BCBSM, Inc. v. Walgreen Co.

CourtDistrict Court, N.D. Illinois
DecidedJuly 17, 2025
Docket1:20-cv-01853
StatusUnknown

This text of BCBSM, Inc. v. Walgreen Co. (BCBSM, Inc. v. Walgreen Co.) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
BCBSM, Inc. v. Walgreen Co., (N.D. Ill. 2025).

Opinion

THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION BCBSM, INC, (d/b/a BLUE CROSS and BLUE ) SHIELD of MINNESOTA), HEALTH NEW )

YORK, INC, HORIZON HEALTHCARE )

SERVICES, INC. (d/b/a HORIZON BLUE )

CROSS BLUE SHIELD OF NEW JERSEY), )

BLUE CROSS AND BLUE SHIELD OF )

ARIZONA, INC. (d/b/a BLUE CROSS BLUE )

SHIELD OF ARIZONA and d/b/a AZBLUE), ) No. 20 C 1853 ASURIS NORTHWEST HEALTH, et al., ) No. 20 C 1929 ) No. 20 C 3332 Plaintiffs, ) No. 20 C 4940 v. ) No. 20 C 4738 )

WALGREEN CO. and WALGREENS BOOTS )

ALLIANCE, INC., ) Chief Judge Virginia M. Kendall )

Defendants and Third-Party Plaintiffs, )

) v. ) ) PRIME THERAPEUTICS LLC, ) ) Third-Party Defendant. )

MEMORANDUM OPINION AND ORDER

This consolidated lawsuit stems from Initial Plaintiffs’ claims of common law fraud, consumer fraud, deceptive trade practices, and unjust enrichment against Defendants Walgreen Co. and Walgreens Boots Alliance, Inc.1 After seven Additional Plaintiffs2 filed a nearly identical complaint, see CareFirst of Md., Inc., et al. v. Walgreen Co., et al., No. 1:22-cv-12 01362 (N.D. Ill.), the cases were consolidated in this action and then superseded by their operative second amended complaint. (See Dkt. 145); (Dkt. 272).

Pending before the Court is Defendant Walgreen Co. and Walgreens Boots Alliance, Inc.’s Motion for Protective Order, (Dkt. 599), and Initial Plaintiffs’ Cross-Motion to Compel (Dkt. 607). Both Motions relate to the same underlying discovery dispute concerning Walgreens’ responses to requests for documents associated with previous Walgreens litigation, Walgreens prescription drug prices, and their retention policies. For the following reasons, the Court grants Defendant’s Motion for Protective Order [599] and denies Initial Plaintiffs’ Cross-Motion to Compel [607]. BACKGROUND

This litigation centers on Walgreens’ allegedly fraudulent handling of reimbursements from prescriptions purchased by customers who Plaintiffs insure. (Dkt. 622 at 1). Plaintiffs allege that Walgreens fraudulently offered lower prices on certain prescription drugs to enrollees of Walgreens’ members-only Prescription Savings Club (“PSC”), without reporting such lower prices when seeking reimbursement through so-called third-party intermediary pharmacy benefit

“Walgreens” refers to Defendants Walgreen Co. and Walgreens Boots Alliance, Inc. “Initial Plaintiffs” refers to BCBSM, Inc. (d/b/a Blue Cross and Blue shield of Minnesota); HMO Minnesota (d/b/a Blue Plus); Health Options, Inc. (d/b/a Florida Blue HMO); Blue Cross and Blue Shield of North Carolina; Blue Cross Blue Shield of North Dakota; Blue Cross and Blue Shield of Florida, Inc. (d/b/a Florida Blue); Blue Cross and Blue Shield of Alabama; Blue Cross and Blue Shield of Kansas, Inc.; Blue Cross and Blue Shield of Massachusetts, Inc.; Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.; Wellmark, Inc. (d/b/a Wellmark Blue Cross and Blue Shield and d/b/a Wellmark Blue Cross and Blue Shield of Iowa); Wellmark of South Dakota, Inc. (d/b/a Wellmark Blue Cross and Blue Shield of South Dakota); Wellmark Health Plan of Iowa, Inc.; Wellmark Synergy Health, Inc.; Wellmark Value Health Plan, Inc.; Blue Cross and Blue Shield of Arizona, Inc. (d/b/a Blue Cross Blue Shield of Arizona and d/b/a AZBLUE); Blue Cross and Blue Shield of Kansas City, Inc.; HealthNow New York, Inc.; Highmark Western New York, Inc. (f/k/a Blue Cross of Western New York); Northeastern New York (f/k/a BlueShield of Northeastern New York); Horizon Healthcare Services, Inc. (d/b/a Horizon Blue Cross Blue Shield of New Jersey); and Horizon Healthcare of New Jersey, Inc. (d/b/a Horizon NJ Health). (Dkt. 636 at 1). 2 CareFirst of Maryland, Inc.; Group Hospitalization and Medical Services, Inc.; CareFirst BlueChoice, Inc.; Blue Cross and Blue Shield of South Carolina; BlueChoice HealthPlan of South Carolina, Inc.; Louisiana Health Service & Indemnity Company, d/b/a/ Blue Cross and Blue Shield of Louisiana, and HMO Louisiana, Inc. (Dkt. 568 at 1). managers for prescriptions purchased by Plaintiffs’ insureds. (Dkt. 602 at 2); (Dkt. 620 at 1). Walgreens allegedly accomplished this fraud by excluding the discounted savings club prices from its Usual and Customary (“UC”) price calculations. As a result, Plaintiffs claim that Walgreens massively overcharged them. (See Dkt. 145).

After a drawn-out discovery process, which included the Court appointing a Special Master to oversee Plaintiffs’ document review, (Dkt. 450), the latest skirmish concerns Walgreens’ objections to producing material from a previous case involving Defendants, U.S. ex rel. Baker v. Walgreens, Inc., No. 12 Civ. 0300 (S.D.N.Y. 2012) (the “Baker” suit), reimbursement information for Walgreens’ government payors (i.e., Medicare and Medicaid), documents about its drug prices, and information regarding its retention policies. (See generally Dkt. 599; Dkt. 611). I. Origins of Parties’ Discovery Disputes In June 2021, Initial Plaintiffs served their first discovery requests on Walgreens. (Dkt. 602 ¶ 6). Relevant here, Walgreens objected, writing: “Defendants will not search for or produce Documents or other materials related to reimbursement claims submitted to government payors.”

(Dkt. 602-1 at 2, Exhibit A, Objections to Initial Plaintiffs’ Document Production) (emphasis added). Walgreens also objected to re-producing discovery it produced in a previous case, Baker (Id. at 4–5)—a case in which it was alleged Walgreens violated the Anti-Kickback Statute by inducing, among others, Medicare beneficiaries to self-refer their business exclusively to Walgreens’ pharmacies. See U.S. ex rel. Baker, No. 12 Civ. 0300. After many rounds of negotiating, by the end of October, the parties had defined the scope of their respective document reviews and production. (Dkt. 601 at 3). Initial Plaintiffs never challenged Walgreens objection. (Dkt. 601 at 3). Walgreens began to perform that review in reliance on the parties’ negotiations, including Walgreens’ unchallenged objections. (Id.) II. Plaintiffs’ Discovery Objections In January 2024, over two years after the parties had agreed upon the scope of document review and production, Initial Plaintiffs raised concerns about “serious deficiencies” in Walgreens’ document production. (Dkt. 602-4 at 1, Exhibit D). Initial Plaintiffs claimed that the productions

contained “very few emails dated earlier than 2011” and no PSC formularies (i.e., documents that list the prices Walgreens offered for drugs included in the discount program) created before 2018; they asked Walgreens to provide the details of its document preservation going back to the earliest U&C-related litigation. (Dkt. 602-4 at 2). In February 2024, Walgreens declined to compile the requested information, explaining that Plaintiffs had alleged no facts suggesting Walgreens had violated a discovery rule. (Dkt. 602- 5 at 1, Exhibit E). Walgreens further clarified that it made sense that few pre-2011 documents existed because its duty to preserve documents did not begin until mid-2012, when it received a Civil Investigative Demand (CID) from the United States Attorney’s Office for the Southern District of New York. (Id.); (Dkt. 626 ¶ 4). Regarding the PSC formularies, Walgreens claimed

that it had performed an exhaustive search for those documents during negotiations and motion practice in a prior arbitration with Humana Inc. (Dkt. 601 at 4). Walgreens confirmed for the Initial Plaintiffs that it had produced, in this action, the results of that exhaustive search. (Id.) The parties attempted to resolve the matter over the next several months. (Dkt. 601 at 5). Initial Plaintiffs sent Walgreens a number of correspondences asking specific questions regarding its production of documents in Baker. (Dkt. 622-6 at 125, Exhibit E).

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BCBSM, Inc. v. Walgreen Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/bcbsm-inc-v-walgreen-co-ilnd-2025.