Commonwealth fails in $325 million Recovery Bid
Commonwealth. All in all, the Commonwealth claimed $325 million in compensation excluding interest and costs.
by the operation of the interlocutory injunction. Apotex also voluntarily gave the Court an undertaking that it wouldn’t list its products on the PBS until the proceedings were determined or until further order ( Apotex First Undertaking ). Sanofi did not provide an undertaking as to damages in return for the Apotex First Undertaking. At first instance, Gyles J decided that certain claims in Sanofi’s clopidogrel patent were invalid but found that claims 2 to 5 were valid and infringed. As such, he ordered a final injunction restraining Apotex from infringing the patent. Apotex appealed and Sanofi cross appealed that finding to the Full Federal Court. On 13 October 2009, the Full Court made orders allowing Apotex’s appeal and revoked the patent. In doing so it also set aside the final injunction. The High Court then rejected Sanofi’s application for special leave on 12 March 2010 leaving Sanofi’s clopidogrel patent revoked. Pharmaceutical products which are listed on the PBS are subsidised by the Commonwealth. The maximum amount charged by manufacturers/wholesalers of a drug to pharmacists ( Pharmacist Price ) is set by agreement with the Minister. The patient pays a contribution, which is capped. The remainder of the cost is paid by the Commonwealth to the pharmacist. The Pharmacist Price is reduced from time to time by virtue of statutory provisions. The listing of the first generic version of a listed drug results in an automatic reduction (now 25% 1 ) in the Pharmacist Price. Additional price reductions also occur once the first generic is listed, such as an annual drop on nominated dates, and reductions 2 calculated based on the weighted average disclosed price for the drug 3 . Therefore, the listing of the first generic on the PBS triggers an immediate and continuing reduction in the Pharmacist Price, and the reduction in the Pharmacist Price represents a saving to the Commonwealth, and a loss to the originator. Pharmaceutical Benefits Scheme Price Reduction
Court’s Decision
The Commonwealth had to show the following in order to succeed:
– – Apotex would have listed the Apotex Product on the PBS on 1 April 2008, triggering a price reduction but for the interlocutory injunction; – – that the loss flowed directly from the interlocutory injunction; and – – that the loss could have been foreseen at the time the interlocutory injunction was granted. Would Apotex have filed an application to list on the PBS on 1 April 2008? The Commonwealth failed at the first hurdle. Nicholas J found [at 349] on the balance of probabilities that Apotex would not have applied to list the Apotex Products on the PBS on 1 April 2008 if the interlocutory injunction had not been granted. The Commonwealth’s claim for compensation had to be dismissed. While Apotex Australia’s Managing Director provided evidence that he would have pursued PBS listing and launched at risk if the interlocutory injunction was not granted, contemporaneous documents indicated that any such action had to be authorised by senior decision makers from Apotex Canada (Apotex HQ) due to the financial implications of the decision. The documents indicated the decision makers were reluctant to launch at risk and list on the PBS because of the significant exposure to damages caused by the automatic reduction in Pharmacist Price triggered by the listing. Evidence from these decision makers was not adduced by the Commonwealth so the court drew an adverse inference that such evidence would not have assisted the Commonwealth. This was fatal to the Commonwealth’s case.
Commonwealth’s Damages Claim
Other findings by the Court
The Commonwealth claimed compensation under the undertaking as to damages. The Commonwealth’s argument was that but for the interlocutory injunction, Apotex would have listed the Apotex Product on the PBS on 1 April 2008, which would have triggered the price reductions, with resulting savings to the
Nicholas J however went on to make the following additional findings based on the evidence and arguments of the parties:
–– The Minister would have approved the application for PBS
1 In accordance with division 3A of Part VII of the National Health Act 1953 a statutory price reduction of 25% is applied to existing PBS-listed products when the first new brand or item that is bioequivalent or biosimilar and has the same manner of administration as an existing brand or item lists on the PBS. This reduction increased from 12.5% to 16% on 1 February 2011, then again from 16% to 25% on 1 October 2018. 2 Drugs listed on F1 are subject to statutory price reductions on the fifth (5%), tenth (10%), and fifteenth (5%) year anniversary of the date that the drug was listed on the PBS. 3 The National Health Act 1953 provides that listed drugs be assigned to formularies identified as F1 or F2. Generally F1 is intended for single brand drugs and F2 for drugs that have multiple brands, or are in a therapeutic group with other drugs with multiple brands. Drugs on F2 are subject to the provisions of the Act relating to statutory price reductions, price disclosure and guarantee of supply. Allocation to F1 or F2 is determined by legislative instrument. Single brand combination drugs are not included in either the F1 or F2 formulary.
2 | wrays.com.au
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