The asset management firm said that an independent board chair can provide a balance of power between the CEO and the board.

Trillium is seeking a vote on the shareholder proposal at J&J's annual meeting on April 23.

The proposal also noted several lawsuits facing J&J and quoted a PWC survey which said 57% of directors surveyed, who sit on a board with a chair/CEO, say it is difficult to voice dissent.

J&J faces thousands of lawsuits alleging it sold talcum powders contaminated with asbestos and failed to warn users.

It also one of the several drugmakers and drug distributors facing lawsuits seeking to hold them responsible for the toll of opioid abuse in the country.

J&J said it recommends a vote against Trillium's proposal citing the need to preserve the company's flexibility to determine the most appropriate leadership structure.

(Reporting by Manojna Maddipatla in Bengaluru; Editing by Shailesh Kuber)