ORDER
On this date, the Court considered Defendants CVS Health Corporation, Care-mark, LLC, and CaremarkPCS Health, LLC’s Motion to Dismiss and Compel Arbitration (docket no. 44) and each party’s subsequent responses (docket nos. 23, 24, 42, and 43). The Court also considered Plaintiff Grasso Enterprises, LLC’s Motion for Preliminary Injunction (docket no. 26) and the subsequent responses (docket nos. 33, 42, and 43). After careful consideration, the Court will GRANT IN PART and DENY IN PART Defendant’s Motion to Dismiss and Compel Arbitration and DISMISS AS MOOT Plaintiffs Motion for Preliminary Injunction.
FACTUAL BACKGROUND
I. The relationship between the parties
Plaintiff Grasso Enterprises (“Grasso”) owns two compounding pharmacies — one in Boeme, Texas and one in Kerrville, Texas. Docket no. 1 at 2. Both pharmacies are “innetwork” pharmacies with Defendants CVS Health Corporation, Caremark, LLC, and CaremarkPCS Health, LLC (“CVS/Caremark”). Id. at 3.
The relationship between the two parties is governed by two agreements. In 2008, Grasso entered into a Provider Agreement with CVS/Caremark with respect to the pharmacy located in Boerne. Docket no. 44-2. Then, in 2014 Grasso entered into another Provider Agreement with respect to the pharmacy located in. Kerrville. Docket no. 44-3. Both agreements are signed by Dr. Leigh Ann Gras-so, an agent of Grasso, and an agent of CVS/Caremark. Docket nos. 44-2, 44-3.
The Provider Manual contains a provision that allows CVS/Caremark to amend the manual by giving the pharmacies notice of the terms of the amendment and specifying the date the amendment becomes effective. Docket no. 23 at 2. The provision also states that submitting claims to CVS/Caremark after the effective date of the amendment constitutes acceptance of the changes on the part of the pharmacy. Id. The Provider Manual has been revised in this manner a handful of times since 2008. Smith Dec. ¶ 11. Each time this occurs, a copy of the new Provider Manual is sent to all pharmacies. Id.
Each version of the Provider Manual provided to the Court contained an arbitration clause. See Pre. Inj. Hearing Plaintiffs Ex. A at 44; docket no. 44-4 at 37; docket no. 44-5 at 43; docket no. 44-6 at 50; docket no. 44-7 at 45. The most recent version of the Provider Manual governs this dispute. Grasso acknowledges that it received this version of the Manual when the Kerrville location joined the CVS/Caremark network in 2014. Pre. Inj. Hearing Trans, at 111. This version of the Provider Manual’s arbitration provision states in relevant part:
Any and all disputes between Provider and Caremark (including Caremark’s employees, parents, subsidiaries, affiliates, agents and assigns (collectively referred to in this Arbitration section as “Caremark”) [) ], including but not limited to disputes in connection with, arising out of, or relating in any way to, the Provider Agreement or to Provider’s participation in one or more Caremark networks or exclusion from any Care-mark networks, will be exclusively settled by arbitration. Unless otherwise agreed to in writing by the parties, the arbitration shall be administered by the American Arbitration Association (“AAA”) pursuant to the then applicable AAA Commercial Arbitration Rules and Mediation Procedures (available from the AAA).
Arbitration with respect to a dispute is binding and neither Provider nor Caremark will have the right to litigate that dispute through a court. In arbitration, Provider and Caremark will not have the rights that are provided in court, including the right to a trial by judge or jury. In addition, the right to discovery and the right to appeal are limited or eliminated by arbitration. All of these rights are waived and disputes must be resolved through arbitration.
The above notwithstanding, nothing in this provision shall prevent either party from seeking preliminary injunction relief to halt or prevent a breach of this Provider Agreement in any state or federal court of law.
The terms of this arbitration section apply notwithstanding any other or contrary provision of the Provider Agreement, including, but not limited to, any contrary language in any Third Party Beneficiary provision. This Arbitration section survives the termination of this Provider Agreement and the completion of the business- relationship between Provider and Caremark. This arbitration is made pursuant to a transaction involving interstate commerce, and shall be governed by the Federal Arbitration Act, 9 U.S.C. §§ 1-16.
Docket no. 44-7 at 45-46 (emphasis in original).
Grasso filed suit in this Court on May 22, 2015. Docket no. 1. Grasso seeks monetary damages and a variety of declaratory and injunctive relief. See docket no. 25. Grasso claims that CVS/Caremark’s procedures for processing claims violate the Employee Retirement Income Security Act (ERISA), the Patient Protection and Affordable Care Act (PPACA), and a U.S. Department of Labor regulation, 29 C.F.R. § 2560.503-1 (“Claims Regulation”) that applies to both ERISA and PPACA. Docket no. 25 at 3. The Claims Regulation gives CVS/Caremark 30 days to pay, deny, or make inquiries on a group health benefits plan. 29 C.F.R. § 2560.503-1.
Grasso contends in its amended complaint (docket no. 25) that it is the practice of CVS/Caremark to not review claims, but to instead use a computerized automated system to process all claims, which creates an appearance of compliance with the Claims Regulation’s 30-day time frame. Docket no. 25 at 4. But Grasso alleges that CVS/Caremark’s practice is to choose to review claims that the automated system has previously approved after the 30-day period is over. M They supposedly do this by contacting pharmacies about previously approved claims and demanding reimbursements for amounts they previously paid to the pharmacy. Id. Grasso also contends that CVS/Caremark forcibly take back the money by withholding current and future claim payments that they owe the pharmacy under other, unrelated health plans. Id. at 9. Essentially, Grasso complains that CVS/Caremark unlawfully reserve unto themselves the ability to “untimely review and reverse claim decisions long after the statutorily mandated 30-day time window has closed” and then withholds other, unrelated money they owe Grasso to enforce this. Id. at 4, 9. Grasso also alleges in its amended complaint that CVS/Caremark have unilaterally purported to amend the in-network provider contract they entered into with Grasso and other pharmacies in a manner that affects the pharmacies’ right to reimbursement. Id. at 6.
However, in their motion to dismiss and compel arbitration, CVS/Caremark tell a different story. Docket no. 44 at 5-9. They allege that they undertook a lawful audit of Grasso’s two pharmacies — one that they were entitled to conduct based on the parties contracts with one another. Id. When that audit revealed' that Grasso had overbilled CVS/Caremark by over $1 million, Grasso allegedly refused to pay and filed this lawsuit instead. Id. at 8.
III. Procedural background
CVS/Caremark filed their Motion to Dismiss and Compel Arbitration on July 20, 2015. Docket no. 16. Grasso filed its response on August 31, 2015. Docket no. 23. CVS/Caremark filed their reply on September 8, 2015. Docket no. 24. Then, as the Court was considering the Motion to Dismiss and Compel Arbitration, Grasso filed an amended complaint that alleged CVS/Caremark had unlawfully retaliated against Grasso as a result of this lawsuit (docket no. 25) and filed a Motion for Preliminary Injunction (docket no. 26). Grasso contends that CVS/Caremark unlawfully retaliated against Grasso by attempting to eject Grasso’s pharmacies from the CVS/Caremark provider network. Docket no. 26 at 4. This is scheduled to occur on October 29. Id. Grasso asks the Court to halt this action by issuing a preliminary injunction. Id. at 21. This Court held a hearing on both the Motion to Dismiss and Compel Arbitration and the Motion for Preliminary Injunction on October 5, 2015. Docket no. 29.
MOTION TO DISMISS AND COMPEL ARBITRATION ANALYSIS
CVS/Caremark move to compel arbitration pursuant to the Federal Arbitration
I. Choice of Law
As a preliminary matter, the Court must decide what law will apply to the dispute between Grasso and CVS/Care-mark over arbitrability. See Crawford Prof'l Drugs, Inc. v. CVS Caremark Corp.,
A.federal court sitting in diversity follows the choice of law rules of the state in which the court sits. Crawford, 748 F.3d at 258. This Court, then, follows the choice of law rules of the State of Texas. “Under Texas choice of law principles, contractual choice of law provisions are generally upheld.” Stinger v. Chase Bank, USA NA
The law of the state chosen by the parties to govern their contractual rights and duties will be applied, even if the particular issue is one which the parties could not have resolved by an explicit provision in their agreement directed to that issue, unless either:
(a) the chosen state has no substantial relationship to the parties or the transaction and there is no other reasonable basis for the parties’ choice, or
(b) application of the law of the chosen state would be contrary to a fundamental policy of a state which has a materially greater interest than the chosen state in the determination of the particular issue and which, under the rule of § 188, would be the state of the applicable law in the absence of an effective choice of law by the parties.
RESTATEMENT (SECOND) OF CONFLICT OF LAWS § 187(2) (1971).
The first exception (§ 187(2)(a)) is a weak and relaxed one. Crawford,
Federal courts applying the Restatement standards have used choice of law clauses to determine the law under which to evaluate a motion to compel arbitration. Crawford,
Here, the very same documents that were at issue in the Crawford case are before this Court. Both Provider Agreements clearly state that “the Agreements] will be construed, governed, and enforced in accordance with the laws of the State of Arizona.” Docket no. 44-2; docket no. 44-3. Additionally, both parties agree that Arizona law applies. Docket no. 23 at 5 (“Plaintiffs PAs with Defendants have a reasonable relationship to Arizona. See Crawford,
II. Arbitration analysis
Both Arizona and federal policy strongly favor arbitration. Grigson v. Creative Artists Agency LLC,
First, a court must determine if the parties have agreed to arbitrate the dispute. Sherer,
1. Is there a valid agreement between CVS/Caremark and Grasso to arbitrate?
This Court finds that there is a valid agreement between CVS/Caremark and Grasso to arbitrate disputes. Grasso maintains that there is no valid agreement to arbitrate because the arbitration agreement is both illusory and unconscionable. Docket no. 23 at 6, 9. This Court — relying on the Fifth Circuit’s decision in Crawford, which found the exact agreement at issue to be enforceable and not unconscionable— disagrees. See Crawford,
To begin, deciding this first step — whether or not there is a valid agreement to arbitrate between the parties- — -is a question for the Court to decide. Will-Drill Res., Inc. v. Samson Res. Co.,
It is uncontested that the Provider Manual contains an arbitration clause and that both Grasso and CVS/Caremark are signatories to the two Provider Agreements that incorporate the terms of the Provider Manual by reference. See docket nos. 42 and 43 (both referring to the documents and neither advancing any sort of argument that Grasso never signed); see also docket nos. 44-2, 44-3. The FAA mandates that a court “shall” enter an order directing arbitration where the parties have entered into an arbitration agreement. 9 U.S.C. § 4. However, given that Grasso alleges the arbitration agreement is illusory and unconscionable, the Court’s inquiry must not stop there.
Grasso first argues that the arbitration clause is unenforceable because it is illusory. Docket no. 42 at 11. It correctly points out that “[u]nder Arizona law, the validity of an arbitration clause is considered separately from the underlying contract.” Id. (citing U.S. Insulation, Inc. v. Hilro Constr. Co.,
CVS/Caremark do not have the ability to unilaterally amend the Provider Manual and bind pharmacies to those amendments. The Provider Manual requires that CVS/Caremark give notice of the terms of any amendment and the effective date. Docket no. 23 at 2. Then, if a pharmacy does not agree to the new terms, it may simply reject the amendment by ceasing to submit claims to CVS/Caremark. Id. There is mutuality of obligation here. Under the current terms of the arbitration clause, both CVS/Caremark and their network pharmacies may compel arbitration. Docket no. 44-7 at 45 (“Arbitration with respect to a dispute is binding and neither
Of course, it could be argued that the amendment process creates a contract-of-adhesion scenario, in which pharmacies are forced to accept an amendment or be kicked out of the network. The Fifth Circuit already examined this very argument in Crawford. Crawford,
Additionally, it seems that the crux of Grasso’s argument here — that the amendment process is unilateral- — attacks the validity of the Provider Agreement and Provider Manual as a whole, not just the arbitration clause. Allegations of the invalidity of a contract as a whole “must be submitted to the arbitrator to decide” because “the issue of the contract’s validity is considered by the arbitrator in the first instance.” Buckeye Check Cashing, Inc. v. Cardegna,
Second, Grasso argues that the arbitration provision is invalid because it is unconscionable. Docket no. 23 at 14. In its original response to the Motion to Dismiss and Compel Arbitration, it argued that it was unconscionable because it was a contract of adhesion and cited Arizona case law to support its contention. Id. at 14-15. However, as explained above, the Fifth Circuit examined this very argument with respect to these very same documents applying the very same state’s law (Arizona), and found that the arbitration clause was not unconscionable. Crawford,
Grasso also argues that the arbitration clause is unconscionable “on the ground that its confidentiality requirement gives CVS an unfair advantage because only CVS knows the history of its prior disputes with pharmacies, while pharmacies and their attorneys cannot share their information about their ' disputes with CVS.” Docket no, 42 at 14. Grasso maintains that since CVS is a repeat player in arbitration, it acquires institutional knowledge that the arbitration clause’s confidentiality requirement prevents other parties from obtaining, and that such unfairness is
This Court finds these two cases unpersuasive. First, Longnecker does not stand for the proposition that all confidentiality clauses in arbitration agreements are unconscionable. Rather, in Longnecker, the court found that a particular confidentiality provision was substantively unconscionable, Longnecker v. Am. Exp. Co.,
Here, Grasso is a sophisticated plaintiff, far removed from that of an individual employee suing his or her employer. This fact, combined with the Arizona and Fifth Circuit cases that find no fault with confidentiality provisions, leads this Court to conclude that the confidentiality provision does not render the arbitration clause unconscionable.
For all of the above reasons, the Court finds that' there is a valid agreement to arbitrate claims between Grasso and CVS/Caremark.
2. Does this dispute fall within the scope of those arbitration agreements?
Even if the Court finds that the parties háve a valid agreement to arbitrate, in order to successfully move for arbitration, the dispute must fall within the scope of that agreement. Sherer,
Ordinarily, the determination of whether a specific claim is subject to arbitration is a question for a court. Crawford,
First, an arbitrator, and not a court, only has the power to decide the scope of an arbitration agreement if the parties “clearly and unmistakably” intended to delegate this power to the arbitrator. Id. An arbitration clause “need not recite verbatim that the parties agree to arbitrate arbitrability in order to manifest clear and unmistakable agreement.” Hous. Ref., L.P. v. United Steel, Paper & Forestry, Rubber, Mfg., Energy, Allied Indus. & Serv. Workers Int’l Union,
The arbitration clause in the Provider Manual incorporates the rules of the American Arbitration Association. Docket no. 44-7 at 45 (“Unless otherwise agreed to in writing by the parties, the arbitration shall be administered by the American Arbitration Association (“AAA”) pursuant to the then applicable AAA Commercial Arbitration Rules and Mediation Procedures (available from the AAA).”). As the Fifth Circuit explained in Crawford, incorporation of those rules into the Provider Manual “constitutes clear and unmistakable evidence that the parties agreed to arbitrate arbitrability.” Crawford,
b. “Wholly Groundless”
Even though there is clear and unmistakable evidence that the parties have agreed to arbitrate arbitrability, an arbitrator should decide the issue only if the assertion of arbitrability is not wholly groundless. Douglas,
There is at least a plausible argument that the arbitration agreement covers this dispute. See Douglas,
B. Does a federal statute or policy render the claims nonarbitrable?
Having determined that Grasso and CVS/Caremark did agree to arbitrate arbi-trability, the Court proceeds to the next step in the analysis. While the Court finds that the scope of the arbitration agreement is a question for the arbitrator, the Court, for the sake of completeness, must still determine whether there is any federal statute or policy that renders an otherwise arbitrable dispute nonarbitrable. See Sherer,
III. Dismissal or stay
In their motion, CVS/Caremark ask that the Court dismiss the case if it determines that all claims should be sent to arbitration. Docket no. 44 at 22. Gras-so requests that instead of dismissing the case, the Court stay the action in order to enforce the outcome of arbitration. Docket no. 42 at 19.
In Alford v. Dean Witter Reynolds, Inc.,
In later cases, the Court has noted, however, that dismissal is not required; rather, the district courts have discretion to do so, and also have discretion to stay the case or dismiss without prejudice. Apache Bohai Corp. v. Texaco China,
The Federal Arbitration Act provides that the Court shall stay the case pending resolution of the arbitration upon application of a party. Federal Arbitration Act, 9 U.S.C. § 3 (2012). Grasso has asked the . Court for a stay rather than dismissal. Docket no. 42 at 19. The Court will therefore exercise its discretion to stay this action pending resolution of the arbitration.
IV. Conclusion
For the reasons above, the Court orders all of Grasso’s claims be sent to arbitration to be decided by the arbitrator. That portion of CVS/Caremark’s Motion to Dismiss and Compel Arbitration is granted. The portion requesting the Court dismiss the case is denied and the Court exercises its discretion to stay the action.
MOTION FOR PRELIMINARY INJUNCTION
Next, the Court considers Gras-so’s Motion for Preliminary Injunction. Docket no. 26. Because this Court orders all claims be sent to arbitration, it declines
On one hand, Grasso argues that this Court has the discretion to issue a preliminary injunction even if it orders all claims be sent to arbitration. Docket no. 42 at 14. It points to the Fifth Circuit’s decision in Janvey v. Alguire to support this argument. Id. (citing Janvey v. Alguire,
On the other hand, CVS/Caremark contend that since all claims must proceed in arbitration, the Court should decline to entertain the prehminary injunction motion. Docket no. 43 at 1-3. Additionally, they argue that since the parties have agreed to arbitrate arbitrability, an arbitrator — not the Court — must decide if the exception in the arbitration clause that addresses injunctive relief allows Grasso’s request for a preliminary injunction to be heard here. Id. at 3. CVS/Caremark also maintain that even if this Court were allowed to decide if the claim at issue fell within the scope of the exception to the arbitration clause, the claim on which Grasso seeks a preliminary injunction does not qualify, because it is not a claim about breach of the Provider Agreement or Provider Manual. Id. Additionally, they state that three other federal district courts have considered this very issue with these very same agreements in similar lawsuits against CVS/Caremark, and each time the court has chosen to compel arbitration and issue no ruling on a preliminary injunction motion. Id. at 4. Finally, CVS/Caremark argue that the cases cited by Grasso.in their briefing do not require this Court to rule on the preliminary injunction motion. Id. We agree.
First, in Janvey, the Fifth Circuit merely held that a district court has the ability to rule on a motion for preliminary injunction while a motion to compel arbitration is pending. Janvey,
Simply put, there is no case that would require this Court to issue a ruling on the preliminary injunction motion even though it has ordered the case proceed in arbitration. Rather, the Fifth Circuit has specifically declined to make such a ruling. This Court finds the reasoning of the Eighth Circuit persuasive: “the judicial inquiry requisite to determine the propriety of in-junctive relief necessarily would inject the court into the merits of issues more appropriately left to the arbitrator.” Merrill Lynch, Pierce, Fenner & Smith, Inc. v. Hovey,
Additionally, even if the parties had not agreed to arbitrate arbitrability, the Court finds that the exception for preliminary injunctive relief does not cover this particular claim. The exception clause only allows a party to seek a preliminary injunction outside of arbitration “to halt or prevent a breach of the Provider Agreement in any state or federal court of law.” Docket no. 44-7 at 45-46. Here, Grasso merely alleges a violation of a federal statute — ERISA—in support of their motion for preliminary injunction, not a breach of contract. Additionally, any ambiguity about the scope of an arbitration clause must be resolved in favor of arbitration. Safer v. Nelson Fin. Group, Inc.,
Furthermore, as CVS/Caremark note, in three other suits, plaintiffs suing CVS/Caremark (or affiliated entities) attempted to use the preliminary injunction exception in the Provider Manual in order to have the courts rule on preliminary injunctions in spite of a motion to compel arbitration. In each case, the district court declined to do so. See, e.g., Burton’s Pharmacy, Inc., et al. v. CVS Caremark Corp., et al., Civ. Ac. No. 1:11CV2,
Finally, Grasso argues that this Court should rule on the preliminary injunction motion because “the appointment of an arbitrator can take a month or two” and “CVS’s termination of Annie’s Provider Agreements is scheduled to occur ... on October 29, 2015.” Docket no. 42 at 30. However, as it admits, Grasso has known that CVS/Caremark were pushing it out of the network since July. Docket no. 26 at 10. In spite of this, it waited for two months to file its Motion for Preliminary Injunction. In any case, such concerns about timing cannot overcome the reasons outlined above. For the foregoing reasons, as the Court has ordered all claims be sent to arbitration, this Court declines to rule on Grasso’s Motion for Preliminary Injunction. The motion is dismissed as moot.
CONCLUSION AND ORDERS
CVS/Caremark’s Motion to Dismiss and Compel Arbitration (docket no. 44) is GRANTED IN PART and DENIED IN PART. All claims are hereby ordered to arbitration, and the case is STAYED pending resolution of the arbitration. Because all proceedings in this case are stayed pending resolution of the arbitration, this case is appropriate for administrative closure. Mire v. Full Spectrum Lending, Inc.,
Grasso’s Motion for Preliminary Injunction (docket no. 26) is DISMISSED AS MOOT.
It is so ORDERED.
