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Teva, a case involving the cardiovascular drug carvedilol, produced a Federal Circuit ruling in 2021 that found generic manufacturers could face induced infringement liability even under a skinny label if their promotional or marketing activities (including Dear Healthcare Provider letters, press releases, and labeling guidance) communicated an intent to encourage use for the protected indication

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Ostrowski et al., 1999

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Both companies have built extensive patent thickets around their core molecules, with Novo Nordisk in particular pursuing aggressive filing strategies across new formulations, indications, and delivery methods