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A6   U.S. NEWS
                Saturday 2 February 2019
            Family made billions on opioid as crisis raged, filing says




                                                                                                   seems  like  something  we  market  for  Narcan  con-
                                                                                                   should  be  doing,"  the  em-  firmed  that  they  saw  the
                                                                                                   ployee  wrote  in  an  email.  opioid epidemic as a mon-
                                                                                                   The executive rejected the  ey-making opportunity and
                                                                                                   employee's     suggestion,  that  the  Sacklers  under-
                                                                                                   and  the  secret  list  of  the  stood  —  in  private,  when
                                                                                                   suspected  illegal  prescrib-  no  one  was  watching  —
                                                                                                   ers, known as "Region Zero,"  how  Purdue's  opioids  put
                                                                                                   continued to be kept, law-   patients  at  risk,"  attorneys
                                                                                                   yers say in the complaint.   for Massachusetts wrote.
                                                                                                   The  lawsuit,  filed  in  state  Purdue  said  the  lawsuit  is
                                                                                                   court,  also  details  tactics  taking pieces of company
                                                                                                   that  the  state  says  Purdue  documents out of context.
                                                                                                   and  the  Sacklers  used  to  "Massachusetts  seeks  to
                                                                                                   keep patients on the drugs  publicly vilify Purdue, its ex-
                                                                                                   longer  and  get  more  pa-  ecutives,  employees  and
                                                                                                   tients  taking  higher  doses  directors  while  unfairly  un-
                                                                                                   — even as that made them  dermining  the  important
                                                                                                   more  prone  to  addiction.  work we have taken to ad-
                                                                                                   Meanwhile,  the  Sacklers  dress  the  opioid  addiction
                                                                                                   paid themselves more than  crisis," the company said in
                                                                                                   $4 billion from 2007 through  an email.
                                                                                                   last year, according to the  The  company  said  it  was
             In this Aug. 17, 2018 file photo, family and friends who have lost loved ones to OxyContin and   lawsuit.          doing  due  diligence  on
            opioid overdoses protest outside Purdue Pharma headquarters in Stamford, Conn.         Richard    Sackler,   who  buying  rights  to  the  anti-
                                                                                  Associated Press   served  as  Purdue  presi-  addiction drug, which was
                                                                                                   dent for several years, told  already on the market. Pur-
            By ALANNA DURKIN RICHER  family also sought to profit  ily, in an effort to hold them  management  in  a  2008  due  never  went  into  the
            and GEOFF MULVIHILL          off the drug abuse crisis its  accountable for the toll of  email  that  they  should  suboxone or naloxone busi-
            Associated Press             company  helped  create  the state's drug crisis. Mas-    "measure our performance  ness.
            BOSTON  (AP)  —  The  fam-   by  exploring  selling  drugs  sachusetts'  is  the  first  state  by  Rx's  by  strength,  giving  The  suit  is  one  of  more
            ily behind OxyContin raked  used  to  treat  addiction  case  to  personally  name  higher  measures  to  higher  than 1,000 by state and lo-
            in  billions  of  dollars  as  it  and  reverse  overdoses,  members  of  the  Sackler  strengths."                 cal  governments  pending
            pushed  to  keep  patients  state  lawyers  contend  in  clan,  whose  name  is  em-   Years  later,  the  state  says  against  Purdue.  A  federal
            on  the  powerful  painkiller  previously  secret  parts  of  blazoned on walls at some  in  the  suit,  consulting  firm  judge  in  Cleveland  over-
            longer  despite  evidence  their lawsuit against Purdue  of  the  world's  great  muse-  McKinsey  &  Co.  advised  seeing lawsuits filed in fed-
            that  the  drug  was  helping  Pharma.                    ums and universities.        Purdue  that  it  could  in-  eral  court  is  pushing  for  a
            to  fuel  the  nation's  deadly  Attorney  General  Maura  Purdue had fought to keep  crease opioid prescriptions  settlement  aimed  at  stem-
            opioid crisis, Massachusetts  Healey  is  suing  Connecti-  the  new  allegations  se-  by  sending  sales  reps  doz-  ming the crisis.
            authorities  allege  in  newly  cut-based Purdue Pharma,  cret, but three courts ruled  ens of times per year to visit  Massachusetts  lawyers  say
            public court documents.      along with some company  against  the  company.  Its  prolific prescribers.            while  the  company  was
            While  aggressively  market-  executives  and  members  lawyers said after the whol-   The  Sackler  family  was  secretly  considering  ways
            ing OxyContin, the Sackler  of the wealthy Sackler fam-   ly  unredacted  complaint  given a report in 2012 that  to  profit  off  trying  to  cure
                                                                      was released late Thursday  found savings cards to help  addictions,  it  was  while
                                                                      that  Massachusetts  is  try-  pay for OxyContin led to 60  publicly  deflecting  blame
                                                                      ing  to  "single  out  Purdue,  percent  more  patients  us-  for  the  crisis.  For  instance,
                                                                      blame it for the entire opi-  ing the drug for more than  Richard  Sackler  said  in  an
                                                                      oid crisis, and try the case in  three  months.  An  internal  email at one point that the
                                                                      the court of public opinion  company  report  from  that  company had to "have to
                                                                      rather  than  the  justice  sys-  year found that every dol-  hammer  on  the  abusers,"
                                                                      tem."                        lar  invested  in  the  savings  calling them "the problem"
                                                                      Health  officials  say  nearly  cards brought in more than  and "reckless criminals."
                                                                      48,000  overdose  deaths  in  $4 in additional sales.     Jonathan  Novak,  a  Dallas
                                                                      the  U.S.  in  2017  involved  In  2014  and  2015,  Purdue  lawyer  who  is  represent-
                                                                      some  type  of  opioid,  in-  considered  selling  subox-  ing  several  governments,
                                                                      cluding illicit drugs.       one,  a  drug  used  to  treat  including the state of Utah
                                                                      Massachusetts     accuses  addiction, the lawsuit says.  and  the  city  of  Albuquer-
                                                                      Purdue of keeping track of  "It  is  an  attractive  market,"  que, in lawsuits against the
                                                                      doctors  who  were  poten-   an internal memo read, ac-   drug industry, said the Mas-
                                                                      tially  overprescribing  Oxy-  cording to the suit.       sachusetts  lawsuit  could
                                                                      Contin, but failing to report  The  company  later  ex-   provide  a  roadmap  of
                                                                      them to authorities. In 2012,  plored  selling  naloxone  —  documents for other plain-
                                                                      one Purdue employee told  known  by  its  brand  name  tiffs.  Novak  said  the state's
                                                                      an executive that the com-   Narcan  —  which  reverses  approach  is  important  to
                                                                      pany  should  tell  insurance  overdoses,  the  state's  law-  the telling of the opioid cri-
                                                                      companies  the  names  of  yers  contend.  A  presenta-   sis story.
                                                                      the  doctors  suspected  of  tion  made  to  the  board  "These are the people who
                                                                      illegal prescribing, calling it  in  2016  said  that  Narcan  invented the drug," he said.
                                                                      the "right and ethical thing  could  bring  in  $24  million  "These  are  people  who
                                                                      to do."                      in  sales  to  Purdue  through  blame  patients  who  got
                                                                      "If  it  reduces  abuse  and  2025, the complaint says.   addicted  and  call  them
                                                                      diversion  of  opioids  then  it  "Purdue's  analysis  of  the  criminals."q
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