Eli Lilly and Company v. Alderwood Surgical Center LLC

District Court, W.D. Washington·Decided July 23, 2025·No. 2:24-cv-00878·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT SEATTLE ELI LILLY AND COMPANY, CASE NO. 2:24-cv-00878-LK Plaintiff, ORDER GRANTING MOTION TO v. DISMISS COUNTERCLAIM LLC D/B/A ALLURE ESTHETIC, D/B/A D/B/A SEATTLE PLASTIC SURGERY, et al., Defendants.

This matter comes before the Court on Plaintiff Eli Lilly’s Motion to Dismiss Defendants’ Abuse of Process Counterclaim. Dkt. No. 36. For the reasons explained below, the motion is granted.1 The counterclaims are dismissed without leave to amend.2

1 Because this matter can be decided based on the written submissions, the Court denies Eli Lilly’s request for oral argument. Dkt. No. 36 at 1. 2 Eli Lilly only moves to dismiss one of the two counterclaims (the abuse of process counterclaim). See generally Dkt. No. 36. But as explained below, the second counterclaim—for declaratory judgment—cannot exist as a freestanding claim, and so it is also dismissed. A. Eli Lilly’s Complaint Plaintiff Eli Lilly and Company is a multinational pharmaceutical company headquartered in Indiana. Dkt. No. 1 at 5. Defendants are medical clinics in the greater Seattle region and two

physicians who operate them. Id. Eli Lilly sells Mounjaro and Zepbound, the only FDA-approved drugs containing the active ingredient tirzepatide. Dkt. No. 1 at 2. Mounjaro and Zepbound are prescribed for adults with type two diabetes, obesity, or excess weight and weight-related medical problems. Id. Eli Lilly alleges that Defendants improperly use its Mounjaro and Zepbound trademarks to promote the sale of compounded tirzepatide to patients, despite not selling either of Eli Lilly’s medicines or being authorized to use Eli Lilly’s trademarks. Dkt. No. 1 at 15–19. On June 20, 2024, Eli Lilly filed a complaint alleging that Defendants’ conduct violates the Lanham Act and Washington’s Consumer Protection Act (the “CPA”). Id. at 5, 20–25. Eli Lilly seeks a declaratory judgment, injunctive relief halting the alleged wrongdoing, an order requiring

Defendants to take various corrective actions, and an award of damages and fees. Id. at 25–27. B. The Court Dismisses Eli Lilly’s CPA Claim, Leaving the Federal Claims Intact On March 7, 2025, the Court partially granted Defendants’ motion to dismiss. Dkt. No. 34. Specifically, it dismissed Eli Lilly’s state law CPA claim (Count 4) but held that the federal trademark and false advertising claims were adequately pleaded. See id. Eli Lilly did not amend its complaint further—deciding to proceed only with the federal claims—and Defendants subsequently answered the complaint. Dkt. No. 35. C. Defendants’ Counterclaims Along with their answer, Defendants filed counterclaims for abuse of process and a

declaratory judgment. Id. at 10–15. Defendants’ allegations are as follows. They assert that they have the authority to prescribe lawful medicines, including Mounjaro and Zepbound, when appropriate for patient needs and when commercially available. Id. at 11. Because Mounjaro and Zepbound were in short supply and were listed on the FDA’s drug shortage list until August 5, 2024, the FDA allowed state-

licensed pharmacies and physicians to compound tirzepatide during the period of shortage. Id. at 11–12.3 Defendants, who have a licensed physician on staff, lawfully compounded tirzepatide- based drugs under Section 503A of the Federal Food, Drug, and Cosmetic Act. Id. at 12. They also allege that Eli Lilly’s production limitations restricted its ability to profit, because it could not meet market demand. Id. Based on those allegations, Defendants assert two claims: a state law abuse of process claim and a declaratory judgment claim. The former alleges that Eli Lilly has misused court procedures to damage Defendants’ reputation, goodwill, and professional standing by falsely alleging that they “are prescribing unsafe and ineffective treatments.” Id. at 12–13. Defendants argue that although Eli Lilly’s claims focus on trademark misuse—and not the safety or propriety

of compounded medicines—Eli Lilly nonetheless used this lawsuit to target Defendants’ compounding practices in order to undermine patient confidence and to create settlement leverage. Id. at 13. More broadly, Defendants assert that this lawsuit is part of a larger campaign against compounded medications. Id. at 12–13. They allege that they have suffered harms including increased legal costs, reputational damage, loss of goodwill, and business interference, id. at 14, and seek damages and injunctive relief. Id. at 15. Defendants’ second claim—for a declaratory judgment—seeks a court order declaring that their “advertising is fair use and . . . [did] not infringe

3 In December 2024, the FDA indicated that it would take no action against state-licensed pharmacies or physicians compounding, distributing or dispensing tirzepatide injections for violations of the Federal Food, Drug, and Cosmetic Act arising from the inclusion of the drug on the FDA’s drug shortage list until February 18, 2025. Id. at 12. That period was extended to March 5, 2025 due to litigation. Id. Plaintiffs’ asserted trademarks,” and that their advertising is not false or deceptive. Id. at 14–15. Eli Lilly’s motion to dismiss the abuse of process counterclaim followed. Dkt. No. 36. A. Jurisdiction

The Court has supplemental jurisdiction over Defendants’ state law abuse of process counterclaim4 because it arises from the same underlying facts as Eli Lilly’s federal claims. See 28 U.S.C. § 1367(a); Bahrampour v. Lampert, 356 F.3d 969, 978 (9th Cir. 2004) (“A state law claim is part of the same case or controversy when it shares a common nucleus of operative fact with the federal claims and the state and federal claims would normally be tried together.” (quotation marks omitted)). B. Legal Standards When deciding a motion under Federal Rule of Civil Procedure 12(b)(6), a court must assume the truth of the pleading’s actual allegations and credit all reasonable inferences arising from those allegations. Sanders v. Brown, 504 F.3d 903, 910 (9th Cir. 2007). The court “need not

accept as true conclusory allegations that are contradicted by documents referred to in the [pleading].” Manzarek v. St. Paul Fire & Marine Ins. Co., 519 F.3d 1025, 1031 (9th Cir. 2008). Instead, the plaintiff must point to factual allegations that “state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). A claim is facially plausible “when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). Although “detailed factual allegations” are not required, the pleading must include “more than an unadorned, the-defendant-unlawfully-harmed-me accusation.” Id. A pleading “that offers

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