Wyeth, Inc. v. Blue Cross & Blue Shield of Alabama

42 So. 3d 1216, 2010 Ala. LEXIS 7, 2010 WL 152123
CourtSupreme Court of Alabama
DecidedJanuary 15, 2010
Docket1050926
StatusPublished
Cited by40 cases

This text of 42 So. 3d 1216 (Wyeth, Inc. v. Blue Cross & Blue Shield of Alabama) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wyeth, Inc. v. Blue Cross & Blue Shield of Alabama, 42 So. 3d 1216, 2010 Ala. LEXIS 7, 2010 WL 152123 (Ala. 2010).

Opinions

PER CURIAM.

Wyeth, Inc., and Wyeth Pharmaceuticals, Inc. (hereinafter referred to collectively as “Wyeth”), appeal from a class-certification order of the Jefferson Circuit Court concluding that Blue Cross and Blue Shield of Alabama (“BCBSAL”) met the prerequisites for class certification under Rule 23(a) and 23(b)(3), Ala. R. Civ. P. We vacate the order and remand.

I. Fads and Procedural History

On or about July 15, 1997, Wyeth began distributing Duract, a nonsteroidal, anti-inflammatory drug prescribed for the short-term management of acute pain. The labeling for Duract included an insert provided to physicians, pharmacists, and patients, directing that patients take at most 1 to 2 capsules every 6 to 8 hours and that Duract should be used only for a period of 10 days or less. The Food and Drug Administration (“FDA”) had approved Duract and its labeling before the drug was released into the marketplace.

In December 1997, Wyeth received reports of liver problems, some life-threatening, in patients who had taken Duract for an extended period. In February 1998, Wyeth sought and received FDA approval for a revised package insert for Duract, which described the reports of liver problems resulting from the overuse of the drug and which reemphasized that Duract was intended “only for the short term (10 days or less).”

Following the release of the new package insert, Wyeth continued to receive reports of adverse liver effects for long-term users of Duract. These reports caused Wyeth to conclude that no change in the package insert could guarantee that physicians would stop prescribing Duract for long-term use. Therefore, Wyeth voluntarily withdrew Duract from the market on June 22, 1998, notifying the public of its decision to do so through a press release.

As part of the process of withdrawing Duract from the market, Wyeth voluntarily instituted a customer-refund program for retail customers who still had Duract capsules in their possession. The program provided that Wyeth would reimburse retail customers at the rate of $1.15 per capsule for every Duract capsule returned to Wyeth, with a minimum of a $5.00 refund regardless of the number of pills returned.1 The reimbursement amount was set at a price above the retail cost of the capsules in order to provide a greater incentive for customers to return the cap[1218]*1218sules that remained in their possession. Wyeth did not require that customers have a receipt in order to take advantage of the refund. Wyeth refunded approximately $705,000 to approximately 18,000 retail customers during the refund program. Wyeth’s designated corporate representative in this litigation, Dennis Markle, testified by deposition that Wyeth instituted the customer-refund program because “it was the right thing to do.”

BCBSAL sued Wyeth on September 23, 2003, alleging breach of implied contract and unjust enrichment. BCBSAL is a health-insurance company that pays, in whole or in part, the health-care costs of its insureds in exchange for premiums; BCBSAL is what is known as a third-party payer (“TPP”) of health-care services. BCBSAL also acts as an administrator for health plans of self-funded insurance groups, performing administration functions in exchange for a fee.

BCBSAL filed its first amended complaint on June 22, 2004, asserting that class treatment for all TPPs nationwide was appropriate and seeking certification of a class of all TPPs.2 On December 17, 2004, BCBSAL filed a motion for class certification and asking to be designated the class representative for all TPPs that paid for Duract capsules that went unused following the withdrawal of the drug from the market on June 22,1998.

BCBSAL filed a second amended complaint on December 29, 2004, in which it sought recovery against Wyeth solely on a theory of unjust enrichment. BCBSAL alleged that it and other TPPs “conferred on [Wyeth] a benefit in the form of the consideration of the purchase price paid by [the putative class members] for unused Duract.” The payment for these unused capsules, BCBSAL claimed, “was erroneously made, and would not have been made if [the putative class members] had been aware that substantial portions of the Duract for which it conferred a benefit would be unused due to the withdrawal of Duract.” The complaint concluded that the “[r]etention of the benefit conferred upon [Wyeth] by [the putative class members] is inequitable and has resulted in the unjust enrichment of [Wyeth].”

After a hearing on the class-certification motion, the trial court entered an order certifying a nationwide class of TPPs “who paid for the prescription drug Duract that was not used as of the date of its withdrawal from the market on June 22, 1998, because the prescribed course of Duract for which payment was made did not expire until after its withdrawal from the market.” Any TPPs that purchased Du-ract directly from Wyeth were explicitly excluded from class membership.

Pursuant to § 6-5-642, Ala.Code 1975,3 Wyeth filed an interlocutory appeal from the order certifying the class.

II. Standard of Review

“This Court applies an abuse-of-discretion standard of review to a trial court’s class-certification order, but we will review de novo the question whether the trial court applied the correct legal standard in reaching its decision to certify a class....
[1219]*1219“If the [plaintiffs] fail to meet the evidentiary burden as required by Rule 23, [Ala. R. Civ. P.,] then the order certifying the ... class[ ] constitutes an abuse of discretion by the trial court.... The [plaintiffs] must establish all of the criteria set forth in Rule 23(a), Ala. R. Civ. P., and one of the criteria set forth in Rule 23(b).”

Smart Prof'l Photocopy Corp. v. Childers-Sims, 850 So.2d 1245, 1248-49 (Ala.2002) (citing Compass Bank v. Snow, 823 So.2d 667 (Ala.2001)).

III. Analysis

A. Standing

At the outset, Wyeth contends that BCBSAL lacks standing to serve as class representative because, Wyeth argues, BCBSAL did not sustain an injury of a nature required for standing. It argues that BCBSAL did not allege any loss, financial or otherwise, resulting from the withdrawal of Duract from the market, and that BCBSAL did not allege that it made payments to insureds or to pharmacies that were more than it would have made had the withdrawal not occurred. Wyeth also notes that, despite the withdrawal, BCBSAL received the same premiums from its insureds that it normally would receive in exchange for paying their health-care expenses.4

BCBSAL contends that Wyeth’s argument that the payments made by BCBSAL do not give BCBSAL standing actually goes to the merits of BCBSAL’s unjust-enrichment claim despite being “dressed up as if ... subject matter jurisdiction were implicated.” BCBSAL also contends that Wyeth’s argument as to standing was not presented to the trial court.5

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Bluebook (online)
42 So. 3d 1216, 2010 Ala. LEXIS 7, 2010 WL 152123, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wyeth-inc-v-blue-cross-blue-shield-of-alabama-ala-2010.