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The Obama administration has finalized a rule that imposes fines on drug companies that overcharge hospitals and clinics for medication purchased under the government's 340B drug discount program. Drug companies must reimburse providers that overpaid for products and they are subject to fines of up to $5,000 per instance if they overcharged "knowingly and intentionally." The penalties were outlined in a final rule released Wednesday by HHS' Health Resources and Services Administration. The rule also establishes a system for calculating “ceiling prices” for covered outpatient drugs—which some industry stakeholders say the agency lacks the authority to do. (Dickson, 1/4)

The fate of Anthem’s $54 billion acquisition of Cigna, which would create the largest health insurance company in the country, is now in the hands of a federal judge. Lawyers for the Justice Department and Anthem made their closing arguments in the antitrust trial on Wednesday morning, during which they were peppered with persistent questioning from U.S. District Court Judge Amy Berman Jackson. (Demko, 1/4)

The finding, reported in a securities filing, followed an investigation by members of Alexion’s board of directors into allegations of improper sales practices made by a former employee that had delayed the submission of its most-recent financial report. Alexion, based in New Haven, Conn., is a leading seller of drugs for rare diseases and had $2.6 billion in 2015 total product revenues. Soliris, the drug at the center of the investigation, treats a rare blood disorder known as paroxysmal nocturnal hemoglobinuria. (Rockoff, 1/4)

Abbott Laboratories released no new details Wednesday about integration timelines and personnel changes in Minnesota as it completed its long-planned acquisition of Little Canada-based medical device company St. Jude Medical. (Carlson, 1/4)

Taking cholesterol-lowering statin drugs seemed to make exercise more difficult and less beneficial, a new study in mice suggests. Mice are not humans, obviously, but the study does raise interesting questions about whether and how statins might affect physical fitness in all of us. In the experiment, statins were very effective in lowering cholesterol levels. But animals moved less if they were taking statins than if they were not taking the drugs. And when they did move, mice on statins developed fewer advantageous physical changes within their muscles than animals that were not given the drugs. (Reynolds, 1/4)