BACK-ROOM DEALS HURT THE AMERICAN PUBLIC

WASHINGTON — It would seem a business executive’s dream: legally pay a competitor to keep its product off the market for years.

Congress has failed to stop it, and for more than a decade generic drug makers and big-name pharmaceutical companies have been winning court rulings that allowed it.

Until this month. On July 16, a federal appeals court in Philadelphia issued a decision that the arrangement is anticompetitive on its face. It potentially sets up a confrontation before the United States Supreme Court. If it were to accept the case, the outcome could profoundly affect drug prices and health care costs.

The Philadelphia ruling by the Third Circuit Court of Appeals conflicted with decisions from at least three other federal circuit courts, giving the Supreme Court a strong reason to hear the case within the next few years.

“The Third Circuit has rebalanced the issue and teed it up for the Supreme Court,” said Eleanor M. Fox, an antitrust expert and professor at the New York University Law School. The agreements between generic and branded drug manufacturers “are cases of competitor collaboration, which the Supreme Court has called ‘the supreme evil of antitrust.’ ”

The stakes are enormous for brand-name drug makers, which would face lower profits, and for pharmacies, insurance companies and patients, who could benefit from the savings.

In the case of Cipro, a powerful antibiotic with annual sales exceeding $1 billion, Bayer paid $400 million to a generic drug maker, Barr Laboratories, and other companies. In exchange, the generic makers said they would withhold their own lower-priced generic versions of the drug until 2003, when Bayer’s patent on the brand-name drug expired.

Last year, the Congressional Budget Office estimated that a Senate bill to outlaw such payments would save the federal government $4.8 billion over 10 years and would lower drug costs in the United States by $11 billion. The legislation remains stalled in the Senate. The federal government is a major buyer of drugs through Medicare and the Department of Veterans Affairs.

Jon Leibowitz, chairman of the Federal Trade Commission, which has greatly increased its scrutiny of what it calls “pay-for-delay settlements” between generic and branded drug companies, said that the appeals court decision “puts us one step — and a very important one — closer to solving this very real problem.”

Mr. Neas said that through 2010, generic drugs had reduced drug costs for Americans by $931 billion, a third of that resulting from patent settlements between big-name drug makers and generic manufacturers.

The agreements are the result of a 1984 law that made it easier for generic drugs to gain Food and Drug Administration approval and a 2003 amendment, which required branded and generic drug makers that entered into patent settlements to file their agreements for review to the F.T.C. and the Justice Department.

The agreements generally work like this: A generic-drug maker comes up with a chemical equivalent to a large-selling, patented drug and applies to the F.D.A. to sell it, arguing that the patent is invalid.

Rather than spend years and millions of dollars defending its patent, the branded company often offers a settlement: it pays the generic company to keep its drug off the market for a time period, perhaps also offering to let the generic company market an “authorized” generic version later on.

Pharmaceutical makers say that the agreements are a cost-effective way of settling patent litigation.

If the courts do not settle the issue, the pending Senate bill, supported by Senator Herb Kohl, a Wisconsin Democrat, and Senator Charles E. Grassley, an Iowa Republican, would do away with the payments between branded- and generic-drug makers. When the Senate Judiciary Committee approved the bill one year ago, Mr. Kohl said the deals undermined basic capitalism.“There’s no room in a competitive marketplace,” he said, “for these kinds of back-room deals.”