MEMORANDUM
Beatrice Grinage (“Grinage” or “plaintiff’) brought this action against Mylan
BACKGROUND
On January 21, 2008, Aaron Grinage received a prescription for Allopurinol tablets for treatment of gout. (Am. Compl. ¶ 7, ECF No. 22.) The tablets were manufactured and marketed by the defendant, Mylan. (Id. at ¶ 10.) Mr. Grinage took Allopurinol for approximately one month before he was diagnosed with Stevens-Johnson Syndrome, a skin disease, and then with Toxic Epidermal Necrolysis, a related but more severe skin reaction. (Id. at ¶¶ 22-26.) On March 8, 2008, he suffered multi-system organ failure and died. (Id. at ¶ 28.)
Allopurinol is a generic version of Zyloprim, a brand-name drug the FDA approved in 1966. (Id. at ¶ 8.)
In Grinage’s amended complaint she alleges that Mylan “knew or should have known that the risk” of Stevens-Johnson Syndrome or Toxic Epidermal Necrolysis “was greater than 1% referenced in the label [sic].” (Am. Compl. ¶ 14.) The complaint further alleges that Mylan was “negligent in failing to report published articles and overwhelming scientific evidence of increased risks” to the FDA, the brand name manufacturer, healthcare providers, and patients. (Id. at ¶ 15.) As a result, Grinage concludes, the decedent consumed a product that “caused unreasonably dangerous risks,” (id. at ¶ 43), and was “not safe or fit for its intended purpose.” (Id. at ¶ 75.) In all, the complaint articulates independent claims of negligence, strict li
STANDARD OF REVIEW
“[T]he purpose of Rule 12(b)(6) is to test the sufficiency of a complaint and not to resolve contests surrounding the facts, the merits of a claim, or the applicability of defenses.” Presley v. City of Charlottesville,
To survive a motion to dismiss, the factual allegations of a complaint “must be enough to raise a right to relief above the speculative level, ... on the assumption that all the allegations in the complaint are true (even if doubtful in fact).” Bell Atlantic Corp. v. Twombly,
ANALYSIS
Mylan argues that Grinage’s claims are pre-empted by federal law and related FDA regulations. The argument relies on the Supreme Court’s recent decision in PLPVA, Inc. v. Mensing, 564 U.S. -,
In Mensing, the Court consolidated two cases where plaintiffs had sued generic drug manufacturers using Louisiana and Minnesota state-law tort theories.
State products liability laws generally recognize three different types of actionable product defects: “(1) design defects, (2) manufacturing defects, and (3) labeling defects (e.g., failure to warn).” Bruesewitz v. Wyeth LLC, 562 U.S. -,
A. Failure to Warn
The plaintiffs alternative failure-to-warn theories fail either by preemption under Mensing or for failure to state a claim under Iqbal and Twombly.
Grinage first argues that this court should, in determining whether a drug is defective under a failure-to-warn theory, use a two-prong test considering both (1) the “substantive adequacy” of warnings, and (2) the overall “efficacy of communication.” (PL’s Resp. to Mot. to Dismiss 4-6.) Grinage suggests various methods Mylan could have employed for more effective communication to healthcare providers and consumers, including through Dear Doctor letters, training programs, or “prominent professional or public notifications.” (Id. at 9.)
Of these proposed alternative methods of communication, the Mensing Court directly addresses only the use of Dear Doctor letters. Because these let
The problem with Grinage’s argument, as applied here, is that she provides no method of more effective communication that is “consistent with” the drug’s approved labeling. She supports her failure-to-warn argument by suggesting that information about a 2007 Israeli study of Allopurinol should have been communicated to medical providers through alternative channels. (PL’s Resp. to Mot. to Dismiss 7.) Contrary to plaintiffs contention, however, any duty to send Dear Doctor letters that includes “substantial new warning information,” like the Israeli study, is pre-empted by Mensing.
Grinage may also contend that the manufacturer could have met its duty by using the various suggested alternative methods of communication without including substantial new warning information like the Israeli study. But, to the extent that she does make this argument, she has failed to sufficiently plead causation. Maryland courts recognize a presumption with regard to causation, that plaintiffs “would have heeded a legally adequate warning had one been given.” U.S. Gypsum Co. v. Mayor and City Council of Baltimore,
Grinage also argues that her failure-to-warn claim survives pre-emption based on defendants’ alleged failure to convey warning inadequacies to the brand-name manufacturer, Prometheus Labs. This is identical to the argument, rejected in Mensing, that the plaintiff could meet its duty to warn by reporting new warning information to the FDA and assuming that the FDA would then approve new labeling for all manufacturers. The Mensing Court held that it is not sufficient to “imagine that a third party or the Federal Government might do something that makes it lawful for a private party to accomplish under federal law what state law requires of it.” Mensing,
B. Defective Design
Plaintiffs defective design claim must be dismissed. In Maryland, a manufacturer may be held strictly liable under a theory of defective design only if a court determines, as a threshold matter, that the product is not “unavoidably unsafe.” See Miles Lab., Inc. Cutter Lab. Div. v. Doe,
Whether this court applies a consumer expectations test or a risk-utility test, Grinage’s defective design case fails. The consumer expectations test considers the same factors at issue in a failure-to-warn claim, and so its application is barred by Mensing. An ordinary consumer forms her expectations regarding the safety of drugs from her doctor or from the drug’s label. Thus, if Allopurinol is dangerous beyond the expectations of the ordinary consumer, that can only be a symptom of Mylan’s failure to update its label or communicate effectively with doctors. For reasons articulated above, any state law defective design claim predicated on this theory is pre-empted by FDA labeling regulations.
The pre-emption analysis may be different, however, for design defect claims where a risk-utility test is appropriate.
Because Grinage can make out no viable design defect or failure-to-warn claim, her breach of implied warranty claims must also fail. The complaint includes a claim for breach of implied warranty of merchantability and a claim for breach of implied warranty of fitness for a particular purpose. (Am. Compl. ¶¶ 70-77.) But, beyond those assertions supporting her failure-to-warn and design defect claims, no further factual allegations are made in support of the warranty claims. Without more, both warranty claims fail to meet the pleading standards of Iqbal and Twombly.
A warranty of merchantability, warranting that the product sold is fit for the ordinary purpose for which such products are used, is implied in the sale of any good, unless properly waived or modified. Md.Code Ann., Com. Law § 2-314(2)(e) (2011); see Shreve v. Sears, Roebuck & Co.,
Conversely, a claim for breach of implied warranty of fitness for a particular purpose does not require proof of a defect. Id. at 376 (“[T]he warranty of fitness sharply contrasts with the warranty of merchantability, which involves an inherent defect in the goods that existed before they left the hands of the manufacturer.”). A warranty of fitness claim does, however, require that the buyer have a “particular purpose” and that the seller have reason to know of that particular purpose. Md.Code Ann., Com. Law § 2-315 (2011). A particular purpose “must be peculiar to the buyer as distinguished from the ordinary or general use to which the goods would be put by the ordinary buyer.” Ford Motor,
D. Fraud
Finally, Grinage’s fraud claim also fails. The basis of Grinage’s fraud claim is alleged fraudulent representations made to the deceased, his prescribing physician, and to the FDA. (PL’s Resp. to Mot. to Dismiss 20.) None of these allegedly fraudulent representations, however, can be the basis of a viable claim. Mylan made representations to the deceased and his prescribing physician through the drug’s label. Any claim based on the errors in the label — or omissions in labeling or communications with health providers— is pre-empted by the FDA regulations for the same reason that failure-to-warn
This leaves the allegations of fraudulent representations to the FDA to sustain a claim of fraud. But, like her design defect claim, these allegations are too thinly-pled to survive a motion to dismiss. Fraud claims are subject to the heightened pleading standards of Federal Rule of Civil Procedure 9(b). Haley v. Corcoran,
E. Wrongful Death
Because Grinage has failed to state a claim for negligence, strict liability, breach of warranty or fraud, she has also failed to state a claim for wrongful death. In Maryland, a wrongful death action “may be maintained against a person whose wrongful act causes the death of another.” Md.Code Ann., Cts. & Jud. Proc. § 3~902(a). Thus, a party can only bring a wrongful death action if a “wrongful act” occurred. Georgia-Pacific Corp. v. Benjamin,
CONCLUSION
In sum, the plaintiffs complaint is insufficient under the pleading standards of Iqbal, Tivombly, and Rule 9(b), to state any claim that is not otherwise pre-empted. While the Supreme Court has not explicitly foreclosed all state law product liability claims against generic drug manufacturers, Grinage has failed to plead factual allegations that raise a plausible right to relief under her alternative theories.
This court acknowledges that, at least as to the plaintiffs failure-to-warn claims, the disposition of this motion to dismiss might have turned out differently had Mr. Grinage’s prescription been filled with the brand-name Zyloprim instead of the generic Allopurinol. As Justice Sotomayor noted in her dissent in Mensing,
[A] drug consumer’s right to compensation for inadequate warnings now turns on the happenstance of whether her pharmacist filled her prescription with a brand-name drug or a generic. If a consumer takes a brand-name drug, she can sue the manufacturer for inadequate warnings under our opinion in Wyeth [v. Levine,555 U.S. 555 ,129 S.Ct. 1187 ,173 L.Ed.2d 51 (2009)]. If, however, she takes a generic drug, as occurs 75 percent of the time, she now has no right to sue.
A separate order follows.
ORDER
For the reasons stated in the accompanying Memorandum, it is hereby Ordered that:
1. the defendant’s motion to dismiss (ECF No. 26) is GRANTED; and
2. the Clerk shall CLOSE this case.
Notes
. The original Zyloprim patent-holder, Prometheus Labs, continues to manufacture and sell the drug. (Am. Compl. ¶¶ 10-13.)
. The complaint also alleges that Mensing does not apply to any claims arising after the enactment of the 2007 Food and Drug Administration Amendments Act (FDAAA), 121 Stat. 823 et seq. (Am. Compl. ¶ 38.) In its motion to dismiss, Mylan contends that "the FDAAA did not eliminate or amend any of the statutes or regulations relied upon in Mensing and it therefore has no impact on the preemption analysis.” (Def.'s Mot. to Dismiss 16-18.) Grinage failed to address this argument in her response, so the court will treat this claim as abandoned. See, e.g., Ferdinand-Davenport v. Children’s Guild,
. An unpublished opinion is cited not for any precedential value but for the consistency of its reasoning on this issue.
. The Court also reasoned that "if generic drug manufacturers, but not the brand-name manufacturer, sent such letters, that would inaccurately imply a therapeutic difference between the brand name and generic drugs and thus could be impermissibly 'misleading.' ” Id. (citing 21 C.F.R. § 314.150(b)(3)).
. The Maryland Court of Appeals has adopted Comment k of the Restatement (Second) of Torts § 402(A), which defines and limits product liability actions against "unavoidably unsafe products.” See Miles Lab., Inc. Cutter Lab. Div. v. Doe,
. That plaintiff has styled her defective design claim as a negligence claim instead of a strict
. Halliday involved a gun which functioned, as intended, to injure a human being.
. The court expresses no opinion as to whether a properly pled defective design claim, based on a risk-utility theory, would be preempted by Mensing.
. Furthermore, the Supreme Court has held that, at least as to medical devices, any claims of injury due to fraud against the FDA are pre-empted by the federal statutory scheme that "amply empowers the FDA to punish and deter fraud against the Administration, and ... is used by the Administration to achieve a somewhat delicate balance of statutory objectives.” Buckman Co. v. Plaintiff's Legal Committee,
