Kirkbride v. The Kroger Co.

CourtDistrict Court, S.D. Ohio
DecidedJuly 12, 2022
Docket2:21-cv-00022
StatusUnknown

This text of Kirkbride v. The Kroger Co. (Kirkbride v. The Kroger Co.) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kirkbride v. The Kroger Co., (S.D. Ohio 2022).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO EASTERN DIVISION

JUDY KIRKBRIDE, et al., : : individually, and on behalf of : all others similarly situated, : Case No. 2:21-cv-0022 : Plaintiffs, : Chief Judge Algenon L. Marbley : v. : Magistrate Judge Elizabeth P. Deavers : THE KROGER CO., : : Defendant. :

OPINION & ORDER This matter is before the Court on Defendant’s Motion to Dismiss (ECF No. 32) and Defendant’s Motion to Strike Class Allegations (ECF No. 35). For the reasons that follow, Plaintiffs’ request for injunctive relief is STRICKEN, as are their class allegations under Rule 23(b)(1) and (b)(2). Defendant’s Motions are DENIED in all other respects. I. BACKGROUND A. Factual Allegations and Procedural Posture Named Plaintiffs, residents of Ohio and Texas, bring this case on behalf of a putative class “defined as all persons in the United States who paid for, in full or in part, a prescription generic drug that Kroger included in its Rx Savings Club, and who were insured for the purchase through a third-party payor.” (ECF No. 30 ¶ 28). Plaintiffs also define subclasses in Ohio and Texas, with otherwise identical parameters to the nationwide class. (Id. ¶¶ 29–30). As alleged, Defendant Kroger harmed Plaintiffs and the class through “a fraudulent and deceptive pricing scheme to overcharge customers with third-party insurance providers . . . on purchases of generic prescription medication.” (Id. ¶ 1). Plaintiffs seek recovery under theories of fraud, unjust enrichment, and negligent misrepresentation. At its core, Plaintiffs’ case concerns Kroger’s definition of its “usual and customary” prices, which are used to calculate copayments for insured customers. (Id.). According to the National Council for Prescription Drug Programs (“NCPDP”),1 “usual and customary” means the

“[a]mount charged cash customers for the prescription exclusive of sales tax or other amounts claimed.” (Id. ¶ 17 (quoting NCPDP Reference Manual)). Plaintiffs allege that pharmacy benefit managers, following the NCPDP definition, include “any discounts or special promotions,” such as “senior discounts, frequent shopper discounts and other special discounts offered to attract customers,” and exclude any membership fees for savings clubs. (Id. ¶ 18 (quoting Express Scripts Pharmacy Network Manual and Prime Therapeutics LLC Pharmacy Provider Manual)). Since 2018, Kroger has offered an “Rx Savings Club” that “provides deep discounts to cash purchasers on many commonly prescribed generic drugs.” (Id. ¶ 21). Membership costs $36 per year for individuals or $72 per year for families.2 That cost, however, is quickly eclipsed by

1 The NCPDP “is a non-profit organization that develops industry standards for electronic healthcare transactions used in prescribing, dispensing, monitoring, managing, and paying for medications and pharmacy services.” (Id. ¶ 15 n.1). Per the Amended Complaint, “Kroger follows [the NCPDP’s] uniform process at its pharmacies for each prescription drug transaction.” (Id. ¶ 15).

2 Despite being pled in the Original Complaint (see ECF No. 1 ¶ 17), the existence and amount of the membership fee are not alleged in the Amended Complaint. At Kroger’s request (ECF No. 32-1 at 2 n.2), the Court takes judicial notice of the membership fee, which is “accurately and readily determined from sources whose accuracy cannot reasonably be questioned.” Fed. R. Evid. 201(b). Such sources include Kroger’s December 12, 2018 press release (linked in their Motion), as well as the public website (krogersc.com) from which Plaintiffs collected their pricing samples. (See ECF No. 30 ¶¶ 24–25). The membership fee appropriately may be considered at this stage without converting the Motion to Dismiss into one for summary judgment. See Nieman v. NLO, Inc., 108 F.3d 1546, 1554 (6th Cir. 1997) (“In determining whether to grant a Rule 12(b)(6) motion, the court primarily considers the allegations in the complaint, although matters of public record, orders, items appearing in the record of the case, and exhibits attached to the complaint, discounts as high as 80 or 90%. (Id. ¶¶ 24–25). Some prescriptions even are free. (Id. ¶ 21). “Because these discounts are so attractive, most of Kroger’s cash-paying customers now pay the [Savings Club] price. In other words, the [Savings Club] price is now the price at which Kroger sells generic prescriptions to cash-paying customers as a usual and customary matter.” (Id. ¶ 22). Yet, for customers with third-party insurance, Kroger allegedly has failed to factor the Savings

Club discounts into its “usual and customary” prices, contrary to industry standards. (Id. ¶¶ 22– 23). As a result, Kroger charged copayments to each named Plaintiff that exceeded the Savings Club price of the prescription. Plaintiff Kirkbride was overcharged by $1.97 on one purchase, Plaintiff Berger by $287.10 across 40 purchases, Plaintiff Hatfield by $237.96 across 18 purchases, Plaintiff Mackert by $72.90 across 24 purchases, and Plaintiff Lewis by $71.91 across 5 purchases. (Id. ¶¶ 4–8). Each named Plaintiff alleges that he or she “paid the inflated copayments with the understanding that the U&C [usual and customary] price that Kroger reported to [Plaintiff] and the NCPDP were the actual U&C prices paid by cash-paying customers, and that the copayments that

Kroger charged [Plaintiff] were based on an accurate U&C [price].” (Id.). Each also alleges they “would not have paid the inflated copayments but for Kroger’s wrongful conduct.” (Id.). “Put another way, the gravamen of this action . . . is that, contrary to industry standards, Kroger deceived Plaintiffs and class members by reporting U&C prices above the prices available to members of the [Savings Club] program (who are, by definition, cash-paying customers), and then charging Plaintiffs and class members inflated copayments.” (Id. ¶ 2).

also may be taken into account.” (emphasis added) (quoting 5A Charles A. Wright & Arthur R. Miller, Federal Practice and Procedure § 1357 (2d ed. 1990))). Kroger moves to dismiss the Amended Complaint under Rules 9(b) and 12(b)(6). (ECF No. 32). In the alternative, Kroger moves to dismiss or strike the request for injunctive relief under Rules 12(b)(1) or 12(f), and to strike the class allegations under Rule 23(d)(1)(D). (ECF Nos. 32, 35). After full briefing (ECF Nos. 37 & 39; Nos. 38 & 40), these matters stand ripe for adjudication. B. Parallel Litigation

In their response brief opposing dismissal, Plaintiffs identify three other class actions pending against national pharmacy chains (not including Kroger) in federal courts across the country, all concerning similar allegations of inflating “usual and customary” prices relative to savings club prices. (ECF No. 37 at 2). As summarized below, each of these cases has proceeded beyond the pleadings stage: 1. Corcoran v. CVS Health Corp., Case No. 4:15-cv-03504 (N.D. Cal.) partly survived dismissal on March 14, 2016. See 169 F. Supp. 3d 970 (ECF No. 96 on case docket). The case went to trial in 2021, with a verdict for CVS. (ECF No. 611 on case docket). 2. Forth v. Walgreen Co., Case No. 1:17-cv-02246 (N.D. Ill.) largely survived dismissal on

March 9, 2018. See 2018 WL 1235015 (ECF No. 91 on case docket). The case remains pending. 3. Stafford v. Rite Aid Corp., Case No. 3:17-cv-01340 (S.D. Cal.) fully survived dismissal on September 28, 2018. See 2018 WL 4680043 (ECF No. 41 on case docket). The case is stayed for mediation. (ECF No. 212 on case docket). These cases are discussed in further detail in the sections that follow.3

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