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U.S. EX REL. SPAY v. CVS CAREMARK CORP.

No. 15-3548.

875 F.3d 746 (2017)

UNITED STATES of America, EX REL. Anthony R. SPAY v. CVS CAREMARK CORPORATION; Caremark Rx, LLC, f/k/a Caremark RX, Inc.; Caremark, LLC, f/k/a Caremark, Inc.; Silverscript, LLC, f/k/a Silverscript Inc. Anthony R. Spay, Appellant.

United States Court of Appeals, Third Circuit.

Opinion Filed: November 16, 2017.

Attorney(s) appearing for the Case

Ian P. Samson, Esq. , Paul A. Traina, Esq. , Jared W. Beilke, Esq. , Engstrom Lipscomb & Lack, 100100 Santa Monica Boulevard, 12th Floor, Los Angeles, CA 90067, Marc S. Raspanti, Esq. [ARGUED], Michael A. Morse, Esq. , Pamela C. Brecht, Esq. , Pietragallow Gordon Alfano Bosick & Raspanti, 1818 Market Street, Suite 3402, Philadelphia, PA 19103, Attorneys for Appellant.

Enu Mainigi, Esq. [ARGUED], Craig D. Singer, Esq. , Grant A. Geyerman, Esq. , Williams & Connolly LLP, 725 Twelfth Street, N.W., Washington, D.C. 20005, Attorneys for Appellees.

Joy P. Clairmont, Esq. , Berger & Montague, P.C., 1622 Locust Street, Philadelphia, PA 19103, Jeffrey F. Keller, Esq. , Kathleen R. Scanlan, Esq. , Keller Grover LLP, 1965 Marker Street, San Francisco, CA 94103, Gordon Schnell, Esq. , Constantine Cannon LLP, 335 Madison Avenue, 9th Floor, New York, NY 10017, Claire M. Sylvia, Esq. , Phillips & Cohen LLP, 100 The Embarcadero, Suite 300, San Francisco, CA 94105, Attorneys for Amicus Appellant.

Before: SMITH, Chief Judge, McKEE, and RESTREPO, Circuit Judges.

OPINION OF THE COURT

We are asked to consider the viability of two potential defenses to an alleged False Claims Act violation that arise in the context of the Medicare Part D Program: the government knowledge inference, which can defeat a finding of scienter in certain circumstances, and the element of materiality...

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