Case Evaluation

Subrogation Litigation Verdicts: Vioxx Trial Court Opinion Certifying the Class of Third Party Payors

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE COMMITTEE ON

OPINIONS

SUPERIOR COURT OF NEW JERSEY

COUNTIES OF

ATLANTIC AND CAPE MAY

CAROL E. mGBEE. J.S.C.

CASE:

DOCKET#:

RETURNDATE:

MOTION:

ATTORNEYS:

1201 Bacharach Boulevard

Atlantic City, NJ 08401-4527

(609) 343-2190

MEMORANDUM OF DECISION ON MOTION

Pursuant to Rule

1:6-2(0& Co., Inc.R. Buchanan

Having carefully reviewed the papers submitted and any response filed, I have ruled on

the above Motion as follows:

Plaintiff Intemational Union ofOperating Engineers Local No.

("Plaintiff', 'the Fund" or "Local

brings this motion for class certification. Plaintiff seeks to certify a nationwide class of thirdparty

non-government payors who have paid any person or entity for the purchase of the

prescription anti-inflammatory arthritis and acute pain medication Refocoxib that was

manufactured and marketed by Defendant Merck

under the brand-name VIOXX®. Merck opposes this motion.

68 Welfare Fund68"). individually and on behalf ofall others similarly situated& Company, Inc. ("Merck" or "Defendant")

(J)

"The Judiciary ofNew Jersey is an equal Opportunity/Affirmative Action Employer" 6

..

BACKGROUND

VIOXX® belongs to a class ofpain relievers called non-steroidal anti-inflammatory

drugs ("NSAIDs'). Other NSAIDs include prescription medications such as oxaprozin

(Daypro®) and diclofenac (Volaren®) as well as over-the-counter pain medications such as

ibuprofen (Advi1® or Motrin®), acetaminophen (Tylenol®) and naproxen (Alleve®). NSAIDs

are supposed to relieve pain and inflammation by inhibiting the body's production ofan enzyme

called prostaglandin G/H synthase. There are two forms of

("COX-l') and cyclooxygenase-2 ("COX-2',). Traditional NSAIDs, such as naproxen block

both COX-l and COX-2 enzymes. These traditional NSAIDs have been associated with adverse

gastrointestinal side effects. Such side effects are believed to include injuries and deaths from

gastrointestinal perforations, ulcers and bleeds ("PUBs') that occur in significant numbers every

year

Merck began developing VIOXX® in the early 1990s to address the adverse

gastrointestinal side effects of traditional NSAIDs. Merck proceeded on the theory that COX-l

protects the lining of the stomach, whereas COX-2 facilitates inflammation. VIOXX® and other

NSAIDs such as Celebrex®, known as COX-2 inhibitors have been developed to block only

COX-2 in order to reduce pain and inflammation without having the gastrointestinal PUBs

associated with traditional NSAIDs.

this enzyme, cyclooxygenase-lin the United States alone.

On

for VIOXX®

analyses from approximately two years worth ofpre-clinical testing. The IND was

demonstrate that Merck could safely test VIOXX® in healthy human patients. The FDA granted

2

December 16, 1994, Merck filed an Investigational New Drug Application ("IND')with the Food and Drug Administration ("FDA'). This IND included data andfiled to

approval to allow Merck to proceed with clinical studies. Consequently, Merck conducted 55

studies over the next four years comparing VIOXX® to other NSAIDs and placebo.

In October 1997, Merck sponsored one ofthese studies lead by Dr. Garrett FitzGerald, of

the University ofPennsylvania, known as Protocol 023 a.k.a. the FitzGerald Study. During this

study, Dr. FitzGerald observed that patients taking VIOXX® had significantly lower levels of

prostacyclin metabolites in their urine than patients taking placebo. Scientists believe that

prostacyclin in the bloodstream inhibits platelet aggregation - i.e. blood clotting. Dr. FitzGerald

hypothesized that ifVIOXX®, as a COX-2 inhibitor was causing reduced prostacyclin levels in

blood vessels, as well as urine, then it was possible that COX-2 inhibitors might result in

increased blood clots and associated cardiovascular events.

Plaintiff contends that the Merck Board ofScientific Advisors, an independent group of

scientists, in response to the FitzGerald hypothesis, recommended that Merck implement a

procedure in all future VIOXX® studies that would enable the company to develop data on a

pooled basis

Local 68 also contends that Merck never engaged in the studies recommended by the

FDA to properly evaluate the efficacy ofVIOXX®. Local 68 claims that Merck cancelled a

study that would compare the safety ofVIOXX® to Tylenol because such a study would

highlight the benefits of Tylenol. Plaintiff further contends that Merck simply avoided

conducting other Outcomes studies to determine ifVIOXX® had improved gastrointestinal

("GI") benefits because of the fear ofdemonstrating the possibility of increased cardiovascular

("CV') events.

3

to better understand future cardiovascular events during the clinical trials.

Local 68 maintains it can prove by using internal documents from Merck that Merck

scientists knew that the use ofVIOXX® caused pro-thrombotic effects and that taking VIOXX®

would increase the risk ofheart attack and strokes.

The plaintiff has presented to the court documents they maintain will prove that Merck

intentionally misrepresented the problem with VIOXX® and misrepresented its safety and

efficacy from 1997 to when they took it offthe market. Local 68 further contends it can prove at

trial that Merck intimidated and attempted to silence scientists who were concerned about the

cardiovascular risks ofVIOXX®. The plaintiffs have provided the court with internal e-mails

from 1997 and 1998 which they allege demonstrate an attempt by Merck employees to

manipulate studies and conceal safety information on VIOXX®. The court has been supplied

evidence that creates a factual issue as to whether Merck attempted to intimidate and silence

scientists and doctors who questioned the safety ofVIOXX®. Merck claims they did not make

intentional omissions or affIrmative misrepresentations and that

They claim they conducted all appropriate studies and that all scientific issues as to safety of

VIOXX® were revealed to the scientific community. Merck claims the statements

relied upon by plaintiffs are taken out ofcontext out ofmillions of documents produced. The

court cannot and should not make a determination as to the merits ofplaintiffs' claims here but

the court is very familiar

in fact they acted responsibly.in documentswith plaintiffs' allegations and Merck's defenses.

In

("VIGOR') trial to determine whether VIOXX® reduced the risk ofPUBs relative to naproxen.

The VIGOR trial had approximately 8,100 patients and the "unblended" results ofthe study were

released

trial. The results showed that there were fewer adverse GI events

4

January of 1999, Merck began the VIOXX® Gastrointestinal Outcomes Researchin March of2000. Patients requiring aspirin for cardiac reasons were excluded from thein participants taking

VIOXX® as opposed

from gastrointestinal events. There were fewer CV thrombotic events in patients taking

naproxen than in patients taking VIOXX®. The results, according to Local 68, also showed that

patients taking VIOXX® suffered more than twice as many serious CV events and five times as

many heart attacks than patients taking the drug naproxen.

Merckts position is that because VIGOR did not compare VIOXX® against a placebo,

the results could not explain whether the increased CV events were associated with prothrombotic

effects ofVIOXX®, or a cardio-protective effect associated with naproxen, or just

chance. Merck claims that after receiving the VIGOR results, it expedited studies where

VIOXX® was being compared to placebo

Alzheimer's disease. Merck also contends that the analysis ofthese studies indicated that there

was no statistically significant difference in the CV rate between patients receiving VIOXX®

and those receiving placebo.

to naproxent however, the plaintiffmaintains it did not decrease deathsin patients seeking prevention or being treated for

In

Officer, Raymond V. Gilmartin. The letter stated Merck's promotional activities in relation to

VIOXX® were "false, lacking in fair balance, or otherwise misleading." The letter suggests that

Merckts promotional activities for VIOXX® minimized the potentially serious adverse findings

ofthe drug, made unfounded claims ofthe drug's superiority compared to other NSAIDs, and

promoted VIOXX® for unapproved uses and in unapproved doses.

approved revised labeling for VIOXX® incorporating the VIGOR results and indicating the

number and breakdown ofserious CV thrombotic events in the groups ofthe VIGOR study. The

meaning ofthe VIGOR results are disputed by the parties. Plaintiffpoints to various documents

they state are evidence that the results were purposely misstated by Merck. Merck denies this

September 2001, the FDA issued a Warning Letter to Merck's then ChiefExecutiveOn April 11, 2002, the FDA

5

and claims the statements that the plaintiff relies on are taken out ofcontext and all studies were

properly done and all results disclosed.

After learning ofthe VIGOR results, Merck began to design a large study of VIOXX®.

In

prostate cancer. One of these trials was a three-year study to detennine ifVIOXX® could

prevent recurrent colon polyps and was known as APPROVe. The preliminary results of

APPROVe showed an increased rate of adverse CV events in study participants taking 25mg

VIOXX® as compared to patients receiving a placebo.

Safety Monitoring Board for APPROVe delivered preliminary results and recommended that

Merck stop the study because ofthe number ofadverse cardiovascular events.

2004, Merck voluntarily withdrew VIOXX® from the worldwide market.

Prior to

been widely. prescribed and generated billions ofdollars in revenue each year for Merck.

Plaintiff argues the success ofVIOXX® depended upon false representations concerning the

drug to third party payors.

Local 68 is a joint union-employer Taft-Hartley trust fund, organized and operating in

New Jersey. Local 68 provides health care benefits to its members, including a prescription drug

plan. Horizon Blue Cross/Blue Shield ofNew Jersey ("BCBS-NJ") administered the healthcare

benefits plan for Local 68, including their prescription plan. Companies known as prescription

benefit managers ("PBMs") often manage the prescription drug benefit programs

2001, Merck began a study involving three long-tenn trials in patients at risk ofcolon orOn September 23, 2004, the ExternalOn September 3D,its withdrawal, VIOXX® was one ofMerck's best selling drugs. VIOXX® hadoimost

healthcare plans under contracts with managed care organizations and healthcare plan

administrators. A PBM, either Pain Prescriptions, Inc. or Advance

pes, managed Local 68's

6

-

prescription benefit program under contract with BCBS-NJ during the time period relevant to

this matter.

Additionally, third-party payors often have Pharmacy and Therapeutics Committees

("P&T Committees'), made up ofindependent healthcare professionals, that advise healthcare

plans on which prescription drugs should be provided to plan participants and recommending the

conditions that must be met before a prescription will be filled. P&T Committees generally

consist ofpracticing physicians, pharmacists, and other health care professionals. Virtually

every healthcare plan that provides prescription drug benefits by today's industry standards has a

drug "formulary," i.e. a list ofprescription and non-prescription drugs that the plan's prescription

drug benefit will provide coverage for. Healthcare plans generally engage P&T Committees to

make recommendations or decisions about which drugs to include on their formularies. P&T

Committee members assess the clinical efficacy and safety ofnew drugs, on an on-going basis,

from many different sources of information in rendering a decision to include or to recommend

inclusion ofa drug onto a formulary. Such information includes clinical data provided to the

FDA by the drug's manufacturer, peer-reviewed medical literature, media publications, leading

physicians and scientists' statements, alternative treatments and economic issues. The result of

the P&T Committee's findings usually determine the level ofpreferential treatment a drug will

get on the formulary. The level ofpreference a drug is assigned corresponds with the amount a

plan participant must contribute as a co-payment to receive that drug.

Each P&T Committee is different and as a result, different healthcare plans may provide

varying amounts ofbenefit coverage for different drugs. The P&T Committee for BCBS-NJ,

and thus for Local 68, determined that VlOXX® should be listed on its formulary as a preferred

brand drug that required plan participants to contribute a mid-level co-payment. The status of

7

VIOXX® on the fonnularies ofother health plans and plan administrators will have varied based

upon the types ofbenefits that each plan offered and on the recommendations made by each

individual P&T Committee. However, as previously stated P

that is distributed nationally, such as clinical data, medical literature, media publications and

opinions ofleading physicians and scientists. Plaintiff alleges Merck engaged in a nationwide

campaign to get VIOXX® on the third party payors' fonnularies.

BCBS-NJ and its P&T Committee, as the plan administrator for Local 68, were

responsible for making the decision as to VIOXX® being included in the fonnulary that its

members were able to access for their prescriptions benefits.

Here, the proposed class would consist

oversee the authorization and processing ofmedical claims and prescription purchases sought by

their members and pay for the prescription benefit portion of the drug's costs. The proposed

class ofthird-party payors does include a variety ofentities such as insurance companies, health

maintenance organizations ("HMOs"), large employers, managed care organizations ("MCOs")

and Taft-Hartley groups. While BCBS-NJ acts as a plan administrator for Local 68 and other

similar entities that provide medical benefits, it can also fimction as a third-party payor under the

proposed class.

In

reversed a dismissal for failure to state a claim of a similar third party payors class action. In that

case, Louisiana Health Service Indemnity d/b/a Blue CrossIBlue Shield ofLouisiana and Eastern

States Health

on claimed misrepresentations by the pharmaceutical company that manufactured and marketed

Rezulin, a diabetes medication. The class action asserted a claim under New Jersey law because

the case ofDesiano v. Warner-Lambert, 326 F.3d 339 (2dCir. 2003), the Court& Welfare Fund brought an action on behalfofall similar third party payors based

8

the manufacturer was a New Jersey corporation. The Desiano Court viewed the motion under

New Jersey law. The motion

being the direct buyers and therefore having no standing. The Circuit Court described the claim

as follows:

The Plaintiffinsurers assert that, had they not been deceived by the Defendants'

misrepresentations about the safety ofRezulin, they would have taken steps so as

not to purchase Rezulin at the prices set by Warner-Lambert. Among the steps

Plaintiffs might have taken were to exclude it altogether from their approved

schedules, set a low scheduled value, set a

dissuade doctors from prescribing it. Taking account ofthese allegations, the

harm to the insurers was not indirectly caused as a result of the Defendants'

misleading ofothers; the insurers were directly harmed by the deception practiced

on them. Id. at 349 n.9.

In reversing the dismissal by the U.S. District Court the 2nd Circuit held "[T]his and

other courts have long recognized the right ofHBPs to recover from drug companies amounts

that were overpaid due to illegal or deceptive marketing practices." Id. at 350.

Plaintiff filed a complaint in this matter alleging that as a result ofMerck's marketing,

advertising, promotion, and sale ofVIOXX®, third-party payors paid approximately 800% more

than they should and/or would have for the prescription drug. Plaintiffalleges that Merck knew

ofthe harmful effects ofVIOXX® years prior to its withdrawal from the market and that it

suppressed this information and continued to aggressively market the drug without properly

disclosing the information to the FDA and to the public. Plaintiff alleges that at the time

VIOXX® was being developed, the patents on some ofMerck's most successful drugs were

about to expire and the company needed a successful "blockbuster" drug to offset the loss of

these revenue sources. Plaintiff alleges that the need to develop a blockbuster drug was

compounded by the competition ofPfizer, another drug company, that was developing Celebrex

and scheduled to have

to dismiss was based primarily on the health benefit companies nothigh copay obligation, and otherwiseit hit the market a few months ahead ofVIOXX®. The complaint initially

9

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consisted oftwo counts, claiming common law fraudulent misrepresentation and/or suppression

as well as violations ofthe New Jersey Consumer Fraud Act ("CFA") (N.J.S.A.

seq.).

common law fraud claim.

Plaintiff's complaint alleges that most purchases ofprescription drugs in this country are

paid for by third-party payors. According

a given third-party payor's formulary, that third-party payor will not contribute any money to the

purchase ofthe drug and the cost would be borne entirely by the member. When this happens,

the member usually chooses a substitute drug ofthe same class that is on the formulary and paid

for by the third-party payor.

§ 56:8-1, etThe plaintiffnow seeks class certification only under the CFA and is not pursuing ato Plaintiffs complaint, if a prescription drug is not on

It

purchased through third-party payors, it is very important for a drug manufacturer to have their

product listed on the formularies of as many third-party payors as possible. The Plaintiff alleges

that Merck provided false and misleading information regarding the safety and benefits of

VIOXX® to third-party payors and to the public through direct-to-consumer advertising in order

to have VIOXX® listed on their formularies. As a result ofthese actions, PlaintitT alleges that

Merck was able to gain significant market share compared to other drugs of the same class made

by Merck's competitors.

More specifically, according to Plaintiff's complaint, a 30-day supply ofVIOXX® sold

for approximately $72.00 while traditional NSAIDs sold at $9.00 or less for the same quantity.

PlaintitTcontends that as a result of Merck's fraudulent and unconscionable commercial

practices for marketing and selling VIOXX®, it was able to induce third-party payors into

including the drug on their formularies at a favorable tier thus paying much more than they

is the Plaintiff's contention that due to the large number ofprescriptions that are

10

otherwise would have for other NSAIDs that were available. Plaintiff asserts that if it and other

third party payors knew ofthe negative infonnation concerning the safety, efficacy, and benefits

ofVIOXX®, they would not have agreed to provide coverage for the drug, or at least not on the

terms that were approved. Plaintiff claims that because Merck misrepresented and concealed

infonnation about VIOXX®, third-party payors paid vast amounts of money over what they

should have and otherwise would have, had accurate infonnation about the drug been disclosed.

Plaintiffhas brought the present motion seeking a certification for the class described as

follows:

All third-party payors

person or entity for the purchase ofthe prescription drug VIOXX® (rofecoxib)

since May 1, 1999. Third-party payors include any non-governmental entity

that is (i) a party to a contract, issuer of a policy, or sponsor of a plan, which

contract, policy, or plan provides prescription drug coverage to natural persons,

and is also (ii) at risk, pursuant to such contract, policy, or plan, to purchase or

pay for all or part of the cost ofprescription drugs dispensed to natural persons

covered by such contract, policy or plan. Excluded from the Class are (1)

employees ofdefendant, including its officers or directors; (2) Plaintiffs

counsel; and (3) the Judge of the Court to which this case is assigned.

(plaintiffComplaint

Plaintiff argues that this proposed class satisfies the requirements ofR. 4:32-I(a) and

in the United States ofAmerica, who have paid any~ 37).R. 4:32-

1(b)(3)1.

personal injury claims.

Merck opposes this motion arguing that a multi-state class action is inappropriate; that

the case would be unmanageable as a class action due to predominating individual issues; and

that Local 68 is not an adequate class representative. Merck asserts that a class action would be

inappropriate because New Jersey's choice oflaw rules would require that the consumer fraud

The class does not include individual consumers, any government payors nor any

1

Plaintiff is not seeking certification for

for negligence or products liability.

As stated, Plaintiff is only seeking certification for only economic claims under the CFA.its common law fraud claim. There are no other claims

11

law ofthe home state of each putative class member would

unmanageable.

Supreme Court or Appellate Division level decision as to whether New Jersey Consumer Fraud

Act can be applied to a class action involving out ofstate plaintiffs and a New Jersey defendant.

apply~ making the proposed classThis is a key issue in the decision on class certification. There is no controlling

Defendant claims that individual issues such as demonstrating an ascertainable economic loss

from Merck

omissions caused a putative class member's loss would predominate this litigation and make a

class action unmanageable.

representative because its claims and defenses are not typical ofthe other proposed class

members and because potential conflicts of interest as well as a lack of decision-making control

make Local 68 an inadequate representative for the proposed class.

ANALYSIS

As a preliminary issue, it should be noted that the Complaint in this matter was filed on October

30,2003, prior to the passage ofthe Class Action Fairness Act of2005. The proyisions ofthe Class

Action Fairness Act apply only to civil actions commenced on or after the date the Act was enacted,

February 18, 2005. Pub.L.

apply to the matter at hand and this court has the authority to certify a nationwide class provided that

procedural due process is complied with, under Phillips Petroleum v. Shutts, 472 U.S. 797,811-812

(1985). The Class Action Fairness Act of 2005 has the effect of allowing removal of nationwide class

actions filed in State court for cases filed after February 18, 2005. See 28 U.S.C.A. § 1332. However,

Congress specifically narrowed the Class Action Fairness Act to exclude lawsuits that were pending at

the time the legislation was enacted regardless ofwhether class certification had been granted yet.

12

Pritchett v. Office DtIDot. mc., 404 F.3d 1232, 1236 (lOth Cir. 2005) (finding that for purposes ofthe

Class Action Fairness Act, an action is considered commenced at the time it is filed in the state court).

Thus, as this matter was filed prior to the Class Action Fairness Act being enacted, this vroxx® related

class action against Merck is unaffected by it. See rd. (citing the statement ofa Congressional

Representative that the Class Action Fairness Act would not effect the numerous class actions pending

against Merck due to its withdrawal ofVIOXX®).

Class Actions In General

R. 4:32-1 governs the requirements for maintaining a class action under New Jersey law.

Part (a) of the Rule provides for certain prerequisites that a proposed class must demonstrate ifit

is even to be considered for class status. It provides:(l) the(B)

adjudications with respect to individual members ofthe class which would as a

practical matter be dispositive ofthe interests ofthe other members not parties

to the adjudications or substantially impair or impede their ability to protect

their interests; or

(2) the party opposing the class has acted or refused to act on grounds

generally applicable to the class, thereby making appropriate final injunctive

relief or corresponding declaratory relief with respect to the class as a whole;

or

13

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(3) the court finds that the questions of law or fact common to the members of

the class predominate over any questions affecting only individual

members~

and that a class action is superior to other available methods for the fair and

efficient adjudication ofthe controversy. The factors pertinent to the findings

include: first, the interest ofmembers ofthe class in individually controlling

the prosecution or defense of separate actions; second, the extent and nature of

any litigation concerning the controversy already commenced by or against

members ofthe class; third, the difficulties likely to be encountered in the

management of a class action.

"[T]he class action rule should be construed liberally in a case involving allegations of

consumer

purchasers of automobiles with certain defects). A New Jersey court should consider equitable

principles that would allow class actions where consumers with a common injury are seeking

redress that would be uneconomical to pursue individually. Varacallo v. Massachusetts Mutual

Life Insurance. Co., 332 N.J. Super. 31,45 (App. Div. 2000). However, certification ofa class

action may only be done after a court has undergone a "rigorous analysis" and determined that

the requirements ofR. 4:23-1 have been satisfied. Carroll v. Cellco Partnership, 313 N.J. Super.

488,495 CAppo Div. 1998) (quoting General Telephone Co. v. Falcon, 457 U.S. 147, 161

(1982».

The burden of establishing that class status is appropriate is on the plaintiff. Id. at 494.

A motion for class certification must be determined upon the criteria for maintaining a class

action and not upon the plaintiffs chances ofprevailing on the merits. Delgozzo v. Kenny, 266

N.J. Super. 169, 180-181 (App. Div. 1993). 'The court is bound to take the substantive

allegations ofthe complaint as true, thus necessarily making the class order speculative in the

sense that the plaintiffmay be altogether unable to prove his allegations." Id. (quoting Blackie v.

Barrack. 524 F.2d 891, 901 n. 17 (9

even the identification ofthe issues to determine the suitability ofan action for certification

14

fraud"~ In re Cadillac, 93 N.J. 412,435 (1983) (certifying a state-wide class ofth Cir. 1975), cert. den., 429 U.S. 816 (1976». "Nonetheless,

requires some preliminary analysis."

analysis ofmatters outside the pleadings is necessary because in order to make a proper decision

regarding class certification, "a court must understand the claims, defenses, relevant facts, and

applicable substantive law..." Carroll,

American Tobacco Co., 84 F.3d 734,744 (5

A general summary ofthe claims, defenses and relevant facts has been provided thus far.

A briefdiscussion ofthe substantive law underlying Plaintiffs complaint is appropriate prior to

determining the outcome ofthis motion.

In re Cadillac, supra, 93 N.J. at 426. This preliminary~313 N.J. Super. at 495 (quoting Castano v.th Cir. 1996».

The New Jersey Consumer Fraud Act

The Plaintiffs complaint alleges that Merck violated the New Jersey CFA. One

provision of the CFA, N.J.S.A. 56:8-2, pertains to the unlawful use offraud in connection with

the sale or advertisement ofmerchandise. The statute provides in relevant part:

The act, use or employment by any person of any unconscionable commercial

practice, deception, fraud, false pretense, false promise, misrepresentation, or

the knowing, concealment, suppression, or omission ofany material fact with

intent that others rely upon such concealment, suppression or omission, in

connection with the sale or advertisement ofany merchandise or real estate, or

with the subsequent performance ofsuch person as aforesaid, whether or not

any person has in fact been misled, deceived or damaged thereby, is declared

to be an unlawful practice...

This provision can be violated by an affirmative act, omission, or violation of an administrative

regulation. Gennari v. Weichert Co. Realtors, 148 N.J. 582,605 (1997). "While the element of

traditional reliance required in a fraud case need not be proven in order to recover damages under

the CFA, a private plaintiffmust still 'prove a causal nexus between the alleged

[misrepresentation]' and his or her damages." Dabush v. Mercedes Benz USA, LLC, 378 N.J.

Super. 105, (App. Div. 2005) (internal citations omitted).

15

Consumer fraud violations can be divided, broadly, into three categories:

affinnative acts, knowing omissions and regulatory violations. Cox v. Sears

Roebuck

demonstrates that a defendant committed a consumer fraud that is an

affinnative act, ttintent is not an essential element."

alleged consumer fraud is the result of a defendant's omission, "plaintiff must

show that the defendant acted with knowledge, and intent is an essential

element ofthe fraud." rd. at 18.

"intent is not an element ofthe unlawful practice, and the regulations impose

strict liability for such violations." Ibid.

Feinberg v. Red Bank Volvo, Inc., 331 N.J. Super. 506,510 (App. Div. 2000).

Additionally, N.J.S.A. 56:8-19 ofthe CFA details the relief available to claimants. The

statute provides:

Any person who suffers any ascertainable loss of moneys or property, real or

personal, as a result ofthe use or employment by another person of any

method, act, or practice declared unlawful under this act or the act hereby

amended and supplemented may bring an action or assert a counterclaim

therefore in any court ofcompetent jurisdiction. In any action under this

section the court shall, in addition to any other appropriate legal or equitable

relief, award threefold the damages sustained by any person

actions under this section, including those brought by the Attorney General, the

court shall also award reasonable attorneys' fees, filing fees and reasonable

costs of suit.

"Thus, to state a claim under the CFA, a plaintiff must allege each ofthree elements: (1)

unlawful conduct by the defendants; (2) an ascertainable loss on the part ofthe plaintiff; and (3)

a causal relationship between the defendants' unlawful conduct and the plaintiffs ascertainable

loss." New Jersey Citizen Action v. Schering-Plough Corp. 367 N.J. Super. 8, 12-13 (App.

Div.), certif. denied 178 N.J. 249 (2003).

A cause ofaction under the CFA differs from a claim ofcommon law fraud, "in that

common law fraud requires proof ofreliance while consumer fraud requires only proof ofa

causal nexus between the concealment ofthe material fact and the loss." Varacallo,

N.J. Super. at 43.

16

& Co.. 138 N.J. 2, 17,647 A.2d 454 (1994). If a plaintiffIbid. If, however, theIn the final category, regulatory violations,in interest. In allsupr~ 332

In

information with the intent that third party payors' decision on formulary placement would be

affected and prove there was a causal relationship between the formulary decisions and the

misrepresentations. It is not necessary to prove that the third party payors decisions were basedIn the case of Kaufman v.A. Here, plaintiffs allege they

part ofthe decision making process in the formulary decisions made by third party payors. The

fact that the price was so much higher than other older medications on the market goes to the

damages claimed, not to proof of causal link. The complaint alleges that Merck provided false

and misleading information to the decision makers used by third-party payors in a deliberate

attempt to get

fraudulent information decisions were made that resulted

of such claims, they are distinct from the fraud on the market/price inflation theory.

FINDINGS

VIOXX® listed on the formularies ofhealth care providers, and based on thisin damages. Regardless ofthe veracity

A.

The Requirements of Rule 4:32-1(a)

Before determining if the class action is maintainable, the court must determine that the

proposed class meets all of the prerequisites ofR. 4:32-1(a).

1.

Numerosity

In

that joinder of all members is impracticable. R. 4:32-I(a)(I). There is no predetermined number

order to meet the first prerequisite ofa certifiable class, the class must be so numerous

to

the exact size of the proposed class

Corp., 365 N.J. Super. 520, 557 (Law Div. 2003); see also Delgozzo, supra, 266 N.J. Super at

184-185.

establish when numerosity has been achieved and further, a plaintiffdoes not need to knowin order to satisfy this requirement ofthe rule. Fink v. Ricoh

In

may qualify as class members and

the matter at hand, Plaintiff does not know the exact number ofthird-party payors thathas not even provided an estimate. Third-party payor funds,

such as Plaintiff, are fairly common in New Jersey and throughout the United States. While

Plaintiffhas not provided figures relating

can be presumed at this point that such a class would ... be sufficiently numerous to meet this

18

to the estimated size of the overall proposed class, "it

criterion." Delgozzo, supra, 266 N.J. Super. at 184-185. Numerosity in this matter can be

inferred primarily because ofthe prevalence of third-party payors in providing prescription

benefits and also because of the overall success ofVIOXX® while it was on the market. Indeed,

Merck's

has basically conceded the proposed class meets this requirement.

2. Commonality

The second prerequisite for certification is that "there are questions oflaw or fact

common to the class."

class, and indeed a single common question may be sufficient to satisfy this requirement. Fink,

supra, 365 N.J. Super. at 558, citing Delgozzo, supra, 266 N.J. Super. at 185. "The existence of

questions concerning individual representations made to a plaintiff, or relating to proof of

damages, should not be a bar to upholding a class action where there are significant common

questions as to liability." Delgozzo, supra, 266 N.J. Super. at 185.

Here, there are clearly questions of fact and law common to all members ofthe proposed

class. The complaint in this matter alleges fraudulent misrepresentation and violations of the

CF

the outcome of the case does hinge on the conduct of Merck in making representations about its

drug. This issue will be relevant to all third-party payors that could potentially be members of

this class.

Local 68 has provided the court with a list of questions that they assert would be common

to all members ofthe proposed class. The list includes:

• Whether Merck concealed or suppressed material information regarding the safety and

efficacy ofVIOXX®;

• Whether Merck misrepresented the safety and efficacy ofVIOXX®;

R. 4:32-I(a)(2). Not every question needs to be common throughout theA. While the matter at hand is not based on physical injury from consumption ofVIOXX®,

19

• Whether Merck engaged in deceptive or misleading promotional campaigns designed to

induce class members to add VIOXX® to their formularies, or to authorize the purchase

ofVIOXX® by their plan participants;

• Whether Merck violated the CFA; and

• Whether, as a result ofMerck's misrepresentations and failure to disclose material

information regarding the safety and efficacy ofVIOXX®, class members were

damaged.

The court finds that these questions

global corporation. Many ofthe alleged wrongdoings Plaintiff alleges Merck to have committed

are claimed to have been done high within the corporate structure in order to have a uniform

message regarding the efficacy and safety ofVIOXX® distributed throughout the marketplace.

are common to the members ofthe class. Merck is a large,

In

CFA, they would have to establish the same activities as other plaintiffs alleging fraud related to

VIOXX®.

There are ofcourse, individual issues that will pertain to each class member. While these

issues may indeed be significant, there has been a sufficient showing ofcommon issues ofIaw

and fact to satisfy the commonality prerequisite ofR. 4:32-1 (a)(2).2

order for any individual plaintiff to establish that Merck committed fraud in violation ofthe

3. Typicality

The third prerequisite for class certification is that "the claims or defenses of the

representative parties are typical ofthe claims or defenses ofthe class." R.4:32-1(a)(3).

According to the New Jersey Supreme Court, this means that "[t]he claims ofthe representatives

must 'have the essential characteristics common to the claims ofthe class.'"

In re Cadillac,

2

The court will discuss whether these common questions meet the "predominance" element ofR. 4:32-1(b)(3) infra.

20

supra, 93 N.J. at 425 (quoting 3B Moore's Federal Practice, para. 23.06-2 (1982». "A plaintiffs

claim is typical ofthe claims of the class if it arises from the same event or course ofconduct

which has given rise to the claims ofthe other class members." Gross v. Johnson

Consumer Pharmaceuticals Co., 303 N.J. Super. 336, 342 (Law Div. 1997).

Merck argues that certification cannot be granted because Local 68 is not an adequate

class representative. Merck claims that Plaintiffcannot represent the proposed class because: (1)

the Plaintiff is not typical ofmost-third party payors because plaintiffhad no role in deciding

whether its plan would or would not cover VIOXX®; (2) because ofreason #1, Plaintiff cannot

prove that Merck's alleged misrepresentations caused it to incur any obligation to pay for

VIOXX®; and (3) Local 68 may have a claim against BCBS-NJ, also a putative class member,

as the healthcare plan administrator that Local 68 retained to manage its healthcare plan.

Merck argues that Local 68 is atypical ofthe proposed class members because it retained

BCBS-NJ to manage its healthcare plan and because it was BCBS-NJ that received all the

information regarding VIOXX® and made the ultimate decision to list the drug on its formulary.

Local 68 contends that whose role in deciding whether VIOXX® would be covered under their

prescription plan is irrelevant because the third-party payor ultimately bore the responsibility of

paying for the drug.

Plaintiff's complaint alleges that the members of the proposed class were damaged when

they paid more money than they otherwise would have for VIOXX® because of fraud

perpetuated by Merck. The court finds that whether the representations were made to an

employee of Local 68 or to an agent or administrator that it retained does not appear to affect the

end result that Plaintiffdid ultimately pay for its members to receive VIOXX®. New Jersey law

has established that a principal is deemed to have the knowledge or notice provided to an agent

21

& JohnsonMerck

while the agent is acting within the scope of his or her duties. Benjamin v. Corcoran, 268 N.J.

Super. 517,529 (App. Div. 1993). Additionally, there is no indication that Local 68 is less

typical than other proposed class members merely because it retained an agent to manage its

healthcare program. Merck's own witness, Dr. Kolassa, has testified that it is common for

companies like BCBS-NJ to administer the healthcare plans for third-party payors.

In Kaufinan v. I-Stat Corp.,

New Jersey already allows proof of indirect reliance to satisfy this element.

349,735 A.2d 606. Indirect reliance has also been adopted by the

supr~ the Supreme Court ofNew Jersey stated:Id. atRestatement

(Second of Torts

representation initially made to party A who the maker knew or had reason to

expect would communicate the information to party B such that the information

would influence party B's conduct in a transaction.

for situations involving reliance by party B on a falseIbid. (citing Restatement

(Second) ofTorts

§ 533 (J977)).

165 N.J. at 101.

Thus, if the third party payors can prove fraudulent misrepresentation and/or omissions caused

them to act, then it doesn't matter if the misrepresentations were made to intermediaries or

administrators ofthe plan. A causal relationship is what is required.

Merck also argues that Local 68 is not a typical class member because Merck's

disclosures about VIOXX® changed over time as new information developed. Defendant

consequently asserts, that for this reason there is

claims of the proposed class. The court finds that while the disclosures may have changed over

time, the plaintiffs claim is that the omissions and misrepresentations about VIOXX:® remained

essentially the same for all third-party payors and continued until the drug was taken offthe

market.

Plaintiff's complaint sets forth allegations that Merck realized VIOXX® caused adverse

side effects that were not properly disclosed to the FDA or the public years before the drug was

pulled offthe market. Plaintiff contends that this realization occurred prior to VIOXX® gaining

22

no typical representative who can advance the

FDA approval and that despite its awareness ofthe potential hannful effects ofthe drug, Merck

omitted or misrepresented infonnation in order to improve sales of the drug and increase its

profits. The underlying theme ofPlaintifrs cause ofaction is that Merck, from at least the time

ofthe FitzGerald hypothesis, to the time ofthe drug's withdrawal, misrepresented or omitted

essential information about VIOXX®. The fact that some ofthe marlceting varied over the years

that VIOXX® was on the market does not indicate that the alleged misrepresentations were

inconsistent, nor does it indicate that Local 68 is an atypical class member. The court has

reviewed documents the plaintiff relies upon and Merck's response but it is not necessary to

discuss the proposed proofs here. There are clearly issues offact but Local 68 appears to be a

typical member ofthe class as

relied to place and keep VIOXX® on it formulary.

With regards to typicality, Merck finally contends that it has a unique defense against the

claims brought by Local 68 and the need to respond to this defense will affect it's ability to

represent the proposed class. Merck asserts that it can rebut the existence of a causal nexus

between Merck's conduct and Plaintiffs alleged loss because Plaintiff continued to pay for

VIOXX® after it knew of Merck's alleged misrepresentations and omissions. Plaintiffs claim

that once a drug is on a fonnulary and a number ofmembers ofa payor's organization have been

receiving the drug, it is very difficult to remove a drug and this would be true for all third party

payors.

The court does not believe

common to most third party payors. As the identities ofpurported class members are as yet

wtknown, it is impossible to detennine whether Merck's rebuttal ofa causal nexus is actually a

unique defense but it will probably apply to most, ifnot all, class members. Similarly, at this

23

far as how it obtained infonnation and on what infonnation itthis is a 'unique' defense. It may in fact be a defense but one

-------------

point

significant portion of Local 68's time and energy. See

181 F.R.D. 380, 385 (N.D.

unique to the class representative became unduly burdensome for the representative, typicality

would be destroyed). Merck has not provided sufficient evidence to refute the assertions made

by Plaintiff that the typicality prong ofR. 4:32-1(a)(3) has been met.

in the litigation, there is no support for Merck's contention that this defense will usurp aIn re eBC Co. Collection Letter Litig.,TIl. 1998) (granting class certification, but noting that if a defense

4. Adequacy of Representation

The fourth prerequisite for class certification is that "the representative parties will fairly

and adequately protect the interests ofthe class." R.4:32-1(a)(4).

requirement:

conduct the proposed litigation, and (b) the plaintiffmust not have interests antagonistic to those

ofthe class." Delgozzo,

104 F.R.D. 422, 430 (D.C.Pa 1984». "The defendant bears the burden of demonstrating that the

proposed representation will be inadequate." Id.

In order to meet this"(a) the plaintiff's attorney must be qualified, experienced, and generally able tosupr~ 266 N.J. Super. at 188 (quoting In re Asbestos School Litigation,

In

68 may have interests adverse to a potential class member, namely BCBS-NJ. Loca168 filed its

complaint in this matter

for VIOXX®

asserts that the plaintiffhas a potential claim against BeBS as Local 68's administrator for

retaining VIOXX® on its fonnulary. the simple answer to this is that plaintiffhas not asserted

any claim against BCBS and does not intend to assert any claim against BCBS. Plaintiff alleges

Merck made misrepresentation that resulted in BCBS and Local 68 and all other class members

24

its opposition to this motion, Merck attempts to meet this burden by arguing that Localin October 2003 claiming that it would not have paid such a high pricehad Merck not misrepresented or omitted infonnation about the drug. Merck

.

«

paying for an expensive product under the misconception it was safer than the products on the

market.

Merck also argues that Plaintiffcannot adequately represent putative class members

because it had no control over whether it would purchase VIOXX® because it left such matters

up to BCBS-NJ. This issue was similarly addressed

The submissious of the parties in relation to this motion show that it is common for a third-party

payor to hire an administrator such as BCBS-NJ to handle its healthcare program. Local 68

admittedly delegated the choice ofwhat drugs were listed on the formulary to BCBS-NJ.

However, Local 68 was the payor in the relevant transactions and therefore constitutes an

adequate class representative. Local 68 collected funds for its members, retained BCBS-NJ, and

paid for the health care benefits provided to its members. The mere fact that BCBS-NJ, acting as

an agent for Local 68, decided how to place the drug to be on the formulary of Local 68 does not

destroy the causal link.

With regards to the qualifications of counsel for Local 68, Merck has not contested their

qualificatious and the court is satisfied that the attorneys are qualified and sufficiently

experienced to conduct this litigation.

knowledgeable about VIOXX®. Christopher Seeger is both liaison counsel in New Jersey where

the largest number ofVIOXX® cases are filed, and also on the Plaintiffs Steering Committee in

the MDL. He and his firm have lead the discovery process in VIOXX® litigation. They are well

respected among the mass tort bar. The seven million documents already produced in the

VIOXX® litigation are maintained in a depository at Seeger Weiss's offices.

in the discussion ofthe typicality prong.In fact, there is probably no other law firm as

B. The Requirements

or Rule 4:32-1(b)(3)

25

The only one ofthe three alternative requirements necessary for class certification under

R.

class meets this requirement, the court must decide two issues: "(1) whether plaintiffs have met

the burden ofproving that common questions oflaw and fact predominate over individual claims

and (2) whether a class action is superior to other methods of adjudication." In re Cadillac,

supra, 93 NJ. at 426.

and law but not to the extent that would be required in a summaryjudgment motion or at trial.

4:32-1(b) that is relevant to this case is R. 4:32-1(b)(3). In order to determine ifthe proposedIn deciding these issues, the court must identify the relevant issues of fact

In

consideration ofthree factors: (1) "the interest of members ofthe class in

individually controlling the prosecution or defense of separate actions;" (2)

"the extent and nature of any litigation concerning the controversy already

commenced by or against members ofthe class;" and (3) 'the difficulties likely

to be encountered in the management of a class action."

Carroll,

determining predominance and superiority, R. 4:32-1(b)(3) dictates§Ylm!, 313 N.J. Super. at 495 (internal citations omitted).

1.

Predominance ofCommon Issues

The predominance requirement is more difficult to establish than the commonality

prerequisite. See Amchem Prods.. Inc. v. Windsor, 521 U.S. 591,623-624 (1997). The plaintiff

bears the burden of showing that 'the questions oflaw or fact common to the members of the

class predominate over any questions affecting only individual members." R. 4:32-1 (b)(3); Fink,

~

to the class outweigh those that are not." Id. at 568.

number that detennines whether a class will predominate over individuals. Id. "A conclusion on

the issue ofpredominance requires an evaluation ofthe legal issues and the proof needed to

establish them." In re Cadillac,

Although plaintiffs

elements, the critical question remains whether the benefit from the

26

365 N.]. Super. at 567. This means that a plaintiffmust demonstrate that "issues commonIt is the significance ofthe issues, not the~93 N.J. at 430.1 causes ofaction embrace common legal and factual

detennination in a class action ofthe existence of a common defect and a

common pattern of fraud outweighs the problems of individual actions

involving such other issues as causation, reliance, and damages.

Id.

"If a common nucleus of operative facts is present, predominance may be found. From another

perspective, the basic question is whether the potential class, including absent members seeks 'to

remedy a common legal grievance.'" Id. at 431 (internal citations omitted).

For certification ofa nationwide class, a predominance inquiry must include an analysis

ofvariations in state law. Carroll, supra, 313 N.J. Super. at 496. This is because variations in

state law and how the court would deal with such variations could overwhelm common issues

and negate predominance. Id. A court must also consider 'whether any individual class member

expressed an interest in controlling this litigation, or whether there was any pending litigation

that might have already been commenced by or against the members ofthe class." Id. at 497.

In

Carroll, the court was faced with whether to affirm a nationwide class. With regards to the issue

of conflict of laws, the court stated:

This court has determined that conflict of law issues do not per se foreclose

certification ofa multistate class. Delgozzo v. Kenny, 266 N.J.Super. 169, 190,

628 A.2d

ofthe different state laws and the effect on the predominance ofcommon legal

issues is not necessary. A thorough analysis of state laws is particularly

important in circumstances where... there is a possibility that common issues

could be subsumed by substantive conflicts in state laws... Ofcourse,

depending on variations in state laws, the members ofthe class in different

states may be grouped into subclasses. See id. at 188, 628

may be differences in how each state defines common law fraud, negligent

misrepresentation, or consumer fraud, thus making a trial judge's task of

instructing a jury on relevant law impossible.

Carroll, suprl!, 313 N.J. Super. at 497 (reversing and remanding class

certification in part for a more thorough analysis of choice of law issues).

For purposes ofthis motion a choice oflaw analysis is necessary. Should the laws of

every state apply, a nationwide certification would be much less manageable. Additionally, the

27

1080 (App.Div.1993). However, this does not imply that an analysisA.2d 1080. But there

court must detennine whether individual issues pertaining to proofs, causation, and damages

outweigh issues common to all proposed class members.

a. Choice ofLaw

Because Plaintiff has brought this action in New Jersey, New Jersey's choice oflaw rules

will govern this decision. See Gantes v. Kason Corp., 145 N.J. 478, 484 (1996). To decide a

choice-of-Iaw issue, New Jersey Courts apply a flexible "governmental-interest" analysis that

consists ofa two-pronged test to detennine which state has the greatest interest in having its law

apply to the particular issue being litigated. Fu v. Fu, 160 N.J. 108, 118 (1999); see also, Erny v.

Estate ofMerola, 171 N.J. 86, 94 (2002). Whether a conflict exists must be determined for each

specific issue being litigated. Erny,

~ 171 N.J. at 94-95.

In

specific issue being litigated, a court must first decide 'that an actual conflict exists between the

laws of' New Jersey and other states that have an interest in applying their laws to this litigation.

Fu, supra, 160 N.J. at 118. As Plaintiff is seeking a nationwide class, there is a potential that a

citizen ofevery state

residents ofthese states, there are other contacts that this litigation

Jersey that give those states an interest in applying their laws. VIOXX® was sold throughout the

United States. The transactions between third-party payors and their members regarding

VIOXX® occurred in multiple states. As there exists a potential for every state to have an

interest in applying their law to this action, the laws ofevery state must be reviewed to determine

which state laws present a conflict with the NJ CFA.

As both parties correctly point out in their moving papers, and as a cursory review of

other state laws involving consumer fraud indicates, there are sufficient variations between the

28

order to detennine which state has the greatest interest in applying its law to thein the nation will participate in this litigation. In addition to havinghas with states outside ofNew

laws ofthe varying states and the CFA to constitute an actual conflict. The provisions ofthe

various consumer fraud laws, the policies behind them, and case law interpretations all show

variations between other states and New Jersey. See Fink, supra, 365 N.J. Super. at 570-584

(detailing various conflicts between the CFA and the consumer fraud statutes of other states).

Both parties agree that the CFA conflicts in some ways with the consumer fraud laws ofthe

other states. Thus, the first prong ofthe governmental-interest analysis has been met.

3

'The second prong ofthe governmental-interest analysis requires the Court to determine

which state

the issue ..." before the court.

must first 'identify the governmental policies underlying the law of each state and how those

policies are affected by each state's contacts to the litigation and to the parties." Veazey v.

Doremus, 103 N.J. 244, 247 (1986).

After reviewing the competing states' policies on the issue in dispute, ifit is found that

either state's contacts to the litigation do not further the asserted policies, then that state's law

should not apply. Emy,

tort law, there are five main factors the court should use to guide its decision: "(1) the interests of

interstate comity; (2) the interests of the parties; (3) the interests underlying the field oftort law;

(4) the interests ofjudicial administration; and (5) the competing interests of the states." Fu,

has the most significant relationship to the occurrence and the parties with respect to& supra, 160 N.J. at 119. In deciding the second prong, a court~ 171 N.J. at 101. Forresolving governmental interests involving

3

acknowledges that none ofthe consumer fraud laws of other states is identical to the CF

states have statutes that are similar enough to the CFA as to create a question as to whether there

is truly a conflict at all while others provide sharply contrasting remedies and requirements. As

the parties concur that there is an actual conflict, the court will provide a state by state analysis of

the consumer fraud statutes to determine which states have the strongest relationship to the

litigation.

In determining that there is an actual conflict for the choice-of-law analysis, the court onlyA. Some

29

supra, 160 N.J. at 122 (summarizing factors set forth in the Restatement (Second) of Conflict of

Laws

To evaluate the competing interests of the States, the courts must consider "what policies

the legislature or court intended to protect by having that law apply to wholly domestic concerns,

and then, whether those concerns will be furthered by applying that law to the multi-state

situation."

187, 198 (1998). In other words, a state only has an interest in applying its law ifthe state's

contacts with the litigation are related

consider the qualitative contacts that the litigation has with the state's policies and not the

quantitative contacts. Id. The contacts that are most significant to the analysis are: "the place

where the injury occurred; the place where the conduct causing the injury occurred; the domicile,

residence, nationality, place of incorporation and place ofbusiness ofthe parties; and the place

where the relationship, if any, between the parties is centered." Id.

The Restatement (Second) of Conflict ofLaws § 148 details a list of factors to consider

when determining the appropriate law to apply to a claim of fraud where the plaintiff's alleged

actions in reliance occurred in a state other than where the representations were made. The

factors to consider are as follows:

(a) the place, or places, where the plaintiffacted upon the defendant's

representations,

(b) the place where the plaintiffreceived the representations,

(c) the place where the defendant made the representations,

(d) the domicile, residence, nationality, place of incorporation and place of

business ofthe parties,

(e) the place where a tangible thing which is the subject of the transaction

between the parties was situated at the time and,

(f) the place where the plaintiff is

which he has been induced to enter by the false representations of the

defendant.

Restatement (Second) of Conflict of Laws § 148.

30

§ 6). The fifth factor is the most important. Erny, supra, 171 N.J. at 101.& supra, 160 N.J. at 125 quoting Pfizer. Inc. v. Employers Ins. of Wausau, 154 N.J.to the policies for the applicable law. Id. The court shouldto render performance under a contract

In cases where pecuniary loss is said to have occurred due to fraud, the place ofloss is often

difficult to detennine and thus, less important for determining the governing law than does the

place of injury in cases ofphysical personal injury. rd. comment (cl. 'The place where the

defendant made his false representations, on the other hand, is as important a contact in the

selection of the law governing actions for fraud and misrepresentation as is the place ofthe

defendant's conduct in the case of injuries to persons or to tangible things." rd.

Evaluating the interests ofinterstate comity "require[s] courts to consider whether

application of a competing state's laws would frustrate the policies of other interested states."

Fu, supr!!, 160 N.J. at 122. A state should only impose its law on a particular issue ifit has a

strong state policy that will be fostered by the application its law. Id. At 122-123.

the interests underlying the field oftort law, the courts are required "to consider the degree to

which deterrence and compensation, the fundamental goals of tort law, would be furthered by the

application ofa state's local law."

interests ofjudicial administration are "less significant for the purpose ofmaking choice-of-Iaw

detenninations in tort actions." Erny. 171 N.J. at 102.

In the matter at hand, in order to determine which state has the strongest interest in this

litigation, first, New Jersey's policies and intentions underlying the CFA must be discussed.

The CFA was enacted to "protect [the consumer] against fraudulent and

unconscionable practices in the sale of goods and services." Marascio v.

Campanella. 298 N.J.Super. 491, 500, 689

purposes of the Act are: (I) to compensate the victim for his or her actual loss;

(2) to punish the wrongdoer through the award of treble damages; and (3) to

attract competent counsel to counteract the "community scourge" of fraud by

providing an incentive for an attorney to take a case involving a minor loss to

the individual. Lettenmaier v. Lube Connection. Inc., 162 N.J. 134, 139

(1999). The Act is "remedial legislation and should be liberally construed to

accomplish its dual objectives ofdeterrence and protection." Joe D'Egidio

31

In assessing& §!!lID!, 160 N.J. at 123. The interests of the parties and theA.2d 852 (App.Div.1997). The

Landscaping v. Apicella, 337 N.J.Super. 252,258,

766A.2d 1164

(App.Div.2001) (citing Letteumaier, supra, 162 N.J. at 139).

Sprenger v. Trout, 375 N.J. Super. 120, 135-136 (App. Div. Feb. 14,2005);

see also, Wanetick v. Gateway Mistubishi, 163 N.J. 484 (2000).

"The available legislative history demonstrates that the [CFA] was intended to be 'one ofthe

strongest consumer protection laws in the nation.'" New Mea Constr. Corp. v. Hamer, 203 N.J.

Super. 486, 501-502 (App. Div. 1985) (internal citations omitted).

The policy rationales for the CFA clearly indicate that New Jersey has a strong interest in

preventing fraud by its corporate citizens. The CFA has implemented strong measures to protect

consumers and deter fraudulent behavior. N.J.s.A. 56:8-19 allows recovery for "any person who

suffers any ascertainable loss" and there is no language in the CFA to indicate that the law was to

be limited to New Jersey residents. See Boyes v. Greenwich Boat Works, Inc., 27 F.supp.2d

543 (D.N.J. 1998). Indeed, the CFA is intended to promote "truth and fair dealing in the market

place." Feinberg, supra, 331 N.J. Super. at 512. In order to achieve this stated goal, the CFA has

been interpreted liberally to cover a broad range ofpractices. Laelledo v. Beneficial Mgmt.

Corp. of America, 150 N.J. 255, 264 (1997). More specifically, "[t]or nearly thirty years, [the

New Jersey Supreme Court] has instructed trial courts to liberally allow class actions involving

allegations of consumer fraud." Varacallo,~ 332 N.], Super. at 44.

Logic, in addition to an analysis ofother state laws, shows that all consumer fraud

statutes are intended to discourage fraud and provide some level ofprotection to consumers. In

this respect, there is no conflict between the laws ofvarying jurisdictions. The conflicts between

.state laws arise only in the extent ofprotection provided and the level of deterrence sought. To

the extent that some states provide less protection for consumers than others, the rationale is

generally to encourage business and other commercial transactions to take place within that

t

Jersey law onto a corporation residing in New Jersey. Any deterrence to transactions being done

within any particular state's borders by a New Jersey entity would be, at most, minimal because

that New Jersey entity has already consented to be subject to the more stringent New Jersey law.

Unless a particular state specifically enunciates a policy behind its consumer fraud laws that

varies significantly from New Jersey's policy behind the CFA, that state will have to have very

strong factual ties to this litigation in order to justify applying its law to this matter rather than

the CFA.

Having reviewed the extensive submissions by the parties and having heard oral

arguments on this motion, there does not appear to be any state with stronger ties to this litigation

than New Jersey. The putative class representative is organized and operating in New Jersey.

The Defendant is a New Jersey corporation that is headquartered in Whitehouse Station, New

Jersey. Development ofVIOXX® originally began at Merck Frosst

completed" at Merck's facility in Rahway, New Jersey. (Merck's 2000 Annual Report, p. 8).

Merck has a Human Health Product Approval Committee ("HHPAC") that oversees broad

development of all Merck's products and gives final approval on plans and activities related to

the product, including VIOXX®. HHPAC would meet on a monthly basis, and at least some of

these meetings took place in New Jersey, including one on March 20,2001 wherein the

VIOXX® Program Review was discussed. Merck also issued press releases from its New Jersey

headquarters about VIOXX®-related developments. Much ofthe decision making about the

marketing and testing ofVIOXX® was done in New Jersey. Communications regarding the

labeling ofVIOXX® took place between the FDA and Merck employees based in New Jersey.

Unlike the numerous and substantial fact-based contacts that New Jersey has with this

litigation, there has been little evidence presented to establish contacts between this litigation and

33

in Canada but was "largely

the home state of a putative class member. The proposed class may consist of a vast number of

entities that vary significantly in size and capacity. However. they all are influenced, according

to plaintiffs, by the nationwide marketing plan ofMerck. As noted by Merck, there is a

multitude of literature regarding NSAIDs, COX-2 inhibitors, and VIOXX® in particular. Some

or all ofthis literature was at the very least considered by the various plan administrators or P&T

Committees in every State

formularies. These publications came from a variety of sources and plaintiff maintains they can

prove scientists opinions, the literature, the studies were all manipulated by Merck. The

marketing ofVIOXX® was a national effort that was planned or executed through New Jersey

offices and plaintiffs may be able to prove any misrepresentations made were made to a national

audience of all third party payors.

As these facts indicate, factors (a) and (b) ofRestatement (Second) ofConflict of Laws §

148, the place where a plaintiff acted in reliance ofthe representations and the place where the

representations were received, are very difficult to determine. Thus, where the decisions were

made to provide coverage for VIOXX® is not as important a contact as where the alleged

fraudulent representations were made. See Restatement (Second) ofConflict of Laws

comment (c). Although there is evidence to indicate that Merck sent sales representatives or

"detailers" to individual P&T Committees to promote VIOXX®, this does not provide greater

contacts than New Jersey because information provided by a detailer would only be one factor of

the many that even Merck acknowledges would go into the decision making process of including

a particular drug on a formulary and not likely the most significant. Thus, the court finds that no

individual state has stronger factual connection to this litigation than New Jersey.

in making their decision to include VIOXX® on their respective§ 148,

34

As noted above, New Jersey has very strong policy interests behind the CFA, especially

in a litigation such as this where a New Jersey corporation conducted the alleged fraud. The key

questions are does New Jersey have a compelling public policy interest in applying New Jersey

very strict consumer fraud law under the circumstances that exist in this case? The answer

clearly is, yes. Merck is a New Jersey corporation and New Jersey has the most interest in

policing and protecting its own corporations. Does New Jersey have any reason not to protect

consumers (third party payors) from other states from fraud committed by a New Jersey

corporation? The answer is clearly, no. The statute itself does not limit protection to New Jersey

residents.

law ifit offers them more protection than the law ofplaintiff's state? The answer is, no.

Do other states have any interest in denying their citizens the protection ofNew JerseyIn

Gantes v. !Cason Corp., 145 N.J. 478, the Supreme Court did a conflict oflaw analysis that

resulted in New Jersey statutes oflimitations, not Georgia statutes ofrepose, being applied to a

case brought by a Georgia plaintiff in New Jersey against a New Jersey manufacturer. The Court

stated in that case at 145 N.J. 478, at 489:

The interest in deterrence has been recognized as a relevant factor to be

considered in choice-of-law decisions. See.!2,.g., Pfau v. Trent Aluminum Co.. 55

N.J. 511, 524, 263 A.2d 129(970) (noting "We are not certain that a defendant's

domicile lacks an interest in seeing that its domiciliaries are held to the full

measure of damages or the standard ofcare which that state's law providers

1

for."); Mueller v. Parke Dav