Thursday, August 9, 2012

FDA's Global Initiative; FDA Across the Globe

Global Initiative


Global production of FDA-regulated products has quadrupled over the last decade and continues to grow.  Today, FDA-regulated products originate from more than 150 countries, 130,000 importers and 300,000 foreign facilities.
Almost 40 percent of the fruits and nuts and 85 percent of the seafood consumed in America comes from abroad.  Similarly, more than 80 percent of the active pharmaceutical ingredients used to make medicines are imported. The growth in imports has been rapid and promises to accelerate.
Globalization has fundamentally altered the economic and security landscape and demands a major change in the way FDA fulfills its mission.  Over the next decade, FDA will transform from a predominantly domestically-focused agency operating in a globalized economy to a modern public health regulatory agency fully prepared for a complex globalized regulatory environment.
The agency is already working to increase transparency and accountability in the supply chain, developing better enforcement and regulatory tools, encouraging greater responsibility by industry, and enhancing collaboration with international regulatory counterparts and other third parties.
As our world transforms and becomes increasingly globalized, it is vital that we come together as a global community – in new, unprecedented, and even unexpected ways – to build a public health safety net for consumers around the world.
 

World map showing FDA offices in the U.S., Mexico City, San Juan, Santiago, London, Brussels, Paris, Amman, Pretoria, New Delhi, Mumbai, Beijing, Shanghai, and Quangzhou
FDA has established international offices and posted staff in strategic locations around the world. They work closely with their national and regional regulatory counterparts, and with other U.S. government agencies stationed abroad, to perform functions essential to FDA’s ability to protect U.S. consumers. Learn more about FDA’s international offices and posts.

This article found on FDA;s website here.

The Global Drugstore: FDA No Longer a Domestic Agency

These days, a trip to the supermarket or drugstore is like a trip around the world.
Many of the products you and your family buy, the medicines you use, and the foods you eat are from other countries. Did you know, for example, that 80 percent of our seafood and 80 percent of the active ingredients in medications consumed in the United States comes from abroad?
“Global Engagement”, a new, in-depth report from the Food and Drug Administration (FDA), tells how the agency works to ensure that the imported foods, medical products, and other goods it regulates meet the same high standards for safety and quality set for products manufactured domestically.
The report was compiled to provide a face and voice to FDA’s global work, which includes overseas inspections and collaborations with governments in other countries, says FDA’s Mary Lou Valdez, associate commissioner for international programs.
Rather than focusing on the efforts of one FDA office or center, the report describes for the first time—through data, charts, vignettes, quotes, and narratives—the global engagement efforts taking place across the agency. The report also explains some of the challenges that FDA faces in fulfilling its mission.
“It truly is a different world for all of us working to ensure product safety,” says Valdez. “We had to recognize the complexity of the world in which we’re regulating.”

From Farm to Fork

Take food. FDA regulates most food products in the United States, from the lettuce you put in your family’s dinner salad, to the eggs and juice you serve for breakfast.  As of 2011, roughly one in six FDA-regulated food products consumed in the United States comes from abroad. And the percentage is much higher in foods like fruits (about 50 percent) and vegetables (about 20 percent).
So the agency—empowered by the Food Safety Modernization Act signed into law in 2011—is focusing its efforts on making sure that foods from other countries meet U.S. safety standards before they reach the United States, and your family’s dinner plates. Investigators with FDA’s Office of Regulatory Affairs travel the globe to inspect facilities that produce food bound for the United States. Additionally, FDA’s Office of International Programs has stationed investigators in multiple overseas posts to complement these inspection efforts. 
“Consumers around the world, not just in the United States, expect and demand safe food, no matter its source,” says Michael Taylor, FDA’s deputy commissioner for foods.

The Global Drugstore

These strategies also apply to medical products, which include prescription and over-the-counter drugs, biologics (like vaccines and tissue), and devices that range from tongue depressors to complex diagnostic tools.
Forty percent of drugs—generic and prescription—consumed in the United States are now manufactured in other countries.
Globalization of the medical product industry presents regulatory challenges from product development to final use by the consumer:
  • The clinical trials of all medical products required for FDA approval are increasingly conducted abroad, adding the complexity of the review process.
  • Many U.S. consumers can purchase medicines via the Internet directly from foreign sources, increasing their potential exposure to unsafe or ineffective medical products.
  • Many medical devices are sold in nearly identical forms around the world but are known by different trade names, making it difficult to warn medical professionals and consumers about potential dangers.

Global Strategies

The report outlines a variety of strategies to increase its engagement in the international public health community. These include:
  • Opening new FDA posts overseas in key areas such as China, India, the Middle East, Europe, and Latin America. These help FDA build strong relationships with officials overseas and see first-hand how foreign-based facilities are operating.
  • Developing strong and consistent international regulatory standards to allow countries to share a common foundation of science-based goals for product safety and quality. FDA’s Office of International Programs works with FDA’s centers and offices to share information, strategies and tools with other countries.
  • Sharing and analyzing information and data in a way that will help regulatory agencies around the world use finite resources strategically.
  • Working with other countries to monitor, prepare for, and respond to public health challenges, such as pandemics (widespread epidemics of infectious disease), natural disasters or broad distribution of tainted FDA-regulated products.
  • Developing innovative strategies and tools for risk-based monitoring and inspection of imported products. An example is the PREDICT Application, a data-mining and pattern-tracing tool that FDA uses to screen imported products and identify those that  pose the greatest risk to public health.
  • Working with international partners to advance the science used to assess the safety and effectiveness of regulated products, which can lead to more cost-effective and timely product development. One example is the development of vaccine technology by FDA’s Center for Biologics Evaluation and Research that was used, through an international partnership, to protect millions in Africa against meningitis.
“FDA is no longer a domestic agency,” says Valdez. "We have gone global because consumers' products come from many corners around the globe.  We have made significant contributions towards assuring global product safety and quality.”
“And we will continue to make many more to promote the health and well being of the American people and our fellow citizens around the world," she says.
This article appears on FDA's Consumer Updates page, which features the latest on all FDA-regulated products.
April 23, 2012

This article appears on the FDA website here.

FDA's China Offices Focus on Product Safety

More than three years after a series of safety scares involving Chinese exports, officials in the Food and Drug Administration’s China office say the Chinese are on their way to developing an infrastructure that better ensures product safety.

Christopher Hickey, Ph.D., who leads FDA’s 13-person staff in China, says the agency has trained more than 1,600 manufacturers and regulators on United States safety standards over the past two years.
“The FDA’s China office represents a new era in cooperation between the United States and China on the safety of food and medical products,” he says.
Michael Kravchuk, who served as deputy director in Beijing until he retired in September, says FDA has built solid relationships with Chinese regulators and exporters since officially opening an office in the capital city of Beijing in November 2008. After a two-year stint in China, Kravchuk says he realized that FDA and their Chinese counterparts are working toward a common goal.
“What I realize is we are all trying to ensure quality products are on the market—regardless of where they are sold. They want to learn how we approach product safety and use as many of our techniques as possible,” says Kravchuk.
Toward that end, FDA held a hands-on workshop in the cities of Hangzhou and Zhoushan in September. The event included a half-day of classroom instruction and three full days of demonstrations at two plants that process low-acid canned foods—like mushrooms, sardines, artichoke hearts, and tuna.
Hickey says the workshop began with an FDA expert giving Chinese regulators step-by-step instructions on how their U.S. counterparts inspect facilities and products, covering everything from machinery maintenance to container specifications and labeling requirements.
On the second day, the workshop moved to a manufacturing plant where congee, a breakfast food similar to oatmeal, is made and packaged. Workshop participants watched an FDA investigator perform a mock inspection at the facility.

Past Problems

Some consumers have been wary of products made in China since a series of safety scares in 2007 and 2008. That’s when contaminants in the blood thinner Heparin, pet food, toothpaste, seafood, and other products caused illnesses and some deaths in the United States and other countries.
The Chinese also suffered the consequences of contaminated products. In 2008, about 300,000 Chinese babies were sickened and six died from infant formula contaminated with the toxic chemical melamine, which is used to make concrete and plastics.
Some manufacturers purposely added melamine to formula because the chemical made it appear that the product contained more protein than it actually had. The incident resulted in numerous criminal prosecutions, and China executed two people connected to the scandal. 
Hickey says the incidents underscored the need for FDA staff permanently stationed in Beijing, Shanghai, and Guangzhou.
“Our primary duties have been to build relationships with FDA’s regulatory counterparts and to work with Chinese firms that want to export products to the United States,” he says.
The office also aims to increase the number of inspections at manufacturing plants; boost collaboration on product safety with other U.S. government agencies; and monitor events—like an earthquake or other natural disaster—that could affect the safety or availability of FDA-regulated products.
Kravchuk says the China team is making progress, greatly increasing the number of inspections and investigations.
And the team may be getting reinforcements. In his budget proposal for the 2013 fiscal year, President Obama has requested funding that will enable FDA to:
  • strengthen its inspection and analytical capabilities by increasing its presence in China by sixteen inspectors and by adding three U.S.-based China analysts.
  • broaden the range of its inspections. In addition to inspecting Chinese facilities that manufacture food and medical products for export to the United States, FDA will inspect sites of clinical trials and conduct follow-up inspections to ensure that firms continue to produce and manufacture food and medical products under safe conditions, and that they apply sound production practices. 

Global Marketplace

Roughly 24 million shipments of FDA-regulated products were imported into the U.S. in the 2011 fiscal year—from Oct. 1, 2010, through Sept. 30, 2011—from 228 foreign jurisdictions. This represents a four-fold increase over the past decade. This steadily increasing volume of imports has made it more important than ever for FDA to build relationships with regulators and industry abroad, says Murray Lumpkin, M.D., FDA’s senior advisor and representative on global issues.

Consumer Updates FDA 101: Health Fraud Awareness

Consumer Updates FDA 101: Health Fraud Awareness

Designated Representative and Exemptee: Senate committee reports pharmaceutical gray marke...

Designated Representative and Exemptee: Senate committee reports pharmaceutical gray marke...: Senate committee reports pharmaceutical gray market fueled by unscrupulous pharmacies | Drug Store News:

"According to the report, gray market drugs "leak" out of authorized distribution chains. "In more than two-thirds (69%) of the 300 drug distribution chains reviewed in the investigation, prescription drugs leaked into the gray market through pharmacies," the report read. "Instead of dispensing the drugs in accordance with their professional duties, state laws, and the expectations of their trading partners, these pharmacies resold the drugs to gray market wholesalers. Some pharmacies sold their entire inventories into the gray market. The wholesalers in turn sold their drugs — usually at significant markups — to other gray market companies.""

'via Blog this'

More on FBI Raid of Three Compounding Pharmacies

From the Shoalanda Speaks Blog found here: Shoalanda Speaks: Pharmacy Musical Chairs?/Detective Demoted?:

We reported yesterday on FBI raids of three local compounding pharmacies. The FBI has remained mum on further details regarding their i..We reported yesterday on FBI raids of three local compounding pharmacies. The FBI has remained mum on further details regarding their investigation; however, locals have had plenty to say. An employee of one of the pharmacies has gone on record as saying the investigation stems from Medicare and Medicaid billing of these compounded specialty drugs. Such drugs don't fall under the standard categories of billing limits for "x" number of pills per month, etc. It's relatively unknown territory in many geographic areas, and reportedly authorities are using these three pharmacies as a test case.

Why a raid? The three pharmacies are said to be cooperating with all government entities, so we've been asked why the necessity of a high profile raid? We can only surmise this may have been to ascertain if there were two sets of books at each business. We would doubt this was the case here, but it has been known to occur in some larger businesses.

Compounding is now a big business. The art was lost in many areas after the advent of big drug companies and standard dosing for almost all meds. The 1990s saw a resurgence in this area, and our sources say Franklin County is one of the leaders in this area with at least one pharmacy making the majority of its sales through a compounded topical pain cream. This has also led to new pharmacies being established and name changes.

Health-Mart is a national chain, much like the old Rexall Company. Online sources list Carrie DeArman as the owner of the Franklin Health-Mart Pharmacy. Ms. DeArman has contacted us stating that she is in no way connected with this company. If you own any local company, we would suggest you research which online sources list your business and if the info is correct. There are approximately a dozen such sites now active listing ownership and posting business reviews, with Manta being one of the largest.

Another reader asked how Rodney Logan could own Sheffield Pharmacy, established in 1949, when he wasn't even born at that time. Many pharmacies change owners over the years, but retain the name in order to benefit from the reputation of the previous owner. Milner Drugs is a prime example of this, having been established in the late 1800s, but still active under the name Milner-Rushing.

As we blogged yesterday, Russellville and Sheffield Pharmacies are listed online as having the same owner. The TimesDaily reported this morning that Franklin Health-Mart Pharmacy is also connected via ownership. Unless these businesses are incorporated in some manner, their owner/s are not listed on official state sites.

We understand Pen-N-Sword is preparing an article on drug compounding, and we'll link it as soon as it's available. We'll also post any updates here as soon as we receive them.

Update: The initial FBI news release listed Franklin County Pharmacy as one of those raided. There is no Franklin County Pharmacy. There is a Franklin Health-Mart Pharmacy that the TimesDaily states is connected to the other two raided. According to sources close to the DeArman family, the couple are now divorced, Carrie DeArman owns only Hometown Health-Mart Pharmacy. We're happy to note this and have requested that she report any additional info to us..

Agents search area pharmacies - TimesDaily.com

Agents search area pharmacies - TimesDaily.com

Credit Bubble Stocks: Letter from FDA to Wedgewood Pharmacy Regarding Compounded 17P ($KV)

Credit Bubble Stocks: Letter from FDA to Wedgewood Pharmacy Regarding Compounded 17P ($KV)

U.S. attorney warns against copycat drugs

U.S. attorney warns against copycat drugs

FBI Search Three Compounding Pharmacies

Sources are reporting that the FBI, escorted employees from and searched Franklin Health Mart and Russellville Pharmacies in Russellville and Sheffield Pharmacy in Sheffield, Alabama, and began inventorying the drugs.  All three businesses are compounding pharmacies.   Russellville and Sheffield Pharmacies reportedly have the same owner, Rodney Logan.  Franklin Health-Mart Pharmacy is reportedly owned by Carrie Dearman and Mark Dearman. It's unknown at this time how the pharmacies are connected or if the search related to the compounding.

To read the news article, click here.
To see pictures of this story, click here.

Wednesday, August 8, 2012

Washington State 2012 Legislation Department of Health and Veterinary Board to Set Alternative Reporting Requirements for veterinarians Dispensing Controlled Substances

The Washington Department of Health website contains the following information:

Prescription Monitoring Program

The 2012 Legislature passed Substitute Senate Bill 6105, requiring the Department of Health, to work with the Veterinary Board of Governors to set alternative PMP reporting requirements for veterinarians dispensing controlled substances.  The bill also clarifies that controlled substances dispensed for one-day use do not have to be reported.
On June 26, 2012, the department filed a preproposal statement of inquiry, WSR 12-14-034.  This is the first phase of rule development and adoption.

The website can be found here.

Vermont Board of Pharmacy Responds to Question About Compounding

During its May 2012, the Vermont Board of Pharmacy minutes reflect the following response regarding compounding: 
Emily Rourk E-Mail – Compounding Pharmacies and Central Fill.  Ms. Rourk questioned if compounding pharmacies were allowed to participate in central fill practices.  The Board stated there is no restriction to prevent compounding pharmacies to participate in central fill practices.  However she should reference the FDA rules regarding compounding pharmacies.  For example the medicines should be for specific patients not warehoused.  Aprille will respond.
Entire minutes from May 2012 can be viewed here.

U.S. Bankruptcy Court Approves K-V Pharmaceutical "First Day" Motions

To read the article, click here.

North Dakota Compound Regulations

The North Dakota Board of Pharmacy modified its regulations relating to compounding in 2011.  A copy of those  modifications can be found here and the final regulations can be viewed here.  The Veterinary  Dispensing Technician Educational Packet can be viewed here.

K-V v. Keck-State of South Carolina Docket: List of Dockets Filed So Far

K-V Pharmaceutical Company et al v. Keck, Assigned to: Chief Judge Margaret B Seymour
Cause: 42:1396 - Tort Negligence


Note you cannot click on any of the links and view the documents without setting up a Pacer account and paying for the documents. As I have time, I will post some of the main documents on the blog. 



Date Filed#Docket Text
07/25/20121 COMPLAINT against Anthony Keck ( Filing fee $ 350 receipt number 0420-4206208.), filed by Ther-Rx Corporation, K-V Pharmaceutical Company. (Attachments: # 1 Exhibit Index, # 2Exhibit 1 - FDA Questions and Answers, # 3 Exhibit 2 - FDA Statement on Makena, # 4 Exhibit 3 - FY2012 FDA Budget Request, # 5 Exhibit 4 - FDA Statement on Makena, # 6 Exhibit 5 - FDA Updated Statement on Compounded Versions, # 7 Exhibit 6 - CMS, # 8 Exhibit 7 - SCDHHS Medicaid Bulletin, # 9 Exhibit 8 - email from Anthony Keck to Joseph Auci, # 10 Exhibit 9 - Magellan Medicaid Administration)(mdea ) (Entered: 07/26/2012)
07/25/20124 Local Rule 26.01 Answers to Interrogatories by K-V Pharmaceutical Company, Ther-Rx Corporation.(mdea ) (Entered: 07/26/2012)
07/25/20125 Summons Issued as to Anthony Keck. (mdea ) (Entered: 07/26/2012)
07/26/20126 MOTION for Preliminary Injunction by K-V Pharmaceutical Company, Ther-Rx Corporation. Response to Motion due by 8/13/2012. (Attachments: # 1 Memo in Support Plaintiff's Memorandum in Support of Motion for Preliminary Injunction, # 2 Exhibit A - Declaration of Michael Jozwiakowski, # 3 Exhibit List to Declaration of Michael Jozwiakowski (Exhibit A), # 4Exhibit A-1 - March of Dimes, Prematurity Campaign, The Economic and Societal Costs, # 5 Exhibit A-2 - March of Dimes, Neonatal Death, # 6 Exhibit A-3 - March of Dimes, Born Too Soon, # 7 Exhibit A-4 - Estimated Effect of 17 Alpha-Hydroxyprogesterone Caproate on Preterm Birth in the United States, # 8 Exhibit A-5 - Letter from John McCormick to Catherine Williams, # 9Exhibit A-6 - Letter from Julie Beitz to Robb Hesley, # 10 Exhibit A-7 - U.S. Food & Drug Administration, Review by the Division of Reproductive & Urologic Products, # 11 Exhibit A-8 - Prevention of Recurrent Preterm Delivery by 17 Alpha-Hydroxyprogesterone Caproate, # 12 Exhibit A-9 - Letter from Paul Meis to Whom it May Concern, # 13 Exhibit A-10 - Follow-up of Children Exposed to Utero to 17 [alpha]-hydroxyprogesterone Caproate Compared with Placebo, # 14 Exhibit A-11 - Use of Progesterone to Reduce Preterm Birth, Nov. 2003, # 15 Exhibit A-12 - Use of Progesterone to Reduce Preterm Birth, Oct. 2008, # 16 Exhibit A-13 - Compounding Problems and Compounding Confusion, Federal Regulation of Compounded Drug Products and the FDAMA Circuit Split, # 17 Exhibit A-14 - Report, Limited FDA Survey of Compounded Drug Products, # 18 Exhibit A-15 - 2006 Limited FDA Survey of Compounded Drug Products, #19 Exhibit A-16 - Compounded Drug Testing Report (2009), # 20 Exhibit A-17 - Investigation of Product Quality Between Extemporaneously Compounded Progesterone Vaginal Suppositories and a Approved Progresterone Vaginal Gel, # 21 Exhibit A-18 - Pathway to Global Product Safety and Quality, # 22 Exhibit A-19 - Media Briefing on Heparin (2008), # 23 Exhibit A-20 - Melanine Contamination in China (2009), # 24 Exhibit A-21 - Drug Safety, FDA Has Conducted More Foreign Inspections and Begun to Improve its Information on Foreign Establishments, but More Progess is Needed (2010), # 25 Exhibit A-22 - Testimony of Randall W. Lutter, Ph.D. (Mar. 7, 2007), # 26 Exhibit A-23 - U.S. Food and Drug Administration, FDA Statement on Makena (Nov. 8, 2011), # 27 Exhibit A-24 - Press Release, KV Pharmaceutical Company, Independent Laboratory Testing Demonstrates Important Quality Differences Between FDA-Approved Makena and Compounded 17P Formations, # 28 Exhibit A-25 - FDA, Updated FDA Statement on Compounded Versions of hydroxyprogesterone caproate (the active ingredient in Makena), # 29 Exhibit A-26 - Centers for Medicare and Medicaid Services, Updated FDA Statement on Compounded Versions of hydroxyprogesterone caproate (the active ingredient in Makena), # 30 Exhibit A-27 - FDA, Questions and Answers on Updated FDA Statement on Compounded Versions of hydroxyprogesterone caproate (the active ingredient in Makena))Proposed order is being emailed to chambers with copy to opposing counsel.(Willis, Marguerite) Modified on 7/26/2012 to edit text (mdea, ). Modified on 7/26/2012 to reflect additional attachments filed as entries 7 , 8 and 9 (mdea, ). (Entered: 07/26/2012)
07/26/20127 Additional Attachments to Main Document 6 MOTION for Preliminary Injunction Declaration of Thomas McHugh (Exhibit B). (Attachments: # 1 Exhibit List to Declaration of Thomas McHugh (Exhibit B), # 2 Exhibit B-1 - 2003 NIH Study re Prevention of recurrent preterm delivery by 17 alpha-hydroxyprogesterone caproate, # 3 Exhibit B-2 - 2007 NIH Study re Follow-up of Children Exposed in Utero to 17 alpha-hydroxyprogesterone Caproate Compared with Placebo, # 4 Exhibit B-3 - Agreement between the NICHD Maternal-Fetal Medicine Units Network and Adeza Biomedical Corporation regarding 17-hydroxyprogesterone caproate, # 5 Exhibit B-4 - Feb. 3, 2011 Letter from Julie Beitz, FDA, Office of Drug Evaluation III, to Robb Hesley, Hologic, Inc., re Accelerated Approval for NDA 021945, # 6 Exhibit B-5 - Feb. 10, 2011 Letter from R. Hesley, Hologic, to S. Monroe, FDA, # 7 Exhibit B-6 - KV Form 8-K (March 8, 2011), # 8 Exhibit B-7 - March 30, 2011 FDA Statement, # 9 Exhibit B-8 - March 30, 2011 CMS Statement, # 10 Exhibit B-9 - Medicaid Bulletin issued by the SCDHHS, # 11 Exhibit B-10 - SCDHHSs July 3, 2012 interpretation of its policy, # 12 Exhibit B-11 - Magellan Medicaid Administration Drug Lookup, # 13 Exhibit B-12 - CMS June 15, 2012 Informational Bulletin, # 14Exhibit B-13 - FDAs June 15, 2012 Press Release, # 15 Exhibit B-14 - FDAs June 29, 2012 Question and Answer document, # 16 Exhibit B-15 - KV Form 10-K for the year ending March 31, 2012 (relevant pages))(Willis, Marguerite) (Entered: 07/26/2012)
07/26/20128 Additional Attachments to Main Document 6 MOTION for Preliminary Injunction Declaration of Scott Goedeke (Exhibit C). (Attachments: # 1 Exhibit List to Declaration of Scott Goedeke (Exhibit C), # 2 Exhibit C-1 - Feb. 3, 2011 Letter from Julie Beitz, FDA, Office of Drug Evaluation III, to Robb Hesley, Hologic, Inc., # 3 Exhibit C-2 - Ther-Rxs Medicaid Drug Rebate Agreement, # 4 Exhibit C-3 - US FDA, Review by the Division of Reproductive & Urologic Products, NDA 21-945, 17a-Alpha Hydroxyprogesterone Caproate at 9 (Aug. 2, 2006), # 5 Exhibit C-4 - Zsakeba T. Henderson, et al., Attitudes and Practices Regarding Use of Progesterone to Prevent Preterm Births, Am. J. Perinatology 529, 532 (2009), # 6 Exhibit C-5 - Joanna E. Adamczak, et al., What prevents eligible patients from receiving 17-alpha-hydroxyprogesterone caproate therapy, Am. J. of Obstetrics & Gynecology (Jan. 2011), # 7 Exhibit C-6 -March C-6 - March 2011 testimony of FDA Commissioner Margaret Hamburg1 testimony of FDA Commissioner Margaret Hamburgny, # 8 Exhibit C-7 - FDAs Nov. 8, 2011 Press Release, # 9 Exhibit C-8 - FDAs June 15, 2012 Press Release, # 10 Exhibit C-9 - FDA, Questions and Answers on Updated FDA Statement on Compounded Versions of hydroxyprogesterone caproate (the active ingredient in Makena), # 11 Exhibit C-10 - CMS Release No. 155, # 12 Exhibit C-11 - CMS Release No. 158, # 13 Exhibit C-12 - CMS June 15, 2012 Press Release, # 14 Exhibit C-13 - Feb. 20, 2012 KV Letter to Mr. Keck, # 15 Exhibit C-14 - March 22, 2012 Keck Letter to KV, # 16 Exhibit C-15 - July 3, 2012 email exchange between Mr. Auci and Mr. Keck, # 17 Exhibit C-16 - Correspondence to SCDHHS by Providers in SC who would like to prescribe Makena to their Medicaid patients)(Willis, Marguerite) (Entered: 07/26/2012)
07/26/20129 Additional Attachments to Main Document 6 MOTION for Preliminary Injunction Declaration of Dr. Lawrence Robillard (Exhibit D). (Willis, Marguerite) (Entered: 07/26/2012)
07/27/201210 SUMMONS Returned Executed by Ther-Rx Corporation, K-V Pharmaceutical Company. Anthony Keck served on 7/26/2012, answer due 8/16/2012. (Attachments: # 1 Affidavit of Personal Service on Anthony Keck)(Willis, Marguerite) (Entered: 07/27/2012)
07/27/201211 AFFIDAVIT of Service for Motion for Preliminary Injunction, Memorandum in Support of Motion for Preliminary Injunction served on Byron Roberts on 07/27/2012, filed by K-V Pharmaceutical Company, Ther-Rx Corporation. (Attachments: # 1 Affidavit of Personal Service on Byron Roberts)(Willis, Marguerite) (Entered: 07/27/2012)
07/27/201212 MOTION to Appear Pro Hac Vice by Margaret Donahue Hall ( Filing fee $ 250 receipt number 0420-4210779) by K-V Pharmaceutical Company, Ther-Rx Corporation. Response to Motion due by 8/13/2012. Proposed order is being emailed to chambers with copy to opposing counsel.(Willis, Marguerite) additional attachment entry 15 added on 7/30/2012 (asni, ). addtional attachment entry 19 added on 8/2/2012 (asni, ). (Entered: 07/27/2012)
07/27/201213 MOTION to Appear Pro Hac Vice by Drew William Marrocco ( Filing fee $ 250 receipt number 0420-4210820) by K-V Pharmaceutical Company, Ther-Rx Corporation. Response to Motion due by 8/13/2012. Proposed order is being emailed to chambers with copy to opposing counsel.(Willis, Marguerite) (Entered: 07/27/2012)
07/30/201215 Additional Attachments to Main Document 12 MOTION to Appear Pro Hac Vice by Margaret Donahue Hall ( Filing fee $ 250 receipt number 0420-4210779) Certificate of Good Standing. (Willis, Marguerite) (Entered: 07/30/2012)
07/30/201216 AFFIDAVIT of Service for Motion for Preliminary Injunction, and Plaintiffs' Memorandum in Support of Motion for Preliminary Injunction served on Brenda James on behalf of Anthony Keck on July 26, 2012, filed by K-V Pharmaceutical Company, Ther-Rx Corporation. (Attachments: # 1 Affidavit of Personal Service on Anthony Keck)(Willis, Marguerite) (Entered: 07/30/2012)
07/31/201217 TEXT ORDER granting 13 Motion to Appear Pro Hac Vice Signed by Chief Judge Margaret B Seymour on 7/31/2012.(asni, ) (Entered: 07/31/2012)
08/01/201218 NOTICE of Hearing on Motion 6 MOTION for Preliminary Injunction : Motion Hearing set for 8/28/2012 03:00 PM in Columbia # 3, Matthew J. Perry Court House, 901 Richland St, Columbia before Chief Judge Margaret B Seymour. Plaintiff is responsible for notifying defendant of hearing.(mdea ) (Entered: 08/01/2012)
08/02/201219 Additional Attachments to Main Document 12 Motion to Appear Pro Hac Vice for Margaret Donahue Hall. (Willis, Marguerite) (Entered: 08/02/2012)
08/02/201220 TEXT ORDER granting 12 Motion to Appear Pro Hac Vice for Margaret Donahue Hall Signed by Chief Judge Margaret B Seymour on 8/2/2012.(asni, ) (Entered: 08/02/2012)