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The Mensing Preemption

By Sara K. Thompson and Sean P. Jessee
July 29, 2012

Because the vast majority of jurisdictions apply the Learned Intermediary Doctrine, failure-to-warn analysis in nearly all jurisdictions will be focused solely on the adequacy of the warnings provided to the prescribing physician. Such jurisdictions also generally require the plaintiff to prove that the physician was unaware of the risk experienced by the plaintiff, such that the purported failure to warn of that risk was a proximate cause of the physician's decision to prescribe the allegedly harmful drug. Because these fundamental concepts control in any state applying the Learned Intermediary Doctrine, the interplay between the Learned Intermediary Doctrine and the Mensing preemption should bar nearly any claim a plaintiff may assert against a generic manufacturer for failure-to-timely-update its label to correspond with the branded drug's label, or for failure-to-communicate such a change to healthcare professionals. Most of these claims will fail at the initial pleading stage, for three main reasons.


Application of Pleading Requirements

Failure-to-update claims are often deficient on their face because the plaintiff generally will lack sufficient facts to allege specifically how the failure-to-update played a direct and proximate role in the physician's decision to prescribe a drug. Even if a plaintiff can establish that a label change was not promptly made, this fact will be insufficient to support a product liability claim if the drug was not prescribed during the time between the brand label change and the generic label change, or if the label change deals with an issue that bears no logical relationship to the injury alleged. As a threshold matter, a plaintiff must allege that he or she would not have been prescribed the drug in the manner in which he or she ingested it if the label change had been timely made by the generic manufacturer, or else such claims will fail due to insufficient pleading. Similarly, failure-to-communicate claims must allege that the failure-to-communicate proximately caused the plaintiff's prescribing physician to prescribe the medication in a way that he or she would not have if the warning had been more fully disseminated or directly communicated. Plaintiffs must additionally allege the communication of the new warning to the prescribing physician would have been received and viewed prior to prescribing the drug and would have altered the physician's decision to prescribe the drug.

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