Graphic Communications Local 1B Health & Welfare Fund "A" v. CVS Caremark Corp.

850 N.W.2d 682, 2014 WL 2965400, 2014 Minn. LEXIS 319
CourtSupreme Court of Minnesota
DecidedJuly 2, 2014
DocketNo. A12-1555
StatusPublished
Cited by55 cases

This text of 850 N.W.2d 682 (Graphic Communications Local 1B Health & Welfare Fund "A" v. CVS Caremark Corp.) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Graphic Communications Local 1B Health & Welfare Fund "A" v. CVS Caremark Corp., 850 N.W.2d 682, 2014 WL 2965400, 2014 Minn. LEXIS 319 (Mich. 2014).

Opinion

OPINION

DIETZEN, Justice.

At issue in this case is (1) whether Minn. Stat. § 151.21, subd. 4 (2012) creates a private cause of action in favor of respondents, two health and welfare funds, against appellant pharmacies for failing to pass on the difference between the acquisition cost of brand name drugs and substituted generic prescription drugs; and (2) whether the funds pleaded a claim for relief under Minn.Stat. § 325F.69, subd. 1 (2012), Minnesota’s Consumer Fraud Act (CFA), sufficient to survive a motion to dismiss under Rule 12.

In their amended complaint, the funds allege, among other things, that the pharmacies engaged in fraudulent, misleading, or deceptive practices in connection with the sale of merchandise by failing to pass on to the funds the entire difference between the acquisition cost of the generic prescription drug dispensed and its brand name equivalent as required by Minn.Stat. § 151.21, subd. 4. The district court granted the pharmacies’ Rule 12 motion to dismiss the complaint, concluding that Minn. Stat. § 151.21, subd. 4, does not create a private cause of action in favor of the funds, and that the funds failed to plead a claim for relief under the CFA. The court of appeals unanimously affirmed the dismissal of the claim brought under Minn. Stat. § 151.21, subd. 4, but in a divided decision, the court of appeals reversed the dismissal of the claim brought under the CFA, concluding that the funds pleaded a legally sufficient claim. Because we conclude that Minn.Stat. § 151.21, subd. 4, does not create a private cause of action, and that the funds failed to plead a legally sufficient claim under the CFA, we affirm in part and reverse in part.

Respondents/eross-appellants, Graphic Communications Local IB Health & Welfare Fund “A” and The Twin Cities Bakery Drivers Health and Welfare Fund (the Funds), are jointly administered Taft-Hartley Funds under section 802(c)(5) of the National Labor Relations Act, 29 U.S.C. § 186(c) (2012), and are authorized to administer employee welfare benefit plans as defined in section 3(1) of the Employee Retirement Income Security Act, 29 U.S.C. § 1002(1) (2012).2 The [687]*687Funds provide health benefits, including prescription-drug benefits, to their approximately 2,600 active plan participants and their spouses and dependents. Appellants/cross-respondents (the Pharmacies)3 are a number of pharmacies that operate or have operated, either directly or through affiliates, retail pharmacies in Minnesota during the period from 2003 to the present.

This case involves the sale and pricing of generic prescription drugs. When a patent on a drug developed by a pharmaceutical company expires, other drug manufacturers may obtain government approval to manufacture and sell generic versions of the drug.4 A generic drug is identical — or bioequivalent — to a brand name drug in dosage, form, safety, strength, route of administration, quality, performance, characteristics, and intended use. Although generic drugs are chemically identical to their brand name counterparts, they are sold at substantial discounts in comparison to the brand name price, in part because the generic manufacturer is generally not required to engage in advertising, marketing and promotion, or significant research and development.

Minnesota law requires that when a consumer is prescribed a brand name drug, a Minnesota-licensed pharmacist must substitute a generic equivalent unless the prescription states “dispense as written.” Minn.Stat. § 151.21, subd. 3 (2012). Further, the pharmacist must pass on to the purchaser of the generic prescription drug any cost savings realized by the lower acquisition costs of the generic drug as compared to its brand name equivalent. Id., subd. 4 (“Any difference between acquisition cost to the pharmacist of the drug dispensed and the brand name drug prescribed shall be passed on to the purchaser.”).

The Funds have purchased prescription drugs and/or reimbursed their plan participants and beneficiaries for the purchase of generic prescription drugs. According to the Funds, they have engaged in over 200,-000 prescription-drug transactions with the Pharmacies since July 28, 2003. The Funds allege that during the relevant time period the Pharmacies concealed from the Funds their acquisition costs for prescription drugs and routinely overcharged the Funds for the purchases of generic prescription drugs in violation of Minn.Stat. § 151.21, subd. 4.

The amended complaint sets forth specific examples of the alleged generic prescription drug overcharges. For example, the Funds allege that in 2008, the Pharmacies’ acquisition cost for a four-tablet supply of the brand name drug Fosamax was [688]*688$70.72. The Pharmacies sold the four-tablet supply for $79.46, a gross profit of $8.74. On the other hand, the Pharmacies’ acquisition cost of the generic equivalent Alendronate was $6.24 for a four-tablet supply. The Funds claim that to satisfy Minn.Stat. § 151.21, subd. 4, the highest price for which the Pharmacies could sell Alendronate would be $14.98 (the acquisition cost of $6.24 plus the gross profit of $8.74 realized by the sale of the brand name Fosamax). The Funds claim that the Pharmacies violated Minn.Stat. § 151.21, subd. 4, by selling Alendronate for as much as $70.83 for a four-tablet supply, an overcharge of $55.85.

In July 2009, the Funds filed suit against the Pharmacies in state district court, alleged various generic drug pricing claims based on violations of MinmStat. § 151.21, subd. 4, and also requested class certification. Graphic Commc’ns Local IB Health & Welfare Fund “A” v. CVS Care-mark Corp., Civil No. 09-2203 (MJD/JSM), 2011 WL 5826687, at ⅜1 (D.Minn. Oct. 13, 2011). The Pharmacies removed the case to federal court in August 2009, and the parties litigated the jurisdiction of the federal court to hear the case. Id. at *1-3. In November 2011, the federal district court granted the Funds’ motion to remand the case to state court. Graphic Commc’ns Local IB Health & Welfare Fund ‘A” v. CVS Caremark Corp., Civil No. 09-2203 (MJD/JSM), 2011 WL 5827182, at *1 (D.Minn. Nov. 18, 2011).

On remand to state district court, the Funds filed an amended complaint asserting causes of action for (1) violations of the Pharmacy Practice Act, MinmStat. § 151.21, subd. 4; (2) violations of Minnesota’s Consumer Fraud Act (CFA), Minn. Stat. § 325F.69, subd. 1; and (3) unjust enrichment. In July 2012, the district court dismissed the Funds’ complaint with prejudice, concluding that no private cause of action exists under MinmStat. § 151.21, subd. 4, and that the Funds failed to plead an actionable claim under the CFA because the Pharmacies did not have a duty to disclose their prescription-drug acquisition costs. The court also concluded that without a private cause of action under MinmStat. § 151.21, subd. 4, the Funds’ unjust enrichment claim necessarily failed.

In a divided opinion, the court of appeals affirmed in part, reversed in part, and remanded. Graphic Commc’ns Local IB Health & Welfare Fund ‘A” v. CVS Care-mark Corp., 833 N.W.2d 403, 414 (Minn. App.2013). The court unanimously affirmed the dismissal of the claim brought under MinmStat. § 151.21, subd.

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Bluebook (online)
850 N.W.2d 682, 2014 WL 2965400, 2014 Minn. LEXIS 319, Counsel Stack Legal Research, https://law.counselstack.com/opinion/graphic-communications-local-1b-health-welfare-fund-a-v-cvs-caremark-minn-2014.