Pittsburgh Post-Gazette

Ohio sues drugmakers over opioid crisis

Attorney general accuses firms of pushing risky painkiller­s

- By Jim Provance

COLUMBUS — In a case reminiscen­t of the battle against tobacco, the state of Ohio on Wednesday sued five major drug manufactur­ers, blaming their marketing practices for fueling a painkiller addiction crisis that claims thousands of lives a year.

Attorney General Mike DeWine filed the suit against the makers of such drugs as Oxy-Contin, Percocet, Dilaudid and Percodan in Ross County Common Pleas Court.

“Pharmaceut­ical companies spent $168 million to sales reps peddling prescripti­on opioids to win over doctors with their smooth pitches and glossy brochures that downplayed the risk and highlighte­d the benefits,” Mr. DeWine said.

The suit seeks an unspecifie­d amount of damages and an injunction to halt the practices of Purdue Pharma, Endo Health Solutions, Teva Phamaceuti­cal Industries, Johnson & Johnson, Allergan and a variety of their subsidiari­es.

The lawsuit does not name individual doctors nor does it go after drug distributo­rs. It contends the companies intentiona­lly and irresponsi­bly marketed their brand-name and generic opiate products for treatment of chronic pain, rather than just short-term pain or endof-life care.

It claims they’ve spent millions to downplay the risks of addiction and undermine the warnings of the U.S. surgeon general, the Centers for Disease Control and Prevention, and the Food and Drug Administra­tion, while also ignoring their own small-print warnings on their packaging.

Although a number of other states have gone after manufactur­ers and distributo­rs to some degree, Mr. DeWine is just the second state attorney general, following Mississipp­i’s, to file such a suit.

Like the successful suits more than a decade ago against tobacco companies, this one seeks an injunction against the manufactur­ers to halt their sales practices and seeks unspecifie­d damages to reimburse the state for its costs in fighting the addiction epidemic. It also urges payment to consumers who paid for drugs that are considered unnecessar­y for chronic pain.

Mr. DeWine picked Appalachia­n Ross County for the suit because southern Ohio was seen as Ohio’s ground zero for an epidemic of painkiller and heroin addiction that has since spread across the state. As so-called “pill mills” were shut down, many addicts turned to heroin for a cheaper and easier-to-obtain fix.

“We firmly believe the allegation­s in this lawsuit are both legally and factually unfounded,” said Jessica Castles Smith, spokeswoma­n for the Johnson & Johnson subsidiary Janssen Pharmaceut­icals Inc.

“Janssen has acted appropriat­ely, responsibl­y, and in the best interests of patients regarding our opioid pain medication­s, which are FDA-approved and carry FDA-mandated warnings about the known risks of the medication­s on every product label,” she said.

In a statement, Purdue said, “We share the attorney general’s concerns about the opioid crisis, and we are committed to working collaborat­ively to find solutions.

“Oxy-Contin accounts for less than 2 percent of the opioid analgesic prescripti­on market nationally, but we are an industry leader in the developmen­t of abuse-deterrent technology, advocating for the use of prescripti­on drug monitoring programs and supporting access to Naloxone — all important components for combating the opioid crisis,” it said.

When asked why he filed the suit now, Mr. DeWine said the time was right.

Block News Alliance consists of the Pittsburgh Post-Gazette and The Blade of Toledo, Ohio. Jim Provance is a reporter for The Blade.

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