The Washington Post

Insys became

- BY TAYLOR TELFORD taylor.telford@washpost.com

the first drugmaker to file for bankruptcy protection to cover opioid penalties.

Insys Therapeuti­cs filed for Chapter 11 protection Monday, one week after agreeing to pay $225 million to resolve a Justice Department investigat­ion into a bribery scheme tied to its highly addictive fentanyl spray.

This marks the first time a drugmaker has turned to bankruptcy court to contend with legal expenses incurred by its role in the nation’s deadly opioid epidemic.

“For years, Insys engaged in prolonged, illegal conduct that prioritize­d its profits over the health of the thousands of patients who relied on it,” U.S. Attorney Andrew Lelling said in a news release after the settlement was announced last week. “Today, the company is being held responsibl­e for that and for its role in fueling the opioid epidemic.”

The painkiller in question, Subsys, is an under-the-tongue spray the Food and Drug Administra­tion approved in 2012 to treat cancer patients. Fentanyl is a synthetic opioid 50 to 100 times more powerful than morphine. In 2017, the United States experience­d more than 28,000 synthetic opioid-involved deaths, according to the Centers for Disease Control and Prevention, more than any other type of opioid.

Last month, a Boston jury found Insys’s billionair­e founder, John Kapoor, and four former executives guilty of racketeeri­ng after the 10-week trial revealed they had used speaker’s fees and lap dances to induce doctors into prescribin­g Subsys for far more patients than the drug was intended and cheated insurers into covering prescripti­ons.

The Justice Department outlined how the scheme worked in a news release. A physician assistant at a New Hampshire pain clinic joined Insys’s program the second year the drug was on the market. The PA, who was not named, went from writing zero prescripti­ons the first year the painkiller was on the market to 672 the second year. He received $44,000 in kickbacks, prosecutor­s said.

The strategy sent sales soaring, from $8.6 million in 2012 to $329 million in 2015. The windfall helped Insys go public, and it was the best-performing initial public offering of 2013.

The former executives have yet to be sentenced, but each faces up to 20 years in prison. Kapoor’s conviction also marks the first time the head of a drug company will face serious jail time for furthering the opioid crisis.

The Chandler, Ariz.-based company said it will continue operating while it considers selling its assets to cover the settlement. It will use its cash to stay afloat, including payment of employee wages and benefits, and will seek court approval to pay its suppliers and vendors in full.

“After conducting a thorough review of available strategic alternativ­es, we determined that a court-supervised sale process is the best course of action to maximize the value of our assets and address our legacy legal challenges in a fair and transparen­t manner,” Andrew G. Long, Insys’s chief executive, said in a news release. “We believe this process will provide us with a forum to negotiate an equitable resolution with our creditors and represents the best opportunit­y for our people and our business.”

The onslaught of legal cases has left Insys facing millions in fines while sales of Subsys, which generated most of its revenue, have plummeted. Insys’s assets and liabilitie­s were blacked out in the bankruptcy filing, but at the end of the first quarter, the company said it had just $86 million in cash and more than $240 million in liabilitie­s. Last year, it posted nearly $125 million in losses.

The government will be an unsecured creditor in the bankruptcy case, and Insys will ask the court to cap the federal settlement at $190 million. How much it actually collects will be contingent on how much Insys raises from selling its assets and how much it will have to compete with other creditors for the money.

Other drugmakers face similar legal worries. Purdue Pharma, maker of OxyContin, is reportedly mulling bankruptcy as it fends off lawsuits from several states tied to the opioid epidemic. The billionair­e owners of Purdue Pharma, the Sackler family, also face widespread litigation.

 ?? STEVEN SENNE/ASSOCIATED PRESS ?? Insys Therapeuti­cs founder John Kapoor, left, and four former executives were found guilty last month of racketeeri­ng.
STEVEN SENNE/ASSOCIATED PRESS Insys Therapeuti­cs founder John Kapoor, left, and four former executives were found guilty last month of racketeeri­ng.

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