Agency Information Collection Activities; Comment Request, 25304-25314 [E7-8567]
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Federal Register / Vol. 72, No. 86 / Friday, May 4, 2007 / Notices
Dated: April 30, 2007,
Debra Edwards,
Director, Office of Pesticide Programs.
[FR Doc. E7–8550 Filed 5–3–07; 8:45 am]
BILLING CODE 6560–50–S
FEDERAL HOUSING FINANCE BOARD
Sunshine Act Meeting Notice;
Announcing a Partially Open Meeting
of the Board of Directors
TIME AND DATE: The open meeting of the
Board of Directors is scheduled to begin
at 10 a.m. on Wednesday, May 9, 2007.
The closed portion of the meeting will
follow immediately the open portion of
the meeting.
PLACE: Board Room, First Floor, Federal
Housing Finance Board, 1625 Eye Street
NW, Washington DC 20006.
STATUS: The first portion of the meeting
will be open to the public. The final
portion of the meeting will be closed to
the public.
MATTERS TO BE CONSIDERED AT THE OPEN
PORTION:
2007 Designation of Directorships.
New Business Activity Notice: Federal
Home Loan Bank of Atlanta.
Examination Program Development and
Supervisory Findings.
CONTACT PERSON FOR MORE INFORMATION:
Shelia Willis, Paralegal Specialist,
Office of General Counsel, at 202–408–
2876 or williss@fhfb.gov.
Dated: May 2, 2007.
By the Federal Housing Finance Board.
Neil R. Crowley,
Acting General Counsel.
BILLING CODE 6725–01–P
FEDERAL RESERVE SYSTEM
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Change in Bank Control Notices;
Acquisition of Shares of Bank or Bank
Holding Companies
The notificants listed below have
applied under the Change in Bank
Control Act (12 U.S.C. 1817(j)) and
§ 225.41 of the Board’s Regulation Y (12
CFR 225.41) to acquire a bank or bank
holding company. The factors that are
considered in acting on the notices are
set forth in paragraph 7 of the Act (12
U.S.C. 1817(j)(7)).
The notices are available for
immediate inspection at the Federal
Reserve Bank indicated. The notices
also will be available for inspection at
the office of the Board of Governors.
Jkt 220001
Board of Governors of the Federal Reserve
System, May 1, 2007.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc.E7–8532 Filed 5–3–07; 8:45 am]
Board of Governors of the Federal Reserve
System, May 1, 2007.
Robert deV. Frierson,
Deputy Secretary of the Board.
BILLING CODE 6210–01–S
[FR Doc. E7–8533 Filed 5–3–07; 8:45 am]
BILLING CODE 6210–01–S
Agency Information Collection
Activities; Comment Request
AGENCY: Federal Trade Commission
(‘‘FTC’’ or ‘‘Commission’’).
ACTION: Notice.
Notice of Proposals to Engage in
Permissible Nonbanking Activities or
to Acquire Companies that are
Engaged in Permissible Nonbanking
Activities
[FR Doc. 07–2242 Filed 5–2–07; 3:47 pm]
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Governors. Interested persons may
express their views in writing on the
question whether the proposal complies
with the standards of section 4 of the
BHC Act. Additional information on all
bank holding companies may be
obtained from the National Information
Center website at www.ffiec.gov/nic/.
Unless otherwise noted, comments
regarding the applications must be
received at the Reserve Bank indicated
or the offices of the Board of Governors
not later than May 31, 2007.
A. Federal Reserve Bank of Atlanta
(David Tatum, Vice President) 1000
Peachtree Street, N.E., Atlanta, Georgia
30309:
1. CapitalSouth Bancorp,
Birmingham, Alabama; to acquire 100
percent of the voting shares of
Monticello Bancshares, Inc., and
thereby indirectly acquire Monticello
Bank, both of Jacksonville, Florida, and
engage in operating a savings
association, pursuant to section
225.28(b)(4)(ii) of Regulation Y.
FEDERAL RESERVE SYSTEM
MATTER TO BE CONSIDERED AT THE CLOSED
PORTION: Periodic Update of
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Interested persons may express their
views in writing to the Reserve Bank
indicated for that notice or to the offices
of the Board of Governors. Comments
must be received not later than May 21,
2007.
A. Federal Reserve Bank of
Philadelphia (Michael E. Collins, Senior
Vice President) 100 North 6th Street,
Philadelphia, Pennsylvania 19105-1521:
1. J. Donald Steele, Jr., and Joanne K.
Steele, Lewisburg, Pennsylvania; to
acquire voting shares of
Northumberland Bancorp,
Northumberland, Pennsylvania, and
thereby indirectly acquire voting shares
of The Northumberland National Bank,
Northumberland, Pennsylvania.
B. Federal Reserve Bank of St. Louis
(Glenda Wilson, Community Affairs
Officer) 411 Locust Street, St. Louis,
Missouri 63166-2034:
1. Peter Mahurin, Bowling Green,
Kentucky, and Ben Lovell Cundiff,
Cadiz, Kentucky, individually, and as a
group in concert with Damon Salvatore
Vitale, Bowling Green, Kentucky, and
Charles Lester Key, Franklin, Kentucky,
to gain control of Jackson Financial
Corporation, Mayfield, Kentucky, and
thereby indirectly gain control of FNB
Bank, Inc., Mayfield, Kentucky.
The companies listed in this notice
have given notice under section 4 of the
Bank Holding Company Act (12 U.S.C.
1843) (BHC Act) and Regulation Y (12
CFR Part 225) to engage de novo, or to
acquire or control voting securities or
assets of a company, including the
companies listed below, that engages
either directly or through a subsidiary or
other company, in a nonbanking activity
that is listed in § 225.28 of Regulation Y
(12 CFR 225.28) or that the Board has
determined by Order to be closely
related to banking and permissible for
bank holding companies. Unless
otherwise noted, these activities will be
conducted throughout the United States.
Each notice is available for inspection
at the Federal Reserve Bank indicated.
The notice also will be available for
inspection at the offices of the Board of
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FEDERAL TRADE COMMISSION
SUMMARY: The FTC is considering
conducting a study to analyze the use
and likely short- and long-run
competitive effects of authorized generic
drugs in the prescription drug
marketplace. Before investigating these
issues, the FTC is seeking public
comments on its proposed information
requests to firms in the prescription
drug industry. The information
collection requirements described below
will be submitted to the Office of
Management and Budget (‘‘OMB’’) for
review, as required by the Paperwork
Reduction Act (‘‘PRA’’) (44 U.S.C. 3501–
3520).
DATES: Comments must be received on
or before June 4, 2007.
ADDRESSES: Interested parties are
invited to submit written comments.
Comments should refer to ‘‘Authorized
Generic Drug Study: FTC Project No.
P062105’’ to facilitate the organization of
comments. A comment filed in paper
form should include this reference both
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in the text and on the envelope and
should be mailed or delivered, with two
complete copies, to the following
address: Federal Trade Commission/
Office of the Secretary, Room H–135
(Annex J), 600 Pennsylvania Avenue,
NW., Washington, DC 20580. Because
paper mail in the Washington area and
at the Commission is subject to delay,
please consider submitting your
comments in electronic form, as
prescribed below. However, if the
comment contains any material for
which confidential treatment is
requested, it must be filed in paper
form, and the first page of the document
must be clearly labeled ‘‘Confidential.’’ 1
The FTC is requesting that any comment
filed in paper form be sent by courier or
overnight service, if possible.
Comments filed in electronic form
should be submitted by clicking on the
following weblink: https://
secure.commentworks.com/
AuthorizedGenericStudy and following
the instructions on the web-based form.
To ensure that the Commission
considers an electronic comment, you
must file it on the web-based form at the
https://secure.commentworks.com/
AuthorizedGenericStudy weblink. If this
notice appears at www.regulations.gov,
you may also file an electronic comment
through that Web site. The Commission
will consider all comments that
regulations.gov forwards to it.
Comments should also be submitted
to: Office of Management and Budget,
Attention: Desk Officer for the Federal
Trade Commission. Comments should
be submitted via facsimile to (202) 395–
6974 because U.S. Postal Mail is subject
to lengthy delays due to heightened
security precautions.
The FTC Act and other laws the
Commission administers permit the
collection of public comments to
consider and use in this proceeding as
appropriate. All timely and responsive
public comments will be considered by
the Commission and will be available to
the public on the FTC Web site, to the
extent practicable, at www.ftc.gov. As a
matter of discretion, the FTC makes
every effort to remove home contact
information for individuals from the
public comments it receives before
placing those comments on the FTC
Web site. More information, including
routine uses permitted by the Privacy
1 Commission Rule 4.2(d), 16 CFR 4.2(d). The
comment must be accompanied by an explicit
request for confidential treatment, including the
factual and legal basis for the request, and must
identify the specific portions of the comment to be
withheld from the public record. The request will
be granted or denied by the Commission’s General
Counsel, consistent with applicable law and the
public interest. See Commission Rule 4.9(c), 16 CFR
4.9(c).
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Act, may be found in the FTC’s privacy
policy at https://www.ftc.gov/ftc/
privacy.htm.
FOR FURTHER INFORMATION CONTACT:
Requests for additional information
should be addressed to Karen A.
Goldman, Attorney, Policy Studies,
Office of the General Counsel, 600
Pennsylvania Avenue, NW.,
Washington, DC 20580; telephone (202)
326–2574.
SUPPLEMENTARY INFORMATION: In the
United States, the Food and Drug
Administration (‘‘FDA’’) must approve
the marketing of any pharmaceutical
drug, whether brand-name or generic.
The Hatch-Waxman Act establishes the
regulatory framework under which the
FDA may approve a generic drug to be
marketed. Typically, a brand-name drug
obtains FDA approval through a New
Drug Application (‘‘NDA’’), and a
generic drug manufacturer obtains FDA
approval through an Abbreviated New
Drug Application (‘‘ANDA’’) in which it
may be allowed to rely on the clinical
data first submitted by the brand-name
drug manufacturer.
To encourage generic entry as soon as
is warranted, the Hatch-Waxman Act
allows generic drug manufacturers, in
certain circumstances, to market a
generic drug prior to the expiration of
claimed patent protection for the
corresponding brand-name drug. To be
permitted to do so, a generic drug
manufacturer must first submit a
‘‘paragraph IV’’ ANDA in which it
certifies that (a) its generic drug will not
infringe patents listed in the FDA’s
‘‘Orange Book’’ (‘‘Orange Book patents’’)
as claiming the relevant brand-name
drug product, and/or (b) the relevant
Orange Book patents are invalid. If the
paragraph IV ANDA leads to litigation,
then 30 months after the litigation was
filed (or after final decision in the
litigation, if earlier), the FDA may
authorize the marketing of the generic
drug under the ANDA application.
At that point, the first-filed paragraph
IV ANDA applicant becomes entitled to
a 180-day marketing exclusivity period,
during which the FDA cannot approve
any other, later-filed paragraph IV
ANDA for a generic drug corresponding
to the same brand-name drug product.
This protects the first FDA-approved
paragraph IV ANDA applicant from
competition with other ANDA
applicants during this time.
The 180-day marketing exclusivity
period does not preclude competition
from NDA-approved ‘‘authorized
generics,’’ however.2 An authorized
2 Teva Pharm. Indus. v. FDA, 410 F.3d 51 (D.C.
Cir. 2005).
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generic is chemically identical to a
particular brand-name drug, which the
brand-name manufacturer authorizes to
be marketed in a generic version under
the NDA-approval that the FDA granted
for the brand-name drug. The brandname manufacturer either sells the
authorized generic itself through a
subsidiary or licenses a generic firm to
sell the authorized generic. The trade
dress typically differs for the brandname drug and its authorized generic
equivalent, but the drug product is
exactly the same.
In recent years and with increasing
frequency, brand-name drug
manufacturers have begun to market
authorized generic drugs at precisely the
same time that a paragraph IV generic is
beginning its period of 180-day
marketing exclusivity. The likely effects
of this practice on generic competition
have been subject to some debate. In the
short run, the entry of an authorized
generic drug may benefit consumers by
creating additional competition that
lowers generic prices further than if
only the paragraph IV generic were
marketed. Many generic manufacturers
assert, however, that in the long run,
consumers will be harmed because an
expectation of competition from
authorized generics will significantly
decrease the incentives of generic
manufacturers to pursue entry prior to
patent expiration. For a generic
manufacturer, the additional
competition from an authorized generic
may result in significantly less profit
during the period of 180-day exclusivity
than if the generic manufacturer had no
authorized-generic competition during
that time.
Given the importance of generic drugs
in lowering health care costs, Senators
Grassley, Leahy, and Rockefeller have
requested that the Commission conduct
a study of ‘‘the short term and long term
effects on competition of the practice of
‘authorized’ generics.’’ 3 In addition,
Representative Waxman, one of the coauthors of the Hatch-Waxman Act, has
requested that the FTC study ‘‘the
impact of so-called ‘authorized generics’
on competition in the prescription drug
marketplace.’’ 4
The Commission proposes to
undertake such a study, as described in
this notice, to examine both the likely
short-term competitive effects of
authorized generic drug entry and, to
the extent possible, the likely long-term
impact of entry by authorized generic
3 See Letter to Chairman Deborah Platt Majoras,
from Senators Grassley, Leahy, and Rockefeller
(May 9, 2005).
4 See Letter to Chairman Deborah Platt Majoras
from Representative Henry A. Waxman (Sept. 13,
2005).
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drugs on competition by generic
manufacturers.5 The study will be
carried out pursuant to Section 6(b) of
the FTC Act, 15 U.S.C. 46(b). Among
other things, the proposed study will
examine prices (including rebates,
discounts, etc.) for brand-name and
generic drugs, both with and without
competition from authorized generics;
business reasons that support
authorized generic entry; factors
(including product development and
litigation costs) relevant to the decisions
of generic firms about whether and
under what circumstances to seek entry
prior to patent expiration; and licensing
agreements regarding authorized
generics. This information will enable
the proposed study to make new
contributions on the effects of
authorized generic drug entry on
prescription drug prices and, in
particular, permit an evaluation of the
impact of authorized generic drugs on
the incentive offered by the period of
180-day exclusivity afforded to generic
drugs that enter the market as the result
of an ANDA with a paragraph IV
certification.
Pursuant to 5 CFR 1320.8(d), the FTC
published on April 4, 2006 a Federal
Register Notice seeking comments from
the public concerning the FTC’s
proposed study.6 The comments and the
Commission’s responses to them are set
forth below. Based on the comments,
the Commission has revised the
previously published information
requests.
Generally, the Commission’s revised
Special Orders seek information on (i)
authorized generic drugs (launched after
Jan. 1, 2001) and all drugs related to
them, i.e., brand-name versions of
authorized generic drugs and all
bioequivalent generic drugs; (ii) brandname drugs that first faced generic
competition after Jan. 1, 2001, for which
at least one ANDA with a paragraph IV
certification was filed, and all
bioequivalent generic drugs; 7 and (iii)
brand-name drugs for which at least one
ANDA with a paragraph IV certification
was filed after Jan. 1, 2001, and generic
entry has not yet occurred. Within this
general framework, the Commission has
ensured that the requests are tailored to
5 In its 2002 study of how generic drug
competition prior to patent expiration has
developed, the Commission found that the HatchWaxman framework had promoted entry by lowcost generic drugs prior to patent expiration.
Federal Trade Commission, Generic Drug Entry
Prior to Patent Expiration: An FTC Study (July
2002), available at (‘‘Generic Drug Study’’).
6 Agency Information Collection Activities;
Comment Request, 71 FR 16779 (April 4, 2006).
7 Categories (i) and (ii) are likely to overlap
substantially.
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the needs if the planned study. For
example, reflecting the widespread
perception that the marketing of
authorized generics increased markedly
beginning in 2003, requests for generic
company documents are generally
limited to documents prepared after Jan.
1, 2003. In order to collect documents
that underlie marketing strategies
adopted in 2003, requests to brandname companies seek documents
prepared after January 1, 2002.
Similarly, the Commission has
confined the study to drugs most likely
to yield information necessary for
evaluating the short- and long-run
competitive effects of authorized generic
drugs. Because no comprehensive list of
authorized generic drugs is available,
the Commission plans to identify the
authorized generic drugs covered by the
study via an initial, brief information
request asking brand-name companies
to identify their authorized generic
drugs. The Commission will use those
initial responses to develop subsequent
Special Orders to generic and
authorized generic companies that
market authorized generic drugs. Based
on a preliminary analysis,
approximately 80 brand-name drug
manufacturers, several authorized
generic drug companies, and 100
generic companies will receive Special
Orders. The revised Special Orders are
set forth on the OMB Web site on
information collection review, https://
www.reginfo.gov/public/do/PRAMain
and on the FTC’s web page on the
authorized generic study, https://
www.ftc.gov/os/comments/
genericdrugstudy3/.
Pursuant to the OMB regulations that
implement the PRA (5 CFR Part 1320),
the FTC is providing this second
opportunity for public comment while
requesting that OMB grant clearance for
the proposed information requests. All
comments should be filed as prescribed
in the ADDRESSES section above, and
must be received on or before June 4,
2007.
Public Comments/Consultation Outside
the Agency and Actions Taken
The FTC received 13 comments on
the proposed information collection
requests.8 All of the public interest
8 The comments are available at https://
www.ftc.gov/os/comments/genericdrugstudy3/. The
13 submissions are from AARP (nongovernmental
organization for Americans age 50 and older);
Actavis Group (Actavis) (generic pharmaceutical
company); American Antitrust Institute, Consumer
Federation of America, Families USA, and U.S.
Public Interest Research Groups (AAI/CFA/FUSA/
USPIRG) (nongovernmental public interest
organizations); Consumers Union (nonprofit
organization representing consumers); Ronald W.
Davis (Davis) (attorney submitting comments ‘‘on
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organizations that submitted comments,
which included a nonprofit group
dedicated to the use of antitrust as a
component of competition policy,
strongly endorsed the study. For
example, the American Antitrust
Institute, CFA, FUSA, and USPIRG
stated that by ‘‘initiating this study, the
FTC has demonstrated its commitment
to ensuring that the anticompetitive
practices of brand name drug
manufacturers do not threaten
Americans’ access to low cost generic
drugs.’’ 9 Generally, the strong support of
public interest organizations reflects
their representation of consumers and
retirees, and concern about the rising
cost of pharmaceuticals.10 Industry
views, however, varied depending on
whether the commenter was a marketer
of AGs or in competition with marketers
of AG drugs.11
Generic companies and their trade
organization, GPhA, supported the
study. GPhA ‘‘commend[ed] the FTC for
taking initiative on this important issue.
* * * This Study is no less critical than
the FTC’s earlier efforts on the generic
drug front, such as the 2002 FTC study
of generic pharmaceuticals, which led to
a broad and nuanced perspective at an
important time in the industry’s
history.’’ 12 No generic drug company
questioned the practical utility of the
study. GPhA and one generic company
commenter, however, asserted that the
FTC’s requests would be burdensome,
and suggested that the FTC narrow or
otherwise modify its request.13 Generic
company views on how to lessen the
burden were somewhat variable,
presumably because some generic
companies market both ANDA-generic
and AG drugs. Generic companies (and
brand-name and AG companies) also
behalf of an undisclosed client’’); Generic
Pharmaceutical Association (GPhA) (trade
association representing generic pharmaceutical
manufacturers); Gilbert’s LLP (Gilbert’s) (law firm
representing ‘‘one of the largest generic
pharmaceutical companies in the United States’’);
IMS Health Inc. (IMS) (provider of information and
research to the health care industry); Eli Lilly and
Co. (Lilly) (an innovation-driven pharmaceutical
company); Ohio Public Employees Retirement
System (OPERS) (Ohio pension system);
Pharmaceutical Research and Manufacturers of
America (PhRMA) (trade association representing
research-based pharmaceutical and biotechnology
companies); Prasco, LLC (Prasco) (privately held,
independent pharmaceutical company that makes
AGs); and Prescription Access Litigation (PAL)
(coalition of ‘‘consumer, healthcare, labor, senior,
legal services, and women’s health organizations’’).
9 AAI/CFA/FUSA/USPIRG at 1. OPERS, AARP,
PAL, Consumers Union, and GPhA also
enthusiastically endorsed the study.
10 See OPERS; AARP; PAL; Consumers Union.
11 One industry commenter, IMS, submitted
comments that only considered the possible use by
the study of IMS’ commercially available data.
12 GPhA at 2.
13 See GPhA at 5; Actavis at 1–2.
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urged the Commission to broaden the
scope of the study by addressing a
number of topics relevant to their
marketing strategies.
Comments from the brand-name
pharmaceutical industry, which markets
or authorizes the marketing of AGs,
generally accepted the core concepts of
the study, but expressed concerns
primarily focused on the breadth of the
originally proposed document requests.
The PhRMA comments, which were
endorsed by Lilly, stated that the
‘‘proposed empirical study will show
whether authorized generics benefit
consumers by lowering prices for
generic drugs,’’ but also asserted that the
proposed ‘‘information requests are
overbroad.’’ 14 Davis, apparently
representing a brand-name
pharmaceutical company, asserted that
a very recent statutory change could
sufficiently change the marketing of
AGs to render a study based on recent
historical data outdated.15
The FTC received only one comment
from an independent authorized generic
drug company; most AGs are either
marketed by a subsidiary or division of
a brand-name company or by a generic
drug company under a license from a
brand-name company. The independent
AG drug company, Prasco, did not
express a view of the study as a whole
but rather commented on substantive
issues that should be addressed, and
ways to minimize burden.
As discussed below, the Commission
has incorporated many of the
suggestions to narrow the requests,
especially for documents, which were
the focus of the commenters’ concerns
about burden. In doing so, the FTC will
avoid requesting information that is not
necessary for the study and will
substantially reduce the burden of the
study. The Commission has not,
however, adopted suggestions that
would limit the study’s usefulness.
Indeed, the Commission has adopted a
number of substantive suggestions that
will enhance the utility of the study
without imposing additional burden.
The following discussion of issues
raised by the comments is organized
into five sections: (A) The practical
utility of the proposed study and why
it is necessary for the proper
performance of the FTC’s functions; (B)
suggestions to narrow the scope of the
study; (C) suggestions to use alternative
sources of information; (D) comments
requesting limitations on the use of the
information submitted; and (E)
suggestions to broaden the scope of the
study.
14 PhRMA
15 See
at 1, 7. See also Lilly at 1.
Davis at 9–11.
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A. Practical Utility of the Proposed
Study and Its Necessity for the Proper
Performance of the FTC’s Functions
The Commission has proposed to
obtain factual information that would
provide a comprehensive picture of how
generic competition is affected by the
marketing of AG drug products.
Comments: Most comments stated
that the proposed study will have
practical utility, that it is necessary for
the proper performance of the FTC’s
functions, or otherwise stressed the
importance of the study. For example,
Consumers Union stated, ‘‘We strongly
believe that the collection of ‘the
information will have practical utility,’
because we believe the data will show
serious anti-competitive consequences
of these arrangements.’’ 16 GPhA stated
that the study ‘‘will be crucial to a
proper understanding of authorized
generics, and is a prudent use of the
Commission’s resources.’’ 17 AAI/FUSA/
USPIRG asserted that ‘‘It is particularly
important for the FTC to study
authorized generics and other forms of
anticompetitive conduct in the
pharmaceutical market at this time, as
over the next three years alone,
prescription drugs worth over an
estimated $50 billion in U.S. sales will
go off patent.’’ 18 PAL ‘‘commend[ed] the
FTC for its decision to conduct this
study. This information will be
particularly useful as a tool for Congress
to make an informed decision on
whether further legislation needs to be
adopted surrounding the marketing of
authorized generics.’’ 19
While acknowledging that the
proposed study ‘‘should enhance public
understanding of how authorized
generics impact consumers,’’ 20 PhRMA
asserted that some of the information
sought by the proposed document
requests would have little practical
utility. PhRMA took this position
because in its view the document
requests were broader than necessary
and would require the production of
many documents unrelated to the topic
of AGs.21 Thus, PhRMA’s concerns
about utility are a restatement of its
concerns about burden. PhRMA did not
16 Consumers
Union at 2.
at 2.
18 AAI/FUSA/USPIRG at 2.
19 PAL at 6. See also OPERS at 1; AARP at 1
(supporting the proposed study).
20 PhRMA at 2.
21 See PhRMA at 14–15 (‘‘The proposed document
requests-by encompassing future competition
documents, by focusing on documents unrelated or
indirectly related to authorized generics, by
reaching much deeper within the organizations
than is customary, and by requiring a catalog of
information relating to each responsive documentlack practical utility in light of the objective of this
study.’’) See also PhRMA at 2, 6, 9, 17; Lilly at 1.
17 GPhA
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assert that the proposed study and the
planned report on AG drugs lacks
utility. Davis, however, asserted that
‘‘the practical utility of the information
[that the FTC proposes to collect] will
be limited, because of a recent material
change in the regulatory environment:
The enactment of Section 6003 of the
Deficit Reduction Act [‘‘DRA’’] of
2005.’’ 22 Davis stated that by changing
the definition of the Medicaid ‘‘best
price’’ to include AGs, Section 6003 will
increase manufacturers’ Medicaid
rebates 23 and thereby ‘‘fundamentally
reduce the incentives of branded firms
to introduce authorized generics. ’’24
Response: As discussed below, the
Commission has addressed concerns
about the breadth of the study by
modifying the requests to ensure that
they are limited to relevant documents.
Contrary to Davis’ assertion, the
available information indicates that the
enactment of Section 6003 of the DRA
will have little effect on the marketing
of AGs. Section 6003 was enacted to
increase brand-name pharmaceutical
manufacturer Medicaid rebates to states
by ensuring that AGs, as versions of
brand-name drug approved under an
NDA, are included in the Medicaid
rebate calculation for sole source and
brand-name multiple source drugs.25
The price of an AG may be the best
price available for a brand-name drug
and, consequently, their inclusion may
increase the Medicaid rebate. AGs are
22 Davis at 3. Section 6003 of the Deficit
Reduction Act of 2005, P.L. 109–171, amends
Section 1927(b)(3)(A) of the Social Security Act (42
U.S.C. 1396r–8(b)(3)(A)) to include in the
manufacturer’s report of the best price and average
manufacture price of sole source and innovator
drugs pursuant to the Medicaid program, ‘‘all such
drugs that are sold under a new drug application
approved under section 505(c) of the Federal Food,
Drug, and Cosmetic Act,’’ a requirement that would
include AGs.
23 Generally, manufacturers pay rebates to
Medicaid that help to ensure that the price of drugs
sold through the Medicaid program matches the
generally available best price. In general, the rebate
is equal to ‘‘the difference between the average
manufacturer price and the best price * * *.’’ 42
U.S.C. 1396r–8(b)(3)(A)(ii)(I).
24 Davis at 3. See also PhRMA at footnote 17
(discussing the possible effect of the Deficit
Reduction Act’s provisions on incentives to market
AGs).
25 See 151 CONG. REC. S12069 (Oct. 31, 2005)
(statement of Senator Grassley) (‘‘My committee’s
title also achieves savings by helping State
Medicaid Programs obtain millions in payments
owed by third-party payers each year. It also
produces savings by ending drug manufacturers’
gaming of the system by closing the authorized
generic loophole so that appropriate rebates are
paid to the States.’’). The amendment equalizes
treatment of AGs by FDA—which treated them as
branded drugs so that they could be marketed
during the 180-day exclusivity period—and Centers
for Medicare and Medicaid Services (CMS), which
previously treated them as generic drugs for
purposes of the rebate calculation.
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thought to be launched at the onset of
generic competition, however, when
brand-name sales drop off rapidly due
to mandatory generic substitution
requirements in most states’ Medicaid
programs.26 Thus, the inclusion of AGs
in the calculation of the best price is
unlikely to substantially decrease brandname company revenues for most
drugs.27 Indeed, the Office of the
Actuary in CMS projected that the
anticipated savings to the Medicaid
program from Section 6003 are likely to
be modest, a total of only $229 million
for both federal and state programs over
a period of five years.28
Accordingly, the FTC concludes that
Section 6003 is unlikely to have a
sufficient effect on the marketing of AGs
to impair the practical utility of this
study based on recent historical data.
Nonetheless, the FTC has revised its
Special Orders to include requests for
information that will allow it to follow
the marketing of AGs throughout 2007,
after Section 6003 has gone into effect.
B. Suggestions To Reduce Burden by
Narrowing the Scope of the Proposed
Information Requests
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Most comments concerning burdens
focused on the document requests. Both
brand-name and generic pharmaceutical
companies asserted that the proposed
document requests would be
excessively burdensome, and proposed
ways to limit the scope of the requests.
By contrast, commenters generally did
not express concern about burden due
to requests for economic data, except
regarding the request for cost data. They
did not assert that the requests for sales
and price data were excessive. As
discussed in the following responses to
the comments, the FTC has taken
multiple steps to reduce substantially
the burden arising from document
26 States use a variety of strategies to encourage
the use of generic drugs in the Medicaid program,
and ‘‘[s]ince 2000, there has been a steady trend
toward increased mandatory generic substitution. In
2005, nearly all states * * * reported that they
require generics to be dispensed when available.’’
THE HENRY J. KAISER FAMILY FOUNDATION,
STATE MEDICAID OUTPATIENT PRESCRIPTION
DRUG POLICIES: FINDINGS FROM A NATIONAL
SURVEY, 2005 update (October 2005).
27 Section 6003 might have a bigger effect on
drugs that are particularly heavily used within the
Medicaid program or must be dispensed without
generic substitution and in states that do not have
mandatory generic substitution requirements in
their Medicaid programs.
28 See Medicaid Program; Prescription Drugs;
Proposed Rule, 71 FR 77174, 77190 (Dec. 22, 2006).
See also U.S. CONG. BUDGET OFFICE, COST
ESTIMATE: S. 1932, DEFICIT REDUCTION ACT OF
2005 35 (Jan. 27, 2006) (Table 15. Estimated
Budgetary Effects of Title VI, Subtitle A—Medicaid,
period from 2006–2010, projecting federal Medicaid
savings of $150 million).
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requests, and it also has addressed
concerns about cost data.
1. Comments on Document Requests
a. Request Documents Closely Related
To Authorized Generics
Comment: Both brand-name and
generic pharmaceutical companies
asserted that the FTC’s proposed
document requests are too broad, and
should be limited to documents that
closely relate to AGs. PhRMA expressed
concern about the large number of
documents that could be required by the
FTC’s ‘‘broad requests for documents
that relate generally to competition
between brand name and generic drug
companies.’’ 29 PhRMA suggested that
‘‘document requests should be focused
exclusively on those drug products for
which a company has manufactured or
licensed an authorized generic that has
been sold in the marketplace,’’ because
otherwise the response ‘‘would
encompass large volumes of documents
unrelated to authorized generics.’’ 30
Davis and PhRMA also suggested that
tangentially relevant documents could
be eliminated by deleting the phrase,
‘‘ ‘any documents’ ’’ from the request for
‘‘ ‘any documents, including studies,
surveys, analyses, and reports * * *
that evaluated, considered, analyzed, or
discussed how to respond * * * to
* * * future or current generic
competition * * *.’ ’’ 31 Similarly, a
generic pharmaceutical company,
Actavis, asserted that the FTC’s
proposed request to generic companies
for ‘‘ ‘any documents, including studies,
surveys, analyses, and reports * * *
that evaluated, considered, analyzed, or
discussed whether or how to proceed
with generic entry * * *’ ’’ 32 is too
broad, because ‘‘[a]s a generic firm, most
of Actavis’ documents will relate to
whether or how to proceed with generic
entry.’’ 33 Actavis also suggested
eliminating the ‘‘any document’’
language and limiting the requests to
final strategy documents.
Response: We have narrowed the
proposed document requests by better
tailoring them to focus on AG drugs.
Accordingly, the FTC has eliminated the
requests for documents relating
generally to competition and generic
entry, and rephrased all companies’
requests to focus specifically on AGs
29 PhRMA
at 2. See also PhRMA at 7–9.
at 8.
31 See Davis at 13 (quoting 71 FR at 16781); see
also PhRMA at 7. See also Davis at 4–7, 11–13
(expressing concern about the breadth of the study
and suggesting that the FTC focus on ‘‘the central
question’’).
32 Actavis at 2 (quoting 71 FR at 16782).
33 Actavis at 3.
30 PhRMA
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and issues arising from them.34 In
addition, consistent with the FTC’s
previous Special Orders to the
pharmaceutical industry, the ‘‘ ‘any
document’ ’’ language has been
eliminated,35 and the request has been
revised to seek only high-level planning,
decisional, and strategy documents.36
b. Reduce the Document Requests by
Focusing on Generic Company
Documents
Comments: PhRMA asserted that the
study should focus on generic company
documents, because ‘‘[t]he best
documentary source for information on
the costs and profitability of entry is
generic drug company documents. The
generic drug companies’ market
analyses, studies, surveys, and reports
will most directly respond to the core
question of whether authorized generics
have removed the companies’ financial
incentives to enter.’’ 37 PhRMA also
recommended that any request for
brand-name company documents be
limited to those that retrospectively
analyze the effects of AGs on price
competition and other matters, rather
than consider future competitive
strategies involving AGs. In PhRMA’s
view, documents providing prospective
analyses should not be required because
they are subjective; consider the intent
of brand-name companies, which is not
relevant to whether patent challenges
are profitable for generic companies;
and address events that may not have
occurred.38
Response: The FTC will request the
relevant documents of brand-name, AG,
and ANDA-generic companies. While
generic company documents may be the
most informative as to generic
companies’ financial incentives to enter
and challenge patents, documents from
brand-name and AG companies,
including prospective documents also,
are relevant. Brand-name companies are
sophisticated and knowledgeable
market participants, and their strategies
and views on the use of AGs should
provide insight into the likely effects of
AGs. The FTC will take into account the
34 See Brand-Name Drug Company Special Order,
Item 27; Authorized Generic Drug Company Special
Order, Item 10; and Generic Drug Company Special
Order, Items 18, 19.
35 See GENERIC DRUG ENTRY PRIOR TO
PATENT EXPIRATION at A–20 (July 2002)
(requesting ‘‘all studies, surveys, analyses and
reports.’’); PHARMACY BENEFIT MANAGERS:
OWNERSHIP OF MAIL-ORDER PHARMACIES A–
2 (August 2005) (requesting ‘‘all business plans,
strategic plans, planning documents, industry
studies, analyses, and consultant reports * * *.’’).
36 The request has not been limited to ‘‘final’’
documents, however, because of the difficulty of
ascertaining what is ‘‘final.’’
37 PhRMA at 5.
38 PhRMA at 3, 5, 9–11.
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limitations expressed by PhRMA
regarding documents that consider
prospective matters in assessing the
weight they should be accorded.
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c. Limit the Required Document Search
Comment: The FTC’s proposed
request asked for documents that ‘‘were
prepared or received by or for any
senior vice president (or equivalent
position) with product line
responsibility for the specified drug
product or any officer(s) or director(s) of
the company * * *.’’ 39 PhRMA
suggested, however, that the documents
requested by the FTC be limited to those
‘‘maintained in the files of current
officers or directors.’’ 40 PhRMA asserted
that this would be consistent with the
approach taken for previous FTC reports
on competition in the pharmaceutical
industry and with practices under the
Hart-Scott-Rodino Act, and would
‘‘avoid confusion, reduce the burden,
and focus the review on the most
probative company documents.’’ 41
Response: The Commission believes
that for the purpose of this study, which
should cover decisions at the individual
drug level as well as a company’s
general views on marketing AGs, it is
necessary to consider documents at the
level of product-line decisions as well
as company-wide. However, to reduce
the burden arising from this request, the
Commission has limited the request for
documents of senior vice presidents to
documents maintained in their files. For
the presumably smaller number of
documents related to officers and
directors, the Commission has retained
the ‘‘prepared by or for’’ language. The
Commission believes that this
arrangement, plus the reduction in the
number of drugs covered (discussed
below), should reduce burden without
jeopardizing the production of
important, high-level, planning,
decisional, and strategy documents.
Moreover, depending on turnover, a
request limited to the files of current
officers and directors could eliminate all
but the most recent documents. Such a
limitation could impair the practical
utility and quality of the information
collected.
d. Limit Sorting of Documents and
Information About Their Preparation
Comment: PhRMA objected to the
FTC’s requirement that companies
indicate on each document ‘‘the date of
preparation and the name and title of
each individual who prepared the
39 71
FR at 16781–2.
at 12.
41 See PhRMA at 11; see also PhRMA at 12–13
(discussing Item 4 (c) of the Hart-Scott-Rodino
notification report, FTC Form C4, rev. 06/06/06).
40 PhRMA
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document, and group the documents by
identified drug product.’’ 42 PhRMA
asserted that this requirement will be
very burdensome, and noted that sorting
of documents is no longer required by
the FTC in second requests in merger
investigations.43 Accordingly, PhRMA
requested that companies be required to
produce documents ‘‘as they are
maintained in the regular course of
business along with a list or index
identifying the person whose files the
document came from.’’ 44
Response: The FTC believes that its
ability to evaluate and analyze the
information submitted in response to
the Special Orders for this study would
be greatly enhanced by a requirement to
‘‘group the documents by identified drug
product.’’ 45 Eliminating this
requirement could make it difficult to
ascertain the relevance of many
documents, and would slow analysis of
the information by FTC staff. Given that
the FTC has reduced the number of
drugs covered by the requests
(discussed below), sorting documents by
drug should not be as burdensome as
originally anticipated. Moreover, it is
likely that information about different
drugs is maintained separately in the
regular course of business. The FTC
recognizes, however, that some
documents may generally address a
topic, and relate to more than one drug.
Accordingly, the FTC has modified the
Special Orders to require all companies
to group documents by identified drug
product, and to respond separately
regarding documents that discuss AGs
generally.
The Commission believes that in most
cases the date of preparation and the
name and title of each individual who
prepared the document will be evident
from the document itself. However, to
reduce burden, the FTC will require
firms that respond to the Special Orders
to specify only the name of the person
from whose files the document came
and whether the document was
generated within the Company, or the
name of the source if generated
externally. This information should
help the FTC determine the relevance of
each document.
2. Comments on Matters Affecting Both
Document and Data Requests
a. Limit the Time Period Covered by the
Request
Comments: The FTC’s proposed
request asked for documents dated after
Jan. 1, 1998. GPhA and Actavis
42 71
FR at 16781.
PhRMA at 13–15.
44 PhRMA at 14.
45 71 FR at 16781.
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recommended that the FTC not seek
documents from before Jan. 1, 2003,
because the marketing of AGs,
especially during 180-day exclusivity
periods, began to increase around that
time.46 Moreover, Actavis asserted that
older information is especially
burdensome to obtain because it may be
available only ‘‘in off-site storage
facilities or on back-up tapes,’’ and may
exist in older formats and systems that
companies no longer support.47
Response: To avoid imposing an
unnecessary burden, the FTC has
substantially reduced the period for
which documents are being sought. The
FTC agrees that generic company
documents dated after Jan. 1, 2003 are
likely to be the most useful for
understanding the effects of AGs on
generic companies’ incentives to file
ANDAs and to challenge patents via
paragraph IV certifications. Therefore,
we are changing the initial year for
generic company documents from 1998
to 2003. The FTC’s request for brandname and AG company documents will
be limited to those dated after Jan. 1,
2002, so that the reasons for any
increased marketing of AGs beginning
in 2003 might be ascertained.
The FTC also is reducing the time
period covered by its data requests.
Under the first Federal Register Notice,
a data request potentially could have
extended back until Jan. 1, 1999. To
ensure consistency in reporting, the FTC
is requesting sales and price data on
brand-name, AG, and generic drugs after
Jan. 1, 2001, or whenever marketing
began. A request for this data is
necessary to ensure the availability of
sufficient comparison data on drugs for
which no AG was marketed, to assess
possible trends over time, and to
examine possible correlations between
sales or price levels and various
business strategies such as patent
challenges, marketing of AGs, and
sharing of 180-day exclusivity.
b. Reduce the Number of Drugs Covered
Comments: Both brand-name and
generic drug companies suggested
limiting the documents requested (and
to some extent the data) by reducing the
number of drugs covered by the study.
PhRMA suggested that the FTC reduce
the number of drug products covered by
the study by limiting the sample for
which information would be requested
to those drugs for which an AG version
has been marketed and a random
46 See
GPhA at 4 n.5; Actavis at 2.
at 1–2. See also GPhA at 4 (noting that
agreements to market AGs did not become prevalent
until late 2003).
43 See
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stratified sample of other drugs, e.g., by
studying a percentage of the drugs in
various dollar sales ranges.48 Actavis
recommended that the FTC limit the
request for documents to ‘‘drugs for
which there was an AG launch or an
announced agreement for an authorized
generic launch.’’ 49 Davis also suggested
limiting the drugs covered by the study
by asking generic companies to identify
drugs for which they did not file an
ANDA because of concerns about
competition from an AG, and initially
request ‘‘relevant decisional documents
as to these products.’’ 50 Prasco, on the
other hand, appears to be concerned
that by limiting the number of drugs or
companies, e.g., by considering only
drugs for which generic competition
began with a period of 180-day
exclusivity, the FTC might not examine
the full range of situations in which AGs
are marketed.51
Response: The FTC agrees that the
number of drugs covered by the study
should be reduced by focusing on
AGs 52 and a limited number of other
drugs necessary to illuminate the issues
addressed by this study.
Accordingly, the Commission has
limited the data requests to both brandname and generic companies to (i) AGs
and all related drugs, i.e., brand-name
versions of AGs and bioequivalent
48 PhRMA at 8–9, 18–19. Note that PhRMA,
which asserted that the FTC’s requests ‘‘would
cover not only brand drug ‘products that have first
faced generic competition since January 1, 1999’ but
also products ‘that have received notice of the filing
of an ANDA,’ misinterpreted the FTC’s Federal
Register Notice and thus incorrectly believed that
the study would cover a very large number of drugs.
See PhRMA at 18 (quoting 71 FR at 16781). The
FTC’s Federal Register Notice stated that ‘‘the
brand-name companies to which the information
requests would be sent include those companies
with products that have first faced generic drug
competition since January 1, 1999 or those that
have received notice of the filing of an ANDA
* * *.’’ 71 FR at 16781. Thus the criteria quoted by
PhRMA refer to the companies that would receive
notice, not the drugs that would be covered. These
criteria would likely cover many companies, but the
number of drugs for which each company will be
required to provide data will be limited to AGs,
brand-name and ANDA-generic versions of AGs,
and drugs for which an ANDA with a paragraph IV
certification has been filed. Thus, the number of
drugs should not be large.
49 Actavis at 2–3.
50 Davis at 12.
51 See Prasco at 2.
52 Focusing requests on AGs is not
straightforward because no comprehensive list of
AGs is available. Thus, the first request proposed
for this study is a request to brand-name companies
to identify all AGs initially marketed after January
1, 2001. Although the FTC will provide a list of
putative AGs (drugs for which an AG is believed to
have been marketed) and drugs subject to ANDAs
with paragraph IV certifications, the Special Orders
assume that brand-name companies are better aware
of drugs that have been marketed pursuant to their
NDAs, and thus can identify their AGs, even if they
are not on a list provided by the FTC.
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ANDA-generic drugs; and (ii) brandname drugs for which at least one
ANDA with a paragraph IV certification
has been filed, and all bioequivalent
ANDA-generic drugs.53 The data
requests must address all such drugs so
that the FTC has a complete and
accurate basis upon which to evaluate
relative prices, market shares, and sales
levels sufficient to support paragraph IV
patent challenges.
Moreover, the FTC recognizes that the
scope of drugs necessary for purposes of
document requests is narrower than the
set of drugs needed to undertake a
reliable economic analysis, which must
include comparison drugs for which no
AG was marketed. Consequently,
document requests to brand-name
companies have been modified to focus
on documents that discuss specific AGs
or related brand-name drugs identified
by the brand-name company, or
documents that generally discuss the
marketing of AGs. Such documents
should shed light on the brand-name
companies’ economic and strategic
reasons for marketing AGs. The scope of
document requests to generic drug
companies, however, is not limited to
drugs for which an AG has been
marketed. Rather, to fully explore
concerns that AGs are inhibiting generic
entry and patent challenges, generic
companies are required to submit
documents that discuss AGs in regard to
a decision to submit an ANDA and/or
make a paragraph III or IV certification
with respect to any specific drug, and
documents that generally discuss AGs
in regard to submission of ANDAs and/
or making paragraph III or IV
certifications, but not in regard to a
particular drug. This approach takes
account of the possibility that generic
companies make decisions about
whether to pursue marketing of a
generic drug before it is known whether
an AG will be launched, and thus
relevant documents may concern drugs
for which no AG has been marketed,
drugs for which the generic company
decided to file an ANDA with a
paragraph III certification rather than a
paragraph IV, or drugs for which the
company decided not to file an ANDA.
3. Data
a. Quantitative vs. Qualitative
Information
Comments: Brand-name
pharmaceutical companies asserted that
the study should be based primarily on
53 These two groups are likely to overlap. Also,
price data will not be requested regarding brandname drugs for which an ANDA with a paragraph
IV certification has been filed, but generic entry has
not yet occurred.
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quantitative information, rather than
documents, while generic companies
stressed the importance of qualitative
information found in documents.
PhRMA asserted that ‘‘data, rather than
documents, best meet the needs of the
study’’ because it believes that pricing
and output data as well as data on
generic entry in the presence of an AG
will ‘‘show most clearly and directly
whether authorized generics have
benefited consumers by increasing
availability of prescription drugs at
lower prices.’’ 54 By contrast, generic
companies argued that while
quantitative data are useful for
analyzing short-term effects of AGs,
qualitative information is essential to
gauge the extent to which AGs will
affect generic drug entry decisions in
the future.55 Similarly, AAI/FUSA/
USPIRG stated that ‘‘the more significant
long-term effects will not be identified
by current quantitative data’’ because
the ‘‘more profound impact of
authorized generics may be on the longterm incentive and ability of generic
firms to engage in the costly and risky
conduct of attempting to invent noninfringing drugs and challenge
questionable patents.’’ 56
Response: Quantitative and
qualitative data are complementary, and
both are necessary for a full exploration
and analysis of the short- and long-term
effects of AGs on competition in the
prescription drug marketplace. Of the
quantitative data that the FTC is
seeking, price data show the short-term
effects of AGs on consumers, while data
on sales, market share, and return on
investment are more relevant to the
long-term effects of AGs on ANDAgeneric companies’ incentives to file
ANDAs and challenge patents.
Quantitative data on recent filings of
ANDAs with paragraph IV certifications
should also be relevant to the long-term
picture, because recent filings have been
made in light of the current climate
regarding the marketing of AGs.
Qualitative information, including
company documents, however, is
essential to evaluate the long-term
effects of AGs on generic company
decisions to file ANDAs and challenge
patents. Generic company documents
prepared before the first Federal
Register Notice for this study was
published are essential to interpret the
54 PhRMA at 2–3; see also Lilly at 1 (endorsing
the comments of PhRMA on the scope and extent
of the proposed request for information).
55 See, e.g., PAL at 6 (‘‘Much of the information
concerning * * * longer-term effects is qualitative
and narrative in nature, rather than quantitative.’’);
GPhA at 4–5 (data collection must include both
quantitative and qualitative data).
56 AAI/FUSA/USPIRG at 6.
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quantitative data and to understand
what factors or conditions, including
AGs, might have contributed to any
quantitative trends that we might
observe. Generic company documents
are also necessary to understand how
AGs actually affect generic company
decision-making. Brand-name company
documents could further elucidate the
likely effects of AGs on generic
company decisions to challenge patents,
and aid in the interpretation of the
quantitative data.
b. Cost Accounting Data
Comment: PhRMA suggested that the
FTC eliminate its request for cost
accounting data from brand name firms
because ‘‘cost accounting and margin
data for brand name drug companies
will not show whether generic entry has
become unprofitable’’ and therefore such
data are not useful for that analysis.57
Similarly, Davis urged that the FTC
drop its request for all cost data, because
he believes that cost data are of limited
relevance to the study and would be
very burdensome to collect and
analyze.58
Both PhRMA and Prasco, however,
asserted that to evaluate whether AGs
have deterred ANDA-generic entry, cost
data from generic companies on the
profitability of entry and return on
investment are essential.59 Prasco
emphasized that the FTC should obtain
data that would enable it to determine
the ‘‘return-on-investment generated by
generic products with and without
competition from authorized generics,’’
and whether that return is a sufficient
incentive for challenging patents.60
Response: The FTC agrees that the
request for cost data from brand-name
companies should be eliminated
because it is not useful for evaluating
generic companies’ incentives to file
ANDAs and make paragraph IV
certifications. Cost data regarding brandname drugs will no longer be required.
Cost data regarding generic drugs,
however, are necessary to evaluate the
effects of AGs on profitability and return
on investment, particularly during 180day exclusivity. Thus, the revised
requests require generic companies to
submit cost data. Companies generate
cost data in the ordinary course of
business, so the request will not be
excessively burdensome. To enhance
uniformity and minimize burden, the
FTC has modified the Special Orders to
request the overall cost to manufacture,
and has eliminated the request that
57 PhRMA
at 17.
Davis at 14.
59 See PhRMA at 20; Prasco at 3.
60 Prasco at 3.
58 See
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companies separately provide data for
cost subcategories, e.g., material cost,
labor cost, manufacturing cost,
distribution cost, API cost, and
overhead cost. The FTC is also
requesting generic companies’ costs for
research and development and for
paragraph IV litigation, to ensure that it
can completely evaluate the investment
necessary for generic entry that entails
a patent challenge.
C. Suggestions on Alternative Sources of
Information
1. Comments on Holding Hearings
Comment: Several commenters,
including GPhA, suggested that the FTC
hold hearings to gather information on
the likely long-term effects of AGs
because they believe that the effects of
AGs would not be reflected adequately
in data on currently marketed ANDAgeneric drugs, for which entry decisions
and strategies may have been made
before the marketing of AGs became
more common in 2003.61 Unlike the
other commenters, however, GPhA also
suggested that the FTC not use
subpoenas: ‘‘[S]ubpoenas are an
unnecessarily forceful mechanism by
which to gather information, as many
generic companies are interested in this
issue and will be inclined to voluntarily
submit information in response to FTC’s
request.’’ 62
Response: While the FTC recognizes
the value of hearings for gathering
information from industry and
economic experts and enhancing our
understanding of an issue, hearings
cannot substitute for pre-existing, often
confidential documents and data that
can be acquired only by compulsory
process. The use of Special Orders to
gather pre-existing information was
critical to the FTC’s reports on GENERIC
DRUG ENTRY PRIOR TO PATENT
EXPIRATION (July 2002) 63 and
PHARMACY BENEFIT MANAGERS:
OWNERSHIP OF MAIL-ORDER
PHARMACIES (August 2005).64 As the
FTC reviews the information it receives
in response to the Special Orders, it will
consider whether hearings should be
held to supplement the responses with
up-to-date views on particular issues.
61 See GPhA at 1, 4, 6–7. See also AAI/FUSA/
USPIRG at 6; PAL at 6; Gilbert’s at 2–3 (suggesting
that the FTC hold hearings because the effects of
AGs may not be reflected in pre-existing documents
which ‘‘may show that generic companies have
continued developing certain products despite the
threat of authorized generics in the hope that the
practice is curtailed by the courts, regulation or
legislation’’).
62 GPhA at 5.
63 Hereinafter GENERIC DRUG REPORT.
64 Hereinafter PBM REPORT.
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2. Comments on the Requests for IMS
Information
Comments: IMS, a provider of
economic data on pharmaceuticals,
asserted that rather than obtaining IMS
data from individual companies, ‘‘the
Commission could obtain information it
seeks more efficiently by licensing the
information directly from IMS.’’ 65 IMS
believes that licensing would be more
efficient because IMS data frequently
are customized to a particular customer,
and the FTC’s request could involve
numerous companies. Accordingly, the
FTC would likely receive data in
inconsistent formats, which would not
be comparable across ‘‘manufacturers,
products, and time periods.’’ 66 IMS also
suggested that the FTC eliminate its
proposed request for ‘‘any other IMS
data, or the equivalent thereof, used in
the ordinary course of business,’’
because it is too broad and would at
least in part yield IMS information
unrelated to the study.67 Several
pharmaceutical companies also
suggested that the FTC obtain IMS data
directly from IMS,68 because ‘‘IMS
Health sells its data under licenses that
restrict licensees from disclosing the
data to third parties.’’ 69
Response: The FTC agrees that
obtaining data directly from IMS would
be more efficient, and would enhance
the FTC’s ability to analyze and
interpret the data. It would also reduce
the burden on industry respondents,
who would not have to find and
produce this information. In addition,
licensing data from IMS would facilitate
obtaining complete data, especially
retail-level sales and price data
necessary for an evaluation of the effects
of AGs on consumers.70 Accordingly,
the FTC has eliminated the requests for
IMS information from the proposed
Special Orders.
D. Comments Requesting Limitations on
Use of the Information Submitted
Comment: GPhA requested that ‘‘the
FTC give assurances that information
65 IMS
at 2.
at 2.
at 3–4. See also Prasco at 1–2 (suggesting
that ‘‘IMS Integrated Promotional Services Total
Promotion Reports’’ are unrelated to the topic of the
study).
68 See Actavis at 3; Davis at 14; PhRMA at 15–
16.
69 PhRMA at 15–16. IMS also stated that whether
FTC obtains data from IMS directly or from
individual companies, ‘‘IMS information constitutes
confidential trade secret and commercial
information that is protected from disclosure under
section 6(f) of the FTC Act, 15 U.S.C. 46(f).’’ IMS
at 3.
70 See Gilbert’s at 3 (urging ‘‘the FTC to
specifically request information on the pricing of
drugs at the retail level, as this data may not be
captured by the request as currently stated’’).
66 IMS
67 IMS
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gathered in conducting this study will
be used solely for the purposes of the
study.’’ 71
Response: Although the purpose of
the proposed information collection is
to provide a basis for the proposed
study, the Commission cannot give
assurances that the documents and
information collected will not be used
for other purposes such as law
enforcement investigations. The
Commission would not exercise its
enforcement authority solely on the
basis of information collected in
response to the Special Orders,
however. Rather, it would do so only
after gathering additional information
from a company and/or other sources
through an investigation separate from
the proposed study. Also, although
materials submitted may be covered by
one or more stringent confidentiality
constraints, the Commission cannot rule
out that, under circumstances specified
by law, the information could be used
by other agencies for law enforcement
purposes, by Congress, or in judicial
proceedings.
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E. Suggestions To Broaden the Scope of
the Proposed Study
The FTC received a number of
suggestions from generic, brand-name,
and AG companies to broaden the scope
of the study. Some of the suggestions
addressed new topics not contemplated
by the Federal Register Notice of April
4, 2006, and would require the
submission of information not
contemplated by that notice. Other
suggested topics were more closely
related to the proposed study and might
require little or no additional
information. Although the agency
cannot be certain that it will be possible
to address particular topics because the
nature of the information to be collected
cannot entirely be predicted, the
Commission will make every effort to
maximize the practical utility of the
information it receives by using it to
address as many issues relevant to the
study as possible.
1. Topics Closely Related to the Scope
of the Proposed Study
Comment: Davis and PhRMA
suggested that the FTC study take into
account possible beneficial effects of
AGs on generic companies that license
them, e.g., from licensing revenues, by
enhancing a company’s portfolio of
products, or by allowing a company to
offer all dosages or strengths of a drug.72
Response: The FTC agrees that its
study should encompass all aspects of
71 GPhA
72 See
at 5.
Davis at 15–16; PhRMA at 20.
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the impact of AGs on generic
companies, including both positive and
negative effects. The Commission has
revised its document requests to ensure
that it is clear that information requests
to generic companies extend to
documents that discuss possible
benefits to a company of marketing an
AG drug.
Comment: Several commenters
suggested examining a number of
complex issues regarding the purposes,
effects, limits, and necessity of 180-day
exclusivity. Lilly suggested that the FTC
analyze whether and to what extent
consumers benefit from accelerated
generic entry due to patent challenges;
whether 180-day exclusivity
undermines those benefits by delaying
competition; and whether 180-day
exclusivity is a necessary incentive for
generic companies to undertake patent
challenges.73 Prasco suggested that the
Commission assess whether the effects
of AGs on competition differ from the
effects of shared exclusivity by multiple
first filers of ANDAs with paragraph IV
certifications under the MMA.74 Prasco
also recommended that the FTC take
into account the ‘‘apparent diminishing
number of brand products available for
paragraph IV ANDA challenges’’ when
considering whether AGs have caused a
decrease in the number of paragraph IV
certifications.75
Response: These issues are related to
the proposed study, and the FTC
anticipates that the information to be
obtained from companies and other
sources may allow the Commission to
address aspects of many of them. Such
information includes price data, the
timing of generic entry, dates of patent
expiration, the extent of multiple entry,
profitability, return on investment, and
trends in paragraph IV certifications,
and documents related to these issues.
The Commission, however, will not
broaden its information requests in
73 See
Lilly at 2.
Prasco at 3. The MMA defined ‘‘first
applicant’’ in such a way that all applicants who
submit a substantially complete application
containing a paragraph IV certification on the first
day the FDA receives such an application may be
granted 180-day exclusivity. See 21 U.S.C.
355(j)(5)(B)(iv)(II)(bb). The MMA codified a policy
that had been adopted by the FDA not long before
the enactment of the MMA in 2003. See FDA,
GUIDANCE FOR INDUSTRY: 180–DAY
EXCLUSIVITY WHEN MULTIPLE ANDAS ARE
SUBMITTED ON THE SAME DAY (July 2003),
available at https://www.fda.gov/CDER/GUIDANCE/
5710fnl.pdf. Before that time, the FDA granted
exclusivity on a patent-by-patent basis, so that two
companies that were first filers with respect to
challenges to different patents might share
exclusivity for the drug product. See Letter from
Gary Buehler, Office of Generic Drugs, FDA, to
Diane Servello, Andrx Pharmaceuticals, Inc. (Nov.
16, 2001).
75 Prasco at 3.
74 See
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Fmt 4703
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order to expand the scope of its study
beyond the previously announced
analysis of the effect of AG drugs on
competition.
2. Topics Outside the Scope of the
Proposed Study
Comment: Several commenters
suggested considering the full range of
strategies that brand-name companies
might use to delay generic entry and
competition or otherwise promote the
use of brand-name drugs at the expense
of generics, regardless of whether the
strategies involve AG drugs.76 Practices
suggested for inclusion in the study
included the filing of citizen petitions or
the use of the declaratory judgment
system to delay generic entry; 77 the use
of ‘‘product hopping’’ or other strategies
to switch consumers from one brandname drug to another at the onset of
generic competition; 78 and the use of
‘‘reverse payments’’ and purportedly
problematic patent settlements.79
Response: While the FTC appreciates
the importance of studying strategies
that might adversely affect generic
competition, these topics are generally
beyond the scope of the congressional
request to study the competitive effects
of AGs. Given finite resources,
examination of these issues through
expansion of the Special Orders would
detract from the quality and timeliness
of the study of AGs. To the extent that
the study finds that AGs are marketed
pursuant to the settlement of paragraph
IV litigation, however, the FTC will
examine the competitive implications of
the arrangements as part of its ongoing
review of such settlements.
Comment: Other commenters
suggested that the FTC broaden the
study to examine practices of generic
pharmaceutical companies that might be
anti-competitive and chill brand-name
manufacturers’ incentives to innovate.
In particular, Lilly suggested that the
FTC examine ‘‘early and speculative
patent challenges,’’ which ‘‘can have a
chilling effect on innovation.’’ 80
Response: The possible effects of early
and speculative patent challenges and
other practices on innovation are
outside the scope of the congressionally
requested study. An analysis of this
complex issue, which would involve
76 See PAL at 6; AAI/FUSA/USPIRG at 5; Gilbert’s
at 3; GPhA at 6.
77 See AAI/FUSA/USPIRG at 4 (citizen petitions
and declaratory judgment system); Gilbert’s at 3
(citizen petitions); GPhA at 6 (citizen petitions).
78 See GPhA at 6 (product hopping); Gilbert’s at
3 (product switches); AAI/FUSA/USPIRG at 5
(product switches).
79 See Gilbert’s at 3; AAI/FUSA/USPIRG at 5; PAL
at 6.
80 Lilly at 3. See also Davis at 15.
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Federal Register / Vol. 72, No. 86 / Friday, May 4, 2007 / Notices
assessing innovation or measuring
branded firms’ pharmaceutical research
and development efforts, would detract
from the FTC’s ability to carry out a
complete and timely study of the effects
of AGs on competition.
Comment: AARP suggested that the
Commission broaden the scope of the
study by ‘‘assess[ing] how different
generics offer different levels of savings
over the brand name drug; examin[ing]
whether, in order to get better prices,
consumers must search for a generic not
produced by the manufacturer of the
brand name drug; examin[ing] the cost
impact of authorized generics on public
programs, such as Medicare and
Medicaid, and on private health
insurance; and assessing] how the use of
authorized generics impacts access to
lower cost generic drugs, particularly for
low-income individuals.’’ 81
Response: The first suggestion, that
the FTC assess the savings offered by
different types of generic drugs relative
to the brand-name drug, is within the
scope of the proposed study and one
that the Commission plans to address.
The other topics, however, are outside
the scope of the congressionally
requested study, which is designed to
examine the short- and long-term effects
of AGs on competition in the
prescription drug marketplace, focusing
on their impact on generic company
incentives to market generic drugs and
undertake patent challenges. The FTC
does not anticipate addressing issues
such as the impact of AGs on consumer
behavior or specific classes of
consumers, and on public or private
programs not administered by this
agency, because to do so would detract
from the quality and timeliness of the
congressionally requested study.
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Destruction of Documents
It should be noted that subsequent to
this notice, any destruction, removal,
mutilation, alteration, or falsification of
documentary evidence that may be
responsive to this information collection
within the possession or control of a
person, partnership or corporation
subject to the FTC Act may be subject
to criminal prosecution. 15 U.S.C. 50;
see also 18 U.S.C. 1505.
Confidentiality
The information presented in the
study will not identify companyspecific data. See 15 U.S.C. 57b–
2(d)(1)(B). Rather, the Commission
anticipates using primarily aggregated
totals, on a level sufficient to protect
individual companies’ confidential
information, to provide a factual
81 AARP
at 2.
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summary of the effect of authorized
generic entry since 1999. Section 6(f) of
the FTC Act, 15 U.S.C. 46(f), bars the
Commission from publicly disclosing
trade secrets or confidential commercial
or financial information it receives from
persons pursuant to, among other
methods, special orders authorized by
Section 6(b) of the FTC Act. Such
information also would be exempt from
disclosure under the Freedom of
Information Act. 5 U.S.C. 552(b)(4).
Moreover, under Section 21(c) of the
FTC Act, 15 U.S.C. 57b–2(c), a submitter
who designates a submission as
confidential is entitled to 10 days’
advance notice of any anticipated public
disclosure by the Commission,
assuming that the Commission has
determined that the information does
not, in fact, constitute 6(f) material.
Although materials covered under one
or more of these various sections are
protected by stringent confidentiality
constraints, the FTC Act and the
Commission’s rules authorize disclosure
in limited circumstances (e.g., official
requests by Congress, requests from
other agencies for law enforcement
purposes, administrative or judicial
proceedings). Even in those limited
contexts, however, the Commission’s
rules may afford the submitter advance
notice to seek a protective order. See 15
U.S.C. 57b–2(c); 16 CFR 4.9—4.11.
Estimated Burden Hours and Labor
Cost Burden
In its prior Federal Register notice,
the FTC estimated that a company’s
burden for the AG study would range
from 140 to 408 hours depending upon
the number of a company’s drugs
covered by the study.82
Two commenters asserted that the
FTC’s estimates for complying with its
document requests understated the
burden hours. PhRMA, for example,
asserted that ‘‘the FTC’s estimates
understate by several multiples the
amount of time and money it would
likely take to comply with the requests
as written.’’ 83 In contrast, the AG
company Prasco had no ‘‘comment on
the accuracy of the FTC’s estimates’’ but
noted that the ‘‘burden of providing the
requested information can only be
assessed in relation to the size of the
company responding.’’ 84 GPhA also did
not comment on the FTC’s estimates.
The initial hour burden estimates are
consistent with previous PRA estimates
82 71
FR 16779, 16783 (April 4, 2006).
at 7. See also Davis at 11 (the FTC’s
Federal Register notice ‘‘materially underestimates
the burden of compliance’’). PhRMA did not
comment on the Commission’s burden estimates for
complying with requests for financial data.
84 84 Prasco at 2.
83 PhRMA
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25313
and the FTC’s experience with
information requests that require
financial data, answers to questions, and
production of pre-existing documents.
Even assuming, however, that due to the
nature of the questions and the time
frame covered in the first Federal
Register notice, the FTC’s initial
estimate understated the burden, the
Commission believes that its estimates
are realistic given the modifications to
the requests, which largely adopt
industry suggestions for reducing
burden. Previously, the study covered
drug products that first faced generic
competition after Jan. 1, 1999, for which
an ANDA with a paragraph III or IV
patent certification was filed. It now
covers drugs subject to competition after
Jan. 1, 2001, for which at least one
ANDA with a paragraph IV certification
was filed. Our preliminary review
suggests that there are approximately
200 such drugs subject to generic
competition, and that this set of drugs
will also capture many of the AGs that
have been marketed during this time
frame.85 The reduction in the number of
drugs covered resulting from the
changes in time frame and criteria for
inclusion in the study should reduce the
hour burden by more than one-half.
Other changes should reduce the
burden even more. The time period
covered by the document requests,
which previously began on Jan. 1, 1998,
now begins on Jan. 1, 2002 or 2003,
depending on company type, and ends
on April 3, 2006. This should reduce the
burden of document production by
more than half, and probably much
more because older documents often are
harder to obtain. Moreover, the
document requests are now limited to
planning, decisional, and strategy
documents that specifically address
AGs. Although any estimate of the
expected decrease in burden due to the
changes that focus the requests on AGs
is necessarily imprecise because no
complete list of AGs is available, the
Commission believes, from preliminary
information, that these changes alone
should reduce the burden markedly.
Finally, the requests for IMS Health
data and cost data from brand-name
companies have been eliminated. The
request for cost data from generic firms
has been simplified by requesting
85 In addition, to obtain a complete picture of
industry practices in marketing AGs, we are asking
companies to identify and provide information on
all AGs (tablet or capsule form) that were launched
after Jan. 1, 2001, regardless of what certifications
were made regarding patents on the brand-name
drug. Brand-name companies will also be requested
to provide sales data on brand-name drugs for
which at least one ANDA with a paragraph IV
certification was filed after Jan. 1, 2001, and generic
entry has not yet occurred.
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annual operating statements. In sum, as
a result of the combined effects of the
changes to reduce the burden of both
financial and document requests, the
hour burden of the study should be a
fraction of what it would have been
pursuant to the requests of the first
Federal Register notice.
After taking account of the public
comments and the burden-reducing
changes that we have made in response,
the FTC believes that its previously
published estimate of the total burden
hours remains reasonable. The
Commission has retained a three-tier
estimate of burden hours depending
upon the number of drug products for
which a company is required to provide
a response: Companies with one to five
drug products, companies with six to 10
drug products, and companies with
more than 10 drug products. As before,
the Commission anticipates that the
majority of burden hours will result
from document production. However,
given that the Commission seeks only
high-level documents strongly relevant
to the AG study, the Commission has
revised its burden estimates to reflect a
greater amount of time spent on
identifying responsive documents, and
less time spent on retrieving and
copying. The Commission has also
increased its estimates of the maximum
hours for these tasks to reflect the
possibility that a few companies will
have a relatively large number of drugs
responsive to its requests.
Based on preliminary information, the
FTC anticipates that it will seek
information for 1 to 5 drug products
from approximately 130 companies, 6 to
10 drug products from 20 companies,
and for greater than 10 drug products
from 40 companies. Thus, the
cumulative hours burden to produce
documents and prepare the response
sought will be approximately 40,780
hours. [(138 hours × 130 companies) +
(230 × 20 companies) + (456 hours × 40
companies)] As previously discussed,
the Commission anticipates that in
general the number of drugs, and thus
the number of burden hours, will be
proportional to company size.86 The
following table shows the estimated
burden hours for different tasks for
companies with different numbers of
drugs covered by the study:
1–5 Drug
Products
(hours
Task
6–10 Drug
Products
(hours)
> 10 Drug
Products
(hours)
Organize document and information retrieval .............................................................................
Identify requested documents .....................................................................................................
Retrieve and copy requested documents ....................................................................................
Identify requested financial information .......................................................................................
Obtain financial information .........................................................................................................
Prepare response ........................................................................................................................
12
40
10
40
12
24
24
80
20
50
16
40
48
200
48
60
20
80
Total ......................................................................................................................................
138
230
456
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It is not possible to calculate with
precision the labor costs associated with
answering the planned questions and
producing the documents requested,
because responses will entail
participation by management and/or
support staff at various compensation
levels within many different companies.
Individuals within some or all of those
labor categories may be involved in the
information-collection process.
Nonetheless, the FTC has assumed that
mid-management personnel and outside
legal counsel will handle most of the
tasks involved in gathering and
producing the responsive information,
and has applied an average hourly wage
of $250/hour for their labor. Thus, the
labor costs per company should range
between $34,500 (138 hours × $250/
hour) and $114,000 (456 hours × $250/
hour).
file folders, computer CDs or DVDs,
photocopier toner, or paper in order to
comply with the Commission’s requests.
The FTC estimates that such costs will
be minimal.
By direction of the Commission,
Commissioner Harbour recused.
Donald S. Clark,
Secretary.
[FR Doc. E7–8567 Filed 5–3–07; 8:45 am]
BILLING CODE 6750–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
Delegation of Authority
Estimated Annual Capital or Other
Non-labor Costs
The capital or other non-labor costs
associated with the information requests
will be minimal. Industry members
should already have in place the means
to store information of the volume
requested. In addition, respondents may
have to purchase office supplies such as
Notice is hereby given that I have
delegated to the Assistant Secretary for
Preparedness and Response the
authorities vested in the Secretary of
Health and Human Services under
section 319C–2, 319F, and 319I of the
Public Health Service Act, as amended,
as it pertains to the functions assigned
to the Assistant Secretary for
Preparedness and Response. These
delegations to the Assistant Secretary
for Preparedness and Response include
86 The Commission recognizes, however, that this
may not apply to independent AG companies, for
which a large fraction of the company’s drugs may
be covered. The FTC anticipates that there are few
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Frm 00073
Fmt 4703
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the authority vested in the Secretary of
Health and Human Services to continue
the administration of any grants and
contracts initially awarded by the
Health Resources and Services
Administration under sections 319C–1,
319C–2, 319F, and 319I of the Public
Health Service Act. This delegation
permits the Assistant Secretary for
Preparedness and Response to
administer grants and contracts under
the terms and conditions of the initial
awards.
This authority may be redelegated.
These delegations shall be exercised
under the Department’s policy on
regulations and the existing delegation
of authority to approve and issue
regulations. This delegation excludes
the authority to issue reports to
Congress and to take final action to
withhold funds from States.
This delegation supersedes all prior
delegations of authority to the Health
Resources and Services
Administration’s officials to the extent
that they are inconsistent with the
provisions of this delegation.
such companies, and that their responses are
especially important to this study.
E:\FR\FM\04MYN1.SGM
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Agencies
[Federal Register Volume 72, Number 86 (Friday, May 4, 2007)]
[Notices]
[Pages 25304-25314]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-8567]
=======================================================================
-----------------------------------------------------------------------
FEDERAL TRADE COMMISSION
Agency Information Collection Activities; Comment Request
AGENCY: Federal Trade Commission (``FTC'' or ``Commission'').
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The FTC is considering conducting a study to analyze the use
and likely short- and long-run competitive effects of authorized
generic drugs in the prescription drug marketplace. Before
investigating these issues, the FTC is seeking public comments on its
proposed information requests to firms in the prescription drug
industry. The information collection requirements described below will
be submitted to the Office of Management and Budget (``OMB'') for
review, as required by the Paperwork Reduction Act (``PRA'') (44 U.S.C.
3501-3520).
DATES: Comments must be received on or before June 4, 2007.
ADDRESSES: Interested parties are invited to submit written comments.
Comments should refer to ``Authorized Generic Drug Study: FTC Project
No. P062105'' to facilitate the organization of comments. A comment
filed in paper form should include this reference both
[[Page 25305]]
in the text and on the envelope and should be mailed or delivered, with
two complete copies, to the following address: Federal Trade
Commission/Office of the Secretary, Room H-135 (Annex J), 600
Pennsylvania Avenue, NW., Washington, DC 20580. Because paper mail in
the Washington area and at the Commission is subject to delay, please
consider submitting your comments in electronic form, as prescribed
below. However, if the comment contains any material for which
confidential treatment is requested, it must be filed in paper form,
and the first page of the document must be clearly labeled
``Confidential.'' \1\ The FTC is requesting that any comment filed in
paper form be sent by courier or overnight service, if possible.
---------------------------------------------------------------------------
\1\ Commission Rule 4.2(d), 16 CFR 4.2(d). The comment must be
accompanied by an explicit request for confidential treatment,
including the factual and legal basis for the request, and must
identify the specific portions of the comment to be withheld from
the public record. The request will be granted or denied by the
Commission's General Counsel, consistent with applicable law and the
public interest. See Commission Rule 4.9(c), 16 CFR 4.9(c).
---------------------------------------------------------------------------
Comments filed in electronic form should be submitted by clicking
on the following weblink: https://secure.commentworks.com/AuthorizedGenericStudy and following the instructions on the web-based
form. To ensure that the Commission considers an electronic comment,
you must file it on the web-based form at the https://secure.commentworks.com/AuthorizedGenericStudy weblink. If this notice
appears at www.regulations.gov, you may also file an electronic comment
through that Web site. The Commission will consider all comments that
regulations.gov forwards to it.
Comments should also be submitted to: Office of Management and
Budget, Attention: Desk Officer for the Federal Trade Commission.
Comments should be submitted via facsimile to (202) 395-6974 because
U.S. Postal Mail is subject to lengthy delays due to heightened
security precautions.
The FTC Act and other laws the Commission administers permit the
collection of public comments to consider and use in this proceeding as
appropriate. All timely and responsive public comments will be
considered by the Commission and will be available to the public on the
FTC Web site, to the extent practicable, at www.ftc.gov. As a matter of
discretion, the FTC makes every effort to remove home contact
information for individuals from the public comments it receives before
placing those comments on the FTC Web site. More information, including
routine uses permitted by the Privacy Act, may be found in the FTC's
privacy policy at https://www.ftc.gov/ftc/privacy.htm.
FOR FURTHER INFORMATION CONTACT: Requests for additional information
should be addressed to Karen A. Goldman, Attorney, Policy Studies,
Office of the General Counsel, 600 Pennsylvania Avenue, NW.,
Washington, DC 20580; telephone (202) 326-2574.
SUPPLEMENTARY INFORMATION: In the United States, the Food and Drug
Administration (``FDA'') must approve the marketing of any
pharmaceutical drug, whether brand-name or generic. The Hatch-Waxman
Act establishes the regulatory framework under which the FDA may
approve a generic drug to be marketed. Typically, a brand-name drug
obtains FDA approval through a New Drug Application (``NDA''), and a
generic drug manufacturer obtains FDA approval through an Abbreviated
New Drug Application (``ANDA'') in which it may be allowed to rely on
the clinical data first submitted by the brand-name drug manufacturer.
To encourage generic entry as soon as is warranted, the Hatch-
Waxman Act allows generic drug manufacturers, in certain circumstances,
to market a generic drug prior to the expiration of claimed patent
protection for the corresponding brand-name drug. To be permitted to do
so, a generic drug manufacturer must first submit a ``paragraph IV''
ANDA in which it certifies that (a) its generic drug will not infringe
patents listed in the FDA's ``Orange Book'' (``Orange Book patents'')
as claiming the relevant brand-name drug product, and/or (b) the
relevant Orange Book patents are invalid. If the paragraph IV ANDA
leads to litigation, then 30 months after the litigation was filed (or
after final decision in the litigation, if earlier), the FDA may
authorize the marketing of the generic drug under the ANDA application.
At that point, the first-filed paragraph IV ANDA applicant becomes
entitled to a 180-day marketing exclusivity period, during which the
FDA cannot approve any other, later-filed paragraph IV ANDA for a
generic drug corresponding to the same brand-name drug product. This
protects the first FDA-approved paragraph IV ANDA applicant from
competition with other ANDA applicants during this time.
The 180-day marketing exclusivity period does not preclude
competition from NDA-approved ``authorized generics,'' however.\2\ An
authorized generic is chemically identical to a particular brand-name
drug, which the brand-name manufacturer authorizes to be marketed in a
generic version under the NDA-approval that the FDA granted for the
brand-name drug. The brand-name manufacturer either sells the
authorized generic itself through a subsidiary or licenses a generic
firm to sell the authorized generic. The trade dress typically differs
for the brand-name drug and its authorized generic equivalent, but the
drug product is exactly the same.
---------------------------------------------------------------------------
\2\ Teva Pharm. Indus. v. FDA, 410 F.3d 51 (D.C. Cir. 2005).
---------------------------------------------------------------------------
In recent years and with increasing frequency, brand-name drug
manufacturers have begun to market authorized generic drugs at
precisely the same time that a paragraph IV generic is beginning its
period of 180-day marketing exclusivity. The likely effects of this
practice on generic competition have been subject to some debate. In
the short run, the entry of an authorized generic drug may benefit
consumers by creating additional competition that lowers generic prices
further than if only the paragraph IV generic were marketed. Many
generic manufacturers assert, however, that in the long run, consumers
will be harmed because an expectation of competition from authorized
generics will significantly decrease the incentives of generic
manufacturers to pursue entry prior to patent expiration. For a generic
manufacturer, the additional competition from an authorized generic may
result in significantly less profit during the period of 180-day
exclusivity than if the generic manufacturer had no authorized-generic
competition during that time.
Given the importance of generic drugs in lowering health care
costs, Senators Grassley, Leahy, and Rockefeller have requested that
the Commission conduct a study of ``the short term and long term
effects on competition of the practice of `authorized' generics.'' \3\
In addition, Representative Waxman, one of the co-authors of the Hatch-
Waxman Act, has requested that the FTC study ``the impact of so-called
`authorized generics' on competition in the prescription drug
marketplace.'' \4\
---------------------------------------------------------------------------
\3\ See Letter to Chairman Deborah Platt Majoras, from Senators
Grassley, Leahy, and Rockefeller (May 9, 2005).
\4\ See Letter to Chairman Deborah Platt Majoras from
Representative Henry A. Waxman (Sept. 13, 2005).
---------------------------------------------------------------------------
The Commission proposes to undertake such a study, as described in
this notice, to examine both the likely short-term competitive effects
of authorized generic drug entry and, to the extent possible, the
likely long-term impact of entry by authorized generic
[[Page 25306]]
drugs on competition by generic manufacturers.\5\ The study will be
carried out pursuant to Section 6(b) of the FTC Act, 15 U.S.C. 46(b).
Among other things, the proposed study will examine prices (including
rebates, discounts, etc.) for brand-name and generic drugs, both with
and without competition from authorized generics; business reasons that
support authorized generic entry; factors (including product
development and litigation costs) relevant to the decisions of generic
firms about whether and under what circumstances to seek entry prior to
patent expiration; and licensing agreements regarding authorized
generics. This information will enable the proposed study to make new
contributions on the effects of authorized generic drug entry on
prescription drug prices and, in particular, permit an evaluation of
the impact of authorized generic drugs on the incentive offered by the
period of 180-day exclusivity afforded to generic drugs that enter the
market as the result of an ANDA with a paragraph IV certification.
---------------------------------------------------------------------------
\5\ In its 2002 study of how generic drug competition prior to
patent expiration has developed, the Commission found that the
Hatch-Waxman framework had promoted entry by low-cost generic drugs
prior to patent expiration. Federal Trade Commission, Generic Drug
Entry Prior to Patent Expiration: An FTC Study (July 2002),
available at <https://www.ftc.gov/os/2002/07/genericdrugstudy.pdf>
(``Generic Drug Study'').
---------------------------------------------------------------------------
Pursuant to 5 CFR 1320.8(d), the FTC published on April 4, 2006 a
Federal Register Notice seeking comments from the public concerning the
FTC's proposed study.\6\ The comments and the Commission's responses to
them are set forth below. Based on the comments, the Commission has
revised the previously published information requests.
---------------------------------------------------------------------------
\6\ Agency Information Collection Activities; Comment Request,
71 FR 16779 (April 4, 2006).
---------------------------------------------------------------------------
Generally, the Commission's revised Special Orders seek information
on (i) authorized generic drugs (launched after Jan. 1, 2001) and all
drugs related to them, i.e., brand-name versions of authorized generic
drugs and all bioequivalent generic drugs; (ii) brand-name drugs that
first faced generic competition after Jan. 1, 2001, for which at least
one ANDA with a paragraph IV certification was filed, and all
bioequivalent generic drugs; \7\ and (iii) brand-name drugs for which
at least one ANDA with a paragraph IV certification was filed after
Jan. 1, 2001, and generic entry has not yet occurred. Within this
general framework, the Commission has ensured that the requests are
tailored to the needs if the planned study. For example, reflecting the
widespread perception that the marketing of authorized generics
increased markedly beginning in 2003, requests for generic company
documents are generally limited to documents prepared after Jan. 1,
2003. In order to collect documents that underlie marketing strategies
adopted in 2003, requests to brand-name companies seek documents
prepared after January 1, 2002.
---------------------------------------------------------------------------
\7\ Categories (i) and (ii) are likely to overlap substantially.
---------------------------------------------------------------------------
Similarly, the Commission has confined the study to drugs most
likely to yield information necessary for evaluating the short- and
long-run competitive effects of authorized generic drugs. Because no
comprehensive list of authorized generic drugs is available, the
Commission plans to identify the authorized generic drugs covered by
the study via an initial, brief information request asking brand-name
companies to identify their authorized generic drugs. The Commission
will use those initial responses to develop subsequent Special Orders
to generic and authorized generic companies that market authorized
generic drugs. Based on a preliminary analysis, approximately 80 brand-
name drug manufacturers, several authorized generic drug companies, and
100 generic companies will receive Special Orders. The revised Special
Orders are set forth on the OMB Web site on information collection
review, https://www.reginfo.gov/public/do/PRAMain and on the FTC's web
page on the authorized generic study, https://www.ftc.gov/os/comments/genericdrugstudy3/.
Pursuant to the OMB regulations that implement the PRA (5 CFR Part
1320), the FTC is providing this second opportunity for public comment
while requesting that OMB grant clearance for the proposed information
requests. All comments should be filed as prescribed in the ADDRESSES
section above, and must be received on or before June 4, 2007.
Public Comments/Consultation Outside the Agency and Actions Taken
The FTC received 13 comments on the proposed information collection
requests.\8\ All of the public interest organizations that submitted
comments, which included a nonprofit group dedicated to the use of
antitrust as a component of competition policy, strongly endorsed the
study. For example, the American Antitrust Institute, CFA, FUSA, and
USPIRG stated that by ``initiating this study, the FTC has demonstrated
its commitment to ensuring that the anticompetitive practices of brand
name drug manufacturers do not threaten Americans' access to low cost
generic drugs.'' \9\ Generally, the strong support of public interest
organizations reflects their representation of consumers and retirees,
and concern about the rising cost of pharmaceuticals.\10\ Industry
views, however, varied depending on whether the commenter was a
marketer of AGs or in competition with marketers of AG drugs.\11\
---------------------------------------------------------------------------
\8\ The comments are available at https://www.ftc.gov/os/comments/genericdrugstudy3/. The 13 submissions are from AARP
(nongovernmental organization for Americans age 50 and older);
Actavis Group (Actavis) (generic pharmaceutical company); American
Antitrust Institute, Consumer Federation of America, Families USA,
and U.S. Public Interest Research Groups (AAI/CFA/FUSA/USPIRG)
(nongovernmental public interest organizations); Consumers Union
(nonprofit organization representing consumers); Ronald W. Davis
(Davis) (attorney submitting comments ``on behalf of an undisclosed
client''); Generic Pharmaceutical Association (GPhA) (trade
association representing generic pharmaceutical manufacturers);
Gilbert's LLP (Gilbert's) (law firm representing ``one of the
largest generic pharmaceutical companies in the United States'');
IMS Health Inc. (IMS) (provider of information and research to the
health care industry); Eli Lilly and Co. (Lilly) (an innovation-
driven pharmaceutical company); Ohio Public Employees Retirement
System (OPERS) (Ohio pension system); Pharmaceutical Research and
Manufacturers of America (PhRMA) (trade association representing
research-based pharmaceutical and biotechnology companies); Prasco,
LLC (Prasco) (privately held, independent pharmaceutical company
that makes AGs); and Prescription Access Litigation (PAL) (coalition
of ``consumer, healthcare, labor, senior, legal services, and
women's health organizations'').
\9\ AAI/CFA/FUSA/USPIRG at 1. OPERS, AARP, PAL, Consumers Union,
and GPhA also enthusiastically endorsed the study.
\10\ See OPERS; AARP; PAL; Consumers Union.
\11\ One industry commenter, IMS, submitted comments that only
considered the possible use by the study of IMS' commercially
available data.
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Generic companies and their trade organization, GPhA, supported the
study. GPhA ``commend[ed] the FTC for taking initiative on this
important issue. * * * This Study is no less critical than the FTC's
earlier efforts on the generic drug front, such as the 2002 FTC study
of generic pharmaceuticals, which led to a broad and nuanced
perspective at an important time in the industry's history.'' \12\ No
generic drug company questioned the practical utility of the study.
GPhA and one generic company commenter, however, asserted that the
FTC's requests would be burdensome, and suggested that the FTC narrow
or otherwise modify its request.\13\ Generic company views on how to
lessen the burden were somewhat variable, presumably because some
generic companies market both ANDA-generic and AG drugs. Generic
companies (and brand-name and AG companies) also
[[Page 25307]]
urged the Commission to broaden the scope of the study by addressing a
number of topics relevant to their marketing strategies.
---------------------------------------------------------------------------
\12\ GPhA at 2.
\13\ See GPhA at 5; Actavis at 1-2.
---------------------------------------------------------------------------
Comments from the brand-name pharmaceutical industry, which markets
or authorizes the marketing of AGs, generally accepted the core
concepts of the study, but expressed concerns primarily focused on the
breadth of the originally proposed document requests. The PhRMA
comments, which were endorsed by Lilly, stated that the ``proposed
empirical study will show whether authorized generics benefit consumers
by lowering prices for generic drugs,'' but also asserted that the
proposed ``information requests are overbroad.'' \14\ Davis, apparently
representing a brand-name pharmaceutical company, asserted that a very
recent statutory change could sufficiently change the marketing of AGs
to render a study based on recent historical data outdated.\15\
---------------------------------------------------------------------------
\14\ PhRMA at 1, 7. See also Lilly at 1.
\15\ See Davis at 9-11.
---------------------------------------------------------------------------
The FTC received only one comment from an independent authorized
generic drug company; most AGs are either marketed by a subsidiary or
division of a brand-name company or by a generic drug company under a
license from a brand-name company. The independent AG drug company,
Prasco, did not express a view of the study as a whole but rather
commented on substantive issues that should be addressed, and ways to
minimize burden.
As discussed below, the Commission has incorporated many of the
suggestions to narrow the requests, especially for documents, which
were the focus of the commenters' concerns about burden. In doing so,
the FTC will avoid requesting information that is not necessary for the
study and will substantially reduce the burden of the study. The
Commission has not, however, adopted suggestions that would limit the
study's usefulness. Indeed, the Commission has adopted a number of
substantive suggestions that will enhance the utility of the study
without imposing additional burden.
The following discussion of issues raised by the comments is
organized into five sections: (A) The practical utility of the proposed
study and why it is necessary for the proper performance of the FTC's
functions; (B) suggestions to narrow the scope of the study; (C)
suggestions to use alternative sources of information; (D) comments
requesting limitations on the use of the information submitted; and (E)
suggestions to broaden the scope of the study.
A. Practical Utility of the Proposed Study and Its Necessity for the
Proper Performance of the FTC's Functions
The Commission has proposed to obtain factual information that
would provide a comprehensive picture of how generic competition is
affected by the marketing of AG drug products.
Comments: Most comments stated that the proposed study will have
practical utility, that it is necessary for the proper performance of
the FTC's functions, or otherwise stressed the importance of the study.
For example, Consumers Union stated, ``We strongly believe that the
collection of `the information will have practical utility,' because we
believe the data will show serious anti-competitive consequences of
these arrangements.'' \16\ GPhA stated that the study ``will be crucial
to a proper understanding of authorized generics, and is a prudent use
of the Commission's resources.'' \17\ AAI/FUSA/USPIRG asserted that
``It is particularly important for the FTC to study authorized generics
and other forms of anticompetitive conduct in the pharmaceutical market
at this time, as over the next three years alone, prescription drugs
worth over an estimated $50 billion in U.S. sales will go off patent.''
\18\ PAL ``commend[ed] the FTC for its decision to conduct this study.
This information will be particularly useful as a tool for Congress to
make an informed decision on whether further legislation needs to be
adopted surrounding the marketing of authorized generics.'' \19\
---------------------------------------------------------------------------
\16\ Consumers Union at 2.
\17\ GPhA at 2.
\18\ AAI/FUSA/USPIRG at 2.
\19\ PAL at 6. See also OPERS at 1; AARP at 1 (supporting the
proposed study).
---------------------------------------------------------------------------
While acknowledging that the proposed study ``should enhance public
understanding of how authorized generics impact consumers,'' \20\ PhRMA
asserted that some of the information sought by the proposed document
requests would have little practical utility. PhRMA took this position
because in its view the document requests were broader than necessary
and would require the production of many documents unrelated to the
topic of AGs.\21\ Thus, PhRMA's concerns about utility are a
restatement of its concerns about burden. PhRMA did not assert that the
proposed study and the planned report on AG drugs lacks utility. Davis,
however, asserted that ``the practical utility of the information [that
the FTC proposes to collect] will be limited, because of a recent
material change in the regulatory environment: The enactment of Section
6003 of the Deficit Reduction Act [``DRA''] of 2005.'' \22\ Davis
stated that by changing the definition of the Medicaid ``best price''
to include AGs, Section 6003 will increase manufacturers' Medicaid
rebates \23\ and thereby ``fundamentally reduce the incentives of
branded firms to introduce authorized generics. ''\24\
---------------------------------------------------------------------------
\20\ PhRMA at 2.
\21\ See PhRMA at 14-15 (``The proposed document requests-by
encompassing future competition documents, by focusing on documents
unrelated or indirectly related to authorized generics, by reaching
much deeper within the organizations than is customary, and by
requiring a catalog of information relating to each responsive
document-lack practical utility in light of the objective of this
study.'') See also PhRMA at 2, 6, 9, 17; Lilly at 1.
\22\ Davis at 3. Section 6003 of the Deficit Reduction Act of
2005, P.L. 109-171, amends Section 1927(b)(3)(A) of the Social
Security Act (42 U.S.C. 1396r-8(b)(3)(A)) to include in the
manufacturer's report of the best price and average manufacture
price of sole source and innovator drugs pursuant to the Medicaid
program, ``all such drugs that are sold under a new drug application
approved under section 505(c) of the Federal Food, Drug, and
Cosmetic Act,'' a requirement that would include AGs.
\23\ Generally, manufacturers pay rebates to Medicaid that help
to ensure that the price of drugs sold through the Medicaid program
matches the generally available best price. In general, the rebate
is equal to ``the difference between the average manufacturer price
and the best price * * *.'' 42 U.S.C. 1396r-8(b)(3)(A)(ii)(I).
\24\ Davis at 3. See also PhRMA at footnote 17 (discussing the
possible effect of the Deficit Reduction Act's provisions on
incentives to market AGs).
---------------------------------------------------------------------------
Response: As discussed below, the Commission has addressed concerns
about the breadth of the study by modifying the requests to ensure that
they are limited to relevant documents.
Contrary to Davis' assertion, the available information indicates
that the enactment of Section 6003 of the DRA will have little effect
on the marketing of AGs. Section 6003 was enacted to increase brand-
name pharmaceutical manufacturer Medicaid rebates to states by ensuring
that AGs, as versions of brand-name drug approved under an NDA, are
included in the Medicaid rebate calculation for sole source and brand-
name multiple source drugs.\25\ The price of an AG may be the best
price available for a brand-name drug and, consequently, their
inclusion may increase the Medicaid rebate. AGs are
[[Page 25308]]
thought to be launched at the onset of generic competition, however,
when brand-name sales drop off rapidly due to mandatory generic
substitution requirements in most states' Medicaid programs.\26\ Thus,
the inclusion of AGs in the calculation of the best price is unlikely
to substantially decrease brand-name company revenues for most
drugs.\27\ Indeed, the Office of the Actuary in CMS projected that the
anticipated savings to the Medicaid program from Section 6003 are
likely to be modest, a total of only $229 million for both federal and
state programs over a period of five years.\28\
Accordingly, the FTC concludes that Section 6003 is unlikely to
have a sufficient effect on the marketing of AGs to impair the
practical utility of this study based on recent historical data.
Nonetheless, the FTC has revised its Special Orders to include requests
for information that will allow it to follow the marketing of AGs
throughout 2007, after Section 6003 has gone into effect.
---------------------------------------------------------------------------
\25\ See 151 CONG. REC. S12069 (Oct. 31, 2005) (statement of
Senator Grassley) (``My committee's title also achieves savings by
helping State Medicaid Programs obtain millions in payments owed by
third-party payers each year. It also produces savings by ending
drug manufacturers' gaming of the system by closing the authorized
generic loophole so that appropriate rebates are paid to the
States.''). The amendment equalizes treatment of AGs by FDA--which
treated them as branded drugs so that they could be marketed during
the 180-day exclusivity period--and Centers for Medicare and
Medicaid Services (CMS), which previously treated them as generic
drugs for purposes of the rebate calculation.
\26\ States use a variety of strategies to encourage the use of
generic drugs in the Medicaid program, and ``[s]ince 2000, there has
been a steady trend toward increased mandatory generic substitution.
In 2005, nearly all states * * * reported that they require generics
to be dispensed when available.'' THE HENRY J. KAISER FAMILY
FOUNDATION, STATE MEDICAID OUTPATIENT PRESCRIPTION DRUG POLICIES:
FINDINGS FROM A NATIONAL SURVEY, 2005 update (October 2005).
\27\ Section 6003 might have a bigger effect on drugs that are
particularly heavily used within the Medicaid program or must be
dispensed without generic substitution and in states that do not
have mandatory generic substitution requirements in their Medicaid
programs.
\28\ See Medicaid Program; Prescription Drugs; Proposed Rule, 71
FR 77174, 77190 (Dec. 22, 2006). See also U.S. CONG. BUDGET OFFICE,
COST ESTIMATE: S. 1932, DEFICIT REDUCTION ACT OF 2005 35 (Jan. 27,
2006) (Table 15. Estimated Budgetary Effects of Title VI, Subtitle
A--Medicaid, period from 2006-2010, projecting federal Medicaid
savings of $150 million).
---------------------------------------------------------------------------
B. Suggestions To Reduce Burden by Narrowing the Scope of the Proposed
Information Requests
Most comments concerning burdens focused on the document requests.
Both brand-name and generic pharmaceutical companies asserted that the
proposed document requests would be excessively burdensome, and
proposed ways to limit the scope of the requests. By contrast,
commenters generally did not express concern about burden due to
requests for economic data, except regarding the request for cost data.
They did not assert that the requests for sales and price data were
excessive. As discussed in the following responses to the comments, the
FTC has taken multiple steps to reduce substantially the burden arising
from document requests, and it also has addressed concerns about cost
data.
1. Comments on Document Requests
a. Request Documents Closely Related To Authorized Generics
Comment: Both brand-name and generic pharmaceutical companies
asserted that the FTC's proposed document requests are too broad, and
should be limited to documents that closely relate to AGs. PhRMA
expressed concern about the large number of documents that could be
required by the FTC's ``broad requests for documents that relate
generally to competition between brand name and generic drug
companies.'' \29\ PhRMA suggested that ``document requests should be
focused exclusively on those drug products for which a company has
manufactured or licensed an authorized generic that has been sold in
the marketplace,'' because otherwise the response ``would encompass
large volumes of documents unrelated to authorized generics.'' \30\
Davis and PhRMA also suggested that tangentially relevant documents
could be eliminated by deleting the phrase, `` `any documents' '' from
the request for `` `any documents, including studies, surveys,
analyses, and reports * * * that evaluated, considered, analyzed, or
discussed how to respond * * * to * * * future or current generic
competition * * *.' '' \31\ Similarly, a generic pharmaceutical
company, Actavis, asserted that the FTC's proposed request to generic
companies for `` `any documents, including studies, surveys, analyses,
and reports * * * that evaluated, considered, analyzed, or discussed
whether or how to proceed with generic entry * * *' '' \32\ is too
broad, because ``[a]s a generic firm, most of Actavis' documents will
relate to whether or how to proceed with generic entry.'' \33\ Actavis
also suggested eliminating the ``any document'' language and limiting
the requests to final strategy documents.
---------------------------------------------------------------------------
\29\ PhRMA at 2. See also PhRMA at 7-9.
\30\ PhRMA at 8.
\31\ See Davis at 13 (quoting 71 FR at 16781); see also PhRMA at
7. See also Davis at 4-7, 11-13 (expressing concern about the
breadth of the study and suggesting that the FTC focus on ``the
central question'').
\32\ Actavis at 2 (quoting 71 FR at 16782).
\33\ Actavis at 3.
---------------------------------------------------------------------------
Response: We have narrowed the proposed document requests by better
tailoring them to focus on AG drugs. Accordingly, the FTC has
eliminated the requests for documents relating generally to competition
and generic entry, and rephrased all companies' requests to focus
specifically on AGs and issues arising from them.\34\ In addition,
consistent with the FTC's previous Special Orders to the pharmaceutical
industry, the `` `any document' '' language has been eliminated,\35\
and the request has been revised to seek only high-level planning,
decisional, and strategy documents.\36\
---------------------------------------------------------------------------
\34\ See Brand-Name Drug Company Special Order, Item 27;
Authorized Generic Drug Company Special Order, Item 10; and Generic
Drug Company Special Order, Items 18, 19.
\35\ See GENERIC DRUG ENTRY PRIOR TO PATENT EXPIRATION at A-20
(July 2002) (requesting ``all studies, surveys, analyses and
reports.''); PHARMACY BENEFIT MANAGERS: OWNERSHIP OF MAIL-ORDER
PHARMACIES A-2 (August 2005) (requesting ``all business plans,
strategic plans, planning documents, industry studies, analyses, and
consultant reports * * *.'').
\36\ The request has not been limited to ``final'' documents,
however, because of the difficulty of ascertaining what is
``final.''
---------------------------------------------------------------------------
b. Reduce the Document Requests by Focusing on Generic Company
Documents
Comments: PhRMA asserted that the study should focus on generic
company documents, because ``[t]he best documentary source for
information on the costs and profitability of entry is generic drug
company documents. The generic drug companies' market analyses,
studies, surveys, and reports will most directly respond to the core
question of whether authorized generics have removed the companies'
financial incentives to enter.'' \37\ PhRMA also recommended that any
request for brand-name company documents be limited to those that
retrospectively analyze the effects of AGs on price competition and
other matters, rather than consider future competitive strategies
involving AGs. In PhRMA's view, documents providing prospective
analyses should not be required because they are subjective; consider
the intent of brand-name companies, which is not relevant to whether
patent challenges are profitable for generic companies; and address
events that may not have occurred.\38\
---------------------------------------------------------------------------
\37\ PhRMA at 5.
\38\ PhRMA at 3, 5, 9-11.
---------------------------------------------------------------------------
Response: The FTC will request the relevant documents of brand-
name, AG, and ANDA-generic companies. While generic company documents
may be the most informative as to generic companies' financial
incentives to enter and challenge patents, documents from brand-name
and AG companies, including prospective documents also, are relevant.
Brand-name companies are sophisticated and knowledgeable market
participants, and their strategies and views on the use of AGs should
provide insight into the likely effects of AGs. The FTC will take into
account the
[[Page 25309]]
limitations expressed by PhRMA regarding documents that consider
prospective matters in assessing the weight they should be accorded.
c. Limit the Required Document Search
Comment: The FTC's proposed request asked for documents that ``were
prepared or received by or for any senior vice president (or equivalent
position) with product line responsibility for the specified drug
product or any officer(s) or director(s) of the company * * *.'' \39\
PhRMA suggested, however, that the documents requested by the FTC be
limited to those ``maintained in the files of current officers or
directors.'' \40\ PhRMA asserted that this would be consistent with the
approach taken for previous FTC reports on competition in the
pharmaceutical industry and with practices under the Hart-Scott-Rodino
Act, and would ``avoid confusion, reduce the burden, and focus the
review on the most probative company documents.'' \41\
---------------------------------------------------------------------------
\39\ 71 FR at 16781-2.
\40\ PhRMA at 12.
\41\ See PhRMA at 11; see also PhRMA at 12-13 (discussing Item 4
(c) of the Hart-Scott-Rodino notification report, FTC Form C4, rev.
06/06/06).
---------------------------------------------------------------------------
Response: The Commission believes that for the purpose of this
study, which should cover decisions at the individual drug level as
well as a company's general views on marketing AGs, it is necessary to
consider documents at the level of product-line decisions as well as
company-wide. However, to reduce the burden arising from this request,
the Commission has limited the request for documents of senior vice
presidents to documents maintained in their files. For the presumably
smaller number of documents related to officers and directors, the
Commission has retained the ``prepared by or for'' language. The
Commission believes that this arrangement, plus the reduction in the
number of drugs covered (discussed below), should reduce burden without
jeopardizing the production of important, high-level, planning,
decisional, and strategy documents. Moreover, depending on turnover, a
request limited to the files of current officers and directors could
eliminate all but the most recent documents. Such a limitation could
impair the practical utility and quality of the information collected.
d. Limit Sorting of Documents and Information About Their Preparation
Comment: PhRMA objected to the FTC's requirement that companies
indicate on each document ``the date of preparation and the name and
title of each individual who prepared the document, and group the
documents by identified drug product.'' \42\ PhRMA asserted that this
requirement will be very burdensome, and noted that sorting of
documents is no longer required by the FTC in second requests in merger
investigations.\43\ Accordingly, PhRMA requested that companies be
required to produce documents ``as they are maintained in the regular
course of business along with a list or index identifying the person
whose files the document came from.'' \44\
---------------------------------------------------------------------------
\42\ 71 FR at 16781.
\43\ See PhRMA at 13-15.
\44\ PhRMA at 14.
---------------------------------------------------------------------------
Response: The FTC believes that its ability to evaluate and analyze
the information submitted in response to the Special Orders for this
study would be greatly enhanced by a requirement to ``group the
documents by identified drug product.'' \45\ Eliminating this
requirement could make it difficult to ascertain the relevance of many
documents, and would slow analysis of the information by FTC staff.
Given that the FTC has reduced the number of drugs covered by the
requests (discussed below), sorting documents by drug should not be as
burdensome as originally anticipated. Moreover, it is likely that
information about different drugs is maintained separately in the
regular course of business. The FTC recognizes, however, that some
documents may generally address a topic, and relate to more than one
drug. Accordingly, the FTC has modified the Special Orders to require
all companies to group documents by identified drug product, and to
respond separately regarding documents that discuss AGs generally.
---------------------------------------------------------------------------
\45\ 71 FR at 16781.
---------------------------------------------------------------------------
The Commission believes that in most cases the date of preparation
and the name and title of each individual who prepared the document
will be evident from the document itself. However, to reduce burden,
the FTC will require firms that respond to the Special Orders to
specify only the name of the person from whose files the document came
and whether the document was generated within the Company, or the name
of the source if generated externally. This information should help the
FTC determine the relevance of each document.
2. Comments on Matters Affecting Both Document and Data Requests
a. Limit the Time Period Covered by the Request
Comments: The FTC's proposed request asked for documents dated
after Jan. 1, 1998. GPhA and Actavis recommended that the FTC not seek
documents from before Jan. 1, 2003, because the marketing of AGs,
especially during 180-day exclusivity periods, began to increase around
that time.\46\ Moreover, Actavis asserted that older information is
especially burdensome to obtain because it may be available only ``in
off-site storage facilities or on back-up tapes,'' and may exist in
older formats and systems that companies no longer support.\47\
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\46\ See GPhA at 4 n.5; Actavis at 2.
\47\ Actavis at 1-2. See also GPhA at 4 (noting that agreements
to market AGs did not become prevalent until late 2003).
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Response: To avoid imposing an unnecessary burden, the FTC has
substantially reduced the period for which documents are being sought.
The FTC agrees that generic company documents dated after Jan. 1, 2003
are likely to be the most useful for understanding the effects of AGs
on generic companies' incentives to file ANDAs and to challenge patents
via paragraph IV certifications. Therefore, we are changing the initial
year for generic company documents from 1998 to 2003. The FTC's request
for brand-name and AG company documents will be limited to those dated
after Jan. 1, 2002, so that the reasons for any increased marketing of
AGs beginning in 2003 might be ascertained.
The FTC also is reducing the time period covered by its data
requests. Under the first Federal Register Notice, a data request
potentially could have extended back until Jan. 1, 1999. To ensure
consistency in reporting, the FTC is requesting sales and price data on
brand-name, AG, and generic drugs after Jan. 1, 2001, or whenever
marketing began. A request for this data is necessary to ensure the
availability of sufficient comparison data on drugs for which no AG was
marketed, to assess possible trends over time, and to examine possible
correlations between sales or price levels and various business
strategies such as patent challenges, marketing of AGs, and sharing of
180-day exclusivity.
b. Reduce the Number of Drugs Covered
Comments: Both brand-name and generic drug companies suggested
limiting the documents requested (and to some extent the data) by
reducing the number of drugs covered by the study. PhRMA suggested that
the FTC reduce the number of drug products covered by the study by
limiting the sample for which information would be requested to those
drugs for which an AG version has been marketed and a random
[[Page 25310]]
stratified sample of other drugs, e.g., by studying a percentage of the
drugs in various dollar sales ranges.\48\ Actavis recommended that the
FTC limit the request for documents to ``drugs for which there was an
AG launch or an announced agreement for an authorized generic launch.''
\49\ Davis also suggested limiting the drugs covered by the study by
asking generic companies to identify drugs for which they did not file
an ANDA because of concerns about competition from an AG, and initially
request ``relevant decisional documents as to these products.'' \50\
Prasco, on the other hand, appears to be concerned that by limiting the
number of drugs or companies, e.g., by considering only drugs for which
generic competition began with a period of 180-day exclusivity, the FTC
might not examine the full range of situations in which AGs are
marketed.\51\
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\48\ PhRMA at 8-9, 18-19. Note that PhRMA, which asserted that
the FTC's requests ``would cover not only brand drug `products that
have first faced generic competition since January 1, 1999' but also
products `that have received notice of the filing of an ANDA,'
misinterpreted the FTC's Federal Register Notice and thus
incorrectly believed that the study would cover a very large number
of drugs. See PhRMA at 18 (quoting 71 FR at 16781). The FTC's
Federal Register Notice stated that ``the brand-name companies to
which the information requests would be sent include those companies
with products that have first faced generic drug competition since
January 1, 1999 or those that have received notice of the filing of
an ANDA * * *.'' 71 FR at 16781. Thus the criteria quoted by PhRMA
refer to the companies that would receive notice, not the drugs that
would be covered. These criteria would likely cover many companies,
but the number of drugs for which each company will be required to
provide data will be limited to AGs, brand-name and ANDA-generic
versions of AGs, and drugs for which an ANDA with a paragraph IV
certification has been filed. Thus, the number of drugs should not
be large.
\49\ Actavis at 2-3.
\50\ Davis at 12.
\51\ See Prasco at 2.
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Response: The FTC agrees that the number of drugs covered by the
study should be reduced by focusing on AGs \52\ and a limited number of
other drugs necessary to illuminate the issues addressed by this study.
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\52\ Focusing requests on AGs is not straightforward because no
comprehensive list of AGs is available. Thus, the first request
proposed for this study is a request to brand-name companies to
identify all AGs initially marketed after January 1, 2001. Although
the FTC will provide a list of putative AGs (drugs for which an AG
is believed to have been marketed) and drugs subject to ANDAs with
paragraph IV certifications, the Special Orders assume that brand-
name companies are better aware of drugs that have been marketed
pursuant to their NDAs, and thus can identify their AGs, even if
they are not on a list provided by the FTC.
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Accordingly, the Commission has limited the data requests to both
brand-name and generic companies to (i) AGs and all related drugs,
i.e., brand-name versions of AGs and bioequivalent ANDA-generic drugs;
and (ii) brand-name drugs for which at least one ANDA with a paragraph
IV certification has been filed, and all bioequivalent ANDA-generic
drugs.\53\ The data requests must address all such drugs so that the
FTC has a complete and accurate basis upon which to evaluate relative
prices, market shares, and sales levels sufficient to support paragraph
IV patent challenges.
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\53\ These two groups are likely to overlap. Also, price data
will not be requested regarding brand-name drugs for which an ANDA
with a paragraph IV certification has been filed, but generic entry
has not yet occurred.
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Moreover, the FTC recognizes that the scope of drugs necessary for
purposes of document requests is narrower than the set of drugs needed
to undertake a reliable economic analysis, which must include
comparison drugs for which no AG was marketed. Consequently, document
requests to brand-name companies have been modified to focus on
documents that discuss specific AGs or related brand-name drugs
identified by the brand-name company, or documents that generally
discuss the marketing of AGs. Such documents should shed light on the
brand-name companies' economic and strategic reasons for marketing AGs.
The scope of document requests to generic drug companies, however, is
not limited to drugs for which an AG has been marketed. Rather, to
fully explore concerns that AGs are inhibiting generic entry and patent
challenges, generic companies are required to submit documents that
discuss AGs in regard to a decision to submit an ANDA and/or make a
paragraph III or IV certification with respect to any specific drug,
and documents that generally discuss AGs in regard to submission of
ANDAs and/or making paragraph III or IV certifications, but not in
regard to a particular drug. This approach takes account of the
possibility that generic companies make decisions about whether to
pursue marketing of a generic drug before it is known whether an AG
will be launched, and thus relevant documents may concern drugs for
which no AG has been marketed, drugs for which the generic company
decided to file an ANDA with a paragraph III certification rather than
a paragraph IV, or drugs for which the company decided not to file an
ANDA.
3. Data
a. Quantitative vs. Qualitative Information
Comments: Brand-name pharmaceutical companies asserted that the
study should be based primarily on quantitative information, rather
than documents, while generic companies stressed the importance of
qualitative information found in documents. PhRMA asserted that ``data,
rather than documents, best meet the needs of the study'' because it
believes that pricing and output data as well as data on generic entry
in the presence of an AG will ``show most clearly and directly whether
authorized generics have benefited consumers by increasing availability
of prescription drugs at lower prices.'' \54\ By contrast, generic
companies argued that while quantitative data are useful for analyzing
short-term effects of AGs, qualitative information is essential to
gauge the extent to which AGs will affect generic drug entry decisions
in the future.\55\ Similarly, AAI/FUSA/USPIRG stated that ``the more
significant long-term effects will not be identified by current
quantitative data'' because the ``more profound impact of authorized
generics may be on the long-term incentive and ability of generic firms
to engage in the costly and risky conduct of attempting to invent non-
infringing drugs and challenge questionable patents.'' \56\
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\54\ PhRMA at 2-3; see also Lilly at 1 (endorsing the comments
of PhRMA on the scope and extent of the proposed request for
information).
\55\ See, e.g., PAL at 6 (``Much of the information concerning *
* * longer-term effects is qualitative and narrative in nature,
rather than quantitative.''); GPhA at 4-5 (data collection must
include both quantitative and qualitative data).
\56\ AAI/FUSA/USPIRG at 6.
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Response: Quantitative and qualitative data are complementary, and
both are necessary for a full exploration and analysis of the short-
and long-term effects of AGs on competition in the prescription drug
marketplace. Of the quantitative data that the FTC is seeking, price
data show the short-term effects of AGs on consumers, while data on
sales, market share, and return on investment are more relevant to the
long-term effects of AGs on ANDA-generic companies' incentives to file
ANDAs and challenge patents. Quantitative data on recent filings of
ANDAs with paragraph IV certifications should also be relevant to the
long-term picture, because recent filings have been made in light of
the current climate regarding the marketing of AGs.
Qualitative information, including company documents, however, is
essential to evaluate the long-term effects of AGs on generic company
decisions to file ANDAs and challenge patents. Generic company
documents prepared before the first Federal Register Notice for this
study was published are essential to interpret the
[[Page 25311]]
quantitative data and to understand what factors or conditions,
including AGs, might have contributed to any quantitative trends that
we might observe. Generic company documents are also necessary to
understand how AGs actually affect generic company decision-making.
Brand-name company documents could further elucidate the likely effects
of AGs on generic company decisions to challenge patents, and aid in
the interpretation of the quantitative data.
b. Cost Accounting Data
Comment: PhRMA suggested that the FTC eliminate its request for
cost accounting data from brand name firms because ``cost accounting
and margin data for brand name drug companies will not show whether
generic entry has become unprofitable'' and therefore such data are not
useful for that analysis.\57\ Similarly, Davis urged that the FTC drop
its request for all cost data, because he believes that cost data are
of limited relevance to the study and would be very burdensome to
collect and analyze.\58\
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\57\ PhRMA at 17.
\58\ See Davis at 14.
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Both PhRMA and Prasco, however, asserted that to evaluate whether
AGs have deterred ANDA-generic entry, cost data from generic companies
on the profitability of entry and return on investment are
essential.\59\ Prasco emphasized that the FTC should obtain data that
would enable it to determine the ``return-on-investment generated by
generic products with and without competition from authorized
generics,'' and whether that return is a sufficient incentive for
challenging patents.\60\
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\59\ See PhRMA at 20; Prasco at 3.
\60\ Prasco at 3.
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Response: The FTC agrees that the request for cost data from brand-
name companies should be eliminated because it is not useful for
evaluating generic companies' incentives to file ANDAs and make
paragraph IV certifications. Cost data regarding brand-name drugs will
no longer be required.
Cost data regarding generic drugs, however, are necessary to
evaluate the effects of AGs on profitability and return on investment,
particularly during 180-day exclusivity. Thus, the revised requests
require generic companies to submit cost data. Companies generate cost
data in the ordinary course of business, so the request will not be
excessively burdensome. To enhance uniformity and minimize burden, the
FTC has modified the Special Orders to request the overall cost to
manufacture, and has eliminated the request that companies separately
provide data for cost subcategories, e.g., material cost, labor cost,
manufacturing cost, distribution cost, API cost, and overhead cost. The
FTC is also requesting generic companies' costs for research and
development and for paragraph IV litigation, to ensure that it can
completely evaluate the investment necessary for generic entry that
entails a patent challenge.
C. Suggestions on Alternative Sources of Information
1. Comments on Holding Hearings
Comment: Several commenters, including GPhA, suggested that the FTC
hold hearings to gather information on the likely long-term effects of
AGs because they believe that the effects of AGs would not be reflected
adequately in data on currently marketed ANDA-generic drugs, for which
entry decisions and strategies may have been made before the marketing
of AGs became more common in 2003.\61\ Unlike the other commenters,
however, GPhA also suggested that the FTC not use subpoenas:
``[S]ubpoenas are an unnecessarily forceful mechanism by which to
gather information, as many generic companies are interested in this
issue and will be inclined to voluntarily submit information in
response to FTC's request.'' \62\
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\61\ See GPhA at 1, 4, 6-7. See also AAI/FUSA/USPIRG at 6; PAL
at 6; Gilbert's at 2-3 (suggesting that the FTC hold hearings
because the effects of AGs may not be reflected in pre-existing
documents which ``may show that generic companies have continued
developing certain products despite the threat of authorized
generics in the hope that the practice is curtailed by the courts,
regulation or legislation'').
\62\ GPhA at 5.
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Response: While the FTC recognizes the value of hearings for
gathering information from industry and economic experts and enhancing
our understanding of an issue, hearings cannot substitute for pre-
existing, often confidential documents and data that can be acquired
only by compulsory process. The use of Special Orders to gather pre-
existing information was critical to the FTC's reports on GENERIC DRUG
ENTRY PRIOR TO PATENT EXPIRATION (July 2002) \63\ and PHARMACY BENEFIT
MANAGERS: OWNERSHIP OF MAIL-ORDER PHARMACIES (August 2005).\64\ As the
FTC reviews the information it receives in response to the Special
Orders, it will consider whether hearings should be held to supplement
the responses with up-to-date views on particular issues.
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\63\ Hereinafter GENERIC DRUG REPORT.
\64\ Hereinafter PBM REPORT.
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2. Comments on the Requests for IMS Information
Comments: IMS, a provider of economic data on pharmaceuticals,
asserted that rather than obtaining IMS data from individual companies,
``the Commission could obtain information it seeks more efficiently by
licensing the information directly from IMS.'' \65\ IMS believes that
licensing would be more efficient because IMS data frequently are
customized to a particular customer, and the FTC's request could
involve numerous companies. Accordingly, the FTC would likely receive
data in inconsistent formats, which would not be comparable across
``manufacturers, products, and time periods.'' \66\ IMS also suggested
that the FTC eliminate its proposed request for ``any other IMS data,
or the equivalent thereof, used in the ordinary course of business,''
because it is too broad and would at least in part yield IMS
information unrelated to the study.\67\ Several pharmaceutical
companies also suggested that the FTC obtain IMS data directly from
IMS,\68\ because ``IMS Health sells its data under licenses that
restrict licensees from disclosing the data to third parties.'' \69\
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\65\ IMS at 2.
\66\ IMS at 2.
\67\ IMS at 3-4. See also Prasco at 1-2 (suggesting that ``IMS
Integrated Promotional Services Total Promotion Reports'' are
unrelated to the topic of the study).
\68\ See Actavis at 3; Davis at 14; PhRMA at 15-16.
\69\ PhRMA at 15-16. IMS also stated that whether FTC obtains
data from IMS directly or from individual companies, ``IMS
information constitutes confidential trade secret and commercial
information that is protected from disclosure under section 6(f) of
the FTC Act, 15 U.S.C. 46(f).'' IMS at 3.
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Response: The FTC agrees that obtaining data directly from IMS
would be more efficient, and would enhance the FTC's ability to analyze
and interpret the data. It would also reduce the burden on industry
respondents, who would not have to find and produce this information.
In addition, licensing data from IMS would facilitate obtaining
complete data, especially retail-level sales and price data necessary
for an evaluation of the effects of AGs on consumers.\70\ Accordingly,
the FTC has eliminated the requests for IMS information from the
proposed Special Orders.
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\70\ See Gilbert's at 3 (urging ``the FTC to specifically
request information on the pricing of drugs at the retail level, as
this data may not be captured by the request as currently stated'').
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D. Comments Requesting Limitations on Use of the Information Submitted
Comment: GPhA requested that ``the FTC give assurances that
information
[[Page 25312]]
gathered in conducting this study will be used solely for the purposes
of the study.'' \71\
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\71\ GPhA at 5.
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Response: Although the purpose of the proposed information
collection is to provide a basis for the proposed study, the Commission
cannot give assurances that the documents and information collected
will not be used for other purposes such as law enforcement
investigations. The Commission would not exercise its enforcement
authority solely on the basis of information collected in response to
the Special Orders, however. Rather, it would do so only after
gathering additional information from a company and/or other sources
through an investigation separate from the proposed study. Also,
although materials submitted may be covered by one or more stringent
confidentiality constraints, the Commission cannot rule out that, under
circumstances specified by law, the information could be used by other
agencies for law enforcement purposes, by Congress, or in judicial
proceedings.
E. Suggestions To Broaden the Scope of the Proposed Study
The FTC received a number of suggestions from generic, brand-name,
and AG companies to broaden the scope of the study. Some of the
suggestions addressed new topics not contemplated by the Federal
Register Notice of April 4, 2006, and would require the submission of
information not contemplated by that notice. Other suggested topics
were more closely related to the proposed study and might require
little or no additional information. Although the agency cannot be
certain that it will be possible to address particular topics because
the nature of the information to be collected cannot entirely be
predicted, the Commission will make every effort to maximize the
practical utility of the information it receives by using it to address
as many issues relevant to the study as possible.
1. Topics Closely Related to the Scope of the Proposed Study
Comment: Davis and PhRMA suggested that the FTC study take into
account possible beneficial effects of AGs on generic companies that
license them, e.g., from licensing revenues, by enhancing a company's
portfolio of products, or by allowing a company to offer all dosages or
strengths of a drug.\72\
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\72\ See Davis at 15-16; PhRMA at 20.
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Response: The FTC agrees that its study should encompass all
aspects of the impact of AGs on generic companies, including both
positive and negative effects. The Commission has revised its document
requests to ensure that it is clear that information requests to
generic companies extend to documents that discuss possible benefits to
a company of marketing an AG drug.
Comment: Several commenters suggested examining a number of complex
issues regarding the purposes, effects, limits, and necessity of 180-
day exclusivity. Lilly suggested that the FTC analyze whether and to
what extent consumers benefit from accelerated generic entry due to
patent challenges; whether 180-day exclusivity undermines those
benefits by delaying competition; and whether 180-day exclusivity is a
n