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950 F.3d 911
7th Cir.
2020
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Background

  • Prime Therapeutics (a PBM part‑owned by Blue Cross Blue Shield) audited and terminated two member retail pharmacies, Sharif Pharmacy and J&S Community Pharmacy, from its network for alleged invoicing irregularities. Prime notified customers and recommended Walgreens; it also retained funds from the pharmacies.
  • Plaintiffs sued under Sections 1 and 2 of the Sherman Act alleging the terminations were pretextual and intended to favor Walgreens following a Prime–Walgreens joint venture.
  • J&S later was reinstated in Prime’s network and voluntarily dismissed its appeal; three J&S customers remained as plaintiffs seeking damages and (prior to reinstatement) injunctive relief restoring network participation.
  • The district courts dismissed the federal antitrust claims; appeals followed. The Seventh Circuit considered mootness/standing issues for J&S and the merits for Sharif.
  • The court affirmed dismissal: J&S’s injunctive claims rendered moot by reinstatement; J&S customers’ damage claims barred by Illinois Brick; Sharif’s Section 1 and 2 claims fail for lack of a properly pleaded relevant market and monopoly power. State‑law claims were dismissed without prejudice.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Mootness of J&S injunctive relief Reinstatement request still justiciable Reinstatement moots injunctive relief Injunctive claims moot after reinstatement; dismissal affirmed as modified
J&S customers' right to recover damages Customers suffered concrete harm from loss of convenient pharmacy Customers are indirect purchasers; J&S was the direct victim Damages claims barred by Illinois Brick doctrine; customers lack antitrust standing
Section 1 (exclusive dealing/refusal to deal) as to Sharif Prime–Walgreens JV and termination scheme function as exclusive dealing that harms competition No horizontal agreement or per se violation; plaintiffs must plead market power under rule of reason Section 1 claim fails: no plausible allegation of monopoly/market power; dismissal affirmed
Section 2 (monopolization/attempt) as to Sharif Prime/Walgreens conduct amounts to unlawful refusal to deal/attempt to monopolize Monopolists may choose with whom to deal; only narrow exceptions make refusal illegal; plaintiff must plead monopoly or dangerous probability of monopoly Section 2 claim fails: plaintiff did not plausibly allege actual or threatened monopoly power; dismissal affirmed
Geographic market definition Sharif proposes nationwide, Chicago metro, or a five‑block area Nationwide/metro plausible but no market power alleged; five‑block market implausibly small Five‑block market implausible; no plausible market where defendants had monopoly power
Product market definition Retail prescription drugs (cluster) Too many heterogeneous drugs; market definition inadequate Cluster market concept can be plausible, but Sharif did not plead facts to show market power in any viable product market
Leave to amend Plaintiffs should be given leave to cure pleading defects Defects are fundamental; further amendment would be futile Dismissals of federal antitrust claims with prejudice upheld as amendment would be futile

Key Cases Cited

  • Illinois Brick Co. v. Illinois, 431 U.S. 720 (1977) (bars indirect purchaser damage claims)
  • Apple Inc. v. Pepper, 139 S. Ct. 1514 (2019) (applies Illinois Brick principles to Section 2 claims)
  • Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (2007) (pleading standard requiring plausible claims)
  • Ashcroft v. Iqbal, 556 U.S. 662 (2009) (applies Twombly plausibility standard)
  • Leegin Creative Leather Prods., Inc. v. PSKS, Inc., 551 U.S. 877 (2007) (rule of reason versus per se analysis)
  • Pacific Bell Tel. Co. v. Linkline Commc'ns, Inc., 555 U.S. 438 (2009) (monopolist’s right to choose trading partners; limited refusal‑to‑deal exceptions)
  • Verizon Commc'ns Inc. v. Law Offs. of Curtis V. Trinko, LLP, 540 U.S. 398 (2004) (narrow scope of Section 2 refusal‑to‑deal liability)
  • Aspen Skiing Co. v. Aspen Highlands Skiing Corp., 472 U.S. 585 (1985) (refusal to deal can be illegal in limited circumstances)
  • Brown Shoe Co. v. United States, 370 U.S. 294 (1962) (geographic market must reflect commercial realities)
  • United States v. E.I. Du Pont de Nemours & Co., 351 U.S. 377 (1956) (product market definition principles)
  • Advocate Health Care Network v. Stapleton, 841 F.3d 460 (7th Cir. 2016) (recognizing bundled/cluster product markets)
  • Runnion v. Girl Scouts of Greater Chicago & Nw. Ind., 786 F.3d 510 (7th Cir. 2015) (leave to amend after Rule 12(b)(6) dismissal)
Read the full case

Case Details

Case Name: Sharif Pharmacy Inc. v. Prime Therapeutics LLC
Court Name: Court of Appeals for the Seventh Circuit
Date Published: Feb 24, 2020
Citations: 950 F.3d 911; 18-2725
Docket Number: 18-2725
Court Abbreviation: 7th Cir.
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    Sharif Pharmacy Inc. v. Prime Therapeutics LLC, 950 F.3d 911