Medical Center Pharmacy v. Eric Holder, Jr.

634 F.3d 830, 2011 U.S. App. LEXIS 3784, 2011 WL 668006
CourtCourt of Appeals for the Fifth Circuit
DecidedFebruary 25, 2011
Docket10-50031
StatusPublished
Cited by60 cases

This text of 634 F.3d 830 (Medical Center Pharmacy v. Eric Holder, Jr.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Medical Center Pharmacy v. Eric Holder, Jr., 634 F.3d 830, 2011 U.S. App. LEXIS 3784, 2011 WL 668006 (5th Cir. 2011).

Opinion

PRADO, Circuit Judge:

This case is before us for the second time. In our first opinion, 1 we held that “compounded” drugs are “new” drugs under the Federal Food, Drug, and Cosmetic Act (“FDCA”), 21 U.S.C. §§ 301-399a, but that they are exempt from the FDCA’s adulteration, misbranding, and new-drug-approval provisions if they comply with the conditions set forth in 21 U.S.C. §§ 353a and 360b(a).

On remand, the defendant, the Food and Drug Administration (“FDA”), argued that our first opinion enlarged its authority to inspect the records of pharmacies that compound drugs. Before the first appeal, the district court had ruled that state-law-compliant pharmacies are exempt from FDA records inspections under 21 U.S.C. § 374(a)(2)(A). The district court agreed with the FDA’s argument on remand, however, and entered a new judgment declaring that, notwithstanding § 374(a)(2)(A), the FDA may conduct limited inspections of pharmacy records to determine if pharmacy-compounded drugs comply with the conditions set forth in §§ 353a and 360b(a).

The plaintiffs, which are ten pharmacies that compound prescription drugs (“the Pharmacies”), appeal the district court’s second inspection ruling. They contend, among other things, that because the FDA did not appeal the original inspection ruling, it forfeited the inspection issue, and therefore the district court erred by reopening the issue on remand. We agree that the FDA forfeited the inspection issue, and thus we vacate and remand.

I. FACTUAL AND PROCEDURAL HISTORY

In 2005, the Pharmacies filed this lawsuit for declaratory and injunctive relief, challenging the authority of the FDA to regulate compounded drugs under the FDCA. They sought four declaratory judgments, two of which are relevant to this appeal: (1) “that compounded drugs are not ‘new drugs’ or ‘new animal drugs’ under [the FDCA], and on this basis, that they are not subject to the requirements and prohibitions imposed by the FDCA on such drugs,” and (2) “that the Pharmacies’ compliance with 21 U.S.C. § 374(a)(2)(A) makes them exempt from the heightened ‘records inspection’ authorized by § 374(a)(1).” Med. Ctr. Pharmacy, 536 F.3d at 392.

The district court granted summary judgment to the Pharmacies on both declarations. See Med. Ctr. Pharmacy v. Gonzales, 451 F.Supp.2d 854 (W.D.Tex.2006). Regarding the first declaration, the court ruled that compounded drugs are “implicitly exempt from the new drug definitions,” id. at 858, and are “implicitly exempt from *833 the new drug approval process.” Id. at 863. Regarding the other declaration, the court held that under § 374(a)(2)(A), “if a pharmacy is compliant with local laws, and dispenses drugs pursuant to the receipt of a prescription from a licensed practitioner, and compounds in the regular course of its own individualized business, the pharmacy is exempt from [FDA records inspections].” Id. at 866. Further, the court ruled that “[i]n order to conduct a [records] inspection of a pharmacy [that] meets the requirements found in the exemption, the FDA must demonstrate why the pharmacy does not qualify for the exemption.” Id. The court found that because the FDA had failed to show that the Pharmacies did not qualify for the exemption, the Pharmacies were entitled to protection from future records inspections. Id.

The FDA then filed a motion to alter or amend the judgment, challenging the district court’s rulings on summary judgment. On the inspection issue, the FDA argued that because of the conditions in § 353a, the Pharmacies

may not compound drugs free from FDA inspection of their records simply by meeting the criteria of section 374(a)(2)(A).
... Whatever may have been drawn from section 374(a)(2)(A) with regard to inspection of compounding pharmacies prior to the enactment of section 353a, the construction of the inspection exception must now be informed by the specific, later enacted, requirements of section 353a applicable as a result of this court’s holding.

The Pharmacies contested this point in their response. In its reply, the FDA reiterated its position that “the [FDCA]’s inspection provisions must be read to allow full inspections to determine compliance, or lack thereof, with section 353a.” The district court denied the post-judgment motion.

The FDA appealed. Despite raising the inspection issue in its motion to alter or amend, the FDA appealed only the district court’s ruling on the new-drug issue. It did not challenge the inspection declaration, and, in its brief, it specifically disavowed any intent to raise the inspection issue:

The district court also ruled that, on the basis of the evidence before it, FDA could not inspect the records of the ten plaintiff pharmacies “unless it demonstrates that they are no longer meeting the requirements set forth in [§ 374(a)(2)(A)].” That ruling is not here at issue.

On appeal, we reversed the district court’s ruling on the new-drug issue, holding instead that compounded drugs are “new” drugs under the FDCA, but that they are exempt from the FDCA’s substantive provisions if they comply with the conditions in §§ 353a and 360b(a). Med. Ctr. Pharmacy, 536 F.3d at 394. Therefore, we “VACATED and REMANDED for further proceedings as appropriate in accordance with this opinion.” Id. at 409. Our opinion did not address the inspection issue, except to note that “[n]either party appeals the holding[] regarding ‘records inspection.’ ” Id. at 393.

But, on remand, the FDA argued that our clarification of the statutory scheme for compounded drugs necessitated a reevaluation of the district court’s original inspection declaration. The district court agreed, and it entered a new judgment that declared that the FDA has the statutory authority to conduct limited inspections of the records of pharmacies “to determine whether drugs compounded [in those pharmacies] are eligible for the exemption provided by §[§] 353a [and] 360b(a).”

*834 The Pharmacies appeal from this judgment, arguing that the FDA, by failing to appeal the original inspection declaration, forfeited the inspection issue, and therefore the district court violated the law-of-the-case doctrine or, alternatively, the waiver doctrine when it reversed itself on remand.

II. STANDARD OF REVIEW

Whether the law-of-the-case doctrine or its related doctrines, including the waiver doctrine, forecloses any of the district court’s actions on remand is a question of law that we review de novo. See Gen. Universal Sys., Inc. v. HAL, Inc.,

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634 F.3d 830, 2011 U.S. App. LEXIS 3784, 2011 WL 668006, Counsel Stack Legal Research, https://law.counselstack.com/opinion/medical-center-pharmacy-v-eric-holder-jr-ca5-2011.