Overview
Biotechnology and pharmaceutical manufacturers must recognize, understand, and address many legal and regulatory requirements associated with the research, development, pricing, promotion, marketing, and selling of their respective services and products—domestically and internationally.
The biotechnology and pharmaceutical industries continue to receive significant scrutiny from the public; federal, state, and international regulators; elected officials; and enforcement agencies. Therefore, entities operating in these industries must remain even more vigilant and knowledgeable about the legal and regulatory parameters affecting their companies to stay compliant and proactive and minimize risk.
Epstein Becker Green counsels companies and institutions operating in the different segments of biotechnology and pharmaceutical industries domestically and internationally. We provide comprehensive legal services relating to all aspects of the development of products, the U.S. Food and Drug Administration (FDA) regulatory approval process, government and third-party reimbursement concerns, and post-approval marketing, commercialization, and compliance requirements. Firm attorneys publish and present extensively at leading industry events and work actively on behalf of firm clients to both educate and advocate to federal and state government agencies and regulators on significant industry issues.
Services/Scope of Practice
Development of Life Science Products and FDA Regulatory Approval
- Providing FDA counseling relating to clinical trial registries and databases, grant-making procedures, and relationships with physicians investigators, and research institutions
- Developing and negotiating co-development, co-promotion, outsourcing, and other strategic research, development, and collaboration agreements
- Providing FDA counseling relating to labeling and advertising claims
Government and Third-Party Reimbursement
- Counseling on government pricing programs, including Medicaid Best Price, Average Sales Price, Competitive Acquisition Program, the Federal Supply Schedule, and the Public Health Service Act, as well as on VA pricing issues
- Providing counseling and strategic planning assistance regarding federal and state drug and device reimbursement programs
- Advising on the processes and strategies for obtaining coverage, coding, and payment for drugs and devices by government and private payors
- Providing regulatory counseling regarding product discount/rebate arrangements with distributors, group purchasing organizations, managed care organizations, long-term care facilities, physicians, institutions, specialty pharmaceutical suppliers, federal and state purchasers (including state pharmaceutical assistance programs (or "SPAPs") and other state and federal pharmaceutical programs), and other purchasers
- Providing antitrust counsel related to manufacturer pricing issues
- Counseling on license agreements and co-promotional activities
Post-Approval Marketing, Commercialization, and Compliance
- Providing all facets of fraud and abuse counseling to manufacturers and their direct and indirect customers and/or purchasers relating to sales programs, marketing initiatives, and other collaborative programs and relationships, including disease management, medication therapy management, coupons, samples and sample cards, reimbursement support, grants, and patient assistant programs
- Providing advice relating to all aspects of health reform regulations, including the Sunshine Act and state reporting laws
- Supporting and counseling on manufacturer new product launches
- Providing health regulatory counsel relating to distribution and fee-for-service arrangements with managed care plans and consumers
- Providing FDA counseling relating to promotional matters, non-promotional activities, continuing medical education activities, and good clinical and laboratory practices
- Providing all facets of counsel regarding post-market clinical trial research programs and grant administration
- Counseling on licensure and other accreditation standards
- Providing HIPAA privacy and security counseling relating to manufacturing, research, and marketing issues
Investigations, Litigation, and Administrative Matters
- Defending manufacturers in connection with false claim qui tam actions and other federal, state, and congressional health care fraud investigations and inquiries
- Negotiating corporate integrity agreements (CIAs) with the U.S. Department of Health and Human Services' Office of Inspector General (OIG)
- Assisting with the implementation and monitoring of CIA compliance
- Providing counsel regarding the submission of voluntary disclosures to the OIG and/or other relevant regulators
- Defending manufacturers and their research partners in private actions related to clinical trial noncompliance and misconduct
- Preparing and assisting manufacturers for appearances at FDA administrative hearings
- Assisting manufacturers in responding to warning letters, notice-of-violation letters, and congressional inquiries
Corporate Compliance
- Developing and implementing all aspects of corporate compliance programs for manufacturers and their direct and indirect customers
- Conducting corporate effectiveness reviews/assessments of corporate compliance programs
- Developing training programs on corporate compliance for marketing and sales forces
- Assisting with the development of reporting systems and compliance monitoring and auditing priorities
- Assisting manufacturers with gap assessments and Board assessments
- Providing counsel in connection with internal compliance investigations
- Developing clinical trial research corporate compliance programs for manufacturers, clinical research organizations, and site management organizations, including compliance with Good Clinical Practices, human subject protection compliance procedures, and procedures regarding investigator-initiated research
- Developing research compliance programs addressing relationships with research sites, researchers, vendors, professional organizations, independent foundations, and other participants in the clinical research process
Policy and Legislation
- Monitoring and analyzing pending federal and state legislation, rulemaking, regulations, and guidance
- Providing assistance with the submission of comments in connection with pending legislation and proposed rules, regulations, and guidance
- Assisting with the preparation of testimony in connection with pending legislation
- Providing counsel regarding federal and state marketing, disclosure, sales, gifts, compliance programs, pricing, clinical trials, pedigree, and related reporting requirements
- Providing legislative industry updates and analyses
Federal and State Transparency Reporting
- Counseling clients on federal and state reporting requirements
- Conducting gap assessments
- Correcting compliance implementation deficiencies
- Addressing infrastructure and resource matters
- Implementing aggregate spend reporting systems
- Drafting policies, procedures, and working instructions
- Training employees, vendors, and health care professionals
- Responding to government agencies and proposed regulations
- Analyzing preemption matters
- Informing clients of federal and state law developments
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Insights
Insights
- PublicationsMeasles Cases Top 1,000: A Crisis of Complacency2 minute read
- Media CoverageRichard Hughes Quoted in “States Loosen Vaccine Rules — Even as Measles Outbreak Rages”8 minute read
- Media Coverage
Richard Hughes Featured in Healthcare Matters, “Immunization at a Crossroads: Experts Weigh In from the World Vaccine ...
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- Media CoverageRichard Hughes Quoted in “Experts: Look to States and the Courts for Shifts in Vaccine Policy”5 minute read
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- Blogs
Aligning Business Goals with Legal Strategies Amid Regulatory Change – Speaking of Litigation Video Podcast
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- Media Coverage
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A with Richard Hughes, IV
4 minute read - Media CoverageRichard Hughes Quoted in “Supreme Court Grapples with Challenge to ObamaCare Preventive Care Panel”6 minute read
- Media CoverageWilliam Walters Quoted in “Supreme Court Appears Willing to Save ACA Preventive Services Task Force”3 minute read
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- PublicationsVaccine Advisory Committee Meetings Resume: What Lies Ahead?3 minute read
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- Media CoverageJames Boiani Quoted in “Drug Industry Worries About FDA Delays”3 minute read
- Media CoverageJack Wenik Quoted in “RFK Jr’s HHS Showing Mixed Signals for Dietary Supplement Sector”4 minute read
- Media CoverageRichard Hughes Quoted in “How RFK Jr. Could Threaten Vaccine Markets”5 minute read
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- Media Coverage
Jenny Nelson Carney Featured in AHLA’s Speaking of Health Law Podcast, “Top Ten 2025: Gender Affirming ...
2 minute read - PublicationsUS Courts Health Disaster as It Drops the Ball on Flu Preparedness2 minute read
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- Media CoverageRichard Hughes Quoted in “CDC Plans Study on Vaccines and Autism Despite Research Showing No Link”4 minute read
- Media CoverageRichard Hughes Quoted in “Trump’s FDA Nominee Grilled on Vaccine Meeting, Agency Staffing”8 minute read
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- Media CoverageRichard Hughes Quoted in “Kennedy's Early Warning Signs on Vaccine Policy”4 minute read
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- Media Coverage
Richard Hughes Discusses Why Payer Responsibility for Preventative Services May Hinge on Braidwood Management Inc. v ...
4 minute read - Media CoverageRichard Hughes Quoted in “Expert: Removing Shots from Childhood Schedule Would Nix Compensation”2 minute read