• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia
HealthOpioid Crisis

McKinsey agrees to pay $230m to settle suits claiming it fueled the opioid epidemic by advising drugmakers like Purdue how to sell painkillers

By
Joel Rosenblatt
Joel Rosenblatt
and
Bloomberg
Bloomberg
Down Arrow Button Icon
By
Joel Rosenblatt
Joel Rosenblatt
and
Bloomberg
Bloomberg
Down Arrow Button Icon
September 27, 2023, 5:14 AM ET
McKinsey already has paid out more than $640 million to resolve suits over its opioid work.
McKinsey already has paid out more than $640 million to resolve suits over its opioid work.FABRICE COFFRINI—AFP via Getty Images

McKinsey & Co. is poised to pay $230 million in its latest settlement of lawsuits blaming the company for its role advising opioid manufacturers in their sales of the painkillers.

Recommended Video

The proposed accord with local governments and school districts filed in court Tuesday would resolve allegations that McKinsey, one of the biggest US management consulting firms, helped fuel the country’s opioid epidemic by providing sales analysis and marketing advice to makers of the highly addictive painkillers, including Purdue Pharma LP and Johnson & Johnson.

More than 3,000 state and local governments have sued opioid makers, distributors and sellers seeking compensation for billions of tax dollars spent battling the public-health crisis spawned by the painkillers. Total recoveries across the US are expected to exceed $50 billion once all payments are made. 

Tuesday’s settlement involves school districts and local governments that opted not to join McKinsey’s settlements in 2021 with 50 state attorneys general. All told, McKinsey already has paid out more than $640 million to resolve suits over its opioid work.

McKinsey’s role in the US opioid crisis has been revealed in lawsuits and settlement agreements. New York’s suit detailed how the firm allegedly consulted Purdue to step up sales calls to high-prescribing OxyContin doctors, persuade them to write high-dose prescriptions, and consider creating direct-distribution systems for the painkillers.

Fallout from the crisis continues to unfold. Last month, the US Supreme court took up the Biden administration’s bid to undo Purdue’s own $6 billion opioid settlement. The Justice Department argues the deal improperly shields the Sackler family members who own the company.

McKinsey has said that its consulting for opioid manufacturers, “while lawful,” nonetheless fell short of its high standards. The company didn’t adequately acknowledge the epidemic unfolding across the US, it said previously, deciding more than four years ago to end all work on opioid-specific business. It also said it undertook corporate governance reforms to align its work with its values and social responsibility.

US District Judge Charles Breyer in San Francisco must approve the settlement.

The case is McKinsey & Co. Inc. National Prescription Opiate Consultant Litigation, 21-md-02996, U.S. District Court, Northern District of California (San Francisco).

The Fortune 500 Innovation Forum will convene Fortune 500 executives, U.S. policy officials, top founders, and thought leaders to help define what’s next for the American economy, Nov. 16-17 in Detroit. Apply here.
About the Authors
By Joel Rosenblatt
See full bioRight Arrow Button Icon
By Bloomberg
See full bioRight Arrow Button Icon

Latest in Health

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • Future 50
  • World’s Most Admired Companies
  • See All Rankings
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Editorial Calendar
  • Press Center
  • Work At Fortune
  • Diversity And Inclusion
  • Terms And Conditions
  • Site Map
  • About Us
  • Editorial Calendar
  • Press Center
  • Work At Fortune
  • Diversity And Inclusion
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Health

The 6 Best Weight Loss Supplements for Women of 2026: Nutritionist Approved
HealthDietary Supplements
The 6 Best Weight Loss Supplements for Women of 2026: Nutritionist Approved
By Christina SnyderMarch 30, 2026
23 hours ago
Toryo Ito, the vice abbot of the oldest Zen temple in Kyoto
SuccessCareers
Buddhist monk says workers struggle to wind down from fast-paced office culture—he shares a 30-second tip to reset your nervous system
By Emma BurleighMarch 29, 2026
2 days ago
Are you addicted to technology? 6 questions experts use to help spot red flags
Big TechHealth
Are you addicted to technology? 6 questions experts use to help spot red flags
By Kristin StollerMarch 28, 2026
3 days ago
The Best Omega-3 Supplements (2026): An Expert Guide
HealthDietary Supplements
The Best Omega-3 Supplements (2026): An Expert Guide
By Emily PharesMarch 27, 2026
4 days ago
The 5 Best Online Dietitians of 2026: Help to Reach Your Nutrition Goals
HealthDietary Supplements
The 5 Best Online Dietitians of 2026: Help to Reach Your Nutrition Goals
By Christina SnyderMarch 27, 2026
4 days ago
Ritual Vitamins Review (2026): With Insight from an Expert
HealthDietary Supplements
Ritual Vitamins Review (2026): With Insight from an Expert
By Emily PharesMarch 27, 2026
4 days ago

Most Popular

Jerome Powell says the $39 trillion national debt is ‘not unsustainable,’ but warns the trajectory ‘will not end well’
Economy
Jerome Powell says the $39 trillion national debt is ‘not unsustainable,’ but warns the trajectory ‘will not end well’
By Fortune EditorsMarch 30, 2026
18 hours ago
A man used AI to call 3,000 Irish bartenders to track the cost of Guinness. Now pubs are lowering their prices to compete
AI
A man used AI to call 3,000 Irish bartenders to track the cost of Guinness. Now pubs are lowering their prices to compete
By Fortune EditorsMarch 30, 2026
21 hours ago
413,793 KitKat bars stolen: 'Whilst we appreciate the criminals’ exceptional taste, the fact remains that cargo theft is an escalating issue'
Europe
413,793 KitKat bars stolen: 'Whilst we appreciate the criminals’ exceptional taste, the fact remains that cargo theft is an escalating issue'
By Fortune EditorsMarch 28, 2026
3 days ago
A CEO trying to reindustrialize America says blue-collar pay is headed for 'massive hyperinflation' and kids should skip college to become welders
Success
A CEO trying to reindustrialize America says blue-collar pay is headed for 'massive hyperinflation' and kids should skip college to become welders
By Fortune EditorsMarch 30, 2026
22 hours ago
Current price of gold as of March 30, 2026
Personal Finance
Current price of gold as of March 30, 2026
By Fortune EditorsMarch 30, 2026
1 day ago
Current price of silver as of Monday, March 30, 2026
Personal Finance
Current price of silver as of Monday, March 30, 2026
By Fortune EditorsMarch 30, 2026
1 day ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.