Mylan Pharmaceuticals Inc v. Warner Chilcott Public Limited , 838 F.3d 421 ( 2016 )


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  •                                      PRECEDENTIAL
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    __________
    No. 15-2236
    __________
    MYLAN PHARMACEUTICALS INC.,
    Appellant
    v.
    WARNER CHILCOTT PUBLIC LIMITED COMPANY;
    WARNER CHILCOTT COMPANY, LLC;
    WARNER CHILCOTT US, LLC;
    MAYNE PHARMA GROUP LIMITED;
    MAYNE PHARMA INTERNATIONAL PTY. LTD.
    __________
    On Appeal from the United States District Court
    for the Eastern District of Pennsylvania
    (D.C. Civil No. 2:12-cv-03824)
    District Judge: Honorable Paul S. Diamond
    Argued on July 14, 2016
    Before: FUENTES,* SHWARTZ, and BARRY, Circuit
    Judges
    (Opinion Filed: September 28, 2016)
    Courtney Armour, Esq.
    Seth C. Silber, Esq.
    Christopher A. Williams, Esq.
    Wilson Sonsini Goodrich & Rosati
    1700 K Street, NW, 5th Floor
    Washington, DC 20006
    Jeffrey C. Bank, Esq.
    Jonathan M. Jacobson, Esq. [ARGUED]
    Michael S. Sommer, Esq.
    Daniel P. Weick, Esq.
    Wilson Sonsini Goodrich & Rosati
    1301 Avenue of the Americas, 40th Floor
    New York, NY 10019
    Joseph M. Donley, Esq.
    Clark Hill
    2005 Market Street
    One Commerce Square, Suite 1000
    Philadelphia, PA 19103
    Counsel for Appellant Mylan Pharmaceuticals, Inc.
    *
    Honorable Julio M. Fuentes assumed senior status on July
    18, 2016.
    2
    Peter J. Carney, Esq.
    Eileen M. Cole, Esq.
    John M. Gidley, Esq. [ARGUED]
    White & Case
    701 13th Street, N.W.
    Washington, DC 20005
    Michael J. Gallagher, Esq.
    Jack E. Pace, III, Esq.
    White & Case
    1155 Avenue of the Americas
    New York, NY 10036
    Paul J. Koob, Esq.
    Ballard Spahr
    1735 Market Street, 51st Floor
    Philadelphia, PA 19103
    Counsel for Appellees Warner Chilcott Public Limited
    Company; Warner Chilcott Company, LLC; and Warner
    Chilcott US, LLC;
    Richard Hernandez, Esq.
    Jonathan M.H. Short, Esq.
    McCarter & English
    100 Mulberry Street
    Four Gateway Center, 14th Floor
    Newark, NJ 07102
    Counsel for Appellees Mayne Pharma Group Limited; Mayne
    Pharma International PTY. LTD.
    3
    Mark A. Ford, Esq.
    WilmerHale
    60 State Street
    Boston, MA 02109
    Counsel for Amicus Curiae Pharmaceutical Research and
    Manufacturers of America
    Mark A. Jacobson, Esq.
    Karla M. Vehrs, Esq.
    Lindquist & Vennum
    80 South 8th Street
    4200 IDS Center
    Minneapolis, MN 55402
    Counsel for Amicus Curiae Antitrust Economists
    James B. Reed, Esq.
    Baird Williams & Greer
    6225 North 24th Street, Suite 125
    Phoenix, AZ 85016
    Counsel for Amicus Curiae Gregory Dolin, Adam Mossoff,
    and Kristin Osenga
    4
    Daniel A. Cummings, III, Esq.
    Rothschild Barry & Myers
    150 South Wacker Drive, Suite 3025
    Chicago, IL 60606
    Counsel for Amicus Curiae Arizona Bioindustry Association,
    BIONJ, California Manufacturers & Technology Association,
    Healthcare Institute of New Jersey, Industry University
    Research Center Inc., Orange County Business Council,
    Oregon Bioscience Assocation, Texas Association of
    Manufacturers, Texas Healthcare and Bioscience Institute,
    and BIOUTAH
    William F. Cavanaugh, Jr., Esq.
    Patterson Belknap Webb & Tyler
    1133 Avenue of the Americas
    New York, NY 10036
    Counsel for Amicus Curiae Donald E. Hatfield, Riitta Katila,
    Jeffrey T. Macher, Tammy L. Madsen, Mitrabarun Sarkar,
    Rajshree Agarwal, Jay Barney, Barry L. Bayus, Benjamin A.
    Campbell, Laura B. Cardinal, Russell Coff, Raj Echambadi,
    Charles Eesley, Alfonso Gambardella, Martin Ganco, and
    Nile Hatch
    5
    Julie Nepveu, Esq.
    AARP Foundation Litigation
    601 E Street N.W., Room B4-245
    Washington, DC 20049
    Counsel for Amicus Curiae AARP, National Health Law
    Program, Sergeants Benevolent Association, United States
    Public Interest Research Group, Center for Medicare
    Advocacy, Consumer Action, Consumer Federation of
    America, Consumers Union, and District Council 37 Health
    & Security Plan, Families USA
    Phillip Malone, Esq.
    Jeffrey T. Pearlman, Esq.
    Stanford Law School
    Juelsgaard Intellectual Property and Innovation Clinic, Mills
    Legal Clinic
    559 Nathan Abbott Way
    Stanford, CA 94305
    Counsel for Amicus Curiae Scott Hemphill, Herbert
    Hovenkamp, Mark A. Lemley, Christopher R. Leslie, Michael
    A. Carrier, Stacey L. Dogan, and Harry First
    Richard M. Brunell, Esq.
    American Antitrust Institute
    Suite 1100
    1730 Rhode Island Avenue, N.W.
    Washington, DC 20036
    Counsel for Amicus Curiae American Antitrust Institute
    6
    Masrk S. Hegedus, Esq.
    Joel R. Marcus, Esq.
    Federal Trade Commission
    600 Pennsylvania Avenue, N.W., MS-582
    Washington, DC 20580
    Counsel for Amicus Curiae Federal Trade Commission
    William S. Consovoy, Esq.
    Wiley Rein
    1776 K Street NW
    Washington, DC 20006
    Counsel for Amicus Curiae National Association of
    Manufacturers
    __________
    OPINION OF THE COURT
    __________
    FUENTES, Circuit Judge.
    Mylan Pharmaceuticals, Inc., a generic drug
    manufacturer, and several other Plaintiffs (hereinafter
    “Mylan”) originally brought this action against Defendants,
    Warner Chilcott and Mayne Pharma, both name-brand drug
    manufacturers. Defendants manufacture and sell “Doryx,”
    the name-brand version of delayed-release doxycycline
    hyclate, an oral antibiotic of the tetracycline class used to
    treat severe acne. Tetracyclines are a broad category of
    antibiotics, the most common being doxycycline
    monohydrate and minocycline, which vary in their use and
    7
    efficacy. Mylan alleges, among other things, that Defendants
    conspired to protect their position in the market through
    “product hopping,” which involves making various
    insignificant modifications to a drug to keep generic
    competitors out of the market by forcing them to re-enter a
    cumbersome regulatory approval process.
    After several Plaintiffs in this action settled their cases,
    Mylan was the only remaining Plaintiff. Mylan claims that
    Defendants are liable for: (1) creating an unlawful monopoly
    under § 2 of the Sherman Act; (2) attempted unlawful
    monopolization under § 2 of the Sherman Act; (3) entering
    into an agreement in restraint of trade under § 1 of the
    Sherman Act; and (4) tortiously interfering with prospective
    contractual relationships under Pennsylvania law. The Parties
    filed cross-motions for summary judgment, and the District
    Court granted Defendants’ and denied Plaintiff’s. In doing
    so, the District Court held that Defendants’ conduct was not
    anticompetitive, and that, even if it was, Mylan’s claims
    failed because it did not establish that Defendants had the
    requisite market power in the relevant product market. For
    the reasons that follow, we will affirm.
    I.   BACKGROUND1
    We begin by describing the complex regulatory and
    industry-specific framework involved in most, if not all,
    pharmaceutical “product hopping” cases.2
    1
    The District Court had jurisdiction under 28 U.S.C. §§ 1331,
    1332(a), 1337(a), and 1367(a). We have jurisdiction under 28
    U.S.C. § 1291.
    8
    A. Federal and State Law Governing Drug
    Approval
    The pharmaceutical industry consists of both name-
    brand and generic drug manufacturers. In general, generic
    drugs are priced lower than, and compete with, their name-
    brand counterparts.3 Both types of drugs are subject to
    certain approval requirements before they can be sold to the
    public. In particular, a company that wishes to market a new
    pharmaceutical product in the United States must first obtain
    approval from the Food and Drug Administration (“FDA”).4
    This is called the New Drug Application (“NDA”) process.5
    Prior to 1984, both name-brand and generic drug
    manufacturers were required to go through the same NDA
    process.    That year, Congress passed the Drug Price
    Competition and Patent Term Restoration Act, also known as
    the Hatch-Waxman Act.6 The Act loosened the approval
    rules for generics by creating an Abbreviated New Drug
    Application (“ANDA”) process.7       The ANDA process
    2
    Unless otherwise noted, the facts are drawn from the record
    before the District Court.
    3
    In re Barr Labs., Inc., 
    930 F.2d 72
    , 75 (D.C. Cir. 1991)
    (noting the price savings for low-income individuals between
    generic drugs and their name-brand equivalents).
    4
    See 21 U.S.C. § 355.
    5
    
    Id. 6 See
    Drug Price Competition and Patent Term Restoration
    Act of 1984, Pub. L. No. 98-417, 98 Stat. 1585.
    7
    See 
    id. §§ 101-106,
    98 Stat. 1585-97.
    9
    permits generic drug companies to rely on a name-brand drug
    company’s original NDA approval for a particular drug in
    order to gain quicker, less costly FDA approval of a generic
    version of the drug.8 By enabling generic manufacturers to
    “piggy-back on a brand drug’s scientific studies” and the
    significant costs associated with their NDA, Hatch-Waxman
    “speeds the introduction of low-cost generic drugs to market,
    thereby furthering drug competition.”9
    To rely on a name-brand’s NDA, however, the generic
    drug manufacturer must demonstrate that the proposed
    generic product is both a “bioequivalent” and a
    “pharmaceutical” equivalent of the name-brand drug.10 Put
    simply, these two equivalencies require a generic company
    filing an ANDA to show a certain level of design and
    formulaic similarity between its product and the approved
    drug. ANDA filers that successfully show that their drug is
    bioequivalent and pharmaceutically equivalent can then have
    their product deemed “AB-rated” to the name-brand drug by
    the FDA.
    To be sure, once obtained, the AB rating carries a
    considerable corollary benefit for generics under state law.
    Every state in the United States has drug substitution laws.11
    8
    See 21 U.S.C. § 355(j)(2)(A)(iv).
    9
    FTC v. Actavis, Inc., 
    133 S. Ct. 2223
    , 2228 (2013) (internal
    quotation marks, brackets, and citation omitted).
    10
    See 21 U.S.C. § 355(j)(2)(A)(iv); New York ex rel.
    Schneiderman v. Actavis PLC, 
    787 F.3d 638
    , 645 (2d Cir.
    2015) (hereinafter “Namenda”).
    11
    
    Namenda, 787 F.3d at 644
    .
    10
    These state substitution laws “either permit or require
    pharmacists to dispense a therapeutically equivalent, lower-
    cost generic drug in place of a brand drug absent express
    direction from the prescribing physician that the prescription
    must be dispensed as written.”12 Taken together, these laws
    oftentimes make obtaining a prescription cheaper for the
    consumer, and they can also prove to be highly profitable for
    generic drug companies.13
    As the Court of Appeals for the Second Circuit
    recently noted in New York ex rel. Schneiderman v. Actavis
    PLC (hereafter “Namenda”),14 Hatch-Waxman and state
    substitution laws also reflect the fact that the pharmaceutical
    market functions in a unique way.15 As the Namenda Court
    put it, “[i]n a well-functioning market, a consumer selects and
    12
    
    Id. at 645.
    13
    See, e.g., New York v. Actavis, PLC, No. 14 Civ. 7473
    (RWS), 
    2014 WL 7015198
    , at *8 (S.D.N.Y. Dec. 11, 2014);
    Stacey B. Lee, Pliva v. Mensing: Generic Consumers’
    Unfortunate Hand, 12 Yale J. Health Pol’y, L. & Ethics 209,
    239 (2012) (noting role played by state substitution laws in
    “help[ing] generic manufacturers earn above-average profit
    margins”). Generic drugs are reported to have accounted for
    over 80% of the prescriptions dispensed in 2014, see Amicus
    Br. of FTC 6, and can save patients billions of dollars, see
    Amici Br. of AARP et al. 6 (“In 2013 alone, generic
    medications saved consumers $239 billion.”).
    14
    “Namenda” is the brand name for the prescription drug at
    issue in that case. As the parties have done, we will therefore
    refer to this case as “Namenda.”
    
    15 787 F.3d at 645-46
    .
    11
    pays for a product after evaluating the price and quality of the
    product.”16 In the prescription drug market, by contrast, the
    doctor selects the drug, which creates a certain separation
    between the buyer and the manufacturer.17 Moreover, in most
    cases, a third-party, such as a health insurance company, pays
    for the drug.18 As a result, consumer buying behavior may
    have less of an impact on manufacturer pricing than it
    otherwise would in a traditional open market.
    With this regulatory and market framework in mind,
    we turn to the facts in this case.
    B. The Parties and Product Development
    The parties in this case are manufacturers and sellers
    of generic and name-brand pharmaceutical drugs worldwide.
    Defendant Mayne is a pharmaceutical company
    headquartered in Australia. Defendant Warner Chilcott acted
    as a United States distributor of Mayne’s Doryx product, in
    both name-brand and generic form, for a number of years.
    Plaintiff Mylan, a generic drug manufacturer, began its effort
    to produce a generic version of Doryx in 2003.
    A form of Doryx had been on the market for many
    years. In 1985, the FDA approved Mayne’s Doryx capsules,
    an unpatented delayed-release version of doxycycline hyclate,
    for sale to the public. In the meantime, using Warner as a
    domestic sales channel, Mayne sold both branded and generic
    versions of Doryx for many years in the United States, but the
    16
    
    Id. at 645.
    17
    
    Id. at 645-46.
    18
    
    Id. at 646.
    12
    effort did not prove to be fruitful. Faced with shrinking
    profits in the early 1990s, Mayne contacted Warner to
    strategically bolster the Doryx brand instead of focusing on
    its generic version of the drug.
    To sort out their strategy for growing the Doryx brand,
    Mayne and Warner entered into a licensing agreement in
    1997. Under the contract, they agreed to take certain steps to
    bring a new Doryx product to the market. Mayne also agreed
    to pull its generic version of Doryx from the market, and
    Warner agreed to act as the exclusive distributor of Doryx in
    the United States. Warner further agreed to market and
    promote Doryx in return for the rights to all income from
    domestic sales and to use Mayne as its exclusive
    manufacturer and supplier. The parties also agreed to
    develop a delayed release Doryx tablet, as opposed to the
    capsule previously marketed, for Warner to sell in the United
    States.
    The FDA approved Defendants’ NDA for Doryx 75mg
    and 100mg tablets in May 2005. Defendants then introduced
    them to the market in September 2005 in an effort to
    transition the market for Doryx capsules over to Doryx
    tablets.    As the District Court noted, it appears that
    Defendants took a number of steps regarding the capsules
    that, in conjunction, Mylan claims violated the Sherman Act.
    In particular, Defendants:
    (1) stopped selling the capsules to wholesalers;
    (2) removed Doryx capsules from the Warner
    Chilcott website; (3) worked with retailers to
    “auto-reference” the Doryx tablet whenever a
    doctor filed a Doryx prescription; (4) informed
    wholesalers, retailers, and doctors that “Doryx
    13
    Capsules have been replaced by Doryx
    Tablets”; (5) destroyed some of their remaining
    capsule inventory; and (6) bought back some
    portion of the remaining capsule inventory.19
    Mylan refers to these steps as a “hard switch” from capsules
    to tablets and claims that this was done in an effort to stifle
    generic competition.20
    Beginning in 2007, Defendants made a number of
    other changes to the existing Doryx product and thereafter
    pulled older versions from the market. Each of these changes
    would have required generic manufacturers to file, and await
    approval of, a new ANDA demonstrating the similarities
    between their product and the reformulated Doryx product in
    order to continue selling generics that were AB-rated to the
    newest Doryx product.
    First, Defendants worked to develop a 150mg strength
    Doryx tablet, in contrast to the previously available 75mg and
    100mg tablets. The 150mg tablet would have a “score,”
    which the District Court described as “a groove running
    across the tablet’s surface.”21 The score would allow a patient
    to divide a 150mg Doryx tablet into two 75mg doses if the
    19
    Mylan Pharm., Inc. v. Warner Chilcott Pub. Co., No. 12-
    3824, 
    2015 WL 1736957
    , at *3 (E.D. Pa. Apr. 16, 2015)
    (record citations omitted).
    20
    See Mylan Br. 11, 42 (referring to Defendants’ conduct of
    pulling the Doryx capsule from the market, destroying
    existing supplies, and introducing the Doryx tablet as a “hard
    switch”).
    21
    Mylan Pharm., 
    2015 WL 1736957
    , at *3.
    14
    patient, for instance, needed to self-adjust dosing based on
    sensitivity, doctor recommendation, or for any other reason.
    Defendants sought FDA approval for the 150mg single-
    scored tablet in December 2007, it was approved by the FDA
    in June 2008, and Defendants thereafter began marketing the
    tablet.
    Soon after, Defendants turned their focus from
    marketing the unscored 75mg and 100mg tablets to marketing
    the 150mg single-scored tablet. Like the 150mg tablets, they
    then added a score to the 75mg and 100mg unscored Doryx
    tablets. The FDA approved the 75mg and 100mg scored
    tablets in early 2009.
    Defendants then made another change to the Doryx
    150mg tablet in 2010 by adding a second score line to the
    tablet. This dual-scored tablet could be split into two or three
    pieces, further enhancing a patient’s ability to control self-
    dosing. After Defendants submitted their application for the
    dual-scored 150mg tablet to the FDA in February 2011, they
    then pulled the 75mg and 100mg single-scored Doryx tablets
    from the market. Then, after receiving approval in fall 2011
    for the dual-scored 150mg tablet, Defendants stopped
    distributing single-scored 150mg tablets, just as they had
    done with the 75mg and 100mg single-scored tablets.
    All told, it appears that Defendants made four critical
    changes to Doryx, all of which required generics to apply for
    AB-rating if they wanted to continue to benefit from state
    15
    substitution laws.22    These modifications spurred this
    litigation.
    C. Mylan’s Efforts to Compete
    with Warner and Mayne Using
    Generic Doryx
    It is also important to our discussion to note Mylan’s
    parallel efforts to effectively compete with Defendants when
    they made each of the above-mentioned changes to name-
    brand Doryx. In particular, these efforts will be relevant to
    our discussion of whether Defendants’ product changes had
    exclusionary effects on generic competition.
    The capsule version of Doryx was unpatented for the
    first nineteen years after Mayne introduced Doryx to the
    market. During that period, another generic manufacturer,
    Sandoz, created its own generic version of the capsule.
    Mylan did not begin developing a generic Doryx capsule until
    April 2003. These efforts failed, however, and Mylan finally
    gave up on trying to create a capsule for marketing and sale
    around late 2005.
    Instead of making a capsule, Mylan chose to develop
    generic versions of 75mg and 100mg doxycycline hyclate
    tablets. By September 2006, Mylan had created the formula
    for a generic tablet and, in March 2008, it filed an ANDA for
    approval. However, the FDA delayed its approval when
    Defendants’ scored version of Doryx was released, because,
    22
    In April 2013, Defendants introduced a 200mg Doryx
    tablet as a treatment for chlamydia, a sexually transmitted
    disease. The 200mg tablet was not approved by the FDA for
    acne treatment, unlike the previous versions of the drug.
    16
    among other complications, Mylan was then required, in
    accordance with FDA regulations, to alter its original tablet
    design to achieve an AB rating. The FDA finally approved
    Mylan’s scored 75mg and 100mg generic tablets in December
    2010, by which time Defendants were focused on marketing
    their single scored-version of the 150mg tablets. At that time,
    the FDA had, nonetheless, granted Mylan 180 days of
    exclusive selling rights for its generic version of the tablet,
    allowing Mylan to profit without any generic competition.
    Finally, Mylan created a generic version of
    Defendants’ 150mg single-scored tablet in late 2008, and the
    FDA granted approval of the drug in February 2012. By that
    point, however, Defendants had already received approval for
    their dual-scored 150mg tablet and were focused on
    marketing that version of the drug. This suit followed.
    D. The Underlying Litigation
    Mylan filed this lawsuit in July 2012, alleging
    violations of §§ 1 and 2 of the Sherman Act.23 It also asserted
    a claim for tortious interference with contractual relations
    under Pennsylvania law. The crux of Mylan’s complaint is
    that Defendants’ product changes had “little or no therapeutic
    benefit,”24 and that they served no purpose other than
    preventing generics from obtaining the benefit of automatic
    23
    This case was quickly consolidated with parallel lawsuits
    filed by other Plaintiffs. As noted, the other Plaintiffs settled
    their cases, leaving only Mylan to litigate its claims against
    Defendants.
    24
    JA 154.
    17
    substitution under Hatch-Waxman and various state laws.25
    Mylan further claims that Defendants’ anticompetitive
    “product hopping” strategy was designed to frustrate their
    efforts to release a generic version of Doryx to the market.26
    In support of its cross-motion for summary judgment before
    the District Court, Mylan specifically argued that the
    following four “hops” were anticompetitive:
    (1) 2005 change from 75mg and 100mg capsules to
    75mg and 100mg tablets;
    (2) 2008 introduction of a single-scored 150mg tablet;
    (3) 2009 addition of a single score to 75mg and 100mg
    tablets; and
    (4) 2011 change from single to dual score on the
    150mg tablet.27
    In granting Defendants’ motions for summary
    judgment and denying Mylan’s cross-motion, the District
    Court found, viewing the facts in the light most favorable to
    Mylan, that Defendants had indeed made the Doryx “hops”
    primarily to “delay generic market entry.”28 Nonetheless, the
    court went on to conclude that Mylan’s antitrust claims failed
    as a matter of law. With respect to the § 2 monopolization
    claim, the District Court held that Mylan failed to muster
    25
    JA 178-80.
    26
    JA 154.
    27
    Mylan Pharm., 
    2015 WL 1736957
    , at *5.
    28
    
    Id. 18 sufficient
    evidence of Defendants’ monopoly power.29 It
    rejected Mylan’s narrow view of the market – comprising
    only branded and generic Doryx – and determined that the
    relevant product market was a broader one, consisting of
    name-brand Doryx and all oral tetracyclines prescribed to
    treat acne.30 And, within this larger market, the District Court
    found that Defendants’ market share was – at most – only
    about 18%, an amount insufficient to show that Defendants
    exercised monopoly power.31 The District Court stated:
    In sum, Mylan has failed to produce
    economically plausible evidence to prove that
    Defendants hold monopoly power in the
    relevant market. Nor has Mylan shown that
    other factors might support finding that
    Defendants exercise monopoly power in the
    absence of predominant market share.32
    As an alternative ground, the District Court also
    granted summary judgment to the Defendants on both
    Sherman Act claims because Mylan failed to put forth
    sufficient evidence of anticompetitive conduct.33 The District
    Court held that Defendants did not exclude competition when
    they made product changes.34 In particular, it found that
    29
    
    Id. at *7-11.
    30
    
    Id. 31 Id.
    at *8.
    32
    
    Id. at *11.
    33
    
    Id. at *12-16.
    34
    
    Id. 19 Mylan
    was free to introduce a generic Doryx capsule any
    time after 1985, but it failed to do so, and that Mylan
    successfully introduced generic 75mg, 100mg, and 150mg
    Doryx tablets.35 As the District Court observed:
    Throughout this period, doctors remained free
    to prescribe generic Doryx; pharmacists
    remained free to substitute generics when
    medically appropriate; and patients remained
    free to ask their doctors and pharmacists for
    generic versions of the drug.36
    The District Court also concluded that Mylan had
    failed to even attempt to market generic Doryx, “relying
    instead on the ‘promotion’ provided by state automatic
    substitution laws,”37 and that “Defendants have no duty to
    facilitate Mylan’s business plan by keeping older versions of
    branded Doryx on the market.”38 The District Court also
    distinguished a number of key cases dealing with alleged
    product hops, ultimately concluding that they were
    procedurally inapplicable.39
    35
    
    Id. at *12.
    36
    
    Id. at *13.
    37
    
    Id. 38 Id.
    at *14.
    39
    
    Id. at *15
    (citing Actavis, 
    2014 WL 7015198
    ; In re
    Suboxone (Buprenorphine Hydrochloride & Naloxone)
    Antitrust Litig., 
    64 F. Supp. 3d 665
    , 682 (E.D. Pa. 2014);
    Walgreen Co. v. AstraZeneca Pharm. L.P., 
    534 F. Supp. 2d 20
           Finally, the Court addressed a concern about turning
    federal courts into innovation sufficiency tribunals, stating:
    Adoption of Mylan’s theory of “anticompetitive
    product redesign” could well have adverse,
    unintended consequences.            Any time a
    pharmaceutical manufacturer changes the
    formulation of a branded drug and so compels a
    manufacturer to reformulate (or, as in the
    instant case, formulate for the first time) its
    generic, this could trigger a . . . burden-shifting
    contest. Once the branded drug manufacturer
    offered a procompetitive justification for the
    product change that the generic manufacturer
    could not rebut, courts and juries would have to
    determine which product changes were
    “sufficiently innovative” to justify their
    anticompetitive effects. Mylan has failed to
    offer an intelligible test of innovation
    “sufficiency,” and I doubt that courts could ever
    fashion one. Mylan’s theory also risks slowing
    or even stopping pharmaceutical innovation.
    The prospect of costly and uncertain litigation
    every time a company reformulates a brand-
    name drug would likely increase costs and
    discourage manufacturers from seeking to
    improve existing drugs.40
    146, 151 (D.D.C. 2008); Abbott Labs. v. Teva Pharm. USA,
    Inc., 
    432 F. Supp. 2d 408
    , 422 (D. Del. 2006)).
    40
    
    Id. at *15
    -16 (internal citations omitted).
    21
    After addressing Mylan’s Sherman Act claims, the
    District Court also granted Defendants’ motions for summary
    judgment on Mylan’s claim of tortious interference with
    prospective contractual relations under Pennsylvania law,
    concluding that the only alleged “interference” with
    prospective customers was “privileged,” in the sense that
    Pennsylvania law permits “competitors, in certain
    circumstances . . . to interfere with others’ prospective
    contractual relationships.”41 Mylan’s appeal followed.42
    41
    
    Id. at *17
    (quoting Acumed LLC v. Advanced Surgical
    Servs., Inc., 
    561 F.3d 199
    , 215 (3d Cir. 2009) (citation
    omitted)).
    42
    We review a grant of summary judgment de novo and
    apply the same standard as the District Court. Cosmetic
    Gallery, Inc. v. Schoeneman Corp., 
    495 F.3d 46
    , 48 n.1 (3d
    Cir. 2007). Summary judgment is appropriate when there is
    no genuine issue of material fact and the movant is entitled to
    judgment as a matter of law. Fed. R. Civ. P. 56(a).
    Inferences drawn from the underlying facts must be viewed in
    the light most favorable to the nonmoving party. Matsushita
    Elec. Indus. Co. v. Zenith Radio Corp., 
    475 U.S. 574
    , 587
    (1986).
    22
    II.   DISCUSSION
    A. Sherman Act Claims
    1.    Mylan’s Section 2
    Claims: Attempted and
    Actual Monopolization
    Because both the District Court and the parties’
    arguments focus heavily on Mylan’s monopolization and
    attempted monopolization claims under § 2, we will address
    those claims first.43
    43
    As an initial matter, Defendants assert that Mylan lacks
    antitrust standing, because Mylan suffered no antitrust injury.
    (Defs.’ Br. 89-92.) Antitrust standing is a prudential
    limitation, and we assess several factors to determine its
    presence. See Ethypharm S.A. Fr. v. Abbott Labs., 
    707 F.3d 223
    , 232-33 (3d Cir. 2013). Specifically, we consider: (1) the
    causal connection between an alleged antitrust violation and
    harm to the plaintiff as well as the defendant’s intent to cause
    that harm; (2) whether the plaintiff has suffered an injury of
    the type the antitrust laws intend to redress; (3) the
    “directness of the injury,” which seeks to preclude
    “speculative” claims; (4) the existence of more direct victims
    of the alleged violations; and (5) the potential for duplicative
    recovery or “complex apportionment of damages.” 
    Id. (citing In
    re Lower Lake Erie Iron Ore Antitrust Litig., 
    998 F.2d 1144
    , 1165-66 (3d Cir. 1993)). We reject Defendants’
    contention. Although we ultimately conclude that Mylan has
    failed to create fact issues for a jury on any of its claims,
    Mylan has offered at least some proof to satisfy each of these
    elements. We therefore conclude that Mylan has antitrust
    23
    Section 2 of the Sherman Act “makes it unlawful to
    monopolize, attempt to monopolize, or conspire to
    monopolize, interstate or international commerce.”44 To
    support a claim for actual monopolization, a party must
    prove: “(1) the possession of monopoly power in the relevant
    market and (2) the willful acquisition or maintenance of that
    power as distinguished from growth or development as a
    consequence of a superior product, business acumen, or
    historic accident.”45 By contrast, to succeed on a claim of
    attempted monopolization under § 2, a plaintiff must prove
    “(1) that the defendant has engaged in predatory or
    anticompetitive conduct with (2) a specific intent to
    monopolize and (3) a dangerous probability of achieving
    monopoly power.”46
    We begin our analysis with the first element of
    Mylan’s actual monopolization claim under § 2: Defendants’
    possession of monopoly power in the relevant market.
    standing. See also W. Penn Allegheny Health Sys., Inc. v.
    UPMC, 
    627 F.3d 85
    , 102 (3d Cir. 2010) (noting that
    “competitors in the restrained market” are among those
    capable of satisfying the antitrust-injury requirement).
    44
    Broadcom Corp. v. Qualcomm Inc., 
    501 F.3d 297
    , 306 (3d
    Cir. 2007) (citing 15 U.S.C. § 2).
    45
    
    Id. at 307
    (quoting United States v. Grinnell Corp., 
    384 U.S. 563
    , 570-71 (1966)).
    46
    
    Id. at 317
    (quoting Crossroads Cogeneration Corp. v.
    Orange & Rockland Utils., Inc., 
    159 F.3d 129
    , 141 (3d Cir.
    1998)).
    24
    Monopoly power can be demonstrated through direct or
    indirect evidence.47 Mylan has provided neither.
    a.   Direct Evidence of
    Monopoly Power
    We have previously stated in Broadcom Corp. v.
    Qualcomm, Inc. that monopoly power is “the ability to
    control prices and exclude competition in a given market.”48
    We also stated there that, “[i]f a firm can profitably raise
    prices without causing competing firms to expand output and
    drive down prices, that firm has monopoly power,”49 and
    therefore “[t]he existence of monopoly power may be proven
    through direct evidence of supracompetitive prices and
    restricted output.”50       However, we have elsewhere
    emphasized that direct evidence of monopoly power to prove
    one’s claims is only “rarely available.”51 And, to support a
    claim that a defendant set supracompetitive prices through
    direct evidence, a plaintiff must often provide an analysis of
    the defendant’s costs, showing both that the defendant had an
    47
    
    Id. at 307
    .
    48
    
    Id. 49 Id.
    50
    
    Id. 51 Harrison
    Aire, Inc. v. Aerostar Int’l, Inc., 
    423 F.3d 374
    ,
    381 (3d Cir. 2005) (quoting United States v. Microsoft Corp.,
    
    253 F.3d 34
    , 51 (D.C. Cir. 2001) (en banc)).
    25
    “abnormally high price-cost margin” and that the defendant
    “restricted output.”52
    To determine whether Mylan has offered the “rare”
    form of direct evidence of monopoly power, we must first
    examine whether the record includes any proof of
    Defendants’ market power based on supracompetitive pricing
    or restricted output.53 To support such a claim, Mylan relies
    heavily on its own expert testimony.
    Here, in noting that Mylan failed to establish
    monopoly power, the District Court concluded:
    Mylan has not made a serious effort to present
    direct evidence of Defendants’ monopoly
    power. To begin, Mylan offers no evidence of
    Defendants’ “price-cost margins” for Doryx,
    nor does it explain whether those margins were
    abnormally high. Mylan’s economic expert, Dr.
    Rubenfeld, elected to forego any analysis of
    52
    Geneva Pharm. Tech. Corp. v. Barr Labs., Inc., 
    386 F.3d 485
    , 500 (2d Cir. 2004).
    53
    Mylan contends that we should look to its proffered expert
    testimony to conclude that Defendants exercised monopoly
    power even in the absence of clear evidence of
    supracompetitive prices or restricted output. We disagree.
    See Broadcom 
    Corp., 501 F.3d at 307
    ; see also Eastman
    Kodak Co. v. Image Tech. Servs., Inc., 
    504 U.S. 451
    , 464
    (1992) (stating that “[m]arket power is the power ‘to force a
    purchaser to do something that he would not do in a
    competitive market’” (quoting Jefferson Parish Hosp. Dist.
    No. 2 v. Hyde, 
    466 U.S. 2
    , 14 (1984))).
    26
    Defendants’ margins because, as he opined,
    other available evidence of monopoly power
    was “more compelling,” and margins are
    “difficult to measure” and “imperfect indicators
    of market power.” Dr. Rubenfeld nonetheless
    states that at least some of Defendants’ data
    suggested a margin of 83% in the second
    quarter of 2006–without explaining whether
    that figure is abnormally high. Regardless of
    whether or not evidence of Defendants’
    marginal and fixed costs was “compelling” or
    “difficult to measure,” it is still required to
    prove monopoly power directly. Mylan has not
    made such a showing. Mylan also fails to show
    that Defendants restricted Doryx output to
    maintain monopoly profits, and fails to discuss
    the quantity of Doryx Defendants manufactured
    during the relevant period.           In these
    circumstances, Mylan has not presented
    plausible direct evidence of market power.54
    We agree with the District Court’s analysis. We have
    held that expert testimony in support of summary judgment
    that contains only “general and theoretical observations and
    [which] is not tied to evidence in the record” can be
    “disregard[ed].”55 As the District Court correctly observed,
    Mylan’s expert reports are devoid of any substantiated
    quantitative analysis showing that Defendants maintained
    54
    Mylan Pharm., 
    2015 WL 1736957
    , at *7 (internal citations
    and record citations omitted).
    55
    Mass. Sch. of Law at Andover, Inc. v. Am. Bar Ass’n, 
    107 F.3d 1026
    , 1040 (3d Cir. 1997).
    27
    high price-cost margins or that Defendants markedly
    restricted output. And, to the extent that Mylan’s experts
    offered any such conclusions, they were largely theoretical in
    nature. Accordingly, Mylan has failed to provide direct
    evidence of monopoly power.
    b.    Indirect Evidence of
    Monopoly Power
    The second and more common way that a party may
    prove monopoly power is by providing indirect evidence,
    which includes “structural evidence of a monopolized
    market.”56 To support a claim of monopoly power through
    indirect evidence, Mylan must show that (1) Defendants had
    market power in the relevant market and (2) that there were
    barriers to entry into the market.57
    “Proving the existence of monopoly power through
    indirect evidence requires a definition of the relevant
    56
    Harrison 
    Aire, 423 F.3d at 381
    (internal citations and
    quotations omitted); see also United States v. Dentsply Int’l,
    Inc., 
    399 F.3d 181
    , 187 (3d Cir. 2005) (stating that direct
    proof is “only rarely available, [and] courts more typically
    examine market structure in search of circumstantial evidence
    of monopoly power” (internal quotation marks omitted)).
    57
    Broadcom 
    Corp., 501 F.3d at 307
    (citing Microsoft 
    Corp., 253 F.3d at 51
    ). The relevant market determination typically
    has both product and geographic components. See Borough
    of Lansdale v. Phila. Elec. Co., 
    692 F.2d 307
    , 311 (3d Cir.
    1982).    Defendants do not contest Mylan’s expert’s
    conclusion that the relevant geographic market is the United
    States. We therefore focus solely on the product component.
    28
    market,”58 and “[t]he scope of the market is a question of fact
    as to which the plaintiff bears the burden of proof.”59 The
    question in this case, as in others, is whether the relevant
    market consists only of the defendants’ product and the
    plaintiff’s product, or whether the market comprises third-
    party products as well. To determine if two products are in
    the same market, we ask “if they are readily substitutable for
    one another,” an inquiry that requires us to assess “the
    reasonable interchangeability of use between a product and its
    substitute.”60 We also look to their cross-elasticity of
    demand, which is defined as “[a] relationship between two
    products, usually substitutes for each other, in which a price
    change for one product affects the price of the other.”61
    Here, Mylan argues that the relevant market consists of
    generic Doryx and name-brand Doryx and that, within this
    market, Defendants allegedly maintained 100% of sales until
    generics entered.62 We reject Mylan’s position and agree
    with the District Court’s conclusion that the market was much
    broader and consisted of all oral tetracyclines prescribed to
    58
    Broadcom 
    Corp., 501 F.3d at 307
    (internal footnote
    omitted) (citing SmithKline Corp. v. Eli Lilly & Co., 
    575 F.2d 1056
    , 1062-63 (3d Cir. 1978)).
    59
    
    Id. (citing Queen
    City Pizza Inc. v. Domino’s Pizza, Inc.,
    
    124 F.3d 430
    , 436 (3d Cir. 1997)).
    60
    
    Id. (citing Brown
    Shoe Co. v. United States, 
    370 U.S. 294
    ,
    325 (1962)).
    61
    Black’s Law Dictionary 458 (10th ed. 2014).
    62
    Mylan Pharm., 
    2015 WL 1736957
    , at *8.
    29
    treat acne, a market in which Defendants’ market share never
    exceeded approximately 18%.
    i.       Interchangeability
    To define the relevant market, we first consider the
    extent to which Defendants’ product is interchangeable with
    alternative     products   in    the   field.63    The     term
    “‘[i]nterchangeability’ implies that one product is roughly
    equivalent to another for the use to which it is put.”64 It also
    means that “while there might be some degree of preference
    for . . . one [product] over the other, either would work
    effectively.”65
    As the District Court accurately observed:
    The record abounds with uncontradicted
    evidence . . . confirming and reconfirming the
    interchangeability of Doryx with other oral
    tetracyclines. There is a consensus among
    dermatologists that all oral tetracyclines treat
    acne with similar effectiveness and so are
    interchangeable for that purpose. The FDA has
    approved virtually identical labeling for most of
    these drugs, stating that in cases of “severe
    63
    See Eastman Kodak 
    Co., 504 U.S. at 482
    (discussing how
    the interchangeability of products affects the definition of the
    relevant market).
    64
    Allen-Myland, Inc. v. Int’l Bus. Machs. Corp., 
    33 F.3d 194
    ,
    206 (3d Cir. 1994).
    65
    
    Id. 30 acne”
    the drugs “may be useful adjunctive
    therapy.”66
    To further undercut Mylan’s position regarding
    interchangeability, and consistent with the underlying purpose
    of Hatch-Waxman and state substitution laws, health insurers
    and other managed care providers encouraged the widespread
    substitution of numerous other oral tetracyclines for Doryx.
    As the District Court stated:
    Managed care organizations have sought to
    constrain patients to substitute Doryx with
    other, less costly tetracyclines to treat acne.
    Some organizations have removed Doryx as a
    reimbursable medication; others have limited
    any reimbursement. A number of managed care
    organizations sent notices to healthcare
    providers urging them to substitute other oral
    tetracyclines for Doryx.67
    Clearly, those in the managed care field acknowledged
    that other, more affordable tetracyclines were fully
    substitutable for Doryx. Moreover, products need not be
    perfectly    fungible      to   be   considered     reasonably
    68
    interchangeable for market-definition purposes. With all of
    this in view, Mylan simply cannot escape the conclusion that
    66
    Mylan Pharm., 
    2015 WL 1736957
    , at *9 (record citations
    omitted).
    67
    
    Id. at *9
    (record citations omitted).
    68
    DSM Desotech Inc. v. 3D Sys. Corp., 
    749 F.3d 1332
    , 1339-
    40 (Fed. Cir. 2014).
    31
    a high level of product interchangeability existed between
    Doryx and other oral tetracyclines prescribed to treat acne.
    ii. Cross-elasticity of Demand
    Interchangeability is only one aspect of establishing a
    relevant antitrust market through indirect evidence. In
    addition to evidence establishing Doryx’s interchangeability,
    Defendants also point to their own unrebutted expert evidence
    showing cross-elasticity of demand between Doryx and other
    tetracyclines. This indirect evidence, they claim, further
    suggests that Defendants did not maintain monopoly power in
    the relevant market.
    “Cross-elasticity of demand is a measure of the
    substitutability of products from the point of view of buyers.
    More technically, it measures the responsiveness of the
    demand for one product [X] to changes in the price of a
    different product [Y].”69 So, for example, if we were to find
    that the Doryx market consisted, as Mylan proposes, only of
    name-brand Doryx and its generic counterpart, the cross-
    elasticity of demand between Doryx and other oral
    tetracyclines prescribed to treat acne would be very small,
    showing that Doryx’s price changes had no effect on patient
    demand for those drugs. Here, as the District Court correctly
    noted, the opposite is true, as the undisputed evidence
    demonstrates that “when Defendants increased the price of
    69
    Queen City Pizza, 
    Inc., 124 F.3d at 438
    n.6 (quoting E.
    Thomas Sullivan and Jeffrey L. Harrison, Understanding
    Antitrust and its Economic Implications 217 (1994)).
    32
    Doryx, its sales decreased and the sales of other oral
    tetracyclines increased.”70
    More specifically, Defendants offered unrebutted
    expert testimony, including detailed statistical analyses,
    showing that demand for other generics rose in response to
    certain of Defendants’ strategic marketing and sales
    decisions.     Most convincingly, we view the customer
    response to the various changes in Doryx’s prescription
    couponing scheme, which at times made Doryx more
    expensive than generics for consumers, as a strong indication
    of the existence of cross-elasticity.71 In particular, this
    evidence demonstrated that Defendants responded to the
    market’s reaction to their prices with sales promotions in an
    effort to increase their ability to compete with other
    tetracyclines. It also showed that when Defendants increased
    the price of Doryx, its sales decreased, and the sales of other
    tetracyclines increased.      Moreover, Mylan offered no
    quantitative analyses to rebut these conclusions, but rather
    simply relied on its own expert’s theoretical views on cross-
    elasticity. Given that Mylan carried the burden of proof in
    defining the market, its evidence was insufficient to create a
    jury question in light of Defendants’ showing of cross-
    elasticity of demand.
    In sum, given the high degree of interchangeability and
    cross-elasticity demonstrated in the record, we agree with the
    70
    Mylan Pharm., 
    2015 WL 1736957
    , at *10.
    71
    For instance, the reports measured the demand between
    Doryx and at least “Adoxa, generic immediate release
    doxycycline hyclate, and generic immediate-release
    doxycycline monohydrate.” 
    Id. 33 District
    Court that the relevant market consisted of Doryx and
    other oral tetracyclines prescribed to treat acne. And, within
    that market, we generally require a plaintiff alleging antitrust
    injury under Section 2 to show that Defendants maintained a
    market share “significantly larger than 55%” to establish
    antitrust liability.72 However, Defendants’ market share in
    the oral tetracycline market was relatively small. It never
    exceeded 18%.
    c.    Anticompetitive Conduct
    Although the District Court acknowledged that its
    finding with respect to monopoly power resolved the § 2
    monopolization claims, the Court went on to address
    anticompetitiveness because it was necessary to resolve the
    remaining claims.        The District Court concluded that
    Defendants’ “product hopping” strategy was not
    anticompetitive. Mylan contends that the District Court erred
    in its analysis, specifically with respect to whether
    Defendants’ product changes barred Mylan from taking
    advantage of state substitution laws. Mylan further claims
    that this case is indistinguishable from the Second Circuit’s
    decision in Namenda and that Defendants’ conduct was
    72
    
    Dentsply, 399 F.3d at 187
    . In the absence of sufficient
    market share, we have, nonetheless, held that other factors
    may indicate the presence of monopoly power, including
    “size and strength of competing firms, freedom of entry,
    pricing trends and practices in the industry, ability of
    consumers to substitute comparable goods, and consumer
    demand.” 
    Id. (citations omitted).
    Having reviewed the
    record, we conclude that none of those factors are present
    here.
    34
    undoubtedly anticompetitive. We discern no error in the
    District Court’s conclusion and reject Mylan’s contentions.
    We have stated that “[a]nticompetitive conduct may
    take a variety of forms, but it is generally defined as conduct
    to obtain or maintain monopoly power as a result of
    competition on some basis other than the merits.”73
    Moreover, it is clear that the Sherman Act “directs itself not
    against conduct which is competitive, even severely so, but
    against conduct which unfairly tends to destroy competition
    itself.”74
    In addressing allegations of anticompetitive conduct
    based on Defendants’ product hops, the District Court
    properly applied the “rule of reason” burden-shifting
    framework set forth by the D.C. Circuit in United States v.
    Microsoft Corp.75 Under that framework, the party seeking to
    impose liability must initially provide evidence of the
    anticompetitive nature of a defendant’s conduct.76 Once
    established, the defendant then has the burden of “proffer[ing]
    ‘nonpretextual’ procompetitive justifications for its conduct,”
    and “[t]he plaintiff may then either rebut those justifications
    or demonstrate that the anticompetitive harm outweighs the
    procompetitive benefit.”77 In conducting this analysis, we
    73
    Broadcom 
    Corp., 501 F.3d at 308
    (citations omitted).
    74
    Spectrum Sports, Inc. v. McQuillan, 
    506 U.S. 447
    , 458
    (1993).
    75
    
    253 F.3d 34
    (D.C. Cir. 2001) (en banc).
    76
    
    Namenda, 787 F.3d at 652
    (citing Microsoft 
    Corp., 253 F.3d at 58-60
    ).
    77
    
    Id. (quoting Microsoft
    Corp., 253 F.3d at 58-59
    ).
    35
    first consider whether Mylan produced evidence of
    Defendants’ anticompetitive conduct. The District Court
    concluded that Mylan failed on this front, and we agree.78
    While product hopping under certain circumstances may be
    viewed as anticompetitive conduct, this is not one of those
    cases. As we explain, Mylan was not foreclosed from the
    market.
    Doryx capsules were available for more than twenty
    years, and generic companies were free to engineer their own
    versions during that time. At least one did, but not Mylan.79
    Moreover, the record demonstrates that Mylan received 180
    days of exclusive rights to market and sell its 75mg and
    100mg tablets once approved, giving Mylan a significant leg
    up on generic competitors. And the undisputed evidence
    shows that Mylan set its tablet prices higher than the price of
    branded Doryx for at least some period of time. Finally, it is
    78
    See Mylan Pharm., 
    2015 WL 1736957
    , at *12.
    79
    The District Court was persuaded by the fact that Mylan
    chose to forego more aggressive research and development,
    marketing, and sales efforts. See, e.g., 
    id. at *13.
    We realize
    that it may not necessarily be cost-effective for generic
    manufacturers to promote their products with the same level
    of investment as their name-brand counterparts and that
    Hatch-Waxman seems to provide generics the means to
    participate in the market without necessarily promoting their
    products in their same way that name-brand manufacturers
    do. Nonetheless, as the District Court noted, Mylan is one of
    the largest generic pharmaceutical companies in the world,
    recording nearly $6.13 billion in revenue in 2011. 
    Id. at *1.
    It is therefore difficult to perceive Mylan as a “David” and
    Defendants as “Goliath” in these circumstances.
    36
    clear that Mylan reaped generous profits from its sale of the
    generic tablet, in the amount of $146.9 million. Thus, far
    from being harmed by Defendants’ product changes, Mylan
    was advantaged in the generic market by its 180-day
    exclusivity period and ability to profit generously while
    raising prices. In sum, we agree with the District Court that
    Mylan failed to satisfy its burden of demonstrating that
    Defendants engaged in anticompetitive conduct prohibited by
    the Sherman Act, thereby failing on the first prong of the
    Microsoft Corp. test.80
    But even if we were to assume that the first prong of
    the test was met, Defendants have offered strong evidence of
    non-pretextual purposes for their various product changes.
    First, it is clear from the record that doxycycline capsules had
    been linked with esophageal problems. The capsule version
    of the drug was ultimately banned in France and Sweden, and
    Defendants faced a products liability lawsuit in Michigan
    regarding the same problems. Second, the record clearly
    demonstrates that Doryx experienced shelf-life stability
    problems, which in 2002 resulted in a largescale recall of
    Doryx capsules. Third, Defendants introduced different
    dosages for Doryx largely in response to the actions of their
    competitors. For instance, Defendants offered evidence that
    their decision to introduce the 150mg tablet was in response
    80
    To be sure, we recognize that there are a number of
    documents that suggest that Defendants were, at least in part,
    focused on protecting their name-brand franchise. While
    these documents may imply that Defendants were motivated
    by an intent to compete with generics, the evidence
    nonetheless demonstrates that Defendants’ product
    modifications had no anticompetitive effects on the market.
    37
    to the fact that both Adoxa and Solodyn, tetracyclines
    prescribed to treat acne, were offered in a variety of dosages.
    Defendants also offered evidence of a non-pretextual
    justification when they proposed the scoring modifications:
    an ability for consumers to more effectively self-dose at
    patient-specific levels.
    We are also cognizant of the Second Circuit’s
    reasoning in Namenda, which Mylan relies on heavily in its
    briefs. However, we find Namenda to be factually and
    procedurally distinguishable from this case.
    In Namenda, which was decided a few weeks after the
    District Court’s decision in this case, the Second Circuit
    affirmed a preliminary injunction in favor of the plaintiff, the
    State of New York, forcing the defendants, name-brand drug
    manufacturers, to keep an old version of Namenda IR, a
    prescription drug used to treat dementia, on the market for a
    period of time before introducing the new drug (Namenda
    XR).81 Namenda involved the defendants’ attempts to avoid
    a “patent cliff” – the end of patent exclusivity, corresponding
    to the brand drug’s loss of market share – by stringing
    together new periods of patent exclusivity in order to
    completely bar generics from entering the market. It was
    alleged that the defendants did so by introducing changes to
    their product to delay the expiration of their patent.82
    Here, there were no patent cliffs on the horizon, and
    the evidence demonstrates that there were plenty of other
    competitors already in the oral tetracycline market.
    81
    
    Namenda, 787 F.3d at 649-50
    , 663.
    82
    
    Id. at 647-48.
    38
    Moreover, as Defendants correctly note in their brief, a
    lawyer for the State of New York in Namenda specifically
    stated that Mylan’s case against the Defendants here, pending
    at the time, was distinguishable from New York’s theory in
    Namenda.83 Echoing this sentiment, the Namenda Court
    itself also persuasively distinguished this case, citing it as an
    example of a situation in which there was no evidence of
    consumer coercion, because generics “had already entered the
    market at the time of defendants’ product reformulation.”84
    Perhaps more importantly, the Second Circuit’s decision in
    Namenda merely upheld a preliminary injunction, unlike this
    case, which proceeded through full discovery and resulted in
    a robust record void of any evidence of anticompetitive
    conduct.85
    Mylan also cites a number of other procedurally
    inapposite cases in which courts have addressed product
    hopping claims at the motion-to-dismiss stage and allowed
    them to proceed against name-brand drug manufacturers.86
    Just as the courts did in those cases, here, the District Court
    allowed Mylan’s claims to proceed against Defendants after
    83
    Defs.’ Br. 4 (citing Dasgupta Letter 1-2, Namenda, 
    787 F.3d 638
    (2d Cir. 2015) (No. 14-4624), ECF No. 324).
    84
    
    Namenda, 787 F.3d at 652
    n.23 (citing Mylan Pharm., 
    2015 WL 1736957
    , at *13).
    85
    Indeed, the parties have provided the court with 21
    appendices of discovery material, consisting of nearly 15,000
    pages.
    86
    See 
    Suboxone, 64 F. Supp. 3d at 681-82
    ; TriCor, 432 F.
    Supp. 2d at 422.
    39
    denying their motions to dismiss.87 However, after a period
    of exhaustive discovery, the District Court thoroughly
    reviewed the record and concluded that Mylan failed to create
    triable issues of material fact to save any of its Sherman Act
    claims.
    To be clear, we do not rule out the possibility that
    certain insignificant design or formula changes, combined
    with other coercive conduct, could present a closer call with
    respect to establishing liability in future cases. Thus, after
    applying the Microsoft Corp. framework, courts may need to
    consider a number of additional, non-exhaustive factors. For
    instance, courts might need to balance the important public
    interest in encouraging innovation in the pharmaceutical
    industry with our obligations to protect consumers and to
    ensure fair competition under the antitrust laws. At the same
    time, courts should also be wary both of second-guessing
    Congress’s legislative judgment and of turning courts into
    tribunals over innovation sufficiency.88 Moreover, courts
    87
    See generally Mylan Pharm., Inc. v. Warner Chilcott Pub.
    Co., No. 12-3824, 
    2013 WL 5692880
    (E.D. Pa. June 12,
    2013).
    88
    Indeed, Congress could have chosen to bar or significantly
    restrict name-brand drug manufacturers from making changes
    that would delay generic entry, but it did not do so. See Teva
    Pharm. Indus. Ltd. v. Crawford, 
    410 F.3d 51
    , 54 (D.C. Cir.
    2005) (“Because the balance struck between these competing
    goals is quintessentially a matter for legislative judgment, the
    court must attend closely to the terms in which the Congress
    expressed that judgment.”); Tri-Bio Labs. Inc. v. United
    States, 
    836 F.2d 135
    , 139 (3d Cir. 1987) (Hatch-Waxman
    reflects a “statutory compromise of . . . competing concerns”).
    40
    may need to be cognizant of the unique separation between
    consumers and drug manufacturers in the pharmaceutical
    market, especially in cases where there is evidence of extreme
    coercion of physician prescribing decisions or blatant
    misrepresentation about a generic manufacturer’s version of a
    drug.89 With all of this said, even in more difficult cases, the
    disposition of each claim will necessarily turn on the facts
    and circumstances surrounding a company’s alleged
    anticompetitive conduct.
    Of course, we need not reach these additional factors
    because we are not presented with such a close call. Here,
    Mylan’s claims fail under a straightforward application of the
    Microsoft Corp. framework because Mylan has failed to
    produce evidence that Defendants’ conduct was
    anticompetitive. Because Mylan’s § 2 claims each require a
    showing of anticompetitive conduct in addition to monopoly
    power, we will therefore affirm the District Court’s grant of
    summary judgment to Defendants on those claims.90
    89
    A court may also consider whether a so-called “patent cliff”
    is indicative of anticompetitive conduct, especially when a
    defendant’s actions are paired with weak or inconsistent
    evidence of procompetitive justifications.
    90
    Mylan also argues, alternatively, that Doryx is an antitrust
    “submarket” within the market for tetracyclines.           We
    disagree. As noted, the evidence shows that Doryx is
    interchangeable with a wide variety of other tetracyclines. It
    therefore cannot be argued that the public recognizes Doryx
    as a distinct submarket within the class of tetracyclines.
    Brown Shoe 
    Co., 370 U.S. at 325
    (a submarket’s boundaries
    are determined by “such practical indicia as industry or public
    41
    2.    Mylan’s Section 1 Claim: Illegal
    Restraint of Trade
    Mylan also argues that the District Court erred by
    granting Defendants’ motions for summary judgment as to
    Mylan’s §1 illegal restraint of trade claim based on the
    District Court’s finding that Mylan produced insufficient
    evidence of Defendants’ anticompetitive conduct. We reject
    Mylan’s contention.
    Section 1 of the Sherman Act prohibits “[e]very
    contract, combination in the form of trust or otherwise, or
    conspiracy, in restraint of trade or commerce.”91 “To
    establish a [S]ection 1 violation, a plaintiff must prove: (1)
    concerted action by the defendants; (2) that produced
    anticompetitive effects within the relevant product and
    geographic markets; (3) that the objects of the conduct
    pursuant to the concerted action were illegal; and (4) that it
    was injured as a proximate result of the concerted action.”92
    As discussed above, Mylan has failed to prove that
    Defendants’ product hops were anticompetitive, as required
    under the second element of this test.93 Thus, the District
    recognition of the submarket as a separate economic entity,
    the product’s peculiar characteristics and uses, unique
    production facilities, distinct customers, distinct prices,
    sensitivity to price changes, and specialized vendors”).
    91
    15 U.S.C. § 1.
    92
    Petruzzi’s IGA Supermarkets, Inc. v. Darling-Del. Co., 
    998 F.2d 1224
    , 1229 (3d Cir. 1993).
    93
    We have thoroughly reviewed the parties’ remaining
    arguments, including Mylan’s contentions relating to its
    42
    Court properly granted Defendants’ motions for summary
    judgment on Mylan’s Sherman Act Section 1 claim.
    III.         CONCLUSION
    For substantially the same reasons set forth in the
    District Court’s thorough and persuasive opinion, we will
    affirm the judgment of the District Court.
    tortious interference with prospective contractual relations
    claim under Pennsylvania law and its Daubert objections, and
    conclude that they are without merit.
    43
    

Document Info

Docket Number: 15-2236

Citation Numbers: 838 F.3d 421

Filed Date: 9/28/2016

Precedential Status: Precedential

Modified Date: 1/12/2023

Authorities (27)

geneva-pharmaceuticals-technology-corp-as-successor-in-interest-to , 386 F.3d 485 ( 2004 )

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