Omnicare pharmacists, consulting phannacists, and other Omnicare employees, by changing
physicians' orders for specific antibiotics to Levaquin.
Wholesale switching to Levaquin was often detrimental to patient care.
There is a
myriad of medications within the same antibiotic drug class; however, certain types of antibiotics
are indicated for particular types of infections. Indeed, Levaquin is not indicated for many types
of infections very common to long-term care facilities. For example, nosocomial pneumonia is a
medication for this condition because it will resolve this condition much more quickly.
Nevertheless, pursuant to the PAL, Omnicare patients were treated with Levaquin regardless of
the antibiotic their physicians prescribed. Levaquin might ultimately cure the infection, but it is
not the most efficacious antibiotic available to heal the infection quickly. Meanwhile, the patient
is forced to suffer from pneumonia for a longer period of time, which is not only paintul, but
dangerous. The lengthened treatment also means more associated costs to the governmental or
system was designed in such a way that it was unable to flag patients with a medical history
indicating that Levaquin was not a preferred medication.
additional names, dates, times, and places relating to the negotiation and implementation of the
illegal Market Share Agreement is solely within the possession of Ortho McNeil and Omnicare,
Lisitza's superiors conceded the existence, implementation, and financial impact of the Levaquin
Market Share Agreement to Lisitza and instructed him about what he was required to do to
accomplish the tinancial objective of the Levaquin Market Share Agreement.