DISCLAIMER: Any unofficial case summaries below are prepared by the clerk's office
as a courtesy to the reader. They are not part of the opinion of the court.
151578P.pdf 01/11/2016 Grasso Enterprises v. Express Scripts
U.S. Court of Appeals Case No: 15-1578
U.S. District Court for the Eastern District of Missouri - St. Louis
[PUBLISHED] [Loken, Author, with Beam and Shepherd, Circuit Judges]
Civil Case - ERISA. After Express Scripts denied payment of compound drug
claims pursuant to a revised program for paying compounding pharmacies,
the compounding pharmacies brought suit against Express Scripts for
failing to adhere to procedural requirements of ERISA's claim regulation
and sought a preliminary injunction. In this interlocutory appeal, the
district court did not abuse its discretion in denying a preliminary
injunction. Plan beneficiaries have an adequate remedy at law and there is
no need for injunctive relief under section 502(a)(3) or for equitable
relief under section 502(a)(1)(B). Alternatively, the compounding
pharmacies lack standing under ERISA to assert harm to themselves, as they
are not "beneficiaries" and are not entitled to the procedures established
by thee claims regulations. The district court's order denying a
preliminary injunction is affirmed.