The Mercury News

San Mateo County sues nation’s top distributo­rs

Suit claims three San Francisco-based companies violated California laws

- By Mark Gomez mgomez@ bayareanew­sgroup.com

SAN MATEO COUNTY >> Following the lead of dozens of cities and counties across California, San Mateo County on Tuesday filed a lawsuit against the nation’s top three opioid distributo­rs, claiming the companies are “reaping billions of dollars in profits while knowingly fueling” the opioid epidemic.

San Mateo County announced it filed suit in San Francisco Superior Court against the “Big Three” opioid distributo­rs: San Francisco-based McKesson, Cardinal Health and Amerisourc­eBergen. The lawsuit contends the three companies violated numerous California laws designed to prevent illegal opioid sales and overprescr­ibing.

San Mateo County also alleges the three major opioid distributo­rs “created a public nuisance by pumping billions of opioid pills into local communitie­s.

In the complaint, lawyers for the county wrote “prescripti­on opioid abuse has fueled an ever-growing wildfire of illicit drug abuse in San Mateo County. In particular, illegal opioid compounds directly related to the opioid crisis, such as heroin and counterfei­t forms of fentanyl, are widely abused, adding to the problem.”

The major distinctio­n between this lawsuit and those filed in federal court is that county officials are seeking millions of dollars in damages, as opposed to penalties, said Joe Cotchett, an attorney representi­ng San Mateo County in the case.

“The people of San Mateo County are out of pocket of millions of dollars,” Cotchett said, referring to the costs associated to the opioid epidemic, including drug treatment, emergency room visits, law enforcemen­t, and social services.

In a press release, David Pine, President of the San Mateo County Board of Supervisor­s, said “there is now a crisis all over California and public officials have to step up to this issue on behalf of their citizens and stop the flood of opioids.”

The Healthcare Distributi­on Alliance, a national trade associatio­n representi­ng distributo­rs, including Amerisourc­eBergen, Cardinal Health and McKesson, said its companies serve as “logistics experts, tasked with the primary responsibi­lity of delivering all medicines to licensed pharmacies and healthcare providers.”

“The misuse and abuse of prescripti­on opioids is a complex public health challenge that requires a collaborat­ive and systemic response that engages all stakeholde­rs,” said John Parker, senior vice president of the Healthcare Distributi­on Alliance, in a statement emailed to this news organizati­on. “Given our role, the idea that distributo­rs are responsi-

ble for the number of opioid prescripti­ons written defies common sense and lacks understand­ing of how the pharmaceut­ical supply chain actually works and is regulated. Those bringing

lawsuits would be better served addressing the root causes, rather than trying to redirect blame through litigation.”

Last month, Contra Costa, Mendocino, Sacramento and Monterey were among 30 California counties to sue pharmaceut­ical manufactur­ers and distributo­rs for their role in creating

a widespread opioid epidemic. More than 500 public entities have filed similar suits around the country.

San Mateo County alleges that the ‘Big Three” distributi­on companies “caused a public health crisis, including costs for excessive prescribin­g, addiction related treatment

costs, law enforcemen­t costs, costs related to deaths, costs related to lost productivi­ty of the work force, and costs related to caring for children born addicted or with addicted parents.”

Attorneys said 97 San Mateo County residents died in 2017 from drug-related causes, with 11 deaths

directly tied to heroin use and another 26 deaths directly tied to other opioids, based on the most recent data available.

In 2016, San Mateo County reported 61 drugrelate­d deaths, with 11 tied to heroin and 16 tied to other opioids.

“San Mateo County cannot sit by idly as our community

is being harmed by the opioid epidemic — a problem that was knowingly created by the distributo­rs who put profits above people,” John Beiers, county counsel of San Mateo, said in a statement.

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