By: Derek Hawkins//October 17, 2017//
7th Circuit Court of Appeals
Case Name: Sidney Hillman Health Center of Rochester, et al. v. Abbott Laboratories, et al.
Case No.: 17-1483
Officials: EASTERBROOK, KANNE, and WILLIAMS, Circuit Judges.
Focus: RICO Claims
Plaintiffs contend that Payors bear the principal costs of off-label promotions, because they pay for most of the cost of the drugs, but comparing the patients’ health costs (and out- of-pocket co-pays) with the Payors’ costs may be difficult.
Second, whether or not any given off-label prescription for Depakote helped the patient (compared with another drug), some physicians were apt to write such prescriptions whether or not Abbott promoted off-label uses. We know that the number of off-label prescriptions grew once Abbott began its campaign, but off-label prescriptions did not start from zero. To calculate damages, it would be necessary to determine the volume of off-label prescriptions that would have occurred in the absence of Abbott’s unlawful activity.
We hold that improper representations made to physicians do not support a RICO claim by Payors, several levels removed in the causal sequence. Public prosecution avoids these problems, so Abbott’s criminal conviction and $1.6 billion payment were the proper remedies.
Affirmed