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25304 Federal Register / Vol. 72, No.

86 / Friday, May 4, 2007 / Notices

Dated: April 30, 2007, Interested persons may express their Governors. Interested persons may
Debra Edwards, views in writing to the Reserve Bank express their views in writing on the
Director, Office of Pesticide Programs. indicated for that notice or to the offices question whether the proposal complies
[FR Doc. E7–8550 Filed 5–3–07; 8:45 am] of the Board of Governors. Comments with the standards of section 4 of the
BILLING CODE 6560–50–S
must be received not later than May 21, BHC Act. Additional information on all
2007. bank holding companies may be
A. Federal Reserve Bank of obtained from the National Information
Philadelphia (Michael E. Collins, Senior Center website at www.ffiec.gov/nic/.
FEDERAL HOUSING FINANCE BOARD
Vice President) 100 North 6th Street, Unless otherwise noted, comments
Sunshine Act Meeting Notice; Philadelphia, Pennsylvania 19105-1521: regarding the applications must be
Announcing a Partially Open Meeting 1. J. Donald Steele, Jr., and Joanne K. received at the Reserve Bank indicated
of the Board of Directors Steele, Lewisburg, Pennsylvania; to or the offices of the Board of Governors
acquire voting shares of not later than May 31, 2007.
TIME AND DATE: The open meeting of the Northumberland Bancorp, A. Federal Reserve Bank of Atlanta
Board of Directors is scheduled to begin Northumberland, Pennsylvania, and (David Tatum, Vice President) 1000
at 10 a.m. on Wednesday, May 9, 2007. thereby indirectly acquire voting shares Peachtree Street, N.E., Atlanta, Georgia
The closed portion of the meeting will of The Northumberland National Bank, 30309:
follow immediately the open portion of Northumberland, Pennsylvania. 1. CapitalSouth Bancorp,
the meeting. B. Federal Reserve Bank of St. Louis Birmingham, Alabama; to acquire 100
(Glenda Wilson, Community Affairs percent of the voting shares of
PLACE: Board Room, First Floor, Federal
Officer) 411 Locust Street, St. Louis, Monticello Bancshares, Inc., and
Housing Finance Board, 1625 Eye Street
Missouri 63166-2034: thereby indirectly acquire Monticello
NW, Washington DC 20006. 1. Peter Mahurin, Bowling Green, Bank, both of Jacksonville, Florida, and
STATUS: The first portion of the meeting Kentucky, and Ben Lovell Cundiff, engage in operating a savings
will be open to the public. The final Cadiz, Kentucky, individually, and as a association, pursuant to section
portion of the meeting will be closed to group in concert with Damon Salvatore 225.28(b)(4)(ii) of Regulation Y.
the public. Vitale, Bowling Green, Kentucky, and
Board of Governors of the Federal Reserve
MATTERS TO BE CONSIDERED AT THE OPEN Charles Lester Key, Franklin, Kentucky, System, May 1, 2007.
PORTION: to gain control of Jackson Financial
Robert deV. Frierson,
2007 Designation of Directorships. Corporation, Mayfield, Kentucky, and
New Business Activity Notice: Federal thereby indirectly gain control of FNB Deputy Secretary of the Board.
Home Loan Bank of Atlanta. Bank, Inc., Mayfield, Kentucky. [FR Doc.E7–8532 Filed 5–3–07; 8:45 am]
BILLING CODE 6210–01–S
MATTER TO BE CONSIDERED AT THE CLOSED Board of Governors of the Federal Reserve
PORTION: Periodic Update of System, May 1, 2007.
Examination Program Development and Robert deV. Frierson,
Supervisory Findings. Deputy Secretary of the Board. FEDERAL TRADE COMMISSION
CONTACT PERSON FOR MORE INFORMATION: [FR Doc. E7–8533 Filed 5–3–07; 8:45 am] Agency Information Collection
Shelia Willis, Paralegal Specialist, BILLING CODE 6210–01–S Activities; Comment Request
Office of General Counsel, at 202–408–
2876 or williss@fhfb.gov. AGENCY: Federal Trade Commission
Dated: May 2, 2007. FEDERAL RESERVE SYSTEM (‘‘FTC’’ or ‘‘Commission’’).
By the Federal Housing Finance Board. ACTION: Notice.
Notice of Proposals to Engage in
Neil R. Crowley,
Permissible Nonbanking Activities or SUMMARY: The FTC is considering
Acting General Counsel. to Acquire Companies that are conducting a study to analyze the use
[FR Doc. 07–2242 Filed 5–2–07; 3:47 pm] Engaged in Permissible Nonbanking and likely short- and long-run
BILLING CODE 6725–01–P Activities competitive effects of authorized generic
The companies listed in this notice drugs in the prescription drug
have given notice under section 4 of the marketplace. Before investigating these
FEDERAL RESERVE SYSTEM issues, the FTC is seeking public
Bank Holding Company Act (12 U.S.C.
1843) (BHC Act) and Regulation Y (12 comments on its proposed information
Change in Bank Control Notices; requests to firms in the prescription
Acquisition of Shares of Bank or Bank CFR Part 225) to engage de novo, or to
acquire or control voting securities or drug industry. The information
Holding Companies collection requirements described below
assets of a company, including the
The notificants listed below have companies listed below, that engages will be submitted to the Office of
applied under the Change in Bank either directly or through a subsidiary or Management and Budget (‘‘OMB’’) for
Control Act (12 U.S.C. 1817(j)) and other company, in a nonbanking activity review, as required by the Paperwork
§ 225.41 of the Board’s Regulation Y (12 that is listed in § 225.28 of Regulation Y Reduction Act (‘‘PRA’’) (44 U.S.C. 3501–
CFR 225.41) to acquire a bank or bank (12 CFR 225.28) or that the Board has 3520).
holding company. The factors that are determined by Order to be closely DATES: Comments must be received on
considered in acting on the notices are related to banking and permissible for or before June 4, 2007.
set forth in paragraph 7 of the Act (12 bank holding companies. Unless ADDRESSES: Interested parties are
U.S.C. 1817(j)(7)). otherwise noted, these activities will be invited to submit written comments.
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The notices are available for conducted throughout the United States. Comments should refer to ‘‘Authorized
immediate inspection at the Federal Each notice is available for inspection Generic Drug Study: FTC Project No.
Reserve Bank indicated. The notices at the Federal Reserve Bank indicated. P062105’’ to facilitate the organization
also will be available for inspection at The notice also will be available for of comments. A comment filed in paper
the office of the Board of Governors. inspection at the offices of the Board of form should include this reference both

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Federal Register / Vol. 72, No. 86 / Friday, May 4, 2007 / Notices 25305

in the text and on the envelope and Act, may be found in the FTC’s privacy generic is chemically identical to a
should be mailed or delivered, with two policy at http://www.ftc.gov/ftc/ particular brand-name drug, which the
complete copies, to the following privacy.htm. brand-name manufacturer authorizes to
address: Federal Trade Commission/ FOR FURTHER INFORMATION CONTACT:
be marketed in a generic version under
Office of the Secretary, Room H–135 Requests for additional information the NDA-approval that the FDA granted
(Annex J), 600 Pennsylvania Avenue, should be addressed to Karen A. for the brand-name drug. The brand-
NW., Washington, DC 20580. Because Goldman, Attorney, Policy Studies, name manufacturer either sells the
paper mail in the Washington area and Office of the General Counsel, 600 authorized generic itself through a
at the Commission is subject to delay, Pennsylvania Avenue, NW., subsidiary or licenses a generic firm to
please consider submitting your sell the authorized generic. The trade
Washington, DC 20580; telephone (202)
comments in electronic form, as dress typically differs for the brand-
326–2574.
prescribed below. However, if the name drug and its authorized generic
comment contains any material for SUPPLEMENTARY INFORMATION: In the equivalent, but the drug product is
which confidential treatment is United States, the Food and Drug exactly the same.
requested, it must be filed in paper Administration (‘‘FDA’’) must approve In recent years and with increasing
form, and the first page of the document the marketing of any pharmaceutical frequency, brand-name drug
must be clearly labeled ‘‘Confidential.’’ 1 drug, whether brand-name or generic. manufacturers have begun to market
The FTC is requesting that any comment The Hatch-Waxman Act establishes the authorized generic drugs at precisely the
filed in paper form be sent by courier or regulatory framework under which the same time that a paragraph IV generic is
overnight service, if possible. FDA may approve a generic drug to be beginning its period of 180-day
Comments filed in electronic form marketed. Typically, a brand-name drug marketing exclusivity. The likely effects
should be submitted by clicking on the obtains FDA approval through a New of this practice on generic competition
following weblink: https:// Drug Application (‘‘NDA’’), and a have been subject to some debate. In the
secure.commentworks.com/ generic drug manufacturer obtains FDA short run, the entry of an authorized
AuthorizedGenericStudy and following approval through an Abbreviated New generic drug may benefit consumers by
the instructions on the web-based form. Drug Application (‘‘ANDA’’) in which it creating additional competition that
To ensure that the Commission may be allowed to rely on the clinical lowers generic prices further than if
considers an electronic comment, you data first submitted by the brand-name only the paragraph IV generic were
must file it on the web-based form at the drug manufacturer. marketed. Many generic manufacturers
https://secure.commentworks.com/ To encourage generic entry as soon as assert, however, that in the long run,
AuthorizedGenericStudy weblink. If this is warranted, the Hatch-Waxman Act consumers will be harmed because an
notice appears at www.regulations.gov, allows generic drug manufacturers, in expectation of competition from
you may also file an electronic comment certain circumstances, to market a authorized generics will significantly
through that Web site. The Commission generic drug prior to the expiration of decrease the incentives of generic
will consider all comments that claimed patent protection for the manufacturers to pursue entry prior to
regulations.gov forwards to it. corresponding brand-name drug. To be patent expiration. For a generic
Comments should also be submitted permitted to do so, a generic drug manufacturer, the additional
to: Office of Management and Budget, manufacturer must first submit a competition from an authorized generic
Attention: Desk Officer for the Federal ‘‘paragraph IV’’ ANDA in which it may result in significantly less profit
Trade Commission. Comments should certifies that (a) its generic drug will not during the period of 180-day exclusivity
be submitted via facsimile to (202) 395– infringe patents listed in the FDA’s than if the generic manufacturer had no
6974 because U.S. Postal Mail is subject ‘‘Orange Book’’ (‘‘Orange Book patents’’) authorized-generic competition during
to lengthy delays due to heightened as claiming the relevant brand-name that time.
security precautions. drug product, and/or (b) the relevant Given the importance of generic drugs
The FTC Act and other laws the Orange Book patents are invalid. If the in lowering health care costs, Senators
Commission administers permit the paragraph IV ANDA leads to litigation, Grassley, Leahy, and Rockefeller have
collection of public comments to then 30 months after the litigation was requested that the Commission conduct
consider and use in this proceeding as filed (or after final decision in the a study of ‘‘the short term and long term
appropriate. All timely and responsive litigation, if earlier), the FDA may effects on competition of the practice of
public comments will be considered by authorize the marketing of the generic ‘authorized’ generics.’’ 3 In addition,
the Commission and will be available to drug under the ANDA application. Representative Waxman, one of the co-
the public on the FTC Web site, to the At that point, the first-filed paragraph authors of the Hatch-Waxman Act, has
extent practicable, at www.ftc.gov. As a IV ANDA applicant becomes entitled to requested that the FTC study ‘‘the
matter of discretion, the FTC makes a 180-day marketing exclusivity period, impact of so-called ‘authorized generics’
every effort to remove home contact during which the FDA cannot approve on competition in the prescription drug
information for individuals from the any other, later-filed paragraph IV marketplace.’’ 4
public comments it receives before ANDA for a generic drug corresponding The Commission proposes to
placing those comments on the FTC to the same brand-name drug product. undertake such a study, as described in
Web site. More information, including This protects the first FDA-approved this notice, to examine both the likely
routine uses permitted by the Privacy paragraph IV ANDA applicant from short-term competitive effects of
competition with other ANDA authorized generic drug entry and, to
1 Commission Rule 4.2(d), 16 CFR 4.2(d). The
applicants during this time. the extent possible, the likely long-term
comment must be accompanied by an explicit impact of entry by authorized generic
request for confidential treatment, including the The 180-day marketing exclusivity
period does not preclude competition
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factual and legal basis for the request, and must


3 See Letter to Chairman Deborah Platt Majoras,
identify the specific portions of the comment to be from NDA-approved ‘‘authorized
withheld from the public record. The request will from Senators Grassley, Leahy, and Rockefeller
be granted or denied by the Commission’s General
generics,’’ however.2 An authorized (May 9, 2005).
Counsel, consistent with applicable law and the 4 See Letter to Chairman Deborah Platt Majoras

public interest. See Commission Rule 4.9(c), 16 CFR 2 Teva Pharm. Indus. v. FDA, 410 F.3d 51 (D.C. from Representative Henry A. Waxman (Sept. 13,
4.9(c). Cir. 2005). 2005).

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25306 Federal Register / Vol. 72, No. 86 / Friday, May 4, 2007 / Notices

drugs on competition by generic the needs if the planned study. For organizations that submitted comments,
manufacturers.5 The study will be example, reflecting the widespread which included a nonprofit group
carried out pursuant to Section 6(b) of perception that the marketing of dedicated to the use of antitrust as a
the FTC Act, 15 U.S.C. 46(b). Among authorized generics increased markedly component of competition policy,
other things, the proposed study will beginning in 2003, requests for generic strongly endorsed the study. For
examine prices (including rebates, company documents are generally example, the American Antitrust
discounts, etc.) for brand-name and limited to documents prepared after Jan. Institute, CFA, FUSA, and USPIRG
generic drugs, both with and without 1, 2003. In order to collect documents stated that by ‘‘initiating this study, the
competition from authorized generics; that underlie marketing strategies FTC has demonstrated its commitment
business reasons that support adopted in 2003, requests to brand- to ensuring that the anticompetitive
authorized generic entry; factors name companies seek documents practices of brand name drug
(including product development and prepared after January 1, 2002. manufacturers do not threaten
litigation costs) relevant to the decisions Similarly, the Commission has Americans’ access to low cost generic
of generic firms about whether and confined the study to drugs most likely drugs.’’ 9 Generally, the strong support
under what circumstances to seek entry to yield information necessary for of public interest organizations reflects
prior to patent expiration; and licensing evaluating the short- and long-run their representation of consumers and
agreements regarding authorized competitive effects of authorized generic retirees, and concern about the rising
generics. This information will enable drugs. Because no comprehensive list of cost of pharmaceuticals.10 Industry
the proposed study to make new authorized generic drugs is available, views, however, varied depending on
contributions on the effects of the Commission plans to identify the whether the commenter was a marketer
authorized generic drug entry on authorized generic drugs covered by the of AGs or in competition with marketers
prescription drug prices and, in study via an initial, brief information of AG drugs.11
particular, permit an evaluation of the request asking brand-name companies Generic companies and their trade
impact of authorized generic drugs on to identify their authorized generic organization, GPhA, supported the
the incentive offered by the period of drugs. The Commission will use those study. GPhA ‘‘commend[ed] the FTC for
180-day exclusivity afforded to generic initial responses to develop subsequent taking initiative on this important issue.
drugs that enter the market as the result Special Orders to generic and * * * This Study is no less critical than
of an ANDA with a paragraph IV authorized generic companies that the FTC’s earlier efforts on the generic
certification. market authorized generic drugs. Based drug front, such as the 2002 FTC study
Pursuant to 5 CFR 1320.8(d), the FTC on a preliminary analysis, of generic pharmaceuticals, which led to
published on April 4, 2006 a Federal approximately 80 brand-name drug a broad and nuanced perspective at an
Register Notice seeking comments from manufacturers, several authorized important time in the industry’s
the public concerning the FTC’s generic drug companies, and 100 history.’’ 12 No generic drug company
proposed study.6 The comments and the generic companies will receive Special questioned the practical utility of the
Commission’s responses to them are set Orders. The revised Special Orders are study. GPhA and one generic company
forth below. Based on the comments, set forth on the OMB Web site on commenter, however, asserted that the
the Commission has revised the information collection review, http:// FTC’s requests would be burdensome,
previously published information www.reginfo.gov/public/do/PRAMain and suggested that the FTC narrow or
requests. and on the FTC’s web page on the otherwise modify its request.13 Generic
Generally, the Commission’s revised authorized generic study, http:// company views on how to lessen the
Special Orders seek information on (i) www.ftc.gov/os/comments/ burden were somewhat variable,
authorized generic drugs (launched after genericdrugstudy3/. presumably because some generic
Jan. 1, 2001) and all drugs related to Pursuant to the OMB regulations that companies market both ANDA-generic
them, i.e., brand-name versions of implement the PRA (5 CFR Part 1320), and AG drugs. Generic companies (and
authorized generic drugs and all the FTC is providing this second brand-name and AG companies) also
bioequivalent generic drugs; (ii) brand- opportunity for public comment while
name drugs that first faced generic requesting that OMB grant clearance for behalf of an undisclosed client’’); Generic
competition after Jan. 1, 2001, for which Pharmaceutical Association (GPhA) (trade
the proposed information requests. All association representing generic pharmaceutical
at least one ANDA with a paragraph IV comments should be filed as prescribed manufacturers); Gilbert’s LLP (Gilbert’s) (law firm
certification was filed, and all in the ADDRESSES section above, and representing ‘‘one of the largest generic
bioequivalent generic drugs; 7 and (iii) must be received on or before June 4, pharmaceutical companies in the United States’’);
brand-name drugs for which at least one IMS Health Inc. (IMS) (provider of information and
2007. research to the health care industry); Eli Lilly and
ANDA with a paragraph IV certification Co. (Lilly) (an innovation-driven pharmaceutical
was filed after Jan. 1, 2001, and generic Public Comments/Consultation Outside company); Ohio Public Employees Retirement
entry has not yet occurred. Within this the Agency and Actions Taken System (OPERS) (Ohio pension system);
Pharmaceutical Research and Manufacturers of
general framework, the Commission has The FTC received 13 comments on America (PhRMA) (trade association representing
ensured that the requests are tailored to the proposed information collection research-based pharmaceutical and biotechnology
requests.8 All of the public interest companies); Prasco, LLC (Prasco) (privately held,
5 In its 2002 study of how generic drug independent pharmaceutical company that makes
competition prior to patent expiration has 8 The comments are available at http:// AGs); and Prescription Access Litigation (PAL)
developed, the Commission found that the Hatch- (coalition of ‘‘consumer, healthcare, labor, senior,
www.ftc.gov/os/comments/genericdrugstudy3/. The
Waxman framework had promoted entry by low- legal services, and women’s health organizations’’).
13 submissions are from AARP (nongovernmental 9 AAI/CFA/FUSA/USPIRG at 1. OPERS, AARP,
cost generic drugs prior to patent expiration. organization for Americans age 50 and older);
Federal Trade Commission, Generic Drug Entry Actavis Group (Actavis) (generic pharmaceutical PAL, Consumers Union, and GPhA also
Prior to Patent Expiration: An FTC Study (July enthusiastically endorsed the study.
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company); American Antitrust Institute, Consumer


10 See OPERS; AARP; PAL; Consumers Union.
2002), available at <http://www.ftc.gov/os/2002/07/ Federation of America, Families USA, and U.S.
genericdrugstudy.pdf> (‘‘Generic Drug Study’’). Public Interest Research Groups (AAI/CFA/FUSA/ 11 One industry commenter, IMS, submitted
6 Agency Information Collection Activities;
USPIRG) (nongovernmental public interest comments that only considered the possible use by
Comment Request, 71 FR 16779 (April 4, 2006). organizations); Consumers Union (nonprofit the study of IMS’ commercially available data.
7 Categories (i) and (ii) are likely to overlap 12 GPhA at 2.
organization representing consumers); Ronald W.
substantially. Davis (Davis) (attorney submitting comments ‘‘on 13 See GPhA at 5; Actavis at 1–2.

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urged the Commission to broaden the A. Practical Utility of the Proposed concerns about burden. PhRMA did not
scope of the study by addressing a Study and Its Necessity for the Proper assert that the proposed study and the
number of topics relevant to their Performance of the FTC’s Functions planned report on AG drugs lacks
marketing strategies. The Commission has proposed to utility. Davis, however, asserted that
Comments from the brand-name obtain factual information that would ‘‘the practical utility of the information
pharmaceutical industry, which markets provide a comprehensive picture of how [that the FTC proposes to collect] will
or authorizes the marketing of AGs, generic competition is affected by the be limited, because of a recent material
generally accepted the core concepts of marketing of AG drug products. change in the regulatory environment:
the study, but expressed concerns Comments: Most comments stated The enactment of Section 6003 of the
primarily focused on the breadth of the that the proposed study will have Deficit Reduction Act [‘‘DRA’’] of
originally proposed document requests. practical utility, that it is necessary for 2005.’’ 22 Davis stated that by changing
The PhRMA comments, which were the proper performance of the FTC’s the definition of the Medicaid ‘‘best
endorsed by Lilly, stated that the functions, or otherwise stressed the price’’ to include AGs, Section 6003 will
‘‘proposed empirical study will show importance of the study. For example, increase manufacturers’ Medicaid
whether authorized generics benefit Consumers Union stated, ‘‘We strongly rebates 23 and thereby ‘‘fundamentally
consumers by lowering prices for believe that the collection of ‘the reduce the incentives of branded firms
generic drugs,’’ but also asserted that the information will have practical utility,’ to introduce authorized generics. ’’24
proposed ‘‘information requests are because we believe the data will show Response: As discussed below, the
overbroad.’’ 14 Davis, apparently serious anti-competitive consequences Commission has addressed concerns
representing a brand-name of these arrangements.’’ 16 GPhA stated about the breadth of the study by
pharmaceutical company, asserted that that the study ‘‘will be crucial to a modifying the requests to ensure that
a very recent statutory change could proper understanding of authorized they are limited to relevant documents.
sufficiently change the marketing of generics, and is a prudent use of the Contrary to Davis’ assertion, the
AGs to render a study based on recent Commission’s resources.’’ 17 AAI/FUSA/ available information indicates that the
historical data outdated.15 USPIRG asserted that ‘‘It is particularly enactment of Section 6003 of the DRA
The FTC received only one comment important for the FTC to study will have little effect on the marketing
from an independent authorized generic authorized generics and other forms of of AGs. Section 6003 was enacted to
drug company; most AGs are either anticompetitive conduct in the increase brand-name pharmaceutical
marketed by a subsidiary or division of pharmaceutical market at this time, as manufacturer Medicaid rebates to states
a brand-name company or by a generic over the next three years alone, by ensuring that AGs, as versions of
drug company under a license from a prescription drugs worth over an brand-name drug approved under an
brand-name company. The independent estimated $50 billion in U.S. sales will NDA, are included in the Medicaid
AG drug company, Prasco, did not go off patent.’’ 18 PAL ‘‘commend[ed] rebate calculation for sole source and
express a view of the study as a whole the FTC for its decision to conduct this brand-name multiple source drugs.25
but rather commented on substantive study. This information will be The price of an AG may be the best
issues that should be addressed, and particularly useful as a tool for Congress price available for a brand-name drug
ways to minimize burden. to make an informed decision on and, consequently, their inclusion may
As discussed below, the Commission increase the Medicaid rebate. AGs are
whether further legislation needs to be
has incorporated many of the
adopted surrounding the marketing of
suggestions to narrow the requests, authorized generics.’’ 19
22 Davis at 3. Section 6003 of the Deficit

especially for documents, which were Reduction Act of 2005, P.L. 109–171, amends
While acknowledging that the Section 1927(b)(3)(A) of the Social Security Act (42
the focus of the commenters’ concerns proposed study ‘‘should enhance public U.S.C. 1396r–8(b)(3)(A)) to include in the
about burden. In doing so, the FTC will understanding of how authorized manufacturer’s report of the best price and average
avoid requesting information that is not generics impact consumers,’’ 20 PhRMA manufacture price of sole source and innovator
necessary for the study and will drugs pursuant to the Medicaid program, ‘‘all such
asserted that some of the information drugs that are sold under a new drug application
substantially reduce the burden of the sought by the proposed document approved under section 505(c) of the Federal Food,
study. The Commission has not, requests would have little practical Drug, and Cosmetic Act,’’ a requirement that would
however, adopted suggestions that utility. PhRMA took this position include AGs.
23 Generally, manufacturers pay rebates to
would limit the study’s usefulness. because in its view the document Medicaid that help to ensure that the price of drugs
Indeed, the Commission has adopted a requests were broader than necessary sold through the Medicaid program matches the
number of substantive suggestions that and would require the production of generally available best price. In general, the rebate
will enhance the utility of the study many documents unrelated to the topic is equal to ‘‘the difference between the average
without imposing additional burden. manufacturer price and the best price * * *.’’ 42
of AGs.21 Thus, PhRMA’s concerns U.S.C. 1396r–8(b)(3)(A)(ii)(I).
The following discussion of issues about utility are a restatement of its 24 Davis at 3. See also PhRMA at footnote 17
raised by the comments is organized (discussing the possible effect of the Deficit
into five sections: (A) The practical 16 Consumers Union at 2. Reduction Act’s provisions on incentives to market
utility of the proposed study and why 17 GPhA at 2.
AGs).
25 See 151 CONG. REC. S12069 (Oct. 31, 2005)
it is necessary for the proper 18 AAI/FUSA/USPIRG at 2.
(statement of Senator Grassley) (‘‘My committee’s
performance of the FTC’s functions; (B) 19 PAL at 6. See also OPERS at 1; AARP at 1
title also achieves savings by helping State
suggestions to narrow the scope of the (supporting the proposed study). Medicaid Programs obtain millions in payments
20 PhRMA at 2.
study; (C) suggestions to use alternative owed by third-party payers each year. It also
21 See PhRMA at 14–15 (‘‘The proposed
sources of information; (D) comments produces savings by ending drug manufacturers’
document requests-by encompassing future gaming of the system by closing the authorized
requesting limitations on the use of the competition documents, by focusing on documents generic loophole so that appropriate rebates are
information submitted; and (E)
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unrelated or indirectly related to authorized paid to the States.’’). The amendment equalizes
suggestions to broaden the scope of the generics, by reaching much deeper within the treatment of AGs by FDA—which treated them as
organizations than is customary, and by requiring branded drugs so that they could be marketed
study. a catalog of information relating to each responsive during the 180-day exclusivity period—and Centers
document-lack practical utility in light of the for Medicare and Medicaid Services (CMS), which
14 PhRMA at 1, 7. See also Lilly at 1. objective of this study.’’) See also PhRMA at 2, 6, previously treated them as generic drugs for
15 See Davis at 9–11. 9, 17; Lilly at 1. purposes of the rebate calculation.

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25308 Federal Register / Vol. 72, No. 86 / Friday, May 4, 2007 / Notices

thought to be launched at the onset of requests, and it also has addressed and issues arising from them.34 In
generic competition, however, when concerns about cost data. addition, consistent with the FTC’s
brand-name sales drop off rapidly due previous Special Orders to the
1. Comments on Document Requests
to mandatory generic substitution pharmaceutical industry, the ‘‘ ‘any
requirements in most states’ Medicaid a. Request Documents Closely Related document’ ’’ language has been
programs.26 Thus, the inclusion of AGs To Authorized Generics eliminated,35 and the request has been
in the calculation of the best price is Comment: Both brand-name and revised to seek only high-level planning,
unlikely to substantially decrease brand- generic pharmaceutical companies decisional, and strategy documents.36
name company revenues for most asserted that the FTC’s proposed b. Reduce the Document Requests by
drugs.27 Indeed, the Office of the document requests are too broad, and Focusing on Generic Company
Actuary in CMS projected that the should be limited to documents that Documents
anticipated savings to the Medicaid closely relate to AGs. PhRMA expressed
program from Section 6003 are likely to Comments: PhRMA asserted that the
concern about the large number of study should focus on generic company
be modest, a total of only $229 million documents that could be required by the
for both federal and state programs over documents, because ‘‘[t]he best
FTC’s ‘‘broad requests for documents documentary source for information on
a period of five years.28 that relate generally to competition the costs and profitability of entry is
Accordingly, the FTC concludes that between brand name and generic drug generic drug company documents. The
Section 6003 is unlikely to have a companies.’’ 29 PhRMA suggested that generic drug companies’ market
sufficient effect on the marketing of AGs ‘‘document requests should be focused analyses, studies, surveys, and reports
to impair the practical utility of this exclusively on those drug products for will most directly respond to the core
study based on recent historical data. which a company has manufactured or question of whether authorized generics
Nonetheless, the FTC has revised its licensed an authorized generic that has have removed the companies’ financial
Special Orders to include requests for been sold in the marketplace,’’ because incentives to enter.’’ 37 PhRMA also
information that will allow it to follow otherwise the response ‘‘would recommended that any request for
the marketing of AGs throughout 2007, encompass large volumes of documents brand-name company documents be
after Section 6003 has gone into effect. unrelated to authorized generics.’’ 30 limited to those that retrospectively
Davis and PhRMA also suggested that analyze the effects of AGs on price
B. Suggestions To Reduce Burden by
tangentially relevant documents could competition and other matters, rather
Narrowing the Scope of the Proposed
be eliminated by deleting the phrase, than consider future competitive
Information Requests
‘‘ ‘any documents’ ’’ from the request for strategies involving AGs. In PhRMA’s
Most comments concerning burdens ‘‘ ‘any documents, including studies, view, documents providing prospective
focused on the document requests. Both surveys, analyses, and reports * * * analyses should not be required because
brand-name and generic pharmaceutical that evaluated, considered, analyzed, or they are subjective; consider the intent
companies asserted that the proposed discussed how to respond * * * to of brand-name companies, which is not
document requests would be * * * future or current generic relevant to whether patent challenges
excessively burdensome, and proposed competition * * *.’ ’’ 31 Similarly, a are profitable for generic companies;
ways to limit the scope of the requests. generic pharmaceutical company, and address events that may not have
By contrast, commenters generally did Actavis, asserted that the FTC’s occurred.38
not express concern about burden due proposed request to generic companies Response: The FTC will request the
to requests for economic data, except for ‘‘ ‘any documents, including studies, relevant documents of brand-name, AG,
regarding the request for cost data. They surveys, analyses, and reports * * * and ANDA-generic companies. While
did not assert that the requests for sales that evaluated, considered, analyzed, or generic company documents may be the
and price data were excessive. As discussed whether or how to proceed most informative as to generic
discussed in the following responses to with generic entry * * *’ ’’ 32 is too companies’ financial incentives to enter
the comments, the FTC has taken broad, because ‘‘[a]s a generic firm, most and challenge patents, documents from
multiple steps to reduce substantially of Actavis’ documents will relate to brand-name and AG companies,
the burden arising from document whether or how to proceed with generic including prospective documents also,
entry.’’ 33 Actavis also suggested are relevant. Brand-name companies are
26 States use a variety of strategies to encourage eliminating the ‘‘any document’’ sophisticated and knowledgeable
the use of generic drugs in the Medicaid program, language and limiting the requests to market participants, and their strategies
and ‘‘[s]ince 2000, there has been a steady trend final strategy documents. and views on the use of AGs should
toward increased mandatory generic substitution. In Response: We have narrowed the provide insight into the likely effects of
2005, nearly all states * * * reported that they
require generics to be dispensed when available.’’ proposed document requests by better AGs. The FTC will take into account the
THE HENRY J. KAISER FAMILY FOUNDATION, tailoring them to focus on AG drugs.
STATE MEDICAID OUTPATIENT PRESCRIPTION Accordingly, the FTC has eliminated the 34 See Brand-Name Drug Company Special Order,

DRUG POLICIES: FINDINGS FROM A NATIONAL requests for documents relating Item 27; Authorized Generic Drug Company Special
SURVEY, 2005 update (October 2005). Order, Item 10; and Generic Drug Company Special
27 Section 6003 might have a bigger effect on generally to competition and generic Order, Items 18, 19.
drugs that are particularly heavily used within the entry, and rephrased all companies’ 35 See GENERIC DRUG ENTRY PRIOR TO

Medicaid program or must be dispensed without requests to focus specifically on AGs PATENT EXPIRATION at A–20 (July 2002)
generic substitution and in states that do not have (requesting ‘‘all studies, surveys, analyses and
mandatory generic substitution requirements in reports.’’); PHARMACY BENEFIT MANAGERS:
29 PhRMA at 2. See also PhRMA at 7–9.
their Medicaid programs. OWNERSHIP OF MAIL-ORDER PHARMACIES A–
30 PhRMA at 8.
28 See Medicaid Program; Prescription Drugs; 2 (August 2005) (requesting ‘‘all business plans,
31 See Davis at 13 (quoting 71 FR at 16781); see strategic plans, planning documents, industry
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Proposed Rule, 71 FR 77174, 77190 (Dec. 22, 2006).


See also U.S. CONG. BUDGET OFFICE, COST also PhRMA at 7. See also Davis at 4–7, 11–13 studies, analyses, and consultant reports * * *.’’).
ESTIMATE: S. 1932, DEFICIT REDUCTION ACT OF (expressing concern about the breadth of the study 36 The request has not been limited to ‘‘final’’

2005 35 (Jan. 27, 2006) (Table 15. Estimated and suggesting that the FTC focus on ‘‘the central documents, however, because of the difficulty of
Budgetary Effects of Title VI, Subtitle A—Medicaid, question’’). ascertaining what is ‘‘final.’’
32 Actavis at 2 (quoting 71 FR at 16782). 37 PhRMA at 5.
period from 2006–2010, projecting federal Medicaid
savings of $150 million). 33 Actavis at 3. 38 PhRMA at 3, 5, 9–11.

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limitations expressed by PhRMA each individual who prepared the Jan. 1, 1998. GPhA and Actavis
regarding documents that consider document, and group the documents by recommended that the FTC not seek
prospective matters in assessing the identified drug product.’’ 42 PhRMA documents from before Jan. 1, 2003,
weight they should be accorded. asserted that this requirement will be because the marketing of AGs,
very burdensome, and noted that sorting especially during 180-day exclusivity
c. Limit the Required Document Search
of documents is no longer required by periods, began to increase around that
Comment: The FTC’s proposed the FTC in second requests in merger time.46 Moreover, Actavis asserted that
request asked for documents that ‘‘were investigations.43 Accordingly, PhRMA older information is especially
prepared or received by or for any requested that companies be required to burdensome to obtain because it may be
senior vice president (or equivalent produce documents ‘‘as they are available only ‘‘in off-site storage
position) with product line maintained in the regular course of facilities or on back-up tapes,’’ and may
responsibility for the specified drug business along with a list or index exist in older formats and systems that
product or any officer(s) or director(s) of identifying the person whose files the companies no longer support.47
the company * * *.’’ 39 PhRMA document came from.’’ 44 Response: To avoid imposing an
suggested, however, that the documents Response: The FTC believes that its unnecessary burden, the FTC has
requested by the FTC be limited to those ability to evaluate and analyze the substantially reduced the period for
‘‘maintained in the files of current information submitted in response to which documents are being sought. The
officers or directors.’’ 40 PhRMA the Special Orders for this study would FTC agrees that generic company
asserted that this would be consistent be greatly enhanced by a requirement to documents dated after Jan. 1, 2003 are
with the approach taken for previous ‘‘group the documents by identified likely to be the most useful for
FTC reports on competition in the drug product.’’ 45 Eliminating this understanding the effects of AGs on
pharmaceutical industry and with requirement could make it difficult to generic companies’ incentives to file
practices under the Hart-Scott-Rodino ascertain the relevance of many ANDAs and to challenge patents via
Act, and would ‘‘avoid confusion, documents, and would slow analysis of paragraph IV certifications. Therefore,
reduce the burden, and focus the review the information by FTC staff. Given that we are changing the initial year for
on the most probative company the FTC has reduced the number of generic company documents from 1998
documents.’’ 41 drugs covered by the requests to 2003. The FTC’s request for brand-
Response: The Commission believes (discussed below), sorting documents by name and AG company documents will
that for the purpose of this study, which drug should not be as burdensome as be limited to those dated after Jan. 1,
should cover decisions at the individual originally anticipated. Moreover, it is 2002, so that the reasons for any
drug level as well as a company’s likely that information about different increased marketing of AGs beginning
general views on marketing AGs, it is drugs is maintained separately in the in 2003 might be ascertained.
necessary to consider documents at the regular course of business. The FTC The FTC also is reducing the time
level of product-line decisions as well recognizes, however, that some period covered by its data requests.
as company-wide. However, to reduce documents may generally address a Under the first Federal Register Notice,
the burden arising from this request, the topic, and relate to more than one drug. a data request potentially could have
Commission has limited the request for Accordingly, the FTC has modified the extended back until Jan. 1, 1999. To
documents of senior vice presidents to Special Orders to require all companies ensure consistency in reporting, the FTC
documents maintained in their files. For to group documents by identified drug is requesting sales and price data on
the presumably smaller number of product, and to respond separately brand-name, AG, and generic drugs after
documents related to officers and regarding documents that discuss AGs Jan. 1, 2001, or whenever marketing
directors, the Commission has retained generally.
the ‘‘prepared by or for’’ language. The began. A request for this data is
The Commission believes that in most
Commission believes that this necessary to ensure the availability of
cases the date of preparation and the
arrangement, plus the reduction in the sufficient comparison data on drugs for
name and title of each individual who
number of drugs covered (discussed which no AG was marketed, to assess
prepared the document will be evident
below), should reduce burden without possible trends over time, and to
from the document itself. However, to
jeopardizing the production of examine possible correlations between
reduce burden, the FTC will require
important, high-level, planning, sales or price levels and various
firms that respond to the Special Orders
decisional, and strategy documents. business strategies such as patent
to specify only the name of the person
Moreover, depending on turnover, a challenges, marketing of AGs, and
from whose files the document came
request limited to the files of current sharing of 180-day exclusivity.
and whether the document was
officers and directors could eliminate all generated within the Company, or the b. Reduce the Number of Drugs Covered
but the most recent documents. Such a name of the source if generated Comments: Both brand-name and
limitation could impair the practical externally. This information should generic drug companies suggested
utility and quality of the information help the FTC determine the relevance of limiting the documents requested (and
collected. each document. to some extent the data) by reducing the
d. Limit Sorting of Documents and 2. Comments on Matters Affecting Both number of drugs covered by the study.
Information About Their Preparation Document and Data Requests PhRMA suggested that the FTC reduce
Comment: PhRMA objected to the the number of drug products covered by
a. Limit the Time Period Covered by the
FTC’s requirement that companies the study by limiting the sample for
Request
indicate on each document ‘‘the date of which information would be requested
preparation and the name and title of Comments: The FTC’s proposed to those drugs for which an AG version
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request asked for documents dated after has been marketed and a random
39 71 FR at 16781–2.
42 71 FR at 16781. 46 See
40 PhRMA at 12. GPhA at 4 n.5; Actavis at 2.
43 See PhRMA at 13–15. 47 Actavis
41 See PhRMA at 11; see also PhRMA at 12–13 at 1–2. See also GPhA at 4 (noting that
44 PhRMA at 14.
(discussing Item 4 (c) of the Hart-Scott-Rodino agreements to market AGs did not become prevalent
notification report, FTC Form C4, rev. 06/06/06). 45 71 FR at 16781. until late 2003).

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stratified sample of other drugs, e.g., by ANDA-generic drugs; and (ii) brand- quantitative information, rather than
studying a percentage of the drugs in name drugs for which at least one documents, while generic companies
various dollar sales ranges.48 Actavis ANDA with a paragraph IV certification stressed the importance of qualitative
recommended that the FTC limit the has been filed, and all bioequivalent information found in documents.
request for documents to ‘‘drugs for ANDA-generic drugs.53 The data PhRMA asserted that ‘‘data, rather than
which there was an AG launch or an requests must address all such drugs so documents, best meet the needs of the
announced agreement for an authorized that the FTC has a complete and study’’ because it believes that pricing
generic launch.’’ 49 Davis also suggested accurate basis upon which to evaluate and output data as well as data on
limiting the drugs covered by the study relative prices, market shares, and sales generic entry in the presence of an AG
by asking generic companies to identify levels sufficient to support paragraph IV will ‘‘show most clearly and directly
drugs for which they did not file an patent challenges. whether authorized generics have
ANDA because of concerns about Moreover, the FTC recognizes that the benefited consumers by increasing
competition from an AG, and initially scope of drugs necessary for purposes of availability of prescription drugs at
request ‘‘relevant decisional documents document requests is narrower than the lower prices.’’ 54 By contrast, generic
as to these products.’’ 50 Prasco, on the set of drugs needed to undertake a companies argued that while
other hand, appears to be concerned reliable economic analysis, which must quantitative data are useful for
that by limiting the number of drugs or include comparison drugs for which no analyzing short-term effects of AGs,
companies, e.g., by considering only AG was marketed. Consequently, qualitative information is essential to
drugs for which generic competition document requests to brand-name gauge the extent to which AGs will
began with a period of 180-day companies have been modified to focus affect generic drug entry decisions in
exclusivity, the FTC might not examine on documents that discuss specific AGs the future.55 Similarly, AAI/FUSA/
the full range of situations in which AGs or related brand-name drugs identified USPIRG stated that ‘‘the more
are marketed.51 by the brand-name company, or significant long-term effects will not be
Response: The FTC agrees that the documents that generally discuss the identified by current quantitative data’’
number of drugs covered by the study marketing of AGs. Such documents because the ‘‘more profound impact of
should be reduced by focusing on should shed light on the brand-name authorized generics may be on the long-
AGs 52 and a limited number of other companies’ economic and strategic term incentive and ability of generic
drugs necessary to illuminate the issues reasons for marketing AGs. The scope of firms to engage in the costly and risky
addressed by this study. document requests to generic drug conduct of attempting to invent non-
Accordingly, the Commission has companies, however, is not limited to infringing drugs and challenge
limited the data requests to both brand- drugs for which an AG has been questionable patents.’’ 56
name and generic companies to (i) AGs marketed. Rather, to fully explore Response: Quantitative and
and all related drugs, i.e., brand-name concerns that AGs are inhibiting generic qualitative data are complementary, and
versions of AGs and bioequivalent entry and patent challenges, generic both are necessary for a full exploration
companies are required to submit and analysis of the short- and long-term
48 PhRMA at 8–9, 18–19. Note that PhRMA,
documents that discuss AGs in regard to effects of AGs on competition in the
which asserted that the FTC’s requests ‘‘would a decision to submit an ANDA and/or prescription drug marketplace. Of the
cover not only brand drug ‘products that have first quantitative data that the FTC is
faced generic competition since January 1, 1999’ but make a paragraph III or IV certification
also products ‘that have received notice of the filing with respect to any specific drug, and seeking, price data show the short-term
of an ANDA,’ misinterpreted the FTC’s Federal documents that generally discuss AGs effects of AGs on consumers, while data
Register Notice and thus incorrectly believed that in regard to submission of ANDAs and/ on sales, market share, and return on
the study would cover a very large number of drugs. investment are more relevant to the
See PhRMA at 18 (quoting 71 FR at 16781). The or making paragraph III or IV
FTC’s Federal Register Notice stated that ‘‘the certifications, but not in regard to a long-term effects of AGs on ANDA-
brand-name companies to which the information particular drug. This approach takes generic companies’ incentives to file
requests would be sent include those companies account of the possibility that generic ANDAs and challenge patents.
with products that have first faced generic drug Quantitative data on recent filings of
competition since January 1, 1999 or those that companies make decisions about
have received notice of the filing of an ANDA whether to pursue marketing of a ANDAs with paragraph IV certifications
* * *.’’ 71 FR at 16781. Thus the criteria quoted generic drug before it is known whether should also be relevant to the long-term
by PhRMA refer to the companies that would an AG will be launched, and thus picture, because recent filings have been
receive notice, not the drugs that would be covered. made in light of the current climate
These criteria would likely cover many companies, relevant documents may concern drugs
but the number of drugs for which each company for which no AG has been marketed, regarding the marketing of AGs.
will be required to provide data will be limited to drugs for which the generic company Qualitative information, including
AGs, brand-name and ANDA-generic versions of decided to file an ANDA with a company documents, however, is
AGs, and drugs for which an ANDA with a essential to evaluate the long-term
paragraph IV certification has been filed. Thus, the paragraph III certification rather than a
number of drugs should not be large. paragraph IV, or drugs for which the effects of AGs on generic company
49 Actavis at 2–3. company decided not to file an ANDA. decisions to file ANDAs and challenge
50 Davis at 12. patents. Generic company documents
51 See Prasco at 2. 3. Data prepared before the first Federal
52 Focusing requests on AGs is not
a. Quantitative vs. Qualitative Register Notice for this study was
straightforward because no comprehensive list of Information published are essential to interpret the
AGs is available. Thus, the first request proposed
for this study is a request to brand-name companies Comments: Brand-name 54 PhRMA at 2–3; see also Lilly at 1 (endorsing
to identify all AGs initially marketed after January pharmaceutical companies asserted that
1, 2001. Although the FTC will provide a list of the comments of PhRMA on the scope and extent
the study should be based primarily on of the proposed request for information).
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putative AGs (drugs for which an AG is believed to


55 See, e.g., PAL at 6 (‘‘Much of the information
have been marketed) and drugs subject to ANDAs
with paragraph IV certifications, the Special Orders 53 These two groups are likely to overlap. Also, concerning * * * longer-term effects is qualitative
assume that brand-name companies are better aware price data will not be requested regarding brand- and narrative in nature, rather than quantitative.’’);
of drugs that have been marketed pursuant to their name drugs for which an ANDA with a paragraph GPhA at 4–5 (data collection must include both
NDAs, and thus can identify their AGs, even if they IV certification has been filed, but generic entry has quantitative and qualitative data).
are not on a list provided by the FTC. not yet occurred. 56 AAI/FUSA/USPIRG at 6.

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quantitative data and to understand companies separately provide data for 2. Comments on the Requests for IMS
what factors or conditions, including cost subcategories, e.g., material cost, Information
AGs, might have contributed to any labor cost, manufacturing cost, Comments: IMS, a provider of
quantitative trends that we might distribution cost, API cost, and economic data on pharmaceuticals,
observe. Generic company documents overhead cost. The FTC is also asserted that rather than obtaining IMS
are also necessary to understand how requesting generic companies’ costs for data from individual companies, ‘‘the
AGs actually affect generic company research and development and for Commission could obtain information it
decision-making. Brand-name company paragraph IV litigation, to ensure that it seeks more efficiently by licensing the
documents could further elucidate the can completely evaluate the investment information directly from IMS.’’ 65 IMS
likely effects of AGs on generic necessary for generic entry that entails believes that licensing would be more
company decisions to challenge patents, a patent challenge. efficient because IMS data frequently
and aid in the interpretation of the are customized to a particular customer,
C. Suggestions on Alternative Sources of
quantitative data. and the FTC’s request could involve
Information
b. Cost Accounting Data numerous companies. Accordingly, the
1. Comments on Holding Hearings FTC would likely receive data in
Comment: PhRMA suggested that the inconsistent formats, which would not
FTC eliminate its request for cost Comment: Several commenters,
be comparable across ‘‘manufacturers,
accounting data from brand name firms including GPhA, suggested that the FTC
products, and time periods.’’ 66 IMS also
because ‘‘cost accounting and margin hold hearings to gather information on
suggested that the FTC eliminate its
data for brand name drug companies the likely long-term effects of AGs proposed request for ‘‘any other IMS
will not show whether generic entry has because they believe that the effects of data, or the equivalent thereof, used in
become unprofitable’’ and therefore AGs would not be reflected adequately the ordinary course of business,’’
such data are not useful for that in data on currently marketed ANDA- because it is too broad and would at
analysis.57 Similarly, Davis urged that generic drugs, for which entry decisions least in part yield IMS information
the FTC drop its request for all cost and strategies may have been made unrelated to the study.67 Several
data, because he believes that cost data before the marketing of AGs became pharmaceutical companies also
are of limited relevance to the study and more common in 2003.61 Unlike the suggested that the FTC obtain IMS data
would be very burdensome to collect other commenters, however, GPhA also directly from IMS,68 because ‘‘IMS
and analyze.58 suggested that the FTC not use Health sells its data under licenses that
Both PhRMA and Prasco, however, subpoenas: ‘‘[S]ubpoenas are an restrict licensees from disclosing the
asserted that to evaluate whether AGs unnecessarily forceful mechanism by data to third parties.’’ 69
have deterred ANDA-generic entry, cost which to gather information, as many Response: The FTC agrees that
data from generic companies on the generic companies are interested in this obtaining data directly from IMS would
profitability of entry and return on issue and will be inclined to voluntarily be more efficient, and would enhance
investment are essential.59 Prasco submit information in response to FTC’s the FTC’s ability to analyze and
emphasized that the FTC should obtain request.’’ 62 interpret the data. It would also reduce
data that would enable it to determine Response: While the FTC recognizes the burden on industry respondents,
the ‘‘return-on-investment generated by the value of hearings for gathering who would not have to find and
generic products with and without information from industry and produce this information. In addition,
competition from authorized generics,’’ economic experts and enhancing our licensing data from IMS would facilitate
and whether that return is a sufficient understanding of an issue, hearings obtaining complete data, especially
incentive for challenging patents.60 cannot substitute for pre-existing, often retail-level sales and price data
Response: The FTC agrees that the confidential documents and data that necessary for an evaluation of the effects
request for cost data from brand-name can be acquired only by compulsory of AGs on consumers.70 Accordingly,
companies should be eliminated process. The use of Special Orders to the FTC has eliminated the requests for
because it is not useful for evaluating gather pre-existing information was IMS information from the proposed
generic companies’ incentives to file critical to the FTC’s reports on GENERIC Special Orders.
ANDAs and make paragraph IV DRUG ENTRY PRIOR TO PATENT
certifications. Cost data regarding brand- D. Comments Requesting Limitations on
EXPIRATION (July 2002) 63 and Use of the Information Submitted
name drugs will no longer be required. PHARMACY BENEFIT MANAGERS:
Cost data regarding generic drugs, Comment: GPhA requested that ‘‘the
OWNERSHIP OF MAIL-ORDER
however, are necessary to evaluate the FTC give assurances that information
PHARMACIES (August 2005).64 As the
effects of AGs on profitability and return
FTC reviews the information it receives
on investment, particularly during 180- 65 IMS at 2.
in response to the Special Orders, it will
day exclusivity. Thus, the revised 66 IMS at 2.
consider whether hearings should be 67 IMS at 3–4. See also Prasco at 1–2 (suggesting
requests require generic companies to
held to supplement the responses with that ‘‘IMS Integrated Promotional Services Total
submit cost data. Companies generate Promotion Reports’’ are unrelated to the topic of the
up-to-date views on particular issues.
cost data in the ordinary course of study).
business, so the request will not be 61 See GPhA at 1, 4, 6–7. See also AAI/FUSA/
68 See Actavis at 3; Davis at 14; PhRMA at 15–

excessively burdensome. To enhance 16.


USPIRG at 6; PAL at 6; Gilbert’s at 2–3 (suggesting 69 PhRMA at 15–16. IMS also stated that whether
uniformity and minimize burden, the that the FTC hold hearings because the effects of FTC obtains data from IMS directly or from
FTC has modified the Special Orders to AGs may not be reflected in pre-existing documents individual companies, ‘‘IMS information
request the overall cost to manufacture, which ‘‘may show that generic companies have constitutes confidential trade secret and
continued developing certain products despite the
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and has eliminated the request that commercial information that is protected from
threat of authorized generics in the hope that the disclosure under section 6(f) of the FTC Act, 15
practice is curtailed by the courts, regulation or U.S.C. 46(f).’’ IMS at 3.
57 PhRMA at 17. legislation’’). 70 See Gilbert’s at 3 (urging ‘‘the FTC to
58 See Davis at 14. 62 GPhA at 5.
specifically request information on the pricing of
59 See PhRMA at 20; Prasco at 3. 63 Hereinafter GENERIC DRUG REPORT.
drugs at the retail level, as this data may not be
60 Prasco at 3. 64 Hereinafter PBM REPORT. captured by the request as currently stated’’).

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gathered in conducting this study will the impact of AGs on generic order to expand the scope of its study
be used solely for the purposes of the companies, including both positive and beyond the previously announced
study.’’ 71 negative effects. The Commission has analysis of the effect of AG drugs on
Response: Although the purpose of revised its document requests to ensure competition.
the proposed information collection is that it is clear that information requests
to provide a basis for the proposed 2. Topics Outside the Scope of the
to generic companies extend to
study, the Commission cannot give documents that discuss possible Proposed Study
assurances that the documents and benefits to a company of marketing an Comment: Several commenters
information collected will not be used AG drug. suggested considering the full range of
for other purposes such as law Comment: Several commenters strategies that brand-name companies
enforcement investigations. The suggested examining a number of might use to delay generic entry and
Commission would not exercise its complex issues regarding the purposes, competition or otherwise promote the
enforcement authority solely on the effects, limits, and necessity of 180-day use of brand-name drugs at the expense
basis of information collected in exclusivity. Lilly suggested that the FTC of generics, regardless of whether the
response to the Special Orders, analyze whether and to what extent strategies involve AG drugs.76 Practices
however. Rather, it would do so only consumers benefit from accelerated suggested for inclusion in the study
after gathering additional information generic entry due to patent challenges; included the filing of citizen petitions or
from a company and/or other sources whether 180-day exclusivity the use of the declaratory judgment
through an investigation separate from undermines those benefits by delaying system to delay generic entry; 77 the use
the proposed study. Also, although competition; and whether 180-day of ‘‘product hopping’’ or other strategies
materials submitted may be covered by exclusivity is a necessary incentive for to switch consumers from one brand-
one or more stringent confidentiality generic companies to undertake patent name drug to another at the onset of
constraints, the Commission cannot rule challenges.73 Prasco suggested that the generic competition; 78 and the use of
out that, under circumstances specified Commission assess whether the effects ‘‘reverse payments’’ and purportedly
by law, the information could be used of AGs on competition differ from the problematic patent settlements.79
by other agencies for law enforcement effects of shared exclusivity by multiple Response: While the FTC appreciates
purposes, by Congress, or in judicial first filers of ANDAs with paragraph IV the importance of studying strategies
proceedings. certifications under the MMA.74 Prasco that might adversely affect generic
also recommended that the FTC take competition, these topics are generally
E. Suggestions To Broaden the Scope of into account the ‘‘apparent diminishing
the Proposed Study beyond the scope of the congressional
number of brand products available for request to study the competitive effects
The FTC received a number of paragraph IV ANDA challenges’’ when of AGs. Given finite resources,
suggestions from generic, brand-name, considering whether AGs have caused a examination of these issues through
and AG companies to broaden the scope decrease in the number of paragraph IV expansion of the Special Orders would
of the study. Some of the suggestions certifications.75 detract from the quality and timeliness
addressed new topics not contemplated Response: These issues are related to of the study of AGs. To the extent that
by the Federal Register Notice of April the proposed study, and the FTC the study finds that AGs are marketed
4, 2006, and would require the anticipates that the information to be pursuant to the settlement of paragraph
submission of information not obtained from companies and other IV litigation, however, the FTC will
contemplated by that notice. Other sources may allow the Commission to examine the competitive implications of
suggested topics were more closely address aspects of many of them. Such the arrangements as part of its ongoing
related to the proposed study and might information includes price data, the review of such settlements.
require little or no additional timing of generic entry, dates of patent Comment: Other commenters
information. Although the agency expiration, the extent of multiple entry, suggested that the FTC broaden the
cannot be certain that it will be possible profitability, return on investment, and study to examine practices of generic
to address particular topics because the trends in paragraph IV certifications, pharmaceutical companies that might be
nature of the information to be collected and documents related to these issues. anti-competitive and chill brand-name
cannot entirely be predicted, the The Commission, however, will not manufacturers’ incentives to innovate.
Commission will make every effort to broaden its information requests in In particular, Lilly suggested that the
maximize the practical utility of the FTC examine ‘‘early and speculative
73 See Lilly at 2.
information it receives by using it to patent challenges,’’ which ‘‘can have a
74 See Prasco at 3. The MMA defined ‘‘first
address as many issues relevant to the chilling effect on innovation.’’ 80
applicant’’ in such a way that all applicants who
study as possible. submit a substantially complete application Response: The possible effects of early
containing a paragraph IV certification on the first and speculative patent challenges and
1. Topics Closely Related to the Scope day the FDA receives such an application may be
of the Proposed Study granted 180-day exclusivity. See 21 U.S.C.
other practices on innovation are
355(j)(5)(B)(iv)(II)(bb). The MMA codified a policy outside the scope of the congressionally
Comment: Davis and PhRMA
that had been adopted by the FDA not long before requested study. An analysis of this
suggested that the FTC study take into the enactment of the MMA in 2003. See FDA, complex issue, which would involve
account possible beneficial effects of GUIDANCE FOR INDUSTRY: 180–DAY
AGs on generic companies that license EXCLUSIVITY WHEN MULTIPLE ANDAS ARE 76 See PAL at 6; AAI/FUSA/USPIRG at 5; Gilbert’s
them, e.g., from licensing revenues, by SUBMITTED ON THE SAME DAY (July 2003),
available at http://www.fda.gov/CDER/GUIDANCE/ at 3; GPhA at 6.
enhancing a company’s portfolio of 5710fnl.pdf. Before that time, the FDA granted
77 See AAI/FUSA/USPIRG at 4 (citizen petitions

products, or by allowing a company to exclusivity on a patent-by-patent basis, so that two and declaratory judgment system); Gilbert’s at 3
offer all dosages or strengths of a drug.72 companies that were first filers with respect to (citizen petitions); GPhA at 6 (citizen petitions).
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78 See GPhA at 6 (product hopping); Gilbert’s at


Response: The FTC agrees that its challenges to different patents might share
exclusivity for the drug product. See Letter from 3 (product switches); AAI/FUSA/USPIRG at 5
study should encompass all aspects of Gary Buehler, Office of Generic Drugs, FDA, to (product switches).
Diane Servello, Andrx Pharmaceuticals, Inc. (Nov. 79 See Gilbert’s at 3; AAI/FUSA/USPIRG at 5; PAL
71 GPhA at 5. 16, 2001). at 6.
72 See Davis at 15–16; PhRMA at 20. 75 Prasco at 3. 80 Lilly at 3. See also Davis at 15.

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Federal Register / Vol. 72, No. 86 / Friday, May 4, 2007 / Notices 25313

assessing innovation or measuring summary of the effect of authorized and the FTC’s experience with
branded firms’ pharmaceutical research generic entry since 1999. Section 6(f) of information requests that require
and development efforts, would detract the FTC Act, 15 U.S.C. 46(f), bars the financial data, answers to questions, and
from the FTC’s ability to carry out a Commission from publicly disclosing production of pre-existing documents.
complete and timely study of the effects trade secrets or confidential commercial Even assuming, however, that due to the
of AGs on competition. or financial information it receives from nature of the questions and the time
Comment: AARP suggested that the persons pursuant to, among other frame covered in the first Federal
Commission broaden the scope of the methods, special orders authorized by Register notice, the FTC’s initial
study by ‘‘assess[ing] how different Section 6(b) of the FTC Act. Such estimate understated the burden, the
generics offer different levels of savings information also would be exempt from Commission believes that its estimates
over the brand name drug; examin[ing] disclosure under the Freedom of are realistic given the modifications to
whether, in order to get better prices, Information Act. 5 U.S.C. 552(b)(4). the requests, which largely adopt
consumers must search for a generic not Moreover, under Section 21(c) of the industry suggestions for reducing
produced by the manufacturer of the FTC Act, 15 U.S.C. 57b–2(c), a submitter burden. Previously, the study covered
brand name drug; examin[ing] the cost who designates a submission as drug products that first faced generic
impact of authorized generics on public confidential is entitled to 10 days’ competition after Jan. 1, 1999, for which
programs, such as Medicare and advance notice of any anticipated public an ANDA with a paragraph III or IV
Medicaid, and on private health disclosure by the Commission, patent certification was filed. It now
insurance; and assessing] how the use of assuming that the Commission has covers drugs subject to competition after
authorized generics impacts access to determined that the information does Jan. 1, 2001, for which at least one
lower cost generic drugs, particularly for not, in fact, constitute 6(f) material. ANDA with a paragraph IV certification
low-income individuals.’’ 81 Although materials covered under one was filed. Our preliminary review
Response: The first suggestion, that or more of these various sections are suggests that there are approximately
the FTC assess the savings offered by protected by stringent confidentiality 200 such drugs subject to generic
different types of generic drugs relative constraints, the FTC Act and the competition, and that this set of drugs
to the brand-name drug, is within the Commission’s rules authorize disclosure will also capture many of the AGs that
scope of the proposed study and one in limited circumstances (e.g., official have been marketed during this time
that the Commission plans to address. requests by Congress, requests from frame.85 The reduction in the number of
The other topics, however, are outside other agencies for law enforcement drugs covered resulting from the
the scope of the congressionally purposes, administrative or judicial changes in time frame and criteria for
requested study, which is designed to proceedings). Even in those limited inclusion in the study should reduce the
examine the short- and long-term effects contexts, however, the Commission’s hour burden by more than one-half.
of AGs on competition in the rules may afford the submitter advance Other changes should reduce the
prescription drug marketplace, focusing notice to seek a protective order. See 15 burden even more. The time period
on their impact on generic company U.S.C. 57b–2(c); 16 CFR 4.9—4.11. covered by the document requests,
incentives to market generic drugs and which previously began on Jan. 1, 1998,
Estimated Burden Hours and Labor now begins on Jan. 1, 2002 or 2003,
undertake patent challenges. The FTC
Cost Burden depending on company type, and ends
does not anticipate addressing issues
such as the impact of AGs on consumer In its prior Federal Register notice, on April 3, 2006. This should reduce the
behavior or specific classes of the FTC estimated that a company’s burden of document production by
consumers, and on public or private burden for the AG study would range more than half, and probably much
programs not administered by this from 140 to 408 hours depending upon more because older documents often are
agency, because to do so would detract the number of a company’s drugs harder to obtain. Moreover, the
from the quality and timeliness of the covered by the study.82 document requests are now limited to
congressionally requested study. Two commenters asserted that the planning, decisional, and strategy
FTC’s estimates for complying with its documents that specifically address
Destruction of Documents document requests understated the AGs. Although any estimate of the
It should be noted that subsequent to burden hours. PhRMA, for example, expected decrease in burden due to the
this notice, any destruction, removal, asserted that ‘‘the FTC’s estimates changes that focus the requests on AGs
mutilation, alteration, or falsification of understate by several multiples the is necessarily imprecise because no
documentary evidence that may be amount of time and money it would complete list of AGs is available, the
responsive to this information collection likely take to comply with the requests Commission believes, from preliminary
within the possession or control of a as written.’’ 83 In contrast, the AG information, that these changes alone
person, partnership or corporation company Prasco had no ‘‘comment on should reduce the burden markedly.
subject to the FTC Act may be subject the accuracy of the FTC’s estimates’’ but Finally, the requests for IMS Health
to criminal prosecution. 15 U.S.C. 50; noted that the ‘‘burden of providing the data and cost data from brand-name
see also 18 U.S.C. 1505. requested information can only be companies have been eliminated. The
assessed in relation to the size of the request for cost data from generic firms
Confidentiality company responding.’’ 84 GPhA also did has been simplified by requesting
The information presented in the not comment on the FTC’s estimates.
study will not identify company- The initial hour burden estimates are 85 In addition, to obtain a complete picture of

specific data. See 15 U.S.C. 57b– consistent with previous PRA estimates industry practices in marketing AGs, we are asking
companies to identify and provide information on
2(d)(1)(B). Rather, the Commission all AGs (tablet or capsule form) that were launched
anticipates using primarily aggregated 82 71 FR 16779, 16783 (April 4, 2006).
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after Jan. 1, 2001, regardless of what certifications


83 PhRMA at 7. See also Davis at 11 (the FTC’s
totals, on a level sufficient to protect were made regarding patents on the brand-name
Federal Register notice ‘‘materially underestimates drug. Brand-name companies will also be requested
individual companies’ confidential the burden of compliance’’). PhRMA did not to provide sales data on brand-name drugs for
information, to provide a factual comment on the Commission’s burden estimates for which at least one ANDA with a paragraph IV
complying with requests for financial data. certification was filed after Jan. 1, 2001, and generic
81 AARP at 2. 84 84 Prasco at 2. entry has not yet occurred.

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25314 Federal Register / Vol. 72, No. 86 / Friday, May 4, 2007 / Notices

annual operating statements. In sum, as drug products, and companies with information for 1 to 5 drug products
a result of the combined effects of the more than 10 drug products. As before, from approximately 130 companies, 6 to
changes to reduce the burden of both the Commission anticipates that the 10 drug products from 20 companies,
financial and document requests, the majority of burden hours will result and for greater than 10 drug products
hour burden of the study should be a from document production. However, from 40 companies. Thus, the
fraction of what it would have been given that the Commission seeks only cumulative hours burden to produce
pursuant to the requests of the first high-level documents strongly relevant documents and prepare the response
Federal Register notice. to the AG study, the Commission has sought will be approximately 40,780
After taking account of the public revised its burden estimates to reflect a hours. [(138 hours × 130 companies) +
comments and the burden-reducing greater amount of time spent on
(230 × 20 companies) + (456 hours × 40
changes that we have made in response, identifying responsive documents, and
the FTC believes that its previously companies)] As previously discussed,
less time spent on retrieving and
published estimate of the total burden the Commission anticipates that in
copying. The Commission has also
hours remains reasonable. The increased its estimates of the maximum general the number of drugs, and thus
Commission has retained a three-tier hours for these tasks to reflect the the number of burden hours, will be
estimate of burden hours depending possibility that a few companies will proportional to company size.86 The
upon the number of drug products for have a relatively large number of drugs following table shows the estimated
which a company is required to provide responsive to its requests. burden hours for different tasks for
a response: Companies with one to five Based on preliminary information, the companies with different numbers of
drug products, companies with six to 10 FTC anticipates that it will seek drugs covered by the study:

1–5 Drug 6–10 Drug > 10 Drug


Task Products Products Products
(hours (hours) (hours)

Organize document and information retrieval ............................................................................. 12 24 48


Identify requested documents ..................................................................................................... 40 80 200
Retrieve and copy requested documents .................................................................................... 10 20 48
Identify requested financial information ....................................................................................... 40 50 60
Obtain financial information ......................................................................................................... 12 16 20
Prepare response ........................................................................................................................ 24 40 80

Total ...................................................................................................................................... 138 230 456

It is not possible to calculate with file folders, computer CDs or DVDs, the authority vested in the Secretary of
precision the labor costs associated with photocopier toner, or paper in order to Health and Human Services to continue
answering the planned questions and comply with the Commission’s requests. the administration of any grants and
producing the documents requested, The FTC estimates that such costs will contracts initially awarded by the
because responses will entail be minimal. Health Resources and Services
participation by management and/or By direction of the Commission, Administration under sections 319C–1,
support staff at various compensation Commissioner Harbour recused. 319C–2, 319F, and 319I of the Public
levels within many different companies. Donald S. Clark, Health Service Act. This delegation
Individuals within some or all of those Secretary. permits the Assistant Secretary for
labor categories may be involved in the Preparedness and Response to
[FR Doc. E7–8567 Filed 5–3–07; 8:45 am]
information-collection process. administer grants and contracts under
BILLING CODE 6750–01–P
Nonetheless, the FTC has assumed that the terms and conditions of the initial
mid-management personnel and outside
awards.
legal counsel will handle most of the
tasks involved in gathering and DEPARTMENT OF HEALTH AND This authority may be redelegated.
producing the responsive information, HUMAN SERVICES These delegations shall be exercised
and has applied an average hourly wage under the Department’s policy on
Office of the Secretary regulations and the existing delegation
of $250/hour for their labor. Thus, the
labor costs per company should range Delegation of Authority of authority to approve and issue
between $34,500 (138 hours × $250/ regulations. This delegation excludes
hour) and $114,000 (456 hours × $250/ Notice is hereby given that I have the authority to issue reports to
hour). delegated to the Assistant Secretary for Congress and to take final action to
Preparedness and Response the withhold funds from States.
Estimated Annual Capital or Other authorities vested in the Secretary of
Non-labor Costs Health and Human Services under This delegation supersedes all prior
The capital or other non-labor costs section 319C–2, 319F, and 319I of the delegations of authority to the Health
associated with the information requests Public Health Service Act, as amended, Resources and Services
will be minimal. Industry members as it pertains to the functions assigned Administration’s officials to the extent
should already have in place the means to the Assistant Secretary for that they are inconsistent with the
to store information of the volume Preparedness and Response. These provisions of this delegation.
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requested. In addition, respondents may delegations to the Assistant Secretary


have to purchase office supplies such as for Preparedness and Response include
86 The Commission recognizes, however, that this which a large fraction of the company’s drugs may such companies, and that their responses are
may not apply to independent AG companies, for be covered. The FTC anticipates that there are few especially important to this study.

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