BCBSM, Inc. v. Walgreen Co.

District Court, N.D. Illinois·Decided May 31, 2023·No. 1:20-cv-01853·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

) BCBSM, INC., et al., ) ) Plaintiffs/Counter-Defendants, ) ) v. ) No. 20 C 01853 ) WALGREEN CO. & WALGREENS BOOTS ) Magistrate Judge Finnegan ALLIANCE, INC., ) ) Related Cases: Defendants/Counter-Plaintiffs. ) Case No. 1:20-cv-04738 ) Case No. 1:20-cv-03332 ) Case No. 1:20-cv01929 WALGREEN CO. & WALGREENS BOOTS ) Case No. 1:20-cv-04940 ALLIANCE, INC., ) Case No. 1:20-cv-01362 ) Third-Party Plaintiffs, ) ) v. ) ) PRIME THERAPEUTICS, LLC, ) ) Third-Party Defendant. ) )

ORDER Defendants Walgreen Co. and Walgreens Boots Alliance, Inc. (“Walgreens”) filed a motion to compel (Doc. 407) the twenty-eight original health care plan plaintiffs (referred to herein as “Plaintiffs”)1 to respond to certain document requests and interrogatories. For the reasons stated herein, the motion is granted.

1 These include the original plaintiffs but not the so-called “CareFirst” plaintiffs who sued Walgreens in March 2022. (Doc. 407, at 1 & n.1). DISCUSSION A. Motion to Compel Response to Interrogatory No. 26 (1) Background Plaintiffs are health care plans offering comprehensive health care services and coverage, including prescription drug coverage, to their members (“insureds”) in locations

across the United States. When a Walgreens pharmacy dispenses a prescription to an insured, Walgreens sends a claim for reimbursement to Plaintiffs’ pharmacy benefit managers (“PBMs”), which then submit a claim for payment to Plaintiffs. Plaintiffs reimbursed Walgreens for the usual and customary (“U&C”) prices associated with filling prescriptions for their insureds. They claim that they did not know that Walgreens had a Prescription Savings Club (“PSC”) program that charged prices lower than U&C prices. (Doc. 145 ¶¶ 8, 100-106 (Second Amended Complaint)). Plaintiffs allege that Walgreens overstated U&C prices by not using its lower PSC pricing, and thus owes them “hundreds of millions” in damages. (Id. ¶¶ 1, 81, 127, 137).

Defendants say they served Interrogatory 26 on the “Prime-Affiliated Plaintiffs, a set of Blue Cross-affiliated Plaintiffs that use or have used Prime Therapeutics LLC” (“Prime”) as their PBM. (Doc. 407, at 4). It seeks information about the financial relationship between these Plaintiffs and Prime in connection with Walgreens’ third-party complaint against Prime for contribution. Prime was the entity responsible for adjudicating Walgreens’ reimbursement claims on behalf of the Prime-Affiliated Plaintiffs. (Doc. 270 ¶¶ 5, 39 (Prime’s Answer to Walgreens’ First Amended Third-Party Complaint)). For this service, Prime charged these plaintiffs a fee, kept the difference between what it received from a plaintiff and the amount it paid to Walgreens (so-called 2 “spread compensation”), or both. (Id. ¶ 44). Prime had separate confidential contracts with each Prime-Affiliated Plaintiff and with Walgreens governing these tasks. (Id. ¶ 7). While serving as PBM, Prime allegedly “was always fully aware of Walgreens’ U&C price reporting policies and practices, including the fact that Walgreens [did] not report, and never has reported, the exceptional prices available to PSC members as its U&C

prices.” (Id. ¶ 9). “Prime nonetheless adjudicated Walgreens’ reimbursement claims using Walgreens’ allegedly false U&C prices, thereby proximately harming the [Prime- Affiliated Plaintiffs] and contributing to the loss allegedly suffered” by them. (Id. ¶ 10). Indeed, Prime “had an enforceable duty” to these Plaintiffs “to convey accurate U&C prices and other claim-related information to them” and, “unlike Walgreens, at all times had a direct relationship with the [Prime-Affiliated Plaintiffs] and was their corporate affiliate.” (Id. ¶ 12). If these plaintiffs “were deceived and damaged by Walgreens’ U&C reporting, then Prime is a joint tortfeasor that shares responsibility for some material part” of that harm.” (Id. ¶ 4).

Regarding the affiliation between Prime and these plaintiffs, Walgreens alleges that Prime is owned by Blue Cross-affiliated insurers, including certain of the Prime- Affiliated Plaintiffs. Eleven of Prime’s “owner clients” are Plaintiffs, and “Prime’s board of directors consists almost entirely of the chief executive officers of Blue Cross Blue Shield- affiliated health plans, including the chief executive officers of seven” Prime-Affiliated Plaintiffs. (Id. ¶ 38). Walgreens thus claims that Prime and the Prime-Affiliated Plaintiffs had an “intertwined financial relationship.” (Doc. 407, at 5).

3 In Interrogatory No. 26, Walgreens sought the following information from certain Prime-Affiliated Plaintiffs:2 [i]dentify the projected and actual annual revenues and profits you have received from owning an equity interest, ownership interest, or debt interest in Prime for each calendar or fiscal year during the Time Period [defined as August 1, 2006 to the present].3

(Doc. 377-12, at 9, 12; see Doc. 407, at 5). In responding under Fed. R. Civ. P. 33, the plaintiffs objected to this request as “overbroad, unduly burdensome, and seeking information that is irrelevant to any claims or defenses in this matter and is not proportional to the needs of this case.” (E.g., Doc. 377-6, at 7). No reasons were given for each such conclusory objection. After fruitless meet and confer discussions led to an impasse, Walgreens filed this motion to compel. (2) Analysis As Walgreens sees it, “Prime is the intermediary between Walgreens and the Prime-Affiliated Plaintiffs for the U&C price reporting central to this case; thus, the economics of the relationship between Prime and its Plaintiff-owners are directly relevant to both the supposed damages the Prime-Affiliated Plaintiffs claim they suffered and the bias weighing on the Prime-Affiliated Plaintiffs and Prime resulting from those economics.” (Doc. 407, at 4). Walgreens further argues that the objections made in response to Interrogatory 26 do not pass muster under Rule 33(b)(4)’s mandate that objections be stated “with specificity.” (Id. at 5-6). The Court agrees. Because the

2 Interrogatory 26 was issued to BCBS Alabama, BCBS Kansas, BCBS Minnesota, BCBS North Carolina, BCBS North Dakota, Florida Blue, Cambia, and Horizon. (Doc. 418, at n.3).

3 The Second Amended Complaint complains of conduct by Walgreens from approximately 2007 to 2019, when Plaintiffs say they discovered “the bases” for their claims. (See Doc. 145 ¶¶ 7, 115). 4 objections did not provide any underlying explanation, however minimal, they were “tantamount to not making any objection at all.” See Loughnane v. Zukowski, Rogers, Flood and McArdle, 2019 WL 13073480, at *10 (N.D. Ill. Dec. 2, 2019) (citation omitted). This alone justifies granting the motion to compel. Even without these deficiencies, however, the Court would overrule these

objections because the data sought appears to be relevant. First, Walgreens argues that the information bears on damages. Walgreens’ theory is based on its claim that Prime sometimes received spread compensation (the difference between what it received from a plaintiff and the amount it paid to Walgreens) which may have resulted in providing higher profits to Prime, “and, by extension, Prime’s Blue Cross-owners,” that could be a potential offset to damages and/or an increase in contribution liability. (Doc. 407, at 6). Put another way, Walgreens seeks discovery relating to the claim that the higher prices these plaintiffs allegedly paid flowed through Prime’s pockets back into the pockets of the Prime-Affiliated Plaintiffs. Walgreens also argues that if its allegedly inflated U&C prices

resulted in higher fees to Prime, that also could have ultimately benefitted these plaintiffs even without the use of spread compensation. (Id.).

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