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53 F.4th 1109
8th Cir.
2022
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Background

  • BPP, a periodontal care provider in St. Louis, received a fax from Caremark (sent via vendor Welltok) announcing a three-day opioid supply limit option for patients under 20.\
  • Caremark is a pharmacy benefits manager that sells services to plan sponsors (insurers, employers), not to individual providers or patients.\
  • The fax informed providers of the coverage option, exemptions (e.g., cancer, palliative care), and prior-authorization procedures; Caremark’s marketing reviewed the draft.\
  • BPP sued Caremark and Welltok under the TCPA, claiming the fax was an unlawful "unsolicited advertisement."\
  • The district court granted summary judgment for defendants; the Eighth Circuit affirmed, holding the fax was not an "unsolicited advertisement" as a matter of law.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether the fax was an "unsolicited advertisement" under the TCPA The fax gave public notice of Caremark's commercial PBM services and therefore was an unsolicited advertisement An "advertisement" requires a commercial component promoting goods/services for sale or profit; the fax was primarily informational Adopted Sandusky: advertisement requires commercial nexus/promotional aim; the fax was informational, not an ad
Whether courts must defer to the FCC's interpretation under Chevron Court should defer to FCC guidance interpreting "unsolicited advertisement" The TCPA definition is unambiguous; Chevron deference not triggered; FCC guidance does not support BPP's view No Chevron deference: statutory term not ambiguous; FCC treats primarily informational faxes as non-ads
Whether factual disputes (e.g., marketing involvement, possible patient switching) precluded summary judgment Marketing review and potential indirect business benefit create a triable issue of commercial intent Marketing reviews both commercial and informational material; Caremark does not sell to doctors; plaintiff’s theory is speculative No genuine dispute: evidence insufficient to show the fax promoted sales or had a commercial aim; summary judgment proper
Whether a minor or remote commercial purpose would make a fax unlawful Minor or indirect commercial benefits (branding, patient switching) should suffice to classify a fax as an ad Treating remote/minor benefits as dispositive would vastly expand the TCPA beyond its scope Rejected: minor/remote commercial purposes are insufficient; a clear promotional/commercial purpose is required

Key Cases Cited

  • Sandusky Wellness Ctr., LLC v. Medco Health Sols., Inc., 788 F.3d 218 (6th Cir. 2015) (defines "advertisement" to require a commercial/promotional component)\
  • Physicians Healthsource, Inc. v. Boehringer Ingelheim Pharms., Inc., 845 F.3d 92 (2d Cir. 2017) (fax with promotional sales pitch constituted an unsolicited advertisement)\
  • Chevron U.S.A., Inc. v. Natural Resources Def. Council, Inc., 467 U.S. 837 (1984) (framework for judicial deference to agency interpretations)\
  • Nat'l Cable & Telecomms. Ass'n v. Brand X Internet Servs., 545 U.S. 967 (2005) (agency authority can bind courts when statute ambiguous)\
  • Onyiah v. St. Cloud State Univ., 5 F.4th 926 (8th Cir. 2021) (standard of review for summary judgment)\
  • Lindeman v. St. Luke's Hosp. of Kan. City, 899 F.3d 603 (8th Cir. 2018) (summary judgment standard)
Read the full case

Case Details

Case Name: BPP v. CaremarkPCS Health, L.L.C.
Court Name: Court of Appeals for the Eighth Circuit
Date Published: Nov 16, 2022
Citations: 53 F.4th 1109; 21-3791
Docket Number: 21-3791
Court Abbreviation: 8th Cir.
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    BPP v. CaremarkPCS Health, L.L.C., 53 F.4th 1109