IN RE PHARMACEUTICAL INDUSTRY AVERAGE WHOLESALE PRICE LITIGATION
588 F.3d. 24 (1st Cir. 2009)
NATURE OF THE CASE: Howe (P), named plaintiff, appeals from an order approving a $24
million class action settlement in one multidistrict litigation claiming that it creates a
cy pres fund of up to $10 million rather than distributing all recovery to class members.
FACTS: This is one case of a series of class actions alleging pharmaceutical companies
fraudulently inflated a figure known as the 'average wholesale price' (AWP) between 1991 and
2003 to boost sales. Insurers used AWPs to decide how much to reimburse providers when
patients obtained drugs, which in turn affected patients' co-payments. A coalition of
citizen, healthcare, senior citizen, and consumer advocacy groups sued dozens of drug
manufacturers and healthcare-product companies. The district court denied some proposed
classes and deferred certifying the Medicare Part B Co-Payment class until Ps located
individuals to act as class representatives. The district court certified the Medicare Part
B Co-Payment Class under Rule 23(b)(3). After months of intense litigation and negotiation,
AstraZeneca and the Zoladex subclass reached a final settlement in May 2007, on the eve of
trial. That settlement is at issue in this appeal. The parties expected a large portion of
the total sum AstraZeneca was willing to pay would go unclaimed. Because Zoladex is used to
treat prostate cancer, many class members were elderly, had died, or could die soon, and not
all of them could be found. AstraZeneca agreed to pay class members only on a comparatively
easy claims-made basis. The parties agreed to create a fund, called a cy pres fund, that
would pay any amount remaining (after payout to the claimants) of the $24 million to
'mutually acceptable charitable organizations funding cancer research or patient care' that
the court would approve in the future. The parties capped the cy pres amount at $10 million
if not all of the $24 million was paid out. The district court granted preliminary approval
of the settlement. Howe (P) filed a reply brief objecting to the settlement. She again
argued that class members, not a cy pres fund, should receive the entire settlement amount;
the claims-made process and loss formula were flawed; and the settlement risked subrogation
of the plaintiffs' claims. The district court rejected P's objections. P now appeals the
court order approving the settlement agreement. P argues the settlement is unreasonable
because it creates a cy pres fund.
ISSUE:
RULE OF LAW:
HOLDING AND DECISION:
LEGAL ANALYSIS:
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