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Healthy Skepticism Library item: 17141

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: Electronic Source

Edwards J
Biovail VP: If Cardizem Reps Don't Deliver, 'My Net Worth Will Shrink Dramatically'
BNet 2009 Sep 16
http://industry.bnet.com/pharma/10004307/biovail-vp-if-cardizem-reps-dont-deliver-my-net-worth-will-shrink-dramatically/


Full text:

The news that Biovail will pay $25 million in fines for bribing doctors into prescribing the blood pressure drug Cardizem turns out to be just the tip of the iceberg.

Biovail is paying the fines to end allegations by federal prosecutors that it paid doctors $1,000 to enroll patients in Cardizem “trials,” $250 to fill in a form, another $250 to return the form, and $50 to their office assistants for putting the forms in an envelope and sending them back to Biovail.

Download the allegations against Biovail here.
Why was Biovail doing all this? Because a vp at Biovail’s parent company sent an email to its pharmaceutical sales reps saying, “My net worth will shrink dramatically” if Cardizem was not a success:

We have to deliver growth to Wall Street and everyone knows exactly what is expected from us. If we don’t deliver, my net worth will shrink dramatically. I will suffer tremendously if this were to happen … We have made a huge upfront commitment and now we expect you (the reps) to make a commitment in return.

An obsession with stock is part of the corporate culture at Biovail. Former Biovail CEO Eugene Melnyk was fined $1 million for hiding Biovail stock in offshore accounts and not telling the SEC about it:

Melnyk violated the stock accumulation disclosure provisions by failing to include in his Schedule 13D filings Biovail shares held in several off-shore trusts that Melnyk controlled.

Separately, in a failed attempt to prove that a hedge fund was driving down the price of Biovail stock, a judge threw out the company’s case after finding it had been “ghostwritten” and was “tainted” by the Cardizem allegations. The NY Times:

Biovail had violated numerous ethics rules including by ghostwriting the shareholder lawsuit in order to obtain documents and other materials that could be used in the racketeering case.

The factual allegations of the suit had “a tainted origin” and were incompatible with admissions by Biovail that it was involved in a kickback scheme and made false statements that inflated its stock price, Judge Chesler wrote.

And, in the same story, the Times noted that Biovail has had to refund its shareholders for making false statements in its disclosures:

This year, Biovail paid $128 million in damages to settle a class-action lawsuit accusing the company of making material misrepresentations and omissions in its financial and public statements.

Melnyk is no longer the CEO of Biovail. But he admitted in this recent press release that he had also been cited for failing to file disclosures properly with the Ontario Securities Commission in Canada.

It is well documented that I was required to pay fines to the OSC over civil administrative oversights like filing paperwork on time.

In that same admission, Melnyk described his business ethos:

As a businessman, I know about playing tough and getting your elbows up.

I also know lessons that most of us learned early in our childhoods – you play fair; you play by the rules and you help others when you can.

Melnyk – who is also the owner of the Ottawa Senators hockey team – lives in Barbados where he doesn’t pay Canadian taxes.

 

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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