Comments: Modest Proposals for a Complex Problem: Patent Misuse and Incremental Changes to the Hatch-Waxman Act as Solutions to the Problem of Reverse Payment Settlements
University of Baltimore Law Review
Volume 41
Issue 3 Spring 2012
Article 7
2012
Comments: Modest Proposals for a Complex
Problem: Patent Misuse and Incremental Changes
to the Hatch-Waxman Act as Solutions to the
Problem of Reverse Payment Settlements
Alyssa L. Brown
University of Baltimore School of Law
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Recommended Citation
Brown, Alyssa L. (2012) "Comments: Modest Proposals for a Complex Problem: Patent Misuse and Incremental Changes to the
Hatch-Waxman Act as Solutions to the Problem of Reverse Payment Settlements," University of Baltimore Law Review: Vol. 41: Iss. 3,
Article 7.
Available at: http://scholarworks.law.ubalt.edu/ublr/vol41/iss3/7
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MODEST PROPOSALS FOR A COMPLEX PROBLEM: PATENT
MISUSE AND INCREMENTAL CHANGES TO THE HATCHWAXMAN ACT AS SOLUTIONS TO THE PROBLEM OF
REVERSE PAYMENT SETTLEMENTS.
I. INTRODUCTION
As the country struggles with myriad economic problems, the
escalating cost of health care in the United States has attracted much
attention.! The high cost of brand-name medications is one issue in
the spotlight.2 In 2008, Americans spent $2,339 billion on health
care, accounting for 16.2% of the country's gross domestic product. 3
Of that, $234.1 billion was spent on prescription medications. 4 The
Kaiser Family Foundation reports that prescription drugs account for
approximately 10% of health care spending in the United States
annually. 5 Further, the Department of Health and Human Services
projects that prescription drug spending will increase from $234.1
billion in 2008 to $457.8 billion in 2019, almost doubling over the
II-year period. 6
The introduction of generic medications can reduce the cost of
medications to consumers.?
However, the entry of generic
1.
2.
3.
4.
5.
6.
7.
See, e.g., Robert Pear, Economy Led Americans to Limit Use of Routine Health
Services, Study Says, N.Y. TIMES, Aug. 17,2010, at A14.
See, e.g., Editorial, The High Cost of Health Care, N.Y. TIMES (Nov. 25, 2007),
http://www.nytimes.coml2007111125/0pinionl25sunl.html ?pagewanted= aiL
eMS Office of the Actuary, Health Spending Climbs to 16.2% ofGDP, HEALTHCARE
ECONOMIST (Jan. 25, 20 I 0), http://healthcare-economist.coml2010/01l25/healthspending-climbs-to-16-2-of-gdp/; u.s. Total Real National Health Expenditures
Using Alternative Price Deflators: 1929 to 2019, AMERICAN, www.google.com
(search "Google" for "u.s. Total Real National Health Expenditures Using
Alternative Price Deflators: 1929 to 2019"; click on the link titled, "Table 1.1 The
American") (last visited May 30,2012).
KAISER FAMILY FOUND., PRESCRIPTION DRUG TRENDS 1 (2010), available at
http://www.kff.org/rxdrugs/uploadl3057-08.pdf.
Id.
Id. at 8.
Abbreviated New Drug Application (ANDA): Generics, FDA, http://www.fda.gov
/drugs/developmentapprovalprocess/howdrugsaredevelopedandapprovedlapprovalappl
ications/abbreviatednewdrugapplicationandagenerics/default.htm (last visited May 30,
2012) ("A generic drug product is one that is comparable to an innovator drug product
in dosage form, strength, route of administration, quality, performance
characteristicsand mtended use. ").
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584
Baltimore Law Review
[Vol. 41
medications to the market prior to the expiration of a brand-name
medication's patent is anything but simple, and the brand-name
manufacturer often files suit against the generic challenger for patent
infringement. 8
Due to these suits between brand-name drug manufacturers and
generic drug manufacturers, so-called "reverse payment settlements"
are on the rise. 9 The agreements earned their name because unlike a
typical settlement, the patent holder who brought the suit pays or
otherwise compensates the alleged infringer, the generic
manufacturer. \0 Some critics label these agreements as "pay to
delay" agreements because generic drug manufacturers often receive
substantial payments or other incentives in exchange for delaying or
not marketing the sale of their generic competitors. I I As a result, the
Federal Trade Commission (FTC), the Department of Justice, and
private parties, such as consumers, have challenged these agreements
as violations of antitrust law. 12 A split between the Sixth, Second,
Eleventh, and Federal circuits has emerged. 13 Congress has also
proposed solutions through legislation such as the Preserve Access to
Affordable Generics Act. 14
This comment considers fIrst the process by which generic
medications enter the market and the statutory incentives in place to
encourage generic manufacturers to enter the market prior to the
expiration of a brand-name medication's patent. 15 Second, different
approaches adopted by the courts and proposed by Congress with
respect to reverse payment settlements will be addressed. 16 Finally,
8.
9.
10.
II.
12.
13.
14.
15.
16.
See infra Part II.
FTC, PAY FOR DELAY: How DRUG COMPANY PAY-OFFS COST CONSUMERS BILLIONS,
AN FTC STAFF STUDY 1, 8 (2010), available at http://www.ftc.gov/osI2010/01l
100112payfordelayrpt.pdf (noting that manufacturers entered three such agreements
in 2005, fourteen in 2006, fourteen in 2007, sixteen in 2008, and nineteen in 2009).
10blove v. Barr Labs. Inc. (In re Tamoxifen Citrate Antitrust Litig.), 466 F.3d 187,
205 (2d Cir. 2005) (quoting David A. Balto, Pharmaceutical Patent Settlements: The
Antitrust Risks, 55 FOOD & DRUG L.J. 321, 335 (2000» ("Payments pursuant to the
settlement of a patent suit such as those required under the Settlement Agreement are
referred to as "reverse" payments because, by contrast, '[t]ypically, in patent
infringement cases the payment flows from the alleged infringer to the patent
holder. ''').
See, e.g., Editorial, Faint Progress on Drug Payoffs, N.Y. TiMES, Aug. 10, 2010, at
A24.
See infra Part IV.B.
See infra Part IV.B.
Preserve Access to Affordable Generics Act, S.27, 112th Congo (2011); see infra Part
IV.e.
See infra Parts II-III.
See infra Part IV.
2012]
Modest Proposals for a Complex Problem
585
alternative solutions will be addressed including whether an ample
solution to the perceived problem of reverse payment settlements
already exists under the doctrine 0 f patent misuse or if an incremental
change to the Hatch-Waxman Act, tweaking the incentives available
to the first generic manufacturer to enter the market, offers the best
solution. 17
II.
BACKGROUND
A.
The Hatch-Waxman Act
In response to escalating drug costs, Congress changed the way
the Food and Drug Administration (FDA) approves new drugs for
marketing and sale in the United States in 1984 when it passed the
Drug Price Competition and Patent Term Restoration Act (HatchWaxman Act).18 (...truncated)