Legal Opinion

Southwest Pharmacy Solutions, Inc. v. Centers for Medicare & Medicaid Services

Court of Appeals for the Fifth Circuit

Decided May 1, 2013No. 12-40097PublishedCited by 10 opinions

1Opinion of the Court

EDITH BROWN CLEMENT, Circuit Judge:

The sole issue on appeal is whether the district court properly dismissed South west Pharmacy Solutions’s claim for lack of subject matter jurisdiction. While 42 U.S.C. § 405(h) clearly requires a plaintiff to exhaust administrative remedies before filing a claim in federal court, the Supreme Court has provided a narrow exception to this rule in Shalala v. Illinois Council on Long Term Care, Inc., 529 U.S. 1, 17-20, 120 S.Ct. 1084, 146 L.Ed.2d 1 (2000). Southwest argues that its claim falls within this exception and therefore was dismissed erroneously.…

2Cases cited14 opinions

  1. Auer v. RobbinsSupreme Court of the United States · 1997
  2. Bowen v. Georgetown University HospitalSupreme Court of the United States · 1988
  3. Shalala v. Illinois Council on Long Term Care, Inc.Supreme Court of the United States · 2000
  4. Christopher v. Smithkline Beecham Corp.Supreme Court of the United States · 2012
  5. Long Island Care at Home, Ltd. v. CokeSupreme Court of the United States · 2007

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3Cited by10 opinions

  1. Temple University Hospital v. Secretary United States DeptCourt of Appeals for the Third Circuit · 2021
  2. Benjamin v. United States (In Re Benjamin)Court of Appeals for the Fifth Circuit · 2019
  3. Row 1 Inc. v. Xavier BecerraCourt of Appeals for the D.C. Circuit · 2024
  4. Benjamin v. United States (In Re Benjamin)Court of Appeals for the Fifth Circuit · 2019
  5. Born v. SebeliusDistrict Court, D. Colorado · 2013

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