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	<title>Comments on: Fed Probe Into Johnson &#038; Johnson At Zero Hour</title>
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	<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/</link>
	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 21:04:58 +0000</pubDate>
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		<title>By: Justice in MI</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-449639</link>
		<dc:creator>Justice in MI</dc:creator>
		<pubDate>Sun, 06 Dec 2009 03:31:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=20199#comment-449639</guid>
		<description>CP--Not certain whether your comment is intended to be ironic, but the core point of the recent Pfizer busts was not simply off-label promotion.  Particularly in the case of Bextra, it was promotion for indications that the FDA had _specfically_ rejected as unsafe. 

As I recall the Neurontin case, W-L was promoting gabapentin for indications  for which there were no data whatsoever--not even company sponsored studies, published in non-juried pseudo journals. 

So it was pure body snatching.</description>
		<content:encoded><![CDATA[<p>CP&#8211;Not certain whether your comment is intended to be ironic, but the core point of the recent Pfizer busts was not simply off-label promotion.  Particularly in the case of Bextra, it was promotion for indications that the FDA had _specfically_ rejected as unsafe. </p>
<p>As I recall the Neurontin case, W-L was promoting gabapentin for indications  for which there were no data whatsoever&#8211;not even company sponsored studies, published in non-juried pseudo journals. </p>
<p>So it was pure body snatching.</p>
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		<title>By: Concerned Party</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-449554</link>
		<dc:creator>Concerned Party</dc:creator>
		<pubDate>Sat, 05 Dec 2009 21:13:22 +0000</pubDate>
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		<description>can we hold the VA system and DOD accountable for recommending generic Neurontin be used for off label indications?</description>
		<content:encoded><![CDATA[<p>can we hold the VA system and DOD accountable for recommending generic Neurontin be used for off label indications?</p>
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		<title>By: Justice in MI</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-449354</link>
		<dc:creator>Justice in MI</dc:creator>
		<pubDate>Sat, 05 Dec 2009 05:46:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=20199#comment-449354</guid>
		<description>Great concept (keeping the subs in existence as felony fodder).

I wish I'd kept my "baby teeth" in case I need a filling.</description>
		<content:encoded><![CDATA[<p>Great concept (keeping the subs in existence as felony fodder).</p>
<p>I wish I&#8217;d kept my &#8220;baby teeth&#8221; in case I need a filling.</p>
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		<title>By: Condor</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-449291</link>
		<dc:creator>Condor</dc:creator>
		<pubDate>Sat, 05 Dec 2009 02:46:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=20199#comment-449291</guid>
		<description>&lt;b&gt;&lt;i&gt;Ni-i-i-i-i-i-i-ice&lt;/i&gt;&lt;/b&gt;, Anon.!

I like the thoughts -- even if they are a non-starter, in the land of trying to "&lt;i&gt;speak truth to power&lt;/i&gt;. . . ."

[I &lt;b&gt;especially&lt;/b&gt; like the industry-banishment, for the truly-churlish CEOs.]

Namaste</description>
		<content:encoded><![CDATA[<p><b><i>Ni-i-i-i-i-i-i-ice</i></b>, Anon.!</p>
<p>I like the thoughts &#8212; even if they are a non-starter, in the land of trying to &#8220;<i>speak truth to power</i>. . . .&#8221;</p>
<p>[I <b>especially</b> like the industry-banishment, for the truly-churlish CEOs.]</p>
<p>Namaste</p>
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		<title>By: Anonymous</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-449258</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 05 Dec 2009 00:27:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=20199#comment-449258</guid>
		<description>Don't bar the companies from Medicare/-aid, jst require that they sell their products to the agencies at cost or 2x cost for 5 years. Then require that the CEO be banned from the pharmaceutical industry - all of the industry.  After all isn't that why we have the Business Standards of Ethics.

If they lied to make more money then the punishment should be that they lose more than they could ever have possibly gained.  

Oh, and by the way, employees could not be laid off during this period.</description>
		<content:encoded><![CDATA[<p>Don&#8217;t bar the companies from Medicare/-aid, jst require that they sell their products to the agencies at cost or 2x cost for 5 years. Then require that the CEO be banned from the pharmaceutical industry - all of the industry.  After all isn&#8217;t that why we have the Business Standards of Ethics.</p>
<p>If they lied to make more money then the punishment should be that they lose more than they could ever have possibly gained.  </p>
<p>Oh, and by the way, employees could not be laid off during this period.</p>
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		<title>By: Condor</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-449004</link>
		<dc:creator>Condor</dc:creator>
		<pubDate>Fri, 04 Dec 2009 13:31:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=20199#comment-449004</guid>
		<description>OuchQ! -- a bad typo corrected, in line two of 'graph three, of mine above:

". . .&lt;i&gt;another &lt;b&gt;H&lt;/b&gt;OLDS that the single most important&lt;/i&gt;. . ." 

Namaste</description>
		<content:encoded><![CDATA[<p>OuchQ! &#8212; a bad typo corrected, in line two of &#8216;graph three, of mine above:</p>
<p>&#8220;. . .<i>another <b>H</b>OLDS that the single most important</i>. . .&#8221; </p>
<p>Namaste</p>
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		<title>By: Condor</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-448999</link>
		<dc:creator>Condor</dc:creator>
		<pubDate>Fri, 04 Dec 2009 13:20:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=20199#comment-448999</guid>
		<description>Hey JiM -- Thanks and I agree with yours.

Just one additional explanatory note: in both cases, &lt;b&gt;one&lt;/b&gt; of the Warner-Lambert (2004) and &lt;b&gt;one&lt;/b&gt; of the Pharmacia (2009) operating subsidiaries were &lt;i&gt;kept in existence&lt;/i&gt;, from 1999, and 2003, respectively. WHY?

One theory holds that this was done to collect later-appearing liabilities generally; another olds that the single most important reason the subs were kept in existence -- post-transaction -- was to serve as felony plea cannon-fodder, for the eventual DoJ pleas/settlements/consent agreements.

Like I said -- pretty darn well-insulated, from the ultimate surviving post-merger parent company executive suite.

Namaste</description>
		<content:encoded><![CDATA[<p>Hey JiM &#8212; Thanks and I agree with yours.</p>
<p>Just one additional explanatory note: in both cases, <b>one</b> of the Warner-Lambert (2004) and <b>one</b> of the Pharmacia (2009) operating subsidiaries were <i>kept in existence</i>, from 1999, and 2003, respectively. WHY?</p>
<p>One theory holds that this was done to collect later-appearing liabilities generally; another olds that the single most important reason the subs were kept in existence &#8212; post-transaction &#8212; was to serve as felony plea cannon-fodder, for the eventual DoJ pleas/settlements/consent agreements.</p>
<p>Like I said &#8212; pretty darn well-insulated, from the ultimate surviving post-merger parent company executive suite.</p>
<p>Namaste</p>
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		<title>By: Justice in MI</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-448937</link>
		<dc:creator>Justice in MI</dc:creator>
		<pubDate>Fri, 04 Dec 2009 01:04:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=20199#comment-448937</guid>
		<description>Thanks, Condor.  In 2004, Warner-Lambert no longer existed (it was acquired by Pfizer in 2000).  So, indeed, a non-existent company was debarred.  Likewise, Pharmacia in the latest round.  Kind of like Congress voting to impeach Andrew Johnson _today_.

I agree that corporate crime is a whole different animal, and inevitably follows a different model, than criminal law more generally.  That's both because of the potential unjust consequences to innocents of debarring a company, as you've noted and with which I agree, and because malfeasance is often systemic enough that being able to identify particular perps, doing particular mischief, is often very difficult.  Thus, your point about proving specific intent.</description>
		<content:encoded><![CDATA[<p>Thanks, Condor.  In 2004, Warner-Lambert no longer existed (it was acquired by Pfizer in 2000).  So, indeed, a non-existent company was debarred.  Likewise, Pharmacia in the latest round.  Kind of like Congress voting to impeach Andrew Johnson _today_.</p>
<p>I agree that corporate crime is a whole different animal, and inevitably follows a different model, than criminal law more generally.  That&#8217;s both because of the potential unjust consequences to innocents of debarring a company, as you&#8217;ve noted and with which I agree, and because malfeasance is often systemic enough that being able to identify particular perps, doing particular mischief, is often very difficult.  Thus, your point about proving specific intent.</p>
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		<title>By: Condor</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-448935</link>
		<dc:creator>Condor</dc:creator>
		<pubDate>Fri, 04 Dec 2009 00:54:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=20199#comment-448935</guid>
		<description>Hey JiM --

Both of the Pfizer pleas/settlements ('04 and '09 editions) involved agreeing to felony convictions -- but not at the parent company level. Legal sophistry, I know -- but the subsidiaries, not Pfizer, itself -- pled to felonies. In the 2004 deal, it was the Warner-Lambert subsidiary (then debarred) -- but Pfizer could keep selling, and most recently, it was a Pharmacia subsidiary of Pfizer.

All along, Pfizer can keep selling to the government payors.

In each case, it was the entity that had "&lt;i&gt;done the crime&lt;/i&gt;" that agreed to "&lt;i&gt;do the [non-]time&lt;/i&gt;".

To be clear, here -- I do not condone this state of affairs. It just is an odd and tortured outcome dictated by the way the Congress has enacted the law in this area.

One possibility always open to the local US Attorney -- in settlement/plea discussions, of this sort -- is to demand that executive officers in charge of the units be fired, their stock, options and bonuses be "clawed back" -- and so on. . . why we don't see jail time for at least one or two continues to vex me. But I do understand the proof of specific intent to violate the law -- is very difficult, with all the intervening layers of shrugging management.

Often, moreover, the invovled executives have long since taken their parachutes and jumped.

Perhaps that is where the DoJ should next look -- even at departed executives.

Fred Hassan and Carrie Cox would appear to be near the tip-top of the list of &lt;i&gt;repeat offenders&lt;/i&gt; (Pharmacia, then Schering-Plough), in this regard -- yet Hassan landed at Warburg Pinkus (with board seats at Baush &#38; Lomb, and Time-Warner), and Cardinal Health just added Cox to its board of directors, though she has no full time gig as of the moment. Hmmmmm. . . .

Perhaps they would be good targets for Wells notices, having been at the helm of Celebrex, Bestra and, most recently, Vytorin/Zetia.

Who knows?

Namaste</description>
		<content:encoded><![CDATA[<p>Hey JiM &#8211;</p>
<p>Both of the Pfizer pleas/settlements (&#8217;04 and &#8216;09 editions) involved agreeing to felony convictions &#8212; but not at the parent company level. Legal sophistry, I know &#8212; but the subsidiaries, not Pfizer, itself &#8212; pled to felonies. In the 2004 deal, it was the Warner-Lambert subsidiary (then debarred) &#8212; but Pfizer could keep selling, and most recently, it was a Pharmacia subsidiary of Pfizer.</p>
<p>All along, Pfizer can keep selling to the government payors.</p>
<p>In each case, it was the entity that had &#8220;<i>done the crime</i>&#8221; that agreed to &#8220;<i>do the [non-]time</i>&#8220;.</p>
<p>To be clear, here &#8212; I do not condone this state of affairs. It just is an odd and tortured outcome dictated by the way the Congress has enacted the law in this area.</p>
<p>One possibility always open to the local US Attorney &#8212; in settlement/plea discussions, of this sort &#8212; is to demand that executive officers in charge of the units be fired, their stock, options and bonuses be &#8220;clawed back&#8221; &#8212; and so on. . . why we don&#8217;t see jail time for at least one or two continues to vex me. But I do understand the proof of specific intent to violate the law &#8212; is very difficult, with all the intervening layers of shrugging management.</p>
<p>Often, moreover, the invovled executives have long since taken their parachutes and jumped.</p>
<p>Perhaps that is where the DoJ should next look &#8212; even at departed executives.</p>
<p>Fred Hassan and Carrie Cox would appear to be near the tip-top of the list of <i>repeat offenders</i> (Pharmacia, then Schering-Plough), in this regard &#8212; yet Hassan landed at Warburg Pinkus (with board seats at Baush &amp; Lomb, and Time-Warner), and Cardinal Health just added Cox to its board of directors, though she has no full time gig as of the moment. Hmmmmm. . . .</p>
<p>Perhaps they would be good targets for Wells notices, having been at the helm of Celebrex, Bestra and, most recently, Vytorin/Zetia.</p>
<p>Who knows?</p>
<p>Namaste</p>
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		<title>By: Justice in MI</title>
		<link>http://www.pharmalot.com/2009/12/fed-probe-into-johnson-johnson-reaches-zero-hour/#comment-448928</link>
		<dc:creator>Justice in MI</dc:creator>
		<pubDate>Thu, 03 Dec 2009 23:27:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=20199#comment-448928</guid>
		<description>This probably for Condor or some other "real lawyer"--

I don't understand why Pfizer, which admitted to felony fraud in off-label marketing, was not barred from Medicare/Medicaid.  While, on the other hand, if J&#38;J is convincted, they would be barred automatically.

Is this itself part of plea bargaining, or is there some other legal principle involved?  The offense in question?</description>
		<content:encoded><![CDATA[<p>This probably for Condor or some other &#8220;real lawyer&#8221;&#8211;</p>
<p>I don&#8217;t understand why Pfizer, which admitted to felony fraud in off-label marketing, was not barred from Medicare/Medicaid.  While, on the other hand, if J&amp;J is convincted, they would be barred automatically.</p>
<p>Is this itself part of plea bargaining, or is there some other legal principle involved?  The offense in question?</p>
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