CVS Pharmacy Inc v. Arkansas State Board of Pharmacy

CourtDistrict Court, E.D. Arkansas
DecidedJuly 28, 2025
Docket4:25-cv-00524
StatusUnknown

This text of CVS Pharmacy Inc v. Arkansas State Board of Pharmacy (CVS Pharmacy Inc v. Arkansas State Board of Pharmacy) is published on Counsel Stack Legal Research, covering District Court, E.D. Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
CVS Pharmacy Inc v. Arkansas State Board of Pharmacy, (E.D. Ark. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF ARKANSAS CENTRAL DIVISION EXPRESS SCRIPTS, INC., et al. PLAINTIFFS

v. CASE NO. 4:25-CV-00520-BSM RODNEY RICHMOND, et al. DEFENDANTS ORDER Plaintiffs’ motions for a preliminary injunction [Doc. Nos. 16 & 43; Doc. No. 12, Case No. 4:25-cv-00524-BSM; Doc. No. 12, Case No. 4:25-cv-00561-BSM] are granted and Arkansas Act 624 is enjoined from taking effect because it likely violates the Commerce Clause and it is likely preempted by TRICARE. Accordingly, defendants Rodney Richmond, Brian Jolly, Debbie Mack, Lenora Newsome, Clint Boone, Walter Lyn Fruchey, Harold H. Simpson, Beth Ann Davenport, John C. Kirtley, their agents and successors in office, and all

persons acting in concert with them are hereby ordered to refrain from enforcing Act 624 until final disposition. I. BACKGROUND Pharmacy benefits managers (PBMs) “serve as intermediaries between prescription- drug plans and the pharmacies that beneficiaries use.” Rutledge v. Pharm. Care Mgmt.

Ass’n, 592 U.S. 80, 83–84 (2020) (reversing my decision in Pharm. Care Mgmt. Ass’n v. Rutledge, 240 F. Supp. 3d 951 (E.D. Ark. 2017)). For example, when “a beneficiary of a prescription-drug plan goes to a pharmacy to fill a prescription, the pharmacy checks with a PBM to determine that person’s coverage and copayment information.” Id. at 84. Then, after “the beneficiary leaves with his or her prescription, the PBM reimburses the pharmacy for the prescription, less the amount of the beneficiary’s copayment. The prescription-drug plan, in turn, reimburses the PBM.” Id. Some PBMs own their own pharmacies, and this

vertical integration “hold[s] the promise of increasing [the pharmaceutical industry’s] efficiency,” Copperweld Corp. v. Independence Tube Corp., 467 U.S. 752, 768 (1984), while also creating “an inherent conflict of interest and an irresistible opportunity for [PBMs] to engage in predatory practices,” Allstate Ins. Co. v. Abbott, 495 F.3d 151, 161 (5th Cir. 2007).

For this reason, Arkansas lawmakers have enacted a number of PBM regulations in recent years. Act 624 is the latest and most aggressive one. Act 624 states that, “[a] pharmacy benefits manager shall not acquire direct or indirect interest in, or otherwise hold, directly or indirectly a permit . . . for the retail sale of drugs or medicines in this state.” In simple terms, Arkansas lawmakers have decided that they no

longer want to allow PBMs to own or operate pharmacies in the state. Act 624 becomes effective on January 1, 2026, and plaintiffs, an industry trade association and various PBMs, are suing to stop it from taking effect. In the complaints, plaintiffs allege that Act 624 violates: (1) the Commerce Clause; (2) the Privileges and Immunities Clause; (3) the Supremacy Clause because it is preempted by (a) TRICARE, (b) ERISA, and (c) Medicare;

(4) the Bill of Attainder Clause; (5) the Takings Clause; and (6) the Equal Protection Clause. Plaintiffs are now moving for a preliminary injunction to prevent enforcement of Act 624 until final disposition. Having reviewed the briefs and conducted a hearing on July 23, the motions for a preliminary injunction are granted. 2 II. LEGAL STANDARD A preliminary injunction is an extraordinary remedy. Winter v. Natural Res. Def. Council, Inc., 555 U.S. 7, 9 (2008). Whether to grant such relief is within the sound

discretion of the district court. Lankford v. Sherman, 451 F.3d 496, 503 (8th Cir. 2006). A party seeking a preliminary injunction must prove that: (1) there is a likelihood of success on the merits; (2) it will suffer irreparable harm if the injunction is denied; (3) the harm to the movant, if the injunction is denied, outweighs the harm to the non-movant if the

injunction is granted; and (4) an injunction is in the public’s interest. Dataphase Sys., Inc. v. C L Sys., Inc., 640 F.2d 109, 113 (8th Cir. 1981) (en banc); Gelco Corp. v. Coniston Partners, 811 F.2d 414, 418 (8th Cir. 1987). “The third and fourth factors for a preliminary injunction—harm to the opposing party and the public interest—merge when the Government is the party opposing the preliminary injunction.” Morehouse Enters., LLC v.

ATF, 78 F.4th 1011, 1018 (8th Cir. 2023). Generally, a “fair chance” of prevailing on the merits is required to grant a preliminary injunction. Planned Parenthood of Minn., N.D., S.D. v. Rounds, 530 F.3d 724, 730–31 (8th Cir. 2008) (en banc). “Where a preliminary injunction is sought to enjoin the implementation of a duly enacted state statute, however, the moving party must make a more rigorous

showing that it is likely to prevail on the merits.” Planned Parenthood of Ark. & E. Okla. v. Jegley, 864 F.3d 953, 957–58 (8th Cir. 2017) (quotations omitted), abrogated on other grounds by Dobbs v. Jackson Women’s Health Org., 597 U.S. 215 (2022). This heightened standard “reflects the idea that governmental policies implemented through legislation or 3 regulations developed through presumptively reasoned democratic processes are entitled to a higher degree of deference and should not be enjoined lightly.” Rounds, 530 F.3d at 732 (quoting Able v. United States, 44 F.3d 128, 131 (2d Cir. 1995)).

III. DISCUSSION Plaintiffs’ motions for a preliminary injunction are granted for the following reasons. A. Likelihood of Success on the Merits Plaintiffs’ motions for a preliminary injunction are granted because they are likely to

prevail on their Commerce Clause and TRICARE preemption claims. Plaintiffs, however, are unlikely to prevail on their Privileges and Immunities, ERISA preemption, Medicare preemption, Bill of Attainder, Takings, and Equal Protection claims. 1. Commerce Clause Plaintiffs are likely to prevail on their Commerce Clause claim and therefore their

motions for a preliminary injunction are granted on that claim. The Commerce Clause, which seeks to ensure free trade among the states, gives Congress the power to regulate interstate commerce. U.S. Const. art. I, § 8, cl. 3; McLeod v. J.E. Dilworth Co., 322 U.S. 327, 330 (1944). The negative implication of this power, known as the dormant Commerce Clause, prohibits states from unjustifiably discriminating

against interstate commerce. Wyoming v. Oklahoma, 502 U.S. 437, 453 (1992); Hampton Feedlot, Inc. v. Nixon, 249 F.3d 814, 818 (8th Cir. 2001). If a state law overtly discriminates, the state must show, “under rigorous scrutiny, that it has no other means to advance a legitimate local interest.” U & I Sanitation v. City of Columbus, 205 F.3d 1063, 1067 (8th 4 Cir. 2000) (quoting C & A Carbone, Inc. v. Town of Clarkstown, 511 U.S. 383, 392 (1994)). A state law that overtly discriminates is therefore presumed invalid. U & I Sanitation, 205 F.3d at 1068.

Act 624 appears to overtly discriminate against plaintiffs as out of state companies and the state has failed to show that it has no other means to advance its interests. This is true because section one of Act 624 specifically states that its purpose is to eliminate plaintiffs’ “business tactics that have driven locally-operated pharmacies out of business.”

This phrase “artlessly discloses [the state’s] avowed purpose to discriminate against interstate goods.” Dean Milk Co. v. City of Madison, Wis., 340 U.S. 349, 354 (1951).

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CVS Pharmacy Inc v. Arkansas State Board of Pharmacy, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cvs-pharmacy-inc-v-arkansas-state-board-of-pharmacy-ared-2025.