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Federal Register / Vol. 72, No.

195 / Wednesday, October 10, 2007 / Notices 57579

FOR FURTHER INFORMATION CONTACT: overnight service, if possible, because Analysis of Agreement Containing
Sandra M. Peay, Contact Representative U.S. postal mail in the Washington area Consent Order to Aid Public Comment
or Renee Hallman, Contact and at the Commission is subject to The Federal Trade Commission
Representative. delay due to heightened security (‘‘Commission’’) has accepted, subject to
Federal Trade Commission, Premerger precautions. Comments that do not final approval, an Agreement
Notification Office, Bureau of contain any nonpublic information may Containing Consent Orders (‘‘Consent
Competition, Room H–303, Washington, instead be filed in electronic form as Agreement’’) from Mylan Laboratories
DC 20580, (202) 326–3100. part of or as an attachment to email (‘‘Mylan’’) and E. Merck oHG (‘‘Merck’’)
By direction of the Commission. messages directed to the following e- which is designed to remedy the
Donald S. Clark, mail box: consentagreement@ftc.gov. anticompetitive effects of the
The FTC Act and other laws the acquisition of certain assets of Merck by
Secretary.
Commission administers permit the Mylan. Under the terms of the proposed
[FR Doc. 07–4969 Filed 10–9–07; 8:45 am]
collection of public comments to Consent Agreement, the companies
BILLING CODE 6750–01–M
consider and use in this proceeding as would be required to assign and divest
appropriate. All timely and responsive the Merck rights and assets necessary to
public comments, whether filed in manufacture and market generic: (1)
FEDERAL TRADE COMMISSION
paper or electronic form, will be Acebutolol hydrochloride capsules; (2)
[File No. 071 0164] considered by the Commission, and will flecainide acetate tablets; (3) guanfacine
be available to the public on the FTC hydrochloride tablets; (4) nicardipine
Mylan Laboratories and E. Merck oHG; Web site, to the extent practicable, at
Analysis of Agreement Containing hydrochloride capsules; and (5) sotalol
http://www.ftc.gov. As a matter of hydrochloride AF tablets to Amneal
Consent Orders to Aid Public discretion, the FTC makes every effort to
Comment Pharmaceuticals LLC (‘‘Amneal’’).
remove home contact information for The proposed Consent Agreement has
AGENCY: Federal Trade Commission. individuals from the public comments it been placed on the public record for
receives before placing those thirty (30) days for receipt of comments
ACTION: Proposed Consent Agreement.
commentson the FTC Web site. More by interested persons. Comments
SUMMARY: The consent agreement in this information, including routine uses received during this period will become
matter settles alleged violations of permitted by the Privacy Act, may be part of the public record. After thirty
federal law prohibiting unfair or found in the FTC’s privacy policy, (30) days, the Commission will again
deceptive acts or practices or unfair athttp://www.ftc.gov/ftc/privacy.htm. review the proposed Consent Agreement
methods of competition. The attached FOR FURTHER INFORMATION CONTACT: Kari and the comments received, and will
Analysis to Aid Public Comment A. Wallace (202) 326-3085, Bureau of decide whether it should withdraw from
describes both the allegations in the Competition, Room NJ-5108, 600 the proposed Consent Agreement,
draft complaint and the terms of the Pennsylvania Avenue, NW., modify it, or make final the Decision
consent order—embodied in the consent Washington, DC 20580. and Order (‘‘Order’’).
agreement—that would settle these SUPPLEMENTARY INFORMATION: Pursuant Pursuant to an Agreement and Plan of
allegations. to section 6(f) of the Federal Trade Merger executed on May 12 and 13,
DATES: Comments must be received on Commission Act, 38 Stat. 721, 15 U.S.C. 2007, Mylan proposes to acquire
or before October 27, 2007. 46(f), and § 2.34 of the Commission Merck’s generic subsidiary (‘‘Merck
Rules of Practice, 16 CFR 2.34, notice is Generics’’) and all subsidiaries held
ADDRESSES: Interested parties are
hereby given that the above-captioned directly or indirectly by Merck Generics,
invited to submit written comments. consent agreement containing a consent by acquiring 100 percent of the issued
Comments should refer to ‘‘Mylan/ order to cease and desist, having been shares of those subsidies for
Merck, File No. 071 0164,’’ to facilitate filed with and accepted, subject to final approximately $6.6 billion. The
the organization of comments. A approval, by the Commission, has been Commission’s Complaint alleges that
comment filed in paper form should placed on the public record for a period the proposed acquisition, if
include this reference both in the text of thirty (30) days. The following consummated, would violate section 7
and on the envelope, and should be Analysis to Aid Public Comment of the Clayton Act, as amended, 15
mailed or delivered to the following describes the terms of the consent U.S.C. § 18, and section 5 of the Federal
address: Federal Trade Commission/ agreement, and the allegations in the Trade Commission Act, as amended, 15
Office of the Secretary, Room 135-H, complaint. An electronic copy of the U.S.C. § 45, by lessening competition in
600 Pennsylvania Avenue, NW., full text of the consent agreement the U.S. markets for the manufacture
Washington, DC 20580. Comments package can be obtained from the FTC and sale of the following generic
containing confidential material must be Home Page (for September 27, 2007), on pharmaceutical products: (1) Acebutolol
filed in paper form, must be clearly the World Wide Web, at http:// hydrochloride capsules; (2) flecainide
labeled ‘‘Confidential,’’ and must www.ftc.gov/os/2007/09/index.htm. A acetate tablets; (3) guanfacine
comply with Commission Rule 4.9(c). paper copy can be obtained from the hydrochloride tablets; (4) nicardipine
16 CFR 4.9(c) (2005).1 The FTC is FTC Public Reference Room, Room 130– hydrochloride capsules; and (5) sotalol
requesting that any comment filed in H, 600 Pennsylvania Avenue, NW., hydrochloride AF tablets (the
paper form be sent by courier or Washington, DC 20580, either in person ‘‘Products’’). The proposed Consent
1 The comment must be accompanied by an
or by calling (202) 326-2222. Agreement will remedy the alleged
explicit request for confidential treatment,
Public comments are invited, and may violations by replacing the lost
be filed with the Commission in either competition that would result from the
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including the factual and legal basis for the request,


and must identify the specific portions of the paper or electronic form. All comments acquisition in each of these markets.
comment to be withheld from the public record. should be filed as prescribed in the Mylan is a leading developer,
The request will be granted or denied by the
ADDRESSES section above, and must be manufacturer, marketer, and distributor
Commission’s General Counsel, consistent with
applicable law and the public interest. See received on or before the date specified of generic pharmaceutical drugs.
Commission Rule 4.9(c), 16 CFR 4.9(c). in the DATES section. Headquartered in Pennsylvania, Mylan

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57580 Federal Register / Vol. 72, No. 195 / Wednesday, October 10, 2007 / Notices

sells generic pharmaceuticals in the After Mylan’s acquisition of Merck are likely insufficient to warrant the
United States and has manufacturing Generics, Mylan’s market share would time and investment necessary to enter.
facilities throughout the country. Merck increase to approximately 78 percent
Effects
is a German pharmaceutical company and the number of suppliers of generic
that develops and manufactures flecainide would decrease from five to The proposed acquisition would
pharmaceutical products for sale in the four. cause significant anticompetitive harm
United States. Merck sells generic Guanfacine hydrochloride, the generic to consumers in the U.S. markets for the
pharmaceutical products directly to version of the branded drug Tenex, is an manufacture and sale of generic
customers in the United States through alpha blocker used to treat hypertension acebutolol hydrochloride capsules,
its subsidiary Genpharm L.P., as well as that comes in both 1 mg and 2 mg flecainide acetate tablets, guanfacine
indirectly through distribution strengths. Mylan is the market leader hydrochloride tablets, nicardipine
agreements with other generic with nearly 53 percent share. Watson hydrochloride capsules, and sotalol
companies, including Par Pharmaceuticals Inc. (‘‘Watson’’), hydrochloride AF tablets. In generic
Pharmaceutical Companies, Inc. (‘‘Par’’). Merck/Par, Actavis Group hf. pharmaceutical markets, pricing is
(‘‘Actavis’’), Major Pharmaceuticals Inc. heavily influenced by the number of
The Products and Structure of the and Qualitest Pharmaceuticals Inc. also competitors that participate in a given
Markets manufacture and sell generic guanfacine market. Here, the evidence shows that,
The proposed acquisition of certain tablets in the United States, although given the small number of suppliers, the
assets of Merck by Mylan would not all six suppliers are capable of prices of the generic pharmaceutical
strengthen Mylan’s worldwide position supplying all formulations. For products at issue decrease with the
in generic pharmaceuticals and provide instance, Mylan, Merck/Par, Watson and entry of each additional competitor.
Mylan with a stronger pipeline of Actavis, are the only suppliers of the 2 Evidence gathered during our
generic products. The companies mg formulation of guanfacine. Because investigation indicates that
overlap in a number of generic many customers prefer to purchase the anticompetitive effects—whether
pharmaceutical markets, and if 1 mg and 2 mg formulations of the unilateral or coordinated—are likely to
consummated, the transaction likely product from one supplier, the result from the proposed transaction
would lead to anticompetitive effects in competitive significance of the other due to a decrease in the number of
five of these markets. four suppliers who do not sell these independent competitors in the markets
The transaction would reduce the formulations is limited. at issue.
number of competing generic suppliers Nicardipine hydrochloride is a The acquisition of Merck by Mylan
in the overlap markets. The number of calcium channel blocker used to treat would create a monopoly in the market
generic suppliers has a direct and hypertension. Mylan, Merck, and Teva for generic acebutolol hydrochloride
substantial effect on generic pricing as Pharmaceutical Industries Ltd. (‘‘Teva’’) tablets. The evidence indicates that the
each additional generic supplier can are the only manufacturers of generic presence of more than one competitor
have a competitive impact on the nicardipine capsules in the United allows customers to negotiate lower
market. Because there are multiple States, with respective market shares of prices and that the reduction in the
generic equivalents for each of the 54 percent, 32 percent and 14 percent. number of competitors in this market
products at issue here, the branded The proposed transaction would thus would allow the merged entity to
versions no longer significantly result in an increase in Mylan’s market unilaterally exercise market power with
constrain the generics’ pricing. share to approximately 86 percent and a resulting increase in prices. In the
In the market for generic acebutolol reduce the number of suppliers from markets for generic flecainide acetate
capsules, Mylan and Merck are the only three to two. tablets, generic nicardipine
companies manufacturing and selling Generic sotalol AF is a beta blocker hydrochloride capsules, and generic
products in the United States. For the used to treat hypertension. The market sotalol AF tablets, the proposed
four other generic products, Mylan and for sotalol AF is led by Apotex Inc. acquisition would leave only two
Merck currently are two of a small (‘‘Apotex’’). Merck and Mylan are the significant current competitors: the
number of suppliers offering the only other significant competitors to combined firm and one other company.
product. In each of these markets, there Apotex in the generic sotalol AF tablet The evidence indicates that the
are a limited number of competitors. market. Merck launched its sotalol AF presence of three or more independent
Generic acebutolol hydrochloride is a product in late 2006, followed by Mylan competitors in these markets allows
beta blocker used to treat hypertension. in the spring of 2007. Therefore, the customers to negotiate lower prices, and
Mylan and Merck/Par are the only proposed transaction would reduce the that a reduction in the number of
suppliers of generic acebutolol capsules number of suppliers from three to two. competitors in these markets would
in the United States, with respective allow the merged entity and other
market shares of approximately 59 and Entry market participants to raise prices.
41 percent. Therefore, the proposed Entry into the markets for the Likewise, in the generic guanfacine
transaction would give Mylan a manufacture and sale of the Products hydrochloride tablet market, the
monopoly in this market. would not be timely, likely or sufficient reduction in the number of competitors
Generic flecainide acetate is an anti- in its magnitude, character, and scope to also would likely lead to higher prices.
arrhythmia drug used to treat heart deter or counteract the anticompetitive The competitive concerns can be
problems. Flecainide is produced and effects of the acquisition. Entry would characterized as both unilateral and
sold by five companies in the United not take place in a timely manner coordinated in nature. The homogenous
States: Mylan, Merck/Par, Roxane because the combination of generic drug nature of the products involved, the
Laboratories Inc. (‘‘Roxane’’), Barr development times and FDA drug minimal incentives to deviate, and the
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Pharmaceuticals Inc., and Ranbaxy approval requirements takes at least two relatively predictable prospects of
Pharmaceuticals Inc. Mylan is the years. Entry would not be likely because gaining new business all indicate that
market leader with nearly 57 percent the relevant markets are relatively small the firms in the market will find it
share, followed by Merck/Par with 21 and in decline, so the limited sales profitable to coordinate their pricing.
percent, and Roxane with 19 percent. opportunities available to a new entrant The impact that a reduction in the

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Federal Register / Vol. 72, No. 195 / Wednesday, October 10, 2007 / Notices 57581

number of firms would have on pricing obtain all of the necessary approvals Proposed Project
can also be explained in terms of from the FDA. These transitional Long-Term Efficacy of a Program to
unilateral effects, as the likelihood that services include technology transfer Prevent Beryllium Disease—New—
the merging parties would be the first assistance to manufacture the Products National Institute for Occupational
and second choices in a significant in substantially the same manner and Safety and Health (NIOSH), Centers for
number of bidding situations is quality employed or achieved by Merck. Disease Control and Prevention (CDC).
enhanced where the number of firms The Commission has appointed R.
participating in the market decreases Owen Richards of Quantic Regulatory Background and Brief Description
substantially. Services, LLC (‘‘Quantic’’) to oversee the Beryllium is a lightweight metal with
The Consent Agreement asset transfer and to ensure Mylan and many applications. Exposed workers
Merck’s compliance with all of the may be found in the primary
The proposed Consent Agreement provisions of the proposed Consent production, nuclear power and
effectively remedies the proposed Agreement. Mr. Richards is President of weapons, aerospace, scrap metal
acquisition’s anticompetitive effects in Quantic and has several years of reclamation, specialty ceramics, and
the relevant product markets. Pursuant experience in the pharmaceutical
to the Consent Agreement, Mylan and electronics industries, among others.
industry. He is a highly-qualified expert The size of the USA workforce at risk
Merck are required to divest certain on FDA regulatory matters and currently
rights and assets related to the Products of chronic beryllium disease (CBD),
advises Quantic clients on achieving from either current or past work-related
to a Commission-approved acquirer no satisfactory regulatory compliance and
later than ten (10) days after the exposure to the metal, may be as high
interfacing with the FDA. In order to as one million. Demand for beryllium is
acquisition. Specifically, the proposed ensure that the Commission remains
Consent Agreement requires that Merck growing worldwide, which means that
informed about the status of the increasing numbers of workers are likely
divest its assets in the Products to proposed divestitures and the transfers
Amneal. to be exposed.
of assets, the proposed Consent Exposure to beryllium can lead to
The acquirer of the divested assets
Agreement requires Mylan and Merck to sensitization and cause an immunologic
must receive the prior approval of the
file reports with the Commission granulomatous lung disease.
Commission. The Commission’s goal in
periodically until the divestitures and Sensitization is a cell-mediated allergic-
evaluating a possible purchaser of
transfers are accomplished. type response that may be detected in
divested assets is to maintain the
competitive environment that existed The purpose of this analysis is to the peripheral blood with the beryllium
prior to the acquisition. A proposed facilitate public comment on the lymphocyte proliferation test (BeLPT),
acquirer of divested assets must not proposed Consent Agreement, and it is which is used by the industry as a
itself present competitive problems. not intended to constitute an official surveillance tool. Workers found to be
Amneal, a small but growing generic interpretation of the proposed Order or sensitized may be clinically evaluated
manufacturer, is particularly well- to modify its terms in any way. for CBD with tests including
positioned to manufacture and market By direction of the Commission. bronchoalveolar lavage and
its acquired products and compete Donald S. Clark, transbronchial biopsy. Cross-sectional
effectively in those markets. Amneal Secretary.
studies in various beryllium workplace
develops, manufacturers, sells, and populations have identified
[FR Doc. E7–19892 Filed 10–9–07: 8:45 am]
distributes generic pharmaceuticals sensitization in the range of less than
[BILLING CODE 6750–01–S]
within the United States. Moreover, 1% to 14% of workers. The proportion
Amneal will not present competitive of sensitized workers who have
problems in any of the markets in which beryllium disease at initial clinical
it will acquire a divested asset because evaluation has varied from 10 to 100%
DEPARTMENT OF HEALTH AND
it currently does not compete in those in different workplaces. Sensitized
HUMAN SERVICES
markets. With its resources, capabilities, workers not initially diagnosed with
good reputation, and experience Centers for Disease Control and CBD are often diagnosed with the
marketing generic products, Amneal is Prevention disease upon follow-up, but whether all
well-positioned to replicate the sensitized workers will eventually
competition that would be lost with the develop beryllium disease is unknown.
[30–Day–08–07AY]
proposed acquisition. Industry screening programs have
If the Commission determines that Agency Forms Undergoing Paperwork enabled the identification of CBD in
Amneal is not an acceptable acquirer of Reduction Act Review persons without apparent symptoms,
the assets to be divested, or that the often early in disease progression (often
manner of the divestitures to Amneal is The Centers for Disease Control and referred to as ‘‘subclinical disease’’).
not acceptable, the parties must unwind Prevention (CDC) publishes a list of Progression from sensitization to
the sale and divest the assets within six information collection requests under subclinical disease to clinical
(6) months of the date the Order review by the Office of Management and impairment, while difficult to predict
becomes final to another Commission- Budget (OMB) in compliance with the for any one individual, is not
approved acquirer. If the parties fail to Paperwork Reduction Act (44 U.S.C. uncommon.
divest within six (6) months, the Chapter 35). To request a copy of these Currently, there are no preventive
Commission may appoint a trustee to requests, call the CDC Reports Clearance programs that have been demonstrated
divest the Products. Officer at (404) 639–5960 or send an to have long-term effectiveness in
The proposed remedy contains e-mail to omb@cdc.gov. Send written preventing beryllium sensitization and
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several provisions to ensure that the comments to CDC Desk Officer, Office of CBD among beryllium-exposed workers.
divestitures are successful. The Order Management and Budget, Washington, In the United States, recent short-term
requires Mylan and Merck to provide DC or by fax to (202) 395–6974. Written evidence (i.e., average work tenure 16
transitional services to enable the comments should be received within 30 months, maximum four years) at one
Commission-approved acquirer to days of this notice. facility suggests that the comprehensive

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