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Healthy Skepticism Library item: 16033

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

Edwards J.
Pfizer Exec Gets 6 Months' Home Confinement for Off-Label Bextra Sales
BNet 2009 Jul 20
http://industry.bnet.com/pharma/10003184/pfizer-exec-gets-3-months-home-confinement-for-off-label-bextra-sales/


Full text:

Thomas Farina, the Pfizer sales manager convicted for his role in leading “The Highlanders,” a team of rogue drug reps who promoted Bextra for off-label use in Brooklyn, N.Y., was sentenced to home confinement and electronic monitoring – probably via ankle bracelet – for six months.

He will remain on probation for three years. No monetary fine was imposed beyond a $100 court fee.

The move brings to a close a dark chapter for Pfizer, which agreed to pay $2.3 billion to settle federal charges that the sales had defrauded Medicare. Convicted earlier was Mary Holloway, who was fined $75,000 and given two years’ probation for directing a sales team of about 100 reps who distributed off-label. Farina assisted Holloway in that effort, in which they touted Bextra for various types of post-operative pain even though it was not FDA-approved for that use. Holloway alleged at her sentencing that Pfizer’s management approved and arranged the off-label promotion. The company even put out a press release touting off-label uses. Farina further entangled himself by deleting files from his computer after the investigation of Bextra began. He referred to his sales team as “The Highlanders,” a reference to a movie about a group of immortal warriors who must kill or be killed.

Court documents state that Farina left Pfizer in March 2005 to take a position at Abbott Labs as a sales manager in Rochester, N.Y. He will lose that job as a result of this conviction, his sentencing memo states.

The memo adds one new detail to the case – that Farina and a colleague altered post-operative briefing sheets while working to encourage surgeons to use Bextra. The Cox-2 painkiller has since been withdrawn from the market due to its similarity to Merck’s Vioxx.Here’s the court’s sentencing memo:

Judge Joseph L. Tauro: Sentencing held on 7/16/2009 for Thomas Farina (1), Count(s) 2, The court orders the defendant placed on probation for a term of 3 years with the first 6 months to be served in home confinement with electronic monitoring. The Court further imposes a special assessment of $100; Count(s) 3-4, Acquitted and Discharged. Government to notify the Court on what they intend to do about Count 1. … (Attorneys present: Susan Poswistillo and Sarah Bloom for the Government. William Kettlewell for the defendant.)

(Insider note: Assistant U.S. Attorney Sarah Bloom is a longtime foe of Pfizer, having plagued the company since at least the days of the $430 million Neurontin settlement in 2004.)

You can read Farina’s memo to the judge prior to his sentencing here, along with other original documents in the case.

 

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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