Scholl v. Walgreens Specialty Pharmacy

Court of Appeals for the Tenth Circuit·Decided August 6, 2026·No. 25-5053·Published

Opinion

Appellate Case: 25-5053 Document: 45-1 Date Filed: 08/06/2026 Page: 1 FILED United States Court of Appeals PUBLISH Tenth Circuit

UNITED STATES COURT OF APPEALS August 6, 2026 Christopher M. Wolpert FOR THE TENTH CIRCUIT Clerk of Court _________________________________

ERIC F. SCHOLL, individually and as parent and next friend of J.J.S., a minor child; JACQUELINE R. SCHOLL, individually and as parent and next friend of J.J.S., a minor child; J.J.S., a minor child,

Plaintiffs - Appellants,

v. No. 25-5053

WALGREENS SPECIALTY PHARMACY, LLC, d/b/a Alliance Rx Walgreens Prime; WALGREENS SPECIALTY PHARMACY HOLDINGS, LLC, a foreign company,

Defendants - Appellees. _________________________________

Appeal from the United States District Court for the Northern District of Oklahoma (D.C. No. 4:21-CV-00363-JDR-MTS) _________________________________

Jason A. McVicker (Andrew C. Jayne and Bryan J. Seaton with him on the briefs), of Jayne Peters McVicker Burke Askew & Parker, Tulsa, Oklahoma, for Plaintiffs-Appellants.

James E. Goldschmidt of Quarles & Brady LLP, Milwaukee, Wisconsin (Nathan J. Oesch and Ellen E. Anderson of Quarles & Brady LLP, Milwaukee, Wisconsin; Stacy A. Alexejun of Quarles & Brady LLP, Madison, Wisconsin, with him on the brief), for Defendants-Appellees. Appellate Case: 25-5053 Document: 45-1 Date Filed: 08/06/2026 Page: 2

_________________________________

Before MATHESON, PHILLIPS, and ROSSMAN, Circuit Judges. _________________________________

ROSSMAN, Circuit Judge. _________________________________

Plaintiffs-Appellants Eric and Jacqueline Scholl and their minor

daughter J.J.S. (the Scholls) sued Walgreens Specialty Pharmacy, LLC and

Walgreens Specialty Pharmacy Holdings, LLC for negligence under

Oklahoma law after Walgreens did not timely fill a prescription for J.J.S.,

and she then fell ill. The district court granted Walgreens’ motion for

summary judgment, concluding Walgreens had no duty to fill the

prescription under the circumstances here. The Scholls appeal. Exercising

jurisdiction under 28 U.S.C. § 1291, we affirm.

I

A1

In May 2020, Eric and Jacqueline Scholl’s then-12-year-old daughter

J.J.S. was diagnosed with vaginal agenesis, a rare congenital condition in

which the body cannot expel menstrual material. Her symptoms included

debilitating abdominal pain. J.J.S.’s physician, Dr. Catherine Hildebrand,

1 The facts in this opinion come from our de novo review of the appellate record. See Est. of Beauford v. Mesa County, 35 F.4th 1248, 1257 n.2 (10th Cir. 2022) (reviewing the record de novo after the district court granted summary judgment to defendants). 2 Appellate Case: 25-5053 Document: 45-1 Date Filed: 08/06/2026 Page: 3

presented the Scholls with several treatment options, including a complete

hysterectomy; surgery to remove soft tissue in the vaginal canal; and

injections of a drug called Lupron Depot, a hormone that prevents

ovulation. Faced with only “bad choices,” the Scholls chose the Lupron

Depot injections. RIII.15.

On June 1, 2020, Dr. Hildebrand sent a referral form to AbbVie, the

manufacturer of Lupron Depot, asking whether J.J.S.’s insurance would

cover the prescription. AbbVie responded the next day recommending Dr.

Hildebrand obtain “prior authorization” 2 from J.J.S.’s health insurer, Blue

Cross and Blue Shield of Oklahoma (BCBS). AbbVie informed Dr.

Hildebrand that the medication could be filled at AllianceRx, a “specialty

pharmac[y]” owned by Walgreens. 3 RI.106, 176. AbbVie also noted the

“approximate turn-around time is 7–14 days after initiation with the

insurance company.” RI.106. On June 2, AbbVie forwarded prescription

information to Walgreens. The next day, Walgreens told Dr. Hildebrand’s

office that it had received the prescription.

2“Prior authorization,” also known as “preauthorization,” is an insurance term for “pre-determin[ing] whether a drug is covered under the medical benefits portion of an insured’s plan.” RI.63; see RIII.10.

3 Specialty pharmacies dispense “medications that you cannot get at

a local Walgreens,” such as prescriptions “that have to be administered by a doctor rather than a patient” or that must be “handled” or “stored in a particular way.” RIII.34. 3 Appellate Case: 25-5053 Document: 45-1 Date Filed: 08/06/2026 Page: 4

Between June 3 and 11, Walgreens investigated whether the

prescription for Lupron Depot would be covered by BCBS without prior

authorization. On June 11, Walgreens determined BCBS indeed had to

preauthorize the drug before they could dispense it, and only the

prescribing physician—Dr. Hildebrand, not the pharmacy—could obtain

that approval from the insurer. That same day, Walgreens faxed Dr.

Hildebrand’s office the paperwork she would need to send to BCBS for its

preauthorization.

On June 15, frustrated by the lack of progress with getting the

prescription filled, Ms. Scholl called Walgreens. A Walgreens employee told

her the pharmacy could not fill J.J.S.’s prescription until it received

preauthorization from BCBS. Ms. Scholl explained the urgent need for the

medication and asked whether she could bypass the insurance delays by

paying for the drug out of pocket. The employee said out-of-pocket payments

were forbidden. Walgreens then twice called Dr. Hildebrand’s office,

emphasizing the prescription could not be filled until BCBS preauthorized

it.

The next day, June 16 at 10:48 a.m., a Walgreens employee spoke with

Dr. Hildebrand’s office a third time and learned Dr. Hildebrand still had

not filed the preauthorization request with BCBS. In response, Walgreens

put J.J.S.’s prescription “on hold” and internally designated the

4 Appellate Case: 25-5053 Document: 45-1 Date Filed: 08/06/2026 Page: 5

prescription as “no go.” 4 RI.144, 172, 181. That afternoon, Walgreens closed

the prescription file. But almost immediately thereafter, Dr. Hildebrand

finally received the preauthorization from BCBS. Later that same day, Dr.

Hildebrand’s office and Ms. Scholl provided the preapproval information to

Walgreens. 5 The record contains no evidence about what, if anything,

Walgreens told the Scholls or Dr. Hildebrand upon receiving BCBS’s

preauthorization.

For nearly a month-long period—between June 17 and July 12, 2020—

neither the Scholls nor Dr. Hildebrand called Walgreens to check on the

status of the prescription, and Walgreens did not independently update the

Scholls or Dr. Hildebrand. 6 Walgreens’ file for J.J.S.’s prescription

4 According to the deposition testimony of Walgreens’ corporate representative, the “no go” status indicated “there was a reason that we could not proceed with the prescription . . . . So it doesn’t mean we won’t fill the prescription, it means until a [preauthorization from the insurer] is obtained, we’re going to put it on hold.” RIII.83.

5 Walgreens disputes that it received the preauthorization information on June 16. The district court resolved this dispute “in favor of the Scholls and assume[d] that the information was communicated to Walgreens at approximately 12:53 p.m. on June 16, 2020.” RV.6–7. We make the same assumption. Est. of Beauford, 35 F.4th at 1261 (recognizing that, at summary judgment, we “construe the facts in the light most favorable to the nonmovant and to draw all reasonable inferences in [their] favor”).

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