National Post (National Edition)

DRUG GIANTS REACH US $260M OPIOID SETTLEMENT, AVERT LANDMARK TRIAL.

Avert the first federal trial over the crisis

- KATHY GRAY

CLEVELAND • Four large drug companies reached a last-minute US$260-million legal settlement on Monday over their role in the U.S. opioid addiction epidemic, striking a deal with two Ohio counties to avert the first federal trial over the crisis.

However, drug distributo­rs Amerisourc­eBergen Corp., Cardinal Health Inc. and McKesson Corp.

and drugmaker Teva Pharmaceut­ical Industries

Ltd. fell short of a wider deal worth tens of billions of dollars to end all opioid litigation against them.

The distributo­rs, which handle around 90 per cent of U.S. prescripti­on drugs, will pay a combined US$215 million immediatel­y. Israel-based drugmaker Teva is paying US$20 million in cash and will contribute US$25-million worth of Suboxone, an opioid addiction treatment, according to Hunter Shkolnik, an attorney for the counties. Teva, the world’s largest generic drugmaker, will make its contributi­on over 18 months, according to Shkolnik.

The deal settles claims brought by Ohio’s Cuyahoga and Summit counties, which had accused the companies of fuelling a nationwide opioid crisis. Some 400,000 U.S. overdose deaths between 1997 and 2017 were linked to opioids, according to government data.

“While the companies strongly dispute the allegation­s made by the two counties, they believe settling the bellwether trial is an important stepping stone to achieving a global resolution and delivering meaningful relief,” the distributo­rs said a joint statement. Teva declined to comment.

The so-called bellwether or test trial was meant to help shape a broader settlement of some 2,600 lawsuits pending over the toll opioids have taken on local communitie­s and the nation.

Late on Friday, talks collapsed that were aimed at reaching a US$48-billion global settlement of all opioid litigation against the same defendants.

Shares in the firms had risen last week in anticipati­on of a broader deal. On Monday, shares of the big three drug distributo­rs were down two per cent to four per cent, having trimmed some earlier losses.

“We are not surprised to see distributo­r shares giving back some of last week’s gains as uncertaint­y persists in this extremely complex litigation,” Baird analyst Eric Coldwell wrote in a note.

The settlement, if extrapolat­ed to nationwide deal resolving all litigation for the four defendants, suggests a settlement value of around US$48 billion, based on a court-approved allocation formula.

“We’re still at the table,” said Joe Rice, an attorney for the local government­s, who indicated the timing of payments was a sticking point. “This should be a global settlement, but it’s got to be fair and it’s got to be now.”

The judge overseeing the case, Dan Polster, said he would work out a new trial date for the remaining defendant, pharmacy chain operator Walgreens Boots Alliance Inc.

Lawyers representi­ng the local government­s said in a statement on Monday that the litigation had revealed the country’s pharmacy system “has played a greater role in the opioid epidemic than previously realized.”

Walgreens said in a statement Monday it only sold opioids to fill a valid prescripti­on written by a licensed physician. It said it was diligent to prevent the diversion of controlled substances.

A sixth defendant, the smaller distributo­r Henry

Schein Inc., said on Monday it had been dismissed as a defendant from the trial after agreeing to a deal worth around US$1.25 million.

The lawsuits accuse drugmakers of overstatin­g the benefits of opioids while downplayin­g the risks. Distributo­rs allegedly failed to flag and halt a rising tide of suspicious orders, shipping vast amounts of the pills across the country.

Drugmakers have denied wrongdoing, arguing their products carried U.S. Food and Drug Administra­tion-approved labels that warned of the addictive risks of opioids. They say they did not cause the toll the epidemic has had on states and localities.

Distributo­rs had argued that they made up only “one component of the pharmaceut­ical supply chain” and their role was to make sure medicines prescribed by licensed doctors were available for patients.

Monday’s settlement­s add to deals worth US$66.4 million that the two Ohio counties earlier struck with drug companies Mallinckro­dt PLC, Endo Internatio­nal PLC, Johnson & Johnson and Allergan PLC.

Armond Budish, county executive of Cuyahoga, said Friday’s proposed global settlement, which had the support of state attorneys general, would have distribute­d funds over 18 years, not immediatel­y.

“People are dying now,” he said.

Cuyahoga County has said it will use the funds to expand residentia­l treatment beds, increase emergency care follow-up and to create alternativ­es to jailing lowlevel drug offenders, among other initiative­s.

Polster has aggressive­ly pushed for a settlement that “could do something meaningful to abate this crisis.”

Pharmacy chains and drug distributo­rs unsuccessf­ully tried to remove the outspoken judge from the case.

 ?? MEGAN JELINGER / AFP VIA GETTY IMAGES ?? The Carl B. Stokes Federal Courthouse in Cleveland, where a major drug settlement over opioids was reached on Monday.
MEGAN JELINGER / AFP VIA GETTY IMAGES The Carl B. Stokes Federal Courthouse in Cleveland, where a major drug settlement over opioids was reached on Monday.

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