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PATENT TERM LIMITS, ANTI-TRUST LAW, AND THE
HATCH-WAXMAN ACT: WHY DEFENSE OF A LEGALLY
GRANTED PATENT MONOPOLY DOES NOT VIOLATE ANTI-
I. INTRODUCTION
In the interest of increasing public availability of prescription medication,
Congress has enacted laws that make challenging the patents held by
pharmaceutical companies not only easy, but also advantageous. In the wake
of these legislative changes, patent validity challenges and accompanying
patent infringement suits have been increasing in number.1 In an effort to
reduce the uncertainty inherent in patent litigation, reduce litigation costs, and
ensure retention of the patent rights that protect their time-limited market
share, many patent-holding pharmaceutical companies have attempted to settle
litigations with generic pharmaceutical companies out of court. Unfortunately,
the Federal Trade Commission (“FTC”) has been diligently pushing to declare
all of these settlement agreements anti-competitive and inherently in violation
of anti-trust laws, thereby categorizing them as illegal and invalid. This article
will examine the issues in recent litigation settlements, the FTC’s
misunderstanding of the most effective and correct application of anti-trust
laws to situations involving government-granted patent monopolies, and how
courts should treat current and future infringement suits and settlement
II. PATENT BASICS
Congress, pursuant to its Constitutionally granted power to promote
scientific and intellectual progress,2 enacted the patent code to promote
∗ Christopher Fasel is a Registered Patent Agent & 3rd year law student at the University of
Kansas School of Law. Thank you to Professor Andrew Torrance, Ph.D., for all of his assistance
1. U. of Houston Law Ctr., U.S. Patent Litigation Statistics (Jeffrey Johnson ed.),
http://www.patstats.org/Patstats3.html (last visited Aug. 13, 2007).
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invention and development and to ensure that inventors and researchers would
have incentives to disclose their useful and novel developments to others in
their fields and to the greater public.3 Under the US Patent Act, in exchange
for divulging their inventions and passing a rigorous and detailed examination
process through which novelty, originality, and other considerations are
proven, inventors and developers are granted patents that provide monopoly
rights by excluding all others from utilizing their patented developments for 20
years from the first relevant application filing date.4 This exclusionary right is
granted “to allow the patentee to exploit whatever degree of market power it
might gain thereby as an incentive, to include investment in innovation and the
public disclosure of inventions.”5 Because of the challenging examination
process that each applicant must undergo before a patent is granted, any court
must presume that a patent is valid6 until it is conclusively proven otherwise by
“clear and satisfactory proof. . .which overcomes every reasonable doubt.”7
III. ANTI-TRUST LAW BASICS
The United States economy is generally a competitive free market system
that is driven by a basic intention to maximize both economic profit and
consumer benefit. To ensure that a sufficient level of competition is
maintained in the market, Congress passed the Sherman Act8 and the Clayton
Act.9 The Sherman Act declares illegal “[e]very contract, combination . . . or
conspiracy, in restraint of trade,” and expressly prohibits monopolies, whether
attempted or actually acquired through conspiracy.10 Not finding this effective
in and of itself, Congress passed the Clayton Act in 1914 to proscribe any sort
of agreement if the “effect of such . . . may be to substantially lessen
competition or tend to create a monopoly in any line of commerce.”11
The situation changes, however, when a government-granted patent
monopoly exists. The Supreme Court has ruled that a patent holder has the
right to a legal monopoly and that all related anti-competitive activities are not
subject to the Sherman Act unless they act “beyond the confines of the patent
monopoly.”12 In other words, a patent monopoly is perfectly acceptable so
4. 35 U.S.C. §§' 101, 131, 154(d) (2000).
5. In re Terazosin Hydrochloride Anti-trust Litig., 352 F. Supp. 2d 1279, 1296 (S.D. Fla.
2005) (citing Valley Drug Co. v. Geneva Pharm., Inc., 344 F.3d 1294, 1304 (11th Cir. 2003)).
7. Fed. Proc. § 60:1111 (L. Ed. 2006); See Radio Corp. of Am. v. Radio Eng’g Labs., 54
.Ct. 752, 753 (1934); See also Washburn & Moen Mfg. Co. v. Beat 'Em All Barbed-Wire Co.,
8. Sherman Act, ch. 647, 26 Stat. 209 (1890) (codified as amended at 15 U.S.C. §§ 1-7
9. Clayton Act, ch. 323, 38 Stat. 730 (1914) (codified as amended at 15 U.S.C. §§ 12-27
(2000 & Supp. 2004), 29 U.S.C. §§ 52, 53 (2000)).
12. In re Ciprofloxacin Hydrochloride Anti-trust Litig., 261 F. Supp. 2d 188, 248 (E.D.N.Y.
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long as the monopoly only exists as to the patented invention and does not
extend so far as to create a monopoly over a product or process that is not
subject to the patent protection. The basic theory behind this principle
maintains that a patent monopoly is legally justifiable, even in a competitive
market economy, because the patent exclusivity does not deny the public
access to some good that was previously available to it but “merely recognizes
an invention that was not previously known.”13 The limited duration
monopoly is justified by the inventor’s disclosure to the public. Additionally,
the Supreme Court has also held that a settlement of claims involving patent
infringement does not necessarily violate the Sherman Act, even though such
agreements should always be scrutinized to “ascertain whether the restraints
imposed are regulations reasonable under the circumstances, or whether their
effect is to suppress or unduly restrict competition.”14
IV. HATCH-WAXMAN INCENTIVES A. FDA licensing and New Drug Applications
Prior to 1984, every company seeking Food and Drug Administration
(“FDA”) approval of a pharmaceutical drug was required to file a New Drug
Application (“NDA”), regardless of whether the substance at issue was a new
(“brand-name” or “pioneer”15) drug or a generic copy thereof.16 The term
“generic” refers to a drug containing the exact same active ingredients in the
same quantities as a pioneer pharmaceutical, but possibly including different
excipient materials (binders or capsules).17 An NDA “must include exhaustive
information about the drug, including reports of safety and efficacy studies.”18
Additionally, an NDA applicant is required to file the patent number and
anticipated expiration date of any patent claiming the active ingredients or
composition of the drug.19 The FDA eventually publishes this, along with
other relevant drug information, under the title Approved Drug Products with Therapeutic Equivalence Evaluations, commonly called the Orange Book.20
Until 1984, safety and efficacy tests had to be conducted even if approval was
being sought for a generic drug with an active ingredient identical to that of an
2003) (citing United States v. Line Material Co., 333 U.S. 287, 308 (1948).
13. Ramon A. Klitzke, Patents and Monopolization: The Role of Patents Under Section Two of the Sherman Act, 68 MARQ. L. REV. 557, 560 (1985).
14. Standard Oil Co. (Ind.) v. United States, 283 U.S. 163 (1931).
15. In re Terazosin Hydrochloride Anti-trust Litig., 352 F. Supp. 2d 1279, 1287 (S.D. Fla.
17. BLACK’S LAW DICTIONARY 535 (8th ed. 2004).
18. Valley Drug Co. v. Geneva Pharm., Inc., 344 F.3d 1294, 1296 (11th Cir. 2003); seegenerally 21 U.S.C. § 355(b) (Supp. 2004).
19. 21 U.S.C. § 355(b)(1) (Supp. 2004).
20. See Bristol-Myers Squibb Co., Analysis to Aid Public Comment, 68 Fed. Reg. 12080-
01 (2003); see also 21 U.S.C. § 355(j)(7)(A) (2000).
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already-approved pioneer drug.21 This created a number of conflicts because,
prior to 1984, any utilization of a patented drug, even experimental use directly
related to an FDA application filing, was considered infringement of patent
exclusivity.22 In 1984, however, legislation altered this restriction to allow the
use of a patented invention “solely for uses reasonably related to the
development and submission of information under a Federal law which
regulates the manufacture, use, or sale of drugs or veterinary biological
B. Introduction of Hatch-Waxman and Abbreviated New Drug Applications
In 1984, to increase prescription drug availability and reducing consumer
cost, Congress amended the Federal Food, Drug, and Cosmetics Act
(“FFDCA”) to include the Drug Price Competition and Patent Term
Restoration Act, known commonly as the Hatch-Waxman Act (“Hatch-
Waxman”).24Among other things, Hatch-Waxman added a new section (j) to
the FFDCA, thereby creating an option for companies seeking generic drug
approval from the FDA to expedite their application by filing an Abbreviated
New Drug Application (“ANDA”).25 By filing an ANDA, an applicant is able
to bypass many of the testing and proof of safety requirements in exchange for
An ANDA allows an applicant to incorporate safety and efficacy test
results conducted by a prior NDA applicant into its application so long as the
active ingredient in the generic drug is the same as, or the “bioequivalent” of,
the active ingredient in the NDA.26 Additionally, an ANDA applicant must
certify one of the following about the NDA: (1) the relevant patent
information has not been filed and published in the Orange Book by the
original NDA-filing entity; (2) the relevant patent has expired; (3) the date on
which the patent will expire; or (4) the patent is invalid for some reason or will
not be infringed by the manufacture, use, or sale of the drug specified in the
ANDA.27 The first three options pose relatively no legal challenge and
applications containing such certifications will be approved either immediately
or on the expiration date of the patent. However, the fourth certification
requires additional legal action because it inherently shows that the applicant
intends to market the new product before the natural expiration date of the
21. Valley Drug, 344 F.3d at 1296.
22. 35 U.S.C. § 271(a) (2000); see also Merck KGAA v. Integra Lifesciences I, Ltd., 545
U.S. 193 (2005) (holding that the safe harbor provision codified at 35 U.S.C. § 271(e)(1) (Supp.
2004) could also protect some experimental use not directly leading to FDA certification).
24. Mylan Pharm., Inc. v. FDA, 454 F.3d 270, 271 (4th Cir. 2006).
25. Drug Price Competition and Patent Term Restoration (Hatch-Waxman) Act of 1984,
Pub. L. No. 98-417, 98 Stat. 1538 (relevant section codified at 21 U.S.C. ' 355(j) (2000).
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relevant patent, and therefore requires additional regulation.28 When Congress
amended 25 USC § 271(e) in 1984 to allow infringing use of patented subject
matter if such use is reasonably related to an FDA filing, it thereby also created
an infringement action accruing upon such a filing if the intention of the filing
party is to commercially manufacture or market the patented subject matter
prior to the natural expiration of the patent.29 Therefore, if an ANDA is filed
with a paragraph four certification, it creates a cause of action for
infringement. Along with filing an ANDA, an applicant must notify the owner
of the patent as well as the holder of the approved NDA within 20 days of the
postmark on the ANDA.30 The ANDA will be approved automatically if the
patent holder does not file an infringement action within 45 days of receiving
notification.31 The filing of a paragraph four certification automatically creates
a cause of action for a patent infringement suit because the certification itself
specifies that the bioequivalent of the patented active ingredient from the
pioneer drug is going to be sold in the United States immediately upon FDA
approval, and therefore will be in direct violation of 35 U.S.C. § 271.32 This
cause of action is relatively unique in patent law because it accrues prior to any
actual infringing activity.33 If such an action is filed, the FDA will delay
approval for up to 30 months, unless the district court holds that the patent is
invalid or not infringed upon or orders that the delay period be extended or
shortened.34 It should be noted, however, that the wording of the statute
specifies that, barring a court order requiring further approval delay, the
generic drug “approval shall be made effective” (emphasis added) no longer
than 30 months after delivery of notification.35 Thus, the ANDA applicant can
receive FDA licensing before a court has determined whether marketing of the
pharmaceutical will be in violation of the patent protection held by the original
Congress has given the ANDA applicant a few incentives to file a
paragraph four certification application, virtually guaranteeing a high stakes
infringement suit. The first such applicant will receive, after FDA approval, a
180-day exclusive right to market the generic drug in the United States.36 This
exclusivity right ensures that no other ANDA for the same product can receive
FDA approval, and thereby be legally sold, until 180 days after the original
ANDA applicant first commercially markets the drug.37 Additionally, by
28. See AAIPharma, Inc. v. Thompson, 296 F.3d 227, 232 (4th Cir. 2002).
30. 21 U.S.C. § 355(j)(2)(B) (Supp. 2004).
33. The recent Court of Appeals for the Federal Circuit case, Medimmune, Inc. v. Genentech, Inc., 219 Fed. Appx. 986, 2007 WL 930720 (2007), is distinguishable because the
parties in that case had already entered into a licensing agreement before the issues of
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allowing infringement suits to begin prior to any actual infringement, the
generic applicant is not liable to the pioneer drug patent holder because no
illegal sale has taken place. Although the patent holder must bring suit to
protect his patent rights, he cannot receive damages even if he i’s successful.
With very little to lose, and much to gain by winning an infringement suit, a
potential generic competitor has great incentive to face a lawsuit in the hopes
of winning the court’s and the FDA’s approval.
V. PREVIOUS CASES
The FTC first took action in the conflict between generic and pioneer
pharmaceutical companies in 1999, when it objected to settlement agreements
related to Hatch-Waxman between Abbott Laboratories (“Abbott”), a pioneer
drug patent holder, and Geneva Pharmaceuticals (“Geneva”) and Zenith
Goldline Pharmaceuticals (“Zenith”), generic drug producers and ANDA
filers.38Since that first case, numerous situations have arisen in which the FTC
has objected to settlement agreements as anti-competitive and in violation of
the Sherman Act. In 2003, the then-Chairman of the FTC reported to the
House of Representatives that the FTC would not tolerate settlements or
conduct that effectively “game” the regulatory system of Hatch-Waxman with
the intention of preventing generic drug companies from entering the market.39
The following case situations and resulting consent decrees forced by the FTC
show the current balance between patent exclusivity, settlement rights, and
A. Hytrin & Tamoxifen Citrate Hydrochloride
Abbott is a pharmaceutical company that held the patent on dihydrate
terazosin hydrochloride, the active ingredient in the branded, pioneer drug
Hytrin.40 In 1998, Abbott entered into a settlement with Zenith. Under this
agreement, Abbot would pay roughly $6 million every three months until the
patent expired, was declared invalid, or another generic manufacturer entered
the market, if Zenith acknowledged the validity of Abbott’s patent and agreed
not to market an infringing product or assist another in doing so in the same
period of time.41 In 1998, Abbott settled with Geneva on similar terms, but
agreed to pay $4.5 million per month in return for Geneva’s guarantee to
refrain from entering the market.42 However, because Geneva controlled the
38. SeeIn re Abbott Labs. and Geneva Pharm., Inc., Docket No. C-3945, 2000 WL 681848
39. Timothy Muris, Chairman, Fed. Trade Comm’n., Prepared Statement of the Federal
Trade Commission Before the Committee on Judiciary Anti-trust Task Force United States House
of Representatives Concerning an Overview of Federal Trade Commission Anti-trust Activities
(July 24, 2003) (available at http://www.ftc.gov/os/2003/07/anti-trustoversighttest.htm (last
40. Valley Drug Co. v. Geneva Pharm., Inc., 344 F.3d at 1296, 1300 n.13 (11th Cir. 2003).
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180-day exclusivity granted by the Hatch-Waxman Act, Abbot agreed that it
would continue the monthly payments until Geneva entered the market if
Geneva was successful in court.43 Both of these agreements were terminated
in 1999 as a result of FTC pressure, and were recently declared unlawful as
inappropriate restraints of trade in violation of the Sherman Act.44
Part of the FTC’s main objection to these two settlement agreements was
the existence of “reverse payments”, or a transfer of money from the patent
holder to the generic pharmaceutical company.45 “T“ypically, in patent
infringement cases, the payment flows from the alleged infringer to the patent
holder,”46 but in reverse payment situations, the potentially infringing party
receives payment from the patent holder. Although the FTC has expressed a
desire to have any settlement containing a reverse payment declared per se
invalid, the Eleventh and Second Circuits have held that such payments alone
cannot justify per se invalidity because such a strict ruling would fail to take
into account the exclusionary power inherent in patent protection.47 However,
the FTC was eventually successful in revoking the settlement on an anti-
competitive basis because the details of the agreement between Abbott and
Geneva provided for the continuation of reverse payments even after the patent
was declared invalid, and prohibited Geneva from marketing any Terazosin
hydrochloride product (and not solely the product that was the subject of the
suit).”48 The settlement agreement provided for an extension of patent-like
exclusivity even beyond the life span of the patent itself, and therefore was
B. K-Dur 20, Klor Con M20, & Micro-K 20
Schering-Plough Corporation (“Schering”) is the producer of K-Dur 20, a
potassium chloride supplement unique for its extended-release coating and was
once protected by patent number 4,863,743 (“743 patent”).49 Following a
1997 settlement agreement between Upsher-Smith Laboratories (“Upsher”)
and Schering, the FTC entered a consent decree with Upsher, which
prohibited Upsher from entering any agreements through which it received
anything of value in return for not marketing a generic product.50 The
settlement between Schering and Upsher specified that Upsher would not
market a generic version of K-Dur 20 until September 1, 2001, approximately
43. In re Terazosin Hydrochloride Anti-trust Litig., 352 F. Supp. 2d 1279, 1291 (S.D. Fla.
44. Valley Drug, 344 F.3d at 1301; See In re Terazosin, 352 F. Supp. 2d 1279.
45. SeeIn re Abbott Labs., Docket No. C-3945, 2000 WL 681848 (F.T.C. 2000).
46. In re Tamoxifen Citrate Anti-trust Litig., 429 F.3d 370, 389 (2nd Cir. 2005) (citing
David A. Balto, Pharmaceutical Patent Settlements: The Anti-trust Risks, 55 Food & Drug L.J.
47. Valley Drug, 344 F.3d at 1306; In re Tamoxifen, 429 F.3d at 389.
48. See In re Terazosin, 352 F. Supp. 2d at 1315-1317.
49. Schering-Plough Corp. v. FTC, 402 F.3d 1056, 1058 (11th Cir. 2005).
50. SeeIn re Schering-Plough Corp., Docket No. C-9297, 2002 WL 1488085 (F.T.C. 2002).
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five years before the 743 patent’s expiration date, and also included an
agreement that Schering would pay a total of $70 million and 10%-15% in
royalty payments in return for a license to market five Upscher products.51
The Eleventh Circuit had a chance to review this situation, however, when
it evaluated the legality of another agreement between Schering and a second
generic pharmaceutical company, ESI Lederle, Inc. (“ESI”). This agreement
was entered into upon the recommendation of a court-appointed magistrate
supervising the mediation between these two companies.52 This second
agreement allowed ESI to market its generic version of K-Dur 20, labeled
Micro-K 20, at the beginning of 2004, three years ahead of the expiration of
743 patent. In return, ESI became responsible for a $5 million payment,
representing legal fees, and a $10 million payment contingent upon Micro-K
After reviewing the settlement agreements between Schering and the two
generic pharmaceutical companies, in 2001 the FTC brought a complaint
claiming violation of the Sherman Act and unlawful monopolization of the
potassium supplement market.54When this complaint was tried before an
Administrative Law Judge (“ALJ”), it was determined that a finding of anti-
competitive action required that the patent be invalid or not infringed upon by
the generic products.55 With respect to the 743 patent, because neither of these
options had factual or legal basis, the agreements were held not to be anti-
competitive.56 In reviewing the situation, the Eleventh Circuit determined that
per se invalidity is highly inappropriate and is only to be applied in situations
where the agreements in question “have a pernicious effect on competition and
lack . . . any redeeming virtue.”57 The Eleventh Circuit also rejected the more
traditional rule of reason analysis in patent cases because it exclusively looks
“to determine whether the challenged conduct had an anti-competitive effect
on the market.”58 Patents, in their very essence, restrict competition because
they grant an exclusivity right that allows the patent owner to prevent others
from making, using, offering to sell, or selling the subject matter of a patented
invention.59 The court found that the necessary consideration must take into
account “the extent to which anti-trust liability might undermine the
encouragement of innovation and disclosure, or the extent to which the patent
laws prevent anti-trust liability for such exclusionary effects.”60 In light of
these concerns, the Eleventh Circuit adopted a new standard of analysis that
51. SeeSchering, 402 F.3d at 1058-1060.
57. Id. at 1064 n.11 (citing Continental T.V. Inc. v. GTE Sylvania Inc., 433 U.S. 36, 59
59. See 35 U.S.C. § 271 (Supp. 2004).
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includes an investigation of: “(1) the scope of the exclusionary potential of the
patent; (2) the extent to which the agreements exceed that scope; and (3) the
resulting anti-competitive effects.”61
The Eleventh Circuit first established that patents are presumed valid and
inherently provide the patent owner with a permissive monopoly, and
continued the analysis by stating that some balance between a patent’s
exclusionary power and the societal benefits achieved through anti-trust law
must be achieved.62 The court considered the public policy interest in
litigation settlement, the inherent uncertainty in patent litigation itself, and the
fact that the Hatch-Waxman essentially removes many of the financial barriers
that previously prevented generic drug manufacturers from challenging
patents.63 The court criticized the FTC’s presumption that any reverse
payments are unnecessary to settlement, finding instead that settlement could
not occur without sacrifice by both sides.64 The court stated that “the caustic
environment of patent litigation may actually decrease product innovation by
amplifying the period of uncertainty around the drug manufacturer’s ability to
research, develop, and market the patented product,”65 and eliminating
settlement possibilities could eventually have a chilling effect on research,
development, and innovation itself. Ultimately, the court held that because of
a patent’s exclusionary rights, some anti-competitive action is acceptable, but
that such activities become illegal and unacceptably anti-competitive when
they extend beyond the scope of the patent rights.66 Protection, through
agreements of legally acquired patent rights are perfectly acceptable so long as
the scope of the protection acquired through the agreement does not function to
extend the scope of the rights acquired through the grant of a patent.
While creating a different result, the U.S. District Court for the District of
New Jersey followed a similar analysis structure in a sister case. The court held
that the agreements overstepped the bounds of the patent power by restricting
generic companies from marketing any generic competitor to K-Dur 20 for a
period of time, regardless of whether such a product would have infringed
upon the 743 patent itself.67 Because these agreements created a greater
monopoly than that granted by the original patent (in that they disallowed
competing products that would not fall under the protection of the patent
itself), they were willfully anti-competitive and therefore illegal.68
61. Id. (citing Valley Drug, 344 F.3d at 1312).
66. Id.; See also Asahi Glass Co., Ltd. v. Pentech Pharm., Inc., 289 F. Supp. 2d 986 (N.D.
67. In re K-Dur Anti-trust Litig., 338 F. Supp. 2d 517, 532-33 (D.N.J. 2004).
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C. Cardizem CD
Unlike the Eleventh Circuit, the Sixth Circuit has been less accepting of
Hatch-Waxman driven patent infringement settlements. Hoescht Marion
Russell, Inc. (“HMR”) held the patent on Cardizem CD, a drug used for
treatment of hypertension and reduction of heart attack and stroke risk. HMR
faced significant financial loss in 1995 when Andrx Pharmaceuticals
(“Andrx”) filed a paragraph four certification in connection with an ANDA for
a generic version of Cardizem CD.69 During the ensuing litigation, the two
companies entered a settlement agreement which was held anti-competitive
because Andrx was able to ensure HMR’s market monopoly by refraining from
triggering the running of its 180-day exclusivity period.70 The 180-day market
exclusivity does not actually begin to run until the generic product that is the
subject of an ANDA is actually marketed and sold.71 By refraining from sales,
Andrx was able to effectively keep other producers of generic and
bioequivalent versions of Cardizem CD from gaining FDA approval and out of
the market.The agreement between Andrx and HMA was an unreasonable
restraint of trade because it was designed not only to settle a patent
infringement litigation and protect an established, legal patent exclusivity right,
but also to prevent other manufacturers (and potential competitors) from
bringing any generic or bioequivalent product to the market.72 The court
stated, “[i]t is one thing to take advantage of a monopoly that naturally arises
from a patent, but another thing altogether to bolster the patent’s effectiveness
in inhibiting competitors by paying the only potential competitor $40 million
per year to stay out of the market.”73
D. Paxil & Paroxetine Hydrochloride
In line with the Eleventh Circuit’s approach, the U.S. District Court for
the Northern District of Illinois analyzed a settlement through which
GlaxoSmithKline, PLC, (Glaxo), the patent holder, and Pentech
Pharmaceuticals, Inc., (Pentech), an ANDA filer, agreed to cease litigation and
enter into a license agreement. Under the settlement agreement, Glaxo
licensed Pentech to sell Paxil, a drug for the treatment of depression,75 using a
different name, in return for a hefty royalty.76 In his analysis of the
settlement, Judge Posner found that, in light of the general favor of litigation
settlements, a patent infringement suit settlement is in violation of the Sherman
69. In re Cardizem CD Anti-trust Litig., 332 F.3d 896, 901-902 (6th Cir. 2003).
71. 21 U.S.C. § 355 (j)(5)(B)(iv) (2003).
72. In re Cardizem CD, 332 F.3d at 904, 907.
75. Anti-Depressant Crystalline Paroxetine Hydrochloride Hemihydrate, U.S. Patent No.
4,721,723 (filed Oct. 23, 1986) (issued Jan. 26, 1988).
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Act only if it “is a device for circumventing anti-trust law.”77 The inherent
uncertainties of patent infringement suits provide ample motivation for
settlement and such agreements are generally acceptable ways of enforcing
validly held patent exclusivity rights.78
Banning settlements that provide for reverse payments could have a
chilling effect on the type of infringement suits that Hatch-Waxman sought to
promote. If companies cannot settle in a manner that is beneficial to both
sides, there is significantly less motivation to enter into suit in the first place.79
Some settlements, such as those in the patent supplement cases mentioned
above,80 actually promote competition in the market by allowing a company’s
entry into the market before the patent would normally expire. The U.S.
Department of Justice currently argues that settlements can actually stimulate
competition because forcing companies to litigate in lieu of settling is not in
E. Cipro & Ciprofloxacin Hydrochloride
Bayer Corporation (“Bayer”), which held U.S. Patent 4,670,444 (“444
Patent”) on Cipro, the most prescribed antibiotic in the world, received over $1
billion in U.S. net sales from this drug alone.82 Barr Laboratories, Inc.
(“Barr”), filed an ANDA on a bioequivalent that eventually led to a large
settlement agreement between Barr, Bayer, and various other generic
pharmaceutical companies that also had interests in the patent infringement
and FDA licensing situation.83 The large settlement agreement stipulated that
all potential infringers acknowledge the validity of the 444 Patent: that Barr
amend its ANDA to contain a paragraph III certification instead of a paragraph
IV certification (such a certification amendment necessarily involves forfeiture
of any 180-day exclusivity period and prevents FDA approval from occurring
before the natural end of the patent term);84 and that Bayer pay $49 million
into an escrow account retained for the benefit of other settling parties to the
lawsuit (other potential generic infringers).85 Additionally, Bayer was to
either: (1) supply the generic competitors with Cipro for price-controlled
generic distribution; or (2) pay $15-$17 million quarterly into an escrow
account until the termination of the 444 Patent in December 2003.86The parties
to the agreement submitted a consent judgment that was summarily signed by
80. See Schering-Plough Corp. v. FTC, 402 F.3d 1056 (11th Cir. 2005).
81. Colluding Drugmakers: How Big Pharma is Carving Up Profits With Should-Be Rivals,
FIN. TIMES, Sept. 4, 2006, available at 2006 WLNR 15320921.
82. In re Ciprofloxacin Hydrochloride Anti-trust Litig., 261 F. Supp. 2d 188, 194 (E.D.N.Y.
2003); US Patent No. 4,670,444 (issued June 2, 1987).
83. In re Ciprofloxacin, 261 F. Supp. 2d at 194-96.
84. 21 U.S.C. §§ 355 (j)(5)(D) (Supp. IV 2000).
85. In re Ciprofloxacin, 261 F. Supp. 2d. at 196.
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the judge and voluntarily submitted for re-examination to the United States
Patent and Trademark Office, who confirmed that the 444 Patent was legal and
After reviewing this case and the settlement agreement, in 2003 the U.S.
District Court of Massachusetts found that according to the Hatch-Waxman
Act, the FDA is not required to wait for a valid court ruling of patent invalidity
or non-infringement prior to approving an ANDA and legalizing market
release of the drug.88 The only time-limit mentioned in the Hatch-Waxman
Act merely requires a court order or case ruling to extend a delay of FDA
approval over the 30-month limit.89 In essence, the federal regulatory agency
can approve marketing of a new and infringing drug before it is conclusive that
such a release will not be in violation of the patent protection held by a pioneer
drug company. Therefore, in addition to increasing the number of new patent
infringement suits a pharmaceutical company must face, the Hatch-Waxman
Act also requires that if infringement suits are not settled or concluded by the
end of a 30-month period, a patent holder must acquire a preliminary
injunction to protect his or her patent rights. Courts are reluctant to give such
injunctions, often holding that such action would violate an infringing
company’s right to compete while the status of the patent is still tentative.90
The District Court also held that the right to settlement in patent
litigation is more favored than in ordinary litigation because “patent litigation
[N]o matter how valid a patent is – no matter how often is has
been upheld in other litigation . . . or successfully reexamined. .
. it is still a gamble to place a technology case in the hands of a
lay judge or jury. . . Even the confident patent owner knows that
the chances of prevailing in [patent] litigation rarely exceed
Like other courts who have considered the issue, the Massachusetts
District Court dismissed per se analysis in favor of a rule of reason analysis,
thus allowing consideration of such mitigating factors as the existence of a
valid patent and the willingness of Barr to vacate the right to a 180-day
exclusivity term by altering the ANDA certification from a paragraph IV-type
to a paragraph III-type.93 This is relevant because protection of a reexamined
patent certainly seems more valid than protection of a patent that is still in
question and is voluntarily foregoing generic market exclusivity. Barr
eliminated the possibility that Bayer’s patent exclusivity rights could be
unreasonably extended through any underhanded use of the Hatch-Waxman
89. 21 U.S.C. § 355(j)(5)(B)(iii) (Supp. IV 2000).
90. In re Ciprofloxacin, 261 F. Supp. 2d at 202-203 (citing Zeneca Ltd. v. Pharmachemie
B.V., 16 F. Supp. 2d 112 (D. Mass 1998)).
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incentives.94 The court held that payments made by Bayer were perfectly
reasonable under the circumstances because litigation settlements must be
achieved through both sides being able to sacrifice and benefit.95 Bayer
avoided uncertain patent litigation but paid almost $400 million for peace of
mind; Barr received a great deal of money for dropping a suit it would not have
Finally, the court analyzed the principles inherent in the Hatch-Waxman
amendments to the FFDCA. The original intent of the Hatch-Waxman
amendments was to lower public drug costs by stimulating challenges of weak
or invalid pharmaceutical patents.97 Unfortunately, by preventing generic
pharmaceutical companies from deciding for themselves when to pursue highly
expensive patent infringement litigation, the end result could be a serious
chilling effect on the type of lawsuits Hatch-Waxman desired to stimulate.98 If
pioneer drug patent-holding pharmaceutical companies are unable to reduce
their exposure by settling uncertain patent litigations in the manner most
practical to them, there is a likelihood that such companies will either suffer
economic losses unfairly or simply avoid entry into the pharmaceutical market
in the first place.99 The research and innovation that drives the U.S.
pharmaceutical market as well as its intended societal benefits, could be
greatly reduced by the results of the Hatch-Waxman incentives.
F. Macrobid & Nitrofurantoin
In an interesting deviation from the norm, a recent case involved a patent
holder who elected to compete in the new generic market rather than attempt a
settlement that would inevitably result in FTC-driven anti-trust litigations such
as those discussed above. Procter & Gamble (“P & G”) held the patent on
Macrobid, an antibiotic commonly used to treat urinary tract infections,100
faced market loss in 2004 when Mylan Pharmaceuticals, Inc., (“Mylan”)
received ANDA approval on their paragraph IV certification application.101
Mylan, however, was not able to fully enjoy the 180-day exclusivity period it
desired because P & G launched a competing generic version of Macrobid just
as Mylan entered the market.102 The Fourth Circuit held that such an action by
P & G was completely legal because P & G already possessed an FDA license
through its previously approved NDA on Macrobid and was therefore entitled
to enter the generic market as a competitor, and thereby significantly reducing
100. Ferguson v. Proctor & Gamble Pharm., Inc., 353 F. Supp. 2d 674, 675 (E.D. La. 2004).
101. Mylan Pharm., Inc. v. FDA, 454 F.3d 270, 271-274 (4th Cir. 2006).
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VI. PLAVIX CASE BACKGROUND
The aforementioned case history and situational conflicts are still
relevant, and allow for an interesting analysis of the just-finalized litigation
between Canadian generic pharmaceutical companies Apotex Inc. (“Apotex”)
and Bristol-Myers Squibb Sanofi Pharmaceuticals Holding Partnership
(“BMS”) over the pioneer drug Plavix.104 Plavix is an anti-platelet compound
prescribed to reduce the dangers of stroke, heart attack, or vascular disease in
those who have recently suffered such a thrombosis event.105 Apotex filed an
ANDA with a paragraph IV certification in late 2001 and BMS responded with
a countersuit for infringement.106 Under Hatch-Waxman, the timely filing of
this infringement suit triggered an automatic 30-month delay in FDA approval
of Apotex’s ANDA.107 However, from here the case differs from those
In October of 2005, Apotex informed BMS that it expected FDA approval
imminently and, by letter, asserted that “it cannot be appropriate for Plaintiffs
[BMS] to do nothing until launch is imminent and only then bring a motion for
an injunction.”108 Just days before January 20, 2006, when the FDA released
official approval of Apotex’s ANDA, BMS and Apotex opened discussions to
resolve the litigation.109 Shortly into negotiations, both parties agreed that
neither would launch a generic version of Plavix while they were still engaged
in settlement discussions. A settlement agreement was finalized on March 17,
2006, subject to FTC approval.110 However, a state attorney general, in
reviewing the settlement agreement, informed both sides that the settlement
could not be approved.111 A second agreement, containing provisions that
would allow resumption of litigation if the second agreement was also denied
regulatory approval, was also struck down.112 The second agreement provided
that BMS could not seek more than 50% of Apotex’s net sales of infringing
products if BMS was eventually declared victorious in the litigation and that
neither company would launch a generic product or seek a preliminary
injunction until at least five days after regulatory denial of the second
agreement.113 Finally, after the five-day period expired, BMS agreed not to
launch a generic version of Plavix until Apotex did so, promised not to seek a
104. Sanofi-Synthelabo v. Apotex Inc., 2007 WL 1746134 (S.D.N.Y. June 19, 2007).
105. Information About Plavix, www.plavix.com (last visited Feb. 11, 2007).
106. Sanofi-Synthelabo v. Apotex Inc., 488 F. Supp. 2d 317, 322 (S.D.N.Y. 2006).
107. 21 U.S.C. § 355(j)(5)(B)(iii) (Supp. IV 2000).
108. Apotex, 488 F. Supp. 2d at 323.
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KANSAS JOURNAL OF LAW & PUBLIC POLICY [ Vol. XVII:1
temporary restraining order at any time, and guaranteed that it would not seek
a preliminary injunction until Apotex launched a generic product and BMS had
given Apotex five business days notice of its intention to do so.114
Interestingly enough, BMS filed for a preliminary injunction immediately upon
the declaration of regulatory denial, but the motion was struck down because
Four days after BMS filed its preliminary injunction motion, Apotex
flooded the market with generic Plavix and continued to maintain market
competition until August 31, 2006, when BMS was granted a preliminary
injunction.115 The preliminary injunction, which was affirmed in October
2006116 and again in June 2007,117 prevented Apotex from marketing any
further generic Plavix, but did not require that Apotex recall the large amounts
of generic clopidogrel bisulphate already on the market.118
VII. ANALYSIS
The conflict between Apotex and BMS is a functional example of how
overly enthusiastic regulatory interference from the FTC can inhibit the
progress of the court system and actually create a more anti-competitive
situation than would exist if the litigants were allowed to settle in their own
natural manner. This is not to say that the FTC should not have any regulatory
power in the creation and enforcement of settlement agreements. As shown in
many of the cases above, there is potential for even a patent holding company
to exceed its legal rights of granted exclusivity and wander into the area of
anti-competitive activity that is justifiably regulated by the FTC and the
Sherman and Clayton Acts. However, with the pharmaceutical market already
financially unstable, with the Hatch-Waxman incentives increasing patent
validity litigation, and with the uncertainty of court rulings, perhaps the
pressure on pioneer drug companies has extended far enough. Some of the
settlement agreements should be allowed or there is a real risk of a chilling
effect on the pharmaceutical market. The following analysis of some of the
relevant numbers at hand will help clarify the situation.
The pharmaceutical industry is driven by research and development and
the patent protection provided to the products of the breakthrough inventions
such research produces.119 In the year 2000, the pharmaceutical industry spent
$26 billion on research and development alone, resulting in an average cost of
$802 million just to develop a single new drug.120 In addition to these high
116. Apotex Loses Clopidogrel Preliminary Injunction, WORLD GENERICS MARKETS, Oct.
18, 2006, available at 2006 WLNR 18078511.
117. Sanofi-Synthelabo v. Apotex Inc., 2007 WL 1746134, at *42 (S.D.N.Y. June 19,
118. Apotex, 488 F. Supp. 2d at 348.
119. In re Ciprofloxacin, 261 F. Supp. 2d at 256.
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research and development prices, as little as 30% of drugs that reach the
market make profits equal-to or greater-than their development costs.121
Today, it is estimated that roughly 53% of all prescriptions filled in the United
States are for generic versions of pioneer pharmaceuticals.122 On average, only
two months after their initial release, generic drugs account for over 75% of
the market for their active ingredient.123 In June of 2005, there were 11,167
drugs listed in the Orange Book and roughly 8,400 had generic counterparts
that cost up to 80% less than the branded pioneer drugs.124 The 29 most-
commonly used molecules with no patent protection currently sell in the
United States for 50% of their selling prices in the vast majority of the rest of
world.125 Furthermore, the FTC found that 73% of cases involving
pharmaceutical industry patent litigation in the last ten years were ruled in
favor of the generic drug company.126 Courts are finding patents invalid that
have already had their claims subjected to incredibly rigorous scrutiny at the
hands of the USPTO prior to the patent’s original grant. This comes despite
the existence of 35 U.S.C. § 282, which requires that these patents be
considered legally granted and functionally intact at the outset of the court
cases. Profits are highly subject to risk and it is no wonder that so many
pioneer patent-holding pharmaceutical companies attempt to settle when they
VIII. SUGGESTED SETTLEMENT STANDARD
Companies on both sides of an ANDA-induced patent infringement
litigation currently have little certainty as to the outcome of their legal conflict.
The existence of cases in which there is no evidence that the pioneer
pharmaceutical company ever attempted to enter litigation or settlement
negotiations with the generic company127 shows that the rigorous study and
draconian policy of the FTC has a chilling effect on settlement. Rather than
face an uncertain court ruling and a settlement that would likely be declared
invalid by the FTC, Proctor and Gamble elected to forgo any attempt at legal
defense of its patent right in favor of a comparatively more beneficial market
challenge.128 To allow certainty for any of the players in these lawsuits, there
122. Linda A. Johnson, Merck Woes are Symbol of Industry, BERGEN COUNTY, N.J.
RECORD, at B 01, available at 2005 WLNR 19554565 (Dec. 4, 2005).
123. Alden F. Abbott & Suzanne T. Michel, The Right Balance of Competition Policy and Intellectual Property Law: A Perspective on Settlements of Pharmaceutical Patent Litigation, 46
IDEA: THE INTELL. PROP. L. REV. 1, 24 (2005).
124. Andrew Humphreys & Nick D=Amore, Generic Deluge: As U.S. Regulators Receive a Record Number of Generic Drug Applications, Pharmaceutical Companies Continue to Align With or Combat Generic Competition, 24 MED AD NEWS 11, available at 2005 WLNR 19795634
126. Abbott & Michel, supra note 123, at 12.
127. See Ferguson v. Proctor & Gamble Pharm., Inc., 353 F. Supp. 2d 674 (E.D. La. 2004).
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KANSAS JOURNAL OF LAW & PUBLIC POLICY [ Vol. XVII:1
has to be some established standard beyond the inconclusive legal precedent
Such a standard should be made in compliance not only with the Sherman
Act, but also with an understanding that patent protection and exclusionary
rights exist to stimulate invention, experimentation, and productive research.
The standard should be one of rational review utilizing an analysis that
contemplates the totality of the circumstances under the rule of reason. Instead
of following the FTC-favored approach pushing for per se invalidity, potential
settlement agreements should be considered acceptable unless it is conclusive
that such agreements unreasonably restrain competitiveness and market
freedom by unacceptably extending of the protections offered by the existing
valid patents. Virtually any absolute and conclusive evaluation standard would
be better for the market, because the current uncertainty favors neither the
generic companies nor the original patent-holding companies.
Settlements under which the generic company receives a reverse payment
should be examined to determine whether there is additional opportunity for
the generic competitor to enter the market prior to the scheduled natural
expiration of the patent.129 If the settlement allows for a generic company to
gain such an early entrance into the market, one of the goals of the Hatch-
Waxman Amendment is met,130 giving the American public access to generic
pharmaceuticals before they would have if an ANDA filing was not allowed.
Such settlements should be given favor over those that simply restrain market
freedom and generic drug availability for just this reason.
Additional consideration should be given to a generic pharmaceutical
company’s willingness to forego the 180-day exclusivity period. Once the
initial lawsuit has been propagated, another original desire of Hatch-Waxman
has been fulfilled: A patent has been challenged through a process that could
promote availability of generic drugs.131 If the patent were truly so weak as to
be vulnerable to a legitimate validity suit, the generic company would not be
willing to forgo both the suit and the incredibly profitable 180-day exclusivity
period. Rather than settling, the generic company instead would continue
litigation and gain FDA approval and make use of the 180-day exclusivity
Finally, a different interpretation of the forfeiture of 180-day exclusivity
period provision of Hatch-Waxman would lead to a less naturally monopolistic
situation. It has been held that by refraining to market a generic version of a
patented drug, a generic company could push back the start of the 180-day
exclusivity period and thereby functionally extend the monopoly held by the
patent owner.132 However, 21 U.S.C. § 355(j)(5)(D) stipulates that an ANDA
129. See Schering v. FTC, 402 F.3d 1056, 1068 (11th Cir. 2005).
130. See Mylan Pharm., Inc. v. FDA, 454 F.3d 270, 271-272 (4th Cir. 2006).
132. In re Terazosin Hydrochloride Anti-trust Litig., 352 F. Supp. 2d 1279, 1315 (S.D. Fla.
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filer forfeits its 180-day exclusivity if it does not market the drug in question
within a period 75 days after a final court decision. If this section were merely
interpreted to include court approval of a finalized settlement agreement, the
worry over extending the patent monopoly could be foregone. If the initial
paragraph IV certification filer lost its 180-day exclusivity period, by
necessity, 75 days after entering into a settlement agreement, the market would
still be open and competitive for any other generic company that desired to file
for ANDA approval. So long as the settlement agreement did not extend
beyond the projected life of the patent and did not prevent the parties to the
agreement from marketing non-infringing products, it would be acceptable
under current anti-trust laws because the 180-day exclusivity period would no
longer be manipulated by an attempt to prevent non-settling generic companies
IX. IMPLEMENTATION OF THE NEW SETTLEMENT STANDARDS
There are a number of available methods whereby these recommended
policy alterations can be effectively implemented. The Patent Act itself could
be amended to more strongly emphasize the power of the presumption of
patent validity, or a specific deference not conventionally awarded to litigants
without legally granted patent monopoly protection could be given to patent
litigation settlements. Alternatively, the Federal Food, Drug, and Cosmetics
Act, as altered by the Hatch-Waxman Act, could be amended to allow for more
free settlement between Hatch-Waxman litigants. The statute could include
language to outline the amended review process and establish presumptions
that must be considered by the FTC during its evaluation of the settlement
validity. Statutorily establishing some absolute regulation for pharmaceutical
litigation settlements between generic and branded drug companies could
strengthen the entire industry by returning to it some of the security that it lost
Although the Hatch-Waxman Act intended to create an environment
through which prescription drugs would be inexpensive and readily available
to the public, the interest in immediate public welfare must be considered in
light of the nature of pharmaceutical company profit, driving research and
development. If it is not economically feasible to spend money creating new
drugs with a great likelihood of recouping these expenditures in future profits,
no logical company will continue to contribute to the market. The public
would therefore invariably suffer because breakthrough medical treatments
would no longer be available, and the general progress of the medical industry
If a standard like the one outlined above were accepted and made publicly
available, generic pharmaceutical companies could readily file ANDA
applications knowing that they would not be forced to litigate beyond a desired
point. Pioneer drug companies could more confidently allocate their money to
research and the production of future breakthrough medication with the
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knowledge that their present investments would result in future profits to
permit them to recover their investment. These pioneer drug companies would
no longer have to gamble on such uncertain litigation outcomes and strict FTC
reviews. Weak and unacceptable patents could still be challenged, and patents
could still be declared invalid, because no generic company would settle a case
if it were confident that it could win in court. In this manner, the intended
purpose of the Hatch-Waxman amendments could be fulfilled and valid patent
challenges leading to increased generic availability would still be encouraged.
Additionally, litigation settlement could retain its favored status because each
participant would be confident in the established rules as to what constitutes
unacceptable anti-competitive activities. With this confidence, the stability
and profitability benefits of the current pharmaceutical patent system could
remain without losing the desired public access and price-control advantages
that come with generic pharmaceutical competition.
X. PROPOSED FURTHER STATUTORY AMENDMENTS
In September 2006, Henry Waxman of the House of Representatives
introduced further proposed amendments to the drug licensing and FDA
approval process.133 The proposed legislation would dramatically lower the
requirements for gaining FDA approval for a biological product.134 A
biological product, or “biologic,” is a “virus, therapeutic serum, toxin,
antitoxin, vaccine, blood, blood component or derivative, [or] allergenic
product . . . applicable to the prevention, treatment, or cure of a disease or
condition of human beings.”135 The proposed legislative amendment would
alter the present regulatory framework by granting ANDA-like preferential
treatment (including a similar 180-day exclusivity period) to companies that
file applications for FDA approval of generic biologics prior to the expiration
of the original biologics patent protection.136 Under current regulations, any
party seeking approval of a biologic must undergo a full examination requiring
proof of safety, purity, and potency of the biologic,137 but Representative
Waxman’s proposed legislation would allow expedited approval upon a
showing that the new biologic has “the same, or similar, active ingredient as a
133. Access to Life-Saving Medicine Act, H.R. 6257, 109th Cong. (2006). (This particular
version of the law was stricken from the Congressional books at the end of the 109th session of
congress, as is standard procedure for all propositions not passed at the end of a session.
However, H.R. 1038, 110th Cong. (2007) is almost identical, and was introduced in February of
2007. See http://www.govtrack.us/congress/bill.xpd?bill=s110-623, last visited October 15,
134. Compare H.R. 6257, with 42 U.S.C. § 262 (2000). (The proposed law suggested an
expedited FDA approval process, similar to that allowed for pharmaceuticals by the original
Hatch-Waxman Act, for biologic substances, where the 2000 statute requires that full safety and
efficacy testing are required for any biologic, generic or name brand, before full FDA approval
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biological product for which a license has been approved.”138
Industry concerns about this proposed legislation are warranted because
“[b]iologics are made using living materials rather than chemicals,” and
differences in cell lines almost guarantee that different companies will produce
different protein products.139 Interestingly enough, the FDA basically agrees
with the industry. On May 30, 2006, the FDA first granted approval to
Omnitrope, a “follow-on” biologic based upon an original Human Growth
Hormone biologic,140 but the FDA adamantly maintains that this does not
establish precedent for widespread approval of generic biologics.141
In light of the pharmaceutical industry’s slim profit margins, the proposed
legislation could further force the decline of functional development and
research in the health-related biotechnology and pharmaceutical fields.
Current market competition is so fierce that even prominent generic
pharmaceutical producers are struggling to maintain financial profitability in
the face of increasing generic competition.142 According to a recent Senatorial
office press release, proponents of the biologics approval amendment seem to
be far more focused on the short-term goal of reducing health care costs,
without giving much thought to the financial situation of the progressive
pharmaceutical and biologics industries themselves.143 It does not seem at all
unreasonable to expect that the loss of profitability in the industry will result in
a reduction in advancement. There is little logical business motivation to
spend enormous sums of money on developing new and breakthrough
therapeutic treatments, biological products, and pharmaceuticals if there is
little hope of recovering the research investments, let alone making a profit.
XI. CONCLUSION
While the introduction of ANDA applications may have resulted in easier
access to prescription medication for a few people, the potential negative
feedback to name-brand pharmaceutical company research and development
still remains a threat if the current stringent settlement rules of the FTC are not
altered. The patent system exists to promote scientific and intellectual
progress.144 Encouraging open contest of granted patents for the sake of
cheaper pharmaceuticals, without some form of protection for the patent
holder, acts contrary to the intended purpose of a patent monopoly grant. To
139. Katie Weeks, Biological Confusion, 27 SAN DIEGO BUS. J., May 8, 2006, at 17, 17-18.
140. F.D.A., Omnitrope (somatropin [rDNA origin]) Questions and Answers, May 30,
2006, available at http://www.fda.gov/cder/drug/infopage/somatropin/qa.htm.
142. See Eric Ladley, Generics Junction: The Next Year May Reveal Which Generics Companies Succeed and Which Ones Will be Forced Out of the Industry, MED AD NEWS 80,
143. Waxman, Schumer, Clinton Introduce ”Access to Life-Saving Medicines Act,” Sept.
26, 2006, available at http://clinton.senate.gov/news/statements/details.cfm?id=264152&&.
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best balance both the patent system’s power to foster development with the
continued availability of affordable, safe, and effective pharmaceutical
medication, the FTC should follow a system such as that suggested above that
encourages review of patent validity suit settlements, but that also allows the
parties to negotiate terms that take into consideration the legality and
Constitutionality of granted patent monopolies.
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