Shire US Inc v. Barr Laboratories ( 2003 )


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  •                                                                                                                            Opinions of the United
    2003 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    5-23-2003
    Shire US Inc v. Barr Laboratories
    Precedential or Non-Precedential: Precedential
    Docket 02-3647
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    PRECEDENTIAL
    Filed May 23, 2003
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    No. 02-3647
    SHIRE US INC.,
    Appellant
    v.
    BARR LABORATORIES INC.
    On Appeal from the United States District Court
    for the District of New Jersey
    (D.C. Civ. No. 02-02023)
    Honorable Joel A. Pisano, District Judge
    Argued April 8, 2003
    BEFORE: ALITO, FUENTES, and GREENBERG,
    Circuit Judges
    (Filed: May 23, 2003)
    Donald A. Robinson
    Robinson & Livelli
    Two Penn Plaza East
    11th Floor
    Newark, NJ 07105
    2
    Marie V. Driscoll
    Barbara A. Solomon (argued)
    Fross, Zelnick, Lehrman & Zissu
    First Avenue & 48th Street
    866 United Nations Plaza
    New York, NY 10017
    Attorneys for Appellant
    Kurt L. Shultz (argued)
    Winston & Strawn
    35 West Wacker Drive
    Suite 4200
    Chicago, IL 60601
    Brian J. McCarthy
    Virginia R. Richard
    Gregory C. Vamos
    Winston & Strawn
    One Gateway Center
    Newark, NJ 07102
    Attorneys for Appellee
    OPINION OF THE COURT
    GREENBERG, Circuit Judge.
    I.   FACTUAL AND PROCEDURAL HISTORY
    A.   Factual History
    This matter comes on before this court on appeal from an
    order entered August 27, 2002, denying appellant Shire
    U.S. Inc.’s (“Shire”) application for a preliminary injunction
    in its case against Barr Laboratories, Inc. (“Barr”) charging
    Barr with trade dress infringement and trade dress dilution
    under sections 43(a) and (c) of the Lanham Act, 
    15 U.S.C. §§ 1125
    (a) and (c), and state unfair competition laws with
    respect to Shire’s rights in Adderall, an unpatented drug
    Shire manufactures and sells. Adderall is a central nervous
    system stimulant used in treating attention deficit
    hyperactivity disorder (ADHD) available only by prescription
    3
    and dispensed to patients in pharmacy vials labeled
    “prescription-only” as required by law. Adderall is
    composed of the mixed salts of a single-entity amphetamine
    and is a controlled substance. Shire first placed Adderall on
    the market in 1996 and since that time it has enjoyed
    substantial success so that by 2001 it had a 32% market
    share in the United States ADHD prescription market.1
    Adderall originally came in two dosage strengths and
    colors, 10 mg. (blue, round) and 20 mg. (orange, round).
    The tablets are currently either blue or pale orange/peach
    and either round or oval. Color and size vary with the
    tablet’s strength, seven of which currently are prescribed: 5
    mg. (blue, round), 7.5 mg. (blue, oval), 10 mg. (blue, round),
    12.5 mg. (orange/peach, round), 15 mg. (orange/peach,
    oval), 20 mg. (orange/peach, round), and 30 mg.
    (orange/peach, round). Adderall tablets are scored and
    stamped with the mark “AD” on one side and the dosage
    size, e.g., “10” on the other.
    Recently, Shire sought a trademark for the Adderall trade
    dress. Shire’s trademark applications sought protection for
    the overall configuration of the round tablet shape and the
    colors blue and orange used in conjunction with the “AD”
    marking. The United States Patent and Trademark Office
    (USPTO) initially has refused to register Shire’s
    configuration.2
    1. In addition to Adderall, Adderall XR, and Barr’s generic amphetamine
    salts, other currently marketed products used in the treatment of ADHD
    include: Ritalin, Ritalin SR, Methylin (generic branded methylphenidate),
    generic methyphenidate, Dexedrine, Cylert, Provigil, and Concerta.
    2. The USPTO refused to register Shire’s configuration “because the
    proposed mark appears to be functional.” JA 1517. The examining
    attorney reached that conclusion because “the proposed mark consists of
    a design feature of the identified goods which serves a utilitarian
    purpose, namely, to hold and/or contain pharmaceutical preparations
    used for the treatment of attention deficit disorder and hyperactivity.” 
    Id.
    The examining attorney’s letter goes on to explain that a mark may be
    functional in two senses: de jure and de facto. If a mark is de jure
    functional it is unregisterable. If a mark is merely de facto functional it
    may be registerable if it is either inherently distinctive or has acquired
    distinctiveness. The examining attorney found that Shire’s “proposed
    mark is not inherently distinctive,” JA 1518, and thus determined that
    even if the proposed mark was de facto and not de jure functional it only
    would be registrable with a showing of acquired distinctiveness. It
    appears that Shire did not submit evidence of acquired distinctiveness.
    4
    Shire’s product literature, promotional materials, and
    mailings, which its sales staff distributed to physicians,
    feature color pictures of the Adderall tablets and sometimes
    direct patients to examine the tablets to ensure that they
    have received exactly the drug prescribed. Shire does not
    advertise its products in general consumer publications,
    but pictures of Adderall tablets appear in the Physician’s
    Desk Reference and in certain consumer books. While Shire
    continues to sell Adderall, it altered its marketing strategy
    for 2002 and discontinued promoting Adderall, promoting
    instead a patented, sustained-release version of the drug,
    Adderall XR.
    Barr, a public company that develops and manufactures
    generic and proprietary pharmaceuticals, was the first
    manufacturer of a generic equivalent to Adderall. It began
    developing a generic amphetamine salt alternative in 1998
    and started marketing it in February 2002 after submitting
    an Abbreviated New Drug Application (“ANDA”) to the
    United States Food and Drug Administration (“FDA”) and
    obtaining its approval. The FDA has approved Barr’s
    generic amphetamine salts as safe and effective, and has
    classified Barr’s product, which it manufactures in
    accordance with FDA regulations, as therapeutically
    equivalent to Adderall. Barr’s product is the bioequivalent3
    of Adderall, for which it thus may be interchanged freely.
    According to Shire, however, the products contain different
    inactive ingredients, and, in particular, Barr’s tablets
    contain saccharin, a once controversial ingredient the FDA
    only recently removed from its list of banned substances.
    Barr manufactures its generic amphetamine salts in 5
    mg. (blue, oval), 10 mg. (blue, oval), 20 mg. (orange/peach,
    oval), and 30 mg. (orange/peach, oval) tablets.4 Barr’s
    3. The FDA rates a generic product “AB” equivalent to its branded
    counterpart if a study is submitted demonstrating bioequivalence to the
    branded product. Barr’s generic product has an AB equivalency rating
    from the FDA.
    4. For Barr’s product to be approved as a generic equivalent for Adderall,
    it was required to produce the same dosage strengths available for
    Adderall. Shire, however, launched its mid-range dosages (7.5 mg., 12.5
    mg. and 15 mg. ) after Barr filed its ANDA with the FDA. In an internal
    memorandum, Shire indicated that its motivation for introducing these
    new strengths was to “buy time” to protect market share because generic
    substitutes would not be available for all strengths, thereby minimizing
    competition from substitutes.
    5
    generic amphetamine salts are oval5 and convex in shape.
    Both the size and the color of Barr’s tablets are linked to
    dosage. The face of the tablets has a “b” mark or the trade
    name Barr, and contains a numerical product code. The
    district court, on the basis of its physical examination of
    the tablets and the record before it, determined that while
    Barr’s tablets, like Shire’s, are blue and peach/light orange
    and those colors are keyed to dosage amounts, their shape
    and markings are different and “[j]uxtaposed against one
    another, the products are similar though not identical.” JA
    25.
    B.    Procedural History
    On April 30, 2002, Shire filed this action against Barr,
    alleging that Barr’s sale of generic amphetamine salts
    copying     Adderall’s appearance       constituted  unfair
    competition and diluted Shire’s rights under federal and
    state law.6 On May 3, 2002, Shire filed a motion seeking a
    preliminary injunction precluding Barr’s use of a tablet
    with an appearance similar to that associated with the
    appearance of Shire’s Adderall tablets.
    On June 3, 2002, after the parties had engaged in
    limited, agreed-upon discovery, the district court heard oral
    arguments on Shire’s motion. In a comprehensive opinion
    dated August 26, 2002, the court denied Shire’s motion on
    the grounds that Shire had not credibly carried its burden
    of establishing that the color and shape of Adderall is non-
    functional. Therefore the court concluded that Shire was
    not likely to succeed on the merits of its case. The court
    entered the order denying the motion for a preliminary
    injunction on August 27, 2002,7 but subsequently altered
    5. Barr chose the oval shape for its generic tablets without knowing that
    Shire planned to use an oval configuration for two of its new “mid-range”
    dosages. Shire does not assert any trade dress claims with respect to
    these new dosages.
    6. The district court had jurisdiction pursuant to 
    15 U.S.C. § 1121
     and
    
    28 U.S.C. §§ 1331
    , 1338(a), and (b). We have jurisdiction under 
    28 U.S.C. § 1292
    (a)(1).
    7. The district court also found that inasmuch as a trade dress dilution
    claim similarly requires a showing of non-functionality, Shire was
    unlikely to prevail on that claim. In addition, the district court denied as
    moot two motions by Barr to strike materials that Shire submitted in
    support of its motion for injunctive relief inasmuch as the court
    determined that Shire was not entitled to a preliminary injunction.
    6
    parts of its opinion by an amended opinion dated
    September 16, 2002, which corrected inaccuracies in
    certain terminology used in the original opinion.8 Shire filed
    a timely appeal on September 16, 2002.
    II.   DISCUSSION
    A.   Standard of Review
    We approach this case recognizing that when ruling on a
    motion for preliminary injunctive relief, a district court
    must be convinced that consideration of the four following
    factors favors the granting of preliminary relief: (1) the
    likelihood that the moving party will succeed on the merits;
    (2) the extent to which the moving party will suffer
    irreparable harm without injunctive relief; (3) the extent to
    which the nonmoving party will suffer irreparable harm if
    the injunction is issued; and (4) the public interest. See
    Clean Ocean Action v. York, 
    57 F.3d 328
    , 331 (3d Cir.
    1995); AT&T Co. v. Winback and Conserve Program, Inc., 
    42 F.3d 1421
    , 1427 (3d Cir. 1994). As we have indicated, the
    district court determined that Shire had failed to satisfy the
    first prong of the test for preliminary injunctive relief,
    8. Shire suggests that the district court’s amended opinion was the
    product of an improper communication between the court and Barr’s
    attorney. See br. of appellant at 5 (“The opinion was subsequently
    altered after a communication by Barr’s attorney to the Court (which
    was not shared with Shire’s counsel), and a new written opinion was
    issued dated September 16, 2002.”) We, however, have compared the
    opinions and determined that the district court made only minor
    terminological changes in the amended opinion. See JA 21 and JA 6-7
    (“sought a trademark application for the Adderall trade dress” changed
    from “applied for trademark protection regarding Adderall”), (“its
    trademark application seeks protection only for the product’s colors and
    shapes when used together with the ‘AD’ marking” changed from “its
    patent application seeks protection only for the product’s colors and
    shapes when used together with the ‘AD’ marking”) and JA 24, n.4 and
    JA 10, n.3 (“its trademark applications” changed from “its patent
    applications”). The court added a new footnote at the outset of its
    amended opinion explaining why it issued the opinion. This addition had
    the effect of changing the number of the subsequent footnotes so that
    footnote 4 in the amended opinion corresponds to footnote 3 in the
    original opinion.
    7
    finding that Shire was unlikely to succeed on the merits of
    its trade dress claim because it failed to demonstrate that
    the product configuration of Adderall is non-functional,
    which is one of the factors Shire needed to prove in order
    to prevail in an action for trade dress infringement.9
    On this appeal we recognize that “[t]he decision whether
    to enter a preliminary injunction is committed to the sound
    discretion of the trial court, and will be reversed ‘only if the
    court abused its discretion, committed an obvious error in
    applying the law, or made a serious mistake in considering
    the proof.’ ” Duraco Prods., Inc. v. Joy Plastic Enters., 
    40 F.3d 1431
    , 1438 (3d Cir. 1994) (quoting Loretangeli v.
    Critelli, 
    853 F.2d 186
    , 193 (3d Cir. 1988)). However,
    “[a]lthough terms of an injunction are normally reviewed for
    abuse of discretion, any determination that is a prerequisite
    to the issuance of an injunction . . . is reviewed according
    to     the   standard     applicable    to   that    particular
    determination.” John F. Harkins Co. v. Waldinger Corp., 
    796 F.2d 657
    , 658 (3d Cir. 1986); see AT&T v. Winback and
    Conserve, 
    42 F.3d at 1427
    . Thus, we review the district
    court’s factual determinations for clear error but exercise
    plenary review with respect to its legal conclusions. See
    A & H Sportswear, Inc. v. Victoria’s Secret Stores, Inc., 
    237 F.3d 198
    , 210 (3d Cir. 2000). Under the clearly erroneous
    standard, “a finding of fact may be reversed on appeal only
    if it is completely devoid of a credible evidentiary basis or
    bears no rational relationship to the supporting data.”
    American Home Prods. Corp. v. Barr Labs., Inc., 
    834 F.2d 368
    , 370-71 (3d Cir. 1987).10
    9. The other factors relate to secondary meaning or acquired
    distinctiveness and likelihood of product confusion. See TrafFix Devices,
    Inc. v. Marketing Displays, Inc., 
    532 U.S. 23
    , 28-29, 
    121 S.Ct. 1255
    ,
    1259-60 (2001).
    10. Shire suggests, citing our opinion in Scott Paper Co. v. Scott’s Liquid
    Gold, Inc., 
    589 F.2d 1225
    , 1229 n.3 (3d Cir. 1978), that “[b]ecause there
    was no live testimony and this case involved only documentary evidence,
    this Court is in an equally good position as the District Court ‘to
    evaluate the evidence and need not be constrained as in cases where the
    credibility of a witness may be in issue.’ ” Br. of appellant at 19-20. Barr
    correctly points out, however, that in 1985 Fed. R. Civ. P. 52(a) was
    amended to provide that the clearly erroneous standard applies to the
    district court’s factual findings “whether based on oral or documentary
    evidence”, see American Home Prods., 
    834 F.2d at 370
    , and that we thus
    have noted specifically that the position previously taken in Scott Paper
    Co. “is no longer tenable.” 
    Id.
     at 370 n.2
    8
    B.   Likelihood of Success on the Merits
    The Lanham Act, 
    15 U.S.C. § 1125
    (a),11 establishes a
    cause of action for trade dress infringement. “Trade dress”
    refers to the design or packaging of a product which serves
    to identify the product’s source. See TrafFix Devices, Inc. v.
    Marketing Displays, Inc., 
    532 U.S. 23
    , 28, 
    121 S.Ct. 1255
    ,
    1259 (2001). The purpose of trade dress protection, like
    trademark protection, is to “secure the owner of the [trade
    dress] the goodwill of his business and to protect the ability
    of consumers to distinguish among competing producers.”
    Two Pesos, Inc. v. Taco Cabana, Inc., 
    505 U.S. 763
    , 774,
    
    112 S.Ct. 2753
    , 2760 (1992) (citation omitted).
    Trade dress protection, however, is not intended to create
    patent-like rights in innovative aspects of product design.
    Eppendorf-Netheler-Hinz GmbH v. Ritter GmbH, 
    289 F.3d 351
    , 355 (5th Cir. 2002). Thus, trade dress protection,
    unlike patent law which is not implicated here, does not
    foster innovation by preventing reverse engineering or
    copying of innovative product design features. 
    Id.
     “Trade
    dress protection must subsist with the recognition that in
    many instances there is no prohibition against copying
    goods and products.” TrafFix, 523 U.S. at 29, 
    121 S.Ct. at 1260
    . Therefore, trade dress protection extends only to
    incidental, arbitrary or ornamental product features which
    identify the product’s source. Eppendorf, 
    289 F.3d at 355
    .
    To establish infringement of its unregistered trade dress a
    plaintiff must prove that (1) the allegedly infringing feature
    is non-functional, (2) the feature is inherently distinctive or
    11. Section 1125(a) provides in pertinent part:
    Any person who, on or in connection with any goods or services, or
    any container for goods, uses in commerce any word, term, name,
    symbol, or device, or any combination thereof, or any false
    designation of origin, false or misleading description of fact, or false
    or misleading representation of fact, which is likely to cause
    confusion, or to cause mistake, or to deceive as to the affiliation,
    connection, or association of such person with another person, or as
    to the origin, sponsorship, or approval of his or her goods, services,
    or commercial activities by another person . . . shall be liable in a
    civil action by any person who believes that he or she is or is likely
    to be damaged by such act.
    9
    has acquired secondary meaning, and (3) consumers are
    likely to confuse the source of the plaintiff ’s product with
    that of the defendant’s product. See Wal-Mart Stores, Inc. v.
    Samara Bros., Inc., 
    529 U.S. 205
    , 210-211, 
    120 S.Ct. 1339
    ,
    1343 (2000).
    The functionality doctrine “accommodates the twin
    purposes behind the Lanham Act. It protects the
    manufacturer (and the consumer) from the copying of those
    features that signify a product’s source (and quality) and
    encourages competition by preventing one manufacturer
    from acquiring a monopoly by attempting to trademark
    those features of a design essential to a successful product
    of that type.” Standard Terry Mills, Inc. v. Shen Mfg. Co.,
    
    803 F.2d 778
    , 780-81 (3d Cir. 1986). However, the
    definition of “functionality” has not enjoyed such clarity.
    See 1 J. THOMAS MCCARTHY, MCCARTHY ON
    TRADEMARKS AND UNFAIR COMPETITION, § 7:67 (4th ed.
    2001) (discussing the “plethora of definitions” for
    functionality). In TrafFix, the Supreme Court set forth two
    tests for functionality. First, the Court recognized the
    “traditional” definition of functionality: “a product feature is
    functional, and cannot serve as a trademark, ‘if it is
    essential to the use or purpose of the article or if it affects
    the cost or quality of the article.’ ” TrafFix, 
    532 U.S. at 32
    ,
    
    121 S. Ct. at 1261
     (quoting Qualitex Co. v. Jacobson Prods.
    Co., 
    514 U.S. 159
    , 165, 
    115 S.Ct. 1300
    , 1304 (1995)
    (quoting Inwood Labs., Inc. v. Ives Labs., Inc., 
    456 U.S. 844
    ,
    850, n.10, 
    102 S.Ct. 2182
    , 2187 n.10 (1982))). In addition
    to the traditional definition, TrafFix recognized a second
    test for functionality: “a functional feature is one the
    ‘exclusive use of [which] would put competitors at a
    significant   non-reputation-related       disadvantage.’ ”  
    Id.
    (quoting Qualitex, 
    514 U.S. at 165
    , 
    115 S.Ct. at 1304
    ).
    The district court, applying the “traditional” definition of
    functionality12 found that “[i]n reviewing the proofs, the
    12. The Court of Appeals for the Fifth Circuit recently noted that “[i]n
    light of TrafFix, the primary test for determining whether a product
    feature is functional is whether the feature is essential to the use or
    purpose of the product or whether it affects the cost or quality of the
    product.” Eppendorf, 
    289 F.3d at 356
    . This is the test that the district
    court applied in this case. See JA 23 (“Generally, a feature is functional,
    and thus unprotected as a trademark, if it is essential to the use or
    purpose of the article or if it affects the cost or quality of the article.”)
    (internal quotation marks omitted).
    10
    Court is not persuaded that the color and shape of Shire’s
    product is non-functional.”13 JA 24. Preliminarily the court
    noted that, contrary to Shire’s contention, Barr did not
    adopt the “identical trade dress developed by Shire for its
    Adderall product.” 
    Id.
     After an examination of the actual
    tablets the court found that the products have different
    shapes and markings and therefore while the products are
    similar, they are not identical.
    In addition, the district court found that “the record
    developed for purposes of this injunctive relief application
    fails to support the conclusion that Shire’s alleged trade
    dress is non-functional” inasmuch as Shire “falls short on
    its burden to prove non-functionality because it has not
    credibly rebutted Barr’s theory that the similar color-coding
    and shape of the products are particularly meaningful for
    ADHD patients and enhance efficacy.” JA 25-26. In
    reaching its conclusion the district court quoted the
    declaration of Lawson F. Bernstein, M.D., the affidavit of
    Cheryl D. Blume, Ph.D., and the declaration of Gregory
    Drew.
    Dr. Bernstein’s declaration explains, inter alia, that
    because ADHD patients overuse visual cues, (1) when
    therapeutically equivalent ADHD products have similar
    visual recognition properties, adult ADHD patients will
    experience less confusion in correctly identifying the agent
    and/or its dosage strength; (2) given that almost all
    patients require some initial dosage titration and a
    subsequent substantial majority require intermittent
    dosage adjustment, the color coding of a particular
    preparation of mixed amphetamine salts tablets confers a
    substantial degree of clinical functionality for the patient in
    the titration/adjustment process; (3) many adult patients
    may take multiple daily dosages of different strength
    amphetamine salts tablets, also inferring the usefulness of
    similar color-coding.
    13. Shire has the burden of proving non-functionality for Congress
    amended the Lanham Act in 1999 to provide that “[i]n a civil action for
    trade dress infringement under this chapter for trade dress not
    registered on the principal register, the person who asserts trade dress
    protection has the burden of proving that the matter sought to be
    protected is not functional.” 
    15 U.S.C. § 1125
    (a)(3).
    11
    The district court quoted Dr. Blume’s affidavit explaining
    that a generic drug’s similar appearance to the branded
    product “enhance[s] patient safety and compliance with the
    medically prescribed dosing regimen” and that safety and
    compliance “would be particularly important for ADHD
    drugs when non-medical intermediaries (such as school
    secretaries) dispense mid-day doses to children [treated for
    ADHD].” JA 27. Dr. Blume’s affidavit explains that “[d]osage
    form similarities enhance patient acceptance” and points to
    generic formulations of other central nervous system drugs
    that are identical or mirror the brand drug in color. 
    Id.
    The district court also noted that, concurring with both
    Dr. Bernstein and Dr. Blume, the declaration of Gregory
    Drew, a registered pharmacist and Vice President of
    Pharmacy Health Services for Rite Aid Corporation, explains
    that Rite Aid prefers that “the generic tablet look as similar
    to the branded tablet as possible” so as to “increase[ ]
    patient acceptance and comfort,” as well as compliance and
    that “all other things being equal, Rite Aid will choose to
    stock the generic product that most closely resembles the
    branded product.” 
    Id.
    The district court found that “Barr has not copied
    features signifying the Adderall source” and that “the color
    and shape of Barr’s product are directly linked to the drug’s
    efficacy in ADHD patients.” JA 28. The court concluded
    that “Shire has failed to prove the requisite non-
    functionality as an initial step to gaining the desired relief
    here.” 
    Id.
     The court’s functionality conclusion is a factual
    finding, see Ciba Geigy Corp. v. Bolar Pharm. Co., Inc., 
    747 F.2d 844
    , 850 (3d Cir. 1984), that “may be reversed on
    appeal only if it is completely devoid of a credible
    evidentiary basis or bears no rational relationship to the
    supporting data.” American Home Prods., 
    834 F. 2d at
    370-
    71.
    Shire’s primary argument is that the district court
    “committed an obvious error by failing to apply Third
    Circuit precedent which is contrary to the district court’s
    ruling.” Br. of appellant at 21. But as Barr points out, most
    of opinions on which Shire relies were district court
    opinions from the early 1980s14 which the court here was
    14. As Barr notes, those cases were decided prior to: (1) the enactment
    in 1984 of the Hatch-Waxman amendments to the Food, Drug and
    12
    not bound to follow. Br. of appellee at 35. In addition, even
    when Shire’s district court case law is considered for its
    persuasive value, it does not support its contention that the
    court committed reversible error as a court must decide
    each trademark case on its own facts, Dresser Indus., Inc.
    v. Heraeus Engelhard Vacuum, Inc., 
    395 F.2d 457
    , 461 (3d
    Cir. 1968), and the cases on which Shire relies are
    distinguishable on their facts. Most significantly, though
    the cases involved prescription drugs, none involved
    controlled substances15 and in all of the cases there was
    evidence of the passing off of the defendant’s product by
    pharmacists, see Boehringer Ingelheim G.m.b.H. v.
    Pharmadyne Labs., 
    532 F. Supp. 1040
     (D.N.J. 1980);
    Hoffman La Roche, Inc. v. Premo Pharm. Labs., Inc., 
    210 U.S.P.Q. 374
     (D.N.J. 1980); Biocraft Labs., Inc. v. Merck &
    Co., 
    532 F. Supp. 1068
     (D.N.J. 1980); American Home
    Prods. Corp. v. Chelsea Labs., Inc., 
    572 F. Supp. 278
    (D.N.J. 1982), aff ’d, 
    722 F. 2d 730
     (3d Cir. 1983) (table), or
    of an intent to induce illegal substitution on the defendant’s
    part. See Ciba-Geigy Corp. v. Bolar Pharm. Co., 
    547 F. Supp. 1095
     (D.N.J. 1982), aff ’d, 
    719 F.2d 56
     (3d Cir. 1983).16
    Shire also relies on our opinion in SK&F, Co. v. Premo
    Pharmaceutical Laboratories, Inc., 
    625 F.2d 1055
     (3d Cir.
    1980), but SK&F also is distinguishable on its facts as in
    SK&F we found evidence of actual passing off by
    Cosmetic Act, Pub. L. No. 98-417, § 101, 
    98 Stat. 1585
    , 
    21 U.S.C. § 355
    (j), which established a federal policy favoring the marketing of
    therapeutic equivalents of generic drugs, (2) the 1999 amendment to 
    15 U.S.C. § 1125
    (a)(3) which places the burden of proving non-functionality
    of unregistered trade dress on the plaintiff, and (3) the Supreme Court’s
    decisions in Wal-Mart and TrafFix. See br. of appellee at 35.
    15. Dr. Salah Ahmen, senior vice president for research and development
    at Barr, testified on a deposition that Barr wanted its “product to have
    similar color to Adderall to avoid patient confusion, to improve patient
    compliance. Especially for this control drug.” JA 496.
    16. In the Ciba-Geigy litigation after we affirmed the order of the district
    court granting a preliminary injunction, 
    719 F.2d 56
    , the parties by
    stipulation converted the proceedings on the preliminary injunction to a
    trial on the merits so that a permanent injunction was entered and on
    further appeal we affirmed again. Ciba-Geigy, 
    747 F.2d 844
    .
    13
    pharmacists. 
    Id. at 1063
    . Shire                   does    not    make      a
    comparable claim in this case.17
    It is true that in SK&F and several of the other cases on
    which Shire relies, the defendant offered affidavits and
    declarations of pharmacists and physicians making claims
    relating to functionality similar to those Dr. Bernstein, Dr.
    Blume and Mr. Drew have made in this case and that the
    courts in those cases did not credit the evidence. For
    example, in SK&F Dr. Shafer, a physician, submitted an
    affidavit in which he supported the sale of similarly
    configured generic tablets as he believed this configuration
    would enable the patient to feel confident that there was no
    change in the chemistry of the medication and that patients
    might become uneasy, confused or react adversely if the
    generic medication looked different from the market
    innovator. 
    Id. at 1060-61
    . But we explained that the district
    court nevertheless “apparently chose not to credit the
    assertion of the Shafer affidavit, crediting instead the
    affidavits of Drs. Meyerson and Tannenbaum that in their
    experience the appearance of a drug bears no established
    relationship to its therapeutic efficacy.” 
    Id. at 1061
    . SK&F
    does not dictate, however, that we overturn the district
    court’s findings of fact in this case because, in contrast to
    17. In addition, as Barr points out, there were other significant
    differences between the facts in the cases Shire cites and those here.
    First, the generic drugs in some of the cases Shire cites were identical in
    shape, color, and size to the brand names drugs, whereas here the
    district court found that while the products in this case are similar, they
    are not identical. See, e.g. Ciba-Geigy Corp., 747 F.2d at 849
    (“[Defendant’s] capsules are identical to [plaintiff ’s] APRESAZIDE
    capsules except that each is imprinted with the name of its respective
    manufacturer.”); American Home Prods. Corp., 
    572 F. Supp. at 280
     (“[B]y
    copying every physical feature distinguishable by the human senses,
    such as size, shape and color, the defendants have made their product
    ‘look like’ plaintiff ’s though in fact they are different.”) Boehringer, 532
    F. Supp. at 1045 (finding that defendant’s drug was identical to
    plaintiff ’s tablet in “size, shape, and color”). Second, Shire relies on
    cases involving inferior quality generic drugs that did not adhere to the
    strict FDA standards with which generic drugs now must comply. See,
    e.g., SK&F, 
    625 F.2d at
    1061 n.4 (noting FDA recall of defendant’s
    product); Boehringer, 532 F. Supp. at 1045 (noting “potential
    bioequivalence problems” of defendant’s product).
    14
    the district court’s conclusions in SK&F, the district court
    in this case did credit the assertions made by Drs.
    Bernstein and Blume and Mr. Drew that were comparable
    to those of Dr. Shafer. Just as in SK&F we deferred to the
    district court’s findings of fact it is appropriate for us to do
    so in this case as well.18 After all, it is inherent in the very
    nature of the deferential appellate review of findings of fact
    that a court of appeals can and, indeed, should, depending
    on the records before it, uphold arguably inconsistent
    outcomes.
    We also point out that while Shire is correct that the
    district court did not discuss most of the case law on which
    it relies, it concedes that the court did not ignore all
    precedents in its favor. Thus, after quoting at length from
    Dr. Bernstein’s declaration explaining that there is clinical
    functionality when a generic drug is physically similar to
    the branded version, testimony which the district court
    credited, the court cited our opinion in Ciba-Geigy, 747
    F.3d at 850-51, contrasting it as a case “affirming finding
    of non-functionality where district court found no ‘medical
    or business considerations’ compelled the size and shape of
    a drug.” JA 26.
    While district courts in this circuit have rejected
    functionality arguments similar to those the court credited
    18. We have case law that is consistent with a determination that the
    color and shape of drug tablets can be functional. In Smith, Kline &
    French Laboratories v. Clark & Clark, 
    157 F.2d 725
     (3d Cir. 1946), one
    of the earliest cases involving generic drug substitution, Smith, Kline &
    French (SK&F) sought an injunction against the manufacture and sale of
    Clark & Clark’s patent-infringing amphetamine tablets under New Jersey
    unfair competition laws. 
    Id. at 726
    . We observed that the infringing
    tablets closely resembled those produced by SK&F in shape, color and
    scoring and that the two tablets were distinguishable only upon close
    examination. 
    Id. at 730
    . We, however, refused to uphold an injunction
    beyond the life of SK&F ’s patent, stating that the patent aside, SK&F
    “has no exclusive right to sell amphetamine sulphate and it may not
    preempt the market in the drug” and finding that the various features of
    the amphetamine tablets were functional. 
    Id. at 730-31
    . Nevertheless we
    upheld the district court’s findings of unfair trade practices as the
    evidence showed that Clark & Clark’s salesmen encouraged palming off
    of Clark & Clark’s product for that of SK&F. 
    Id. at 731
    .
    15
    in this case, other district courts, such as that in Ives
    Laboratories, Inc. v. Darby Drug Co., 
    488 F. Supp. 394
    (E.D.N.Y. 1980),19 have credited similar testimony bearing
    on functionality. In Ives the manufacturer of the
    prescription drug cyclandelate sought an injunction against
    manufacturers of generic cyclandelate claiming that the
    defendants’ use of the same capsule colors was “a false
    designation of origin” or a “false description or
    representation” of defendants’ product. 
    Id. at 398
    . But the
    district court in Ives found that capsule colors were
    functional in several respects. “First, many elderly patients
    associate the appearance of their medication with its
    therapeutic effect . . . . Second, some patients co-mingle
    their drugs in a single container and then rely on the
    appearance of the drug to follow their doctors’ instructions.
    . . . Third, to some limited extent color is also useful to
    doctors and hospital emergency rooms in identifying
    overdoses of drugs.” 
    Id. at 398-99
    .20
    The Supreme Court noted the district court’s finding of
    functionality in Ives in Inwood Laboratories, Inc. v. Ives
    Laboratories, Inc., 
    456 U.S. 844
    , 853, 
    102 S.Ct. 2182
    , 2188
    (1982), after it granted certiorari and reversed the judgment
    of the court of appeals which had reversed the district court.21
    19. The court of appeals reversed in Ives, 
    638 F.2d 538
     (2d Cir. 1981),
    but the Supreme Court in turn reversed the court of appeals in Inwood
    Laboratories, Inc. v. Ives Laboratories, Inc., 
    456 U.S. 844
    , 
    102 S.Ct. 2182
    (1982). Then, on remand from the Supreme Court, the court of appeals
    affirmed the district court. Ives Labs., Inc. v. Darby Drug Co., Inc., 
    697 F.2d 291
     (2d Cir. 1982) (table).
    20. The court also stated that a “different situation would be presented
    if wholesalers, pharmacies and hospitals insisted on purchasing generic
    cyclandelate in colors identical to those of Ives so that they could
    unlawfully pass off the generic product as that of Ives. But nothing in
    the record suggests such a motive. The fact is that, not surprisingly, the
    colors have come to represent to large numbers of those taking
    cyclandelate not its source but its ingredients and their effects. The
    colors are thus functional to the patients as well as to doctors and
    hospitals.” Ives, 
    488 F. Supp. at 399
    . As in Ives, in this case, in contrast
    to the cases on which Shire relies there has not been an allegation of
    passing off.
    21. Inwood v. Ives, 
    456 U.S. at 853
    , 
    102 S.Ct. at 2188
     (“[T]he court
    found that the blue and blue-red colors were functional to patients as
    16
    In addition, citing its opinion in Inwood v. Ives in Qualitex,
    the Court commented on the functional nature of the color
    of medical pills stating:
    [T]his Court has written that competitors might be
    free to copy the color of a medical pill where the color
    serves to identify the kind of medicine (e.g., a type of
    blood medicine) in addition to its source. See [Inwood
    v. Ives] at 853, 858, n.20, 
    102 S.Ct. at 2188
    , 2190
    n.20 (‘Some patients commingle medications in a
    container and rely on color to differentiate one from
    another’); see also J. Ginsberg, D. Goldberg and A.
    Greenbaum, Trademark and Unfair Competition Law
    194-195 (1991) (noting that drug color cases ‘have
    more to do with public health policy’ regarding generic
    drug substitution ‘than with trademark law’).
    Qualitex, 
    514 U.S. at 169
    , 
    115 S.Ct. at 1306
    .
    Here the district court credited Barr’s evidence that
    similarity in tablet appearance enhances patient safety by
    promoting psychological acceptance. We reiterate that we
    recognize that district courts in this circuit have rejected
    arguments of functionality similar to those credited by the
    trial court in Ives and by the district court in this case, and
    that we have affirmed several of those factual
    determinations as not clearly erroneous. But, as we have
    said, those cases are distinguishable on their facts.
    Moreover, we have the benefit of the Supreme Court’s most
    well as to doctors and hospitals: many elderly patients associate color
    with therapeutic effect; some patients commingle medications in a
    container and rely on color to differentiate one from another; colors are
    of some, if limited, help in identifying drugs in emergency situations; and
    use of the same color for brand name drugs and their generic
    equivalents helps avoid confusion on the part of those responsible for
    dispensing drugs. In addition, because Ives had failed to show that the
    colors indicated the drug’s origin, the court found that the colors had
    not acquired a secondary meaning.”); see also 
    id.
     at 862 n.3, 
    102 S.Ct. at
    2192 n.3 (White, J., concurring) (“for the patient-user, of course, the
    constancy of color and shape may be a psychologically reassuring and
    therefore as medically beneficial as the drug itself ”) (quoting 3 R.
    Callmann, Unfair Competition, Trademarks and Monopolies § 82.1(m),
    pp. 217, 213 (Supp. 1981)).
    17
    recent trade dress decisions22 which caution against the
    over-extension of trade dress protection. In this regard we
    point out that there is language in several of the Court’s
    opinions supporting a conclusion that the district courts in
    Ives and in this case did not err in their functionality
    conclusions. Overall we are satisfied that the district court,
    after it determined that by being physically similar to
    Adderall Barr’s generic amphetamine salts tablets
    materially benefitted the patient population, did not clearly
    err in finding that Shire had failed to show that its product
    configuration was non-functional. Consequently, Shire did
    not demonstrate its likelihood of success on the merits and
    the court appropriately denied it a preliminary injunction.
    III.   CONCLUSION
    For the foregoing reasons the order of August 27, 2002,
    will be affirmed.
    A True Copy:
    Teste:
    Clerk of the United States Court of Appeals
    for the Third Circuit
    22. With respect to the case law on which the district court relied, Shire
    distinguishes the Supreme Court’s decision in TrafFix, 
    532 U.S. 23
    , 
    121 S.Ct. 1255
    , and our decision in Standard Terry Mills, 
    803 F.2d 778
    , and
    suggests that Qualitex “effects no change in the law.” Br. of appellant at
    28-29. While it is correct that TrafFix considered the evidentiary
    significance of expired patents in establishing functionality, a process
    not involved in this case, the facts remains that TrafFix did not confine
    its discussion of trade dress to this circumstance. For example, in
    TrafFix the Supreme Court reminded that “[t]rade dress protection must
    subsist with the recognition that in many instances there is no
    prohibition against copying goods and products” and cautioned against
    “misuse or over extension of trade dress [protection].” TrafFix, 
    532 U.S. at 29
    , 
    121 S. Ct. at 1260
    . With respect to our decision in Standard Terry
    Mills, while that case did not involve prescription medication, the district
    court correctly relied on it as precedent relevant to the definition of
    functionality and the purpose of the functionality doctrine. See JA 23-
    24, JA 28.