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Healthy Skepticism Library item: 1354

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Landers P.
Bristol-Myers Launches Review Of Sales, Marketing Practices
The Wall Street Journal 2003 Jul 23


Full text:

Bristol-Myers Squibb Co. said it has started an internal review into whether its sales violated federal antikickback laws and drug-pricing rules, dealing the drug maker a setback just as executives were saying the company had turned the corner from an accounting scandal.

Bristol-Myers said the review was begun by senior managers acting on their own initiative. “This is only an internal review that was undertaken by the company for the company,” said a spokeswoman.

Still, the company’s description of its possible violations closely resembles the alleged violations described by other drug makers that are being investigated by federal prosecutors in several regions.

In a news release, Bristol-Myers said it wants to know whether some “of its sales and marketing practices … comply with the provisions of applicable ‘anti-kickback’ laws.” It said the internal review also seeks to determine whether its pricing in federal-government programs that use Medicaid prices as a reference has been appropriate. The release didn’t provide further details.

Several drug makers have been investigated under laws concerning kickbacks and Medicaid-related pricing. Schering-Plough Corp. said in May that the U.S. attorney in Boston has threatened the company with criminal indictment over sales and marketing practices, including possible violations of the antikickback statute. Schering-Plough also faces a federal grand-jury probe in Pennsylvania over Medicaid pricing.

In April, Bayer AG and GlaxoSmithKline PLC agreed to pay a combined $344 million in fines to settle allegations by the U.S. attorney in Boston that the companies avoided reporting to the federal government the low prices they charged to private payers and thus evaded paying millions of dollars in additional rebates to Medicaid.

Bristol-Myers executives briefed the company’s board about the internal inquiry during a board meeting last week, a person familiar with the situation said. Directors learned the company had undertaken the review partly because the drug industry’s practices are being questioned by aggressive prosecutors. Peter Dolan, the chief executive, and finance chief Andrew Bonfield are in charge of the inquiry. The Bristol spokeswoman declined to comment.

Bristol-Myers has been under siege since April 2002 over accounting problems. The company admitted in March that it overstated revenue by $2.5 billion between 1999 and 2001. Bristol-Myers said it improperly recorded sales to wholesalers, generally toward the end of the quarter, in order to meet quarterly sales projections established by senior management. The Securities and Exchange Commission and Justice Department have been investigating the revenue overstatement.

People familiar with the situation said late last year that Mary Jo White, former U.S. attorney in Manhattan, had been hired by Bristol-Myers to conduct an internal investigation into the wholesaler-incentive issue. The company hasn’t disclosed the results of Ms. White’s investigation, but two people familiar with the latest inquiry said Ms. White isn’t involved this time.

Ms. White couldn’t be reached for comment Tuesday night.

Recently, Bristol-Myers executives have begun to talk of a comeback from the accounting scandal, citing early success with Abilify, a drug for schizophrenia, and the Food and Drug Administration’s approval of a new AIDS treatment. James Palmer, head of research and development, told investors at a presentation last month that “things are turning the corner” at the company.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909