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US appeals court overturns West Virginia landmark opioid lawsuit decision

The 4th Circuit found a lower court misapplied state law and the Controlled Substances Act in dismissing opioid lawsuits by Huntington and Cabell County, which seek $2.5 billion.

  • On Tuesday, the 4th U.S. Circuit Court of Appeals overturned a West Virginia decision rejecting Cabell County and the city of Huntington's claims against U.S. drug distributors, remanding the case to the U.S. District Court in Charleston.
  • In 2021, Cabell County recorded 1,059 emergency responses to suspected overdoses and at least 162 deaths, which plaintiffs allege show a public health crisis worsened by AmerisourceBergen Drug Co., Cardinal Health Inc. and McKesson Corp.'s failures to monitor shipments and ignore addiction signs.
  • Last year, the appeals court asked the West Virginia Supreme Court whether conditions from controlled substance distribution can constitute a public nuisance, while U.S. District Judge David Faber said extending nuisance law to opioid marketing conflicts with its history.
  • Under West Virginia law, abatement can require defendants to pay for harm reduction, and the plaintiffs sought more than $2.5 billion while many nationwide deals exceed $50 billion.
  • With mixed trial outcomes, the appeals court noted the West Virginia Mass Litigation Panel has sometimes allowed nuisance claims, but warned `create an avalanche of activist litigation` could occur if law expands, critics say.
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US appeals court overturns West Virginia landmark opioid lawsuit decision

A federal appeals court has overturned a landmark decision in an opioid lawsuit in West Virginia. A lower court judge had rejected attempts by an opioid-ravaged area to be compensated by U.S. drug distributors for a influx of prescription pain pills.

·United States
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Mountain State Spotlight broke the news in on Tuesday, October 28, 2025.
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