17‐3486‐cv
Biocad JSC v. F. Hoffmann‐La Roche Ltd.


                                   UNITED STATES COURT OF APPEALS
                                       FOR THE SECOND CIRCUIT

                                          August Term 2018

           (Argued: October 23, 2018                         Decided: November 5, 2019)

                                          Docket No. 17‐3486



                                             BIOCAD JSC,
                                                                  Plaintiff‐Appellant,

                                               ‐ against ‐

    F. HOFFMANN‐LA ROCHE, GENENTECH, INC., R‐PHARM JSC, ROCHE HOLDING AG,
                                               Defendants‐Appellees.*



                    ON APPEAL FROM THE UNITED STATES DISTRICT COURT
                        FOR THE SOUTHERN DISTRICT OF NEW YORK

Before:
               KATZMANN, Chief Judge, and KEARSE and CHIN, Circuit Judges.

                  Appeal from a judgment of the United States District Court for the

Southern District of New York (Sullivan, J.) dismissing plaintiff‐appellantʹs

antitrust claims for lack of subject matter jurisdiction and failure to state a claim.



*        The Clerk of the Court is directed to amend the caption to conform to that above.
Plaintiff‐appellant is a private pharmaceutical company based in Russia. It seeks

damages and other relief for anticompetitive conduct by foreign entities in a

foreign country that purportedly has delayed or prevented its entry into the

United States market for cancer treatment drugs. The district court dismissed the

claims principally because (1) plaintiff‐appellant failed to sufficiently plead

antitrust standing and (2) its claims are barred by the provisions of the Foreign

Trade Antitrust Improvements Act that exclude from the scope of antitrust laws

ʺconduct involving trade or commerce . . . with foreign nations.ʺ 15 U.S.C. § 6a.

For the reasons set forth below, we agree that the claims do not fall within the

reach of United States antitrust laws.

             AFFIRMED.

             Chief Judge KATZMANN concurs in a separate opinion.



                          DAVID C. FREDERICK (Gregory G. Rapawy and Julius P.
                               Taranto, on the brief), Kellogg, Hansen, Todd,
                               Figel & Frederick, P.L.L.C, Washington, DC, and
                               Albert Feinstein, Feinstein & Partners, P.L.L.C.,
                               New York, New York, for Plaintiff‐Appellant.




                                         -2-
                          DANIEL M. WALL (Amanda P. Reeves, Roman Martinez,
                               Benjamin W. Snyder, and Lawrence E. Buterman,
                               on the brief), Latham & Watkins LLP, New York,
                               New York; San Francisco, California; and
                               Washington, DC, for Defendant‐Appellee Genentech,
                               Inc.

                          PAUL SPAGNOLETTI (Andrew S. Gehring, on the brief),
                               Davis Polk & Wardell LLP, New York, New York,
                               for Defendants‐Appellees F. Hoffmann‐La Roche Ltd
                               and Roche Holding AG.

                          Caitlin J. Halligan, Eric J. Stock, and Alejandro A.
                                 Herrera, Gibson, Dunn & Crutcher LLP, New
                                 York, New York, for Defendant‐Appellee R‐Pharm
                                 JSC.



CHIN, Circuit Judge:

             Plaintiff‐appellant Biocad JSC (ʺBiocadʺ) and defendants‐appellees

Roche Holding AG (ʺRocheʺ), F. Hoffmann‐La Roche Ltd. (ʺLa Rocheʺ),

Genentech, Inc. (ʺGenentechʺ), and R‐Pharm JSC (ʺR‐Pharmʺ) (collectively,

ʺDefendantsʺ) are manufacturers of cancer treatment drugs. Biocad alleges that

Defendants engaged in anticompetitive conduct in Russia ‐‐ price fixing, illegal

tying, and price discrimination ‐‐ that was intended to interfere with its ability to

enter the pharmaceutical market for cancer treatment drugs in the United States.




                                         -3-
               Biocad commenced this action pursuant to the Sherman Act, 15

U.S.C. §§ 1 and 2; the Clayton Act, 15 U.S.C. §§ 15 and 26; the Robinson‐Patman

Act, 15 U.S.C. § 13; and the Donnelly Act, N.Y. Gen. Bus. Law § 340 et seq. The

district court granted Defendantsʹ motions to dismiss all of Biocadʹs claims for

lack of subject matter jurisdiction and failure to state a claim, pursuant to Federal

Rules of Civil Procedure 12(b)(1) and 12(b)(6). The district court dismissed

Biocadʹs Sherman Act claims because it concluded that Biocad had not

sufficiently pleaded antitrust injury. The district court also ruled that Biocadʹs

Sherman Act claims were barred by the Foreign Trade Antitrust Improvements

Act (the ʺFTAIAʺ), 15 U.S.C. § 6a, because the foreign nature of its claims placed

them beyond the reach of United States antitrust laws. The district court

dismissed the claims under Section 16 of the Clayton Act and the Donnelly Act

for largely the same reasons.2 On review, we agree that Biocadʹs claims are

barred by the FTAIA. Accordingly, the judgment of the district court is affirmed

on that basis.




2      The district court also dismissed claims under the Robinson‐Patman Act and Section 4 of the
Clayton Act. Biocad does not appeal from those rulings.

                                                 -4-
                                            BACKGROUND

A.      The Allegations of Anticompetitive Conduct3

                 Biocad is a pharmaceutical company with its principal place of

business in Saint Petersburg, Russia. It also has a subsidiary in the United States.

Roche is a Swiss, multinational healthcare corporation, which owns Switzerland‐

based La Roche as well as La Rocheʹs American‐based affiliate Genentech. In

Russia, Roche distributes its drug products through the independent and Russia‐

based pharmaceutical company, R‐Farm JSC (ʺR‐Farmʺ). In turn, R‐Farm

conducts business in the United States through its own subsidiary, R‐Pharm US

LLC. La Roche conducts all of its American business operations and activities

through Genentech.

                 In recent years, monoclonal antibodies (ʺmAbsʺ) ‐‐ laboratory‐

produced molecules that mimic naturally produced antibodies ‐‐ have been used

successfully in cancer treatment in the United States. Roche is the sole United

States seller of three key mAbs, bevacizumab, trastuzumab, and rituximab

(collectively, the ʺDrugsʺ), the patents for which have expired or will expire soon.




3        The facts alleged in the First Amended Complaint (the ʺComplaintʺ) are assumed to be true on
this review of a motion to dismiss. Biro v. Conde Nast, 807 F.3d 541, 544 (2d Cir. 2015) (ʺWe . . . accept[] as
true the factual allegations in the complaint.ʺ).

                                                     -5-
Biocad has created biosimilar drugs to compete with existing, brand name mAbs

that are produced by companies like Roche.4 Biosimilars are priced substantially

below their brand‐named counterparts, and price competition ensues once the

first biosimilar product enters the market.

                As of 2016, Biocad was the only pharmaceutical company to

successfully produce biosimilars of the Drugs and it ʺintended and [was]

prepared to enter the U.S. marketʺ for mAbs once Rocheʹs exclusivity rights

expired. J. Appʹx 128‐29. Biocad, however, has never participated in the

American market for mAbs.

                Faced with impending competition from Biocad, Defendants

ʺhatched a scheme to restrict [the] U.S. marketʺ and ʺdelay or preclude altogether

[Biocadʹs] imports into [the] U.S.ʺ so that Roche could maintain its control over

the Drugs beyond the exclusivity period. J. Appʹx 142‐43. The conspiracy

included the following: (1) creating a predatory and discriminatory pricing

scheme by increasing Rocheʹs American prices for the Drugs by on average 19%

while decreasing costs in Russia by on average 76%; (2) underwriting the



4        A ʺbiosimilarʺ is a ʺbiological product [that] is highly similar to the reference product
notwithstanding minor differences in clinically inactive componentsʺ; and a biosimilar has ʺno clinically
meaningful differences between the biological product and the reference product in terms of the safety,
purity, and potency of the product.ʺ 42 U.S.C. § 262(i)(2)(A)‐(B).

                                                   -6-
independent, third‐party distributor R‐Farm by permitting R‐Farm to sell the

Drugs at below Rocheʹs costs incurred for distribution in Russia; (3) operating an

illegal kickback system involving the Russian governmentʹs hospitals, doctors,

and other healthcare professionals to bolster Rocheʹs drug sales while excluding

Biocad from Russian government programs; (4) limiting Genentechʹs United

States distribution of Rocheʹs drug samples, which Biocad needed for pre‐Food

and Drug Administration approval testing of its biosimilars; (5) maintaining an

illegal tying and bundling scheme between trastuzumab and another Roche‐

manufactured drug sold in Russia; (6) submitting fraudulent, below‐cost bids at

Russian government auctions; and (7) globally manipulating drug dosages to

force patients into purchasing and eventually discarding more drugs than

necessary. Defendantsʹ goal was to cripple Biocad financially so that Biocad

could not afford to enter the United States market. Biocad recognizes that

Rocheʹs alleged anticompetitive behavior was conducted through its foreign

operations, acknowledging that ʺBiocad had no active U.S. business with which

to interfereʺ because of Rocheʹs patent‐based monopolies. Pl. Appellantʹs Br. at

17.




                                       -7-
B.    The District Court Proceedings

             Biocad commenced this action on June 7, 2016, and filed the

Complaint on October 24, 2016. On December 12, 2016, Defendants moved to

dismiss the Complaint pursuant to Rules 12(b)(1) and 12(b)(6). The district court

issued an Opinion and Order on September 30, 2017, dismissing the Complaint

and denying Biocadʹs request for leave to amend.

             The district court ruled that Biocad failed to state a claim as a matter

of law because it failed to sufficiently allege antitrust standing. The district court

also ruled that, even assuming Biocad had adequately pleaded antitrust injury,

ʺthe foreign locus of [Biocadʹs] allegations would still defeat each of its causes of

action.ʺ S. Appʹx 7. Thus, the district court dismissed Biocadʹs claims.

             As relevant here, in considering Biocadʹs Sherman Act claims, the

district court ruled that the claims were effectively barred under the import

exclusion and domestic effects exception to the FTAIA. See 15 U.S.C. § 6a. With

respect to the import exclusion, the district court concluded that the relationship

between Defendantsʹ acts and their effect on American import commerce was

ʺtoo attenuated for Defendantsʹ acts to be considered ʹdirected atʹ a U.S. import

market,ʺ and Biocadʹs allegations instead indicated that ʺDefendantsʹ alleged



                                         -8-
conduct was targeted at the domestic Russian pharmaceutical market.ʺ S. Appʹx

10. With respect to the domestic effects exception, the district court noted that

Biocad expressly waived that argument, S. Appʹx 12 & n.7, but still reached the

question, reasoning that Biocadʹs ʺalleged injuries flow from Defendantsʹ

allegedly anticompetitive foreign conduct, not the domestic effect of that

conduct, and is therefore the type of ʹindependently caused foreign injuryʹ that

falls outside of the reachʺ of the exclusion, S. Appʹx 13 (quoting Lotes Co. v. Hon

Hai Precision Indus. Co., 753 F.3d 395, 414 (2d Cir. 2014)). Biocadʹs Donnelly Act

claim and request for injunctive relief under the Clayton Act were also dismissed

based largely on the same reasoning.

             This appeal followed.

                                    DISCUSSION

              We review the grant of a motion to dismiss for failure to state a

claim de novo, accepting all factual allegations in the complaint as true and

drawing all reasonable inferences in favor of the plaintiff. Mantikas v. Kellogg Co.,

910 F.3d 633, 636 (2d Cir. 2018); see Fed. R. Civ. P. 12(b)(6). Dismissal is

appropriate when ʺit is clear from the face of the complaint . . . that the plaintiffʹs

claims are barred as a matter of law.ʺ Parkcentral Glob. Hub Ltd. v. Porsche Auto.



                                          -9-
Holdings SE, 763 F.3d 198, 208‐09 (2d Cir. 2014) (quoting Conopco, Inc. v. Roll Intʹl,

231 F.3d 82, 86 (2d Cir. 2000)).

                 The FTAIA sets substantive limitations on Sherman Act claims, and

ʺthe requirements of the FTAIA go to the merits of an antitrust claim rather than

to subject matter jurisdiction.ʺ Lotes, 753 F.3d at 405. Hence, if a plaintiffʹs claims

are barred by the FTAIA, the plaintiff has failed to state a claim for relief as a

matter of law.

                 On appeal, Biocad contends that the district court erred in

dismissing the Complaint on the grounds that (1) Biocad lacks antitrust standing,

and (2) the antitrust claims are barred by the FTAIA. We do not reach the

question of antitrust standing as we agree with the district court that the foreign

nature of Biocadʹs alleged injuries places its claims beyond the reach of United

States antitrust laws.5




5        While the term ʺantitrust standingʺ may give the impression of a jurisdictional obligation, ʺthe
proximate causation requirement in antitrust standing requires a court to evaluate the merits of the
action,ʺ and therefore ʺits absence is not a jurisdictional bar to suit, but a failure to state a claim.ʺ Lerner v.
Fleet Bank, N.A., 318 F.3d 113, 129 (2d Cir. 2003), abrogation on other grounds recognized by Am. Psych. Assʹn
v. Anthem Health Plans, Inc., 821 F.3d 352 (2d Cir. 2016); see Am. Psych Assʹn, 821 F.3d at 359 (ʺThe Supreme
Court has recently clarified . . . that what has been called ʹstatutory standingʹ in fact is not a standing
issue, but simply a question of whether the particular plaintiff ʹhas a cause of action under the statute.ʹʺ
(quoting Lexmark Intʹl, Inc. v. Static Control Components, Inc. 572 U.S. 118, 128 (2014))). We therefore need
not pass upon the antitrust standing question before determining the applicability of the FTAIA.

                                                      - 10 -
I.    Applicable Law

      A.     The FTAIA Generally

             The FTAIA ʺexcludes from the Sherman Actʹs reach much

anticompetitive conduct that causes only foreign injury.ʺ F. Hoffmann‐La Roche

Ltd. v. Empagran S.A., 542 U.S. 155, 158 (2004). It does so first by ʺlay[ing] down a

general rule placing all (nonimport) activity involving foreign commerce outside

the Sherman Actʹs reach.ʺ Id. at 162. The FTAIA then creates exceptions to the

general rule, bringing back within the Sherman Actʹs reach conduct that meets

certain statutory requirements. Id. at 161‐62 (quoting 15 U.S.C. § 6a). See

generally Lotes, 753 F.3d at 404.

             The FTAIA provides:

             [The Sherman Act] shall not apply to conduct involving
             trade or commerce (other than import trade or import
             commerce) with foreign nations unless ‐‐

             (1) such conduct has a direct, substantial, and reasonably
             foreseeable effect‐‐

                    (A) on trade or commerce which is not trade or
                    commerce with foreign nations, or on import trade
                    or import commerce with foreign nations; or

                    (B) on export trade or export commerce with
                    foreign nations, of a person engaged in such trade
                    or commerce in the United States; and


                                        - 11 -
             (2) such effect gives rise to a claim under the provisions
             of sections 1 to 7 of this title, other than this section.

15 U.S.C. § 6a.

             In simpler terms, the FTAIA creates two exceptions to the general

bar on the extraterritorial application of the Sherman Act: (1) the import

exclusion, which applies to ʺconduct involving . . . import trade or import

commerce,ʺ 15 U.S.C. § 6a; and (2) the domestic effects exception, which applies

to other foreign conduct that has a direct, substantial, and reasonably foreseeable

effect on import or domestic commerce and that gives rise to a Sherman Act

claim, id. § 6a(1)‐(2); see Maricultura Del Norte v. World Bus. Capital, Inc., 159 F.

Supp. 3d 368, 382 (S.D.N.Y. 2015) (citing courts referring to ʺthe ʹimport

exceptionʹ (or ʹimport exclusionʹ) and the ʹdomestic effects exceptionʹʺ); see also

Minn‐Chem, Inc. v. Agrium, Inc., 683 F.3d 845, 855 (7th Cir. 2012) (referring to

ʺimport commerce exclusionʺ); Animal Sci. Prods. Inc. v. China Minmetals Corp.,

654 F.3d 462, 471 n.11 (3d Cir. 2011) (referring to ʺimport exceptionʺ). Courts

have understood this statutory scheme ʺto clarify, perhaps to limit, but not to

expand in any significant way, the Sherman Actʹs scope as applied to foreign

commerce.ʺ Lotes, 753 F.3d at 404 (quoting Empagran, 542 U.S. at 169).



                                          - 12 -
             The conduct at issue here clearly ʺinvolv[es] trade or commerce . . .

with foreign nations,ʺ 15 U.S.C. § 6a, as Biocad complains principally of actions

by foreign entities in a foreign country. Consequently, the question is whether

the challenged conduct falls within either the import exclusion or the domestic

effects exception to the general bar on the application of the Sherman Act to

foreign commerce.

             In the district court, however, Biocad waived its reliance on the

domestic effects exception by expressly arguing that it was not relevant to this

case. ʺIt is a well‐established general rule that an appellate court will not

consider an issue raised for the first time on appeal.ʺ Moll v. Telesector Res. Grp.,

Inc., 760 F.3d 198, 204 (2d Cir. 2014) (brackets omitted). While we have the

discretion, as a prudential matter, to consider arguments not raised below, Sniado

v. Bank Austria AG, 378 F.3d 210, 213 (2d Cir. 2004), we have disfavored ʺan

exercise of discretion to address new arguments on appeal where those

arguments were available to the parties below and they proffer no reason for

their failure to raise the arguments below,ʺ United States ex rel. Keshner v. Nursing

Pers. Home Care, 794 F.3d 232, 234 (2d Cir. 2015) (quoting In re Nortel Networks

Corp. Sec. Litig., 539 F.3d 129, 133 (2d Cir. 2008)). Here, while Biocad urges this



                                         - 13 -
Court to consider its claims under the domestic effects exception because the

district court passed upon the issue, it does not explain why it failed to press the

argument below. Accordingly, we decline to consider Biocadʹs theory of injury

under the domestic effects exception, and we limit our discussion to whether

Defendantsʹ conduct falls within the import exclusion.

      B.     The Import Exclusion

             Biocad argues that the conduct here was ʺdirected at import

commerce and was intended to (and did) have a substantial effect in the United

Statesʺ in that it was intended to prevent or delay Biocad ʺfrom entering the U.S.

import market for pharmaceuticals.ʺ Pl. Appellantʹs Br. at 44. The argument

thus raises the issue of whether foreign conduct involves import trade or

commerce where there is no actual current effect on United States markets, but

where the defendant intends to impact import commerce in the future. We

conclude, based on the language, structure, and purpose of the FTAIA, that the

import exclusion applies when a defendantʹs actions immediately impact the

United States import market and not merely when a defendant subjectively

intends to affect the United States import market in the future. See, e.g., Abramski

v. United States, 573 U.S. 169, 179 (2014) (ʺ[W]e must (as usual) interpret the



                                        - 14 -
relevant words not in a vacuum, but with reference to the statutory context,

ʹstructure, history, and purpose.ʹʺ (quoting Maracich v. Spears, 570 U.S. 48, 76

(2013)).

             1.     Statutory Language

             We start with the words of the statute. The FTAIA is cumbersomely

worded, as it provides that the Sherman Act ʺshall not apply to conduct

involving trade or commerce (other than import trade or import commerce) with

foreign nations.ʺ 15 U.S.C. § 6a.

             The relevant ʺconductʺ is the defendantʹs conduct. Kruman v.

Christieʹs Intʹl PLC, 284 F.3d 384, 398 (2d Cir. 2002), abrogated on other grounds by

Empagran, 542 U.S. 155. The word ʺimportʺ refers to the movement of goods into

the United States from a foreign country. See Minn‐Chem, 683 F.3d at 855. The

word ʺinvolvingʺ is less clear. The most common meaning of ʺinvolvingʺ is

including (or having) as a necessary feature, accompaniment, or consequence,

but ʺinvolvingʺ could also mean influencing or affecting. See Involve, Oxford

English Dictionary (2d ed. 1989) (defining ʺinvolveʺ as ʺ[t]o include as a

necessary (and therefore unexpressed) feature, circumstance, antecedent

condition, or consequenceʺ or ʺ[t]o include or affect in its operationʺ); Involve,



                                         - 15 -
American Heritage College Dictionary (3d ed. 1997) (defining ʺinvolveʺ as ʺ[t]o

have as a necessary feature or consequenceʺ or ʺ[t]o influence or affectʺ). Hence,

the words ʺconduct involving . . . import trade or import commerceʺ could

encompass, as Biocad argues, foreign conduct intended to influence or affect

domestic markets; or the words could mean, as Defendants argue, conduct that

constitutes or directly acts upon import commerce.

             We think the latter is the more natural reading of the words. Taken

together, the words suggest that the Sherman Act applies to a defendantʹs

conduct abroad that constitutes, includes, or has as a necessary consequence the

movement of goods into this country. See Minn‐Chem, 683 F.3d at 854 (ʺThe

applicability of U.S. law to transactions in which a good or service is being sent

directly into the United States, with no intermediate stops, is both fully

predictable to foreign entities and necessary for the protection of U.S.

consumers.ʺ). That the statutory language contemplates conduct that directly

interferes with the act of importing goods or services to the United States is

supported by the legislative history, as the House Report repeatedly refers to

import ʺtransactionsʺ in its discussion of the import exclusion. See H. R. Rep. No.

97‐686, at 2‐3, 9‐10 (1982), 1982 U.S.C.C.A.N., 2487, 2488, 2494–2495 (ʺHouse



                                        - 16 -
Reportʺ).6 Indeed, courts have applied the import exclusion where plaintiffs

alleged that defendants interfered with the introduction of goods or services into

the United States. See, e.g., Minn‐Chem, 683 F.3d at 855 (holding that import

exclusion applied because transactions in which plaintiffs purchased potash

directly from foreign cartel members constitute import commerce); Carrier Corp.

v. Outokumpu Oyj, 673 F.3d 430, 438 n.3, 440 (6th Cir. 2012) (holding that import

exclusion applied because ʺthe result of that agreement [with foreign

conspirators] was to raise prices artificially for ACR copper tubing for

transactions between the co‐conspirators and buyers in the United Statesʺ);

Maricultura, 159 F. Supp. 3d at 384 (holding that the import exclusion applied




6        As the Supreme Court explained in Empagran, the FTAIA originated in a bill that
initially referred only to ʺexport trade or export commerce.ʺ 542 U.S. at 163 (quoting H.R. 5235,
97th Cong., 1st Sess., §1 (1981)). The House Report states:

       The Subcommitteeʹs ʺexportʺ commerce limitation appeared to make the
       amendments inapplicable to transactions that were neither import nor export,
       i.e., transactions within, between, or among other nations.
                 . . . . Such foreign transactions should, for the purposes of this
       legislation, be treated in the same manner as export transactions ‐‐ that is, there
       should be no American antitrust jurisdiction absent a direct, substantial and
       reasonably foreseeable effect on domestic commerce or a domestic competitor.
       The Committee amendment therefore deletes references to ʺexportʺ trade, and
       substitutes phrases such as ʺother than importʺ trade. It is thus clear that wholly
       foreign transactions as well as export transactions are covered by the
       amendment, but that import transactions are not.

House Report at 9‐10 (citations omitted).
                                              - 17 -
because ʺPlaintiffs allege[d] that Defendantsʹ actions . . . substantially impaired

Plaintiffsʹ exports of Bluefin Tuna into the United States thereby impacting

United States import trade and commerceʺ (internal quotation marks and

emphasis omitted)). Conduct does not ʺinvolveʺ import commerce if it has no

direct or immediate consequence for domestic markets and is intended merely to

have a domestic impact in the future. Nothing in the text of the FTAIA otherwise

suggests an intent‐based analysis.

             As suggested above, the word ʺinvolvingʺ can be read more

expansively and, in some circumstances, we have interpreted statutory

provisions using the word more broadly. See, e.g., United States v. King, 325 F.3d

110, 113 (2d Cir. 2003) (ʺThe word ʹinvolvingʹ has expansive connotations.ʺ). And

both the Department of Justice and the Federal Trade Commission endorse a

somewhat broader reading of the import exclusion to include conduct that does

not immediately act upon import transactions. According to the governmentʹs

reading of the import exclusion, ʺ[c]onduct may ʹinvolveʹ import commerce even

if it is not directed specifically or exclusively at import commerce.ʺ See U.S. Depʹt

of Justice & Fed. Trade Commʹn, Antitrust Guidelines for International Enforcement




                                        - 18 -
and Cooperation 19 (Jan. 13, 2017) (ʺGuidelinesʺ), https://www.justice.gov/

atr/internationalguidelines/download.

             That may be so, as it is possible that conduct specifically directed at

foreign commerce can have a direct impact on domestic commerce. Foreign

conduct that is ʺclosely connected to the importation of goods into the United

States,ʺ id. at 20, such as, for example, foreign defendants fixing global shipping

prices, could fall within the import exclusion even though it is not directed

specifically at import commerce, as such conduct could have a direct effect on

domestic competition for imported goods, see id. at 19‐20. The import exclusion,

however, would not include cases where a foreign defendant fixes the price of

goods sold to a foreign intermediary, with an intent to interfere with that

competitorʹs American business, but with no demonstrable effect on the United

States. Cf. Empagran, 542 U.S. at 164 (holding domestic effects exception does not

apply where ʺprice‐fixing conduct significantly and adversely affects both

customers outside the United States and customers within the United States, but

the adverse foreign effect is independent of any adverse domestic effectʺ). In

such a case, the intended effect is too removed, and the word ʺinvolvingʺ cannot




                                        - 19 -
be read so broadly as to encompass conduct that is undertaken with the

subjective hope or desire to have a domestic impact at some point in the future.

             In arguing for an intent‐based test, Biocad relies on our decision in

Kruman, where we noted that the alleged conspiracy was not ʺdirected at an

import marketʺ and imports were not ʺthe object of the conspiracy.ʺ 284 F.3d at

395‐96. While the use of the words ʺdirected atʺ and ʺobject of the conspiracyʺ in

the decision arguably suggest an intent‐based analysis, we did not adopt such a

test in Kruman. Rather, we evaluated the nature and effect of the conduct at issue

and recognized that the commerce concerned fixed commissions on goods

purchased and sold in foreign auctions, and not the trade in or movement of

those goods after purchase and sale even though some of the goods might

eventually be imported into the United States. Id. The import exclusion did not

apply, we concluded, because ʺthe object of the conspiracy was the price that the

defendants charged for their auction services, not any import market for those

goods.ʺ Id. at 396. This reasoning is consistent with our historical view that ʺit is

the situs of the effects, as opposed to the conduct, that determines whether

United States antitrust law applies.ʺ Id. at 395 (quoting House Report at 5, and

citing United States v. Aluminum Co. of Am., 148 F.2d 416, 444 (2d Cir. 1945) (ʺ[W]e



                                        - 20 -
shall assume that ʺ[The Sherman Act] does not cover agreements, even though

intended to affect [American] imports or exports, unless its performance is

shown actually to have had some effect upon them.ʺ); accord Turicentro, S.A. v.

Am. Airlines Inc., 303 F.3d 293, 305 (3d Cir. 2002), overruled on other grounds by

Animal Sci. Prod., 654 F.3d 462; see Republic of Philippines v. Marcos, 818 F.2d 1473,

1491 (9th Cir. 1987) (Hall, J., concurring in part and dissenting in part). The

conclusion that the statutory text supports an effects‐based rather than an intent‐

based analysis is confirmed by the FTAIAʹs structure and Congressʹs goals in

enacting the statute.

             2.     Structure of the FTAIA

             The structure of the FTAIA also provides us with guidance as to the

interpretation of the import exclusion. We conclude that an interpretation of the

exclusion that turns on the subjective intent of the defendant is inconsistent with

the statutory scheme. See Abramski, 573 U.S. at 179.

             The FTAIA provides two exemptions from its general rule that the

Sherman Act does not apply to conduct involving foreign trade or commerce.

The first is for import trade or commerce and the second is for certain nonimport

trade or commerce. See Lotes, 753 F.3d at 404. The first exemption is the simpler



                                         - 21 -
of the two ‐‐ described simply as ʺimport trade or import commerce,ʺ or, more

fully, as ʺconduct involving . . . import trade or import commerce.ʺ 15 U.S.C. §

6a. The domestic effects exception is more complicated as it encompasses other

foreign conduct that has ʺa direct, substantial, and reasonably foreseeable effectʺ

on the United States market. Id. § 6a(1). It is apparent that Congress had in mind

a simple, bright‐line exception for import trade and commerce and an additional,

more flexible exception for other conduct that would require a more fact‐specific

analysis.

            Biocadʹs intent‐based analysis would blur the two exceptions. If we

read ʺinvolvingʺ as expansively as Biocad suggests, to include foreign conduct

merely intended to have a domestic impact in the future, the direct effects

exception would be rendered superfluous. See, e.g., Bilski v. Kappos, 561 U.S. 593,

607‐08 (2010) (stating that courts should not ʺinterpret[] any statutory provision

in a manner that would render another provision superfluousʺ); see also Marx v.

Gen. Revenue Corp., 568 U.S. 371, 386 (2013) (ʺ[T]he canon against surplusage is

strongest when an interpretation would render superfluous another part of the

same statutory scheme.ʺ). Under Biocadʹs suggestion, any conduct intended to

have a domestic impact would be excepted from the coverage of the Sherman



                                       - 22 -
Act, even if the conduct did not in fact have a ʺdirect, substantial, and reasonably

foreseeableʺ effect on domestic, import, or export commerce.

            In Lotes, we cautioned against ʺcollaps[ing] the FTAIAʹs domestic

effects exception into its separate import exclusion.ʺ 753 F.3d at 411. For that

reason, we held that ʺdirect,ʺ within the meaning of the domestic effects

exception, only requires ʺa reasonably proximate causal nexus,ʺ akin to common‐

law proximate causation principles. Id. We distinguished that interpretation of

ʺdirectʺ from one that required the effect on commerce to occur as an immediate

consequence of the defendantʹs conduct because the latter interpretation was

narrowly focused on the ʺspatial and temporal separation between the

defendantʹs conduct and the relevant effect.ʺ Id. at 412. We thereby implied that

the import exclusion requires ʺthat any domestic effect must follow as an

immediate consequence of a defendantʹs foreign anticompetitive conduct.ʺ Id. at

411.

            Indeed, Congress accounted for conduct that immediately affects

domestic commerce by excluding import commerce from the FTAIA at the

outset. See id. An intent‐based test would require courts to probe defendantsʹ

remote, as opposed to direct, conduct targeted at foreign markets to discern



                                       - 23 -
whether it was aimed at affecting American imports. But, as discussed above,

foreign commercial conduct that does not immediately affect domestic commerce

would be covered by the separate domestic effects exception for conduct that

might have a substantial downstream effect on domestic, import, or export

commerce and give rise to a Sherman Act claim. See 15 U.S.C. § 6a (1)‐(2).

             Finally, we note that an intent‐based test could place domestic

anticompetitive conduct outside the reach of the Sherman Act. The word

ʺinvolvingʺ is not limited to the import exclusion as it appears in the

introductory language of Section 6a and therefore applies to the FTAIA,

including the domestic effects exception. Under an intent‐based test, conduct

that occurred domestically could conceivably fall outside the scope of the

Sherman Act if the intent was to affect trade with foreign nations, and the

conduct did not have a ʺdirect, substantial, and reasonably foreseeableʺ effect on

the markets. While such conduct could be characterized in some cases as

conduct directed toward an export market, the anticompetitive conduct would

occur domestically, and we cannot endorse an interpretation of ʺinvolvingʺ that

could exempt such anticompetitive activities from the Sherman Actʹs reach.




                                        - 24 -
             3.    Purposes of the FTAIA

             Finally, an intent‐based test is inconsistent with the FTAIAʹs

purposes. First, Congress enacted the FTAIA in part ʺto boostʺ American exports

by making it clear to American exporters and to firms doing business abroad that

the Sherman Act does not prevent them from entering into anticompetitive

business arrangements as long as only foreign markets are adversely affected.

Lotes, 753 F.3d at 404 (citing Empagran, 542 U.S. at 161). Second, Congress sought

to clarify when American antitrust laws govern foreign conduct, ʺto promote

certainty in assessing the applicability of American antitrust law to international

business transactions.ʺ House Report at 9; see Lotes, 753 F.3d at 404.

             An intent‐based test would inject further uncertainty into an already

complex statutory scheme. Significantly, there is some evidence that Congress

was keen on adopting an objective jurisdictional test for the FTAIA. House

Report at 9. For instance, Congress used the ʺreasonable foreseeabilityʺ standard

for the domestic effects exception to avoid complicated inquiries into intent. Id.

(ʺThe Subcommittee chose a formulation based on foreseeability rather than intent

to make the standard an objective one and to avoid ‐‐ at least at the jurisdictional

stage ‐‐ inquiries into the actual, subjective motives of defendants.ʺ). Congress



                                        - 25 -
was also concerned about practicality. Id. (explaining that the term ʺ[r]easonably

connotes . . . practicalityʺ and ʺ[t]he test is whether the effects would have been

evident to a reasonable person making practical business judgments, not whether

. . . intent can be shownʺ). These considerations of clarity, objectivity, and

practicality would be undermined if the applicability of the import exclusion

turned on the subjective intent of companies doing business abroad.

                                    *     *      *

             Accordingly, we hold that ʺconduct . . . involving import trade or

import commerceʺ is not determined by reference to a defendantʹs subjective

intent to affect import commerce. Rather, the import exclusion applies to

conduct by a defendant that has a direct or immediate effect on import

commerce.

II.   Application

      A.     The Sherman Act

             We conclude that Biocad has not plausibly alleged that Defendantsʹ

purportedly anticompetitive conduct in Russia falls within the exception for

conduct involving import commerce.




                                        - 26 -
               As a threshold matter, the alleged anticompetitive conduct does not

directly involve the importing of drugs into the United States. Rather, the bulk

of the alleged conduct occurred in Russia, consisting of actions taken by foreign

entities in combination with, or against, other foreign entities.7 For instance,

Biocad accuses Roche, a Swiss company, of underwriting R‐Farm, an

independent Russian distributor, and engaging in illegal kickback and auction‐

rigging schemes in Russia orchestrated by the Russian government. None of this

conduct has a nexus to imports into the United States. In fact, Biocad has not

alleged that it has ever imported any product or biosimilar to the United States

and admits that it ʺhad no active U.S. business with which to interfereʺ because

Rocheʹs exclusivity periods had not yet expired. Pl. Appellantʹs Br. at 17; see

Turicentro, 303 F.3d at 303 (holding that defendants were not engaged in import

trade or commerce because conspiring to set rates that foreign travel agents

could charge for their services did not include directly bringing items or services

into the United States).




7       As the district court noted, the Complaint does refer to conduct that allegedly occurred
in the United States, but it does not allege that those activities caused an injury in the United
States import market.
                                              - 27 -
             Moreover, even assuming the ʺsole purposeʺ of Defendantsʹ actions

was to delay Biocadʹs entry into the United States market, Biocad has not alleged

that Defendants engaged in any conduct that otherwise immediately or directly

affected import trade or commerce. Pl. Appellantʹs Br. at 44; see Carpet Grp. Intʹl

v. Oriental Rug Importers Assʹn, Inc., 227 F.3d 62, 72 (3d Cir. 2000) (holding that

import exclusion applied to defendantsʹ attempts at foreign trade shows to

exclude American retailers from importing rugs to the United States), overruled

on other grounds by Animal Sci. Prods., Inc. v. China Minmetals Corp., 654 F.3d 462

(3d Cir. 2011); Maricultura, 159 F. Supp 3d at 383‐84 (import exclusion applied

where defendantsʹ actions limited plaintiffʹs ability to capture, farm, and export

tuna to the United States). Defendantsʹ immediate objective was to impair

Biocadʹs ability to compete in the Russian market for the Drugs. The possibility

that Defendantsʹ conduct would diminish Biocadʹs financial circumstances, and,

in turn, prevent it from engaging in business in the United States when it was at

some point ready to do so is too remote and speculative to plausibly affect

imports to the United States with the directness necessary to invoke the import

exclusion. Further, as in Kruman, the fact that some of Defendantsʹ goods might

end up in the stream of imports to the United States is insignificant because the



                                        - 28 -
effect on import trade is too removed and the harm to the Russian markets

precedes any eventual effect on American imports. See 284 F.3d at 395‐96; see also

Empagran, 542 U.S. at 164. In short, Biocadʹs claims do not fall within the import

exclusion to the FTAIA, and, therefore, its claims fall outside the scope of the

Sherman Act.

      B.     The Donnelly and Clayton Act Claims

             Biocad cannot advance its claims under New Yorkʹs Donnelly Act

because the state statute is modeled after the Sherman Act and ʺshould generally

be construed in light of Federal precedent.ʺ Gatt Commcʹns, Inc. v. PMC Assocs.,

LLC, 711 F.3d 68, 81 (2d Cir. 2013) (quoting X.L.O. Concrete Corp. v. Rivergate

Corp., 83 N.Y.2d 513, 518 (1994)); see also Global Reins. Corp. U.S. Branch v. Equitas

Ltd., 18 N.Y.3d 722, 735 (2012). As Biocad has not stated a plausible claim for

relief under the Sherman Act, its Donnelly Act claim similarly fails.

             Further, Biocad briefly argues that we should reinstate its claims for

injunctive relief under Section 16 of the Clayton Act because ʺneither [the]

antitrust standing doctrine nor the FTAIA bars Biocadʹs claims.ʺ Pl. Appellantʹs

Br. at 53‐54. Biocad, however, is not entitled to injunctive relief pursuant to

Section 16 of the Clayton Act because the FTAIA bars Biocadʹs Sherman Act



                                         - 29 -
claims, and, consequently, Biocad cannot point to a violation of antitrust laws

that would cause it injury, actual or threatened. See 15 U.S.C. § 26; Zenith Radio

Corp. v. Hazeltine Research, Inc., 395 U.S. 100, 130 & n.24 (1969) (holding that even

where a plaintiff ʺhas not yet suffered actual injury,ʺ injunctive relief is available

if the plaintiff ʺdemonstrate[s] a significant threat of injury from an impending

violation of the antitrust laws or from a contemporary violation likely to

continue or recur.ʺ); Kruman, 284 F.3d at 397 (ʺ[The Clayton Act] sets forth the

requirement that a plaintiff must suffer an injury or be threatened with an injury

caused by a Sherman Act violation in order to bring suit.ʺ). Thus, the claim

under Section 16 of the Clayton Act fails as well.

                                   CONCLUSION

              For the reasons set forth above, we AFFIRM the judgment of the

district court.




                                         - 30 -
KATZMANN, Chief Judge, concurring:

             I agree that Biocadʹs claims are barred by the FTAIA, and I join in

full the excellent majority opinion. I also agree that we can affirm the district

court without reaching the issue of antitrust standing. Were we to reach that

issue, however, I would respectfully have to part company with the district

courtʹs determination that a potential entrant to a pharmaceutical market must

show at the motion to dismiss stage that FDA approval of its products was

probable. I write separately to explain why the probability of FDA approval

should be considered as a significant, but not dispositive, factor in a broader

preparedness inquiry at the motion‐to‐dismiss stage.

                                            I.

             Antitrust plaintiffs must plead both constitutional and antitrust

standing. Gelboim v. Bank of Am. Corp., 823 F.3d 759, 770 (2d Cir. 2016), cert.

denied, 137 S. Ct. 814 (2017). To plead antitrust standing, ʺa private antitrust

plaintiff must plausibly allege that (i) it suffered an antitrust injury and (ii) it is

an acceptable plaintiff to pursue the alleged antitrust violations.ʺ In re Aluminum

Warehousing Antitrust Litig., 833 F.3d 151, 157 (2d Cir. 2016). Only the first prong,
antitrust injury, is at issue in this case.1 ʺCongress did not intend to allow every

person tangentially affected by an antitrust violation to maintain an action to

recover threefold damages for the injury to his business or property.ʺ Blue Shield

of Va. v. McCready, 457 U.S. 465, 477 (1982). Hence, Biocad must plausibly allege

that the injury it suffered is ʺof the type the antitrust laws were intended to

prevent and that flows from that which makes [Defendantsʹ] acts unlawful.ʺ

Brunswick Corp. v. Pueblo Bowl‐O‐Mat, Inc., 429 U.S. 477, 489 (1977). The question

is whether Biocad must allege that its biosimilars had come far enough along in

the FDA process that approval was probable, or whether actions beyond that




1      The antitrust injury requirement stems from Section Four of the Clayton Act,
which provides the right of action that allows private parties to sue for antitrust
violations. Section Four reads, in relevant part:


       [A]ny person who shall be injured in his business or property by reason of
       anything forbidden in the antitrust laws may sue therefor in any district
       court of the United States . . . without respect to the amount in controversy,
       and shall recover threefold the damages by him sustained, and the cost of
       suit, including a reasonable attorney’s fee.


15 U.S.C. § 15(a).

                                             2
process suffice to show that Biocad was prepared to receive approval and enter

the market.

              Usually, antitrust injury is limited to active ʺparticipantsʺ in the

defendantʹs market. In re Aluminum Warehousing, 833 F.3d at 158. Yet this court

has long held that ʺit is as unlawful to prevent a person from engaging in

business as it is to drive a person out of business.ʺ Am. Banana Co. v. United Fruit

Co., 166 F. 261, 264 (2d Cir. 1908) (quoting Thomsen v. Union Castle Mail S.S. Co.,

166 F. 251, 253 (2d Cir. 1908)), affʹd 213 U.S. 347 (1909). Thus, nascent businesses

or potential market entrants may also demonstrate antitrust injury. To do so, the

plaintiff must ʺstate facts showing an intention and preparedness to engage in

business.ʺ Id. Defendants and the district court both faulted Biocad on

preparedness grounds.

              As with many totality‐of‐circumstances tests, the American Banana

standard requires courts to gather together the many dots of information spread

across the canvas of a plaintiffʹs complaint and ask whether, like a pointillist

painting, the dots resolve themselves into a coherent image. Cf. Stephen

Sondheim & James Lapine, Sunday in the Park with George (1984) (ʺWhite. A blank



                                            3
page or canvass. The challenge: bring order to the whole.ʺ). We have provided

few guideposts to channel this inquiry—in the 111 years since American Banana,

this Court has not fleshed out the ʺintention and preparednessʺ standard any

further.2 But American Banana itself, as well as a companion case decided the

same day, Pennsylvania Sugar Refining Co. v. American Sugar Refining Co., 166 F.

254 (2d Cir. 1908), provided some factual analysis to undergird the standard.

             The Pennsylvania Sugar Refining plaintiff had previously been in the

market and had bought a sugar refining facility in anticipation of rejoining that

market. Id. at 260. The court contrasted this situation with that of the American

Banana plaintiff, which did not allege that it ʺhad made any preparations to

engage in the business of buying bananas . . . as a separate and independent

business,ʺ or that it had ʺinvested any money in preparing to engage in any such

independent business.ʺ Am. Banana, 166 F. at 264. The American Banana plaintiff

also did not allege ʺthe extent to which, nor even the country in which, it desired

or intended to engageʺ in business. Id. The result: a cause of action in




2       This Court has only cited American Banana once, for an unrelated proposition
related to international comity. See Hewitt v. Speyer, 250 F. 367, 370 (2d Cir. 1918).

                                            4
Pennsylvania Sugar Refining, 166 F. at 260, and none in American Banana, 166 F. at

264. Thus, allegations of investment, and details regarding where and how the

plaintiff intends to enter the market, are relevant to the antitrust injury analysis.

              While we have not since addressed the standing requirements for

potential market participants, other circuit courts have adopted the American

Banana standard, looking at both the ʺsincerity of [the plaintiffʹs] ambitionsʺ to

enter the market and the plaintiffʹs ability to act on its intent. E.g., Sanger Ins.

Agency v. HUB Intʹl, Ltd., 802 F.3d 732, 738 (5th Cir. 2015). Those circuits have

identified four indicia of preparedness: (1) the plaintiffʹs background and

experience in the prospective business; (2) the ability to finance entry, and

particularly to finance facilities and equipment; (3) the consummation of

contracts related to the potential entry; and (4) other affirmative action by the

plaintiff to engage in the proposed business or new market.3 See 2A Phillip E.




3      See Sanger, 802 F.3d at 739; Ashley Creek Phosphate Co. v. Chevron USA, Inc., 315
F.3d 1245, 1254‐55 (10th Cir. 2003); Andrx Pharms., Inc. v. Biovail Corp. Intʹl, 256 F.3d 799,
806‐07 (D.C. Cir. 2001); In re Dual‐Deck Video Cassette Recorder Antitrust Litig., 11 F.3d
1460, 1465 (9th Cir. 1993); Gas Utils. Co. of Ala. v. S. Nat. Gas Co., 996 F.2d 282, 283 (11th
Cir. 1993) (per curiam) (focusing on first three factors); Bubis v. Blanton, 885 F.2d 317, 319
(6th Cir. 1989); see also Cent. Telecommcʹns, Inc. v. TCI Cablevision, Inc., 800 F.2d 711, 728‐
29 (8th Cir. 1986) (recognizing these standards as the ʺmajority view,ʺ with which a

                                               5
Areeda et al., Antitrust Law: An Analysis of Antitrust Principles and Their

Application ¶ 349, at 260‐61 (4th ed. 2014) (summarizing the requirements for

nascent‐firm antitrust injury using these tests). A succession of district courts in

this Circuit have looked to the same indicia. See, e.g., Fidoʹs Fences, Inc. v. Radio

Sys. Corp., 999 F. Supp. 2d 442, 450 (E.D.N.Y. 2014); Jade Aircraft Sales, Inc. v. City

of Bridgeport, No. CIV. B‐83‐454 WWE, 1990 WL 128573, at *2 (D. Conn. July 9,

1990); Indium Corp. of Am. v. Semi‐Alloys, Inc., 611 F. Supp. 379, 385 (N.D.N.Y.

1985), affʹd, 781 F.2d 879 (Fed. Cir. 1985); Waldron v. British Petro. Co., 231 F. Supp.

72, 81‐82 (S.D.N.Y. 1964). In an appropriate case, this Court should join the other

circuits that have adopted this four‐factor standard, which grew out of and

elucidates our decision in American Banana.

                                               II.

              In its thoughtful opinion, the district court did not rely on these four

factors to analyze antitrust injury. Rather, it determined that Biocad could not




prior Eighth Circuit case ʺis consistentʺ); Grip‐Pak, Inc. v. Illinois Tool Works, Inc., 694 F.2d
466, 475 (7th Cir. 1982) (adopting the intention and preparedness test without ʺhaving
to explore its precise dimensionsʺ), disapproved of on other grounds by Profʹl Real Estate
Invʹrs, Inc. v. Columbia Pictures Indus., Inc., 508 U.S. 49 (1993).

                                                6
establish injury because it had not plausibly alleged that FDA approval of its

biosimilars was probable. As the district court understood, this Court has never

held that plaintiffs seeking antitrust standing as entrants into the pharmaceutical

market must make such a showing, and neither has the Supreme Court. The

district court instead relied principally on a D.C. Circuit case, Andrx

Pharmaceuticals, Inc. v. Biovail Corp. International, 256 F.3d 799, to support two

propositions that were key to the district courtʹs decision: first, that ʺ[c]ourts . . .

require a plaintiff to allege that FDA approval of the potential drug is at least

ʹprobable,ʹʺ Biocad, JSC v. F. Hoffman‐La‐Roche, Ltd., No. 16 CIV. 4226, 2017 WL

4402564, at *4 (S.D.N.Y. Sept. 30, 2017); and second, that ʺplaintiffs alleging intent

and preparedness to enter a pharmaceutical market typically include facts

regarding the stage of the FDA‐approval process their product has reached or the

steps the plaintiff has taken (or plans to take) to secure approval,ʺ id. at *5.

             However, Andrx arguably does not stand for these propositions. In

Andrx, a district court dismissed an antitrust counterclaim with prejudice,

holding that Biovail could not plead antitrust injury because the FDA had not yet

approved its biosimilar. See 256 F.3d at 807. The D.C. Circuit reversed, finding



                                            7
that Biovail ʺcan allege facts sufficient to indicate its intent and preparedness.ʺ Id.

at 808. The court then noted that, even before the FDA approved Biovailʹs drug,

Biovail ʺcould have alleged its intent and preparedness to enter the market by

claiming that FDA approval was probable.ʺ Id. This statement is the source of

the supposed rule that the district court adopted below. As other courts have

noted, though, the Andrx decision ʺdoes not declare that a specific allegation

regarding probability of FDA approval is an absolute requirement of the intent

and preparedness standard.ʺ Roxane Labs., Inc. v. SmithKline Beecham Corp., No.

CIV.A. 09‐CV‐1638, 2010 WL 331704, at *3 (E.D. Pa. Jan. 26, 2010); accord BNLfood

Invs. Ltd. SARL v. Martek Biosciences Corp., No. CIV. WDQ‐11‐0446, 2011 WL

6439451, at *4 & n.17 (D. Md. Dec. 14, 2011); see Amgen, Inc. v. F. Hoffmann‐La

Roche Ltd., 480 F. Supp. 2d 462, 468 (D. Mass. 2007) (stating that Andrx ʺclarified

that the anticipation of FDA approval may suffice since all that is necessary is

demonstration of intent and preparedness to enter a marketʺ (emphasis added)).

It stated that an allegation of probable approval was sufficient, not that it was

necessary.




                                           8
              Other statements in Andrx underscore this point. The Andrx court

faulted Biovailʹs initial counterclaim in part because Biovail ʺdid not explicitly

allege . . . that it anticipated FDA approval,ʺ Andrx, 256 F.3d at 807 (emphasis

added), a standard more subjective and less demanding than probable approval.

The court also suggested, directly after its probable approval language, that the

defendant’s beliefs can prove intention and preparedness. Id. at 808 (ʺAndrxʹs

original suit . . . to enjoin the FDA from approving Biovailʹs ANDA, suggests that

Biovail (or so Andrx believed) may have intended and been sufficiently prepared

to enter the market.ʺ). Read as a whole, Andrx requires neither probable

approval nor specific facts about the plaintiff’s approval process.

              Even if it did, though, this Court should not adopt a rigid probable

FDA approval requirement. True, there is some logic to the idea. ʺThat a

regulatory or legislative bar can break the chain of causation in an antitrust case

is beyond fair dispute.ʺ In re Wellbutrin XL Antitrust Litig. Indirect Purchaser Class,

868 F.3d 132, 165 (3d Cir. 2017). Courts often find a lack of antitrust injury when

it views a regulatory barrier, rather than the defendantʹs alleged anticompetitive

activities, as the cause of the plaintiffʹs inability to enter the market. See, e.g., In re



                                             9
Canadian Imp. Antitrust Litig., 470 F.3d 785, 791 (8th Cir. 2006); RSA Media, Inc. v.

AK Media Grp., Inc., 260 F.3d 10, 15 (1st Cir. 2001); City of Pittsburgh v. W. Penn

Power Co., 147 F.3d 256, 268 (3d Cir. 1998). And ʺthe Supreme Court has made

clear that ʹ[a]ntitrust analysis must always be attuned to the particular structure

and circumstances of the industry at issue.ʹʺ New York ex rel. Schneiderman v.

Actavis PLC, 787 F.3d 638, 658 (2d Cir. 2015) (quoting Verizon Commc’ns Inc. v.

Law Offices of Curtis V. Trinko, LLP, 540 U.S. 398, 411 (2004)). As the Andrx court

notes, ʺFDA approval is a prerequisite to enter any drug market.ʺ 256 F.3d at 807;

see 21 U.S.C. § 355(a); 42 U.S.C. § 262(a)(1)(A). It is therefore unlikely that a

pharmaceutical company could prove that it is prepared to enter the market

unless it pleads facts showing that it can surpass the FDAʹs barriers. Cf. 2A

Areeda et al., supra, ¶ 349, at 264 (ʺ[T]he absence of a license should not block

recovery when the plaintiff can show that it very likely would have received the

license.ʺ).

              However, the Supreme Court has also emphasized that ʺantitrust

standing . . . was developed by courts over time in response to myriad concerns

presented in particular casesʺ and thus ʺcannot easily be reduced to a ʹblack‐letter



                                           10
rule that will dictate the result in every case.ʹʺ Daniel v. Am. Bd. of Emergency

Med., 428 F.3d 408, 437 (2d Cir. 2005) (quoting Associated Gen. Contractors of Cal.,

Inc. v. Cal. State Council of Carpenters, 459 U.S. 519, 536 (1983)); see Steamfitters

Local Union No. 420 Welfare Fund v. Philip Morris, Inc., 171 F.3d 912, 922 (3d Cir.

1999) (stating that ʺlower courts should avoid applying brightline rulesʺ to the

antitrust injury question ʺand instead should analyze the circumstances of each

case, focusing on certain key factorsʺ). Application of the four‐factor test

outlined above seems a better way to achieve the fact‐bound analysis required

for antitrust cases than does a rigid rule setting some threshold probability of

approval. This is particularly so ʺ[b]ecause licensors seldom address the

suitability of firms not then seeking a license.ʺ 2A Areeda et al., supra, ¶ 349, at

264. Given that reality, ʺthe antitrust tribunal can only estimate the likelihood of

such a license.ʺ Id. This factual inquiry may be difficult for a court to undertake

without discovery.4




4      The Seventh Circuit allowed a case similar to this one to move forward for
precisely that reason. See Xechem, Inc. v. Bristol‐Myers Squibb Co., 372 F.3d 899, 902 (7th
Cir. 2004) (ʺ[A company] cannot recover damages unless it can show that (and when) it
would have entered the market in the absence of anticompetitive practices, and how
much money it would have made. . . . But a prediction that the plaintiff will be unable

                                             11
              Rather than a strict requirement, probability of FDA approval

should be treated simply as a significant factor in the broader preparedness

inquiry. At the motion‐to‐dismiss stage, preparedness is best inferred from the

four‐factor test itself, which already asks about the very indicia that would best

predict whether a pharmaceutical company is likely to seek and receive FDA

approval. The standard on a motion to dismiss is whether the plaintiff’s factual

allegations give rise to a plausible claim of antitrust injury, not a probable one.

See In re Aluminum Warehousing, 833 F.3d at 157. The proper test at this stage,

then, is whether the allegations in the complaint, taken as true, create a plausible

inference that Biocad intended to, and would be able to, receive FDA approval

and enter the market but for Defendantsʹ alleged actions. Claims that a plaintiff

filed for approval, or specifics about where the plaintiff stands in the approval

process, are particularly probative of this question. But ʺthe pleading standard

Rule 8 announces does not require ʹdetailed factual allegations,ʹʺ Ashcroft v. Iqbal,

556 U.S. 662, 678 (2009) (citation omitted), and a complaint should not be thrown




to meet its challenges is not a good reason to dismiss a complaint . . . .ʺ).

                                              12
out for lacking these particular forms of evidence. Even more so since ʺearly

exclusion may be far cheaper than ruining or disciplining a recent entrant who

has become established.ʺ 2A Areeda et al., supra, ¶ 349, at 258. Too strict a

pleading requirement for preparedness could make it easier for monopolistic

firms to avoid antitrust liability by identifying and undermining potential

competitors before they can file with the FDA.

                                        ***

             For these reasons, I would not impose a rigid ʺprobable FDA

approvalʺ requirement for nascent pharmaceutical market participants to plead

antitrust injury.




                                         13
