O'HARE v. UPMC HEALTH PLAN, INC.


869 A.2d 976 (2005)

Gerard O'HARE individually and t/d/b/a Jeffrey's Drug Store, a sole proprietorship; Washington Pharmacy, Inc., a corporation; Curtis Pharmacy Inc., a corporation; R & J Pharmacies Inc., a corporation t/d/b/a The Medicine Shoppe Pharmacy (295); R & J Pharmacies, Inc., a corporation t/d/b/a The Medicine Shoppe Pharmacy (16250); William J. Gatti Inc., a corporation t/d/b/a Gatti Pharmacy; Klingensmith Drug Inc., a corporation; Peter Altman individually and t/d/b/a The Medicine Shoppe Pharmacy (838) a sole proprietorship; Vermilya Pharmacies, Inc., a corporation t/d/b/a The Medicine Shoppe Pharmacy of Washington (233); Professional Specialized Pharmacies L.L.C., a corporation t/d/b/a Hometown Pharmacy-Homestead, Hometown Pharmacy-Belle Vernon, Bill's Hometown Pharmacy and Mission Pharmacy Services; Community Drug & Food Mart, Inc., a corporation, Kuzy's Drug Store Inc., a corporation; Pharmacon, Inc., a corporation t/d/b/a The Medicine Shoppe Pharmacy (803); Federico dePasquale, P.C. a corporation t/d/b/a The Medicine Shoppe Pharmacy (1440); Pharmacy, Inc., a corporation t/d/b/a Callaghan's Pharmacy; Michael J. Ashmore, Inc., a corporation t/d/b/a The Medicine Stop Pharmacy (551); Eagle Drug of Carnegie, Inc., a corporation; Glenview Apothecary, Inc., a corporation; Schropp Pharmacy, Inc., a corporation t/d/b/a The Medicine Shoppe Pharmacy (146); DS & S Enterprises, Inc., a corporation t/d/b/a The Medicine Shoppe Pharmacy (203); Ronald L. Power individually and t/d/b/a The Medicine Shoppe Pharmacy (362), a sole proprietorship; George Doperak individually and t/d/b/a the medicine Shoppe Pharmacy (131), a sole proprietorship; Bosco Medical Inc., a corporation t/d/b/a The Medicine Shoppe Pharmacy (251); Michael A. Janic individually and t/d/b/a The Medicine Shoppe Pharmacy (313), a sole proprietorship, Stephen D. Hunter individually and t/d/b/a The Medicine Shoppe Pharmacy (438), a sole proprietorship; Virgil Davis individually and t/d/b/a The Medicine Shoppe Pharmacy, a sole proprietorship, David Sas individually and t/d/b/a The Medicine Shoppe Pharmacy (828), a sole proprietorship; Charles J. Liberatore individually and t/d/b/a the Medicine Shoppe Pharmacy (973), a sole proprietorship; Penn Beaver Pharmacy, Inc., a corporation t/d/b/a The Medicine Shoppe Pharmacy (1310); PPG Script, Inc., a corporation t/d/b/a RX Xpress; Lisa St. Peter individually and t/d/b/a TDI Pharmacy, a sole proprietorship; TEP Inc., a corporation t/d/b/a Brighton Pharmacy; Library Pharmacy Inc., a corporation; Norbet Inc., a corporation t/d/b/a Ernie's Pharmacy; Jennifer L. Cohen individually and t/d/b/a Lincoln Care, a partnership; Jennifer L. Cohen individually and t/d/b/a Lincoln Pharmacy, a partnership; Lleureau, Inc., a corporation t/d/b/a McDonald Pharmacy; Dan Swain individually and t/d/b/a the Medicine Shoppe Pharmacy (483), a sole proprietorship; Nickman's Drug Inc., a corporation; P.R.A. Inc., a corporation t/d/b/a Phil's Pharmacy; Medical Laboratory Service Inc., a corporation t/d/b/a Diamond Pharmacy; Elizabeth Pharmacy, Inc., a corporation; Hayden's Pharmacy, P.C., a corporation; Hoffman's Drug Store Inc., a corporation; Cherry Tree Pharmacy, Inc., a corporation t/d/b/a Lizza's Apothecare Pharmacy; McCracken Pharmacy Inc., a corporation; Barry Kubas individually and t/d/b/a the Medicine Shoppe Pharmacy (1033), a sole proprietorship; Reynolds Pharmacy, Inc., a corporation; Talkol, Inc., a corporation t/d/b/a Bloomfield Drug Store; George Norkus individually and t/d/b/a Amsler Pharmacy, a sole proprietorship; Charlson's Drug Store; Inc., a corporation; John's Leader Drug, Inc., a corporation; Norman Talkowski individually and t/d/b/a Berkeley Hills Pharmacy, a sole proprietorship; Charlson's Drug Store; Inc., a corporation; John's Leader Drug, Inc., a corporation; Norman Talkowski individually and t/d/b/a Berkeley Hills Pharmacy, a sole proprietorship; Johnson's Pharmaceutical Services Inc., a corporation; Potomac Pharmacy, Inc., a corporation; Jeffrey F. Wilson and Izetta R. Wilson individually and t/d/b/a Wilson's Pharmacy, a partnership; Donald Waltmire individually and t/d/b/a Waltmire Pharmacy, a sole proprietorship; Mary Beth Marcoline individually and t/d/b/a Scerbo's Pharmacy, a sole proprietorship; RLH Inc., a corporation t/d/b/a Hixenbaugh's Drug Store; Burns's Drug Company, a corporation; Joseph Dimatteo, Inc., a corporation t/d/b/a the Medicine Shoppe Pharmacy(374) and the Medicine Shoppe Pharmacy (721); Roadway Pharmacy, Inc., a corporation; Stephen Stutz individually and t/d/b/a Stutz Pharmacy, a sole proprietorship; Greblaw, Inc., a corporation t/d/b/a Jamestown Pharmacy; Edward Wilcox individually and t/d/b/a Redstone Pharmacy, a sole proprietorship; Scott Edmundson individually and t/d/b/a the Medicine Shoppe Pharmacy (211), a sole proprietorship; Ranier's Pharmacy, Inc., a corporation; Ranier Management Inc., a corporation t/d/b/a Ranier's Specialty Care Pharmacy; Phillip Sollon individually and t/d/b/a Sollon Pharmacy, a sole proprietorship; FamCare Prescription and Health Center of Burgettstown Inc., a corporation t/d/b/a FamCare Pharmacy; Joylin RX Inc., a corporation t/d/b/a The Medicine Shoppe Pharmacy (573); Med-Fast Pharmacy, Inc., a corporation; Benscreek Drug Store, Inc., a corporation; Jacqueline M. Martella individually and t/d/b/a Boswell Prescription Center, a sole proprietorship; Everett Pharmacy, Inc., a corporation t/d/b/a Everett Pharmacy and McCahan's Pharmacy; Fishco, Inc., a corporation t/d/b/a Fisher Pharmacy; Forest Hills Pharmacy, Inc., a corporation; Joseph Martella and Jacqueline Martella individually and t/d/b/a Martella's Pharmacy, a partnership; Elaine Trapani individually and t/d/b/a Medicap Pharmacy, a sole proprietorship; and Westmont Rexall Drug Store, P.C. a corporation t/d/b/a Westmont Drug Store, Appellees, v. UPMC HEALTH PLAN, INC., a corporation, individually and t/d/b/a Best Health Care of Western Pennsylvania, Appellants.

Superior Court of Pennsylvania.

Filed January 24, 2005.

Reargument Denied April 7, 2005.


Attorney(s) appearing for the Case

Christine L. Donohue, Pittsburgh, for appellant.

Dennis J. Roman, Pittsburgh, for appellees.

BEFORE: TODD, BOWES and CAVANAUGH, JJ.


OPINION BY TODD, J.:

¶ 1 In this declaratory judgment action, UPMC Health Plan, Inc. ("UPMC") appeals the July 30, 2003 order of the Allegheny County Court of Common Pleas holding that UPMC has no right to recover overpayments of approximately $1.8 million which it paid to Appellees for generic prescription drugs. We reverse.

¶ 2 UPMC is a corporation that provides health insurance benefits to commercial subscribers and their employees. Through its...

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