No. 24-270

Vanda Pharmaceuticals Inc. v. Centers for Medicare & Medicaid Services, et al.

Lower Court: Fourth Circuit
Docketed: 2024-09-10
Status: Denied
Type: Paid
Experienced Counsel
Tags: administrative-law agency-interpretation line-extension medicaid-rebate new-drug-application statutory-construction
Key Terms:
AdministrativeLaw SocialSecurity ERISA TradeSecret JusticiabilityDoctri
Latest Conference: 2025-01-10
Question Presented (AI Summary)

Does a decision upholding an agency's statutory interpretation merely because it is 'perfectly sensible' comport with Loper Bright Enterprises v. Raimondo, and can an agency disregard prior reliance interests by reinterpreting a statute?

Question Presented (from Petition)

QUESTIONS PRESENTED This case addresses the “line extension” provision of the Medicaid rebate statute. For a decade, CMS construed the statute as written, covering drugs introduced as gamesmanship to avoid a penalty provision. Recently, however, CMS adopted a regulatory definition of “line extension” that, by the agency’s own admission, was “much broader” than its earlier views. In so doing, CMS failed to recognize a key statutory constraint on its authority. Per Congress, the “line extension” provision applies to “a single source drug or an innovator multiple source drug.” 42 U.S.C. § 1396r-8(c)(2)(C)G). Congress established that “the term ‘line extension’ means, with respect to a drug, a new formulation of the drug.” Jd. § 1396r-8(c)(2)(C). The new formulation, accordingly, must be the same drug as the original. Congress tethered this inquiry to “a new drug application approved by” FDA. Id. §§ 1396r-8(k)(7)(A)Gi) & (iv). If a drug is approved pursuant to its own New Drug Application, it is not the same “drug” and thus not a “line extension.” The court of appeals disregarded this express statutory definition as “wandering on the periphery.” App., infra, 21a. The questions presented are: 1. Does a decision that upholds an agency statutory interpretation merely because it is “perfectly sensible” or “reasonable and consistent with the statutory framework” comport with Loper Bright Enterprises v. Raimondo, 144 8. Ct. 2244 (2024)? 2. Is an agency free to disregard reliance interests engendered by its prior interpretation of the statute it administers simply because that interpretation was announced in a non-binding document like a notice of proposed rulemaking? ii CORPORATE DISCLOSURE Petitioner Vanda Pharmaceuticals Inc. discloses that it has no parent corporation and that BlackRock Fund Advisors owns more than 10% of its stock.

Docket Entries

2025-01-13
Petition DENIED.
2024-12-24
DISTRIBUTED for Conference of 1/10/2025.
2024-12-23
Reply of Vanda Pharmaceuticals submitted.
2024-12-23
Reply of petitioner Vanda Pharmaceuticals filed. (Distributed)
2024-12-23
2024-12-05
Brief of respondents United States, et al. in opposition filed.
2024-10-21
Motion to extend the time to file a response is granted and the time is further extended to and including December 5, 2024.
2024-10-18
Motion to extend the time to file a response from November 12, 2024 to December 5, 2024, submitted to The Clerk.
2024-09-19
Motion to extend the time to file a response is granted and the time is extended to and including November 12, 2024. See Rule 30.1.
2024-09-18
Motion to extend the time to file a response from October 10, 2024 to November 11, 2024, submitted to The Clerk.
2024-09-06
2024-06-11
Application (23A1105) granted by The Chief Justice extending the time to file until September 6, 2024.
2024-06-07
Application (23A1105) to extend the time to file a petition for a writ of certiorari from July 9, 2024 to September 6, 2024, submitted to The Chief Justice.

Attorneys

United States
Elizabeth B. Prelogar — Respondent
Elizabeth B. PrelogarSolicitor General, Respondent
Vanda Pharmaceuticals
Paul Whitfield HughesMcDermott Will & Emery, Petitioner
Paul Whitfield HughesMcDermott Will & Emery, Petitioner