Gilead Sciences, Inc. v. Meritain Health, Inc.

Circuit 4Aug 13, 2026

Split Score

SplitScore: 53/100

Case Summary

Disposition

Affirmed

The Fourth Circuit affirmed a preliminary injunction barring several alternative-funding actors and administrators from importing and selling foreign-market versions of Gilead HIV drugs in the United States. The court held that the imported drugs were not “genuine” for Lanham Act purposes because they bore materially different labeling and bypassed Gilead’s quality-control system, and that the service providers were contributorily liable despite lacking direct control over the drugs.

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Circuit Split Identified

Legal Issue

Whether a service provider’s contributory-trademark-infringement liability under the Lanham Act requires proof that the provider exercised “direct control and monitoring” over the instrumentality of the infringement, in addition to the inducement/knowledge test of Inwood Laboratories.

Circuit Positions

Circuit 9

Service provider is contributorily liable only if it exercised direct control and monitoring over the instrumentality of infringement (additional element beyond Inwood).

Circuit 4(this circuit)Circuit 7Circuit 11

Inwood’s inducement-or-knowledge test suffices; no separate direct-control element for service providers.

Conflict Summary

The Ninth Circuit has added a separate 'direct control and monitoring' element for service providers, while the Fourth Circuit (in this opinion) and other circuits apply only the two-part Inwood inducement-or-knowledge standard and reject any additional control requirement.

Parties & Counsel

Parties

Appellant:Meritain Health, Inc. et al.
Appellee:Gilead Sciences, Inc. and Gilead Sciences Ireland UC IDA

Legal Counsel

Appellant:Beltran Litigation, P.A.; Silverman Thompson Slutkin White; Foley & Lardner LLP; Kramon & Graham, P.A.
Appellee:Patterson Belknap Webb & Tyler LLP