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Pfizer in $41.5 million settlement with Texas over ADHD drug for children

Pfizer and Tris Pharma will pay $41.5 million after Texas alleged they manipulated testing to keep ADHD drug Quillivant XR eligible for Medicaid despite quality issues.

  • Pfizer and supplier Tris Pharma reached a $41.5 million settlement with Texas on Wednesday to resolve a November 2023 lawsuit alleging manipulated testing for Quillivant XR between 2012 and 2018.
  • A whistleblower complaint by Tarik Ahmed prompted the suit alleging altered testing methods between 2012 and 2018 so Quillivant XR would meet regulatory requirements, with NextWave Pharmaceuticals developing the drug.
  • Pfizer denied wrongdoing and said its review did not find any impact on Quillivant XR’s safety, while Texas Attorney General Ken Paxton said tests showed the liquid often failed to dissolve and violated the Texas Health Care Program Fraud Prevention Act.
  • Paxton framed the settlement as enforcement of fraud laws, saying `Under my watch, Big Pharma will not escape justice for lying about the effectiveness of its drugs,` as he campaigns for the 2026 U.S. Senate race.
  • The settlement raises questions about Medicaid oversight and enforcement under state law; Tris Pharma manufactured Quillivant for Pfizer until 2018 and requests for comment were not immediately answered.
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WTVB broke the news in on Wednesday, November 19, 2025.
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