MSP Recovery Claims, Series LLC v. Jazz Pharmaceuticals, PLC

CourtDistrict Court, N.D. California
DecidedJuly 22, 2024
Docket5:23-cv-01591
StatusUnknown

This text of MSP Recovery Claims, Series LLC v. Jazz Pharmaceuticals, PLC (MSP Recovery Claims, Series LLC v. Jazz Pharmaceuticals, PLC) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
MSP Recovery Claims, Series LLC v. Jazz Pharmaceuticals, PLC, (N.D. Cal. 2024).

Opinion

1 2 3 4 5 UNITED STATES DISTRICT COURT 6 NORTHERN DISTRICT OF CALIFORNIA 7 SAN JOSE DIVISION 8 9 MSP RECOVERY CLAIMS, SERIES LLC, Case No. 5:23-cv-01591-EJD

10 Plaintiff, ORDER GRANTING MOTION TO DISMISS 11 v.

12 JAZZ PHARMACEUTICALS, PLC, et al., Re: Dkt. No. 101 Defendants. 13

14 Plaintiff, MSP Recovery Claims, Series LLC (“MSP”), brings this class action against 15 Defendants Jazz Pharmaceuticals, PLC, Jazz Pharmaceuticals, Inc., and Jazz Pharmaceuticals 16 Ireland, LTD (collectively, “Jazz”); Express Scripts, Inc., Express Scripts Specialty Distribution 17 Services, Inc., Curascript, Inc., and Priority Healthcare Distribution, Inc., (collectively, “Express 18 Scripts”); Caring Voice Coalition (“CVC”); and Adira Foundation (“Adira”) (all together, 19 “Defendants”) alleging that Defendants conspired to raise the price and quantity of two 20 pharmaceutical drugs in violation of the Racketeer Influenced and Corrupt Organizations Act 21 (“RICO”), 18 U.S.C. § 1962, as well as various states’ consumer protection and tort laws. First 22 Am. Compl. (“FAC”), ECF No. 97. 23 Before the Court is Defendants’ motion to dismiss MSP’s FAC pursuant to Federal Rules 24 of Civil Procedure 12(b)(1) and 12(b)(6). Mot. to Dismiss (“Mot.”), ECF No. 101. MSP filed an 25 opposition, and Defendants filed a reply. Opp’n, ECF No. 104; Reply, ECF No. 106. 26 Having carefully reviewed the relevant documents, the Court finds this matter suitable for 27 decision without oral argument pursuant to Civil Local Rule 7-1(b). For the reasons stated below, 1 the Court GRANTS Defendants’ motion to dismiss with leave to amend. 2 I. BACKGROUND 3 The Court previously summarized MSP’s allegations in its prior order granting 4 Defendants’ first motions to dismiss (“Prior Order”). See Order Granting Mots. to Dismiss (“Prior 5 Order”), ECF No. 96. These allegations remain largely unchanged and need not be repeated here. 6 The Court will therefore only discuss the facts relevant to the present analysis. 7 A. Factual Background 8 This case arises out of Defendants’ alleged conspiratorial kickback scheme to circumvent 9 congressionally mandated co-payments and increase the unit price and quantity of two prescription 10 drugs manufactured by Jazz: Xyrem and Prialt (“Subject Drugs”). FAC ¶¶ 1, 3–4. MSP 11 essentially alleges that Jazz donated money to CVC to be used almost exclusively to help patients 12 pay their co-payments for the Subject Drugs. Id. ¶¶ 4, 39. As a result, patients were able to 13 purchase the Subject Drugs for free. Id. ¶¶ 10, 72. Because more patients could now afford the 14 Subject Drugs, more patients placed orders for the Subject Drugs through their health care 15 insurance providers, and Jazz’s profits increased accordingly. See id. ¶¶ 14, 15, 246, 511. As 16 demand for the Subject Drugs increased, MSP alleges that Jazz also raised their prices 17 exponentially. Id. In the end, Jazz allegedly acquired unlawfully obtained profits from artificially 18 inflated purchases and supra-competitive pricing. Id. ¶ 4. MSP also alleges that Jazz paid 19 pharmacies, including Express Scripts, to refer patients to CVC. Id. ¶ 6. Upon receiving co-pay 20 assistance from CVC, these pharmacies would generate and submit claims for payment directly to 21 Medicare and Medicaid health plans. Id. According to MSP, this scheme injured the Medicare 22 and Medicaid health care insurance providers who had to pay for the Subject Drugs at artificially 23 inflated rates and supra-competitive pricing. See id. ¶ 16. 24 MSP brings this action on behalf of the following seven Medicare and Medicaid health 25 insurance coverage companies (“Assignors”) who paid out claims for the Subject Drugs during the 26 period of allegedly unlawful conduct: (1) AvMed, Inc., (“AvMed”), assigned claims to MSP on 27 June 19, 2019, id. ¶ 77; (2) SummaCare, Inc., (“SummaCare”), assigned claims to MSP on May 1 12, 2017. id. ¶ 81; (3) Network Health, Inc., (“NHPN”), assigned claims to MSP on August 9, 2 2017, id. ¶ 88; (4) Health Alliance Medical Plans, Inc., (“HEAL”), assigned claims to MSP on 3 March 19, 2019, id. ¶ 97; (5) Fallon Community Health (“FCHP”), assigned claims to MSP on 4 June 19, 2017, id. ¶ 104; (6) Group Health Incorporated and Health Insurance Plan of Greater New 5 York (“EHTH”), assigned claims to MSP on March 20, 2018, id. ¶ 108; and (7) ConnectiCare, 6 Inc., (“CONC”), assigned claims to MSP on March 20, 2018, id. ¶ 114. 7 B. Procedural History 8 MSP originally filed this action on April 3, 2023, on behalf of one named Assignor, 9 SummaCare, and an unknown amount of unnamed assignors, claiming $700,000 in damages 10 acquired from “at least” January 1, 2011, through April 3, 2023. See Compl., ECF No. 1. 11 On December 12, 2023, the Court granted Defendants’ motions to dismiss. See Prior 12 Order. The Court held that MSP could not brings claims on behalf of unnamed assignors, and 13 MSP failed to establish that the one named assignor, SummaCare, suffered an injury-in-fact. Id. 14 Specifically, the Court found that MSP failed to plead facts sufficient to show “when SummaCare 15 experienced an injury, what injury SummaCare experienced during the relevant period of 16 allegedly unlawful conduct, and to whom SummaCare paid the $700,000 that serves as the basis 17 of its injury.” Prior Order 8. The Court granted leave to amend. Id. 18 MSP filed the FAC on January 5, 2024. See FAC. The factual allegations remain largely 19 unchanged, but MSP added six new Assignors and now alleges damages of $3,000,000 incurred 20 from January 1, 2011, through 2020. Id. ¶ 69. Defendants filed a joint motion to dismiss the FAC 21 on February 20, 2024. See Mot. 22 II. LEGAL STANDARD 23 A. Rule 12(b)(1) 24 A district court must dismiss an action if it lacks jurisdiction over the subject matter of the 25 suit. Fed. Rules Civ. Pro. 12(b)(1). Once a defendant moves to dismiss for lack of subject matter 26 jurisdiction, the plaintiff has the burden of establishing the court’s jurisdiction. Chandler v. State 27 Farm Fut. Auto. Ins. Co., 598 F.3d 1115, 1122 (9th Cir. 2010). 1 B. Rule 12(b)(6) 2 A complaint must contain “a short and plain statement of the claim showing that the 3 pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). A defendant may move to dismiss a 4 complaint for failing to state a claim upon which relief can be granted under Rule 12(b)(6). When 5 deciding whether to grant a motion to dismiss under Rule 12(b)(6), the court must generally accept 6 as true all “well-pleaded factual allegations.” Ashcroft v. Iqbal, 556 U.S. 662, 664 (2009). While 7 a plaintiff need not offer detailed factual allegations to meet this standard, she is required to offer 8 “sufficient factual matter . . . ‘to state a claim to relief that is plausible on its face.’” Id. at 678 9 (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). The court must construe the 10 alleged facts in the light most favorable to the plaintiff. See Retail Prop. Trust v. United Bd. of 11 Carpenters & Joiners of Am., 768 F.3d 938, 945 (9th Cir. 2014) (“[The court] must accept as true 12 all factual allegations in the complaint and draw all reasonable inferences in favor of the 13 nonmoving party.”). However, “courts are not bound to accept as true a legal conclusion couched 14 as a factual allegation.” Iqbal, 556 U.S. at 678.

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MSP Recovery Claims, Series LLC v. Jazz Pharmaceuticals, PLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/msp-recovery-claims-series-llc-v-jazz-pharmaceuticals-plc-cand-2024.