Heather Bresch
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Heather Manchin Bresch (' Manchin; born June 27, 1969) is an American business executive. In 2012, she was named as the chief executive officer (CEO) of Netherlands-based pharmaceutical company
Mylan Mylan N.V. was a global generic and specialty pharmaceuticals company. In November 2020, Mylan merged with Upjohn, Pfizer's off-patent medicine division, to form Viatris. Previously, the company was domiciled in the Netherlands, with principal e ...
, becoming the first woman to run a
Fortune 500 The ''Fortune'' 500 is an annual list compiled and published by ''Fortune'' magazine that ranks 500 of the largest United States corporations by total revenue for their respective fiscal years. The list includes publicly held companies, along ...
pharmaceutical company. Bresch retired in 2020, upon the closing of Mylan’s
combination In mathematics, a combination is a selection of items from a set that has distinct members, such that the order of selection does not matter (unlike permutations). For example, given three fruits, say an apple, an orange and a pear, there are th ...
with
Upjohn The Upjohn Company was a pharmaceutical manufacturing firm founded in 1886 in Hastings, Michigan, by Dr. William E. Upjohn who was an 1875 graduate of the University of Michigan medical school. The company was originally formed to make ''friabl ...
. Bresch has been a central figure in two controversies: a 2007 accusation of inflating her resume with an unearned MBA degree, and as the CEO of Mylan during the 2016 controversy over pricing of the company's EpiPen products. In 2015, she was listed as #22 in ''Fortune'' magazine's “Most Powerful Women” list. Bresch is the daughter of former
West Virginia West Virginia is a state in the Appalachian, Mid-Atlantic and Southeastern regions of the United States.The Census Bureau and the Association of American Geographers classify West Virginia as part of the Southern United States while the Bur ...
Governor and current
U.S. Senator The United States Senate is the upper chamber of the United States Congress, with the House of Representatives being the lower chamber. Together they compose the national bicameral legislature of the United States. The composition and powe ...
Joe Manchin Joseph Manchin III (born August 24, 1947) is an American politician and businessman serving as the senior United States senator from West Virginia, a seat he has held since 2010. A member of the Democratic Party, Manchin was the 34th governor of ...
.


Early life and education

Born Heather Renée Manchin, in Morgantown, West Virginia, Bresch grew up in Fairmont and
Farmington Farmington may refer to: Places Canada *Farmington, British Columbia * Farmington, Nova Scotia (disambiguation) United States *Farmington, Arkansas *Farmington, California *Farmington, Connecticut *Farmington, Delaware * Farmington, Georgia * ...
, West Virginia, in a
Roman Catholic Roman or Romans most often refers to: *Rome, the capital city of Italy *Ancient Rome, Roman civilization from 8th century BC to 5th century AD *Roman people, the people of ancient Rome *'' Epistle to the Romans'', shortened to ''Romans'', a lette ...
family of partial Italian and Czech descent. She is the daughter of
Gayle Conelly Manchin Gayle Conelly Manchin (born June 20, 1947) is an American educator and government official who was the First Lady of West Virginia from 2005 to 2010 and is the current Federal Co-Chair of the Appalachian Regional Commission. Manchin previously se ...
and
Joe Manchin Joseph Manchin III (born August 24, 1947) is an American politician and businessman serving as the senior United States senator from West Virginia, a seat he has held since 2010. A member of the Democratic Party, Manchin was the 34th governor of ...
, who was a prominent politician throughout her childhood and is currently the senior
United States senator The United States Senate is the Upper house, upper chamber of the United States Congress, with the United States House of Representatives, House of Representatives being the Lower house, lower chamber. Together they compose the national Bica ...
from West Virginia. Bresch attended
Fairmont Senior High School Fairmont Senior High School, is a Public High School, public high school in Fairmont, West Virginia. The current school building, built in 1928, is listed on the National Register of Historic Places. Serving grades nine through twelve, it is one ...
in Fairmont, West Virginia, and graduated from
West Virginia University West Virginia University (WVU) is a public land-grant research university with its main campus in Morgantown, West Virginia. Its other campuses are those of the West Virginia University Institute of Technology in Beckley, Potomac State College ...
(WVU) in 1991 with a bachelor's degree in political science and international relations. She also landed her first job in 1991, working as a clerk for Mylan.


MBA controversy

In 2007, The ''
Pittsburgh Post-Gazette The ''Pittsburgh Post-Gazette'', also known simply as the PG, is the largest newspaper serving metropolitan Pittsburgh, Pennsylvania. Descended from the ''Pittsburgh Gazette'', established in 1786 as the first newspaper published west of the All ...
'' reported that Bresch had claimed to have an MBA degree from
West Virginia University West Virginia University (WVU) is a public land-grant research university with its main campus in Morgantown, West Virginia. Its other campuses are those of the West Virginia University Institute of Technology in Beckley, Potomac State College ...
, but the university disputed that.
Ian Urbina Ian Urbina (born March 29, 1972) is an American investigative reporter who has written for a variety of outlets, including ''The New York Times'' and ''The Atlantic''. Urbina is the author of The New York Times Best Seller list, ''The New York T ...

"University Investigates Whether Governor's Daughter Earned Degree"
''New York Times'', January 22, 2008, accessed 2008-04-24
The university subsequently awarded her an EMBA despite her having completed only 26 of the required 48 credits. Her father was governor of the state of West Virginia at the time."Provost Quits Over Degree to Governor’s Child"
''New York Times'', April 28, 2008.
In the ensuing controversy, the university announced in April 2008 that it would rescind Bresch's degree. Michael Garrison, WVU president at the time, was reported to be "a family friend and former business associate of Bresch" and a former consultant and lobbyist for Mylan.Boselovic, Len & Patricia Sabatini
"University revokes degree after scathing report on M.B.A. awarded to Bresch"
''Pittsburgh Post-Gazette''; accessed April 24, 2008.
After a faculty
vote of no confidence A motion of no confidence, also variously called a vote of no confidence, no-confidence motion, motion of confidence, or vote of confidence, is a statement or vote about whether a person in a position of responsibility like in government or mana ...
, Garrison and several university officials subsequently resigned.


Career


Early work

In 1992, Bresch started working as a clerk in a factory owned by
Mylan Mylan N.V. was a global generic and specialty pharmaceuticals company. In November 2020, Mylan merged with Upjohn, Pfizer's off-patent medicine division, to form Viatris. Previously, the company was domiciled in the Netherlands, with principal e ...
, a
generic drug A generic drug is a pharmaceutical drug that contains the same chemical substance as a drug that was originally protected by chemical patents. Generic drugs are allowed for sale after the patents on the original drugs expire. Because the active ch ...
company, and rose through the company to become the chief executive officer in 2012. At a WVU basketball game in 1992, Bresch's father, politician Joe Manchin, mentioned his daughter's job search to Mylan CEO Milan Puskar, and the company soon after offered her a position in the quality control department of a factory in Morgantown, before eventually promoting her to the executive level.


Government relations and advocacy

From 2002 to 2005, Bresch served as Mylan's director of government relations. She contributed to the development of the
Medicare Prescription Drug, Improvement, and Modernization Act The Medicare Prescription Drug, Improvement, and Modernization Act, also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. It produced the largest overhaul of Medicare in the public health progr ...
of 2003, which created
Medicare Part D Medicare Part D, also called the Medicare prescription drug benefit, is an optional United States federal-government program to help Medicare beneficiaries pay for self-administered prescription drugs. Part D was enacted as part of the Medica ...
, a prescription-drug benefit. In 2006, Bresch testified before the U.S. Senate Special Committee on Aging to lobby for changes to the law that would prevent pharmaceutical companies from raising challenges to the introduction of generic competitors by filing citizen's petitions with the FDA, and that would prevent pharma companies from undercutting the profits of generic drug companies by making deals for authorized generics to be introduced. When Mylan expanded internationally, Bresch noticed that Mylan's U.S.-based pharmaceutical manufacturing plant had full-time staff from the
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
(FDA) devoted to it, whereas facilities abroad had not been inspected by the FDA for more than a decade. Bresch persuaded several of Mylan's competitors to support what became the Generic Drug User Fee Act, which she proposed to lawmakers in 2010. Under the law the generics industry would pay the FDA fees of $300 million to get their drugs approved, and in return the FDA would inspect foreign drug manufacturing facilities at the same rate as U.S-based facilities. Economic analysis of the Act showed that it increased the cost of some generic drugs and benefitted the largest pharmaceutical companies at the expense of smaller companies.


Mylan executive

Bresch has served in several executive roles at Mylan, such as senior vice president of corporate strategic development, Head of North American Operations, chief operating officer, and chief integration officer. Bresch led the integration of Matrix Laboratories Limited and
Merck KGaA The Merck Group, branded and commonly known as Merck, is a German multinational science and technology company headquartered in Darmstadt, with about 60,000 employees and present in 66 countries. The group includes around 250 companies; the ma ...
's generics and specialty pharmaceutical businesses with Mylan's operations. She was chair of the Generic Pharmaceutical Association (GPhA) for two terms. Bresch was appointed president of Mylan in 2009 and joined Mylan's board of directors in March 2011. Bresch's appointment as chief executive officer (CEO) was announced in 2011, and she officially took the position in January 2012. Bresch was the first female CEO of a large pharmaceutical business. At the time, she was one of 18 female CEOs of a Fortune 500 company. After seeing how few female candidates were available for positions that require a background in science and math, she became more interested in promoting math and science education among young girls. Bresch was recognized in ''
Esquire Esquire (, ; abbreviated Esq.) is usually a courtesy title. In the United Kingdom, ''esquire'' historically was a title of respect accorded to men of higher social rank, particularly members of the landed gentry above the rank of gentlema ...
''s 2011 "Patriots of the Year" list for her work pushing for the Food and Drug Administration Safety and Innovation Act (FDASIA). She was named one of ''Fortune'' magazine's "50 Most Powerful Women In Business" in 2014. Also in 2014, Bresch and Mylan announced a $5.3 billion acquisition of Abbott Laboratories as part of a
corporate tax inversion A tax inversion or corporate tax inversion is a form of tax avoidance where a corporation restructures so that the current parent is replaced by a foreign parent, and the original parent company becomes a subsidiary of the foreign parent, thus mov ...
plan to re-organize the company in
the Netherlands ) , anthem = ( en, "William of Nassau") , image_map = , map_caption = , subdivision_type = Sovereign state , subdivision_name = Kingdom of the Netherlands , established_title = Before independence , established_date = Spanish Netherl ...
and move its domicile to a country with lower taxes. Bresch said the decision was necessary to "maintain competitiveness against pharmaceutical manufacturers that had already executed similar
inversion Inversion or inversions may refer to: Arts * , a French gay magazine (1924/1925) * ''Inversion'' (artwork), a 2005 temporary sculpture in Houston, Texas * Inversion (music), a term with various meanings in music theory and musical set theory * ...
strategies." The company completed the complex tax inversion in February 2015.Patty Tascarella
Mylan inversion deal completed
''Pittsburgh Business Times'' (February 27, 2015).
The inversion—which formally resulted in the creation of a new company, Mylan N.V., with 78% of its shares held by former Mylan Inc. shareholders and 22% of its shared held by Abbott Labs shareholders—was expected to immediately drop Mylan's U.S. corporate tax rate to 21% (from 24%) in the first year "and into the high teens over the next three to five years." The ''New York Times'' said that it was somewhat "disconcerting" for a company that benefits from large government contracts to renounce their citizenship for tax benefits. Proxy filings show that from 2007 to 2015, Bresch's compensation rose from $2,453,456 to $18,931,068, a 671% increase in pay.


EpiPen pricing and retirement

In 2016, Mylan's pricing of the
EpiPen An epinephrine autoinjector (or adrenaline autoinjector, also known by the trademark EpiPen) is a medical device for injecting a measured dose or doses of epinephrine (adrenaline) by means of autoinjector technology. It is most often used for t ...
, used to treat
anaphylaxis Anaphylaxis is a serious, potentially fatal allergic reaction and medical emergency that is rapid in onset and requires immediate medical attention regardless of use of emergency medication on site. It typically causes more than one of the follow ...
(severe allergic reactions), was severely criticized. Mylan had secured the rights to the nearly 50-year-old EpiPen as part of the Merck KGaA deal in 2007. At that time annual sales were around $200 million.Koons, Cynthia & Robert Langreth
How Marketing Turned the EpiPen Into a Billion-Dollar Business
bloomberg.com, September 23, 2015.
Bresch launched an advertising campaign to increase awareness of "EpiPen" as a treatment for
anaphylaxis Anaphylaxis is a serious, potentially fatal allergic reaction and medical emergency that is rapid in onset and requires immediate medical attention regardless of use of emergency medication on site. It typically causes more than one of the follow ...
; the company also successfully lobbied the FDA to broaden the label to include risk of anaphylaxis and in parallel, successfully lobbied Congress to generate legislation making EpiPens available in schools and other public places. The company hired the same lobbyists that
Medtronic Medtronic plc is an American medical device company. The company's operational and executive headquarters are in Minneapolis, Minnesota, and its legal headquarters are in Ireland due to its acquisition of Irish-based Covidien in 2015. While it ...
had used for its defibrillator legislation. From 2007 to 2016, Mylan increased the price of EpiPens by 461 percent, from about $100 for a package of two pens to about $600. By the first half of 2015, Mylan had an 85%
market share Market share is the percentage of the total revenue or sales in a market that a company's business makes up. For example, if there are 50,000 units sold per year in a given industry, a company whose sales were 5,000 of those units would have a ...
of such devices in the U.S., and in that year sales reached around $1.5 billion and accounted for 40% of Mylan's profit.Emily Willingham for Forbes. Aug 21, 201
"Why Did Mylan Hike EpiPen Prices 400%? Because They Could"
forbes.com; accessed August 28, 2016.
The price increase was met with widespread criticism of Bresch and Mylan. Bresch explained at the 2016 Forbes Healthcare Summit that Mylan's price increases were justified by the many improvements she claimed the company had made to the product. Amid this backlash, Bresch led Mylan to introduce a generic version of the device which sells for half the price of the brand-name device. The generic version in 2016 remained more expensive than the original brand version of EpiPen prior to Mylan's purchase of the rights, even when accounting for inflation. In July 2019, Bresch announced that she would retire in 2020 after Mylan merged with
Upjohn The Upjohn Company was a pharmaceutical manufacturing firm founded in 1886 in Hastings, Michigan, by Dr. William E. Upjohn who was an 1875 graduate of the University of Michigan medical school. The company was originally formed to make ''friabl ...
. The merger was completed in November 2020 and Bresch stepped down. The new company was named
Viatris Viatris Inc. is an American global pharmaceutical and healthcare corporation headquartered in Canonsburg, Pennsylvania. The corporation was formed through the merger of Mylan and Upjohn, a legacy division of Pfizer, on November 16, 2020. The nam ...
. According to the ''Pittsburgh Business Journal,'' when she left Mylan, she was the second most highly paid executive in the area of Pittsburgh, and received a "
golden parachute A golden parachute is an agreement between a company and an employee (usually an upper executive) specifying that the employee will receive certain significant benefits if employment is terminated. These may include severance pay, cash bonuses, s ...
" estimated at $30.8 million. In 2021, a case was ongoing to determine whether Mylan had attempted to monopolize the EpiPen market, with both Mylan N.V. and Bresch being sued on racketeering claims and anti-trust claims. The lawsuit, which consolidated several consumer cases, was moved to federal court in Kansas City in 2017. In February 2020, the lawsuit moved ahead as a nationwide class action. On June 24, 2021, a federal judge tossed the racketeering claims and some of the antitrust claims, also dropping
RICO The Racketeer Influenced and Corrupt Organizations (RICO) Act is a United States federal law that provides for extended criminal penalties and a civil cause of action for acts performed as part of an ongoing criminal organization. RICO was en ...
claims against Bresch. The case went on trial on September 7, 2021. On September 7, 2021, Ryan Grim of ''
The Intercept ''The Intercept'' is an American left-wing news website founded by Glenn Greenwald, Jeremy Scahill, Laura Poitras and funded by billionaire eBay co-founder Pierre Omidyar. Its current editor is Betsy Reed. The publication initially reported ...
'' reported that during an ongoing racketeering case involving Mylan and Bresch, "newly released court documents show reschdiscussing a deal with Pfizer to eliminate a chief competitor to EpiPen, clearing the way for major price hikes." The 2010 and 2011 email discussions, unsealed by the judge, showed Bresch's assistant discussing divesting from Adrenaclick after the closure of the Pfizer/King deal. They "also show Bresch approving a scheme to force customers, captured by the company’s monopoly, to purchase two EpiPens at once, regardless of medical need."


Honors and awards

Bresch was ranked #31 in ''
Fortune Fortune may refer to: General * Fortuna or Fortune, the Roman goddess of luck * Luck * Wealth * Fortune, a prediction made in fortune-telling * Fortune, in a fortune cookie Arts and entertainment Film and television * ''The Fortune'' (1931 film) ...
'' magazine's 2014 "50 Most Powerful Women" list. That same year, she won the EY Global Impact of the Year Award. Bresch was the 2017 Albert Schweitzer Leadership Award honoree at an awards gala hosted by the
Hugh O'Brian Youth Leadership Foundation Hugh O'Brian Youth Leadership (HOBY) is an organization dedicated "to inspiring and developing our global community of youth and volunteers to a life dedicated to leadership, service, and innovation." History Founded in 1958 by American actor Hu ...
. Bresch served as chair of the
Generic Pharmaceutical Association The Association for Accessible Medicines (AAM), Washington, D.C., is a trade association representing the manufacturers and distributors of generic prescription drugs, manufacturers and distributors of bulk pharmaceutical chemicals, and suppliers o ...
’s board of directors in 2016, 2005, and 2004, and as vice chair in 2003 and 2006.


Personal life

Bresch is married to
Jones Day Jones Day is an American multinational law firm. As of 2021, it was the eighth largest law firm in the U.S. and the 13th highest grossing law firm in the world. Originally headquartered in Cleveland, Ohio, Jones Day ranks first in both M&A le ...
lawyer Jeffrey J. Bresch. She was previously married to West Virginia businessman Douglas Kirby. She lives with her husband and four children in
Sewickley Heights, Pennsylvania Sewickley Heights is a borough in Allegheny County, Pennsylvania, United States. The population was 857 at the 2020 census. Sewickley Heights is one of the wealthiest municipalities in Pennsylvania and in the United States. History Sewickley ...
.


References


External links

* {{DEFAULTSORT:Bresch, Heather 1969 births Living people Businesspeople from Morgantown, West Virginia People from Fairmont, West Virginia People from Farmington, West Virginia American women chief executives American chief operating officers American health care chief executives American corporate directors Chief executives in the pharmaceutical industry Women corporate directors Manchin family Fairmont Senior High School alumni West Virginia University alumni