J.R. v. Walgreens Boots Alliance, Inc.

Court of Appeals for the Fourth Circuit·Decided October 19, 2021·No. 20-1767·Unpublished

Opinion

UNPUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 20-1767

J.R., individually and on behalf of her minor children A.R. and H.K.; J.H., individually, and on behalf of all others similarly situated; B.Y., individually, and on behalf of all others similarly situated; J.S., individually, and on behalf of all others similarly situated,

Plaintiffs – Appellants,

v. WALGREENS BOOTS ALLIANCE, INC.; WALGREEN CO., Defendants – Appellees.

Appeal from the United States District Court for the District of South Carolina, at Charleston. David C. Norton, District Judge. (2:19-cv-00446-DCN)

Argued: September 22, 2021 Decided: October 19, 2021

Before MOTZ and AGEE, Circuit Judges, and KEENAN, Senior Circuit Judge.

Affirmed by unpublished per curiam opinion.

ARGUED: Michael J. Moore, POPE MCGLAMRY KILPATRICK MORRISON & NORWOOD, P.C., Atlanta, Georgia, for Appellants. Robert N. Hochman, SIDLEY AUSTIN LLP, Chicago, Illinois, for Appellees. ON BRIEF: Charles W. Byrd, Aimee J. Hall, POPE MCGLAMRY KILPATRICK MORRISON & NORWOOD, P.C., Atlanta, Georgia; William N. Nettles, BILL NETTLES LAW, Columbia, South Carolina, for Appellants. David E. Dukes, Amanda S. Kitts, Adam J. Hegler, NELSON MULLINS

RILEY & SCARBOROUGH LLP, Columbia, South Carolina; Scott D. Stein, Matthew C. Bergs, Ross O. Kloeber, SIDLEY AUSTIN LLP, Chicago, Illinois, for Appellees.

Unpublished opinions are not binding precedent in this circuit.

PER CURIAM:

Six pharmacy customers (“Plaintiffs”) appeal from the district court’s dismissal of their twelve-count class action suit against Walgreens Boot Alliance, Inc. (“WBA”) and Walgreen Company (collectively, “Walgreens”). At bottom, Plaintiffs allege that the transfer of their personal identifying information (“PII”) from the Walgreens pharmacy filling their prescription to separate, internal company databases violates their rights under various federal and state statutes and state tort claims. For the following reasons, we affirm the judgment of the district court.

I.

We accept as true all well-pleaded allegations in Plaintiffs’ Amended Complaint and view it in the light most favorable to them. Ostrzenski v. Seigel, 177 F.3d 245, 251 (4th Cir. 1999). Through that lens, the relevant facts are as follows.

Congress enacted the 340B Drug Pricing Program (the “Program”) in 1992, which requires participating manufacturers to provide certain prescription drugs at significantly discounted prices to eligible and enrolled health care providers (“covered entities”). Covered entities typically serve low-income patients with limited access to health care. Given the cost savings involved, federal law expressly prohibits covered entities from “resell[ing] or otherwise transfer[ring]” a 340B drug “to a person who is not a patient of the entity.” 42 U.S.C. § 256b(a)(5)(B). Covered entities are subject to audits by both the Department of Health and Human Services and participating drug manufacturers. Sometimes lacking the resources to operate in-house pharmacies, covered entities often

engage a retail pharmacy (“contract pharmacy”) to dispense 340B-eligible drugs purchased by the covered entity to the low-income patient.

Relevant here, Walgreens is a 340B contract pharmacy for several covered entities in South Carolina, some of which provided Plaintiffs with medical services and use Walgreens pharmacies in South Carolina to fill their patients’ prescriptions. All South Carolina pharmacies must comply with the South Carolina Pharmacy Practice Act (the “PPA”), S.C. Code Ann. § 40-43-10 et seq.; the South Carolina Prescription Information Privacy Act (the “PIPA”), S.C. Code Ann. § 44-117-10 et seq.; and the American Pharmaceutical Association Code of Ethics.

In 2010, Walgreens created a separate division within its corporate organization, “340B Complete,” to oversee administration of its contract pharmacy operations and ensure compliance with the Program. This division is separate from other aspects of Walgreens’ operations, including its pharmaceutical, photo, and retail divisions. None of the 160 employees working in the 340B Complete division are licensed pharmacists.

When any patient seeks to fill a prescription at a Walgreens pharmacy, the pharmacist first enters the patient’s PII into a “proprietary computer software system” called IntercomPlus, which all Walgreens pharmacies nationwide can access. J.A. 36. That PII includes: the patient’s name, address, date of birth, payment information, and third- party reimbursement rate; the drug’s name, dosage, frequency, and refill information; and the prescribing physician’s information. The PII in IntercomPlus is then transferred to a “corporate central repository” called Enterprise Data Warehouse (“EDW”), J.A. 41, all of which is part of the same Walgreens corporate entity.

Walgreens markets to covered entities a commercial software product registered and trademarked as “340B Complete®,” which extracts the PII from EDW and compares it to the PII that a given Walgreens pharmacy received from a covered entity. Assuming there is a match, the 340B Complete® software transfers the PII on file in EDW into Walgreens’ 340B Complete payment process.

This data transferring occurs for purposes of replenishing the pharmaceutical drugs that a Walgreens pharmacy dispenses to a 340B patient. Under federal law, only a covered entity may purchase 340B drugs. Walgreens cannot. Using 340B Complete®, Walgreens performs a financial analysis to determine if it is less expensive to process payment through the patient’s insurance company. If so, Walgreens will submit the claim to insurance, retain the full insurance reimbursement amount as it would with any ordinary consumer, and purchase the resupply itself. If, however, it is cheaper for Walgreens to process the transaction as a 340B event, then 340B Complete® will designate it as such. This enables Walgreens to replenish the drug inventory through the covered entity for a 340B patient and not run afoul of the distinction between 340B and non-340B prescription drug purchases.

Nonetheless, Plaintiffs claim the transfer of their PII from the pharmacy filling their prescription to EDW, and the transfer from EDW to 340B Complete®, violates various rights. Among other claims, they allege that they never gave Walgreens permission to use or transfer their PII and that Walgreen’s Notice of Privacy Policy (“NPP”) did not inform them that their PII would be used in 340B Complete®.

II.

Plaintiffs filed a twelve-count class action Amended Complaint, seeking preliminary 1 and permanent injunctive relief, as well as “compensatory, exemplary, and punitive damages in amounts to be determined.” J.A. 80. The claims are as follows: (1) invasion of privacy: wrongful appropriation; (2) invasion of privacy: wrongful publicizing of private affairs; (3) negligence per se based on violations of the PIPA; (4) breach of contract; (5) negligence (based on violations of the PIPA, the PPA, and regulations issued by the South Carolina Board of Pharmacy); (6) negligence (based on a duty to disclose to Plaintiffs “the true facts about [Walgreens’] substandard patient privacy practices,” J.A. 67); (7) respondeat superior 2; (8) negligent training and supervision; (9) unjust enrichment; (10) violation of the Fair Credit Reporting Act (“FCRA”), 15 U.S.C. §§ 1681–1681x; (11) negligence per se based on violations of the FCRA, 3 the Health Insurance Portability and

1 The district court denied Plaintiffs’ motion for a preliminary injunction. Plaintiffs’

appeal from that decision is currently being held in abeyance pending resolution of this appeal. See J.R. v. Walgreens Boots Alliance, Inc., No. 19-2404.

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