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THE TRUTH ABOUT BOB HUGIN A New Report on a Disturbing Pattern of Actions Paid for by Patients For Affordable Drugs Action, www.p4adaction.org. Not authorized by any candidate or candidate's committee.

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Page 1: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

THE TRUTH ABOUT

BOB HUGIN

A New Report on a Disturbing Pattern of Actions

Paid for by Patients For Affordable Drugs Action, www.p4adaction.org. Not authorized by any candidate or candidate's committee.

Page 2: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

T r a n s c r i p t o f “ C e l g e n e C o r p a t T h o m s o n R e u t e r s H e a l t h S u m m i t N e w Y o r k , ” F D ( F a i r D i s c l o s u r e ) W i r e , M a y 1 0 2 0 1 1 .

C e l g e n e , “ C e l g e n e A n n o u n c e s R e t i r e m e n t o f E x e c u t i v e C h a i r m a n B o b H u g i n a n d A p p o i n t m e n t o f C E O M a r k A l l e s a s C h a i r m a n

o f t h e B o a r d o f D i r e c t o r s , ” J a n . 2 9 , 2 0 1 8 .

H B O , V i c e W e e k l y , S e a s o n 6 , E p i s o d e 1 0 , “ T h e C o s t o f L i v i n g / P a r a d i s e L o s t , ” J u n e 2 0 1 8 .

carefully examined the record of former Big Pharma CEOBob Hugin and found a disturbing pattern of actions. Huginmade millions at the expense of cancer patients andtaxpayers by repeatedly raising the price of a lifesavingdrug and blocking generic competition. 

Hugin doubled the price of Celgene’s Revlimid which isessential for many blood cancer patients to stay alive.    Hugin systematically abused federal law to block acheaper generic version of his drug from coming to market.In a rare display of bipartisanship, Congress is movinglegislation to stop the abuses Hugin made famous.

FDA Commissioner Scott Gottlieb referred to the tacticsHugin used as “unfair and exploitive,” and the FDA listsHugin’s company Celgene as the number one offender indenying samples of drugs for generic testing anddevelopment.

Patients have suffered - going into debt, refinancing theirhomes, and going without food and other necessities topay for their drug.

Hugin’s unethical practices made him $140 million byraising prices for people on fixed incomes and milkingMedicare.

BOB HUGIN: DOUBLED THE

PRICE OF A LIFESAVING

CANCER DRUG

“I think in a company, the CEO is responsible foreverything that happens in the company,” Hugin said.

For 19 years Bob Hugin worked in leadership roles atCelgene, including as CEO, from 2010 to 2016, and asExecutive Chairman of the Board of Directors, aposition he held through January 2018.

While helming Celgene, Hugin doubled the price ofthe cancer medication Revlimid, a move that hasforced cancer patients across the country intofinancial ruin.

“I think in a company,

the CEO is responsible

for everything that

happens in the

company,”

-Bob Hugin

Patients For Affordable Drugs Action

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Page 3: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

By Hugin’s own admission, “the CEO is responsible foreverything that happens.” He was behind the price hikesand should take responsibility for patients’ suffering as aresult.

Gulay Turan from East Rutherford, New Jersey said, “Whenmy mother was diagnosed with Multiple Myeloma, I neverwould have guessed that I would be more at war with thecost of her treatment than her cancer. Every day I live infear of no longer being able to afford the high cost of themedication keeping my mother alive. My mother and Ialready live in a world run by Bob Hugin, and we aresuffering because of it. Sending Bob Hugin to the Senatewould allow him to write policies that make pharmaexecutives rich while putting the financial health ofpatients like my mother in jeopardy.”

In 2007, with Bob Hugin at the helm as President and ChiefOperating Officer of Celgene, a single capsule of Revlimidcost $247.28. By the time he retired in early 2018, after morethan a dozen price hikes, it cost $662.36.

According to independent journalists, Hugin’s policy ideas“just so happen to be more business-friendly than patient-friendly.”

"Sending Bob Hugin to the Senate

would allow him to write policies that

make PHARMA executives rich while

putting the financial health of

patients like my mother in jeopardy"

- Gulay Turan, daughter of

Revlimid Patient

R e b e c c a S p a l d i n g , “ P h a r m a c e u t i c a l T i t a n ’ s S e n a t e B i d W i l l T e s t V o t e r s ’ V i e w s o n D r u g P r i c e , ” B l o o m b e r g , F e b . 2 0 , 2 0 1 8 .

R e b e c c a R o b b i n s , “ T r u m p f u m e s a t d r u g m a k e r s f o r m a n y r e a s o n s . T h i s p h a r m a e x e c ( a n d T r u m p d o n o r ) e m b o d i e s t h e m , ” S T A T

N e w s , O c t o b e r 3 0 , 2 0 1 7 .

Kuzeyde Turan, Revlimid

Patient

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Page 4: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

Table 1: Revlimid Price Change 2010-2017

The cost to make each 10-milligram capsule?Less than a dollar. A year’s worth of pills

costs $240 to produce. 

T o d d C a m p b e l l , “ P r i c e H i k e s I n s u l a t e C e l g e n e F r o m a F a i l u r e , ” T h e M o t l e y F o o l , O c t . 2 5 , 2 0 1 7 .

C a l c u l a t e d f r o m C y n t h i a K o o n s a n d R o b e r t L a n g r e t h , “ T h e L o o p h o l e s D r u g C o m p a n i e s U s e t o K e e p P r i c e s H i g h , ” B l o o m b e r g , D e c .

2 0 , 2 0 1 7 ; a n d “ B e n e f i t s o f m a i n t e n a n c e t h e r a p y , ” R e v l i m i d . c o m , a c c e s s e d J u l . 1 6 , 2 0 1 8 .

C y n t h i a K o o n s a n d R o b e r t L a n g r e t h , “ T h e L o o p h o l e s D r u g C o m p a n i e s U s e t o K e e p P r i c e s H i g h , ” B l o o m b e r g , D e c . 2 0 , 2 0 1 7

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Bob Hugin's Price Hikes

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Page 5: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

Table 2: Revlimid Price 2018  

Despite the low manufacturing costs,  one online drug price monitor listed

a months’ supply of Revlimid at between $14,500 and $20,000.

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9 “ R e v l i m i d P r i c e s , C o u p o n s , A n d P a t i e n t A s s i s t a n c e P r o g r a m s , ” D r u g s . c o m , a c c e s s e d J u n e 1 1 , 2 0 1 8 .

Bob Hugin's Price Hikes Continued

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Page 6: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

BOB HUGIN: RAISED DRUG

PRICES WHILE BLOCKING

GENERIC COMPETITORS

fter a limited period of time, brand-name drugs losepatent and exclusivity protection so cheaper genericversions can enter the market, bringing relief totaxpayers and patients.

But, under Hugin’s leadership, Celgene exploitedloopholes to prevent generic versions of Revlimid  from coming to market. Generic drugmakers haveaccused Celgene of refusing to sell samples for genericanalysis, a tactic employed by brand-name drugmakersto delay competition and keep prices high.

By one estimate, the type of unethical games played byHugin will cost Americans $45 billion through 2026—justfor one drug, Revlimid.   Hugin’s maneuvers caught thefederal government’s attention and even led to threelawsuits against Celgene in federal court.

In their rebuttal of Celgene’s positions in a 2014 lawsuit, theFederal Trade Commission (FTC) said "Competition fromlower-priced generic drugs saves American consumersbillions of dollars a year."

Celgene's view that it has a virtually absolute right to blockaccess to the samples generic firms need to competethreatens to foreclose these cheaper alternatives, perhapsindefinitely."   In response to moves to delay genericcompetition, Congress advanced the bipartisan CREATES Act,a crackdown on tactics like those Celgene used under Huginthat stall generic drugs from hitting the market.

With Hugin in charge, Celgene spent $2.7 million lobbying ,much of it spent to block the CREATES Act, which could bringrelief to patients, like retired firefighter and cancer patientBob Kelsey, whose out-of-pocket expenses, even withMedicare, top $10,000.

“I want to be here to see my grandchildren,” Kelsey, who hashad to rely on help from family and friends to stay alive, toldBloomberg reporters.

Editorial, “Is Menendez's Republican challenger even more ethically challenged?,” The Newark Star-Ledger, Mar. 4, 2018.

Cynthia Koons and Robert Langreth, “The Loopholes Drug Companies Use to Keep Prices High,” Bloomberg, Dec. 20, 2017

Jonathan Salant, “Trump wants lower drug prices. Menendez's Republican challenger fought to keep them high,” NJ.com, Feb. 17, 2018.

Michael Mezher, “Senate Judiciary Committee Advances CREATES Act,” Regulatory Focus, Regulatory Affairs Professional Society, June 14, 2018.

Tom Moran, “With Hugin In Charge, The Company Spent $2.7 Million Lobbying To Block Legislation That Could Have Sped Up A Generic Replacement For One Of Its

Blockbuster Cancer Drugs, Revlimid,” NJ.com, Feb. 18, 2018

Cynthia Koons and Robert Langreth, “The Loopholes Drug Companies Use to Keep Prices High,” Bloomberg, Dec. 20, 2017

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Page 7: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

“I want to be here to

see my

grandchildren,”

-Bob Kelsey, Cancer

Patient

Patients Suffer Under Hugin

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Page 8: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

FDA TAKES NOTICE

OF HUGIN’S

UNETHICAL TACTICS

he FTC and Congress aren’t alone in condemningCelgene’s actions under Hugin.

Scott Gottlieb, the commissioner of the U.S. Foodand Drug Administration under President Trump,issued a sharp rebuke to drugmakers like Hugin'sCelgene in November 2017. He called the tacticsHugin used "unfair and exploitive," and demandedcompanies like Celgene “End the shenanigans!"

Since then, the FDA released a list of nearly 50 drugmakers accused by generic drug corporations ofstalling providing samples that would increasecompetition and lower prices.  

In the database, Celgene was the worst offenderwith a whopping total of 31 inquires for access togeneric samples — 13 of those requests forRevlimid, the second most cited drug. 

-FDA Commissioner Scott Gottlieb

on games Hugin played

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Cynthia Koons and Robert Langreth, “The Loopholes Drug Companies Use to Keep Prices High,” Bloomberg, Dec. 20, 2017

U.S. Food and Drug Administration, “Reference Listed Drug (RLD) Access Inquiries,” accessed May 17, 2018.

Max Nisen, “The Punching Bag of Biotech Absorbs More Blows,” Bloomberg, May 18, 2018.

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"END THE SHENANIGANS!"

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Page 9: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

BOB HUGIN'S

UNSCRUPULOUS

BEHAVIOR MADE

HIM MORE THAN

$140 MILLION

hile Americans were priced out of affording the life-extending medication Revlimid, Bob Hugin made morethan $140 million. As Americans saw their Revlimid pricessoar, Hugin used his 62-foot yacht  to win more than$52,000 in fishing tournaments   and watched his millionsgrow. 

Table 3: Hugin’sCompensation as CEO of

Celgene

“The Right Place,” MidAtlantic.com, accessed Jul. 16, 2018.

Jonathan D. Salant, “Menendez foe would take a huge pay cut if he wins U.S. Senate race,” May 16, 2018.

“UPDATED: Biogen CEO Scangos scores 19% pay hike during stellar 2012,” FierceBiotech.com, May 1, 2013; Justin Heifetz, “2. Robert Hugin - Celgene,”

FiercePharma, accessed Jul. 16, 2018; Tracy Staton, “Celgene chief Hugin nabs $22M for his CEO swan song,” FiercePharma, May 2, 2016; “BRIEF-

Celgene says CEO's 2016 compensation was $16.5 mln,” Reuters, Apr. 27, 2017; Sam Baker, “Vitals,” May 3, 2018.

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Page 10: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

PATIENTS SUFFERED

UNDER HUGIN'S

LEGACY OF

SKYROCKETING DRUG

PRICES

atients continue to suffer under the legacy of Bob Hugin’sprice hikes.

Jackie Trapp, a multiple myeloma patient from Muskego,Wisconsin, spent her entire life’s savings on the only drugavailable — Revlimid — that would keep her alive. Sherefinanced her home, blew through bank account andfears she’ll leave her husband bankrupt.

Unscrupulous price hikes and games to extend themonopoly have created a horrific choice for cancerpatients: The drug or death.

And when patients choose life over the drug, they areforced to grapple with the heartbreak and stress thataccompanies taking on debt just to stay alive.

Jackie Trapp, Revlimid Patient 

"We’ve blown through the bank accounts. They’re pretty

much empty. We had to refinance our house. We took a

home equity line of credit."

HBO, Vice Weekly, Season 6, Episode 10, “The Cost of Living/Paradise Lost,” June 2018.

“Cancer Patients’ Dilemma: Expensive Pills Vs. Invasive Chemo Treatment,” Kaiser Health News, April 27, 2010

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Page 11: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

THE DECISION

oters in New Jersey should take heed of Revlimidpatients’ stories.  A man, who by his own admission, isresponsible for every cold and calculated price hikeshould face the pain and suffering he caused.

In Nancy Cartwright’s case, financial stressors from herhusband’s multiple myeloma were so extreme, thecouple declared bankruptcy and moved out of thecountry.

“Besides bearing witness to my husband’s physical pain, Ialso witnessed the immense mental toll the cost of hismedication took on him,” she said. “It’s so hard to watchsomeone suffer and not be able to do anything to help.My hair even began to thin from stressing over hismedication costs.”

“If given a chance to become Senator, Bob Hugin willonly look out for the rich and gouge the rest of the peoplelike us,” Cartwright said. “He cost us everything. Hecannot win.”

“If given a chance to become Senator, Bob Hugin

will only look out for the rich and gouge the rest

of the people like us,” Cartwright said. “He cost

us everything. He cannot win.”

- Nancy Cartwright, Widow of Thalomid Patient

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Page 12: THE TRUTH ABOUT BOB HUGIN - New Jersey Globe

Paid for by Patients For Affordable Drugs Action, www.p4adaction.org. Not authorized by any candidate or candidate's committee.