Washington State

Office of the Attorney General

Attorney General

Bob Ferguson

May 6 2010

AstraZeneca accused of funding junkets for doctors, illegally marketing manic depression drug

OLYMPIA – A drug manufacturer will pay Washington state nearly $10 million for improperly marketing Seroquel, a drug used to treat schizophrenia and manic depression.

Federal and state officials say that AstraZeneca Pharmaceuticals LP illegally paid for doctors to attend meetings at resorts, where those doctors would “advise” the drug maker about marketing messages for unapproved uses. Medical professionals were also paid to serve as authors of promotional articles and to conduct studies for unapproved uses of the drug. 

An investigation shows that as a result of these activities, misleading information was distributed about Seroquel. This led health providers to wrongly prescribe the drug to children, adolescents and dementia patients in long term care facilities – costing publicly funded programs millions of dollars.

“AstraZeneca’s marketing practices were a bad deal for taxpayers and Medicaid patients,” Washington State Attorney General Rob McKenna said. “This settlement recovers millions of dollars and sends a strong message about the marketing of drugs for unapproved uses.

Of the nearly $10 million in settlement funds, $4.6 million will be split between the state’s Medicaid Program and general fund. The rest will cover the federal government’s contribution to the state’s Medicaid program.

Medicaid, funded jointly by the federal government and the states, pays for medical services for the poor. Government agencies, including the state AG’s Medicaid Fraud Control Unit, monitor drug marketing to make sure that public funds are being spent wisely.

Seroquel and other drugs are routinely purchased for Medicaid recipients. Seroquel is approved for the treatment of schizophrenia, bipolar disorder, also known as manic depression, and other specific conditions. A government investigation revealed that between Jan.1, 2001, through Dec. 31, 2006, it was wrongly promoted to treat aggression, Alzheimer’s, anger management, anxiety, attention-deficit hyperactivity disorder, dementia and sleeplessness. Sequoel is not approved by the Food and Drug Administration to treat any of these conditions.

The money comes from a $520 million settlement with AstraZeneca reached by several states and the federal government. The drug company also signed an agreement outlining its legal obligations related to future marketing and sales.

National Association of Medicaid Fraud Control Units team participated in the investigation and conducted the settlement negotiations with AstraZeneca on behalf of the settling states.



Janelle Guthrie, Director of Communications, (360) 586-0725