United States of America v. INSYS Therapeutics, Inc.

United States District Court for the Central District of California

United States of America v. INSYS Therapeutics, Inc.

Trial Court Opinion

UNITED STATES DISTRICT COURT 1 CENTRAL DISTRICT OF CALIFORNIA 2 3 UNITED STATES OF AMERICA ex rel. CASE NO. (ASx) 4 MELINA EBU-ISAAC and the States of 2:16-cv-07937-JLS-AJW 5 CALIFORNIA, COLORADO, CONNECTICUT, DELAWARE, FLORIDA, GEORGIA, HAWAII, 6 ILLINOIS, INDIANA, IOWA, LOUISIANA, 7 MASSACHUSETTS, MICHIGAN, Hon. Josephine L. Staton MINNESOTA, MONTANA, NEVADA, NEW 8 MEXICO, NEW YORK, NORTH CAROLINA, 9 OKLAHOMA, RHODE ISLAND, 10 TENNESSEE, TEXAS, VERMONT, PROTECTIVE ORDER VIRGINIA, WASHINGTON, the CITY OF 11 CHICAGO and the DISTRICT OF COLUMBIA, 12 13 Relator-Plaintiff, 14 v. 15 16 INSYS THERAPEUTICS, INC. and LINDEN CARE, LLC, LINDEN CARE, INC., LINDEN 17 CARE HOLDINGS, INC., BELHEALTH 18 INVESTMENT PARTNERS, LLC, BEHEALTH 19 INVESTMENT MANAGEMENT, LLC, and BELHEALTH INVESTMENT FUND, LP 20 21 Defendants. 22 23 1. A. PURPOSES AND LIMITATIONS 24 Discovery in this action is likely to involve production of confidential, 25 proprietary, or private information for which special protection from public 26 disclosure and from use for any purpose other than prosecuting this litigation may 27 1 be warranted. Accordingly, the parties hereby stipulate to and petition the Court to 2 enter the following Stipulated Protective Order. The parties acknowledge that this 3 Order does not confer blanket protections on all disclosures or responses to 4 discovery and that the protection it affords from public disclosure and use extends 5 only to the limited information or items that are entitled to confidential treatment 6 under the applicable legal principles. The parties further acknowledge, as set forth 7 in Section 12.3, below, that this Stipulated Protective Order does not entitle them to 8 file confidential information under seal; Civil Local Rule 79-5 sets forth the 9 procedures that must be followed and the standards that will be applied when a party 10 seeks permission from the court to file material under seal. 11 B. GOOD CAUSE STATEMENT 12 This action is likely to involve personal identifying information; personal 13 information that is protected from disclosure by statute, regulation, or is otherwise 14 entitled to protection from public disclosure; information that constitutes or 15 contains “protected health information,” as defined by

45 C.F.R. § 164.501

and/or 16 “individually identifiable health information,” as defined by

45 C.F.R. § 160.103

, 17 or information that is otherwise protected from disclosure by the Privacy Act, 5 18 U.S.C. § 552a, or the Health Insurance Portability and Accountability Act of 1996 19 (“HIPAA”), codified at 42 U.S.C. §§ 1302d et seq. and implemented at 45 C.F.R. 20 §§ 160, 164, (

Pub. L. 104-191

) (this category herein after collectively referred to 21 as “Confidential Health Information”) and/or other applicable state or federal law 22 or regulation concerning Confidential Health Information; financial and/or 23 proprietary information for which special protection from public disclosure and from 24 use for any purpose other than prosecution of this action is warranted. Such 25 confidential and proprietary materials and information consist of, among other 26 things, Confidential Health Information, personal identifying information, 27 confidential business or financial information, information regarding confidential 1 business practices, or other confidential commercial information (including 2 information implicating privacy rights of third parties), information otherwise 3 generally unavailable to the public, or which may be privileged or otherwise 4 protected from disclosure under state or federal statutes, court rules, case 5 decisions, or common law. Accordingly, to expedite the flow of information, to 6 facilitate the prompt resolution of disputes over confidentiality of discovery 7 materials, to adequately protect information the parties are entitled to keep 8 confidential, to ensure that the parties are permitted reasonable necessary uses of 9 such material in preparation for and in the conduct of trial, to address their handling 10 at the end of the litigation, and serve the ends of justice, a protective order for such 11 information is justified in this matter. It is the intent of the parties that information 12 will not be designated as confidential for tactical reasons and that nothing be so 13 designated without a good faith belief that it has been maintained in a confidential, 14 non-public manner, and there is good cause why it should not be part of the public 15 record of this case. 16 This Protective Order is a “qualified protective order” under the patient 17 privacy regulations of HIPAA. The use of protected personal health information 18 disclosed pursuant to this Protective Order shall comply with the provisions of 19 HIPAA and the regulations promulgated thereunder, including the HIPAA 20 Standards for Privacy of Individually Identifiable Health Information and the 21 HIPAA Security Standards Regulations. See 45 C.F.R. Parts 160 and 164. Any 22 information that any Party or Non-Party believes in good faith to contain protected 23 personal health information shall be designated as Confidential Material. 24 25 2. DEFINITIONS 26 2.1 Action: The above-captioned case, styled as U.S. ex rel. Ebu-Isaac, et 27 al. v. Insys Therapeutics, Inc. et al., No. 2:16-cv-07937-JLS-AJW. 1 2.2 Challenging Party: a Party or Non-Party that challenges the designation 2 of information or items under this Order. 3 2.3 “CONFIDENTIAL” Information or Items: information (regardless of 4 how it is generated, stored or maintained) or tangible things that 5 qualify for protection under Federal Rule of Civil Procedure 26(c), 6 and as specified above in the Good Cause Statement. 7 2.4 Counsel: Outside Counsel of Record and House Counsel (as well as 8 their support staff). 9 2.5 Designating Party: a Party or Non-Party that designates information 10 or items that it produces in disclosures or in responses to discovery as 11 “CONFIDENTIAL.” 12 2.6 Disclosure or Discovery Material: all items or information, regardless 13 of the medium or manner in which it is generated, stored, or 14 maintained (including, among other things, testimony, transcripts, 15 and tangible things), that are produced or generated in disclosures 16 or responses to discovery in this matter. 17 2.7 Enforcement Personnel: Attorneys for the United States of America, 18 Assistant United States Attorneys, United States Department of 19 Justice, state attorneys general, Attorneys for the City of Chicago and 20 Attorneys for the District of Columbia, as well as their support staff. 21 2.8 Expert: a person with specialized knowledge or experience in a 22 matter pertinent to the litigation who has been retained by a Party or 23 its counsel to serve as an expert witness or as a consultant in this 24 Action. 25 2.8 House Counsel: attorneys who are employees of a party to this 26 Action. House Counsel does not include Outside Counsel of Record 27 or any other outside counsel. 1 2.9 Non-Party: any natural person, partnership, corporation, association, 2 or other legal entity not named as a Party to this action. 3 2.10 Outside Counsel of Record: attorneys who are not employees of a party 4 to this Action but are retained to represent or advise a party to this 5 Action and have appeared in this Action on behalf of that party or are 6 affiliated with a law firm which has appeared on behalf of that party, 7 and includes support staff. 8 2.11 Party: any party to this Action, including all of its officers, directors, 9 employees, consultants, retained experts, and Outside Counsel of 10 Record (and their support staffs). 11 2.12 Producing Party: a Party or Non-Party that produces Disclosure or 12 Discovery Material in this Action. 13 2.13 Professional Vendors: persons or entities that provide litigation support 14 services (e.g., photocopying, videotaping, translating, preparing 15 exhibits or demonstrations, and organizing, storing, or retrieving data 16 in any form or medium) and their employees and subcontractors. 17 2.14 Protected Material: any Disclosure or Discovery Material that is 18 designated as “CONFIDENTIAL.” 19 2.15 Receiving Party: a Party that receives Disclosure or Discovery Material 20 from a Producing Party. 21 22 3. SCOPE 23 The protections conferred by this Stipulation and Order cover not only 24 Protected Material (as defined above), but also (1) any information copied or 25 extracted from Protected Material; (2) all copies, excerpts, summaries, or 26 compilations of Protected Material; and (3) any testimony, conversations, or 27 presentations by Parties or their Counsel that might reveal Protected Material. Any 1 use of Protected Material at trial shall be governed by the orders of the trial judge. 2 This Order does not govern the use of Protected Material at trial. 3 4 4. DURATION 5 Once a case proceeds to trial, all of the information that was designated as 6 confidential or maintained pursuant to this protective order which is introduced as 7 an exhibit at trial becomes public and will be presumptively available to all 8 members of the public, including the press, unless compelling reasons supported 9 by specific factual findings to proceed otherwise are made to the trial judge in 10 advance of the trial. See Kamakana v. City and County of Honolulu,

447 F.3d 1172

, 11 1180-81 (9th Cir. 2006) (distinguishing “good cause” showing for sealing 12 documents produced in discovery from “compelling reasons” standard when 13 merits-related documents are part of court record). Accordingly, the terms of this 14 protective order do not extend beyond the commencement of the trial. 15 16 5. DESIGNATING PROTECTED MATERIAL 17 5.1 Exercise of Restraint and Care in Designating Material for Protection. 18 Each Party or Non-Party that designates information or items for protection 19 under this Order must take care to limit any such designation to specific material 20 that qualifies under the appropriate standards. To the extent practicable, the 21 Designating Party shall make reasonable efforts to designate for protection only 22 those parts of material, documents, items, or oral or written communications that 23 qualify so that other portions of the material, documents, items, or communications 24 for which protection is not warranted are not swept unjustifiably within the ambit 25 of this Order. 26 Mass, indiscriminate, or routinized designations are prohibited. Designations 27 that are shown to be clearly unjustified or that have been made for an improper 1 purpose (e.g., to unnecessarily encumber the case development process or to 2 imposeunnecessary expenses and burdens on other parties) may expose the 3 Designating Party to sanctions. 4 If it comes to a Designating Party’s attention that information or items that 5 it designated for protection do not qualify for protection, that Designating Party 6 must promptly notify all other Parties that it is withdrawing the inapplicable 7 designation. 8 5.2 Manner and Timing of Designations. Except as otherwise provided in this 9 Order (see, e.g., second paragraph of section 5.2(a) below), or as otherwise stipulated 10 or ordered, Disclosure or Discovery Material that qualifies for protection under this 11 Order must be clearly so designated before the material is disclosed or produced. 12 Designation in conformity with this Order requires: 13 (a) for information in documentary form (e.g., paper or electronic 14 documents, but excluding transcripts of depositions or other pretrial or trial 15 proceedings), that the Producing Party affix at a minimum, the legend 16 “CONFIDENTIAL” (hereinafter “CONFIDENTIAL legend”), to eachpage that 17 contains protected material provided, however, that the CONFIDENTIAL legend 18 may be added to the file name in lieu of the face of the document, as appropriate. 19 If only a portion or portions of the material on a page qualifies for protection, the 20 Producing Party will, to the extent practicable, make reasonable efforts to clearly 21 identify the protected portion(s) (e.g., by making appropriate markings in the 22 margins). 23 A Party or Non-Party that makes original documents available for inspection 24 need not designate them for protection until after the inspecting Party has indicated 25 which documents it would like copied and produced. During the inspection and 26 before the designation, all of the material made available for inspection shall be 27 deemed “CONFIDENTIAL.” After the inspecting Party has identified the 1 documents it wants copied and produced, the Producing Party must determine which 2 documents, or portions thereof, qualify for protection under this Order. Then, before 3 producing the specified documents, the Producing Party must affix the 4 “CONFIDENTIAL legend” to each page that contains Protected Material. If only 5 a portion or portions of the material on a page qualifies for protection, the 6 Producing Party also must clearly identify the protected portion(s) (e.g., by making 7 appropriate markings in the margins). 8 (b) for testimony given in depositions, that the Designating Party use its best 9 efforts to identify the Disclosure or Discovery Material on the record, before the 10 close of the deposition all protected testimony, unless alternative measures are 11 agreed upon prior to deposition. 12 (c) for information produced in some form other than documentary and for 13 any other tangible items, that the Producing Party affix in a prominent place on the 14 exterior of the container or containers in which the information is stored the legend 15 “CONFIDENTIAL.” If only a portion or portions of the information warrants 16 protection, the Producing Party, to the extent practicable, shall identify the protected 17 portion(s). 18 5.3 Inadvertent Failures to Designate. If timely corrected, an inadvertent 19 failure to designate qualified information or items does not, standing alone, waive 20 the Designating Party’s right to secure protection under this Order for such 21 material. Upon timely correction of a designation, the Receiving Party must make 22 reasonable efforts to assure that the material is treated in accordance with the 23 provisions of this Order. 24 25 6. CHALLENGING CONFIDENTIALITY DESIGNATIONS 26 6.1 Timing of Challenges. Any Party or Non-Party may challenge a 27 designation of confidentiality at any time that is consistent with the Court’s 1 Scheduling Order. 2 6.2 Meet and Confer. The Challenging Party shall initiate the Informal 3 Dispute Resolution process set forth in the Court's Procedures and Schedules. See 4 http://www.cacd.uscourts.gov/honorable-alka-sagar 5 6.3 The burden of persuasion in any such challenge proceeding shall be on 6 the Designating Party. Frivolous challenges, and those made for an improper 7 purpose (e.g., to harass or impose unnecessary expenses and burdens on other 8 parties) may expose the Challenging Party to sanctions. Unless the Designating 9 Party has waived or withdrawn the confidentiality designation, all parties shall 10 continue to afford the material in question the level of protection to which it 11 is entitled under the Producing Party’s designation until the Court rules on the 12 challenge. 13 14 7. ACCESS TO AND USE OF PROTECTED MATERIAL 15 7.1 Basic Principles. A Receiving Party may use Protected Material that 16 is disclosed or produced by another Party or by a Non-Party in connection with 17 this Action only for prosecuting, defending, or attempting to settle this Action. 18 Enforcement Personnel, as defined in this Order, may use Protected Material in 19 furtherance of legitimate law enforcement purposes. Such Protected Material may 20 be disclosed only to the categories of persons andunder the conditions described 21 in this Order. When the Action has been terminated, a Receiving Party must comply 22 with the provisions of section 13 below (FINAL DISPOSITION). 23 Protected Material must be stored and maintained by a Receiving Party 24 at a location and in a secure manner that ensures that access is limited to the persons 25 authorized under this Order. 26 7.2 Disclosure of “CONFIDENTIAL” Information or Items. Unless 27 otherwise ordered by the court or permitted in writing by the Designating Party, a 1 Receiving Party may disclose any information or item designated 2 “CONFIDENTIAL” only to: 3 (a) the Receiving Party’s Outside Counsel of Record in this Action, as well as 4 employees of said Outside Counsel of Record to whom it is reasonably necessary 5 to disclose the information for this Action; 6 (b) the Parties to this Action; 7 (c) the officers, directors, and employees (including House Counsel) and 8 agents of the Receiving Party to whom disclosure is reasonably necessary for this 9 Action; 10 (d) Enforcement Personnel, who have signed the “Acknowledgement and 11 Agreement to Be Bound” (Exhibit A); 12 (e) Experts (as defined in this Order) of the Receiving Party to whom 13 disclosure is reasonably necessary for this Action and who have signed the 14 “Acknowledgment and Agreement to Be Bound” (Exhibit A); 15 (f) the court and its personnel; 16 (g) court reporters, court videographers, and their staff; 17 (h) professional jury or trial consultants or potential consultants, mock 18 jurors, and Professional Vendors to whom disclosure is reasonably necessary for 19 this Action and who have signed the “Acknowledgment and Agreement to Be 20 Bound” (Exhibit A); 21 (i) the author or recipient of a document containing the information or a 22 custodian or other person who otherwise possessed or knew the information; 23 (j) during their depositions, witnesses or potential witnesses, and attorneys 24 for witnesses, and any person as to which there is a good faith basis to believe that 25 they may be a witness at a deposition or hearing in this Action, to whom disclosure 26 is reasonably necessary provided that the deposing party requests that the witness 27 sign and the witness does sign the form attached as Exhibit A hereto. Pages of 1 transcribed deposition testimony or exhibits to depositions that reveal Protected 2 Material may be separately bound by the court reporter and may not be disclosed to 3 anyone except as permitted under this Stipulated Protective Order; and (i) any 4 mediator or settlement officer, and their supporting personnel, mutually agreed 5 upon by any of the parties engaged in settlement discussions. 6 7 8. PROTECTED MATERIAL SUBPOENAED OR ORDERED PRODUCED 8 IN OTHER LITIGATION 9 If a Party is served with a subpoena or a court order issued in other litigation 10 that compels disclosure of any information or items designated in this Action as 11 “CONFIDENTIAL,” that Party must: 12 (a) promptly notify in writing the Designating Party. Such notification shall 13 include a copy of the subpoena or court order; 14 (b) promptly notify in writing the party who caused the subpoena or order to 15 issue in the other litigation that some or all of the material covered by the subpoena 16 or order is subject to this Protective Order. Such notification shall include a copy 17 of this Stipulated Protective Order; and 18 (c) cooperate with respect to all reasonable procedures sought to be pursued 19 by the Designating Party whose Protected Material may be affected. If the 20 Designating Party timely seeks a protective order, the Party served with the 21 subpoena or court order shall not produce any information designated in this action 22 as “CONFIDENTIAL” before a determination by the court from which the subpoena 23 or order issued, unless the Party has obtained the Designating Party’s permission. 24 The Designating Party shall bear the burden and expense of seeking protection in 25 that court of its confidential material and nothing in these provisions should be 26 construed as authorizing or encouraging a Receiving Party in this Action to disobey 27 a lawful directive from another court. 1 9. A NON-PARTY’S PROTECTED MATERIAL SOUGHT TO BE 2 PRODUCED IN THIS LITIGATION 3 (a) The terms of this Order are applicable to information produced by a Non- 4 Party in this Action and designated as “CONFIDENTIAL.” Such information 5 produced by Non-Parties in connection with this litigation is protected by the 6 remedies and relief provided by this Order. Nothing in these provisions should be 7 construed as prohibiting a Non-Party from seeking additional protections. 8 (b) If any discovery requests are served on a Non-Party, the Party serving the 9 discovery request shall provide the Non-Party with notice of the terms of this Order. 10 (c) In the event that a Party is required, by a valid discovery request, to 11 produce a Non-Party’s confidential information in its possession, and the Party is 12 subject to an agreement with the Non-Party not to produce the Non-Party’s 13 confidential information, then the Party shall: 14 (1) promptly notify in writing the Requesting Party and the Non-Party 15 that some or all of the information requested is subject to a 16 confidentiality agreement with a Non-Party; 17 (2) promptly provide the Non-Party with a copy of the Stipulated 18 Protective Order in this Action, the relevant discovery request(s), and 19 a reasonably specific description of the information requested; and 20 (3) make the information requested available for inspection by the Non- 21 Party, if requested. 22 (d) If the Non-Party fails to seek a protective order from this court within 14 23 days of receiving the notice and accompanying information, the Receiving Party 24 may produce the Non-Party’s confidential information responsive to the discovery 25 request. If the Non-Party timely seeks a protective order, the Receiving Party shall 26 not produce any information in its possession or control that is subject to the 27 confidentiality agreement with the Non-Party before a determination by the court. 1 Absent a court order to the contrary, the Non-Party shall bear the burden and expense 2 of seeking protection in this court of its Protected Material. 3 4 10. UNAUTHORIZED DISCLOSURE OF PROTECTED MATERIAL 5 If a Receiving Party learns that, by inadvertence or otherwise, it has disclosed 6 Protected Material to any person or in any circumstance not authorized under this 7 Stipulated Protective Order, the Receiving Party must immediately (a) notify in 8 writing the Designating Party of the unauthorized disclosures, (b) use its best efforts 9 to retrieve all unauthorized copies of the Protected Material, (c) inform the person 10 or persons to whom unauthorized disclosures were made of all the terms of this 11 Order, and (d) request such person or persons to execute the “Acknowledgment and 12 Agreement to Be Bound” that is attached hereto as Exhibit A. 13 14 11. INADVERTENT PRODUCTION OF PRIVILEGED OR OTHERWISE 15 PROTECTED MATERIAL 16 When a Producing Party gives notice to Receiving Parties that certain 17 inadvertently produced material is subject to a claim of privilege or other protection, 18 the obligations of the Receiving Parties are those set forth in Federal Rule of Civil 19 Procedure 26(b)(5)(B). This provision is not intended to modify whatever procedure 20 may be established in an e-discovery order that provides for production without prior 21 privilege review. Pursuant to Federal Rule of Evidence 502(d) and (e), if 22 information subject to a claim of attorney-client privilege, work product 23 immunity/privilege, common interest privilege, community-of-interest privilege, 24 or any other applicable privilege or immunity (collectively, “Privilege”) is 25 produced inadvertently, the following clawback protocol shall apply: 26 (a) Upon learning of the production of any information that a Producing 27 Party believes is subject to a claim of Privilege, the Producing Party shall 1 immediately notify in writing any Receiving Party of the claimed Privilege, the 2 basis for it, and the produced documents (by Bates number or otherwise with 3 particularity) for which it applies (the “Clawback Notice”). After being so notified 4 by the Producing Party, if all Receiving Parties do not challenge the Clawback 5 Notice, all Receiving Parties shall destroy all copies of such documents subject to 6 the Privilege claim within seven (7) days of receipt of the Clawback Notice and 7 shall not use such documents for any purpose and shall provide notice via email to 8 the Producing Party of such destruction. After being so notified by the Producing 9 Party, if any Receiving Party contests the Producing Party’s claim of Privilege, the 10 Producing Party and any contesting Receiving Party must within seven (7) days 11 from the receipt of any Clawback Notice meet and confer and work in good faith 12 to resolve the dispute. If the Producing Party and the Receiving Party cannot resolve 13 the dispute over the claim of Privilege, the Producing Party shall within seven (7) 14 days from the meet and confer file a motion with the Court, consistent with Local 15 Rules 79-5 and 79-6, for a determination of the claim of Privilege. During the 16 pendency of the period from the Clawback Notice and until the resolution of any 17 disputed claim of Privilege, any Receiving Party of the document subject to the 18 disputed claim of Privilege must sequester it, cease any further review of it, and 19 must not use or disclose it, or create additional copies of it except to the extent the 20 copies are made for the sole purpose of presentation to the Court, either under seal 21 or in camera, for a determination of the claim of Privilege, in accordance with the 22 procedures set forth herein. 23 (b) If a Party discovers or believes a Producing Party has inadvertently 24 produced a document that is protected by Privilege, that Party shall cease any 25 further review of the document and shall give the Producing Party immediate notice 26 of the suspected inadvertent disclosure, identifying by Bates number, or otherwise 27 with particularity, the document so discovered. If after receiving such notice, the 1 Producing Party does not respond within seven (7) days from the date of that notice, 2 then any privilege over such document shall be deemed waived. Any such waiver 3 shall not be deemed to extend to any other document, whether dealing with the 4 same subject matter or a different matter. After being noticed of the suspected 5 inadvertent production of a document that is suspected to be privileged, the 6 Producing Party and the Receiving Parties must, within seven (7) days from 7 notification from the Receiving Party, meet and confer and work in good faith to 8 resolve any dispute over a claim of Privilege. If the Producing Party and the 9 Receiving Parties cannot resolve the dispute, the Producing Party shall within seven 10 (7) days from the meet and confer file a motion with the Court, consistent with 11 Local Rules 79-5 and 79-6, for a determination of the claim of Privilege. During 12 the pendency of the period from the notice and until the resolution of any disputed 13 claim of Privilege, any Receiving Party of the document subject to the disputed 14 claim of Privilege must sequester it, cease any further review of it, and must not 15 use or disclose it, or create additional copies of it except to the extent the copies are 16 made for the sole purpose of presentation to the Court, either under seal or in 17 camera, for a determination of the claim of Privilege, in accordance with the 18 procedures set forth herein. 19 (c) If there is no dispute concerning any Clawback Notice or any claim of 20 Privilege at issue hereunder, or if the Court rules in favor of the Producing Party in 21 the event of a dispute, then unless otherwise ordered by the Court, each Receiving 22 Party who does not hold the privilege must promptly destroy or delete the document 23 and any reasonably accessible copies it has, and provide a confirmation via email 24 to the Producing Party that it will cease further review, dissemination, and use of 25 the document, and that all copies thereof have been destroyed. 26 (d) The destruction of any document shall not in any way preclude the 27 Receiving Party from moving the Court for a ruling that the challenged document 1 was not properly withheld. 2 3 12. MISCELLANEOUS 4 12.1 Right to Further Relief. Nothing in this Order abridges the right of any 5 person to seek its modification by the Court in the future. 6 12.2 Right to Assert Other Objections. By stipulating to the entry of this 7 Protective Order, no Party waives any right it otherwise would have to object to 8 disclosing or producing any information or item on any ground not addressed in this 9 Stipulated Protective Order. Similarly, no Party waives any right to object on any 10 ground to use in evidence of any of the material covered by this Protective Order. 11 12.3 Filing Protected Material. A Party that seeks to file under seal any 12 Protected Material must comply with Civil Local Rule 79-5. Protected Material may 13 only be filed under seal pursuant to a court order authorizing the sealing of the 14 specific Protected Material at issue. If a Party's request to file Protected Material 15 under seal is denied by the court, then the Receiving Party may file the information 16 in the public record unless otherwise instructed by the Court. 17 18 13. FINAL DISPOSITION 19 Within sixty (60) days after such time as a Receiving Party’s involvement in 20 this Action is concluded, whether by final adjudication on the merits from which 21 there remains no appeal by right or by other means, the Receiving Party shall, 22 without request, undertake reasonable efforts to return all Protected Material to the 23 Producing Party or destroy such material. As used in this subdivision, “all 24 Protected Material” includes all copies, abstracts, compilations, summaries, and 25 any other format reproducing or capturing any of the Protected Material. 26 Whether the Protected Material is returned or destroyed, the Receiving Party 27 must submit a written certification to the Producing Party (and, if not the same 1 person or entity, to the Designating Party) by the 60 day deadline that (1) identifies 2 (by category, where appropriate) all the Protected Material that was returned or 3 destroyed and (2) affirms that the Receiving Party has not retained any copies, 4 abstracts, compilations, summaries or any other format reproducing or capturing any 5 of the Protected Material. Notwithstanding this provision, Counsel are entitled to 6 retain an archival copy of all pleadings, motion papers, trial, deposition, and hearing 7 transcripts, legal memoranda, correspondence, deposition and trial exhibits, expert 8 reports, attorney work product, and consultant and expert work product, even if such 9 materials contain Protected Material. Any such archival copies that contain or 10 constitute Protected Material remain subject to this Protective Order as set forth in 11 Section 4 (DURATION). 12 13 14. Any violation of this Order may be punished by any and all appropriate 14 measures including, without limitation, contempt proceedings and/or monetary 15 sanctions. 16 17 15. This Order governs all discovery in this Action, including documents 18 exchanged prior to the date on which Order is entered and, to the extent that such 19 discovery is designated confidential, this Order shall be applied retroactively in full 20 force and effect. 21 22 IT IS SO STIPULATED, THROUGH COUNSEL OF RECORD. 23 NORTON ROSE FULBRIGHT US KANG HAGGERTY & 24 LLP FETBROYT, LLC /s/ Jacob Laksin /s/ Kandis L. Kovalsky 25 WILLIAM J. LEONE EDWARD T. KANG 26 [email protected] [email protected] m KANDIS L. KOVALSKY 27 JACOB LAKSIN [email protected] 1 [email protected] SUSAN MOON O 2 1301 Avenue of the America [email protected] New York, NY 10019 KYLE GARABEDIAN 3 Telephone: 212-318-3400 [email protected] 4 Facsimile: 212-318-3400 123 S. Broad St., Suite 1670 Philadelphia, PA 19109 5 NORTON ROSE FULBRIGHT US Telephone: 215-525-5850 6 LLP Facsimile: 215-525-5860 CHAKAMEH GANJI (SBN 311720) 7 Chakameh.ganji@nortonrosefulbright. McELDREW YOUNG, 8 com Attorneys-at-Law 55 South Flower Street, ERIC L. YOUNG 9 Forty First Floor [email protected] 10 Los Angeles, CA 90071 PAUL V. SHEHADI Telephone: 213-892-9200 [email protected] 11 Facsimile: 213-892-9494 123 S. Broad Street, Suite 2250 12 Philadelphia, PA 19109 Attorneys for Defendants Belhealth Telephone: 215-367-5151 13 Investment Partners, LLC, Belhealth Facsimile: 215-367-5143 14 Investment Management, LLC, Belhealth Investment Fund, LP RICHARD J. HOLLAWELL 15 & ASSOCIATES 16 FRIER & LEVITT, LLC RICHARD J. HOLLAWELL /s/ Jonathan E. Levitt [email protected] 17 JONATHAN E. LEVITT 121 Saratoga Lane 18 [email protected] Woolwich Twp., NJ 08085 19 84 Bloomfield Avenue Telephone: 215-498-8609 Pine Brook, NJ 07058 Facsimile: 856-467-5101 20 Telephone: 973-618-1660 21 Facsimile: 973-618-0650 SHEPHERD FINKELMAN MILLER & SHAH, LLP 22 /s/ Kendra E. Pannitti KOLIN C. TANG (SBN 23 KENDRA E. PANNITTI 279834) [email protected] [email protected] 24 101 Greenwich Street, Suite 8B 1401 Dove Street, Suite 540 25 New York, NY 10006 Newport Beach, CA 92660 Telephone: 973-618-1660 Telephone: 323-510-4060 26 Facsimile: 973-618-0650 Facsimile: 866-300-7367 27 Attorneys for Defendants Linden Attorneys for Relator-Plaintiff 1 Care, LLC, Linden Care, Inc., and Melina Spalter (Ebu-Isaac) 2 Linden Care Holdings, Inc. DATED: April 19, 2021 3 DATED: April 19, 2021 4 5 FOR GOOD CAUSE SHOWN, IT IS SO ORDERED. 6 7 DATED: __A_p_r_il_ 1_9_,_ 2_0_2_1_________ 8 9 _______/_ s_ /_ S_a_g_a_r___________________ Honorable Alka Sagar 10 United States Magistrate Judge 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 1 EXHIBIT A 2 ACKNOWLEDGMENT AND AGREEMENT TO BE BOUND 3 I, _____________________ [print or type full name], of __________________________ 4 [print or type full address], declare under penalty of perjury that I have read in its 5 entirety and understand the Stipulated Protective Order that was issued by the 6 United States District Court for the Central District of California on April ___, 2021 7 in the case of U.S. ex rel. Ebu-Isaac, et al. v. Insys Therapeutics, Inc. et al., 8 No. 2:16-cv-07937-JLS(ASx). I agree to comply with and to be bound by all the 9 terms of this Stipulated Protective Order and I understand and acknowledge that 10 failure to so comply could expose me to sanctions and punishment in the 11 nature of contempt. I solemnly promise that I will not disclose in any manner any 12 information or item that is subject to this Stipulated Protective Order to any 13 person or entity except in strict compliance with the provisions of this Order. 14 I further agree to submit to the jurisdiction of the United States District Court for 15 the Central District of California for the purpose of enforcing the terms of this 16 Stipulated Protective Order, even if such enforcement proceedings occur after 17 termination of this action. I hereby appoint _________________________ [print 18 or type full name] of _________________________ [print or type full address and 19 telephone number] as my California agent for service of process in connection with 20 this action or any proceedings related to enforcement of this Stipulated Protective 21 Order. 22 23 Date: _________________________ 24 City and State where sworn and signed: _________________________ 25 Printed name: _________________________ 26 27 Signature: _________________________ 1 ATTESTATION PURSUANT TO CIVIL L.R. 5-4.3.4(a)(2) 2 The filer attests that the other signatories listed, on whose behalf the filing is 3 also submitted, are registered CM/ECF filers and concur in the filing’s content and 4 has authorized the filing. 5

6 Dated: April 19, 2021 Kolin C. Tang 7 Kolin C. Tang (SBN 279834) MILLER SHAH LLP 8 1401 Dove Street 9 Suite 510 Newport Beach, CA 90660 10 Telephone: (323) 510-4060 11 Facsimile: (866) 300-7367 Email: [email protected] 12

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Reference

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