-1 after she joined Teva, Defendant Patel asked CW-1 how Sandoz handled price
increases. Defendant Patel explained that she had been hired at Teva to identify products where
Teva could increase prices. CW-1 reassured Defendant Patelthat Sandoz would follow any
Teva price increases on overlapping drugs, and that Sandoz would not poach Teva's customers
after Teva increased price.
591.
Defendants Green and Rekenthaler of Teva also both had a very strong
relationship with C'W-2, who was - attha| time
-
a senior Sandoz
executive. These relationships
pre-dated Defendant Patel joining Teva.
d)
593.
Glenmark (+3)
Glenmark was one of Teva's highest-ranked competitors primarily because
Defendant Patel had very significant relationships with several different individuals at Glenmark,
including CW-5, Defendant Brown and J.C., a sales and marketing executive at Glenmark.
594.
As stated above, Defendant Patel began communicating with CW-5 even before
she began her employment at Teva. Patel was also communicating frequently with both CW-5
and J.C. during the time she created the quality competitor rankings, and agreed to
Glenmark price increases, in ll4lay 2013.
166
follow several
595.
Defendant Patel and CW-5 communicated by phone with great frequency
-
including at or around the time of every significant price increase affecting the two companies
-
until CW-5 left Glenmark in March 2014, at which point their communication ceased for nearly
six (6) months. After CW-5 left Glenmark, Defendant Patel began communicating with
Defendant Brown with much greater frequency to obtain competitively sensitive information
from Glenmark. Defendants Patel and Brown had never spoken by phone before Patel started at
Teva, according to the phone records produced.
e)
596.
Taro (+3)
Taro was highly rated because of Patel's longstanding relationship with the Vice
President of Sales at Taro, Defendant Ara Aprahamian. Defendant Patel had known Defendant
Aprahamian for many years, dating back to when Defendant Patel had started her professional
career as an intern at ABC.
597.
Even though she knew Defendant Aprahamian well, they rarely ever spoke or
texted by phone until Defendant Patel started at Teva. From
April 22,2013 through March
2016, however, Defendants Patel and Aprahamian spoke or texted at least 100 times, including
calls or text messages at or around the time of every significant price increase affecting the
companies during those years.
Ð
598.
LuPin (+2)
Although initially not the highest ranked competitor, Lupin was assigned a high
rating because of Defendant Patel's strong relationship with Defendant David Berthold, the Vice
President of Sales at
Lupin. The relationship between Teva
and Lupin, however, pre-dated
Defendant Patel. Prior to Patel starting at Teva, Defendant Green and others at Teva conspired
directly with Berthold. Several of those examples are discussed above in Section IV.C.1.c.
167
Between January 2012 and October 2013, Defendants Berthold and Green, for example,
communicated by phone 125 times.
599.
From May 6,2013 through April 8, 2014, Defendants Patel and Berthold
communicated by phone 76 times, including at or around the time of every significant drug price
increase where the two companies overlapped.
600.
Demonstrating the strength of the relationship between the two companies, the
price increase coordination continued between Defendants Teva and Lupin even when Defendant
Green had left Teva and when Defendant Patel was out on maternity leave. For example,
discussed more
as
fully below in Section IV.C.2.l.l, in October 2013 Lupin was preparing to
increase its pricing on the drug Cephalexin Oral Suspension. Without Defendants Green or Patel
to communicate with, Defendant Berthold instead communicated with Defendant Rekenthaler
and T.S. of Teva in order to coordinate the price increase.
f.
601.
May 24,2013: The First List of Increase Candidates
Defendant Patel completed and sent her first formal list of recommended price
increases to her supervisor, K.G.,
spreadsheet entitled
on
.}l4ay
24,2013. She sent the list via e-mail, with an attached
The attached list included twelve (12) different drugs
where Defendant Patel recommended that Teva follow a "high quality" competitor's price
increase as soon as possible. The spreadsheet also revealed competitively sensitive information
about future pricing and bidding practices of several of Teva's high quality competitors
-
information that Defendant Patel could have only learned through her discussions with those
competitors. The relevant columns from that spreadsheet are set forth below:
168
even began her
eurployrn
candidates because of
603.
co
at Teva that she would be
identiffing those drugs
as
price increase
cations she had already had with Defendant Aprahamian of Taro.
The following graphic sturunarizes some of the calls related to each of the
169
\ Pr:l ¡:
f ì':'.i'h'i-'r_|
0ir
'':
".
r{¡'t1ììrît
ir ! e't:
{¡1¡
lj
0N¿
i¡-.
604.
price increase
reco
eudations on May 28,2013.
went into effect on July 3,20L3. Defendant Patel went to preat
20t3
May 24,2013. Some illustrative examples of that coordinatíon are set fofih below.
i.
606.
Glenmark
A nuurber of the drugs identified in the
because of a recent Glenmark price increase on
May
170
16,
were targeted
2013. As soon as Defendaut Patel
started at Teva, she began to identify price increase candidates tlu'otrp¡h her conversations with
various sales and marfteting executives at Glenmark, including:
. s!,
4 calls on5/2113 (5:02; 0:06; 7:18 and I l:39), 2 calls on 5/3/13 (l:53 and
0:06); I text rnessage ou 5l3ll3:
o il¡Q. 3 calls ou 5/6/13 (6:45; ZO:M;8:39);2 calls on5l7/13 (7:59
a
l:03);
follow-up e-mail where she identified six diffe
price increase list, inchrding: Adapalene Gel;
and Moexipril
HCTZ. Glenm¿¡¡
seut any notices to
custo
Nabr
tone; Pravastatin; Ranitidine; Moexipril;
had not yet increased price on any of
those
gs, nor had
it
rs i¡rdicating that it would be doing so (aud would not send such
uotices until May 15, 2013).
607.
As the Glenmark price increases were approaching, Defendant Patel took steps to
make stue that Teva did uot urdennine its competitor's action. Druing the rnoming ou May 15,
2013, in auticipation of the Glenrnalk price increases that had not yet beeu irnFlemented or made
public, Defendant Patel instn¡cted her Teva colleagues to alert her of zuryrequests by customers
for pricing relating to eight different Gleuruark dnrgs:
t7t
for nearly six
(6)
es the
uext day, May 16, 2013
- the day of the Glenma¡k
price increases.
Effective that day, Glenrnark increased price ou the following dnrgs where there was au overlap
with Teva: Adapalene GeI; Nabuuretone; Fluconazole Tablets; Ranitidine; Moexipril; Moexipril
HCTZ; Pravastatin; and Ondansehon. Patel also spoke to CV/-5 and J.C. at Glerunark urultiple
tirnes on May 17, 2013.
609.
After the implerueutation of the Glenrn¡¡lç price increases or May
16, 2013, and
before Teva had the opportunity to folloì¡/ those iucreases, Teva was approached by several
custorners lookiug for a lower price. Teva reftrse129/13as
Patel spcaks r,vith Ara
Aprahamian (VP, Sales &
Mktg. at Taro)twice on
7/111,3 (0:31 and 12:52).
sire is cle'reloping Pl
t
lìst
spcoksto Br'rthrld
igrin
l8/13
Also
on
18:351. Green speaks
tr
Bertliold on 6/23 (3 t'nres) and
6/24i13 (tivlte)
The only dnrgs that Defendants Patel or Green did not cooldinate with Teva's
uot lìigùligüted in the graphic above) were
drugs
ere Teva was exchwive
co
etitors (those
- i.e." had uo
courpetitors.
627. Defe
Patel
-
and other executives at Teva
-went to pleat effiorts to
exanrples of generic drugs that were added to the list after llday 24,2013 ale set forth in rnore
detail below.
i.
628.
Upsher-Smith
On Jrure 13, 2013, as Defendalt Patel was in the process of furalizing the Teva
price increase list, she leanled that Defe¡rdaut Upsher-Srnith had increased its listed WAC prices
for the dnrg Oxybutynin Chloride Tablets.
180
629. Oxybutynin
Chloride, also known by the brand name Ditropan XL, is a
medication used to treat certain bladder and urinary conditions. Belonging to a class of drugs
called antispasmodics, Oxybutynin Chloride relaxes the muscles in the bladder to help decrease
problems of urgency and frequent urination.
630. On June 13,2013, K.G. of Teva sent an e-mail to several Teva employees,
including Defendant Patel, asking them to
I
regarding Oxybutynin Chloride. At that time, Teva had been considering whether to
delete the drug from its inventory, due to low supply and
profrtability. One factor that could
potentially change that calculus for Teva was the ability to implement a signifrcant price
increase. On June 14,2013, while considering whether to change Teva's plan to delete the drug,
a Teva employee asked Defendant Patel whether she could
631.
On June 15,2013, Defendant Patel exchanged six (6) text messages with B.L., a
senior national account executive at Upsher-Smith.
632.
Defendant Patel deemed Upsher-Smith a highly-ranked competitor (+2) in large
part because of her relationship and understanding with
B.L. In the week
before she began her
employment at Teva (after leaving her previous employment), Defendant Patel and B.L.
exchanged several text messages. During her first week on the job, as she was beginning to
identify price increase candidates and high quality competitors, Patel spoke to B.L. on April 29,
2013 for nearly twenty (20) minutes. During these initial communications, the two competitors
reached an understanding that Teva and Upsher-Smith would
follow each other's price increases
This understanding resulted in Upsher-Smith receiving a +2 "quality competitor" ranking from
Defendant Patel.
181
633.
On June 19,2013, Teva learned that the other competitor in the market for
Oxybutynin Chloride, a company not identified as a Defendant in this Complaint, also increased
its price for that drug. As a result, a national account executive at Teva sent an e-mail to
Defendant Patel stating
Patel responded
That same day, Patel instructed a colleague to add Oxybutynin
Chloride to the Teva price increase list and began taking steps to implement the increase.
634.
On July 3,2013, Teva implemented a price increase ranging between 1,100
7,500y;o increase on
-
Oxybutynin Chloride, depending on the dosage strength. Like the other
drugs on the list, Teva would not have increased its price without first obtaining agreement from
competitors that they would not compete with Teva or steal market share after the increase.
ii.
635.
Mylan
Immediately after she began at Teva, Defendant Patel began to investigate Mylan
drugs as a potential source for coordinated price increases. For example, on May 6,2013, as she
was creating the list
of
candidates, Defendant Patel sent Defendant Green an e-
mail with an attached spreadsheet titled
for
Defendant Patel asked Defendant Green to
ceftain, specif,rc items that she had highlighted in blue, including nine (9) Mylan drugs:
Tolmetin Sodium Capsules; Doxazosin Mesylate Tablets; Methotrexate Tablets; Diltiazem HCL
Tablets; Flurbiprofen Tablets;Nadolol Tablets; Amiloride HCLIHCTZ Tablets; Cimetidine
Tablets; and Estradiol Tablets.
636.
The next day, May 7,2013, Defendant Green spoke to Defendant Nesta at Mylan
three times, including one call lasting more than eleven (11) minutes. Defendant Green also
182
called Defendant Patel twice that day to report on what he had leamed. Defeudauts Gleen and
Nesta also spoke a nunber of tiures over the next several days, including on May 8 (3:46), May 9
(a:05) urd May 10, 2013 (0:28; 10:46 and 2:19).
637.
On May L4,2013,
Defen
Patel asked several Teva national accoturt uranagers,
Mylan
Methotrexate.
639.
Discussions between
Defen s Gteen andNesta about specific drugs continued
following telephone calls :
Name
Volce
Voice
Jim
Nesta, Jim
Voice
Jlm
Nesta, Jim (Mylan)
Volce
Nesta, Jim
Volce
Jlm
Jlm
Voic¡
Voice
612812013
640.
Direction
Voice
Contact Name
Time
Durati
I
Kevin
(fvlylan)
Jim
Jim
Nesta, Jim (Mylan)
16:02:58
0:ü):32
Kevln
16:5t43
û(þ:(B
9:55:29
1:(þ:25
Kevin
lO:47223
Kevin
Kevin
Outgo¡ng
13:.43:,27 Oû):06
Kevin
Outgoing
1il:32r25
Kevln
Kevln
11:04:04
Green, Kevin
0:
tSt42:O7
(Teva)
10:59:56
On Jture 26,2013, iu the midst of this fltury of couumrnications between Teva
and Mylan (and the sanre day that Defendants Green and Nesta had a one-horu phone call), one
83
of Defendant Patel's colleappres seut her a suggestion with the following list of potential drugs to
add to the price increase list:
I
Product
Comoetitors
lMktSharel
Disopyramlde Phosphate Capsules
Ketorolac Tablets
Ketoprofen Capsules
Hydorxyzine Pa moate Capsules
Sandoz (39%); Actavis (9%)
Nystatin Tablets
Heritage (35%);
I
Actavls (61%)
Mylan (32%)
Mylan (63%)
Mutual(32%) |
at Heritage.
64t
Keto
feu (the two Mylau dnrgs ou the list above) six days later, on July 2, 2013. Teva theu
quickly followed with its own price increase for both dnrgs (and others) ou Augrut 9, 2013. As
discussed more fully below, those price increases were closely coordinated and agreed to by
Teva and Mylan.
642.
At the end of the fluny of phone communications between Teva and Mylan
described above
-
o¡r June 28,2013
- Defendant
Gree¡r and Defendant Nesta had a fotu (4)
184
minute call startiug at l0:59aur. Withi¡l urinutes after that call, Defeudant Patel sent the
following e-mail inteurally at Teva:
effective date of July 2,2013.
c
ouflage the fact that she a¡rd her co-conspirators within Teva were corrumrnicatiug with
spreadsheet, after speaking with Defendant Aprahamian and before Taro
2013
raised its price ou Adapalene
and Nesta spoke several
644.
Gel.
She used
it agaiu ou Jrure 26,2013
-
after Defendants Gteen
tines in advance of Mylan's price iucrease on Ketoprofen.
Sirnilarly" on July 2,2013
-
the day before Teva's price increases (including for
the dnrg Methotlexate) went into effect, a collea¡¡te asked Defendant Patel how Teva's
competitors'pricing compared with regald to Methotrexate. Defendant Patel responded that
185
Mylan's pricing was a little low on that drug,
I
I
so Teva felt comfortable increasing the price of that drug on July 3, 2013. These
- which
Nesta noted above
were based on the direct communications between Defendants Green and
-
again turned out to be accurate: Mylan increased its price of Methotrexate,
pursuant to its agreement with Teva, on November 75,2013.
iii.
645.
Sandoz
After the large Teva and Mylan price increases on July 2 and 3,2013, Sandoz
increased so that it would
sought to obtain a
by inappropriately competing for market share on any of those drugs
Sandoz executives had previously conveyed to their counterparts at both Mylan and Teva that
Sandoz would
follow their price increases and not steal their customers after an increase.
Obtaining the comprehensive list of price increase drugs was an effort by Sandoz to ensure it was
aware of every increase taken by both competitors so it could live up to its end of the bargain.
646.
On July
9,2013,CW-l
stated in an internal Sandoz e-mail that he
wouldl
I
647
.
Pursuant to that direction, on July 15,2013 CW -2 of Sandoz called Defendant
Rekenthaler at Teva and left a message. Defendant Rekenthaler called CW-2 back immediately
and the two had a three (3) minute conversation during which CW-2 asked Rekenthaler to
provide him with a full, comprehensive list of all the Teva price increase drugs - not just those
drugs where Teva overlapped with Sandoz. Defendant Rekenthaler complied. Understanding
that it was improper to share competitively sensitive pricing information with a competitor, and
in an effort to conceal such conduct, Defendant Rekenthaler first sent the Teva price increase list
186
fi'om his Teva work e-rnail account to a personal e-¡nail account, and theu forwarded the list
frour his personal e'rnail accorurt to CW-2's personal e-mail accouut:
information i¡rto a spreadsheet.
h.
649.
she
Trnrnediately after the July 3, 2013 price increases, Patel began preparing for what
called
was presented
drug
July 19,2013 Price Increase @nalapril Maleate)
with
- Eualapril
another large set of Teva price increases. In the interi¡n, however, Teva
an opportturity to coordinate a price increase
Maleate Tablets.
187
with competitors on a single
650.
Enalapril Maleate ("Enalapril"), also known by the brand name Vasotec, is a drug
belonging to the class called ACE inhibitors, and is used to treat high blood pressure.
651
.
Mylan previously increased its price for Enalapril effective July 2,2013. At tha|
time, there were only three manufacturers in the market: Mylan, Teva and Wockhardt. Enalapril
was on the list of drugs slated for a price increase that Teva had received from Mylan in June
2013, before those price increases were put into effect (as discussed above in Section IV.C.2.h).
652.
Shortly after the Mylan price increase, on July 10, 2013, Teva received a request
from a customer for a lower price on Enalapril. Interestingly, the customer indicated that the
request was due to Wockhardt having supply problems, not because of the Mylan increase. K.G.
of Teva confirmed that Enalapril
653.
The comment from the customer sparked some confusion at Teva, which Teva
quickly sought to clarify. That same day, Defendants Green and Nesta had two phone calls,
including one lasting almost sixteen (16) minutes. The next day, July I1,2013, Defendants
Green and Nesta spoke two more times. During these conversations, Nesta explained to Green
that Wockhardt had agreed to follow the Mylan price increase on Enalapril. This information
sparked the
following e-mail exchange between Defendants Green and Patel (starting from the
bottom):
188
As it tumed out" there mrut have beeu a ¡nisco
cation l¡etween Defendants Green and
Nesta because althoupù Woclha¡dt did in fact plan to follow Mylan's price iucrease, it had not
the
ortunity to do so as of July I l, 2013.
654.
yet had
On Friday, July 12, 2013, J.P., a national
Defeudaut
Patel
acco
executive at Teva, asked
ether Teva was
Defe
Patel respouded:
J.P. theu
inçrired whether Teva would make an offer to the customer, and
Defendant Patel respouded:
655.
That sarne day, Defendants Patel and Green each started
and
byreaclring out to Teva's two competitors for Enalapril.
Defendaut Patel called Defendant Nesta of Mylan dilectly aud they spoke three tiures, including
189
calls lasting six (6) and five (5) minutes. Defendant Patel likely called Defendant Nesta directly
in this instance because Defendant Green was attending the PBA Health3 Conference at the
Sheraton Overland Park, Overland Park, Kansas, where he was participating in a golf outing.
Upon information and belief, K.K.
-
a senior national account executive at Wockhardt
- attended
the same conference, and likely spoke directly to Defendant Green either at the golf outing
during the day or the trade show at night, because at l2:40am that evening (now the morning of
July 13, 2013) K.K. created a contact on his cell phone with Defendant Green's cell phone
number in it.
656.
On Sunday, July 14, 2013, after Defendant Green returned home from the
conference, Defendants Green and Patel spoke three times, including one call lasting twenty-one
(21) minutes. During these calls, Defendant Green conveyed to Defendant Patel what he had
learned from
K.K.: that'Wockhardt
657.
planned to follow the Mylan price increase.
First thing the next morning, on Monday, July 15, 2013, Defendant Patel sent an
e-mail to a Teva executive stating
At the same time, Wockhardt began planning to raise the price of
Enalapril and sought to confirm specific price points for the increase. Internally, Wockhardt
employees understood that K.K. would try to obtain price points from a competitor. That
morning, K.K. of Wockhardt called Defendant Green for a one
(l)
minute call; shortly thereafter,
Defendant Green returned the call and they spoke for two (2) more minutes. At 9:57am that
morning, K.K. reported internally the specific price ranges that he had obtained from Defendant
Green.
'
PBA Health is a pharmacy services organizafionthat serves independent community pharmacies with group
purchasing and other services.
190
658.
Armed with this cornpetitively sensitive infonnation, ald the turderstanding that
Wockhardt intended to follow
Tuesday,
J
659.
the
an increase, Teva began to plan its own price increase. On
16, 2013, Defeudant Patel sent the
following iutemal e-urail to her supervisor
Defendant Patel's July 16,2013 e-mail referred to above was forwarded to
Defendaut Cavanaugh, who promptþ approved the price increase. That same day, July 16,
with rnernbers of Teva's
2013, Defendant Patel then scheduled a
sales and prtcing teams, and seut the followiug agenda:
l9l
660.
Teva and Wockhaldt siurultaneously iurplemented price increases on July 19,
2013. Althoupþ fþs finring of the price ilcrease was coordinated among the courpetitors,
Defendaut Patel nevertheless described the sinultaneous increase as a coincidence in au inter:ral
e-rnail that saure day:
r92
K.K.'s
S
larly, in
replied
i.
662.
were
August 9, 2013 Price Incre¡ses
On Aup¡ust 9,2013, Teva raised prices o¡r twelve (12) different drugs. These
lernented. On July I
l,
2013, Defendant Patel sent
increase candidates to a colleague for what she referred to
a
prelinrinary draft list of price
as
For the drugs
ol
the
preliminary list, Defendaut Patel stated
664.
The list included a nunber of dnrgs involving the following competitors,
primarily: Actavis, Aruobindo, Glennark, Heritage, Ltrpin, Mylan
193
and Sandoz. In the days
leadiug up to July I
l,
2013, Defendatt Patel was corruntulicating dilectly with executives at
nearly all of those competitors, including the following:
Name
Date
ilAnß
Voice
Patel, Nisha
Direction
Contact Name
(Teva) Outgoing Berthold,
Volce
Nisha
Voice
Voice
Nlsha
Nisha
Nlsha
Nisha
Nlsha
Nisha
Text
Voice
Rick
Jason
1
David
Nisha
preliminary
increase list
Name
Jlm
Jim
Date
Volæ
Volce
Volce
Voice
0:04:26
Berthold, David
Nlsha
Nisha
Volce
0:ü):54
5
5
- Defen
Direction
lncomi
s Greeu and Nesta spoke
Contact Name
Kevin
Green, Kevin
twice. Shortly after
Time
Duration
15:Z):f)
15:¡16:55
Nísha
Jfm
Volce
N
Voloe
Volce
N
Kevín
Jim
lm
12:11:34
l2:t2:47
lm
im
Volæ
666.
0:(E:!14
5
Voice
the
O:llz24
I
Voice
Volce
(Lupin)
-1
Volce
David
Duration
lncom
Kevln
Kevln
Kevin
12:38:¿18
1jL43:51
13:2û15
Defendant Patel and other Teva executives contimred to coordinate with
competitors over the next several weelcs, refining the list and preparìng for the next large Teva
lncrease.
t94
667
.
By Aupust 7,2013, Defendaut Patel had finalized the list. That day she sent an e-
rnail to her supervisor, K.G., with
spreadsheet which she had
a
prepared for Defendant Maruee¡r Cavanaugh, sunnrarizing the increases. As shown below, the
195
weeks leading up to the increases:
196
'
N Td.¿
re¡f
D¡d¡fr¡boÈdd¡t
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