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Blue Cross Wins Antitrust Lawsuit Against Prescription Drug Manufacturer

June 2,2005

Blue Cross and Blue Shield of Minnesota (Blue Cross) and three other health plans received a $12 million jury verdict in the U.S. District Court for the District of Columbia yesterday in their antitrust litigation against Mylan Laboratories Inc.

"Pharmaceutical companies go to great lengths to maximize their profits, and unfortunately they sometimes cross legal boundaries," said Tom Gilde, litigation counsel for Blue Cross. "In this case, the largest generic manufacturer in the United States cornered the market on the active ingredient for the generic versions of two popular anti-anxiety medications and then promptly raised prices by more than 2,000 percent."

Blue Cross and Blue Shield of Minnesota filed suit in 2001, seeking $1.75 million in overpayments to Mylan. Because the jury found that Mylan willfully violated antitrust law, the award may be tripled and attorneys fees awarded under applicable Minnesota antitrust laws. Blue Cross Blue Shield of Massachusetts, the Health Care Services Corporation (the parent company for Blue Cross plans in Illinois, Texas and New Mexico) and Federated Mutual Insurance Company were co-plaintiffs in the suit. The Massachusetts plan and Federated were also represented by Robins Kaplan, Miller & Ciresi, a Minneapolis-based law firm.

In 1997 Mylan negotiated long-term exclusive licensing agreements with Cambrex Corporation and its subsidiaries Profarmaco S.r.l. and Cbm Technologies, Inc., to supply the active pharmaceutical ingredients required to manufacture lorazepam and clorazepate, the generic versions of AtivanŽ and TranxeneŽ, respectively.

Following the exclusive supply agreements, Mylan dramatically raised prices of generic lorazepam and clorazepate tablets, despite no significant increases in its costs. For example, the average price of lorazepam before the agreements was $16.95 for 100 5-milligram tablets. A few months later in 1998, the price shot up to $64.31 for the same dose.

Mylan's cost increases were so dramatic that its action was credited with driving an overall increase in the country's Producer Price Index (PPI) in April of 1998 and helping the index of prescription drug prices set a one-month record increase.

"As a health plan, we pay these health care bills and take very seriously our mandate to make health services as economical as possible," said Gilde.

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