Structure of the Settlements


Under the term sheets that were distributed, the three distributors – Amerisource Bergen, McKesson, Cardinal Health - collectively will pay up to $21 billion over 18 years. Johnson & Johnson will pay up to $5 billion over nine years with up to $3.7 billion paid during the first three years.


Formulas and payment structures are still being worked out, so the exact monetary value that Missouri will receive is not final yet, although the settlement will mean hundreds of millions for opioid abatement and treatment.

In addition to the “base payments” that Missouri will receive under the settlement agreements, there are “incentive payments” that the state can achieve by achieving a certain percentage of subdivision sign-ons.

Exact percentages are still being determined, but if the Missouri Attorney General’s Office can achieve sign-ons from a critical mass of litigating and non-litigating subdivisions, the settlement amount can potentially double.

Both term sheets were signed by the Attorney General, and the Attorney General's Office now has 120 days to achieve subdivision sign-on.