In re: Express Scripts, Inc.

CourtCourt of Appeals for the Fourth Circuit
DecidedMay 15, 2026
Docket25-2281
StatusPublished

This text of In re: Express Scripts, Inc. (In re: Express Scripts, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re: Express Scripts, Inc., (4th Cir. 2026).

Opinion

USCA4 Appeal: 25-2281 Doc: 39 Filed: 05/15/2026 Pg: 1 of 26

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 25-2281

In re: EXPRESS SCRIPTS, INC.,

Petitioner.

On Petition for Writ of Mandamus. United States District Court for the Northern District of West Virginia at Wheeling. John Preston Bailey, District Judge. (5:24-cv-142-JPB)

Argued: March 19, 2026 Decided: May 15, 2026

Before NIEMEYER, RICHARDSON, and HEYTENS, Circuit Judges.

Petition granted in part by published opinion. Judge Richardson wrote the opinion, in which Judge Niemeyer and Judge Heytens join.

ARGUED: Christopher George Michel, QUINN EMANUEL URQUHART & SULLIVAN, LLP, Washington, D.C., for Petitioner. Anthony J. Majestro, POWELL & MAJESTRO, PLLC, Charleston, West Virginia, for Respondents. ON BRIEF: Charles R. Bailey, Justin C. Taylor, BAILEY & WYANT, PLLC, Charleston, West Virginia; William J. Ihlenfeld, Maximillian F. Nogay, FLANNERY GEORGALIS, LLC, Morgantown, West Virginia; Michael J. Lyle, Jonathan G. Cooper, QUINN EMANUEL URQUHART & SULLIVAN, LLP, Washington, D.C., for Petitioner. Christina L. Smith, POWELL & MAJESTRO, PLLC, Charleston, West Virginia; Paul T. Farrell, Jr., Michael J. Fuller, Jr., FARRELL & FULLER, LLC, San Juan, Puerto Rico; Robert P. Fitzsimmons, Clayton J. Fitzsimmons, Mark A. Colantonio, Christine Pill Fisher, FITZSIMMONS LAW FIRM, PLLC, Wheeling, West Virginia, for Respondents. USCA4 Appeal: 25-2281 Doc: 39 Filed: 05/15/2026 Pg: 2 of 26

RICHARDSON, Circuit Judge:

The right to a jury trial was “the glory of the English law.” 3 William Blackstone,

Commentaries *379 (1768). So the Founders enshrined it in the Seventh Amendment,

ensuring that the right would be preserved in “Suits at common law.” U.S. Const. amend.

VII.

In this case, Plaintiffs—120 local governments in West Virginia—brought a public-

nuisance claim against Express Scripts. They allege that Express Scripts contributed to the

oversupply of opioids in their communities. For their remedy, they seek an “abatement

fund” that would pay not only for the removal of this oversupply, but also for addiction

treatment, education, and community rehabilitation. Express Scripts demanded a jury trial,

which the district court denied. Express Scripts then petitioned this Court for a writ of

mandamus to vindicate its right to a jury trial. We grant the writ.

The Seventh Amendment entitles litigants to a jury trial unless the claim would have

been heard, and the remedy awarded, by courts of equity at the Founding. In public-

nuisance cases, only courts of law could provide money damages to redress the

downstream harms of a public nuisance. Part of the relief Plaintiffs seek—including

funding to treat addicts and to educate the public about opioid risks—is a classic legal

remedy. Plaintiffs’ proposed remedy thus goes beyond what a court of equity could have

provided in 1791. So Express Scripts is entitled to a jury trial.

I. BACKGROUND

Plaintiffs—120 cities, towns, and counties across West Virginia—sued Express

Scripts—a pharmacy benefit manager—alleging that it created a public nuisance. They

2 USCA4 Appeal: 25-2281 Doc: 39 Filed: 05/15/2026 Pg: 3 of 26

claim that Express Scripts interfered with public rights to health and safety by contributing

to the oversupply of opioids in their jurisdictions. 1 And they seek an injunction requiring

Express Scripts to “fund the abatement of the ongoing public nuisance” and “compensate”

Plaintiffs “for the costs of rectifying the nuisance.” 2 Second Am. Compl. ¶ 911, Dkt. No.

128 (first quote); Resp. to Pet. for Writ of Mandamus 19 (second quote). Express Scripts

demanded a jury trial on this claim.

Plaintiffs recently dismissed several other claims against Express Scripts, leaving

only their public-nuisance claim. But Plaintiffs have not filed a revised complaint, so it is

somewhat difficult for us to determine what their abatement fund would include. We thus

rely on statements made by Plaintiffs’ counsel at oral argument to discern what they claim

1 Our Court recently held that “under West Virginia law, an unreasonable interference with a right common to the general public resulting from the distribution of opioids may qualify as a public nuisance when the evidence establishes that distribution of this product unreasonably ‘operates to hurt or inconvenience an indefinite number of persons.’” City of Huntington v. AmerisourceBergen Drug Corp., 157 F.4th 547, 563 (4th Cir. 2025) (quoting State ex rel. Smith v. Kermit Lumber & Pressure Treating Co., 488 S.E.2d 901, 921 (W. Va. 1997)). Although this holding was only an Erie prediction as to “what the State Supreme Court would conclude based on that state’s existing law,” id. at 562, we are bound by that prediction until West Virginia’s highest court speaks to the issue. See Erie R.R. Co. v. Tompkins, 304 U.S. 64, 79–80 (1938); Stahle v. CTS Corp., 817 F.3d 96, 100 (4th Cir. 2016); see also City of Huntington v. AmerisourceBergen Drug Corp., 915 S.E.2d 828, 838 (W. Va. 2025) (declining to answer this as a certified question). 2 See W. Va. Code § 61-9-3 (2026) (“Whenever a nuisance exists, the attorney general of the State, the prosecuting attorney of the county wherein the same exists, or any person who is a citizen, resident or taxpayer of the county, may bring suit in equity in the name of the State of West Virginia, upon the relation of such attorney general, prosecuting attorney, or any person, to abate such nuisance and to perpetually enjoin the person or persons maintaining the same from further maintenance thereof.”); Kermit Lumber & Pressure Treating Co., 488 S.E.2d at 921; Duff v. Morgantown Energy Assocs., 421 S.E.2d 253, 257 (1992). 3 USCA4 Appeal: 25-2281 Doc: 39 Filed: 05/15/2026 Pg: 4 of 26

would be among “the costs of rectifying the nuisance.” There, Plaintiffs stated that the

abatement fund “would be something like the abatement plan in Huntington,” 3 and would

cover not only eliminating the oversupply of opioids, but also treatment for addiction,

community rehabilitation, and education about the dangers of opioids. 4

Despite Express Scripts’ demand for a jury trial, the district court ordered a

bifurcated bench trial on Plaintiffs’ public-nuisance claim. Phase I was set to address:

(1) whether Express Scripts caused the alleged oversupply and diversion of opioids

throughout West Virginia; and (2) whether that oversupply and diversion constitute a

public nuisance under West Virginia law. If Plaintiffs were to prevail at Phase I, the case

would then proceed to a “statewide abatement trial” in Phase II, which would address

“causation of opioid epidemic harms in Plaintiffs’ communities that relate to the equitable

remedy of abatement.” Add. to Pet. for Writ of Mandamus (“Add.”) 1–2.

Express Scripts moved for reconsideration and, in the alternative, certification of

several issues for interlocutory appeal under 28 U.S.C. § 1292(b). First, Express Scripts

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