North Carolina Secures $11 Million Settlement with EpiPen Manufacturer
North Carolina Attorney General Jeff Jackson and State Treasurer Brad Briner announced a settlement with EpiPen manufacturer Viatris (formerly Mylan) on Thursday, securing $11 million for the state. The agreement addresses allegations of anti-competitive practices that led to significant price increases for the life-saving allergy medication.
The History of Rising EpiPen Costs
Attorney General Jackson highlighted the dramatic price surge of EpiPens between 2007 and 2016, stating the cost rose from approximately $100 to around $600 in under a decade – a sixfold increase. This price hike placed a substantial financial burden on families and healthcare systems.
How the Settlement Funds Will Be Distributed
The $11 million settlement will provide much-needed relief to North Carolinians. $4.2 million will be directed to the state health plan, helping to preserve premiums down. The remaining funds will be used to benefit taxpayers. “This money belongs to the people of North Carolina, it’ll go right back to keeping premiums down,” Briner stated.

Beyond Refunds: Lowering Future Costs
The settlement isn’t just about refunds for past overcharges. Jackson emphasized that the agreement includes a reduction in out-of-pocket costs for families going forward. “We too negotiated a reduction in out-of-pocket costs for all families going forward,” he said. “This is a particularly important message to send to prescription drug manufacturers everywhere, that if we have fine evidence that you’ve broken the law, we’re going to hold you accountable.”
A Personal Connection for State Treasurer
State Treasurer Brad Briner shared a personal connection to the issue, noting that he and his child both carry EpiPens. This experience underscored the importance of affordable access to the medication.

Previous Legal Action and Company Evolution
This settlement follows a previous agreement reached in 2017, where then-Attorney General Josh Stein secured $21.4 million from Mylan. The current lawsuit was initiated after the resolution of that earlier class action suit. Mylan has since merged with Pfizer’s Upjohn business in 2020, forming Viatris.
The Broader Trend of Pharmaceutical Settlements
The EpiPen case is part of a larger trend of legal action against pharmaceutical companies over pricing practices. Similar settlements have been reached in other states, reflecting growing scrutiny of drug pricing and a commitment to protecting consumers. These cases often center on allegations of price gouging, anti-competitive behavior, and violations of antitrust laws.
What Factors Drive Pharmaceutical Settlements?
Several factors contribute to these settlements. Increased public awareness of high drug prices, coupled with investigations by state attorneys general and federal agencies, create pressure on manufacturers. Evidence of deliberate strategies to inflate prices or stifle competition can strengthen legal cases. The potential for significant financial penalties and reputational damage often motivates companies to negotiate settlements.

Looking Ahead: Potential Future Trends
The EpiPen settlement and similar cases signal a potential shift in the landscape of pharmaceutical regulation and accountability. Here are some trends to watch:
Increased State-Level Scrutiny
State attorneys general are likely to continue actively investigating and pursuing legal action against pharmaceutical companies. This increased scrutiny could lead to more settlements and potentially influence future pricing decisions.

Federal Legislation and Regulation
There is growing momentum for federal legislation aimed at lowering prescription drug prices. Potential reforms include allowing Medicare to negotiate drug prices, increasing transparency in pricing practices, and promoting competition among manufacturers.
Focus on Generic and Biosimilar Medications
Promoting the use of generic and biosimilar medications is a key strategy for reducing drug costs. Efforts to streamline the approval process for these alternatives and address barriers to their adoption could lead to greater affordability.
FAQ
Q: What does this settlement mean for families who have purchased EpiPens in the past?
A: The settlement provides refunds to the state, which will ultimately benefit taxpayers and help lower premiums for the state health plan.
Q: Will EpiPen prices decrease immediately?
A: The settlement includes a reduction in out-of-pocket costs for families going forward, but the extent of the price decrease may vary.
Q: What is Viatris?
A: Viatris is a pharmaceutical company formed in 2020 through the merger of Mylan and Pfizer’s Upjohn business.
Q: Where can I find more information about this settlement?
A: You can find more information on the North Carolina Department of Justice website.
Did you understand? The price of epinephrine auto-injectors has been a subject of public debate for years, with concerns raised about affordability and access for individuals with severe allergies.
Pro Tip: Always check with your insurance provider and explore options for generic alternatives to prescription medications to potentially lower your out-of-pocket costs.
Have questions about prescription drug costs or access? Share your thoughts in the comments below!
