Osterhaus Pharmacy Incorporated v. CVS Health Corporation
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Opinion
1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA
9 Osterhaus Pharmacy Incorporated, et al., No. CV-24-01539-PHX-JJT
10 Plaintiffs, ORDER
11 v.
12 CVS Health Corporation, et al.,
13 Defendants. 14 15 At issue are the residual portions of two related motions to compel arbitration filed 16 by Defendants against the four named plaintiffs in this class action (Doc. 42; Doc. 68). 17 Defendants’ motions are predicated upon an arbitration agreement1 that assigns to an 18 arbitrator both (1) adjudicative authority over the claims contained in Plaintiffs’ pleading 19 and (2) adjudicative authority over questions relating to the enforceability of the arbitration 20 agreement itself. In response to Defendants’ motions, Plaintiffs have argued that both 21 aspects of the arbitration agreement (i.e., the provision concerning the arbitrability of 22 Plaintiffs’ substantive claims and the provision concerning the arbitrability of the 23 agreement itself) are unconscionable and therefore unenforceable. In a prior Order 24 (Doc. 76), the Court held that the self-referential clause of the arbitration agreement 25 delegating to an arbitrator issues concerning the agreement’s own arbitrability is indeed 26 unenforceable. As a result of that holding, it became the duty of this Court, and not an
27 1 Although there exist separate arbitration agreements between Defendants and each respective plaintiff, the agreements are materially similar because, as discussed in more 28 detail below, they all derive from Defendants’ Provider Manuals. For ease of reference, the Court will refer to the parties’ arbitration agreement in the singular. 1 arbitrator, to determine whether the arbitration agreement is also unenforceable as applied 2 to Plaintiffs’ substantive claims. However, the Court declined to dispose of that matter in 3 the aforementioned prior Order and instead requested supplemental briefing on the issue, 4 which both sides have now provided (Doc. 82, Defendants’ Supp. Br.; Doc. 83, Plaintiffs’ 5 Supp. Br.). Defendants have also filed a Motion to Strike parts of Plaintiffs’ supplemental 6 brief (Doc. 86), to which Plaintiffs filed a response (Doc. 87) and Defendants filed a reply 7 (Doc. 90). The Court finds these matters appropriate for resolution without oral argument. 8 See LRCiv 7.2(f). 9 I. Background and Legal Standard 10 The Court summarized the facts of this case in its prior Order, (see Doc. 76 at 1–4), 11 and there is no need to recapitulate that background here. Plaintiffs bring seven claims in 12 their First Amended Complaint (Doc. 65), and Defendants assert that all seven claims are 13 subject to mandatory arbitration pursuant to the terms of the parties’ arbitration agreement. 14 Because the arbitration agreement at issue here concerns interstate commerce, it is 15 governed by the Federal Arbitration Act (FAA). See 9 U.S.C. § 2. When presented with a 16 dispute implicating the FAA, a court must compel arbitration if the court determines that a 17 valid agreement to arbitrate exists and that the agreement encompasses the dispute at issue. 18 Chiron Corp. v. Ortho Diagnostic Sys., Inc., 207 F.3d 1126, 1130 (9th Cir. 2000). District 19 courts apply state law principles governing the formation of contracts to determine whether 20 a valid arbitration agreement exists. First Options of Chi., Inc. v. Kaplan, 514 U.S. 938, 21 944 (1995). Under the FAA, “agreements to arbitrate [may] be invalidated by generally 22 applicable contract defenses, such as fraud, duress, or unconscionability, but not by 23 defenses that apply only to arbitration or that derive their meaning from the fact that an 24 agreement to arbitrate is at issue.” Lim v. TForce Logistics, LLC, 8 F.4th 992, 999 (9th Cir. 25 2021) (citation and internal quotations marks omitted). 26 The standard governing summary judgment controls the resolution of a motion to 27 compel arbitration. Hansen v. LMB Mortg. Servs., Inc., 1 F.4th 667, 670 (9th Cir. 2021). 28 “The summary judgment standard is appropriate because the district court’s order 1 compelling arbitration is in effect a summary disposition of the issue of whether or not 2 there had been a meeting of the minds on the agreement to arbitrate.” Id. (citation and 3 internal quotations marks omitted). 4 Plaintiffs do not contest that they entered into an arbitration agreement with 5 Defendants. Nor do Plaintiffs contest that this lawsuit falls within the ambit of that 6 agreement. Instead, Plaintiffs argue that the arbitration agreement is unenforceable by 7 virtue of its unconscionability under Arizona law. 8 II. The Court’s Prior Order and Defendants’ Motion to Strike 9 As noted above, the Court issued a prior Order that (1) disposed of the parties’ 10 dispute regarding the enforceability of the delegation clause but (2) requested supplemental 11 briefing regarding the enforceability of the arbitration agreement as a whole. (See Doc. 76.) 12 To reiterate, and to provide terminological clarity, an “arbitration agreement” is a 13 contractual provision assigning to an arbitrator adjudicative authority over a substantive 14 claim, whereas a “delegation clause” is a sub-provision of an arbitration agreement 15 assigning to an arbitrator adjudicative authority over threshold disputes concerning the 16 arbitrability of the agreement itself. In their briefing leading up to the Court’s prior Order, 17 Plaintiffs presented the Court with a raft of arguments purportedly showing that both the 18 arbitration agreement and the delegation clause were both procedurally and substantively 19 unconscionable.2 The Court categorically rejected Plaintiffs’ reasoning regarding 20 procedural unconscionability but accepted as facially persuasive some of Plaintiffs’ 21 reasoning concerning substantive unconscionability. However, although the Court found 22 the parties’ briefing to be sufficient upon which to hold the delegation clause substantively 23 unconscionable, the Court requested supplemental briefing as to the arbitration 24 agreement’s alleged unconscionability.3 In so requesting, the Court expressly limited the
25 2 In Arizona, substantive unconscionability and procedural unconscionability are separate defenses to enforcement of the terms of an arbitration agreement, and either one 26 standing alone is sufficient to render the contested terms void. Rizzio v. Surpass Senior Living LLC, 251 Ariz. 413, 417 ¶ 9 (2021). 27 3 The Court adopted this dichotomous approach based upon the Supreme Court’s instruction that district courts are to apply different standards in analyzing the validity of 28 arbitration agreements generally and delegation clauses in particular. See First Options, 514 U.S. at 944–45. 1 scope of supplemental briefing to substantive unconscionability. The Court’s Order was 2 not an invitation to restart the litigation process, make new arguments, or repeat arguments 3 that the Court had already rejected. Despite the express ambit of the Court’s Order, 4 Plaintiffs have once again presented several arguments relating to procedural 5 unconscionability. (See Plaintiffs’ Supp. Br. at 2–5.) 6 Defendants have moved the Court to strike the portion of Plaintiffs’ supplemental 7 brief that addresses procedural unconscionability or in the alternative to provide 8 Defendants an opportunity to submit their own argumentation on the subject. (See 9 Doc.
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1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA
9 Osterhaus Pharmacy Incorporated, et al., No. CV-24-01539-PHX-JJT
10 Plaintiffs, ORDER
11 v.
12 CVS Health Corporation, et al.,
13 Defendants. 14 15 At issue are the residual portions of two related motions to compel arbitration filed 16 by Defendants against the four named plaintiffs in this class action (Doc. 42; Doc. 68). 17 Defendants’ motions are predicated upon an arbitration agreement1 that assigns to an 18 arbitrator both (1) adjudicative authority over the claims contained in Plaintiffs’ pleading 19 and (2) adjudicative authority over questions relating to the enforceability of the arbitration 20 agreement itself. In response to Defendants’ motions, Plaintiffs have argued that both 21 aspects of the arbitration agreement (i.e., the provision concerning the arbitrability of 22 Plaintiffs’ substantive claims and the provision concerning the arbitrability of the 23 agreement itself) are unconscionable and therefore unenforceable. In a prior Order 24 (Doc. 76), the Court held that the self-referential clause of the arbitration agreement 25 delegating to an arbitrator issues concerning the agreement’s own arbitrability is indeed 26 unenforceable. As a result of that holding, it became the duty of this Court, and not an
27 1 Although there exist separate arbitration agreements between Defendants and each respective plaintiff, the agreements are materially similar because, as discussed in more 28 detail below, they all derive from Defendants’ Provider Manuals. For ease of reference, the Court will refer to the parties’ arbitration agreement in the singular. 1 arbitrator, to determine whether the arbitration agreement is also unenforceable as applied 2 to Plaintiffs’ substantive claims. However, the Court declined to dispose of that matter in 3 the aforementioned prior Order and instead requested supplemental briefing on the issue, 4 which both sides have now provided (Doc. 82, Defendants’ Supp. Br.; Doc. 83, Plaintiffs’ 5 Supp. Br.). Defendants have also filed a Motion to Strike parts of Plaintiffs’ supplemental 6 brief (Doc. 86), to which Plaintiffs filed a response (Doc. 87) and Defendants filed a reply 7 (Doc. 90). The Court finds these matters appropriate for resolution without oral argument. 8 See LRCiv 7.2(f). 9 I. Background and Legal Standard 10 The Court summarized the facts of this case in its prior Order, (see Doc. 76 at 1–4), 11 and there is no need to recapitulate that background here. Plaintiffs bring seven claims in 12 their First Amended Complaint (Doc. 65), and Defendants assert that all seven claims are 13 subject to mandatory arbitration pursuant to the terms of the parties’ arbitration agreement. 14 Because the arbitration agreement at issue here concerns interstate commerce, it is 15 governed by the Federal Arbitration Act (FAA). See 9 U.S.C. § 2. When presented with a 16 dispute implicating the FAA, a court must compel arbitration if the court determines that a 17 valid agreement to arbitrate exists and that the agreement encompasses the dispute at issue. 18 Chiron Corp. v. Ortho Diagnostic Sys., Inc., 207 F.3d 1126, 1130 (9th Cir. 2000). District 19 courts apply state law principles governing the formation of contracts to determine whether 20 a valid arbitration agreement exists. First Options of Chi., Inc. v. Kaplan, 514 U.S. 938, 21 944 (1995). Under the FAA, “agreements to arbitrate [may] be invalidated by generally 22 applicable contract defenses, such as fraud, duress, or unconscionability, but not by 23 defenses that apply only to arbitration or that derive their meaning from the fact that an 24 agreement to arbitrate is at issue.” Lim v. TForce Logistics, LLC, 8 F.4th 992, 999 (9th Cir. 25 2021) (citation and internal quotations marks omitted). 26 The standard governing summary judgment controls the resolution of a motion to 27 compel arbitration. Hansen v. LMB Mortg. Servs., Inc., 1 F.4th 667, 670 (9th Cir. 2021). 28 “The summary judgment standard is appropriate because the district court’s order 1 compelling arbitration is in effect a summary disposition of the issue of whether or not 2 there had been a meeting of the minds on the agreement to arbitrate.” Id. (citation and 3 internal quotations marks omitted). 4 Plaintiffs do not contest that they entered into an arbitration agreement with 5 Defendants. Nor do Plaintiffs contest that this lawsuit falls within the ambit of that 6 agreement. Instead, Plaintiffs argue that the arbitration agreement is unenforceable by 7 virtue of its unconscionability under Arizona law. 8 II. The Court’s Prior Order and Defendants’ Motion to Strike 9 As noted above, the Court issued a prior Order that (1) disposed of the parties’ 10 dispute regarding the enforceability of the delegation clause but (2) requested supplemental 11 briefing regarding the enforceability of the arbitration agreement as a whole. (See Doc. 76.) 12 To reiterate, and to provide terminological clarity, an “arbitration agreement” is a 13 contractual provision assigning to an arbitrator adjudicative authority over a substantive 14 claim, whereas a “delegation clause” is a sub-provision of an arbitration agreement 15 assigning to an arbitrator adjudicative authority over threshold disputes concerning the 16 arbitrability of the agreement itself. In their briefing leading up to the Court’s prior Order, 17 Plaintiffs presented the Court with a raft of arguments purportedly showing that both the 18 arbitration agreement and the delegation clause were both procedurally and substantively 19 unconscionable.2 The Court categorically rejected Plaintiffs’ reasoning regarding 20 procedural unconscionability but accepted as facially persuasive some of Plaintiffs’ 21 reasoning concerning substantive unconscionability. However, although the Court found 22 the parties’ briefing to be sufficient upon which to hold the delegation clause substantively 23 unconscionable, the Court requested supplemental briefing as to the arbitration 24 agreement’s alleged unconscionability.3 In so requesting, the Court expressly limited the
25 2 In Arizona, substantive unconscionability and procedural unconscionability are separate defenses to enforcement of the terms of an arbitration agreement, and either one 26 standing alone is sufficient to render the contested terms void. Rizzio v. Surpass Senior Living LLC, 251 Ariz. 413, 417 ¶ 9 (2021). 27 3 The Court adopted this dichotomous approach based upon the Supreme Court’s instruction that district courts are to apply different standards in analyzing the validity of 28 arbitration agreements generally and delegation clauses in particular. See First Options, 514 U.S. at 944–45. 1 scope of supplemental briefing to substantive unconscionability. The Court’s Order was 2 not an invitation to restart the litigation process, make new arguments, or repeat arguments 3 that the Court had already rejected. Despite the express ambit of the Court’s Order, 4 Plaintiffs have once again presented several arguments relating to procedural 5 unconscionability. (See Plaintiffs’ Supp. Br. at 2–5.) 6 Defendants have moved the Court to strike the portion of Plaintiffs’ supplemental 7 brief that addresses procedural unconscionability or in the alternative to provide 8 Defendants an opportunity to submit their own argumentation on the subject. (See 9 Doc. 86.) Plaintiffs’ response to Defendants’ Motion to Strike is utterly devoid of merit 10 and consists of little more than a patently absurd denial of non-compliance. (See Doc. 87.) 11 The Court’s prior Order states that “[t]he parties shall confine their analysis to substantive 12 unconscionability,” and yet Plaintiffs’ supplemental brief opens with a four-page section 13 entitled “Caremark’s arbitration clause is procedurally unconscionable.” (See Plaintiffs’ 14 Supp. Br. at 2–5.) Given this clear deviation from the Court’s request, Plaintiffs’ refusal to 15 recognize their error is simply bizarre. The Court expects attorneys who appear before it to 16 at least attempt to preserve their credibility by acknowledging mistakes when such are 17 made. 18 The Court could therefore grant Defendants’ Motion to Strike, as the objected-to 19 portion of Plaintiffs’ briefing constitutes a “part of a filing” that is expressly “not 20 authorized” by a “court order.” See LRCiv 7.2(m). Nevertheless, the Court will not do so, 21 as motions to strike are disfavored and rarely granted, even where, as here, the motion is 22 technically sufficient. See Wells Fargo Bank NA v. Wyo Tech Inv. Grp. LLC, No. CV-17- 23 04140-PHX-DWL, 2019 WL 4736775, *2 (D. Ariz. Sept. 27, 2019). One reason that 24 motions to strike are frowned upon by courts is that they “often needlessly run up the cost 25 of litigation and squander judicial resources,” see id., as evidenced by the parties’ 26 respective requests in the instant case that they both be permitted to file additional briefs. 27 Motions to strike are particularly disfavored where the challenged impropriety is a legal 28 argument that a court can simply ignore. Id.; see also G&G Closed Cir. Events LLC v. 1 Barajas, No. CV-19-05145-PHX-DLR, 2020 WL 1659903, at *2 (D. Ariz. Apr. 3, 2020) 2 (noting that motions to strike are what give motion practice a bad name). There is also no 3 need to strike the section of Plaintiffs’ supplemental brief addressing procedural 4 unconscionability because, in addition to being impermissible, it is legally unavailing. 5 Plaintiffs assert that the arbitration agreement at issue here is procedurally 6 unconscionable because (1) Defendants procured the agreement through their coercive 7 economic power, (2) Plaintiffs possessed less business experience than Defendants, 8 (3) Defendants drafted the agreement and did not explain its terms to Plaintiffs, and 9 (4) Plaintiffs lacked the requisite economic leverage to object to the terms of the agreement. 10 (Plaintiffs’ Supp. Br. at 2–5.) Plaintiffs’ argument is marred by internal inconsistency. It 11 makes little sense for Plaintiffs to contend that they were simultaneously “unaware 12 of . . . the arbitration clause” but also that they had “no choice” but to accept the clause as 13 written. If Plaintiffs were indeed ignorant of the terms of the arbitration agreement, then it 14 is tautological that Plaintiffs lacked the ability to object to those terms. If, on the other 15 hand, Defendants utilized their overwhelming market power to “coerce” Plaintiffs into 16 acceding to an arbitration agreement that Plaintiffs in fact wished to reject, then Plaintiffs 17 can hardly claim that they were “surprised by [the] arbitration clause and its terms.” But 18 even putting aside Plaintiffs’ attempt to have their cake and eat it too, their argument fails. 19 The only case that Plaintiffs cite in support of their argument regarding procedural 20 unconscionability is Duenas v. Life Care Centers of Am., Inc., 236 Ariz. 130 (Ct. App. 21 2014). In that case, the Arizona Court of Appeals held as follows: 22 Procedural unconscionability addresses the fairness of the bargaining 23 process, which is concerned with unfair surprise, fine print clauses, mistakes or ignorance of important facts or other things that mean bargaining did not 24 proceed as it should. Under the procedural rubric come those factors bearing 25 upon the real and voluntary meeting of the minds of the contracting party: age, education, intelligence, business acumen and experience, relative 26 bargaining power, who drafted the contract, whether the terms were 27 explained to the weaker party, whether alterations in the printed terms were possible, whether there were alternative sources of supply for the goods in 28 question. Other factors include whether the contract was separate from other 1 paperwork, whether the contract used conspicuous typeface, and whether the contract was signed hurriedly and without explanation in emergency 2 circumstances. 3 . . . . Though the factors listed above are helpful in the analysis, they are not 4 exclusive, and the fundamental question is whether one party to a contract 5 has unfairly or surreptitiously deprived the other of the right of access to the courts. 6 7 Id. at 135 ¶¶ 8–9 (internal citations and quotation marks omitted). Although the Duenas 8 court deemed issues such as relative bargaining power to be germane to the analysis of 9 procedural unconscionability, it is clear that the court’s primary concern was whether the 10 less sophisticated party understood what it was agreeing to. To be sure, unequal negotiating 11 power may be an indicium of an absence of mutual understanding, but the Court does not 12 read Duenas to stand for the proposition that a gross disparity in economic leverage can by 13 itself establish procedural unconscionability under Arizona law. Were that the holding 14 from Duenas, then every contract between a large corporation and the proverbial little guy 15 would be unenforceable, even where such contracts’ terms are in no way objectionable. 16 That cannot be the state of the law in Arizona. Therefore, Defendants’ market power is 17 irrelevant to the Court’s unconscionability inquiry unless Plaintiffs are able to establish 18 that Defendants abused that market power in some way. 19 Here, Plaintiffs fail to establish that Defendants procedurally abused their market 20 power. The Court is unpersuaded by Plaintiffs’ contention that Defendants kept them in 21 the dark about the terms of the arbitration agreement. First, as already noted, Plaintiffs’ 22 assertion of ignorance is inconsistent with their assertion of coercion. Second, Plaintiffs’ 23 declaration of unawareness is devoid of factual substantiation. Although Plaintiffs state 24 that they were presented with a new Provider Manual every two years on a 25 take-it-or-leave-it basis, (see Doc. 83-2 Exs. 9–11), that contention alone does not 26 demonstrate that Plaintiffs were prevented from understanding the terms of the arbitration 27 agreement. Although Plaintiffs’ averments establish that the Provider Manuals were 28 contracts of adhesion, arbitration agreements located within adhesive contracts are not 1 intrinsically procedurally unconscionable under Arizona law. Broemmer v. Abortion Servs. 2 of Phx., Ltd., 173 Ariz. 148, 151 (1992). Instead, such agreements are fully enforceable 3 unless they are substantively unconscionable or otherwise violate the reasonable 4 expectations of the parties. Id. Thus, even if Defendants possessed immense market power 5 and issued a contract of adhesion containing an arbitration agreement, that arbitration 6 agreement is enforceable under Arizona law unless it is substantively defective. 7 Plaintiffs’ argument also appears to be directed at California law rather than Arizona 8 law. As the Ninth Circuit has noted many times, the California unconscionability defense 9 requires the presence of both procedural and substantive unconscionability in inverse 10 proportions according to a sliding scale. See, e.g., Ronderos v. USF Reddaway, Inc., 114 11 F.4th 1080, 1089 (9th Cir. 2024). Under California law, procedural unconscionability can 12 be established by the bare showing that a contract is adhesive. Id. Such a showing does not 13 necessarily invalidate the contract, but it does satisfy the procedural prong of the two-prong 14 unconscionability test. Id. The law is different in Arizona. Here, “[c]laims of substantive 15 or procedural unconscionability are independent defenses to enforceability.” Gullett on 16 behalf of Est. of Gullett v. Kindred Nursing Centers W., L.L.C., 241 Ariz. 532, 535 ¶ 6 (Ct. 17 App. 2017) (emphasis added). Therefore, there is no need to present an argument grounded 18 in procedural unconscionability when the success of that argument depends upon a 19 showing of substantive unconscionability. As the Court explained once before, such an 20 argument would be an exercise in redundancy. 21 Thus, because Plaintiffs’ briefing on the subject of procedural unconscionability is 22 both improper and unavailing, the Court will not consider it further. For the reasons given 23 above, the Court will nevertheless deny Defendants’ Motion to Strike, and the Court 24 reiterates here the disfavored status of such motions. Having summarized the background 25 of this case, and having disposed of preliminary legal matters, the Court turns to the issue 26 on which it sought supplemental briefing, namely whether the parties’ arbitration 27 agreement is substantively unconscionable. 28 . . . 1 II. Discussion 2 Plaintiffs argue that the following provisions render the arbitration agreement 3 substantively unconscionable and therefore unenforceable: (1) the fee-shifting provision, 4 (2) the unilateral modification provision, (3) the uneven remedies provision, (4) the escrow 5 provision, (5) the confidentiality provision, and (6) the limitations provision.4 Plaintiffs 6 also argue that the unconscionable provisions are not amenable to severance and therefore 7 doom the entire agreement. The Court examines each argument in turn. 8 A. The Fee-Shifting Provision 9 The arbitration agreement at issue here comprises one section of the Provider 10 Manual, which is a contract between the parties. Defendants issue new Provider Manuals 11 every even-numbered year, as well as targeted amendments thereto on an intermittent basis, 12 including one such amendment in 2023. The versions of the arbitration agreement that are 13 relevant to this case are the versions from 2016, 2018, 2020, 2022, 2023, and 2024 14 (Doc. 43-4; Doc. 43-5; Doc. 43-6; Doc. 69-1; Doc. 69-2; Doc. 69-3). In all such versions, 15 the arbitration agreement contained a fee-shifting provision providing that “[t]he expenses 16 of arbitration, including reasonable attorney’s fees, will be paid for by the party against 17 whom the [final] award of the arbitrator(s) is rendered, except as otherwise required by 18 Law.” (See, e.g., Doc. 43-4 at 44; Doc. 69-3 at 96.) Plaintiffs argue that the arbitration 19 agreement’s fee-shifting provision is substantively unconscionable because it imposes a 20 financial burden upon Plaintiffs that they would not bear in court. (Plaintiffs’ Supp. Br. 21 at 6–7.) Plaintiffs contend, and Defendants concede, that the fee-shifting provision creates 22 the possibility that Plaintiffs might be forced to pay for Defendants’ fees regarding 23 Plaintiffs’ antitrust claim, whereas the antitrust statute only contemplates an award of fees 24 to a prevailing plaintiff, not a prevailing defendant. (See Defendants’ Supp. Br. at 6 (citing 25 15 U.S.C. §§ 15(a), 4304).) Despite the uncontested fact that the fee-shifting provision 26 27 4 Plaintiffs appear to have abandoned an argument that the arbitration agreement’s 28 discovery restrictions are unconscionable. The Court therefore does not address that argument. 1 creates a risk of financial burden that is absent from the antitrust statute, Plaintiffs’ 2 argument ultimately fails. 3 Plaintiffs are incorrect when they state that “[t]he loser pays provision is a marked 4 departure from the underlying law that would normally apply to this case.” (See Doc. 70 5 at 11.) Under Arizona law, “[i]n any contested action arising out of a contract, express or 6 implied, the court may award the successful party reasonable attorney fees.” Ariz. Rev. 7 Stat. § 12-341.01(A). The term “arising out of a contract” is construed broadly and 8 encompasses any claim that “could not exist ‘but for’ the breach or avoidance of contract.” 9 Ramsey Air Meds, L.L.C. v. Cutter Aviation, Inc., 198 Ariz. 10, 15 ¶ 27 (Ct. App. 2000). 10 In applying Arizona’s fee-shifting statute, “the court should look to the fundamental nature 11 of the action rather than the mere form of the pleadings.” Id. Under this standard, a claim 12 can be deemed to have arisen out of a contract even when the claim is pled as, inter alia, 13 unjust enrichment, quantum meruit, or declaratory action. ML Servicing Co. v. Coles, 235 14 Ariz. 562, 570 ¶¶ 31–33 (Ct. App. 2014) (unjust enrichment); Pelletier v. Johnson, 188 15 Ariz. 478, 482–83 (Ct. App. 1996) (quantum meruit); Nationwide Mut. Ins. Co. v. Granillo, 16 117 Ariz. 389, 394 (Ct. App. 1977) (declaratory action). Five of Plaintiffs’ seven claims 17 thus fall within the ambit of Arizona’s fee-shifting statute, namely the claims for breach of 18 contract, breach of the implied covenant of good faith and fair dealing, declaratory 19 judgment of unconscionability, unjust enrichment, and quantum meruit. Because Arizona’s 20 fee-shifting statute does not apply to purely statutory causes of action in which a contract 21 occupies only a peripheral role, it is unlikely that Plaintiffs’ two remaining claims for 22 Medicare and antitrust violations fall within the scope of § 12-341.01. See Keystone Floor 23 & More, LLC v. Ariz. Registrar of Contractors, 223 Ariz. 27, 30 ¶ 11 (Ct. App. 2009). 24 Nevertheless, given that a majority of Plaintiffs’ claims are eligible for fee-shifting, it is 25 difficult to see how the arbitration agreement’s fee-shifting provision works an 26 unconscionable result. 27 To be sure, judicial application of Arizona’s fee-shifting statute is discretionary, 28 whereas the arbitration agreement’s fee-shifting provision is mandatory. However, the 1 discretionary nature of § 12-341.01 does not fundamentally change the unconscionability 2 calculus. Plaintiff cites numerous cases for the proposition that “substantive 3 unconscionability exists when a fee-shifting clause creates for employees a ‘greater 4 financial risk in arbitrating claims than they would face if they were to litigate those same 5 claims in federal court.’” Lim v. TForce Logistics, LLC, 8 F.4th 992, 1002 (9th Cir. 2021) 6 (quoting Pokorny v. Quixtar, Inc., 601 F.3d 987, 1004 (9th Cir. 2010)). Sound as that 7 proposition is in the abstract, it does not appear to be the law in Arizona. None of the cases 8 cited by Plaintiff in support of its fee-shifting argument apply Arizona law, and the majority 9 of those cases apply California law.5 (See Doc. 70 at 11–12.) Therefore, unlike in 10 California, an arbitration agreement is not ipso facto unconscionable simply because it 11 exposes a litigant to a risk of fee-shifting greater than that which would exist in federal 12 court. If the risk of fee-shifting is to invalidate a contract on unconscionability grounds in 13 Arizona, it will not be because of a bright-line violation such as that described in the cases 14 cited by Plaintiffs, but instead because the risk of fee-shifting is shown to pose a 15 generalized financial burden that prevents a party from “effectively vindicate[ing] [its] 16 rights in the arbitral forum due to the prohibitive costs of arbitration.” Rizzio, 251 Ariz. 17 at 417 ¶ 10. Such costs “cannot be speculative.” Id. ¶ 11. Here, in the event that Plaintiffs 18 lose, they face increased fee-shifting only if the Court in its discretion declines to issue an 19 award of fees. It would be sheer speculation to attempt to divine which claims Plaintiffs 20 are likely to prevail upon and whether the Court would exercise its discretion to issue an 21 award of fees. See Holmes v. CVS Health, No. CV-19-04936-PHX-SMB, 2020 WL 22 4365881, at *4 (D. Ariz. July 30, 2020) (“Plaintiff’s mere speculation that she will lose in 23 arbitration and the arbitrator will award costs to CVS does not make her Arbitration 24 25 5 As might already be clear to the reader, it is unfortunately a common refrain that 26 litigants attempting to invalidate arbitration agreements in Arizona predicate their arguments on inapplicable California law. See Jones v. Gen. Motors Corp., 640 F. Supp. 27 2d 1124, 1133 (D. Ariz. 2009) (“Plaintiff argues that the potential that he might have to pay for arbitration costs if he does not prevail renders the arbitration agreement 28 substantively unconscionable. Plaintiff again cites to a case decided under California law, which does not apply here.” (internal citations omitted)). 1 Agreement unconscionable.”). Thus, the Court cannot say at this juncture that the 2 arbitration agreement’s fee-shifting provision is unconscionable. 3 B. The Unilateral Modification Provision 4 All relevant versions of the arbitration agreement provide that: 5 From time to time . . . Caremark may amend the [arbitration 6 agreement] . . . by giving notice . . . to Provider of the terms of the amendment and specifying the date the amendment becomes effective. If 7 Provider submits claims to Caremark after the effective date of any notice or 8 amendment, the terms of the notice or amendment is accepted by Provider and is considered part of the Provider Agreement. 9 (See, e.g., Doc. 43-4 at 44; Doc. 69-3 at 95.) In its prior Order, the Court declined to 10 consider the alleged unconscionability of the unilateral modification provision because 11 Plaintiffs had failed to adduce material instances in which Defendants had unconscionably 12 exercised the provision. In their supplemental brief, Plaintiffs point to alleged instances of 13 unconscionable unilateral modification. (Plaintiffs’ Supp. Br. at 7–10.) Nevertheless, the 14 Court still need not decide under what circumstances a unilateral modification provision 15 can give rise to substantive unconscionability because the provision at issue in the instant 16 case is not a “unilateral modification provision” in the true sense of that term. 17 The provision here differs markedly from those that have been held to be 18 unconscionable in the cases cited by Plaintiff. For instance, in Heckman v. Live Nation 19 Ent., Inc., 120 F.4th 670, 682 (9th Cir. 2024), upon which Plaintiffs rely heavily, the terms 20 of the arbitration agreement “state[d] they may be changed without notice and changes 21 apply retroactively.” In Heckman, the defendant’s “website provide[d] that a person merely 22 browsing the website without purchasing a ticket agrees to Ticketmaster’s changed 23 Terms.” Id. “Ticketmaster’s Terms also permit unilateral modification of the Terms 24 without prior notice. The Terms provide that Ticketmaster retains the power to ‘make 25 changes to the Terms at any time’ which would ‘be effective immediately when we post a 26 revised version of the Terms on the Site.’” Id. Furthermore, in Heckman “[t]he changed 27 Terms apply not only prospectively but also retroactively. That is, they apply to ‘any 28 1 dispute, claim or controversy . . . irrespective of when that dispute, claim, or controversy 2 arose.’” Id. (citation omitted). The Ninth Circuit held the unilateral modification provision 3 in Heckman to be unconscionable in the extreme. Id. at 683. Similarly, in a case from this 4 District upon which Plaintiffs rely, “[t]he Agreement provide[d] that Vemma ‘may modify 5 or amend its policies and procedures and marketing program at any time.’” Edwards v. 6 Vemma Nutrition, No. CV-17-02133-PHX-DGC, 2018 WL 637382, at *4 (D. Ariz. Jan. 7 31, 2018).6 The Court in Edwards held the unilateral modification provision to be 8 unconscionable because it effected the cardinal injustice of “requiring Plaintiff to arbitrate 9 a dispute he did not originally agree to arbitrate.” Id. at *5. 10 The so-called “unilateral modification provision” in the instant case bears almost no 11 resemblance to the provisions in Heckman and Edwards. Indeed, it is not a modification 12 provision at all. Instead, it is a method by which Defendants can offer a new contract. 13 Under the provision’s plain terms, Defendants must give notice of any amendment and 14 must provide additional notice of the amendment’s effective date. Such notice essentially 15 constitutes an offer. Plaintiffs then have the choice of either accepting the offer, which they 16 may do by submitting claims after the effective date of the amendment, or declining the 17 offer. The terms of the arbitration agreement do not indicate, and Plaintiffs do not argue, 18 that an amendment adopted pursuant to this clause can operate retroactively. This process 19 is a far cry from the faux processes described in Heckman and Edwards. Of course, any 20 amendment offered by Defendants according to the terms of this provision is necessarily 21 an amendment of adhesion, but as discussed supra, adhesion without more is not 22 unconscionable under Arizona law. Therefore, the unilateral modification provision is not 23 per se unconscionable. That is not to say that a particular amendment adopted thereby could 24 not itself be substantively unconscionable. But any such unconscionability would need to 25 26 6 “Moreover, under the terms of the Agreement, Vemma need not notify its 27 Affiliates of modifications to the policies and procedures.” Edwards, 2018 WL 637382, at *4. “Vemma instead impose[d] on Affiliates ‘a duty to keep current on policy and 28 marketing changes by reviewing the current policies and procedures located on www.govemma.com on a regular basis to ensure . . . familiarity.’” Id. 1 exist independently of the unilateral modification provision from which the amendment 2 sprang. 3 C. The Uneven Remedies Provision 4 Plaintiffs argue in their supplemental brief that the arbitration agreement’s “uneven 5 remedies provision” is substantively unconscionable. (Plaintiffs’ Supp. Br. at 10.) In their 6 prior briefing, Plaintiffs pointed to two distinct remedies provisions and argued that both 7 are unconscionable. The first clause, which is present in all versions of the arbitration 8 agreement and which Plaintiffs denominate as the agreement’s “asymmetric remedies 9 provision,” states that “[i]n no event may the arbitrator(s) award indirect, consequential, or 10 special damages of any nature (even if informed of their possibility), lost profits or savings, 11 punitive damages, injury to reputation, or loss of customers or business, except as required 12 by Law.” (See, e.g., Doc. 43-4 at 44; Doc. 69-3 at 95.) Plaintiffs fail to explain in what way 13 this contractual limitation of damages is unconscionable. First, contrary to Plaintiffs’ 14 assertion, this provision is plainly not asymmetric. Second, the Arizona judiciary has 15 repeatedly upheld the validity of contractual provisions limiting and/or eliminating 16 categories of damages, particularly in the commercial context. See Angus Med. Co. v. 17 Digital Equip. Corp., 173 Ariz. 159, 167 (Ct. App. 1992) (noting that “it is not 18 unconscionable to waive or disclaim an entire category of remedies”); 1800 Ocotillo, LLC 19 v. WLB Grp., Inc., 219 Ariz. 200, 204 ¶ 17 (2008) (“We also decline to hold that liability- 20 limitation clauses are generally unenforceable as contrary to a judicially identified public 21 policy.”); Roscoe-Gill v. Newman, 188 Ariz. 483, 485 (Ct. App. 1996) (holding that 22 liquidated-damages provisions cannot be deemed unenforceable for being too low). This 23 provision is therefore not unconscionable under Arizona law. 24 The second remedies provision that Plaintiffs attack appears only in the arbitration 25 agreements from 2020 onward and provides in material part that: 26 Accordingly, if Provider, its agents, counsel, or arbitrator fail to abide by the 27 terms and conditions set forth in this Arbitration section of the Provider Manual, Caremark shall be entitled to (a) specific performance, including 28 immediate issuance of a temporary restraining order or preliminary 1 injunction enforcing the Agreement, and to judgment for damages (including reasonable attorneys’ fees and costs) caused by the breach; (b) an option to 2 void the dispute resolution or arbitration award; and (c) all other legal and 3 equitable remedies available to Caremark, including termination of the Provider Agreement or Provider’s participation in any Caremark network or 4 Plan Sponsor network. 5 6 (Doc. 69-3 at 97 (emphasis in original); see also Doc. 43-6 at 91 (2020 agreement).) 7 Plaintiffs refer to this clause as the “unilateral remedy for breach provision.” Although 8 located within the arbitration agreement’s section addressing confidentiality, the provision 9 expressly applies to any “fail[ure] to abide” by the terms of the entire arbitration agreement. 10 Therefore, operation of the provision is not limited to confidentiality breaches, but instead 11 extends to breaches generally. This clause is patently unconscionable. 12 “A contract may be substantively unconscionable when the terms of the contract are 13 so one-sided as to be overly oppressive or unduly harsh to one of the parties.” Clark v. 14 Renaissance W., LLC, 232 Ariz. 510, 512 ¶ 8 (Ct. App. 2013). By its plain terms, the 15 unilateral remedy for breach provision is one-sided. Only Defendants may avail themselves 16 of the clause’s benefits. That one-sidedness alone would doom the provision, as there is no 17 justifiable reason why Defendants should be entitled to a wide range of extraordinary 18 remedies in the event that Plaintiffs breach the agreement but that Plaintiffs should lack 19 access to equivalent relief. Compounding the unconscionability of this clause is the fact 20 that Defendants are permitted to trigger their one-sided remedy against Plaintiffs even 21 when it is the neutral arbitrator who fails to abide by the terms of the arbitration agreement. 22 Defendants do not meaningfully attempt to defend this inequitable term. The unilateral 23 remedy for breach provision is substantively unconscionable. 24 D. The Escrow Provision 25 In 2020, Defendants added a provision to the arbitration agreement that requires any 26 party seeking to commence arbitration to “place in escrow for the benefit of the opposing 27 party an amount to be determined by the arbitrator(s) as sufficient to cover the estimated 28 attorney’s fees and other expenses of arbitration that will be incurred in defense of the 1 arbitration action, which shall in no event be less than $50,000.” (Doc. 43-6 at 92.) In 2022, 2 Defendants added a further requirement that the initiating party must also place into escrow 3 a sum of money equal to the “forecasted amount of potential claims that could be submitted 4 by Provider based on Provider’s historical Caremark adjudicated paid claims experience 5 (e.g., previous rolling twelve months).” 6 The Arizona Supreme Court has adopted a “framework for evaluating whether the 7 financial costs of arbitration prohibit a plaintiff from vindicating her rights.” Rizzio, 251 8 Ariz. at 417 ¶ 11. 9 Under that framework, a party seeking to invalidate an arbitration agreement 10 must establish arbitration costs with reasonable certainty; costs cannot be speculative. Next, the party must make a specific, individualized showing 11 that she would be financially unable to bear the costs of arbitration. Lastly, 12 the court considers whether the agreement permits a party to waive or reduce arbitration costs because of financial hardship. Ultimately, the determination 13 of substantive unconscionability is a question of fact that depends on the 14 unique circumstances of each case. Absent a showing that arbitration costs would deny the plaintiff meaningful access to a forum in which she could 15 vindicate her rights, a court will not find an arbitration agreement substantively unconscionable. 16 17 Id. ¶ 11 (internal quotation marks and citations omitted). Here, Plaintiffs satisfy all three 18 prongs of the Rizzio test. 19 The escrow provision requires Plaintiffs to produce a sum of money equal to the 20 projected cost of Defendants’ attorneys’ fees and the projected cost of the “other expenses 21 of arbitration that will be incurred in defense of the arbitration action.” That latter phrase 22 presumably includes, inter alia, the full cost of the arbitrators’ fees. These costs alone are 23 unduly oppressive, not to mention the requirement that the two plaintiffs who still operate 24 pharmacies must place into escrow an additional amount of money equal to the forecasted 25 amount of potential claims that could be submitted going forward. There is of course no 26 way of knowing precisely how expensive the arbitrators and Defendants’ counsel will be, 27 but Plaintiff has adduced competent evidence demonstrating that the combined cost of 28 those two figures would be in the high hundreds of thousands of dollars. (Plaintiffs’ Supp. 1 Br. at 12.) This case involves a complex set of facts governed by a dense contract overlaid 2 by complicated antitrust laws and Medicare regulations. A case of this nature will be 3 difficult and time-consuming to litigate, and that laboriousness will manifest in costly 4 attorneys’ and arbitrators’ fees. These costs are not speculative. 5 Defendants contend that the costs imposed by the escrow provision are not onerous 6 when considered in comparison with the damages sought in Plaintiffs’ operative pleading. 7 (Defendants’ Supp. Br. at 4–5.) In support of that argument, Defendants cite Harrington v. 8 Pulte Home Corp., 211 Ariz. 241, 253 ¶¶45–46 (Ct. App. 2005), in which the Arizona 9 Court of Appeals held that arbitration filing fees of $11,750 were not unconscionable in 10 light of the fact that the plaintiffs therein sought to recover between $500,000 and 11 $1,000,000. Defendants argue that Harrington precludes a finding of unconscionability in 12 the instant case because the $50,000 escrow minimum pales in comparison to the “billions 13 of dollars” that Plaintiffs seek to recover in this lawsuit. The Court disagrees. First, it is 14 improper for Defendants to use $50,000 as the projected escrow number. That value is the 15 minimum amount that must be placed into escrow, but it cannot seriously be contended 16 that the combined arbitrators’ and attorneys’ fees in a case of this complexity will fall 17 below that minimum value. Plaintiffs have presented evidence that the arbitrators’ fees 18 alone will exceed $300,000, to which Defendants’ estimated attorneys’ fees would then 19 need to be added. (See Plaintiffs’ Supp. Br. at 12.) Second, it is unclear upon what basis 20 Defendants’ assert that “billions of dollars” are reasonably at stake in this lawsuit. 21 Defendants do not substantiate that number, and the Court therefore deems it to be 22 speculation. Third, and most importantly, the Court does not read Harrington to create a 23 bright-line rule conditioning a finding of cost-based unconscionability upon any particular 24 ratio of cost to relief sought. The court in Harrington utilized such a ratio as a means of 25 demonstrating the reasonableness of the arbitration costs in that case, but the court did not 26 present that heuristic as a holding of general applicability. As the Arizona Supreme Court 27 has since clarified, the question of cost-based unconscionability turns upon whether a 28 plaintiff succeeds in “showing that arbitration costs would deny the plaintiff meaningful 1 access to a forum in which [it] could vindicate [its] rights,” not some arbitrary cost-to-relief 2 ratio as Defendants suggest. See Rizzio, 251 Ariz. at 417 ¶ 11. 3 Defendants next argue that the escrow costs are not harsh because litigation in 4 federal court is already expensive. The Court fails to perceive the thrust of this contention. 5 Litigation of complex claims in federal court is unquestionably expensive, but it does not 6 follow from that fact that an escrow fee of hundreds of thousands of dollars is not 7 burdensome. The Court held supra that the arbitration agreement’s fee-shifting provision 8 is not unconscionable because it is speculative to assume that the fee-shifting provision 9 would yield a different outcome than Arizona’s fee-shifting statute, which provides for an 10 award of fees in the event that Plaintiffs lose. The escrow provision removes all speculation 11 from the equation, as it requires an up-front payment of fees. That is not a cost that 12 Plaintiffs would face in federal court. Litigants are not saddled with the other side’s fees 13 unless and until they lose. It makes no difference that the arbitration agreement provides 14 for a refund of escrow to a prevailing party. The Court finds it unconscionable to require a 15 party to post an exorbitantly expensive bond as a prerequisite to even initiate an 16 adjudicative procedure. Such a requirement would have an intolerable chilling effect on 17 the vindication of even the most meritorious claim. The spotlight that Defendants shine on 18 the cost of litigation only highlights this conclusion. Plaintiffs may be hard-pressed to fund 19 their own side of a lawsuit as complex as the instant case. It would be unconscionable to 20 force them to additionally fund their opponent’s side by way of a preliminary escrow 21 requirement. The Court therefore rejects Defendants’ argument. Plaintiffs have satisfied 22 the first step of the Rizzio test. 23 Plaintiffs also have succeeded in demonstrating that they are unable to bear the costs 24 of arbitration as imposed by the agreement’s escrow provision. The four plaintiffs have 25 adduced evidence that their average annual profitability in their three most recent years of 26 operation were $40,791, $69,527, $203,203, and $203,198. (Plaintiffs’ Supp. Br. at 13–16.) 27 Plaintiffs have also provided evidence of the various forms of business liabilities that they 28 face. The Court finds it unconscionable to require as a condition of arbitration an up-front 1 escrow payment that is substantially more expensive than the business profit that the 2 initiating party can expect to reap in an entire year. In reaching this conclusion, the Court 3 is cognizant of the heightened unfairness inherent in the imposition of an advance payment, 4 as opposed to a payment levied at the end of litigation after the initiating party’s claims 5 were shown to be meritless. 6 Defendants argue that Plaintiffs have failed to demonstrate an inability to pay 7 because it “defies common sense” to ground a determination of financial hardship in data 8 of a business’s profitability. (Defendants’ Supp. Br. at 4.) The Court disagrees. First, 9 Defendants do not suggest an alternative means of examining a business’s capacity to 10 afford arbitration expenses. Second, the Court’s use of a three-year average allays some of 11 Defendants’ concern that a profitability-based analysis would be too volatile from one year 12 to the next. Third, the Court rejects Defendants’ core premise that financial 13 unconscionability should not depend on “market conditions.” If in one year a 14 poverty-stricken individual succeeds in demonstrating that the expense of arbitrating a 15 claim is unconscionable on grounds of cost, and in the next year that same individual wins 16 the Powerball jackpot, it is eminently sensible that he not be permitted to invalidate future 17 arbitration agreements on grounds of financial inability, as his financial status has 18 materially changed. Similarly, the Court finds that it is appropriate to consider a business’s 19 profitability or lack thereof in assessing that business’s ability to afford the costs of 20 arbitration. 21 Defendants also impugn Plaintiffs’ professed inability to pay by speculating that 22 such inability is inconsistent with Plaintiffs’ purported “retention of 12 lawyers from four 23 firms just to file a complaint and brief objections to arbitration.” (Defendants’ Supp. Br. 24 at 4.) That assertion is at odds with Defendants’ implication on the very next page of their 25 brief that Plaintiffs’ counsel has taken this case on a contingency basis and could therefore 26 advance the cost of escrow on Plaintiffs’ behalf. This argument fails. It is one thing to 27 expect attorneys who work on a contingency basis to invest their temporal resources in 28 pursuit of an uncertain outcome, but it is another thing altogether to suggest that such 1 counsel advance hundreds of thousands of dollars merely to initiate a lawsuit. The only 2 case that Defendants cite in support of this argument is Harrington, in which the court 3 contemplated an advance of a hypothetical $1,000 filing fee. That thought experiment is 4 inapposite to the sky-high costs imposed by the escrow provision in the instant case. 5 Finally, Defendants claim that one of the four plaintiff pharmacies, Pucci’s, can afford the 6 cost of the escrow provision because it recently arbitrated a different case under the same 7 arbitration agreement. (Defendants’ Supp. Br. at 4 (citing Cloney’s Pharmacy, Inc. v. 8 Wellpartner, Inc., 2024 WL 4349291, at *3 (S.D.N.Y. Sept. 30, 2024).) This argument also 9 fails, as that previous case is dissimilar from the instant case. It involved only contract 10 claims, see Cloney’s, 2024 WL 4349291, at *3, not antitrust and Medicare claims. 11 Therefore, the cost of the escrow payment was likely far less than it would be here. Notably, 12 Defendants do not tell the Court what the cost of the escrow payment in that case was. The 13 Court finds that Plaintiffs have satisfied the second step of the Rizzio test. 14 At the third and final step of the Rizzio test, the court must “consider[] whether the 15 agreement permits a party to waive or reduce arbitration costs because of financial 16 hardship.” 251 Ariz. at 417 ¶ 11. Here, the agreement does not so provide. That would 17 normally end the analysis, but Defendants have expressly “disavow[ed] any intent to 18 enforce the escrow provision against the four Plaintiffs as to the claims they allege in this 19 matter.” (Defendants’ Supp. Br. at 3.) Defendants cite to Rizzio for the proposition that 20 their “express waiver should remove any doubts that the escrow provision would impede 21 Plaintiffs’ ability to arbitrate.” (Defendants’ Supp. Br. at 3.) The Court is not persuaded. 22 Defendants have defended the validity of the escrow provision in their original 23 motion to compel arbitration, their reply brief in support thereof, their second motion to 24 compel arbitration, and their reply brief in support thereof. It was not until their fifth legal 25 memoranda filed in relation to this issue that Defendants saw fit to waive enforcement of 26 the escrow provision. Although the Court does not discount the possibility that the decision 27 to waive the escrow provision could be a belated but nevertheless good-faith recognition 28 of unconscionability, it is also plausible that Defendants are engaging in gamesmanship in 1 order to avoid the Court’s issuing an Order formally holding the escrow provision to be 2 unconscionable. The Court expresses no opinion regarding Defendants’ motivation, but the 3 Court does find that a waiver such as the one presented here does not remediate the taint 4 of unconscionability or moot the Court’s consideration thereof. An unconscionable 5 contractual provision is still unconscionable if the party resisting it must undertake almost 6 a year of litigation in order to procure the other side’s waiver. It is likely for that reason 7 that the Arizona Supreme Court held that the third Rizzio step hinges upon “whether the 8 agreement permits a party to waive or reduce arbitration costs because of financial 9 hardship,” not whether the party demanding arbitration agrees to reduce the costs after a 10 year of intense litigation. See 251 Ariz. at 417 ¶ 11 (emphasis added). A party’s eventual 11 acquiescence to a fee reduction in the manner contemplated here is so unpredictable as to 12 have no bearing on the unconscionability analysis. Therefore, notwithstanding Defendants’ 13 express waiver of the escrow provision, the Court holds the escrow provision to be 14 substantively unconscionable. 15 E. The Confidentiality Provision 16 Although the language differs from version to version, all versions of the arbitration 17 agreement contain a confidentiality provision. The 2024 agreement states that “[e]xcept as 18 may be required by Law, a party, its employees, agents, consultants, authorized 19 representatives, counsel, or arbitrator(s) shall not disclose the existence, content, or results 20 of any dispute or arbitration” and that “Provider acknowledges and agrees that any breach 21 of this provision would cause Caremark immediate and irreparable injury or loss that 22 cannot be fully remediated by monetary damages.” (Doc. 69-3 at 97.) Plaintiffs contend 23 that this clause is unconscionable. The Court notes at the outset that the confidentiality 24 provision is one-sided insofar as Defendants are conclusively presumed to be damaged by 25 a breach thereof but that Plaintiffs are burdened with the obligation of proving actual 26 damages. Defendants do not offer an explanation for this inequity. But irrespective of the 27 unfairness of the confidentiality provision’s internal remediation procedure, Plaintiffs 28 1 contend that the entire clause is an unconscionable gag order. (See Plaintiffs’ Supp. Br. 2 at 16.) 3 As the Court noted in its prior Order, the Ninth Circuit has repeatedly held that 4 similar confidentiality provisions are unconscionable. 5 We conclude, however, that if the company succeeds in imposing a gag 6 order, plaintiffs are unable to mitigate the advantages inherent in being a repeat player . . . . Thus, AT&T has placed itself in a far superior legal posture 7 by ensuring that none of its potential opponents have access to precedent 8 while, at the same time, AT&T accumulates a wealth of knowledge on how to negotiate the terms of its own unilaterally crafted contract. 9 10 Ting v. AT&T, 319 F.3d 1126, 1152 (9th Cir. 2003); accord Davis v. O’Melveny & Myers, 11 485 F.3d 1066, 1078 (9th Cir. 2007); Pokorny v. Quixtar, Inc., 601 F.3d 987, 1002 (9th 12 Cir. 2010). Defendants assert that Ting and its progeny are “inapt” because they involved 13 California law. (Defendants’ Supp. Br. at 9–10.) Although it is true that the Ting line of 14 cases nominally applied California law, the Ninth Circuit has since clarified that the 15 holding in Ting “did not rely on any California law.” Poublon v. C.H. Robinson Co., 846 16 F.3d 1251, 1267 (9th Cir. 2017). The anti-confidentiality rule of this Circuit is therefore 17 not a product of California law but is instead a creation of the Ninth Circuit itself. See id. 18 In Poublon, the Ninth Circuit declined to apply the Ting rule because the California 19 judiciary had issued an intervening opinion affirmatively rejecting it. But, because 20 California law does not govern the instant case, California’s departure from the federal rule 21 is of no moment. As there exists no Arizona caselaw opining on the validity of the Ting 22 rule in this state, the Court chooses to cleave to the precedents of the Ninth Circuit. Courts 23 from this District have already twice decided that the Ting anti-confidentiality rule is 24 consistent with Arizona law. See Longnecker v. Am. Exp. Co., 23 F. Supp. 3d 1099, 1110 25 (D. Ariz. 2014) (“Similarly here, the confidentiality provision in the arbitration agreements 26 keep only plaintiffs in the dark regarding prior arbitration decisions and only defendants 27 would benefit from this provision.”); Barnett v. V.T. Motors LLC, No. CV-21-01195-PHX- 28 SPL, 2021 WL 5759113, at *5 (D. Ariz. Dec. 3, 2021) (“The same is true in this case, and 1 given the similarly sweeping scope of the confidentiality provisions in this case as in 2 Longnecker, the same result follows: the Arbitration Agreement’s confidentiality provision 3 is unconscionable.”). The Court declines to disturb those holdings. 4 Defendants’ attempt at distinguishing Ting also fails. Although Ting involved a 5 defendant imposing a confidentiality provision on “seven million” distinct parties, the 6 Court does not find that number meaningfully distinct from the “65,000 pharmacies” that 7 are subject to Defendants’ confidentiality provision in the case at bar. (See Defendants’ 8 Supp. Br. at 1, 9.) Defendants’ final argument is that the effect of the confidentiality 9 provision is unimportant because Plaintiffs “do not allege the existence of any arbitrations 10 against Caremark raising antitrust claims based on Caremark’s indirect-and-direct 11 remuneration fees.” (Defendants’ Supp. Br. at 9.) This reasoning puts the cart before the 12 horse. Plaintiffs cannot be expected to produce evidence of similar cases, the knowledge 13 of which might be useful in the litigation of the instant case, while suffering under a gag 14 order. The Court therefore holds that the arbitration agreement’s confidentiality provision 15 is unconscionable. However, the scope of this unconscionability is limited, as is discussed 16 in more detail below. 17 F. The Limitations Provision 18 The final provision that Plaintiffs attack is the limitations provision, which in 2020 19 and 2022 required aggrieved parties to initiate arbitration “within six (6) months from the 20 date on which the facts giving rise to the dispute first arose” but which Defendants amended 21 in 2023 to provide “two (2) years from the date on which the facts giving rise to the dispute 22 first arose” within which to initiate arbitration. (See Doc. 43-6 at 92; Doc. 69-2 at 5.) In 23 Arizona, it is well-established that parties to a contract generally may adopt terms 24 providing a shorter limitations period than would obtain under statute. Herstam v. Deloitte 25 & Touche, LLP, 186 Ariz. 110, 115 (Ct. App. 1996) (“Thus, parties are at liberty by 26 contract to shorten the limitations period provided by statute.”); Angus Med., 173 Ariz. 27 at 167 (Ct. App. 1992) (“If it is not unconscionable to waive or disclaim an entire category 28 of remedies, a fortiori it is not unconscionable to shorten the time within which a party 1 must exercise those remedies.”). Although the Arizona judiciary has narrowed the extent 2 to which a contracting entity may alter limitations periods when doing so would defeat the 3 basic intent of the contract, particularly in the context of insurance contracts, Zuckerman 4 v. Transamerica Ins. Co., 133 Ariz. 139, 146 (1982), the general rule remains that “parties 5 may contract with regard to shortening the statute [of limitations],” see id. at 143 n.5. 6 Plaintiffs cite two cases from the Ninth Circuit purportedly demonstrating the 7 unconscionability of limitations provisions. (Plaintiffs’ Supp. Br. at 17.) The first, W. Filter 8 Corp. v. Argan, Inc., 540 F.3d 947, 952–54 (9th Cir. 2008), applies the law of California 9 and New York and is thus inapposite. The second, Ingle v. Cir. City Stores, Inc., 328 F.3d 10 1165, 1175 (9th Cir. 2003), does not disapprove of limitations provisions generally but 11 instead creates a narrow carveout in order to protect a plaintiff’s access to the continuing 12 violation doctrine. Plaintiffs do not assert that the continuing violation doctrine is relevant 13 to the instant case. The Court therefore holds that the arbitration agreement’s limitations 14 provision is not unconscionable. 15 G. Severability 16 The Court has found three of the arbitration agreement’s provisions to be 17 unconscionable: (1) the unilateral remedy for breach provisions, (2) the escrow provision, 18 and (3) the confidentiality provision. All relevant versions of the arbitration agreement 19 contain a severability clause stating that “[i]n the event that any provision or term set forth 20 in the Provider Agreement is determined invalid or unenforceable, such invalidity and 21 unenforceability will not affect the validity or enforceability of any other provision or term 22 set forth in the Provider Agreement.” (See, e.g., Doc. 43-4 at 44; Doc. 69-3 at 95.) 23 Defendants argue that the Court ought to give effect to this clause by severing the 24 unconscionable portions of the arbitration agreement and enforcing the remainder. 25 (Defendants’ Supp. Br. at 18–20.) In contrast, Plaintiffs contend that the unconscionable 26 provisions of the arbitration agreement so predominate over the remainder thereof that the 27 entire agreement must be stricken. (Plaintiffs’ Supp. Br. at 5–6.) The Court agrees with 28 Defendants. 1 “In Arizona, even if one part of a severable contract is void, the court may enforce 2 the remainder of the contract.” Mousa v. Saba, 222 Ariz. 581, 587 ¶ 25 (Ct. App. 2009); 3 see also Hamblen v. Hatch, 242 Ariz. 483, 487 ¶ 15 (2017) (adopting the doctrine of 4 “separability” in the context of Arizona’s Uniform Arbitration Act). Plaintiffs cite several 5 cases from the Ninth Circuit applying California law and holding that severance is 6 inappropriate when the unconscionable terms taint the central purpose of the arbitration 7 agreement with illegality. (Plaintiffs’ Supp. Br. at 5–6 (citing Heckman, 114 F.4th 8 at 688–89, and Ronderos, 114 F.4th at 1099–1104).) Although the cases cited by Plaintiff 9 do not involve Arizona law, their holdings are still consistent with Arizona law, as 10 severance is a matter of judicial discretion. See Olliver/Pilcher Ins., Inc. v. Daniels, 148 11 Ariz. 530, 533 (1986) (“If it is clear from its terms that a contract was intended to be 12 severable, the court can enforce the lawful part and ignore the unlawful part.” (emphasis 13 added)). Here, there exists good reason to sever the objectionable portions of the arbitration 14 agreement and enforce the residue. 15 First, as already noted, the contract expressly provides for severance. Second, none 16 of the unconscionable provisions taint the central purpose of the arbitration agreement. The 17 escrow provision constitutes a barrier to entry. It is an impediment to arbitration, and its 18 unconscionability derives from the fact that it frustrates the central purpose of the 19 arbitration agreement, namely the arbitration of claims. Therefore, severing the escrow 20 provision will serve the overall purpose of the agreement, not obstruct it. Likewise, the 21 unilateral remedy for breach is an obstacle to arbitration. For instance, it permits 22 Defendants, and only Defendants, to abort the arbitration process or void a final award 23 resulting therefrom. Severing this unconscionable provision will advance the central 24 purpose of the agreement. The confidentiality provision presents a trickier issue. In both of 25 this District’s precedents discussed supra, the court severed a confidentiality provision and 26 enforced the remainder of the arbitration agreement. See Longnecker v. Am. Exp. Co., 23 27 F. Supp. 3d 1099, 1111 (D. Ariz. 2014) (holding that it was “appropriate to sever the 28 confidentiality . . . clause[] and enforce the remainder of the agreement.”); Barnett v. V.T. 1 Motors LLC, No. CV-21-01195-PHX-SPL, 2021 WL 5759113, at *5 (D. Ariz. Dec. 3, 2 2021) (“As in Longnecker, where the arbitration provision also contained a severability 3 clause, severing the confidentiality clause and otherwise enforcing the Agreement is 4 appropriate and consistent with the FAA and Arizona public policy favoring arbitration.”). 5 Unfortunately, neither Longnecker nor Barnett explained what it means to sever a 6 confidentiality clause. 7 The confidentiality provision at issue here prevents the parties from disclosing 8 information relating to arbitration. That prohibition, however, is not the source of the 9 clause’s unconscionability. Rather, it is the existence of similar provisions in the myriad 10 contracts between Defendants and similarly situated third-party pharmacies that harms 11 Plaintiffs. In other words, it is not the inability to speak that disadvantages Plaintiffs in 12 their quest to vindicate their claims; rather, it is the inability to hear the speech of others. 13 Therefore, severing the confidentiality provision of the instant arbitration agreement will 14 do nothing to address the information asymmetry that renders the provision unconscionable 15 in the first place. Although neither party briefed this issue, the Court identifies a particular 16 discovery limitation as part and parcel with the unconscionability of the confidentiality 17 provision. In 2022, Defendants inserted a clause into the arbitration agreement stating that: 18 Discovery shall be limited to the Provider initiating the dispute and no other 19 Provider. Provider expressly agrees not to seek discovery concerning other Providers, disputes or arbitration matters not involving the Provider at issue. 20 Provider agrees that an Arbitrator(s) shall have no authority hereunder to 21 order discovery related to other Providers, disputes or arbitration matters not involving the Provider at issue. Any attempt by Provider to seek discovery 22 on other Providers, disputes or arbitration matters shall be deemed a violation 23 of this provision, as well as Section 14, and subject Provider to the penalties outlined in those provisions. 24 (Doc. 69-1 at 97.)7 25 26 27 7 The express one-sidedness of this provision bolsters the Court’s conclusion that 28 the confidentiality provision is asymmetric and unconscionable, as this discovery limitation and the penalties for a breach thereof apply only to Plaintiffs. 1 The Court holds this provision to be unenforceable. Plaintiffs may discover 2 information pertaining to other arbitral adjudications, provided that Plaintiffs are able to 3 make the threshold showing that such information is “direct[ly], substantial[ly], and 4 demonstrabl[y] need[ed], and [that] such documents and information can be located and 5 produced at a cost that is reasonable in the context of all surrounding facts and 6 circumstances.” (See, e.g., Doc. 69-1 at 97.) To be clear, the Court is not invalidating all of 7 the arbitration agreement’s discovery provisions. Such provisions remain generally 8 enforceable. Rather, the Court is declaring one such provision unenforceable only insofar 9 as is necessary to effectuate its antecedent holding regarding the unconscionable effect of 10 the confidentiality provision. Plaintiffs’ use of any discovered information shall be limited 11 to the vindication of their claims. Plaintiffs are not permitted to publicize or disseminate 12 such information, as that action would frustrate the intent of the parties in a manner wholly 13 unrelated to the objectionable effect of the arbitrations agreement’s confidentiality 14 provision. The Court leaves to the arbitrators the precise contours of any necessary 15 protective orders or seals. This holding, which involves the targeted invalidation of an 16 isolated contractual provision, is not the kind of “blue pencil” remedy that the Arizona 17 Supreme Court has rejected, which the high court has likened to the “rewrit[ing] and 18 creat[ion] [of] a restrictive covenant significantly different from that created by the 19 parties.” See Valley Med. Specialists v. Farber, 194 Ariz. 363, 372 ¶¶ 30–32 (1999). 20 III. Conclusion 21 The Court holds that three provisions of the parties’ arbitration agreement are 22 substantively unconscionable. However, these provisions are severable. The remainder of 23 the arbitration agreement is enforceable. The parties shall therefore proceed to arbitration. 24 The Supreme Court recently overturned a long line of Ninth Circuit cases and held 25 that “[w]hen a federal court finds that a dispute is subject to arbitration, and a party has 26 requested a stay of the court proceeding pending arbitration, the court does not have 27 discretion to dismiss the suit on the basis that all the claims are subject to arbitration.” 28 Smith v. Spizzirri, 601 U.S. 472, 475–76 (2024). That holding is vitally important to the || parties’ appellate rights, as “[a]n order compelling arbitration and staying the action isn’t || immediately appealable, but an order compelling arbitration and dismissing the action is.” || Johnmohammadi v. Bloomingdale’s, Inc., 755 F.3d 1072, 1074 (9th Cir. 2014); see also 4]| 9U.S.C. § 16(b)C1) (providing that no appeal may be taken from an order granting a stay || of an arbitrable action). Here, Defendants have not requested a stay and instead have 6|| affirmatively requested a dismissal. (See Doc. 42 at 1.) Therefore, the Court will dismiss 7\| Plaintiffs’ claims. 8 IT IS THEREFORE ORDERED denying Defendants’ Motion to Strike (Doc. 86). 9 IT IS FURTHER ORDERED granting both of Defendants’ Motions to Compel Arbitration (Doc. 42; Doc. 68). The parties shall submit this matter to arbitration pursuant 11 || to the terms of their arbitration agreements, except that the unenforceable provisions of the || agreements identified herein shall not be enforced. 13 IT IS FURTHER ORDERED dismissing this case without prejudice and directing the Clerk of Court to terminate this matter. 15 Dated this 12th day of February, 2025. CN 16 “wok: 17 hlee— Unifga StatesDistrict Judge 18 19 20 21 22 23 24 25 26 27 28
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Osterhaus Pharmacy Incorporated v. CVS Health Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/osterhaus-pharmacy-incorporated-v-cvs-health-corporation-azd-2025.