List of largest pharmaceutical settlements

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The following is a list of the 20 largest settlements reached between the United States Department of Justice and pharmaceutical companies from 2001 to 2013, ordered by the size of the total settlement. The settlement amount includes both the civil (False Claims Act) settlement and criminal fine. Glaxo's $3 billion settlement included the largest civil False Claims Act settlement on record, [1] and Pfizer’s $2.3 billion ($3.5 billion in 2022) settlement including a record-breaking $1.3 billion criminal fine. [2] Legal claims against the pharmaceutical industry have varied widely over the past two decades, including Medicare and Medicaid fraud, off-label promotion, and inadequate manufacturing practices. [3] [4] With respect to off-label promotion, specifically, a federal court recognized off-label promotion as a violation of the False Claims Act for the first time in Franklin v. Parke-Davis, leading to a $430 million settlement. [5]

YearCompanySettlementViolation(s)Product(s)Laws violated
(if applicable)
2012 GlaxoSmithKline [1] [6] $3 billion ($1B criminal, $2B civil)Criminal: Off-label promotion, failure to disclose safety data.
Civil: paying kickbacks to physicians, making false and misleading statements concerning the safety of Avandia, reporting false best prices and underpaying rebates owed under the Medicaid Drug Rebate Program
Avandia (not providing safety data), Wellbutrin, Paxil (promotion of paediatric use), Advair, Lamictal, Zofran, Imitrex, Lotronex, Flovent, Valtrex False Claims Act, FDCA
2009 Pfizer [2] $2.3 billionOff-label promotion, kickbacks Bextra, Geodon, Zyvox, Lyrica False Claims Act, FDCA
2013 Johnson & Johnson [7] $2.2 billionOff-label promotion, kickbacks Risperdal, Invega, Nesiritide False Claims Act, FDCA
2012 Abbott Laboratories [8] $1.5 billionOff-label promotion Depakote False Claims Act, FDCA
2009 Eli Lilly [9] $1.4 billionOff-label promotion Zyprexa False Claims Act, FDCA
2001 TAP Pharmaceutical Products [10] $875 million Medicare fraud, kickbacks Lupron False Claims Act, Prescription Drug Marketing Act
2012 Amgen [11] $762 millionOff-label promotion, kickbacks Aranesp False Claims Act, FDCA
2010GlaxoSmithKline [12] $750 millionPoor manufacturing practices Kytril, Bactroban, Paxil CR, Avandamet False Claims Act, FDCA
2005 Serono [13] $704 millionOff-label promotion, kickbacks, monopolistic practices Serostim False Claims Act
2008 Merck [14] $650 millionMedicare fraud, kickbacks Zocor, Vioxx, Pepsid False Claims Act, Medicaid Rebate Statute
2007 Purdue Pharma [15] $601 millionOff-label promotion Oxycontin False Claims Act
2010 Allergan [16] $600 millionOff-label promotion Botox False Claims Act, FDCA
2010 AstraZeneca [17] $520 millionOff-label promotion, kickbacks Seroquel False Claims Act
2007 Bristol-Myers Squibb [18] $515 millionOff-label promotion, kickbacks, Medicare fraud Abilify, Serzone False Claims Act, FDCA
2002 Schering-Plough [19] $500 millionPoor manufacturing practices Claritin FDA Current Good Manufacturing Practices
2006 Mylan [20] $465 millionMisclassification under the Medicaid Drug Rebate Program EpiPen (epinephrine) False Claims Act
2006Schering-Plough [21] $435 millionOff-label promotion, kickbacks, Medicare fraud Temodar, Intron A, K-Dur, Claritin RediTabs False Claims Act, FDCA
2004 [22] Pfizer$430 millionOff-label promotion Neurontin False Claims Act, FDCA
2008 Cephalon [23] $425 millionOff-label promotion [23] Actiq, Gabitril, Provigil False Claims Act, FDCA
2010 Novartis [24] $423 millionOff-label promotion, kickbacks Trileptal False Claims Act, FDCA
2003AstraZeneca [25] $355 millionMedicare fraud Zoladex Prescription Drug Marketing Act
2004Schering-Plough [26] $345 millionMedicare fraud, kickbacks Claritin False Claims Act, Anti-Kickback Statute

See also

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