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EXHIBIT 10.1 DEVELOPMENT & DISTRIBUTION AGREEMENT

Development Agreement

EXHIBIT 10.1

                      DEVELOPMENT & DISTRIBUTION AGREEMENT | Document Parties: MEDICIS PHARMACEUTICAL CORP | IPSEN LTD. | AESTHETICA, LTD. You are currently viewing:
This Development Agreement involves

MEDICIS PHARMACEUTICAL CORP | IPSEN LTD. | AESTHETICA, LTD.

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Title: EXHIBIT 10.1 DEVELOPMENT & DISTRIBUTION AGREEMENT
Governing Law: New York     Date: 5/10/2006
Industry: Biotechnology and Drugs    

EXHIBIT 10.1

                      DEVELOPMENT & DISTRIBUTION AGREEMENT, Parties: medicis pharmaceutical corp , ipsen ltd. , aesthetica  ltd.
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<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

                                  EXHIBIT 10.1

                      DEVELOPMENT & DISTRIBUTION AGREEMENT

                                 BY AND BETWEEN

                                   IPSEN LTD.

                                       AND

                                AESTHETICA, LTD.

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

                      DEVELOPMENT & DISTRIBUTION AGREEMENT

<TABLE>
<S>       <C>                                                                                                          <C>
1.        DEFINITIONS.............................................................................................      1
2.        APPOINTMENT.............................................................................................      5
3.        DEVELOPMENT AND REGULATORY PROGRAM......................................................................      6
4.        REVIEW COMMITTEE........................................................................................     12
5.        PRODUCT MANUFACTURE AND SUPPLY..........................................................................     14
6.        CONSIDERATION...........................................................................................     18
7.        FUTURE PRODUCTS.........................................................................................     22
8.        MARKETING AND PROMOTION OF THE PRODUCT..................................................................     23
9.        REPORTS.................................................................................................     25
10.       Ipsen PROMOTION OF THE PRODUCTS IN THE TERRITORY........................................................     26
11.       PROCEDURES REGARDING TECHNICAL MATTERS..................................................................     26
12.       INTELLECTUAL PROPERTY...................................................................................     27
13.       NON COMPETITION.........................................................................................     30
14.       WARRANTIES..............................................................................................     30
15.       Ipsen DELIVERY COVENANT.................................................................................     32
16.       LIABILITIES - INDEMNIFICATION...........................................................................     33
17.       CONFIDENTIALITY.........................................................................................     36
18.       PUBLICATION - ANNOUNCEMENT..............................................................................     37
19.       TERM - TERMINATION......................................................................................     37
20.       MISCELLANEOUS...........................................................................................     40
</TABLE>

<TABLE>
<S>                                                                                              <C>
APPENDICES:

APPENDIX 1 - CURRENT PRODUCT SPECIFICATIONS (9 pages omitted)

APPENDIX 2 - U.S. PROGRAM (NON-U.S. PROGRAM to be attached in accordance with
             Article 3.3.1) (4 pages omitted)

APPENDIX 3 - [INTENTIONALLY DELETED]

APPENDIX 4 - PRODUCT DATA FORWARDED TO MEDICIS

APPENDIX 5 - TRADEMARK(S)

APPENDIX 6 - MEDICIS DISTRIBUTION SYSTEM

APPENDIX 7 - LIST OF INITIAL MEMBERS OF REVIEW COMMITTEE

APPENDIX 8 - PRODUCT SUPPLY PRICE

APPENDIX 9 - TRADEMARK(S) LICENSE AGREEMENT [FILED AS EXHIBIT 10.2 TO FORM 10-Q]

APPENDIX 10 - [INTENTIONALLY DELETED]

APPENDIX 11 - TRADEMARK ASSIGNMENT AGREEMENT [FILED AS EXHIBIT 10.3 TO FORM 10-Q]

APPENDIX 12 - LIST OF AGREEMENTS TO BE TRANSFERRED (7 pages omitted)
</TABLE>

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

                      DEVELOPMENT & DISTRIBUTION AGREEMENT

This Development & Distribution Agreement (Agreement) is entered into by and
between Ipsen Ltd., a company organized and existing under the laws of England,
with registered offices located at 190 Bath Road, Slough, Berkshire SL1 3XE,
United Kingdom ("Ipsen"), and Aesthetica Ltd., a company organized under the
laws of Bermuda, located at Dorchester House, 7 Church Street, Hamilton HM 11,
Bermuda ("Medicis"), a wholly owned subsidiary of Medicis Pharmaceutical
Corporation, a Delaware corporation

WHEREAS Ipsen has exclusive rights to certain Know-How related to formulation(s)
of botulinum toxin(s).

WHEREAS Ipsen is engaged, directly or through companies affiliated to the Ipsen
Group, in the development, registration, distribution and promotion world-wide
of said formulations in the form of pharmaceutical specialties for human use,
and has acquired valuable and proprietary Know-How in connection therewith.

WHEREAS Medicis is engaged in the development, registration, manufacture,
distribution and promotion of pharmaceuticals and medical devices and has
acquired experience and Know-How in the development, registration, distribution
and promotion of products for aesthetic uses.

WHEREAS Medicis wishes to develop, have registered with regulatory authorities,
distribute and promote in the U.S.A., Canada and Japan, Ipsen's current and any
future formulations of botulinum toxin(s) in the form of pharmaceutical
specialty for aesthetic use.

WHEREAS Medicis is well informed about the present stage of development,
distribution and promotion of formulations of botulinum toxin(s) competing with
Ipsen's formulations, and about the potential progress thereof as well as about
the overall situation as to competition among botulinum toxin based products,
and Medicis has taken such facts into consideration before signing this
Agreement.

WHEREAS Ipsen shall remain free to undertake research, development,
registration, distribution and promotion worldwide of Ipsen's formulations of
botulinum toxin(s) for all human uses except as expressly provided for in this
Agreement.

NOW THEREFORE, IN CONSIDERATION OF THE PREMISES SET FORTH ABOVE AND INTENDING TO
BE LEGALLY BOUND, THE PARTIES HAVE AGREED AS FOLLOWS:

1. DEFINITIONS

As used in this Agreement, the following terms have the meanings indicated
below:

Affiliate          means, in relation to any party, any person, corporation or
                  entity which directly or indirectly controls, is controlled by
                  or under common control with such party. Control shall be
                   deemed to exist if a party beneficially owns more than 50% of
                  the share capital and/or of the voting rights of such a
                  person, corporation or entity. An Affiliate shall not be
                  considered a Third Party under this Agreement.

Bundled            Product(s) means Product(s) sold or otherwise transferred or
                  delivered to a Third Party with one or more other products or
                  services in circumstances where the price of the Product(s) is
                  either not shown separately on the invoice, or is shown as nil
                  (free of charge) on a separate document in relation to the
                  Product(s) or to a portion of the quantities of Product(s)
                   vials.

                                       1

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

cGMP               means the current interpretation and implementation of Good
                  Manufacturing Practices.

Commercial         Sale means the transfer, delivery, or sale, whether at retail,
                  wholesale or otherwise, of Product(s) or Bundled Product(s) to
                  (i) by Medicis or its Affiliates to McKesson or any other
                  approved equivalent full-service distributor or (ii) in the
                  event Commercial Sales of Products hereunder are not made
                  through McKesson (or any other approved equivalent
                  full-service distributor) by Medicis, or its Affiliates or an
                  appointed distributor to a Third Party.

Confidentiality    mean the confidentiality agreement of September 19, 2005
Agreements         between Ipsen Biopharm Ltd and Medicis and the mutual
                  confidentiality agreement of December 21, 2005 between Ipsen
                   Ltd and Medicis.

Cost of Goods      means the invoice price paid by Medicis to Ipsen for the
Sold               Product and/or any future Product, together with all royalties
                  paid by Medicis to Ipsen pursuant to this Agreement.

Current Product    means, with respect to each country of the Territory the
                  Product which is the object of the Development and Regulatory
                  Program and which is then the object of a first Regulatory
                  Approval in such country. The Current Product could, for
                  example and without limitation, be vials containing either ***
                  units, *** units, or *** units of botulinum toxin type A
                  activity per vial. The specifications of the vials containing
                  *** of botulinum toxin type A activity per vial are set forth
                  in Appendix 1 hereto, and made a part hereof. The parties
                  acknowledge that, as regards the *** units, the actual content
                  of the vial may vary depending on the requirements of the
                  relevant regulatory authorities and may, for example, contain
                  ***units or ***units of clostridium botulinum type A toxin
                   instead of ***units.

Development and    means all development activities, including clinical trials
Regulatory         with respect to any Product in order to obtain Regulatory
Program            Approvals for such Product in one or more indications selected
                  in the Field by Ipsen after prior consultation with Medicis,
                  in any or all countries of the Territory, as agreed upon by
                  the parties as of the Effective Date and from time to time
                   after the Effective Date in accordance with Articles 3 and 4
                  hereof.

Effective Date     means the Termination Date under that certain Termination
                  Agreement dated as of December 20, 2005, by and between Ipsen
                   and Inamed Corporation.

FDA                means the United States Food and Drug Administration.

Field Customers    means plastic surgeons, dermatologists, and any other
                  persons practicing aesthetic medicine and located in the
                  Territory, including, but not limited to, ear, nose and throat
                  specialists, ophthalmologists, obstetric and gynecology
                  specialists and general practitioners constituting the Medicis
                   Customer Base at any time.

Field              ***

GAAP               means United States of America generally accepted accounting
                  principles.

                                       2

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

Good               means the requirements found in the legislations, regulations,
Manufacturing      and administrative provisions for methods to be used in, and
Practice           the facilities or controls to be used for, the manufacturing,
                  processing, packing, and/or holding of a drug to assure that
                  such drug meets the requirements as to safety, and has the
                  identity and strength, and meets the quality characteristics
                  that it purports or is represented to possess, all of which as
                  defined by the competent authorities of each country of the
                  Territory where and at the time Medicis sells the Product in
                  each such country.

Gross Profit       means Net Sales minus Cost of Goods Sold,   divided by Net
Margin             Sales, expressed as a percentage, all calculated in accordance
                  with then-current GAAP applied in a consistent manner in
                  accordance with the accounting practices of Medicis.

Medicis Customer   means those Field Customers identified by Medicis to Ipsen
Base               prior to the Effective Date, together with such additional
                  Field Customers as are identified for inclusion by Medicis and
                  accepted by Ipsen, on or after the Effective Date, in
                  accordance with the quarterly update procedure set forth in
                  Article 8.6 of this Agreement.

Know-How           means any information, whether patented, patentable or not,
                   developed or obtained by or on behalf of Ipsen, its
                  Affiliates, authorized licensees, sub-licensees, or Ipsen's or
                  any Ipsen Affiliate's Third Party partners or contractors,
                  which relates to the research, development, manufacture,
                  registration, distribution and promotion of the Current
                  Product and any future Products and which is reasonably
                  necessary for the purpose of this Agreement, including but not
                  limited to the data listed in Appendix 4 hereto, as well as
                  any data contained in the documentation disclosed to Medicis
                  under Confidentiality Agreements or under this Agreement.

Net Sales          means the actual amount invoiced for Commercial Sale of
                  a Product under this Agreement (A) by Medicis or its
                  Affiliates to McKesson or any other equivalent full-service
                  distributor (with Ipsen's prior written approval as further
                  detailed in this paragraph) or (B) in the event Commercial
                  Sales of Products hereunder are not made through McKesson (or
                  any other approved equivalent full-service distributor) by
                  Medicis, or its Affiliates or an appointed distributor to a
                  Third Party, in each case of clause (A) or (B), after
                  deducting the following, to the extent actually incurred or
                   allowed with respect to such sale: (i) normal and customary
                  trade, cash and/or quantity discounts, credits or rebates,
                  including any volume, formulary or other positioning
                  discounts, credits or rebates paid or credited to the Third
                  Party; (ii) import, export, sales, use, excise and other
                  consumption taxes and custom duties or tariffs, to the extent
                  and up to the amount mentioned in that respect on the invoice,
                  and any other governmental charges imposed upon the
                  importation, use or sale of a Product; (iii) actual freight,
                  insurance and other transportation charges; (iv) compulsory
                   discounts, rebates, or payments (including retroactive price
                  reductions or statutorily required reimbursement) mandated by,
                  granted, credited, accrued, or paid for compliance with local,
                  state, provincial or federal law or regulation; (v) allowances
                  or credits to customers on account of recalls, rejection or
                  return of Product (including for spoiled, damaged and/or
                  outmoded goods) in the ordinary course of business; and (vi)
                  the bad debts actually incurred by Medicis in respect of the
                  resale of the Products, computed in accordance with
                  then-current GAAP applied in a consistent manner in accordance
                  with the

                                       3

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

                  accounting practices of Medicis. Medicis will provide Ipsen
                  with a complete and accurate summary of its accounting
                  practices as in effect from time to time relating to the write
                  down and write off of bad debts, for Ipsen's reasonable
                  comments (if any) which Medicis shall use its commercial
                  reasonable efforts to take into account when determining Net
                  Sales. Net Sales will not include any Product supplied free of
                  charge as commercial samples or used free of charge for
                  testing, training or for clinical or marketing studies. Any
                  other Product sold or otherwise transferred other than in an
                  arm's-length transaction or in exchange for other property
                  (e.g., barter), and any Bundled Product, shall be deemed
                   invoiced at the Product market price established by the seller
                  in its general conditions of sales, in the relevant country of
                  sale, or failing such general conditions, at the arm's length
                  price that the seller would generally or in the average
                  invoice for such Product alone.

                  In the event discounts or rebates to the gross invoiced or
                  charged price are given in connection with the sale of goods
                   or services other than the Products, or for consideration or
                  purposes other than the sale, transfer or delivery of the
                  Products, the gross sales price invoiced for the concerned
                  Products shall be deemed to be increased to an amount equal to
                  the concerned Product's market price or arm's length price as
                  described above.

                  The parties agree, with respect to Products sold hereunder, in
                   the event Medicis enters into a distribution agreement with
                  McKesson similar to the one entered into in with McKesson on 1
                  April 2004, that the sale margin made by McKesson on the
                  Product shall be inferior or equal to ***%.

                  In case Medicis wishes to enter into a full-service agreement
                  with another distributor, with respect to Products sold
                  hereunder, Medicis shall obtain Ipsen's prior written approval
                  as to the identity of such distributor and the terms of the
                  proposed distribution agreement (such approval being not
                  unreasonably withheld or delayed).

Non-U.S. Program   means the portion of the Development and Regulatory Program
                  applicable to the Current Product in Canada and Japan, as
                  initially agreed upon by the parties after the Effective Date
                  in accordance with Article 3.3.1 and set forth in Appendix 2
                  to this Agreement.

Product            means any and all existing (as on the Effective Date) and/or
                  all future formulations of botulinum toxin(s), regardless of
                  type, in finished saleable form, developed, manufactured,
                  distributed or marketed by Ipsen or its Affiliates.

Product            shall have the meaning ascribed to it in Article 7.1 of this
Extension          Agreement.

Regulatory         means all approvals and decisions from the relevant regulatory
Approval(s)        authorities in the Territory (or such supra-national
                  authorities that may have jurisdiction in the Territory)
                  necessary to lawfully import, distribute, promote, and
                  administer to humans, the Product(s) for indications within
                  the Field in the Territory.

Review Committee   means the committee established by the parties pursuant to
                  Article 4 below.

Specifications     means the Product(s) specification(s) set out in any
                  Regulatory Approval.

                                       4

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CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

Territory            means Canada, Japan, and the United States of America,
                    including Puerto Rico and including the territories,
                    possessions or commonwealths of Canada, Japan and the United
                    States as of the Effective Date.

Third Party          means any entity or individual other than Medicis or Ipsen
                    or their respective Affiliates.

Trademark(s)         shall mean the trademarks listed in Appendix 5. Trademark(s)
             
Trademark(s)         shall have the meaning set forth in Article 12.3 herein.
Assignment
Agreement
           
Trademark(s)         shall have the meaning set forth in Article 12.3 herein.
License
Agreement                                                                       

U.S. Program         means the portion of the Development and Regulatory Program
                     applicable to the Current Product in the United States for a
                    selected indication in the Field, as set forth in Appendix 2
                    of this Agreement as of the Effective Date.
2.     APPOINTMENT

2.1    Ipsen hereby entrusts Medicis with the performance of the Development and
      Regulatory Program so as to obtain, as soon as reasonably practicable from
      the Effective Date, Regulatory Approvals in each country of the Territory
      for use of the Current Product in the Field under one or more Trademarks.

      Subject to Medicis obtaining one or more Regulatory Approvals for the
      Current Product in the Field in each country of the Territory, in respect
      of each country where such Regulatory Approval is obtained, Ipsen hereby
      appoints Medicis as its sole and exclusive distributor and promoter of the
      Current Product for use thereof in the Field in the concerned country(ies)
      of the Territory and under the Trademarks. Such appointment includes the
      right to use, import, offer for sale, sell, distribute and promote the
      Current Product in the Field in the Territory and use the Know-How and the
      Regulatory Approvals for the purpose of importing, offering for sale,
      selling, distributing and promoting the Current Product in the Field in
      the Territory and under the Trademark(s).

      For so long as this Agreement shall remain in effect and except as
      provided for under Article 6.1.8 herein, the appointments contained in
      this Article 2.1 shall be exclusive to Medicis, even as to Ipsen, any of
      its Affiliates and any Third Party.

      Medicis shall distribute the Current Product solely to Field Customers
      included in the Medicis Customer Base, to the exclusion of any
      distribution aimed at customers not in the Medicis Customer Base, except
      customers practicing in the Field which Medicis reasonably intends to
      propose for inclusion in the Medicis Customer Base at the next quarterly
      update of the Medicis Customer Base in accordance with the quarterly
      update procedure set forth in Article 8.6 of this Agreement.

2.2    Medicis hereby accepts the appointments under Article 2.1 above, first and
      second paragraph.

       Medicis may appoint distributors and/or promoters for the Current Product
      in the Field in the Territory, under Medicis's sole responsibility, within
      the scope of Medicis's appointment under Article 2.1, provided that should
      such distributors and/or promoters not belong to Medicis's current
      distribution system for the Current Product as described in Appendix 6
      attached hereto, Medicis shall promptly notify Ipsen in writing of the
      identities of any new distributor or promoter in

                                       5

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      Medicis's distribution system for the Current Product for Ipsen's consent,
      which consent shall not be unreasonably withheld.

2.3    The appointments under Article 2.1 by Ipsen of Medicis are strictly
      restricted to those mentioned herein.

      Medicis hereby acknowledges that Ipsen shall remain free to undertake
      research, development, registration, distribution and promotion of the
      Products under different and non-confusingly similar trademarks and trade
      dress for all uses which do not pertain to the Field in the Territory, and
      under any trademarks (including the Trademarks) and trade dress for all
      uses without restriction outside the Territory.

      Ipsen shall remain free to undertake research and development activities
      in the Territory in connection with the Products for uses in the Field
      provided that Medicis's exclusive distribution and promotion rights in the
      Field are not affected thereby in the Territory. In the event Ipsen or any
      Ipsen Affiliate conducts such development activities in the Field and in
      the Territory, Ipsen shall inform Medicis fully as to the nature and scope
      of the development and shall permit (or, in the case of an Ipsen
      Affiliate, cause such Affiliate to permit) Medicis to participate in such
      development to the extent reasonably practicable. Ipsen shall not, and
      shall ensure that Ipsen's Affiliates do not, contact any Field Customers,
      in connection with any such development, without Medicis's consent, which
      consent shall not be unreasonably withheld.

2.4    Medicis acknowledges and agrees that Ipsen shall perform its obligations
      under this Agreement directly or through some of Ipsen's Affiliates.
      Unless and until advised otherwise in writing by Ipsen, Medicis may rely,
      without inquiry, on all actions taken by Ipsen's Affiliates or their
      employees in connection with this Agreement, which purport to be on behalf
      of Ipsen. All rights vested in or created to the benefit of Ipsen or of
      any of Ipsen's Affiliates under this Agreement, shall benefit to and may
      be assigned to any other Ipsen's Affiliates or to Ipsen.

2.5    Ipsen acknowledges and agrees that Medicis shall perform its obligations
      under this Agreement directly or through some of Medicis's Affiliates.
      Unless and until advised otherwise in writing by Medicis, Ipsen may rely,
      without inquiry, on all actions taken by Medicis's Affiliates or their
      employees in connection with this Agreement, which purport to be on behalf
      of Medicis. All rights vested in or created to the benefit of Medicis or
      of any of Medicis's Affiliates under this Agreement, shall benefit to and
      may be assigned to any other Medicis's Affiliates or to Medicis. If either
      party delegates any of its obligations to an Affiliate (by assignment or
      otherwise), it shall provide timely written notice of the delegation and
      the identity of the Affiliate to the other party, but shall remain
      responsible for the performance of the obligation delegated.

3.     DEVELOPMENT AND REGULATORY PROGRAM

3.1    Medicis shall perform the Development and Regulatory Program in compliance
      with all applicable regulatory requirements and guidelines of each country
      of the Territory where the Development and Regulatory Program is
      conducted, and shall set up a project team for this purpose.

      Medicis and Ipsen shall agree upon a detailed procedure regarding how to
      handle the reporting of adverse events from the clinical activities
      conducted by Medicis under each of the U.S. Program and the Non-U.S.
      Program. The parties shall agree upon such procedure as soon as practical
      after the Effective Date as regards the U.S. Program, and as soon as
      practical after the parties agreed upon the Non-U.S. Program applicable to
      Canada and/or Japan, as applicable, as regards such Program. Medicis and
      Ipsen shall in particular discuss and agree upon such procedure on the
      basis of Ipsen's pharmacovigilance Standard Operating Procedures in force
      as

                                       6

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      on the Effective Date for the U.S. Program, or as on the date Medicis and
      Ipsen agree upon the Non-U.S. Program for Canada or Japan, and subsequent
      updates thereof, as applicable.

      Ipsen shall use its commercially reasonable efforts to transfer to Medicis
      the agreements listed in Appendix 12 relating to the development of the
      Products (the "Current Agreements") promptly as from the Effective Date
      and Medicis agrees to such transfer. For each Current Agreement, (a) until
      its transfer to Medicis or (b) in the event the contractor of a Current
      Agreement validly refuses such transfer and therefore until the expiry or
      termination of such Current Agreement, Ipsen will act on behalf of Medicis
      and under Medicis' instructions. Ipsen will be reimbursed by Medicis for
      all costs and expense incurred while acting on behalf of Medicis.

3.2    U.S. Program:

3.2.1 Pursuant to the Confidentiality Agreements, Ipsen has disclosed to Medicis
      information which pertains to the Know-How prior to the Effective Date.
      Medicis has reviewed all such information thoroughly, has reviewed the US
      Program taking into account such information and is satisfied that it can
      as of the Effective Date assume responsibility for and complete the US
      Program as required hereunder.

      Appendix 2 sets out the time periods and a schedule of estimated costs for
      the completion of the U.S. Program. As set out in Appendix 2, the parties
      contemplate that the clinical development component of the U.S. Program
      will be completed within *** after the Effective Date. The parties
      recognize, however, that despite their efforts to anticipate both the
      likely scope of such clinical development activities and their likely
      cost, there may be delays, cost overruns and/or increased costs due to
      additional development activities not included in the U.S. Program. The
      parties therefore have agreed to the following Articles 3.2.2 to 3.2.3

3.2.2 As of the Effective Date, Medicis shall fund, and shall use its
      commercially reasonable efforts to perform, the U.S. Program as set out in
      Appendix 2 in such manner as is reasonably required in order to obtain
      Regulatory Approval for the Current Product in the United States. Medicis
      shall pay all costs related to the performance of the U.S. Program as on
      the Effective Date and obtaining and maintaining the Regulatory Approvals
      in the U.S.A., including any cost overruns arising in connection with
      completing those development activities included in the U.S. Program as of
      the Effective Date, and including Medicis's share of all reproductive
      toxicity studies requested by the FDA, it being understood that Ipsen and
      Medicis shall equally share the costs of reproductive toxicity studies as
      may be required specifically by the FDA to support Regulatory Approvals
      for use of the Current Product in the Field in the U.S.A. Medicis will
      have the primary responsibility for planning, conducting, and to the
      extent provided in this Article 3.2 for funding all clinical trials
      included in the U.S. Program that are necessary to file for and obtain the
      Regulatory Approvals in the U.S.A. in the Field.

3.2.3 If it becomes necessary, as determined by the Review Committee, to revise
      the U.S. Program, as a result of requests from the FDA or otherwise, to
      include additional development activities not included in the U.S. Program
      as of the Effective Date (Additional Activities), then Medicis shall be
      responsible for the first USD *** (USD ***) of any Third Party costs (U.S.
      Base Cost Amount) arising in connection with the performance of such
      Additional Activities. If the Third Party costs expected to be incurred in
      connection with the performance of such Additional Activities, as
      reasonably estimated by Medicis at the time the U.S. Program is first or
      thereafter revised by the Review Committee, would exceed the U.S. Base
      Cost Amount, Medicis may, at its sole right and option, either (a) deliver
      written notice to Ipsen that it intends nevertheless to perform such
      Additional Activities, in which event Ipsen and Medicis shall each be
      responsible for funding *** percent (***%) of all Third Party costs
      incurred in connection with the performance of such

                                       7

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      Additional Activities which exceed the U.S. Base Cost Amount and are less
      than an amount equal to *** times the U.S. Base Cost Amount(1), or (b)
      terminate this Agreement in accordance with Article 19.2(iv). Medicis
      shall notify Ipsen in writing of its decision under this Article 3.2.3,
      within 30 days after the date of any meeting of the Review Committee at
      which action is taken to revise the U.S. Program to include Additional
      Activities of its election. If Medicis fails to so notify Ipsen, Medicis
      shall be deemed to have elected not to terminate this Agreement pursuant
      to Article 19.2(iv).

3.2.4 Ipsen, at its sole right and option, may terminate this Agreement
      (notwithstanding any cost-sharing decision under Article 3.2.3(a))
      pursuant to Article 19.2(v) at any time after the sixth anniversary of the
      Effective Date if the clinical development component of the U.S. Program,
      as contemplated as of the Effective Date, is not completed for any reason
      whatsoever. If it becomes necessary, as determined by the Review
      Committee, to revise the U.S. Program, as a result of requests from the
      FDA or otherwise, to include Additional Activities (as defined in Section
      7.1) which contain clinical development activities, the Review Committee
      will revise the anticipated completion date for the whole clinical
      development component of the U.S. Program taking into account such
      clinical Additional Activities, which will be incorporated in a revised
      Appendix 2 to this Agreement, and Ipsen will have the option
      (notwithstanding any cost-sharing decision under Article 3.2.3(a)) to
      terminate this Agreement pursuant to Article 19.2(v) if Medicis fails to
      complete the whole clinical development component of the U.S. Program as
      revised to include the Additional Activities, prior to the expiration of a
      time period that is twice the time period anticipated to be required to
      complete the whole clinical development component as set forth in such
       revised Appendix 2.

3.3    Non-U.S. Program:

3.3.1 Within *** at the latest following the date Regulatory Approval for the
      Current Product is obtained in the U.S.A., Medicis shall determine and
      submit to Ipsen for discussion and approval the Non-U.S. Program, which
      shall include a time table and a schedule of estimated costs necessary for
      the completion of the Non-U.S. Program. The parties shall revise Appendix
      2 to this Agreement to include the agreed details of the Non-U.S. Program
      promptly following the date they reach such agreement.

      However, if either (a) the Third Party costs required to complete the
      clinical component of the Non-U.S. Program in Canada or Japan, as
      reasonably estimated by Medicis on the date the details of the Non-U.S.
      Program are agreed upon by the parties, would exceed the equivalent of USD
      *** (USD ***) for Canada and USD *** (USD ***) for Japan, or (b) the time
      required to complete the clinical development component of the Non-U.S.
      Program in Canada or Japan, as reasonably estimated by Medicis on the date
      the details of the Non-U.S. Program are agreed upon by the parties, would
      be more than *** after such date, then Medicis may, at its sole right and
      option, terminate this Agreement with respect to Canada or Japan, as
      applicable, in accordance with Article 19.2(vi). Medicis shall notify
      Ipsen in writing within 2 (two) months after the date the details of the
      Non-U.S. Program are agreed upon by the parties as to whether it intends
      to exercise is termination rights pursuant to this Article 3.3.1. If
      Medicis fails to so notify Ipsen, Medicis shall be deemed to have elected
      not to terminate this Agreement with respect to Canada or Japan, as
      applicable, pursuant to this Article 3.3.1 and Article 19.2(vi).

----------
(1)    Example: If the total costs for Additional Activities in the U.S. are ***
      times the US Base Cost Amount (i.e., USD ***), Medicis would pay all of
      the first USD *** (i.e., the US Base Cost Amount) and Medicis and Ipsen
      would ***.

                                       8
<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

3.3.2 Unless it has elected to exercise its termination rights in accordance
      with Articles 3.3.1 and 19.2(vi), Medicis shall fund and shall use its
      commercially reasonable efforts to perform, the Non-U.S. Program in such
      manner as is reasonably required in order to obtain Regulatory Approval
      for the Current Product in Canada and Japan as soon as reasonably
      practicable following the Effective Date. Medicis shall pay all costs
      related to the performance of the Non-U.S. Program as initially agreed
      upon by the parties and obtaining and maintaining the Regulatory Approvals
      in the Territory, including any cost overruns arising in connection with
      completing those development activities included in the Non-U.S. Program
      as of the date it is agreed upon by the parties. In particular, Medicis
      will have the primary responsibility for planning and conducting at its
      own expense all clinical trials included in the Non-U.S. Program that are
      necessary to file for and obtain the Regulatory Approvals in each of
      Canada and Japan for use of the Current Product in the Field.

3.3.3 If it becomes necessary, as determined by the Review Committee, to revise
      the Non-U.S. Program, as a result of requests from the applicable
      regulatory authorities in Canada or Japan or otherwise, to include
      additional development activities not included in the Non-U.S. Program as
      of the date it is agreed upon by the parties (Additional Non-U.S.
      Activities), then Medicis shall be responsible for any Third Party costs
      arising in connection with the performance of such Additional Non-U.S.
      Activities in Canada or Japan, as applicable, to the extent such costs do
      not exceed in an amount (for each country, the Non-U.S. Base Cost Amount)
      equal to *** percent (***%) of the cost estimate for the Non-U.S. Program
      applicable to each of Canada and Japan as originally agreed by the
      parties. If the Third Party costs expected to be incurred in connection
      with the performance of such Additional Non-U.S. Activities with respect
      to Canada or Japan, as reasonably estimated by Medicis on the date the
      Non-U.S. Program is first or thereafter revised by the Review Committee,
      would exceed the Non-U.S. Base Cost Amount for such country, Medicis may,
      at its sole right and option, either (a) deliver written notice to Ipsen
      that it intends nevertheless to perform such Additional Non-U.S.
      Activities, in which event Ipsen and Medicis shall each be responsible for
      funding *** percent (***%) of all Third Party costs incurred in connection
      with the performance of such Additional Non-U.S. Activities which exceed
      the Non-U.S. Base Cost Amount for the applicable country and are less than
      an amount equal to four times the Non-U.S. Base Cost Amount for the
      applicable country, or (b) terminate this Agreement with respect to Canada
      or Japan, as applicable, in accordance with Article 19.2(vii). Medicis
      shall notify Ipsen in writing of its decision under this Article 3.3.3,
      within 30 days after the date of any meeting of the Review Committee at
      which action is taken to revise the Non-U.S. Program to include Additional
      Non-U.S. Activities in excess of or which would exceed the applicable
       Non-U.S. Base Cost Amount. If Medicis fails to so notify Ipsen, Medicis
      shall be deemed to have elected not to terminate this Agreement with
      respect to Canada or Japan, as applicable, pursuant to this Article 3.3.3
      and Article 19.2(vii).

3.3.4 Ipsen, at its sole right and option, may terminate this Agreement with
      respect to Canada or Japan, as applicable (notwithstanding any
      cost-sharing decision under Article 3.3.3(a)), pursuant to Article
      19.2(viii) at any time after the expiration of the time period that is
      twice the estimated time period required to complete the clinical
      development component of the Non-U.S. Program for such country as
      originally agreed by the parties if such component is not completed by
      such date for any reason whatsoever. If it becomes necessary, as
      determined by the Review Committee, to revise the Non-U.S. Program, as a
      result of requests from the applicable regulatory authorities in Canada or
      Japan or otherwise, to include Additional Non-U.S. Activities which
      contain clinical development activities, the Review Committee will revise
      the anticipated completion date for the whole clinical development
      component of the Non-U.S. Program for such country taking into account the
      time period necessary to perform such clinical Additional Non-U.S.
      Activities, which will be incorporated in a revised Appendix 2 to this
      Agreement, and Ipsen will have the option (notwithstanding any
      cost-sharing decision under Article 3.3.3(a)) to terminate

                                       9

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      this Agreement with respect to Canada or Japan, as applicable, pursuant to
      Article 19.2(viii) if Medicis fails to complete the whole clinical
      development component of the Non-U.S. Program for the concerned country as
      revised to include the Additional Non-U.S. Activities, prior to the
      expiration of a time period that is twice the time period anticipated to
       be required to complete the whole clinical development component for such
      country as set forth in such revised Appendix 2.

3.4    For purposes of paying any costs Ipsen may become obligated to fund
      pursuant to Article 3.2.3(a) or 3.3.3(a), in lieu of paying cash, Ipsen
      may issue credits, on a dollar-for-dollar basis, against future royalties
      owed by Medicis to Ipsen under Article 6 of this Agreement. Despite
      Ipsen's issuance of credits under the previous sentence, however, in no
      event, for any Royalty Year for any country in the Territory, shall
      Medicis remit in cash less than *** percent (***%) of the royalties due
      for that Royalty Year for such country. In no event shall Ipsen be
      responsible for funding, whether in cash or by issuance of royalty
      credits, more than the maximum amounts set forth in Articles 3.2.3(a) and
      3.3.3(a).

      Any of Ipsen's obligation to reimburse Medicis a share of Third Party
      costs under Articles 3.2.3(a) or 3.3.3(a), whether in cash or by issuance
      of royalty credits, shall be subject to Medicis forwarding evidence of
      existence and payment thereof.

3.5    In case of the termination of this Agreement in its entirety or as to one
      or more countries in the Territory by either party pursuant to this
      Article 3, Medicis will promptly transfer to Ipsen, for Ipsen's
      unrestricted usage and exploitation, exclusive ownership and possession of
      all of the data including but not limited to clinical data, in whatever
      form or medium, generated in connection with the performance of the
      Development and Regulatory Program in the applicable country or countries
      through the date of termination. In case Ipsen terminates this Agreement
      under Article 3.2.4 or Article 3.3.4 Ipsen shall pay to Medicis, in
      consideration for such data, an amount in U.S. Dollars equal to (a) ***%
      (***percent) of any Third Party costs for the country concerned, actually
      paid or incurred by Medicis with respect to activities contained in the
      U.S. Program or Non-U.S. Program for the country concerned, as applicable,
      below and inclusive of the U.S. Base Cost Amount or Non-U.S. Base Cost
      Amount for the country concerned, as applicable, and (b) ***% of any Third
      Party costs for the country concerned, actually paid or incurred by
      Medicis with respect to Additional Activities in excess of the U.S. Base
      Cost Amount and Non-U.S. Base Cost Amounts, as applicable. Medicis will
      give Ipsen notice of the amount and computation of the foregoing payment,
      with a computer-generated summary of the date, amount and payee supporting
      the computation, in writing, within ten (10) days of the date after its
      receipt of Ipsen's termination notice.

3.6    Medicis undertakes to enable and assist Ipsen to file for Regulatory
      Approval of the Current Product in the Field first in the U.S. and to use
      commercially reasonable efforts to obtain said Regulatory Approval first
      in the U.S. and simultaneously or thereafter in the other countries of the
      Territory.

      Ipsen shall file the Regulatory Approvals submissions for the Development
      and Regulatory Program. For this purpose, Medicis shall forward to Ipsen
      all necessary documents and data so as to enable Ipsen to file for the
      Regulatory Approvals submissions in each country of the Territory. In
      particular without limitation, Medicis will provide necessary reports of
      clinical trials contained in the Development and Regulatory Program and
      bear the external costs of the filings or reimburse Ipsen in respect of
      any customary and reasonable Third Party expenses borne by Ipsen as a
      result of such filings.

      Medicis shall pay all customary and reasonable costs related to
      maintaining the Regulatory Approvals in the Territory.

                                       10

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      Ipsen shall not reach final agreement with the FDA or the competent
      authorities of Canada and Japan on the Product labeling, as long as
      Medicis has reasonable objections to the proposed labeling and provided
      Medicis objects in writing and within reasonable time to any proposed
      labeling.

3.7    Ipsen and Medicis will mutually cooperate to obtain the Regulatory
      Approvals. Without limiting the foregoing sentence, Ipsen shall (a)
      consult with Medicis regarding the regulatory strategy in each country of
      the Territory and consider in good faith Medicis's comments regarding the
      same, (b) promptly provide Medicis with copies of all correspondence from
      regulatory authorities copies of any draft response, and consider in good
      faith Medicis's comments thereon prior to filing any such response, and
      (c) allow Medicis to have a reasonable number of representatives attend
      and participate in all meetings with regulatory authorities that affect
      Medicis' rights or obligations under this Agreement as discussed and
      agreed by the Review Committee. Upon Regulatory Approval, Ipsen shall
      promptly appoint Medicis as Ipsen's regulatory agent for the approved
      glabellar line BLA and for other approved aesthetic indications as and
      when approved. When Medicis is appointed agent, Medicis shall (a) consult
      with Ipsen regarding the regulatory strategy in each country of the
      Territory and consider in good faith Ipsen comments regarding the same,
      (b) promptly provide Ipsen with copies of all correspondence from
      regulatory authorities copies of any draft response, and consider in good
      faith Ipsen's comments thereon prior to filing any such response, and (c)
      allow Ipsen to have a reasonable number of representatives attend and
      participate in all meetings with regulatory authorities that affect
      Ipsen's rights or obligations under this Agreement as discussed and agreed
      by the Review Committee.

      Ipsen will cross reference any Ipsen FDA Master File for the Current
      Product promptly after such file is established and any open U.S.
      Investigational New Drug Applications (INDs) or equivalent in Canada and
      Japan, that upon or after the Effective Date of this Agreement may exist
       for the Current Product in the Territory. Ipsen shall make available any
      other existing non-clinical, clinical or safety data required to support
      the Current Product Regulatory Approvals filing, to the extent necessary
      to achieve the Development and Regulatory Program.

      Medicis shall provide Ipsen with reasonable details of the results of the
      performance of the Development and Regulatory Program after the accrual
      thereof in a format to be agreed between the parties, and shall upon prior
      request from Ipsen deliver all such documentation as may be necessary to
      enable Ipsen to use the same in accordance with the terms of Article 2
      above, which in particular includes Ipsen's right to use such results
      together with the Regulatory Approval files provided that Medicis's rights
      under this Agreement are not affected thereby in the Territory.

3.8    It is both parties' intention that the performance of the Development and
      Regulatory Program, as it may be revised by the Review Committee, or as
      may be drafted in connection with future Products, be coordinated and
      consistent with Ipsen's regulatory programs for the Products. On this
      basis, Medicis shall at all times take into account Ipsen's reasonable
      requests to achieve this goal.

3.9    Medicis shall not conduct or sponsor any clinical trial with the Products
      other than: (i) through an agreed Development and Regulatory Program, (ii)
      Phase III(b) or Phase IV studies or trials in the Field, (iii) studies or
      trials within the labeling of the approved Product, in the Field and
      Territory, or (iv) with Ipsen's prior written consent.

3.10   Applications for Regulatory Approvals in all countries of the Territory
      shall be made in the name of Ipsen or any of its Affiliates or its
      nominee, or if not possible, filed in the name of Medicis and transferred
      to Ipsen or its nominee at the earliest date possible after filing. Ipsen
      shall solely own all Regulatory Approvals submissions and issued
      certificates in the Territory, together with all

                                       11

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      data, information, files developed, gathered and drafted by Medicis or any
      Third Party partner or contractor, in the course of the Development and
      Regulatory Program. All licenses and authorizations whatsoever in
      connection with the performance by Medicis of the Development and
      Regulatory Program shall be submitted and owned by Ipsen.

4.     REVIEW COMMITTEE

4.1    The parties shall establish a Review Committee which shall be comprised of
      six (6) members, three (3) of whom shall be appointed by Medicis and three
      (3) of whom shall be appointed by Ipsen. The initial members of the Review
      Committee are listed in Appendix 7. At any time during this Agreement,
      each party may appoint one or more new members on the Review Committee in
      replacement of one or more of such party's appointed members on the Review
      Committee, with immediate effect upon written notice to the other party of
      such replacement.

      The Review Committee shall act in good faith at all times and shall be
      responsible for the following:

      (a) Provide guidance to and monitor the progress of the Development and
      Regulatory Program, debate and decide any adjustments or changes to the
      Development and Regulatory Program.

      (b) Establish and implement the strategy for Regulatory Approvals and
      monitor the status of all such Regulatory Approvals. The Review Committee
      shall place its priority on ensuring that Medicis sets up and delivers to
      Ipsen the clinical study reports and associated summaries for submission
      by Ipsen to the FDA and granting of the first Regulatory Approval for the
      Current Product in the U.S.A. as soon as possible following the Effective
      Date.

      (c) Evaluate and put forward as appropriate to Ipsen and Medicis
      management, product development plans for any new formulations or other
      line extensions, improvements, new indications and/or new delivery systems
      so as to stay competitive in the marketplace.

4.2    The Review Committee shall meet for the first time within one (1) month
       after the Effective Date; thereafter, it shall meet at least once every
      four (4) months, or more often if reasonably deemed necessary by either
      party, until the Development and Regulatory Program has been completed.
      Meetings of the Review Committee shall alternately be hosted by each
      party, either in Phoenix, Arizona (U.S.A.) or Slough, Berkshire (United
      Kingdom) as the hosting party shall select, and may be held in other
      locations agreed by the Review Committee. Meetings of the Review Committee
      may be held in person, by videoconference, or by teleconference.

4.3    The Review Committee shall be chaired by one of its members nominated by
      Medicis; the initial Chairperson is set forth on Appendix 7. The
       Chairperson shall be responsible for compiling all meeting agendas,
      conducting all meetings, and keeping minutes of the meetings of the Review
      Committee; the Chairperson shall also be responsible for providing a copy
      of the minutes of such meetings to the members of the Review Committee.

      The Chairperson shall call regular meetings of the Review Committee once
      every four (4) months, by sending a written notice by email and facsimile
      with receipt confirmed to the parties at least two (2) weeks prior to the
      proposed meeting date. In addition, the Chairperson shall, without delay
      by email and facsimile with receipt confirmed, call a special meeting of
      the Review Committee upon written request for the same by any member of
      the Review Committee, which meeting shall in no event be held later than
      thirty (30) days from such written request. In the event that the
      Chairperson shall fail to call a regular or special meeting in accordance
      with the obligations imposed upon him or her under the two previous
      sentences within ten (10) calendar

                                       12

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      days after the required date for performance, any member of the Review
      Committee may call the meeting in accordance with the procedures
      prescribed in the two previous sentences. No later than one (1) week prior
      to any Review Committee meeting, the Chairperson shall send to the parties
      the agenda of the meeting, reasonable details relating to all matters and
      decisions to be discussed and/or voted during the meeting, together with a
      written report, in a mutually-agreed format, showing the progress and
      results of the Development and Regulatory Program and the status of the
      proceedings before the relevant regulatory authorities with respect to the
      Regulatory Approvals.

      If, following receipt of the written notice of meeting set forth in this
      Article 4.3, a meeting cannot be attended by at least one (1)
      representative of each party hereunder, a second meeting shall be
      organized for a date no later than one (1) month from the initial proposed
      meeting date.

      If the second planned meeting cannot be attended by at least one (1)
      representative of each party, a third meeting shall be organized for a
      date no later than ten (10) business days after the second proposed
      meeting date. Except if due to a force majeure event affecting the
      non-attending party, if a third planned meeting cannot be attended by at
      least one (1) representative of a party, the attending party may hold the
      meeting so long as such meeting is conducted in accordance with the
      written notice of such meeting, and the business of such meeting is
      limited to the items in the agenda accompanying such notice.

      Except to the extent set forth above in connection with a third planned
      meeting, in order to validly hold meetings and vote on decisions, a quorum
      consisting of at least one (1) member from each party must be present at
      each meeting. Any party nominating such member shall have the right to
      appoint a replacement or substitute member. In addition, each party shall
      have the right to have one (1) secretary participate in all meetings of
      the Review Committee; each party may also invite any of its respective
      employees or consultants to such meetings as a guest, provided that such
      participation is consistent with the matters to be discussed by the Review
      Committee and prior notice of each such attendee is provided to the other
      party. Secretaries or guests invited in accordance with the foregoing
      shall have no vote but may express opinions on any matters addressed by
      the Review Committee.

      Notwithstanding the fact that each party shall have three (3) members on
      the Review Committee, each party shall have one (1) collective vote on all
      matters presented for vote to the Review Committee, regardless of the
      number of persons from each party attending the meeting.

      All decisions to be taken by the Review Committee shall be taken
      unanimously. In the event that the parties do not reach a unanimous
      decision and are in a "deadlock", either party may refer the matter to be
      voted upon to a senior executive of each party with relevant knowledge and
      authority with respect to the subject matter of the deadlock immediately
      upon "deadlock", who shall render a conclusive decision within fifteen
      (15) days from the date of the referral of the matter thereto. Each party
      shall disclose to the other party within three (3) business days following
      request therefor by either party, the identity and business address of the
      senior executive appointed by each such party for the purpose of this
      deadlock resolution procedure. A copy of any referral to said senior
      executives by either party shall be forwarded to the other party. In the
      absence of agreement between said senior executives of the parties,
      Ipsen's appointed senior executive for the purpose of the deadlock
      resolution procedure may take the decision he or she reasonably believes
      will best comply with the terms of this Agreement (the Casting vote) and
      such decisions shall have the same effect as if agreed by the Review
      Committee. Decisions by the Review Committee whether agreed unanimously or
      through the Casting vote are subject to Medicis's right and option under
      and in accordance with Articles 3.2.3 (a) and (b), and 3.3.3 (a) and (b).

                                       13

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

4.4    Adequate minutes of each meeting of the Review Committee shall be prepared
      by the Chairperson of the Review Committee and sent within seven (7)
      business days from the date of each meeting to all of its members for
      comment or approval in writing within ten (10) business days from the date
      of receipt thereof. Minutes of meetings shall contain, at a minimum, a
      list of all actions agreed upon and of issues in deadlock, and the
      positions expressed by the members of the Review Committee on all matters
      covered by the Review Committee during the meeting.

4.5    The Review Committee may, in the discretion of the Chairperson, cease to
      hold meetings on the schedule set forth in this Article 4 after Medicis
      has launched the Current Product in all countries of the Territory;
      however, in such event the Committee shall meet at least annually. The
      Review Committee shall resume meetings and activities in accordance with
      the provisions of this Article 4 as soon as the parties elect to apply for
      a Regulatory Approval in the Territory in connection with a future Product
      in the Field.

5.     PRODUCT MANUFACTURE AND SUPPLY

5.1    During the term of this Agreement, Medicis shall purchase or otherwise
      obtain exclusively from Ipsen or from any Affiliate or Third Party
      appointed by Ipsen, all of the Product requirements for the Products
      Medicis, its Affiliates, or appointed distributors distribute under this
      Agreement.

5.2    Ipsen shall use commercially reasonable efforts to manufacture or have
      manufactured and deliver to Medicis clinical batches of Current Product
      and agreed future Products which are the subject of a Development and
      Regulatory Program, in those quantities indicated by Medicis to Ipsen
      prior to the Effective Date and further agreed by the Review Committee as
      reasonably sufficient to enable Medicis to perform the Development and
      Regulatory Program, according to instructions received with reasonable
      notice from the Review Committee. The agreed quantities of clinical trial
      supplies of Current Product will be provided by Ipsen without cost to
      Medicis.

5.3    Ipsen shall use commercially reasonable efforts to ensure that each
      clinical batch and marketing batch of the Current Product shall be
      manufactured in conformity with the specifications attached in Appendix 1
      as existing at the Effective Date or as modified pursuant to a change
      required under applicable regulations or by the Review Committee. Such
      changes shall be notified to Medicis prior to implementation. Ipsen shall
      use commercially reasonable efforts not to delay the delivery of clinical
      or marketing batches of Current Product so that any such changes do not
      affect the delivery thereof to Medicis. Ipsen shall use commercially
      reasonable efforts to ensure that each clinical batch or marketing batch
      of any future agreed Products be manufactured in conformity with agreed
      specifications.

5.4    Ipsen shall use commercially reasonable efforts to supply Medicis or its
      designees with all such ordered quantities of marketing batches of
      Products in a timely manner as follows:

      - Products shall be delivered in a finished, packed and labeled form as
      agreed between the parties taking into account applicable regulatory
      constraints in the United Kingdom and in the Territory;

      - Conditions of sales shall be CIP (Carriage and Insurance Paid -
      Incoterms 2000 of International Chamber of Commerce), at one of Medicis's
      principal distribution points within each of the three countries of the
      Territory, which distribution points shall be reasonably agreed upon by
      the parties.

      - Ipsen will use commercially reasonable efforts to deliver Products to
      Medicis as promptly as possible with as much shelf life remaining as
      possible.

                                       14

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      Ipsen shall provide Medicis with the regulatory content which shall appear
      on packaging materials for the Products, and with the packaging materials
      format and specifications, in order (by way of example) for Medicis to
      conceive the artwork for the packaging materials for the Products,
      including but not limited to outer and inner packaging, leaflets and
      labels. Medicis shall start working on said artwork for the Products
      forthwith as from receipt of the regulatory content provided by Ipsen,
      without prejudice to final changes to the artwork which Medicis shall
      implement on the basis of the final regulatory content as shall be
      determined by the corresponding Regulatory Approvals in the Territory.

      The artwork conceived by Medicis shall be consistent with the
      Specifications set forth in Appendix 1 hereof with respect to the Current
      Product, and with the packaging materials format and specifications
      provided by Ipsen. In particular, Medicis shall make commercially
      reasonable efforts to use artwork tools and software compatible with
      Ipsen's technical standards concerning pre-printed packaging components.
      Ipsen shall inform Medicis of such standards. Medicis shall provide Ipsen
      with all the artwork, including the layouts and films (if possible on
      disc), relating to the Products packaging materials for Ipsen to pack the
      Product into final saleable form. The packaging materials for the Products
      conceived by Medicis shall include all the applicable regulatory contents
      provided by Ipsen, subject to changes required by the Regulatory Approvals
      issued in the Territory.

      Medicis and Ipsen shall each provide the other with appropriate and
      updated information related to the legal and regulatory requirements in
      the Territory with regards to the Products (including but not limited to
      quality, therapeutic use, packaging, labeling and storage). Such
      information shall be forwarded by one party to the other forthwith upon
      its becoming aware of the same. Final decision on whether to proceed to
      the regulatory modification of the content of any of the Products
      packaging materials, including all Product labels, shall be vested
      exclusively in Ipsen subject to Medicis's reasonable objection in writing
      to the proposed modification, within reasonable time.

      All Products sales boxes and leaflets shall bear the mentions referred to
      in Article 8.8(iii).

      Medicis shall provide Ipsen with reasonable relevant technical assistance
       if so requested by Ipsen for the operations contemplated under this
      Article 5.4.

5.5    Medicis shall provide warehouse facilities in the Territory adequate to
      store the Products in accordance with the relevant prescriptions of the
      Specifications and with standard requirements related to pharmaceutical
      products storage and handling.

5.6    For Ipsen manufacturing operations planning purposes only of clinical
      batches and marketing batches of the Current Product and agreed future
      Products, Medicis will use commercially reasonable efforts to provide
      Ipsen with

      5.6.1 a thirty six month rolling order forecast updated and complemented
            by an additional six month forecast simultaneously with the placing
            of each semester binding offer,

      5.6.2 a rolling twelve-month order forecasts updated and complemented each
            month by an additional monthly forecast, and

      5.6.3 a firm order for clinical batches and marketing batches of the
            Current Product and agreed future Products that shall cover a period
            of six months and which shall provide for delivery dates.

                                       15

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      Ipsen shall use commercially reasonable efforts so as to meet the
      requested delivery dates; provided however that should any of Medicis's
      firm purchase orders for the Product differ by more than ten percent (10%)
      from the quantities appearing in the applicable rolling forecast, Ipsen
      will not be responsible in case of delays in the delivery of excess
      quantities.

Detailed procedure as to such forecast and ordering processes is set forth in
the technical agreement referred to in Article 5.14 hereof.

5.7    In consideration for the supply of the Current Products by Ipsen to
      Medicis, Medicis shall pay to Ipsen the price set forth in Appendix 8
      hereto or as later determined as a result of the following Article 5.7 and
      as a result of Article 6.4.

      Such prices are based on *** units of toxin activity per vial, being
      functionally equivalent to approximately ***units of the competing product
      of the Current Product (Botox(R) by Allergan) as such competing product
      exists at the Effective Date.

      Without prejudice to either party's right to seek price adjustment under
      and in accordance with Article 6.4, in the event that, through the dose
      ranging studies which Medicis shall perform under the Development and
      Regulatory Program, and to the extent further analysis reveals that the
      functional equivalent of the Current Product and of its competing
      formulation as at the Effective Date is not 3:1, the prices set forth in
      Appendix 8 hereto will be adjusted proportionately, either up or down.

      Agreed quantities of promotional marketing samples will be provided by
      Ipsen to Medicis at a fixed price set forth in Appendix 8 (and without
      royalty nor inclusion in Net Sales) for Medicis's use for promotional
      purposes.

5.8    In case of Product shortage resulting in Product supplies insufficient to
      fill both Ipsen's world-wide sales requirements and Medicis's requirements
      for Products for the Territory, whether as a consequence of force majeure
      or any other cause, Ipsen and Medicis will each receive a pro rata share,
      based on the relative proportion of the last six (6) months of Ipsen's
      world-wide sales to Medicis's Product sales in the Territory, each
      expressed in number of vials, of available quantities of Product for as
      long as the shortage lasts.

      Ipsen will use its commercially reasonable efforts at all times to supply
      Medicis with enough Product for Medicis to maintain a safety stock
       corresponding to Medicis's Product sales in the Territory during the three
      (3) months preceding any Product delivery. Medicis undertakes to
      permanently hold such three-month safety stock unless such safety stock
      cannot be constituted owing to Ipsen's failure to supply Products in
      sufficient quantities. In the event of complete stock-out in a country of
      the Territory, except in case of force majeure and provided Medicis
      previously complied with its obligation to maintain a three-month safety
      stock, for each five (5) business days of stock out, Medicis shall receive
      a credit towards future royalties in an amount equal to *** percent (***%)
      of the royalties accrued over the last four (4) weeks Medicis was able to
      fully supply the market in the concerned country of the Territory.

5.9    Ipsen covenants with Medicis that:

      - Ipsen shall use commercially reasonable efforts to manufacture the
      Products in accordance with cGMP regulations, if applicable, or in
      accordance with applicable law and

                                       16

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      regulations in the case of samples of Product supplied for use in the
      Development and Regulatory Program;

      - the Products shall be manufactured to meet the specifications therefor
      submitted to any regulatory authority having jurisdiction over such
      Products in the Territory and to be of satisfactory quality as specified
      in the applicable Regulatory Approval.

5.10   Ipsen shall, with each delivery of Product to Medicis, supply a
      certificate of analysis related to each batch delivered and a signed
      statement that each such batch conforms with the Specifications and
      accords in all other respects with the relevant Regulatory Approvals in
      the Territory, that the Product meets all stability requirements and that
      the manufacturing procedures have been checked in conformity with cGMP or,
      in the case of samples of the Products supplied for use in the Development
      and Regulatory Program, in conformity with applicable law.

5.11   Medicis shall notify Ipsen of any defective material or workmanship of the
      Product in writing as follows:

      - claims in respect of visible nonconformity shall be made within fifteen
      (15) days after arrival of the concerned Products at Medicis's principal
      distribution points,

      - claims in respect of any hidden nonconformity shall be made within
      thirty (30) days after Medicis became aware of the same,

      - defects which could involve product liability for Ipsen, Medicis, or any
      of their Affiliates or distributors, shall be notified promptly upon
      becoming aware of the same,

      - Third Party claims relating to product liability matters shall be
      notified promptly upon becoming aware of the same.

5.12   In the event of any claim with respect to the quality of the Product or
      its conformity to the Specifications which is not due to events that
      occurred after delivery of the Product by Ipsen to the first carrier,
      Ipsen will use commercially reasonable efforts to make available to
      Medicis the necessary quantity of samples of the defective/non-conforming
      Product together with Ipsen's own certificate of analysis and, if
      requested by either party, the unsold quantities of the concerned batch of
      defective Product and said samples, shall be retained intact for
      inspection by the other party or any agent appointed by such party to
      which the other party has made no reasonable objection.

      In case of non-conformity to the Specifications of any quantity of the
      Product delivered to Medicis which is not due to events that occurred
      after delivery of the Product by Ipsen to the first carrier, Ipsen shall
      take back, at its own expense, the quantities concerned and shall replace
      them as soon as commercially practicable so as to avoid any disruption of
      supply in the Territory. If Ipsen does not replace any non-conforming
      quantities of Product promptly, Ipsen shall promptly refund the price paid
      by Medicis in respect of such quantities.

      Any dispute between the parties regarding the conformity to the
      Specifications of any quantity of the Product delivered hereunder shall be
      resolved in accordance with the dispute resolution procedures set forth in
      the technical agreement referred to in Articles 5.14 of this Agreement.

5.13   In the event either party has reason to believe that one or more batch(es)
      of Product supplied hereunder should be recalled from distribution in the
      Territory, or that any Product supplied

                                       17

<PAGE>

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS EXHIBIT. THE
CONFIDENTIAL PORTIONS HAVE BEEN REDACTED AND ARE DENOTED BY A TRIPLE ASTERISK
(***). THE CONFIDENTIAL PORTIONS HAVE BEEN SEPARATELY FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION.

      hereunder should be withdrawn from the Territory, such party shall
      promptly inform the other in writing.

      Upon Ipsen's reasonable request, Medicis shall implement any Product batch
      recall or Product withdrawal from the Territory in accordance with the
      applicable procedure as shall be


 
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