It's like a game of musical chairs for who gets to pay the government a billion dollars this year.
This Epipen case sounds far less bad then most on that list. Especially if we're going to talk about punishment. As most of the other settlements on the list were for mislabeled drugs. People were spending money and wasted weeks/months of their supposed treatment on drugs that didn't help them.
I personally experienced the effects of this due to a bad doctor, not mislabeling, and I was seriously sick for a much longer period of time then I should have been. Fortunately I found a specialist who knew what he was talking about and told me to take one drug which cost $100/m instead of three others costing me $900/m (I didn't have drug benefits insurance at the time). For me the wasted time on a treatment that didn't work was far more harmful to me than the added cost.