Want v. Express Scripts, Inc.

862 F. Supp. 2d 14, 2012 WL 1949018, 2012 U.S. Dist. LEXIS 74824
CourtDistrict Court, District of Columbia
DecidedMay 31, 2012
DocketCivil Action No. 2011-1699
StatusPublished
Cited by7 cases

This text of 862 F. Supp. 2d 14 (Want v. Express Scripts, Inc.) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Want v. Express Scripts, Inc., 862 F. Supp. 2d 14, 2012 WL 1949018, 2012 U.S. Dist. LEXIS 74824 (D.D.C. 2012).

Opinion

MEMORANDUM OPINION

COLLEEN KOLLAR-KOTELLY, District Judge.

In this civil action filed pro se, plaintiff, a resident of Hagerstown, Maryland, sues defendant Express Scripts, Inc., a District of Columbia business, for $2 million, “plus $1B in punitive damages.” Compl. at 2. *16 The complaint arises out of defendant’s alleged failure to fill plaintiffs prescriptions. Defendant moves to dismiss the case under Rule 12(b)(6) of the Federal Rules of Civil Procedure, which plaintiff has opposed. Upon consideration of the parties’ submissions, the Court will grant defendant’s motion and dismiss the case.

BACKGROUND

Defendant is “a pharmacy benefit manager [that] does not dispense medication,” but “contracts with various retail pharmacies [that do] dispense medication.” Amended Mem. in Supp. of Mot. to Dismiss [Dkt. #11] at 6, n. 2. The gist of plaintiffs 10-count complaint is that defendant “has repeatedly and knowingly failed to properly process orders [] for [his] medication ...” and, as a result, his “health and well being” are “threaten[ed].” Compl. at 1. Plaintiff lists his causes of action as follows: Malpractice (Count One), Negligence (Count 2), Lack of Good Faith (Count 3), Failure to Perform (Count 4), Misrepresentation & Fraud (Count 5), Malfeasance (Count 6), Breach of Contract (Count 7), Violation of the Health Information Privacy Administration Act (HIPPA) 1 (Count 8), Violation of Federal anti-discrimination laws (Count 9), and Wreckless [sic] Endangerment (Count 10). Id. at 1-2.

The complaint’s factual allegations are bare, but plaintiff has added facts in three separate responses to the pending motion to dismiss. In his first response, plaintiff alleges “at least two occasions where the defendant failed to accept or process the necessary request for medications.” Response to Def.’s Mot. to Dismiss [Dkt. # 14] at 1. On July 26, 2011, defendant allegedly failed to process “a refill form and script for medications” sent from plaintiffs doctor’s office, and on November 21, 2011, plaintiff allegedly called defendant “no less than fourteen (14) times to request that the defendant fax his physician the necessary refill forms with fax number for returning the forms to obtain medications.” Id. at 1-2. Plaintiff “was able to connect with a representative twice [who] said they would fax the forms ‘within five minutes,’ ” but his “physician’s office has confirmed that it [had] not received any forms” as of November 22, 2011. Id. at 2.

In an “addendum” to the foregoing response, plaintiff alleges that “[o]n or about November 8,” his doctor “sent properly executed renewal forms to [defendant] to renew the medication Lyrica [that] is badly required by the plaintiff for the treatment of neuropathic pain.” Addendum to Previous Response to Def.’s Mot. to Dismiss (“Pl.’s Addendum”) [Dkt. # 15] at 1. But after plaintiff and his doctor’s office called defendant on December 14, 2011, a total of 12 times, defendant could not locate the order. Id. Allegedly, “[p]laintiff made an additional seven (7) calls on December 15 to speak with a supervisor” but was able to speak only with various customer service representatives. Id. Eventually, plaintiff spoke with a supervisor who denied plaintiffs request to call his doctor’s office and “demanded that the physician’s office call her.” Id. at 2. Allegedly, plaintiffs doctor’s office attempted to reach the supervisor but to no avail. Plaintiff alleges that “[l]ower level employees [of defendant] noted to both the plaintiff and the physician’s office that plaintiffs registration had expired on Dec. 9, 2011,” and that defendant sent “other medications to plaintiffs cardiologist” on De *17 cember 9, 2011, but not Lyrica. Id. Meanwhile, “plaintiff has gone without Lyrica [and] is suffering serious pain.” Id. Plaintiff states that he “will show at a later time where the defendant’s negligence caused him to have to undergo heart surgery.” Id.

In his third response to the motion to dismiss filed on May 21, 2012, plaintiff attached a letter dated January 5, 2012, informing him that he has “been accepted into the Pfizer Connection to Care program” and that his prescription for Lyrica had been shipped to his home. Am. Compl. & Response to Am. Mem. of Defendant (“Am. Resp.”) [Dkt. # 18]. 2 Plaintiff asserts that the letter is a contract between Pfizer Pharmaceuticals and himself “for the medications” that also binds defendant. Id. at 2.

LEGAL STANDARD

Federal Rule of Civil Procedure 12(b)(6) provides that a party may challenge the sufficiency of a complaint on the grounds it “fail[s] to state a claim upon which relief can be granted.” Fed.R.Civ.P. 12(b)(6). When evaluating a motion to dismiss for failure to state a claim, the district court must accept as true the well-pleaded factual allegations contained in the complaint. Atherton v. D.C. Office of Mayor, 567 F.3d 672, 681 (D.C.Cir.2009), cert. denied, — U.S. -, 130 S.Ct. 2064, 176 L.Ed.2d 418 (2010). “[A] complaint [does not] suffice if it tenders ‘naked assertion[s]’ devoid of ‘further factual enhancement.’ ” Ashcroft v. Iqbal, 556 U.S. 662, 129 S.Ct. 1937, 1949, 173 L.Ed.2d 868 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 557, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)). Rather, a complaint must contain sufficient factual allegations that, if accepted as true, “state a claim to relief that is plausible on its face.” Twombly, 550 U.S. at 570, 127 S.Ct. 1955. “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 129 S.Ct. at 1949. A court must construe pro se filings liberally and, absent any indication of prejudice to the defendant, should read “all of the plaintiffs filings together[.]” Richardson v. U.S., 193 F.3d 545, 548 (D.C.Cir.1999).

DISCUSSION

Defendant argues correctly that as to Counts 1, 2, 5, 7, and 9 of the complaint, plaintiff has not stated sufficient facts to establish his respective claims of malpractice, negligence, fraud, breach of contract, and discrimination. See Def.’s Mem. at 6-9, 11-15; Fed.R.Civ.P. 9 (requiring fraud to be pled “with particularity the circumstances constituting fraud”); Alexander v.

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862 F. Supp. 2d 14, 2012 WL 1949018, 2012 U.S. Dist. LEXIS 74824, Counsel Stack Legal Research, https://law.counselstack.com/opinion/want-v-express-scripts-inc-dcd-2012.