AUTH/3243/9/19: Ex-employee complaint about Allergan commercial policy (Botox, Juvederm, CoolSculpting) – No breach

📅 2019 | 🖉 Dr Anzal Qurbain
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Key facts

Case numberAUTH/3243/9/19
ComplainantEx-employee
CompanyAllergan Limited
ProductsBotox (botulinum toxin Type A, POM); Juvederm (CE marked class III medical devices); CoolSculpting (CE marked class II medical device)
IssueAlleged portfolio “bundling”/commercial overlay discount creating an incentive to prescribe Botox
Materials referencedTwo presentations: “Proposed Portfolio Commercial Policy Overlay” (dated 3 July 2018) and “Working together in partnership” / “Working Together in Partnership to Develop Medical and Business Outcomes” (undated; some slides marked “draft proposal”)
Clauses considered2, 9.1, 18.1
Panel decisionNo breach (arrangements considered terms of trade relating to prices/margins/discounts; exemption applied)
Complaint received29 July 2019
Case completed22 November 2019
AppealNo appeal
Applicable Code year2019

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Reviewed by Dr Anzal Qurbain (FFPM) — ABPI Final Signatory

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What happened

  • An ex-employee complained about Allergan’s commercial policy for aesthetic products: Botox (POM) and the medical devices Juvederm and CoolSculpting.
  • The complainant alleged a “commercial overlay policy” effectively bundled the three products, creating a financial incentive to prescribe Botox (eg reduced Botox price linked to portfolio revenue/thresholds for large clinic chains).
  • The complainant supplied two presentations describing proposed/available commercial terms (one dated 3 July 2018; one undated), including references to “cross selling opportunities”.
  • The PMCPA asked Allergan to consider Clauses 2, 9.1 and 18.
  • Allergan said the materials and discussions were business-to-business terms of trade (pricing/discounts), not promotion; it denied bundling/conditionality, exclusivity or any transfer of value to prescribers.
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Outcome

  • No breach of Clause 18.1 (Panel considered the arrangements were terms of trade relating to prices/margins/discounts and could benefit from the exemption).
  • Consequently, no breach of Clause 9.1.
  • Consequently, no breach of Clause 2.
  • Overall: No breach of the Code.
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