NEW YORK, Dec 27 (Reuters) - A U.S. appeals court on
Friday revived a whistleblower lawsuit accusing the Swiss
drugmaker Novartis of paying illegal kickbacks to
doctors to induce them to promote its blockbuster multiple
sclerosis drug Gilenya.
In a 3-0 decision, the 2nd U.S. Circuit Court of Appeals in
Manhattan said the whistleblower Steven Camburn can try to prove
that Novartis violated the federal False Claims Act by holding
"sham" speaker events to boost Gilenya sales.
Camburn, a former Novartis sales representative, said the
drugmaker paid doctors thousands of dollars and treated them to
dinners at high-end restaurants to speak at purportedly
educational events that were actually social in nature.
He said this caused government health insurance programs
including Medicare Part D, Medicaid and TRICARE to be defrauded
when doctors and pharmacies submitted reimbursement claims for
Gilenya that were tainted by kickbacks.
Circuit Judge Myrna Perez said Camburn sufficiently alleged
that Novartis' holding speaker events with few or no legitimate
attendees, paying doctors excessively for canceled events, and
selecting speakers to encourage prescription writing created a
"strong inference" that the drugmaker intended to induce fraud.
She agreed with seven other federal appeals courts that in
whistleblower cases, defendants violate the federal
Anti-Kickback Statute when at least one purpose of their
compensation is to induce purchases of federally reimbursable
healthcare products.
Novartis and its lawyers did not immediately respond to
requests for comment. Lawyers for Camburn did not immediately
respond to similar requests.
The False Claims Act lets whistleblowers sue on behalf of
the government, and share in recoveries.
Friday's decision vacated a Sept. 2022 dismissal by U.S.
District Judge Kimba Wood in Manhattan, and returned the case to
her. Camburn sued Novartis in May 2013, about 2-1/2 years after
the drug won federal regulatory approval.
Gilenya sales have been declining because of competition
from generic versions.
Sales fell to $925 million in 2023 from $3.22 billion in
2019, and totaled $443 million in the first nine months of 2024.
Novartis agreed in 2020 to pay more than $729 million to
settle U.S. government charges it paid illegal kickbacks to
doctors and patients to boost drug sales.
The case is US ex rel Camburn v. Novartis Pharmaceuticals
Corp, 2nd U.S. Circuit Court of Appeals, No. 22-2708.