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[화이자] 벡스트라 23억달러 벌금형에 얽힌 10가지 놀라운 사실들

http://www.bnet.com/blog/drug-business/10-amazing-facts-about-pfizer-8217s-23b-bextra-settlement/2762

화이자(Pfizer) 벡스트라 23억달러 벌금 합의와 관련한 10가지 놀라운 사실들

  1. 이 벌금 이외에도 6명의 내부고발자들이 보상비용으로 1억 2백만 달러를 받음
  2. 이 케이스 하나만으로 우편 노동자 1만명 이상이 보상을 받을 것이라고 발표됨
  3. 이번에 문제가 되는 브랜드 네임은 화이자가 아님. 파마시아 업존(Pharmacia and Upjohn Company) 임. 물론 P&U는 화이자의 자회사임
  4. 화이자는 벡스트라가 무릎 수술후 몰핀을 줄여주는 효과적인 진통제라고 언론보도자료를 낸 바도 있는데 이것은 off-label 판매 중 가장 바보같은 사례가 될 것이 틀림 없음. 벡스트라는 수술후 통증완화 목적으로 승인을 받은 바 없음
  5. 전 세일즈 매니저로서 세일즈 팀을 이끌었던 토마스 파리나(Thomas Farina) 1.5개월부터 6개월까지의 전자발찌를 차고 가택연금형을 받음.
  6. 파리나의 팀은 ‘하이랜더’팀이라고 불림
    — 이 영화와 타비 드라마는 대중속에서 살고 있는 불멸인간들이 서로 죽고 죽여야 하는 컬트물인데 파리나는 그의 이메일에 ” There can be only one” 이라는 이 드라ak의 모토를 빌어 사인을 했다고 함
  7. 파리나는 자신의 컴퓨터를 조작하기 위해 컴퓨터 시간을 조작한 것으로 밝혀짐
  8. 어느 시점에서는 100명 정도의 세일즈 representatives 들이 멕스트라의 용도외 사용에 초점을 맞추어 판매를 했던 적도 있음. 이들의 보스는 메리 홀로웨이(Mary Holloway) 였는데 75,000 덜러 벌금형과 2년간의 보호관찰형을 받음.
  9. 그 당시 화이자의 의료 디렉터(medical directors)들은 홀로웨이의 벡스트라 취급방법을 굉장(“awesome”)하다고 생각했음
  10. 화이자는 처음에 23억달러 벌금 합의를 마무리지은 날에 와이어스와의 합병 및 4분기 영업실적 공개를 했음. 이 때문에 대부분의 언론은 합병에 초점을 맞추느라 벌금합의를 놓쳤음.

10 Amazing Facts About Pfizer’s $2.3B Bextra Settlement


By Jim Edwards | September 2, 2009
 
The Department of Justice made official today its $2.3 billion settlement with Pfizer over its illegal marketing of Bextra and other drugs. The announcement is not a surprise: BNET first noted the settlement when Pfizer disclosed it in January.

For
a detailed history of how this happened, click through the story ladder
below. In the meantime, here are 10 interesting facts about the case:

  1. In addition to the fines, six whistleblowers will receive more than $102 million in the recovery, the DOJ said.
  2. “This case alone impacted more than 10,000 postal employees on workers’ compensation who were treated with these drugs,” said Joseph Finn, Special Agent in Charge for the Postal Service’s Office of Inspector General.
  3. Whose brand name will be tarnished by the company pleading guilty to a crime? Not Pfizer’s. Rather, it’s “Pharmacia & Upjohn Company,”
    which will cop to felony violation of the Food, Drug and Cosmetic Act
    for misbranding Bextra with the intent to defraud or mislead. P&U
    is, of course, a Pfizer acquisition.
  4. In what must be the dumbest act of off-label drug promotion ever, Pfizer once put out a press release touting Bextra as an effective morphine-sparing analgesic after knee surgery. Bextra was not approved for post-surgery pain.
  5. Former sales manager Thomas Farina, who led a team of sales reps in Brooklyn who promoted Bextra off-label, is about one and a half months into a six-month sentence of home confinement with an electronic ankle bracelet for his role in the case.
  6. Farina’s team was called “the Highlanders
    — a reference to a movie and TV show about a cult of immortals living
    secretly among us who must kill or be killed. Farina signed his emails,
    “There can be only one,” a reference to the motto of the show.
  7. Farina became tangled in the probe when he was caught changing the
    timeclock on a computer in order to back-date certain documents. Farina
    did this after showing his team a compliance training video informing
    employees that they were under investigation on Pfizer.
  8. At one point, about 100 reps were focused on selling Bextra off-label. Their boss was Mary Holloway, who paid a $75,000 fine and is currently on two years’ probation.
  9. At the time, Pfizer’s medical directors thought Holloway’s handling of the Bextra business was “awesome.”
  10. Pfizer first disclosed the $2.3 billion fine on the same day it
    announced its merger with Wyeth and released its Q4 earnings. Most media
    missed the settlement because of they were focused on the merger.
    Pfizer also detailed the investigation in several of its quarterly SEC
    filings, but gave less detail in its quarterly earnings press releases,
    which come out before the SEC filings. Because people read the press
    releases first, and they tend to be similar to the SEC filings, no one noticed the settlement until BNET pointed it out on the morning of the Wyeth merger.

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