STATEMENT OF UNITED STATES
ATTORNEY
JOHN BROWNLEE
ON THE GUILTY PLEA OF THE PURDUE FREDERICK COMPANY AND
ITS EXECUTIVES FOR ILLEGALLY MISBRANDING OXYCONTIN
May 10, 2007
One of the oldest and most challenging medical
mysteries is the treatment of pain. For centuries,
scientists and doctors have searched for a drug that
would safely relieve patients of their chronic pain
without inflicting the dangerous side effects that
routinely come from the use of addictive narcotics. The
discovery of this �wonder� drug would bring hope and
relief to millions of suffering patients and wealth
beyond one�s imagination to its creators.
In 1996, Purdue and its top executives claimed that
they had developed such a drug; a safe drug that would
help those suffering in pain. The name of that drug was
OxyContin. Backed by an aggressive marketing campaign,
Purdue�s OxyContin became the new pain medication of
choice for many doctors and patients. Purdue claimed it
had created the miracle drug � a low risk drug that
could provide long acting pain relief but was less
addictive and less subject to abuse. Purdue�s marketing
campaign worked, and sales for OxyContin skyrocketed �
making billions for Purdue and millions for its top
executives.
But OxyContin offered no miracles to those suffering
in pain. Purdue�s claims that OxyContin was less
addictive and less subject to abuse and diversion were
false � and Purdue knew its claims were false. The
result of their misrepresentations and crimes sparked
one of our nation�s greatest prescription drug failures.
OxyContin is nothing more than pure oxycodone � a habit
forming narcotic derived from the opium poppy. Purdue�s
OxyContin never lived up to its hype and never offered a
low risk way of reducing pain as promised. Simply put,
the genesis of OxyContin was not the result of good
science or laboratory experiment. OxyContin was the
child of marketeers and bottom line financial decision
making.
Accordingly, this morning, in a federal courtroom in
Abingdon, Virginia, the Purdue Frederick Company, the
manufacturer and distributor of OxyContin, pleaded
guilty to a felony charge of illegally misbranding
OxyContin in an effort to mislead and defraud physicians
and consumers. Purdue has agreed to pay over $600
million in criminal and civil penalties, fines and
forfeitures, subjected itself to independent monitoring
and an extensive remedial action program, and
acknowledged that it illegally marketed and promoted
OxyContin by falsely claiming that OxyContin was less
addictive, less subject to abuse and diversion, and less
likely to cause withdrawal symptoms than other pain
medications � all in an effort to maximize its profits.
Also, Purdue�s Chief Executive Officer Michael Friedman,
General Counsel Howard Udell, and former Chief Medical
Officer Paul Goldenheim pleaded guilty to a misdemeanor
charge of misbranding OxyContin and collectively agreed
to pay $34.5 million in penalties. With its OxyContin,
Purdue unleashed a highly abusable, addictive, and
potentially dangerous drug on an unsuspecting and
unknowing public. For these misrepresentations and
crimes, Purdue and its executives have been brought to
justice.
We have released a Criminal Information, Plea
Agreements, a Corporate Integrity Agreement, a Statement
of Facts, and a Complaint for Forfeiture that have been
filed in U.S. District Court in Abingdon. Purdue and its
top three executives have pleaded guilty to illegally
misbranding OxyContin from 1996 thru 2001. The company
has admitted that it misbranded OxyContin with the
intent to defraud and mislead the public.
As part of this plea agreement, Purdue and its top
three executives will pay $634.5 million in criminal and
civil fines, penalties, and forfeitures, to be
distributed as follows. First, Purdue will forfeit to
the United States $276.1 million, a portion of which
will be shared with the state and federal law
enforcement agencies for their work during this
investigation.
Second, Purdue will pay $130 million for compensation
and settlement of private civil liabilities related to
OxyContin. Any part of the $130 million that Purdue
fails to distribute within two years will be immediately
paid to the United States.
Third, Purdue will pay $100.6 million to the United
States as reimbursement for payments made by government
agencies for the settlement of false claims related to
the misbranding of OxyContin. Those federal agencies
include the Department of Health and Human Services, the
Department of Labor, the Department of Defense, the
Office Personnel Management, and the Veterans
Administration.
Fourth, Purdue will pay $59.3 million to the State
Medicaid programs as reimbursement for payments made by
Medicaid for the settlement of false claims related to
the misbranding of OxyContin. This money is available to
any state to settle claims related to Purdue�s criminal
conduct. Fifth, Purdue and its top three executives will
pay $39.8 million to the Virginia Attorney General�s
Medicaid Fraud Control Unit Program Income fund.
Virginia�s MFCU is an important partner in our efforts
to fight fraud against our medicaid programs. Sixth,
Purdue will pay $20 million to the Virginia Department
of Health Professionals� operation of the Virginia
Prescription Monitoring Program. The prescription
monitoring program was initiated in part because of the
big spike in prescription drug abuse that accompanied
the illegal marketing of OxyContin. Currently, the
program is largely funded by the Virginia taxpayers, and
the $20 million payment by Purdue should endow the
program for the foreseeable future. Seventh, Purdue will
pay $4.6 million to cover the costs of the five year
internal monitoring program that is a part of the
company�s Corporate Integrity Agreement with the Health
and Human Services Office of the Inspector General.
Eighth, Purdue will pay $3.4 million to the federal and
state Medicaid programs for improperly calculated
Medicaid rebates for years 1998 and 1999, and finally,
Purdue and the three executives will pay $515,475 in
criminal fines and special assessments to the court.
In addition to the guilty pleas and monetary
penalties, the United States has directed Purdue, as
part of the Corporate Integrity Agreement, to retain and
pay for an Independent Monitor and staff to monitor
Purdue�s compliance with this agreement and federal law.
The monitor and staff will be independent from Purdue�s
management and must file periodic reports with the
government concerning Purdue�s conduct and business
practices. We believe this monitoring program, in
conjunction with the Corporate Integrity Agreement, will
ensure that in the future Purdue will market and promote
its products in an honest and responsible manner. The
public must be confident that we will keep close watch
on how Purdue sells its most dangerous products.
I would now like to provide to you a brief summary of
the investigation and some of our findings. The main
violations of the law revealed by the government�s
criminal investigation are set forth in detail in the
Statement of Facts released to you today.
The defendant The Purdue Frederick Company, a New
York corporation headquartered in Connecticut, was
created in 1892 and purchased by its current owners in
1952. Defendant Michael Friedman joined Purdue in 1985
and was appointed President and Chief Executive Officer
in 2003. It is our understanding that Mr. Friedman has
announced his intention to leave Purdue this year.
Defendant Howard Udell joined Purdue in 1977 and is
presently Purdue�s Executive Vice President and Chief
Legal Officer. Defendant Dr. Paul Goldenheim joined
Purdue in 1985 as its Medical Director. Dr. Goldenheim
left Purdue in 2004.
This case began in early 1995, when Purdue used focus
groups of primary care physicians and surgeons to
determine whether physicians would be willing to
prescribe OxyContin for patients with non-cancer pain.
According to Purdue�s research, many of these physicians
had great reservations about prescribing OxyContin
because of the drug�s addictive potential and side
effect profile, and its abuse potential. It was clear
from these focus groups that physicians were concerned
about the safety and risks of OxyContin.
Purdue also learned from these focus groups that
physicians wanted a long lasting pain reliever that was
less addictive and less subject to abuse and diversion.
Purdue understood that the company that marketed and
sold that drug would dominate the pain management
market. And that is exactly what Purdue tried to do.
Despite knowing that OxyContin contained high
concentrations of oxycodone HCL, had an abuse potential
similar to that of morphine, and was at least as
addictive as other pain medications on the market,
Purdue, beginning in January 1996, with the intent to
defraud and mislead, falsely marketed and promoted
OxyContin as less addictive, less subject to abuse and
diversion, and less likely to cause tolerance and
withdrawal than other pain medications. Purdue did so in
the following ways:
First, Purdue trained its sales representatives to
falsely inform health care providers that it was more
difficult to extract the oxycodone from an OxyContin
tablet for the purpose of intravenous abuse. Purdue
ordered this training even though its own study showed
that a drug abuser could extract approximately 68% of
the oxycodone from a single 10 mg OxyContin tablet by
simply crushing the tablet, stirring it in water, and
drawing the solution through cotton into a syringe.
Second, Purdue falsely instructed its sales
representatives to inform health care providers that
OxyContin could create fewer chances for addiction than
immediate-release opioids.
Third, Purdue sponsored training that falsely taught
Purdue sales supervisors that OxyContin had fewer �peak
and trough� blood level effects than immediate-release
opioids resulting in less euphoria and less potential
for abuse than short-acting opioids.
Fourth, Purdue falsely told certain health care
providers that patients could stop therapy abruptly
without experiencing withdrawal symptoms and that
patients who took OxyContin would not develop tolerance
to the drug.
And fifth, Purdue falsely told health care providers
that OxyContin did not cause a �buzz� or euphoria,
caused less euphoria, had less addiction potential, had
less abuse potential, was less likely to be diverted
than immediate-release opioids, and could be used to
�weed out� addicts and drug seekers.
The results of Purdue�s crimes were staggering.
According to DEA, the number of oxycodone related deaths
increased 400 percent between 1996 and 2001. During that
same time period, the annual number of prescriptions for
OxyContin increased from approximately 300,000 to nearly
6 million. Also, in February of 2002, the DEA released a
report detailing the death rates caused by OxyContin
abuse up to that time. According to the DEA, there were
146 deaths in which OxyContin was determined to be the
direct "cause of" or �a contributing factor to.� DEA
identified an additional 318 deaths that were �most
likely� caused by OxyContin. In Virginia, our medical
examiner reported that 228 people died in western
Virginia from overdoses of oxycodone from 1996 to 2005.
For some communities, the danger went beyond just
addiction and death. Beginning in 2000, localities began
to report dramatically higher crime rates � some up as
much as 75% from the year before. This sharp increase in
crime was directly attributable to the abuse of
OxyContin. Tazewell County estimated that OxyContin was
behind 80-95% of all crimes that were committed there.
From 1998 to 2003, burglaries, robberies, and larcenies
jumped 131% in Buchanan County and 102% in Russell
County.
During the last 10 years, Virginia�s law enforcement
community has fought hard against the devastating
effects OxyContin has had on our citizens and
communities. During that time, we have convicted the
OxyContin addicts who committed serious crimes to get
money to buy more OxyContin, and we convicted street
dealers who preyed upon the addicts� craving for this
powerful narcotic. We also convicted pharmacists and
physicians who illegally diverted OxyContin for personal
gain and profit. With today�s conviction of the maker of
OxyContin, we have finally brought to justice the main
component involved in this ring of abuse. The conviction
of Purdue and its executives will end the misbranding
and fraudulent marketing of OxyContin, deter other
companies from committing like crimes, and provide
desperately needed resources to fight addiction and
abuse that threatens the health of millions of
Virginians.
Thank you.
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