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Press Release

State of Alaska Receives $274,722 as Part of $300 Million National Medicaid Fraud Suboxone Settlement

April 27, 2021

(Anchorage, AK)– Alaska Attorney General Treg Taylor and the Alaska Medicaid Fraud Control Unit (MFCU) announced on April 27, 2021 that Alaska and other states have reached an agreement with Indivior PLC and Indivior Inc. (collectively “Indivior”) to settle allegations that Indivior falsely and aggressively marketed and otherwise promoted the drug Suboxone, resulting in improper expenditures of state Medicaid funds, as described further below.  Suboxone is a drug product approved for use by recovering opioid addicts to avoid or reduce withdrawal symptoms while they undergo treatment.  Suboxone and its active ingredient, buprenorphine, are powerful and addictive opioids.

Indivior Inc. (formerly known as Reckitt Benckiser Pharmaceuticals, Inc.) is a Delaware corporation headquartered in Richmond, Virginia, and is a wholly owned subsidiary of Indivior PLC.  Indivior will pay a total of $300 million to resolve various civil fraud allegations impacting Medicaid and other government healthcare programs, of which $203,735,800 will go to Medicaid ($90,682,800.00 of this amount is to be paid to the fifty states, plus Washington D.C. and Puerto Rico, as their share of the Medicaid recovery). As part of the settlement the state of Alaska will receive $264,722.40 in restitution and other recoveries.

The civil settlement resolves allegations that, from 2010 through 2015, Indivior, either directly or through its subsidiaries: (a) promoted the sale and use of Suboxone to physicians who were writing prescriptions that were not for a medically accepted indication in that they lacked a legitimate medical purpose, were issued without any counseling or psychosocial support, were for uses that were unsafe, ineffective, and medically unnecessary and that were often diverted; (b) knowingly promoted the sale or use of Suboxone Sublingual Film based on false and misleading claims that Suboxone Sublingual Film was less subject to diversion and abuse than other buprenorphine products and that Suboxone Sublingual Film was less susceptible to accidental pediatric exposure than Suboxone Sublingual Tablets; and (c) submitted a petition to the Food and Drug Administration on September 25, 2012, fraudulently claiming that Suboxone Tablet had been discontinued “due to safety concerns” about the tablet formulation of the drug and took other steps to fraudulently delay the entry of generic competition for various forms of Suboxone in order to improperly control pricing of Suboxone, including pricing to the states’ Medicaid programs.  The civil settlement resolves the claims against Indivior brought in six qui tam lawsuits pending in federal courts in the Western District of Virginia and the District of New Jersey.

Regarding the federal criminal case against Indivior, on July 24, 2020, Indivior Solutions pleaded guilty to a one-count felony information and, together with its parent companies Indivior Inc. and Indivior PLC, agreed to pay a total of $289 million to resolve criminal liability associated with the marketing of Suboxone.  In its guilty plea, Indivior Solutions admitted to making false statements to promote Suboxone Film to the Massachusetts Medicaid program relating to the safety of Suboxone Film around children.  On November 12, 2020, U.S. District Judge James P. Jones of the Western District of Virginia sentenced Indivior Solutions to pay $289 Million in criminal fines, forfeiture, and restitution.  In addition to the criminal and civil resolutions, Indivior executed a five-year Corporate Integrity Agreement with the U.S. Department of Health and Human Services-Office of Inspector General, requiring Indivior to implement numerous accountability and auditing provisions.

On June 30, 2020, Indivior PLC’s former CEO Shaun Thaxton pleaded guilty to a one-count misdemeanor information related to the same conduct.  On October 22, 2020, the court sentenced Thaxton to a six-month term of incarceration and $600,000 in criminal fines and forfeiture.  On August 26, 2020, Indivior’s former medical director, Tim Baxter, pleaded guilty to a one-count misdemeanor information related to the same conduct, conduct for which he was sentenced on December 17, 2020 to six months home detention, 100 hours of community service, and a $100,000 criminal fine. 

This settlement follows the Reckitt Benckiser Group PLC (“Reckitt”) $1.4 Billion settlement with the federal government and the states in 2019, which resolved Reckitt’s potential criminal and civil liability related to substantially similar allegations involving Suboxone.  The 2019 settlement resulted in a total civil settlement of $700,000,000, of which $400,000,000 was paid to the federal and state governments to resolve Medicaid fraud allegations resolved in the settlement.  Of that total the state of Alaska received $572,590 in November 2019 as its share of that lawsuit.

A National Association of Medicaid Fraud Control Units (NAMFCU) Team including representatives from the Offices of the Attorneys General for the states of California, Indiana, New York, Ohio, Virginia, and Washington participated in settlement negotiations, and is the same team that earlier worked on the Reckitt settlement.  “The State, through the Alaska Medicaid Fraud Control Unit, participated in this settlement as part of the State’s emphasis on combating health care fraud, and protecting all Alaskans,” says Attorney General Treg Taylor.

The Alaska MFCU is part of the Alaska Department of Law and is located in Anchorage.  It is responsible for investigating and prosecuting Medicaid fraud, abuse, neglect, or financial exploitations of patients in any facility that accepts Medicaid funds.  Citizens with information about suspected medical assistance fraud, or patient abuse or neglect are encouraged to contact the Alaska MFCU at its website, or by phone at (907) 269-6279.

CONTACT: MFCU Director James Fayette at (907) 269-6279 or james.fayette@alaska.gov.

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Department Media Contact: Assistant Attorney General Charlotte Rand.