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478% Price Increase of Norvir May Point to Abbott's Anticompetitive Activity

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Case ID: 3379 | Drugs / Medical | 05/07/2004

A class action has been filed against pharmaceutical company Abbott Laboratories on behalf of persons who have paid out-of-pocket expenses for Norvir (ritonavir), and who allege that the company used its virtual monopoly over the AIDS drug to raise prices 478%, in violation of state and federal antitrust laws. The action seeks unspecified compensatory and triple punitive damages.

This latest suit in California over Norvir was brought by residents of San Francisco and Georgia who use the drug as a booster to a protease inhibitor (PI). PIs are considered the most powerful weapons to date against HIV because they block the action of protease, an enzyme needed for HIV to reproduce and infect other cells. The action alleges that Norvir is "indispensable for virtually all PI therapies." Nine out of 10 PI drugs depend on Norvir to boost the antiviral effect of protease inhibitors against even resistant strains of HIV and reduce the toxic side effects.

In December 2003, Abbott allegedly raised the price for Norvir from $205.74 to $1,028.71 for 120 100-mg capsules after competitors GlaxoSmithKline and Bristol-Myers Squibb introduced PIs that began to make inroads on the market of Abbott's own boosted protease inhibitor, Kaletra. The action alleges that Abbott did not raise the price of the Norvir used in its own Kaletra. As a result, Kaletra became the least expensive boosted regimen on the market. By leveraging its power in the booster market, Abbott allegedly maintained and even extended its monopoly in the boosted market.

The proposed class includes all persons and entities who purchased Norvir and paid all or part of the increase from December 3, 2003, to the present. Attorneys general in New York and Illinois have opened antitrust investigations into the price increase.

Abbott is currently defending itself in two other lawsuits in California. The AIDS Healthcare Foundation in a March 2004 lawsuit filed in Los Angeles County Superior Court alleges that Abbott is defrauding the public by claiming that the price hike will not affect state Medicaid programs (AIDS Healthcare Foundation v. Abbott Laboratories, No. BC312305, filed 3/17/04). That action alleges that Abbott's assertions that state Medicaid programs would be unaffected by the increase are fraudulent, false and misleading, and constitute unfair business practices that induce consumers--including AHF--to continue buying its products, despite its contemptible conduct.

The other lawsuit, filed in February 2004 in the U.S. District Court for the Central District of California seeks damages and an injunction for monopolization, attempted monopolization, conspiracy to restrain trade, and unfair competition. (AIDS HealthCare Foundation v. Abbott Laboratories, C.D. Cal., No. CV04-919 RCx, 3/10/04).


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