Express Scripts HIPAA-Based Lawsuit Dismissed by Court of Appeals

HIPAA Journal

Steve Alder

In 2019, a lawsuit was filed against Express Scripts by five independent pharmacies alleging improper use of patient data in violation of HIPAA.

Express Scripts is the largest pharmacy benefits manager in the United States with its own retail pharmacies and pharmacy service. The five pharmacies were part of the Express Scripts network and were required to submit detailed claims to Express Scripts for processing and reimbursement before dispensing drugs. The pharmacies also needed to include information about the medications in their claims, along with the contact information of their customers.

In the lawsuit, the pharmacies alleged that Express Scripts was in...

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