Johnson & Johnson has agreed to pay $120 million to attorneys general in 46 states and Washington, D.C.—including $3 million for Georgia—to resolve marketing claims brought over its hip implants.

The settlement, announced on Tuesday, is the largest agreement that New Jersey-based Johnson & Johnson has made with attorneys general over its ASR XL and Pinnacle Ultamet hip implants, made by its Medical Device Business Inc. division, formerly known as DePuy Orthopaedics Inc. In 2014, Johnson & Johnson paid $4 million to settle a case brought by the Oregon Department of Justice over its ASR hip implants.

“Doctors and their patients need to have accurate and up-to-date information to ensure that patients are receiving appropriate health care,” said Letitia James, attorney general of New York, which will receive nearly $4.7 million under the deal. “Companies should never be allowed to freely mislead the public, especially when there are health concerns involved. This settlement serves as an important message that deceptive and false medical practices will never be tolerated.”

“Physicians and patients depend on accurate, up-to-date information in order to make healthcare decisions that are sound, safe and suitable,” said Georgia Attorney General Chris Carr. “Today's settlement helps to ensure that doctors receive the critical information needed to properly care for their patients.”

Johnson & Johnson spokeswoman Mindy Tinsley said the $120 million will be distributed among the states. “The settlement involves no admission of liability or misconduct on the part of the companies,” she wrote in an emailed statement. “DePuy Synthes remains committed to meeting the current and future needs of orthopedic surgeons and patients.”

Johnson & Johnson paid $2.5 billion in 2013 to settle civil lawsuits filed over its ASR hip implants, which it recalled, and is settling thousands of cases brought over its Pinnacle devices after losing jury verdicts totaling more than $1.75 billion.

Attorneys general alleged that Johnson & Johnson made misleading advertising claims about the “longevity” of its hip implants, which the National Joint Registry of England and Wales reported had higher failure rates. In some cases, patients had to have the devices surgically removed after suffering pain and finding metal in their blood.

Under the consent judgment, Johnson & Johnson agreed to base its claims on the latest scientific data and revise its complaint procedures.

According to Carr's press release, the investigation was led by the attorneys general of Texas and South Carolina with an executive eommittee consisting of the attorneys general of Florida, Indiana, North Carolina, Ohio, Pennsylvania, and Washington. Along with Georgia, the following states also participated in the settlement: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, New York, North Dakota, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Tennessee, Utah, Vermont, Virginia, and Wisconsin.

The agreement came on the same day that Johnson & Johnson announced its fourth quarter revenues of $20.4 billion and a sales forecast for 2019 that failed to meet expectations. During last quarter, litigation expenses doubled to $1.29 billion for Johnson & Johnson, which faces additional lawsuits over its baby powder and several pharmaceutical drugs.

Daily Report Managing Editor Jonathan Ringel contributed to this version of this article, which ran originally on law.com.