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23 PARTIES
25 Califomia.
26 2. Plaintiff is informed and believes and thereon alleges that, at all relevant times.
27 Defendant MEDCO HEALTH SOLUTIONS, INC. ("Medco") was and is a Delaware corporation
28 licensed to do business in the State of California. Plaintiff is informed and believes and thereon
3 3. Plaintiffis informed and believes and thereon alleges that Defendant FEDERICO
5 4. Plaintiff is informed and believes and thereon alleges that Defendant KURATO
7 5. Plaintiff is informed and believes and thereon alleges that Defendant CHARLES
9 6. Plaintiff is ignorant of the tme names and capacities of the Defendants sued herein
10 as Does 1 through 100, inclusive, and therefore sue those Defendants, and each ofthem, by such
11 fictitious names. Plaintiff will amend this complaint to allege their tme capacities when
12 ascertained. Plaintiffis informed and believes and thereon alleges that all such fictitiously named
13 Defendants, and each ofthem, are responsible in some manner for the occurrences herein alleged
14 and that Plaintiffs damages herein alleged were proximately caused by Defendants' acts.
15 7. Plaintiffis informed and believes and thereon alleges, that at all relevant times
16 Defendants, and each of them, were acting on behalf of and as the agent, servant, employee,
17 and/or representative of each other with the consent, knowledge, and permission of each of the
18 remaining Defendants, and were acting within the scope and purpose of said agency,
21 8. The Court has proper jurisdiction over this action under §410.10 ofthe Califomia
22 Code of Civil Procedure and Business & Professions Code §§17200, et seq.
23 9. Jurisdiction over Medco is proper because it has purposely availed itself of the
25 systematic and continuous business contacts with this State, and has many thousands of customers
26 who are residents of the State of Califomia and who do business with Defendant Medco from
2 Medco and engaged in transactions in this County, Medco engaged in transactions in this County,
3 and because Medco has received substantial profits fi-om customers who engaged in transactions
4 here.
5 STATEMENT OF FACTS
7 ("CalPERS") health plan that provides medical benefits for Plaintiff, including pharmacy
8 prescription benefits.
9 12. Plaintiff is informed and believes and thereon alleges that in or about May 2004
10 ("May 2004 Meeting"), CalPERS' then-CEO, Federico Buenrostro ("Buenrostro"), convened
12 and David Snow ("Snow"), the Chairman and CEO of Medco, at ViUalobos' Lake Tahoe home in
14 company to Medco.
15 13. Plaintiffis informed and believes and thereon alleges that in or about September
16 2004 ("September 2004 Meeting"), Buenrostro, Snow, and ViUalobos retumed to the ViUalobos
17 Home and were joined by three other members of CalPERS' Board of Administration, Charles
18 Valdes ("Valdes"), Kurato Shimada ("Shimada"), and Robert Carlson ("Carlson"), to fiirther
21 Meeting, Medco agreed to pay ViUalobos $4 million to secure a pharmacy benefit management
23 15. Plaintiffis informed and believes and thereon alleges that in or about November
24 2004, ViUalobos paid for Buenrostro's wedding at the ViUalobos Home, including lodging for
26 16. Plaintiffis informed and believes and thereon alleges that over the following year,
27 Snow continued to pnvately meet with one or more of ViUalobos, Buenrostro, Valdes, Shimada,
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3
COMPLAINT FOR EQUITABLE AND MONETARY RELIEF
1 and/or Carlson to continue their discussions regarding changing CalPERS' pharmacy benefit
3 17. In or about October 18, 2005, CalPERS' Health Benefits Committee convened at a
4 regularly scheduled meeting to recommend to the fiill CalPERS Board which entity to award the
5 pharmacy benefit management contract ("October 2005 Officiai CalPERS Meeting"). Plaintiff is
6 informed and believes and thereon alleges that Buenrostro, Valdes, Shimada, and Carlson
8 18. Plaintiff is informed and believes and thereon alleges that at the October 2005
9 Official CalPERS Meeting, Valdes moved to recommend that the pharmacy benefit management
10 contract be awarded to Medco, and that Valdes and Carlson voted in favor of said
11 recommendation.
12 19. Plaintiff is informed and believes and thereon alleges after the October 2005
13 Official CalPERS Meeting, Medco paid ViUalobos $1 million, the final instaUment oftheir initial
14 $4 million agreement. Plaintiffis informed and believes and thereon alleges Medco agreed to pay
16 20. Plaintiffis informed and believes and thereon alleges neither Buenrostro, Valdes,
17 Shimada, nor Carlson informed the Committee at or prior to the October 2005 Official CalPERS
18 Meeting about the May 2004 Meeting, September 2004 Meeting, Post-September 2004 Medco
19 Meetings (collectively, the "Clandestine Medco Meetings") and/or the ViUalobos Gifts.
20 21. Plaintiff is informed and believes and thereon alleges by or around July 1, 2006,
21 Medco entered into a 3-year, $26 million pharmacy benefit management contract with CalPERS
22 ("Medco PBM Contract"). Plaintiff is informed and believes and thereon alleges that the Medco
23 PBM Contract was extended twice and was increased to $48 million.
24 22. Plaintiff is informed and believes and thereon alleges that after the Medco PBM
25 Contract, Plaintiff incurred increased charges for medications provided through Medco.
27 23. Plaintiff brings this action against Defendants on behalf of himself and all others
28 similarly situated in Caiifomia to recover damages against Defendants for causes of action ansing
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COMPLAINT FOR EQUITABLE AND MONETARY RELIEF
1 from Defendants' unlawful, unfair, or wrongful business acts and/or practices. Plaintiff and the
2 Califomia Class assert causes of action against Defendants for unfair frade practices under Bus. &
5 All individuals who are members of CalPERS' organization health plan that were provided
7 25. The following persons shall be excluded from the Class: (1) Defendants and their
8 subsidiaries and affiliates; (2) all persons who make a timely election to be excluded from the
9 proposed Class; (3) govemmental entities; or (4) the judge(s) to whom this case is assigned and
11 26. Plaintiff reserves the nght to modify or amend the Class definition before the Court
13 27. The Class for whose benefit this action is brought is so numerous that joinder of all
14 Class members is impracticable. Plaintiffis informed and believes and thereon alleges there are
16 28. The claims of Plaintiff are typical of the claims of the Class in that the
17 representative Plaintiff, like all Class members, was a member of CalPERS' organization health
18 plan, purchased medications through Medco during or after 2006, and incurred increased charges
19 for said medications provided through Medco.
20 29. The representative Plaintiff, like all Class members, has been injured in fact by
21 Defendants' misconduct.
22 30. Furthermore, the factual basis of Defendants' misconduct as described above are
23 common to all Class members and represent a common thread of illegal, unfair and/or deceptive
25 31. There is a well-defined commimity of interest in the questions of law and fact
26 affecting the members of the Class as a whole. These questions of law and fact common to the
27 Class predominate over any questions affecting solely individual members, and include whether
28 Defendants' activities related to Medco's pursuit and acquisition of the Medco PBM Contract
5
COMPLAINT FOR EQUITABLE AND MONETARY RELIEF
1 violated Cal. Bus. & Prof. C. § 72000, et seq, for which Plaintiff and the other members of the
3 32. Plaintlffs claims raise predominant common issues for all Class members as they
5 33. Plaintiffhas suffered the harm alleged, and Plaintiffhas no irteconcilable interests
7 34. Plaintiff is committed to the vigorous prosecution of this action and has retained
9 adequate representative of the Class and will fairly and adequately protect the interests of the
10 Class.
11 35. To the extent it is an element for class certification, a class action is superior to
12 other available methods for the fair and efficient group-wide adjudication ofthis confroversy and
13 provides substantial benefits. Since the amount ofeach individual Class member's claim is small
14 relative to the complexity ofthe litigation, and due to the financiai resources of Defendants, no
15 Class member could afford to seek legal redress for some if not all ofthe claims alleged herein.
16 36. Therefore, absent a class action, the Class members will continue to suffer losses
18 CAUSES OF ACTION
19 FIRST CLAIM FOR RELIEF:
22 37. Plaintiffs hereby incorporate by reference all of the foregoing paragraphs as if set
24 38. Defendants' conduct described herein violates Business and Professions Code
8 Medco and suffered and will continue to suffer injury in fact and a loss of
9 money or property.
10 39. Pursuant to Califomia Business and Professions Code §17203, Plaintiff and
12 (a) an Order requiring that Medco cease performance of the Medco PBM
13 Confract;
17 (e) payment oftheir attomeys' fees and costs pursuant to, inter alia, Cal. Code
18 ClV. Proc. §1021.5, the common fund and private Attomey General
19 doctnnes.
21 WHEREFORE, Plaintiff, on behalf of himself and the members of the Class he seeks to
22 represent, prays forjudgment as follows as appropriate for the particular Cause of Action:
23 1. Preliminary and permanent injunctive relief enjoining Medco from performing the
25 2. Restitution ofall excessive amounts paid to Medco or its agents by Plaintiffand the
26 Class, including restitution equal to disgorgement ofthe lU-gotten gains derived from Defendants'
27 misconduct;
5 §1021.5; and
6 7. Such other and further relief as the Court deems just and proper.
7 JURY DEMAND
8 Plaintiffand the Class demand a trial by jury on all claims so tnable.
9 Dated: March 17, 2011 MICHAEL A. HACKARD, a PLC
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14 Arch^J[gr;gamb, ^
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Attomeys for Plaintiff, Michael Desrys
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COMPLAINT FOR EQUITABLE AND MONETARY RELIEF