The Missouri Supreme Court let stand a $2.1 billion verdict against Johnson & Johnson, which immediately said it planned to petition the U.S. Supreme Court to review the largest jury award granted to women alleging its baby powder caused them to get ovarian cancer.

In 2018, a Missouri jury awarded $25 million in compensatory damages each to to 22 women and their spouses. The Missouri Court of Appeals, on June 23, reduced the award to $2.1 billion but refused to toss the verdict, which included punitive damages. Johnson & Johnson had petitioned the state’s highest court to review the “fundamentally unfair” verdict.

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