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Investigates April 29, 2019 4 mins read

Amgen, Astellas to pay almost $125M to settle alleged violations of False Claims Act

Investigates ı By Marivic Cabural Summers

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Astellas, Amgen settles U.S. Gov’t. allegations

Amgen and Astellas Pharma US agreed to pay a total of $124.75 million to settle allegations that both pharmaceutical violated the False Claims Act and the Anti-Kickback Statute.

The United States government alleged Amgen and Astellas allegedly violated the laws by illegally paying Medicare copays for its own products and conspiring with two independent foundations.

The federal government’s allegations against Amgen involved its drugs Sensipar and Kyprolis. The accusations against Astellas involved its medicine Xtandi.

Amgen agreed to pay $24.75 million while Astellas $100 million to resolve the federal government’s complaint.

In a statement, Assistant Attorney General Jody Hunt of the Department of Justice’s (DOJ) Civil Division, said, “When pharmaceutical companies use foundations to create funds that are used improperly to subsidize the copays of only their own drugs, it violates the law and undercuts a key safeguard against rising drug costs. These enforcement actions make clear that the government will hold accountable drug companies that directly or indirectly pay illegal kickbacks.”

Allegations against Amgen involving Sensipar 

Amgen sells Sensipar, a drug for secondary hyperparathyroidism drug and Kyprolis, a treatment for multiple myeloma. It acquired Kyprolis from Onyx Pharmaceuticals in 2013.

The pharmaceutical company was a donor to a foundation providing financial support patients taking any of several secondary hyperparathyroidism drugs. However, it stopped donating to that foundation and approached another about creating a “Secondary Hyperparathyroidism” fund that would support only Sensipar patients, according to the DOJ.

Amgen and the new foundation worked together to determine the fund’s coverage parameters. In November 2011, the foundation launched the Secondary Hyperparathyroidism fund and Amgen becomes its only donor. The fund covered Medicare co-pays for Sensipar patients only until June 2014.

The pharmaceutical company allegedly made payments to the fund. Amgen’s payments were more than its cost of providing free Sensipar to financially needy patients. He fund submitted claims for Medicare co-pays that allowed Amgen o generate revenues, said the DOJ.

Allegations against Amgen involving Kyprolis

With respect to Kyprolis, the federal government alleged that its former owner, Onyx did the same thing. It asked a foundation to create a fund that would supposedly cover healthcare travel related expenses for patients taking any drug for multiple myeloma. However, Onyx used the fund to exclusively cover travel expenses for patients taking Kyprolis. It is the sole donor to the fund. In 2015, Onyx became part of Amgen, which continued donating to the fund.

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Marivic Cabural Summers
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Marivic Cabural Summers

Marivic has been a freelance writer/journalist for nearly 20 years. She strictly adheres to the ethical standards in journalism. For her, integrity is everything. Readers deserve to know that real story. She previously worked as research analyst and editor at Lombardi Financial and has written for various websites including The Motley Fool, ValueWalk, IcannWiki and was a news writer/radio program producer at Nation Broadcasting Corporation. Marivic holds a BA in Mass Communications.

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